Sample records for birth cm unknown

  1. 'Reacting to the unknown': experiencing the first birth at home or in hospital in Australia. (United States)

    Dahlen, Hannah G; Barclay, Lesley; Homer, Caroline S E


    to explore the experiences of a small group of first-time mothers giving birth at home or in hospital. a grounded theory methodology was used. Data were generated from in-depth interviews with women in their own homes. Sydney, Australia. 19 women were interviewed. Seven women who gave birth for the first time in a public hospital and seven women who gave birth for the first time at home were interviewed, and their experiences were contrasted with two mothers who gave birth for the first time in a birth centre, one mother who gave birth for the first time in a private hospital and two women who had given birth more than once. these women shared common experiences of giving birth as 'novices'. Regardless of birth setting, they were all 'reacting to the unknown'. As they entered labour, the women chose different levels of responsibility for their birth. They also readjusted their expectations when the reality of labour occurred, reacted to the 'force' of labour, and connected or disconnected from the labour and eventually the baby. knowing that first-time mothers, irrespective of birth setting, are essentially 'reacting to the unknown' as they negotiate the experience of birth, could alter the way in which care is provided and increase the sensitivity of midwives to women's needs. Most importantly, midwives need to be aware of the need to help women adjust their expectations during labour and birth. Identifying the 'novice' status of first-time mothers also better explains previous research that reports unrealistic expectations and fear that may be associated with first-time birthing. Crown Copyright 2008. Published by Elsevier Ltd. All rights reserved.

  2. Use of Medicines with Unknown Fetal Risk among Parturient Women from the 2004 Pelotas Birth Cohort (Brazil

    Directory of Open Access Journals (Sweden)

    Andréa Dâmaso Bertoldi


    Full Text Available Background. To estimate the exposure to medicines with unknown fetal risk during pregnancy and to analyze the maternal characteristics associated with it. Methods. A questionnaire was administered to 4,189 mothers of children belonging to the 2004 Pelotas (Brazil birth cohort study about use of any medicine during gestation. We evaluated the associations between use of medicines with unknown fetal risk and the independent variables through logistic regression models. Unknown fetal risk was defined as medicines in which studies in animals have revealed adverse effects on the fetus, and no controlled studies in women, or studies in women and animals, are available. Results. Out of the 4,189 women, 52.5% used at least one medicine from unknown fetal risk. Use of these medicines was associated with white skin color, high schooling, high income, six or more antenatal care consultations, hospital admission during pregnancy, and morbidity during gestation. Conclusion. The use of unknown fetal risk medicines is high, suggesting that their use must be addressed with caution with the aim of restricting their use to cases in which the benefits are greater than the potential risks.

  3. Ubiquitous CM and DM (United States)

    Crowley, Sandra L.


    Ubiquitous is a real word. I thank a former Total Quality Coach for my first exposure some years ago to its existence. My version of Webster's dictionary defines ubiquitous as "present, or seeming to be present, everywhere at the same time; omnipresent." While I believe that God is omnipresent, I have come to discover that CM and DM are present everywhere. Oh, yes; I define CM as Configuration Management and DM as either Data or Document Management. Ten years ago, I had my first introduction to the CM world. I had an opportunity to do CM for the Space Station effort at the NASA Lewis Research Center. I learned that CM was a discipline that had four areas of focus: identification, control, status accounting, and verification. I was certified as a CMIl graduate and was indoctrinated about clear, concise, and valid. Off I went into a world of entirely new experiences. I was exposed to change requests and change boards first hand. I also learned about implementation of changes, and then of technical and CM requirements.

  4. Birth Order and Child Health


    Lundberg, Evelina; Svaleryd, Helena


    Previous research has established that birth order affects outcomes such as educational achievements, IQ and earnings. The mechanisms behind these effects are, however, still largely unknown. In this paper, we examine birth-order effects on health, and whether health at young age could be a transmission channel for birth-order effects observed later in life. We find no support for the birth-order effect having a biological origin; rather firstborns have worse health at birth. This disadvantag...

  5. Preterm Birth (United States)

    ... After hours (404) 639-2888 Contact Media Preterm Birth Recommend on Facebook Tweet Share Compartir Preterm birth ... Can anything be done to prevent a preterm birth? Preventing preterm birth remains a challenge because there ...

  6. Cesarean Birth (United States)

    ... QUESTIONS LABOR, DELIVERY, AND POSTPARTUM CARE FAQ006 Cesarean Birth (C-section) • What is cesarean birth? • What are the reasons for cesarean birth? • Is a cesarean birth necessary if I have ...

  7. Designing towards the unknown

    DEFF Research Database (Denmark)

    Wilde, Danielle; Underwood, Jenny


    , to design towards unknown outcomes, using unknown materials. The impossibility of this task is proving as useful as it is disruptive. At its most potent, it is destabilising expectations, aesthetics and processes. Keeping the researchers, collaborators and participants in a state of unknowing, is opening...... the research potential to far-ranging possibilities. In this article we unpack the motivations driving the PKI project. We present our mixed-methodology, which entangles textile crafts, design interactions and materiality to shape an embodied enquiry. Our research outcomes are procedural and methodological...

  8. Fever of unknown origin.

    NARCIS (Netherlands)

    Bleeker-Rovers, C.P.; Meer, J.W.M. van der; Oyen, W.J.G.


    Fever of unknown origin (FUO) often is defined as a fever greater than 38.3 degrees C on several occasions during at least 3 weeks with uncertain diagnosis after a number of obligatory tests. In general, infection accounts for approximately one-fourth of cases of FUO, followed by neoplasm and

  9. Birth Defects (United States)

    A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of ... in the United States is born with a birth defect. A birth defect may affect how the ...

  10. Cervicitis of unknown etiology. (United States)

    Taylor, Stephanie N


    Cervicitis has been described by some as the female counterpart of urethritis in men. Over the years a number of clinical and microscopy-based definitions have been suggested in the literature. Clinical manifestations include mucopurulent discharge from the cervix, cervical friability (easy bleeding from the cervix with passage of a swab) and cervical ectopy. Microscopic definitions involving the use of Gram stain of cervical secretions have included either more than 10 white blood cells (WBCs) or more than 30 WBCs per high-power field. Combinations of these clinical and microscopic findings have been used in attempts to increase the accuracy of cervicitis diagnosis. When cervicitis was initially recognized as a clinical entity, several investigators reported the primary pathogens causing cervicitis as Neisseria gonorrhoeae and Chlamydia trachomatis. It is now well established that most cases of cervicitis are not caused by these two organisms. Most cases of cervicitis are of unknown etiology.

  11. Physics: unknown radiation

    CERN Document Server

    Grenier, E; Liksonov, V I; Tsinoiev, V G


    This article reports experiments concerning the study of the electrical explosion of a titanium foil in water. During the electrical discharge a strong luminescence appears, the analysis of spectra shows the presence of new chemical elements and this presence is confirmed by the mass-spectrometry measurements performed on the precipitates found after the discharge. This experiment has been repeated about 200 times and the results are consistent an show an average titanium transmutation rate of 4%. Neither gamma nor neutron radiation have been detected but an unknown radiation, sensitive to magnetic fields, has been detected through tracks left on RF-ZMP fluo-graphical films covered with a 10 mu m-thick emulsion layer. The assumption of a radiation made up of magnetic monopoles is supported by the author. (A.C.)

  12. Breech birth (United States)

    ... page: // Breech birth To use the sharing features on this page, ... safer for your baby to pass through the birth canal. In the last weeks of pregnancy, your ...

  13. Evaluation of neutron cross sections for 244Cm, 246Cm, and 248Cm

    International Nuclear Information System (INIS)

    Benjamin, R.W.; McCrosson, F.J.; Gettys, W.E.


    An evaluation of neutron cross sections for 244 246 248 Cm using the ENDF/B format is presented. Primary data input included differential measurements, integral measurements, nuclear model calculations, and reactor production experience

  14. Evaluation of neutron cross sections for /sup 244/Cm, /sup 246/Cm, and /sup 248/Cm

    Energy Technology Data Exchange (ETDEWEB)

    Benjamin, R.W.; McCrosson, F.J.; Gettys, W.E.


    An evaluation of neutron cross sections for /sup 244/ /sup 246/ /sup 248/Cm using the ENDF/B format is presented. Primary data input included differential measurements, integral measurements, nuclear model calculations, and reactor production experience. (SDF)

  15. Birth Weight and Length as Predictors for Adult Height

    DEFF Research Database (Denmark)

    Sørensen, Henrik Toft; Sabroe, Svend; Rothman, Kenneth J.


    Adult height has been found to be inversely associated with mortality. Recently, it has been suggested that growth in utero is linked with adult risk of several chronic diseases. The authors examined possible associations between birth weight, birth length, and adult height in young Danish men...... birth weight and adult height; for subjects with birth weight or = 4,501 g, mean height was 184.1 cm. A positive association was also found between birth length and adult height. For subjects with birth length ... adult height was 175.2 cm, increasing to 184.3 cm at birth length > 56 cm. The associations between birth length and adult height persisted after adjustment for birth weight, gestational age, and other confounders, while the associations between birth weight and adult height almost disappeared when...

  16. Carcinomatous Meningitis from Unknown Primary Carcinoma

    Directory of Open Access Journals (Sweden)

    L. Favier


    Full Text Available Carcinomatous meningitis (CM occurs in 3 to 8% of cancer patients. Patients present with a focal symptom, and multifocal signs are often found following neurological examination. The gold standard for diagnosis remains the demonstration of carcinomatous cells in the cerebrospinal fluid on cytopathological examination. Despite the poor prognosis, palliative treatment could improve quality of life and, in some cases, overall survival. We report on a patient who presented with vertigo, tinnitus and left-sided hearing loss followed by progressive diffuse facial nerve paralysis. Lumbar cerebrospinal fluid confirmed the diagnosis of CM. However, no primary tumor was discovered, even after multiple invasive investigations. This is the first reported case in the English-language medical literature of CM resulting from a carcinoma of unknown primary origin.

  17. 344 cm x 86 cm low mass vacuum window

    International Nuclear Information System (INIS)

    Reimers, R.M.; Porter, J.; Meneghetti, J.; Wilde, S.; Miller, R.


    The LBL Heavy Ion Spectrometer System (HISS) superconducting magnet contains a 1 m x 3.45 m x 2 m vacuum tank in its gap. A full aperture thin window was needed to minimize background as the products of nuclear collisions move from upstream targets to downstream detectors. Six windows were built and tested in the development process. The final window's unsupported area is 3m 2 with a 25 cm inward deflection. The design consists of a .11 mm Nylon/aluminum/polypropylene laminate as a gas seal and .55 mm woven aramid fiber for strength. Total mass is 80 milligrams per cm 2 . Development depended heavily on past experience and testing. Safety considerations are discussed

  18. 5cm aperture dipole studies

    International Nuclear Information System (INIS)

    McInturff, A.D.; Bossert, R.; Carson, J.; Fisk, H.E.; Hanft, R.; Kuchnir, M.; Lundy, R.; Mantech, P.; Strait, J.


    The results obtained during the evolution of the design, construction, and testing program of the design ''B'' dipole are presented here. Design ''B'' is one of the original three competing designs for the Superconducting Super Collider ''SSC'' arc dipoles. The final design parameters were as follows: air cored (less than a few percent of the magnetic field derived from any iron present), aluminum collared, two layered winding, 5.5T maximum operating field, and a 5 cm cold aperture. There have been fourteen 64 cm long 5 cm aperture model dipoles cold tested (at 4.3K and less) in this program so far. There was a half length full size (6m) mechanical analog (M-10) built and tested to check the cryostat's mechanical design under ramping and quench conditions. Several deviations from the ''Tevatron'' dipole fabrication technique were incorporated, for example the use of aluminum collars instead of stainless steel. The winding technique variations explored were ''dry welding,'' a technique with the cable covered with Kapton insulation only and ''wet winding'' where the Kapton was covered with a light coat of ''B'' stage epoxy. Test data include quench currents, field quality (Fourier multipole co-efficients), coil magnetization, conductor current performance, and coil loading. Quench current, loss per cycle, and harmonics were measured as a function of the magnitude and rate of change of the magnetic field, and helium bath temperature

  19. Birthing Classes (United States)

    ... management options. Breastfeeding basics. Caring for baby at home. Birthing classes are not just for new parents, though. ... midwife. Postpartum care. Caring for your baby at home, including baby first aid. Lamaze One of the most popular birthing techniques in the U.S., Lamaze has been around ...

  20. Birth Weight (United States)

    ... may become sick in the first days of life or develop infections. Others may suffer from longer-term problems such as delayed motor and social development or learning disabilities. High birth weight babies are often big because ...

  1. Birth Plans (United States)

    ... licensed to handle low-risk births and whose philosophy emphasizes educating expectant parents about the natural aspects ... Partner Message About Us Contact Us Partners Editorial Policy Permissions Guidelines Privacy Policy & Terms of Use Notice ...

  2. [Birth hypoxia]. (United States)

    Větr, M


    Evaluation of the commonly used laboratory and clinical parameters of the newborn shortly after birth. Check thresholds acidemia, and in relation to the method of termination of pregnancy. Retrospective epidemiological study. Department of Obstetrics and Gynecology, University Hospital, Olomouc. Of the 26,869 children born in the years 2000 to 2013 Inclusion criteria (complete clinical and laboratory findings after birth) fulfill 23,471 (87.4%) neonates. Methods for evaluation of newborns included Apgar score calculation and arterial umbilical cord blood pH and lactate analysis. A total of 0.7% (157) of the neonates had severe acidosis pH below 7.00 arterial umbilical cord blood, its prevalence varies annually between 0.1 to 1.1%. Cutoff lactate in relation to pH reserves. Operating cesarean births in particular accounts for more than half of those with worse clinical findings Apgar and pH <7.00, but only 30% supratreshold lactate values. Also worse clinical evaluation after caesarean section is not in accordance with the laboratory findings. Vaginal surgery, especially forceps have a significant share of severe acidosis than cesarean, regardless of their frequency. Risk factor of forceps to pH less 7.00,OR = 9.28 (5.39 -15.77), P = 0.0000000, while caesarean to pH less 7,00 had OR = 1.52 (1.08 to 2.14), P = 0.01408156. The results obtained confirm that acidosis after birth is quite common, although they may not have response on the clinical condition of the newborn after birth. Evaluation of Apgar is little objective for the detection of hypoxia during birth and is influenced by the immaturity of newborn and method of delivery. Lactate levels may contribute to an objective assessment of hypoxia during birth. Values above 6.3 mmol/l can be considered an important indicator of newborn acidosis and birth hypoxia.

  3. Unknown foundation determination for scour. (United States)


    Unknown foundations affect about 9,000 bridges in Texas. For bridges over rivers, this creates a problem : regarding scour decisions as the calculated scour depth cannot be compared to the foundation depth, and a : very conservative costly approach m...

  4. Spectroscopic Properties and Potential Energy Surfaces for Curium Hydrides: CmH2, CmH2+, CmH, and CmH+ (United States)

    Balasubramanian, K.; Cao, Zhiji


    A relativistic complete active space multiconfigurational self-consistent field followed by multireference singles + doubles configuration interaction computations are carried out on the potential energy surfaces of electronic states of CmH2 and CmH2+ for the insertion reaction of Cm and Cm+ into H2. We have also carried out corresponding computations on several electronic states of CmH and CmH+. Moreover, multireference relativistic configuration interaction computations including spin-orbit coupling were carried out on 75 electronic states of CmH+, which were found to be below the 45 000 cm-1 region. We have computed the first ionization energy of Cm as 5.94 eV in excellent agreement with experimental value of 5.99 eV. Our computations reveal barriers for the insertion of Cm and Cm+ in their ground electronic states into H2, but once the barriers are surmounted, both Cm + H2 and Cm+ + H2 form stable products. The potential energy curves of CmH and CmH+ reveal the existence of several low-lying open-shell excited states with varied Λ quantum numbers and spin multiplicities. The excited states of these species exhibit intermediate coupling, although the spin-orbit splittings of the 9Σ- and 8Σ- ground states of CmH and CmH+ are small, exhibiting nearly inverted multiplets.

  5. Spectroscopic properties and potential energy surfaces for curium hydrides: CmH(2), CmH(2)(+), CmH, and CmH(+). (United States)

    Balasubramanian, K; Cao, Zhiji


    A relativistic complete active space multiconfigurational self-consistent field followed by multireference singles + doubles configuration interaction computations are carried out on the potential energy surfaces of electronic states of CmH(2) and CmH(2)(+) for the insertion reaction of Cm and Cm(+) into H(2). We have also carried out corresponding computations on several electronic states of CmH and CmH(+). Moreover, multireference relativistic configuration interaction computations including spin-orbit coupling were carried out on 75 electronic states of CmH(+), which were found to be below the 45 000 cm(-1) region. We have computed the first ionization energy of Cm as 5.94 eV in excellent agreement with experimental value of 5.99 eV. Our computations reveal barriers for the insertion of Cm and Cm(+) in their ground electronic states into H(2), but once the barriers are surmounted, both Cm + H(2) and Cm(+) + H(2) form stable products. The potential energy curves of CmH and CmH(+) reveal the existence of several low-lying open-shell excited states with varied Lambda quantum numbers and spin multiplicities. The excited states of these species exhibit intermediate coupling, although the spin-orbit splittings of the (9)Sigma(-) and (8)Sigma(-) ground states of CmH and CmH(+) are small, exhibiting nearly inverted multiplets.

  6. Birth cohorts

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Madsen, Mia


    ; provides practical guidance on how to set-up and maintain birth cohorts for completing family-based studies in life course epidemiology; describes how to undertake appropriate statistical analyses of family-based studies and correctly interpret results from these analyses; and provides examples...

  7. Allocating monitoring effort in the face of unknown unknowns (United States)

    Wintle, B.A.; Runge, M.C.; Bekessy, S.A.


    There is a growing view that to make efficient use of resources, ecological monitoring should be hypothesis-driven and targeted to address specific management questions. 'Targeted' monitoring has been contrasted with other approaches in which a range of quantities are monitored in case they exhibit an alarming trend or provide ad hoc ecological insights. The second form of monitoring, described as surveillance, has been criticized because it does not usually aim to discern between competing hypotheses, and its benefits are harder to identify a priori. The alternative view is that the existence of surveillance data may enable rapid corroboration of emerging hypotheses or help to detect important 'unknown unknowns' that, if undetected, could lead to catastrophic outcomes or missed opportunities. We derive a model to evaluate and compare the efficiency of investments in surveillance and targeted monitoring. We find that a decision to invest in surveillance monitoring may be defensible if: (1) the surveillance design is more likely to discover or corroborate previously unknown phenomena than a targeted design and (2) the expected benefits (or avoided costs) arising from discovery are substantially higher than those arising from a well-planned targeted design. Our examination highlights the importance of being explicit about the objectives, costs and expected benefits of monitoring in a decision analytic framework. ?? 2010 Blackwell Publishing Ltd/CNRS.

  8. Function analysis of unknown genes

    DEFF Research Database (Denmark)

    Rogowska-Wrzesinska, A.


      This thesis entitled "Function analysis of unknown genes" presents the use of proteome analysis for the characterisation of yeast (Saccharomyces cerevisiae) genes and their products (proteins especially those of unknown function). This study illustrates that proteome analysis can be used...... be obtained using proteome analysis. Chapter 1 and 2 provide the basic theoretical aspects of proteome analysis, its principles, the main techniques involved and their use in the studies of the molecular biology of yeast cells. Chapter 3 presents the methods and tools involved in proteome analysis and used...... presents a comparison of the proteomes of three yeast wild type strains CEN.PK2, FY1679 and W303 that are widely used in function analysis projects and proves that FY1679 and W303 strains are more similar to each other than to the CEN.PK2 strain. This study identifies 62 proteins that are differentially...

  9. Desquamative Inflammatory Vaginitis: The Unknown


    María Trinidad Alumbreros Andújar; Ana González López; Celia Pérez Parra; Rafael López Pérez; Carmen Céspedes Casas; María Mercedes Ramírez Gómez; Castor Martin Francisco; Francisco Javier Haya Palazuelos


    Introduction: Desquamative inflammatory vaginitis (DIV) is a chronic inflammatory process of unknown etiology, characterized by genital pain and profuse vaginal discharge, mainly affecting perimenopausal women. It is an entity little known by clinicians, leading to a delay in diagnosis and the consequent alteration of the patients’ quality of life. The aim in this manuscript is to analyze DIV through the review of a case and the scientific literature. Case presentation: We report the case ...

  10. Inflammation in Heart Failure: known knowns and unknown unknowns. (United States)

    Cocco, Giuseppe; Jerie, Paul; Amiet, Philipp; Pandolfi, Stefano


    The review deals with inflammation in heart failure (HF). Many data show that systemic inflammation is frequent in HF and implicate that inflammation contributes to damage and dysfunction of the cardiovascular system. Areas Covered: Experimental data have been mainly obtained in acute laboratory animal models. It is questionable whether animals' data can be translated into clinical settings with patients with chronic HF who have concomitant pathologies. The idea of a common inflammatory pathway that characterizes all different forms of clinical HF is unrealistic. It seems realistic that inflammation differs in non-cardiac and cardiac diseases. Research therapeutic options address the use of inhibitors of cytokines, of agents antagonizing oxidative stress, of MMP and of PI3K signaling pathways. Expert Opinion: Considering the many unknowns in our knowledge it is not surprising that early trials aimed to antagonize inflammation in HF have been disappointing. We are far away from having solid therapeutic schedules to use immunomodulation in all subtypes of HF. However, modern trials on HF due to virus infections have proven that immunomodulation is therapeutically effective. We should wisely use the known facts and accept that we have many unknowns. By appropriate selection of the subtypes of HF we may be able to find the appropriate therapy against inflammation in HF.

  11. Intraabdominal abscessus of unknown etiology

    Directory of Open Access Journals (Sweden)

    Čolović Radoje


    Full Text Available Introduction. Intraabdominal abscesses are in 98-99% cases the result of secondary and only in 1-2% of primary peritonitis. They are easy and successfully diagnosed. Abdominal abscesses of unknown cause are extremely rare. Case Outline. The authors present a 68-year-old man, without significant data in past history, who suddenly developed epigastric pain, nausea, vomiting and leukocytosis which was treated with antibiotics resulting in the alleviation of complaints and reduction of white blood cells count. After five days ultrasonography showed incapsulated collection of dense fluid in the epigastrium confirmed by CT scan two days later. Upper endoscopy excluded ulcer and/or perforation of the stomach and duodenum. Under local anesthesia, through the upper part of the left rectal muscle, puncture followed by incision was done, and about 50 ml of dense pus was removed. Finger exploration of the cavity showed no foreign body within the cavity. Using drainage, the recovery was quick and uneventful. By preoperative and postoperative abdominal investigations no cause of the abscess was found. Two and a half years after surgery the patient remained symptom-free with normal clinical, laboratory and ultrasonographic findings. Conclusion. The authors presented an intraabdominal abscess of unknown cause that was successfully treated with antibiotics, percutaneous puncture and drainage under local anaesthesia. In spite of all diagnostic methods the cause of the abscess could not be found. Thus, such a possibility, although being rare, should be taken into account.

  12. The novice birthing: theorising first-time mothers' experiences of birth at home and in hospital in Australia. (United States)

    Dahlen, Hannah G; Barclay, Lesley M; Homer, Caroline S E


    to explore first-time mothers' experiences of birth at home and in hospital in Australia. a grounded theory methodology was used. Data were generated from in-depth interviews with women in their own homes. Sydney, Australia. 19 women were interviewed. Seven women who gave in a public hospital and seven women who gave birth for the first time at home were interviewed and their experiences were contrasted with two mothers who gave birth for the first time in a birth centre, one mother who gave birth for the first time in a private hospital and two women who had given birth more than once. three categories emerged from the analysis: preparing for birth, the novice birthing and processing the birth. These women shared a common core experience of seeing that they gave birth as 'novices'. The basic social process running through their experience of birth, regardless of birth setting, was that, as novices, they were all 'reacting to the unknown'. The mediating factors that influenced the birth experiences of these first-time mothers were preparation, choice and control, information and communication, and support. The quality of midwifery care both facilitated and hindered these needs, contributing to the women's perceptions of being 'honoured'. The women who gave birth at home seemed to have more positive birth experiences. identifying the novice status of first-time mothers and understanding the way in which they experience birth better explains previous research that reports unrealistic expectations and fear that may be associated with first-time birthing. It demonstrates how midwives can contribute to positive birth experiences by being aware that first-time mothers, irrespective of birth setting, are essentially reacting to the unknown as they negotiate the experience of birth. Copyright 2008 Elsevier Ltd. All rights reserved.

  13. Birth rights. (United States)

    Hawkin, R


    Despite the marked decline in Singapore's crude birth rate from 42.7/1000 population to 22.1/1000 population from 1957 to 1970, the government adopted a policy of sterilization by coercion with the passage in 1970 of the Voluntary Sterilisation Act. Although sterilization is supposedly voluntary, various regulations make it extremely difficult for couples who wish to retain their fertility. Couples under 40 years of age with more than 2 children must agree to accept sterilization or their children are assigned to a low priority category in regard to primary school admittance. An individual who wishes to marry a non-Singaporean cannot obtain a marriage application unless one of the parties to the marriage agrees to have a sterilization after the birth of their 2nd child. Singapore, with a population density of almost 4000/square kilometer, needs to be concerned about population growth; however, since the population had for the most part already adopted a 2 child family norm, these coercive policies appear to be blatantly excessive.



    Ravindra Kumar Boddeti; Roopa Kulkarni; Pradeep Kumar H Murudkar


    Vermiform appendix is a vestigial organ in human beings and situated at the ileocaecal junction. It opens into the caecum. It is a narrow tube of varying length. The normal, average length is about 5 cm to 10 cm. The longest vermiform appendix has been reported to be measuring about 25 cm. In the present case a long vermiform appendix was observed in female, formalin fixed, adult cadaver during the routine dissection for medical undergraduates. The Vermiform appendix was retrocaecal and exten...

  15. CM: Becoming a technology firm (teaching case)

    NARCIS (Netherlands)

    van Burg, J.C.; Reymen, I.M.M.J.; Dolmans, S.A.M.


    Founded in 2000 as a Short Message Service (SMS) marketing company for discos (clubs), CM evolved into a technology provider for SMS services. By 2008, CM was market leader in The Netherlands, a position won by offering high quality services at low prices. In 2010, the founders of the company were

  16. An 18-cm unruptured abdominal aortic aneurysm

    Directory of Open Access Journals (Sweden)

    Nathan M. Droz, MD


    Full Text Available Abdominal aortic aneurysm (AAA is a significant source of morbidity and ranked by the Centers for Disease Control and Prevention as the 15th leading cause of death among adults aged 60 to 64 years. Size confers the largest risk factor for aneurysm rupture, with aneurysms >6 cm having an annual rupture risk of 14.1%. We present the case of a 60-year-old man found on ultrasound imaging at a health fair screening to have a 15-cm AAA. Follow-up computed tomography angiography revealed an 18-cm × 10-cm unruptured, infrarenal, fusiform AAA. Giant AAAs, defined as >11 cm, are rarely described in the literature. Our patient underwent successful transperitoneal AAA repair with inferior mesenteric artery reimplantation and was discharged home on operative day 6. We believe this case represents one of the largest unruptured AAAs in the literature and demonstrates the feasible approach for successful repair.

  17. Birth control pills - combination (United States)

    ... this page: // Birth control pills - combination To use the sharing features ... contain both progestin and estrogen. What Are Combination Birth Control Pills? Birth control pills help keep you ...

  18. Birth Control Explorer (United States)

    ... Relationships STIs Media Facebook Twitter Tumblr Shares · 582 Birth Control Explorer Sort by all methods most effective ... MORE You are here Home » Birth Control Explorer Birth Control Explorer If you’re having sex —or ...

  19. Accredited Birth Centers (United States)

    ... Administrative Staff Donate Contact MENU CLOSE back Accredited Birth Centers You are here: Home Accredited Birth Centers ... not CABC-accredited. How do you find a birth center here? Skip Instructions! Get to the Map… ...

  20. Essure Permanent Birth Control (United States)

    ... and Prosthetics Essure Permanent Birth Control Essure Permanent Birth Control Share Tweet Linkedin Pin it More sharing ... Email Print Essure is a a permanently implanted birth control device for women (female sterilization). Implantation of ...

  1. Warning Signs After Birth (United States)

    ... care > Warning signs after birth Warning signs after birth E-mail to a friend Please fill in ... health problems new moms may have after giving birth? Chances are that you’ll be healthy after ...

  2. CDC WONDER: Births (United States)

    U.S. Department of Health & Human Services — The Births (Natality) online databases in CDC WONDER report birth rates, fertility rates and counts of live births occurring within the United States to U.S....

  3. Contraception and Birth Control (United States)

    ... Facebook Twitter Pinterest Email Print About Contraception and Birth Control Contraception is the prevention of pregnancy. Contraception, or birth control, also allows couples to plan the timing ...

  4. Body composition at birth and height at 2 years

    DEFF Research Database (Denmark)

    Admassu, Bitiya; Wells, Jonathan C; Girma, Tsinuel


    BACKGROUND: Low birth weight is associated with childhood stunting, but equivalent associations for birth body composition (BC) remain unknown. OBJECTIVE: To assess associations of BC with height-for-age Z score (HAZ) at 2 years of age. METHODS: In a prospective cohort study, fat mass (FM) and fat...

  5. CM Net heterogeneous local network of microcomputers

    International Nuclear Information System (INIS)

    Gutche, R.Kh.


    Realization of the CM Net heterogeneous local network for the PDP-11 type computers with the RT-11 operational system control is described. The main advantage of the network is the realization of virtual disks in general form including a system unit. the network can be used everywhere, where the problem on computer connection by simple interfaces is stated. 6 refs

  6. The Multidimensional Curriculum Model (MdCM) (United States)

    Vidergor, Hava E.


    The multidimensional Curriculum Model (MdCM) helps teachers to better prepare gifted and able students for our changing world, acquiring much needed skills. It is influenced by general learning theory of constructivism, notions of preparing students for 21st century, Teaching the Future Model, and current comprehensive curriculum models for…

  7. Birth Weight, Gestational Age, and Infantile Colic

    DEFF Research Database (Denmark)

    Milidou, Ioanna; Søndregaard, Charlotte; Jensen, Morten Søndergaard

    Background Infantile colic is a condition of unknown origin characterized by paroxysms of crying during the first months of life. A few studies have identified low birth weight (BW) as a risk factor among infants born at term, while the association between gestational age (GA) and infantile colic...... has not been studied. Aim We aimed to investigate the association between BW, GA, and infantile colic. Methods We studied 62,785 singletons enrolled in the Danish National Birth Cohort. Information on infantile colic symptoms and possible confounders was collected by computer-assisted telephone......, low BW was associated with infantile colic only in infants born at term (gestational weeks 37-41), but not in pre- or post-term infants. Conclusion The results indicate that low birth weight and preterm birth are independently associated with infantile colic. After adjusting for gestational age, low...

  8. Live birth in an archosauromorph reptile. (United States)

    Liu, Jun; Organ, Chris L; Benton, Michael J; Brandley, Matthew C; Aitchison, Jonathan C


    Live birth has evolved many times independently in vertebrates, such as mammals and diverse groups of lizards and snakes. However, live birth is unknown in the major clade Archosauromorpha, a group that first evolved some 260 million years ago and is represented today by birds and crocodilians. Here we report the discovery of a pregnant long-necked marine reptile (Dinocephalosaurus) from the Middle Triassic (∼245 million years ago) of southwest China showing live birth in archosauromorphs. Our discovery pushes back evidence of reproductive biology in the clade by roughly 50 million years, and shows that there is no fundamental reason that archosauromorphs could not achieve live birth. Our phylogenetic models indicate that Dinocephalosaurus determined the sex of their offspring by sex chromosomes rather than by environmental temperature like crocodilians. Our results provide crucial evidence for genotypic sex determination facilitating land-water transitions in amniotes.

  9. Interpreting Sky-Averaged 21-cm Measurements (United States)

    Mirocha, Jordan


    Within the first ~billion years after the Big Bang, the intergalactic medium (IGM) underwent a remarkable transformation, from a uniform sea of cold neutral hydrogen gas to a fully ionized, metal-enriched plasma. Three milestones during this epoch of reionization -- the emergence of the first stars, black holes (BHs), and full-fledged galaxies -- are expected to manifest themselves as extrema in sky-averaged ("global") measurements of the redshifted 21-cm background. However, interpreting these measurements will be complicated by the presence of strong foregrounds and non-trivialities in the radiative transfer (RT) modeling required to make robust predictions.I have developed numerical models that efficiently solve the frequency-dependent radiative transfer equation, which has led to two advances in studies of the global 21-cm signal. First, frequency-dependent solutions facilitate studies of how the global 21-cm signal may be used to constrain the detailed spectral properties of the first stars, BHs, and galaxies, rather than just the timing of their formation. And second, the speed of these calculations allows one to search vast expanses of a currently unconstrained parameter space, while simultaneously characterizing the degeneracies between parameters of interest. I find principally that (1) physical properties of the IGM, such as its temperature and ionization state, can be constrained robustly from observations of the global 21-cm signal without invoking models for the astrophysical sources themselves, (2) translating IGM properties to galaxy properties is challenging, in large part due to frequency-dependent effects. For instance, evolution in the characteristic spectrum of accreting BHs can modify the 21-cm absorption signal at levels accessible to first generation instruments, but could easily be confused with evolution in the X-ray luminosity star-formation rate relation. Finally, (3) the independent constraints most likely to aide in the interpretation

  10. The Tianlai 21cm intensity mapping experiment (United States)

    Chen, Xuelei


    The Tianlai 21cm intensity mapping experiment is aimed at surveying the northern sky 21cm intensity at mid-redshifts, thus map out the neutral hydrogen distribution. The experiment is named "Tianlai" which means "heavenly sound" in classic Chinese, because its ultimate goal is to use the baryon acoustic oscillation (BAO) feature in the correlation function or power spectrum of large scale structure to constrain the cosmic expansion rate, and determine the nature of dark energy.The pathfinder experiment consists three cylinder reflectors of 15m wide x 40m long, and 16 dishes of 6 meter aperture, for testing the basic principle and key technologies. A radio-quiet site in Hongliuxia, Xinjiang of north-west China is selected, currently the facilities are under construction, and the prototype is expected to start commissioning later this year. The experiment is run by NAOC, with members from France, USA and Canada.

  11. Planned hospital birth versus planned home birth

    DEFF Research Database (Denmark)

    Olsen, O.; Clausen, J.A.


    Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998....

  12. 21-cm Fluctuations from Charged Dark Matter


    Muñoz, Julian B.; Dvorkin, Cora; Loeb, Abraham


    The epoch of the formation of the first stars, known as the cosmic dawn, has emerged as a new arena in the search for dark matter. In particular, the first claimed 21-cm detection exhibits a deeper global absorption feature than expected, which could be caused by a low baryonic temperature. This has been interpreted as a sign for electromagnetic interactions between baryons and dark matter. However, in order to remain consistent with the rest of cosmological observations, only part of the dar...

  13. Elevated airway liquid volumes at birth: a potential cause of transient tachypnea of the newborn. (United States)

    McGillick, Erin V; Lee, Katie; Yamaoka, Shigeo; Te Pas, Arjan B; Crossley, Kelly J; Wallace, Megan J; Kitchen, Marcus J; Lewis, Robert A; Kerr, Lauren T; DeKoninck, Philip; Dekker, Janneke; Thio, Marta; McDougall, Annie R A; Hooper, Stuart B


    Excessive liquid in airways and/or distal lung tissue may underpin the respiratory morbidity associated with transient tachypnea of the newborn (TTN). However, its effects on lung aeration and respiratory function following birth are unknown. We investigated the effect of elevated airway liquid volumes on newborn respiratory function. Near-term rabbit kittens (30 days gestation; term ~32 days) were delivered, had their lung liquid-drained, and either had no liquid replaced (control; n = 7) or 30 ml/kg of liquid re-added to the airways [liquid added (LA); n = 7]. Kittens were mechanically ventilated in a plethysmograph. Measures of chest and lung parameters, uniformity of lung aeration, and airway size were analyzed using phase contrast X-ray imaging. The maximum peak inflation pressure required to recruit a tidal volume of 8 ml/kg was significantly greater in LA compared with control kittens (35.0 ± 0.7 vs. 26.8 ± 0.4 cmH 2 O, P liquid volumes had marked adverse effects on lung structure and function in the immediate neonatal period and reduced the ability of the lung to aerate efficiently. We speculate that elevated airway liquid volumes may underlie the initial morbidity in near-term babies with TTN after birth. NEW & NOTEWORTHY Transient tachypnea of the newborn reduces respiratory function in newborns and is thought to result due to elevated airway liquid volumes following birth. However, the effect of elevated airway liquid volumes on neonatal respiratory function is unknown. Using phase contrast X-ray imaging, we show that elevated airway liquid volumes have adverse effects on lung structure and function in the immediate newborn period, which may underlie the pathology of TTN in near-term babies after birth. Copyright © 2017 the American Physiological Society.

  14. Birth control pills - overview (United States)

    ... from taking birth control pills include: Blood clots Heart attack High blood pressure Stroke Birth control pills without estrogen are much less likely to cause these problems. The risk is higher for women ...

  15. Preterm Labor and Birth (United States)

    ... Facebook Twitter Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about ... is called preterm labor (or premature labor). A birth that occurs before 37 weeks is considered a ...

  16. Birth control pill - slideshow (United States)

    ... this page: // Birth control pill - series—Normal female anatomy To use ... to produce a successful pregnancy. To prevent pregnancy, birth control pills affect how these organs normally function. ...

  17. Vaginal birth - slideshow (United States)

    ... page: // Vaginal birth - series—Normal anatomy To use the sharing features ... vaginal delivery. Please keep in mind that every birth is unique, and your labor and delivery may ...

  18. Latitude, birth date, and allergy.

    Directory of Open Access Journals (Sweden)

    Matthias Wjst


    Full Text Available BACKGROUND: The space and time distribution of risk factors for allergic diseases may provide insights into disease mechanisms. Allergy is believed to vary by month of birth, but multinational studies taking into account latitude have not been conducted. METHODS AND FINDINGS: A questionnaire was distributed in 54 centres to a representative sample of 20- to 44-y-old men and women mainly in Europe but also including regions in North Africa, India, North America, Australia, and New Zealand. Data from 200,682 participants were analyzed. The median prevalence of allergic rhinitis was 22%, with a substantial variation across centres. Overall, allergic rhinitis decreased with geographical latitude, but there were many exceptions. No increase in prevalence during certain winters could be observed. Also, no altered risk by birth month was found, except borderline reduced risks in September and October. Effect estimates obtained by a multivariate analysis of total and specific IgE values in 18,085 individuals also excluded major birth month effects and confirmed the independent effect of language grouping. CONCLUSION: Neither time point of first exposure to certain allergens nor early infections during winter months seems to be a major factor for adult allergy. Although there might be effects of climate or environmental UV exposure by latitude, influences within language groups seem to be more important, reflecting so far unknown genetic or cultural risk factors.

  19. Birth of ball lightning (United States)

    Lowke, J. J.; Smith, D.; Nelson, K. E.; Crompton, R. W.; Murphy, A. B.


    Many observations of ball lightning report a ball of light, about 10 cm in diameter, moving at about walking speed, lasting up to 20 s and frequently existing inside of houses and even aeroplanes. The present paper reports detailed observations of the initiation or birth of ball lightning. In two cases, navigation crew of aircraft saw ball lightning form at the windscreen inside the cockpit of their planes. In the first case, the ball lightning occurred during a thunderstorm, with much lightning activity outside of the plane. In the second case, large "horns" of electrical corona were seen outside of the plane at the surface of the radome, just prior to the formation of the ball lightning. A third case reports ball lightning formed inside of a house, during a thunderstorm, at a closed glass window. It is proposed, based on two-dimensional calculations of electron and ion transport, that ball lightning in these cases is driven and formed by atmospheric ions impinging and collecting on the insulating surface of the glass or Perspex windows. This surface charge can produce electric fields inside of the cockpit or room sufficient to sustain an electric discharge. Charges of opposite sign to those outside of the window accumulate on the inside surface of the glass, leaving a ball of net charge moving inside of the cockpit or room to produce a pulsed discharge on a microsecond time scale.

  20. Cranial birth trauma

    International Nuclear Information System (INIS)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W.; Rohrer, T.


    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [de

  1. Encyclopedia of Birth Control. (United States)

    Rengel, Marian

    This encyclopedia brings together in more than 200 entries, arranged in A-to-Z format, a portrait of the complex modern issue that birth control has become with advances in medicine and biochemistry during the 20th century. It is aimed at both the student and the consumer of birth control. Entries cover the following topics: birth control…

  2. Birth Control Shot (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Shot KidsHealth / For Teens / Birth Control Shot What's in this article? What Is ... español La inyección anticonceptiva What Is It? The birth control shot is a long-acting form of ...

  3. Birth Control Pill (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Pill KidsHealth / For Teens / Birth Control Pill What's in this article? What Is ... español La píldora anticonceptiva What Is It? The birth control pill (also called "the Pill") is a ...

  4. Birth Control Ring (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Ring KidsHealth / For Teens / Birth Control Ring What's in this article? What Is ... español Anillo vaginal anticonceptivo What Is It? The birth control ring is a soft, flexible, doughnut-shaped ...

  5. Redundant Array Configurations for 21 cm Cosmology (United States)

    Dillon, Joshua S.; Parsons, Aaron R.


    Realizing the potential of 21 cm tomography to statistically probe the intergalactic medium before and during the Epoch of Reionization requires large telescopes and precise control of systematics. Next-generation telescopes are now being designed and built to meet these challenges, drawing lessons from first-generation experiments that showed the benefits of densely packed, highly redundant arrays—in which the same mode on the sky is sampled by many antenna pairs—for achieving high sensitivity, precise calibration, and robust foreground mitigation. In this work, we focus on the Hydrogen Epoch of Reionization Array (HERA) as an interferometer with a dense, redundant core designed following these lessons to be optimized for 21 cm cosmology. We show how modestly supplementing or modifying a compact design like HERA’s can still deliver high sensitivity while enhancing strategies for calibration and foreground mitigation. In particular, we compare the imaging capability of several array configurations, both instantaneously (to address instrumental and ionospheric effects) and with rotation synthesis (for foreground removal). We also examine the effects that configuration has on calibratability using instantaneous redundancy. We find that improved imaging with sub-aperture sampling via “off-grid” antennas and increased angular resolution via far-flung “outrigger” antennas is possible with a redundantly calibratable array configuration.

  6. The Thermal Properties of CM Carbonaceous Chondrites (United States)

    Britt, D. T.; Opeil, C.


    The physical properties of asteroid exploration targets are fundamental parameters for developing models, planning observations, mission operations, reducing operational risk, and interpreting mission results. Until we have returned samples, meteorites represent our "ground truth" for the geological material we expect to interact with, sample, and interpret on the surfaces of asteroids. The physical properties of the volatile-rich carbonaceous chondrites (CI, C2, CM, and CR groups) are of particular interest because of their high resource potential. We have measured the thermal conductivity, heat capacity and thermal expansion of five CM carbonaceous chondrites (Murchison, Murray, Cold Bokkeveld, NWA 7309, Jbilet Winselwan) at low temperatures (5-300 K) to mimic the conditions in the asteroid belt. The mineralogy of these meteorites are dominated by abundant hydrous phyllosilicates, but also contain anhydrous minerals such as olivine and pyroxene found in chondrules. The thermal expansion measurements for all these CMs indicate a substantial increase in meteorite volume as temperature decreases from 230 - 210 K followed by linear contraction below 210 K. Such transitions were unexpected and are not typical for anhydrous carbonaceous chondrites or ordinary chondrites. Our thermal diffusivity results compare well with previous estimates for similar meteorites, where conductivity was derived from diffusivity measurements and modeled heat capacities; our new values are of a higher precision and cover a wider range of temperatures.


    Energy Technology Data Exchange (ETDEWEB)

    Dillon, Joshua S.; Parsons, Aaron R., E-mail: [Department of Astronomy, UC Berkeley, Berkeley, CA (United States)


    Realizing the potential of 21 cm tomography to statistically probe the intergalactic medium before and during the Epoch of Reionization requires large telescopes and precise control of systematics. Next-generation telescopes are now being designed and built to meet these challenges, drawing lessons from first-generation experiments that showed the benefits of densely packed, highly redundant arrays—in which the same mode on the sky is sampled by many antenna pairs—for achieving high sensitivity, precise calibration, and robust foreground mitigation. In this work, we focus on the Hydrogen Epoch of Reionization Array (HERA) as an interferometer with a dense, redundant core designed following these lessons to be optimized for 21 cm cosmology. We show how modestly supplementing or modifying a compact design like HERA’s can still deliver high sensitivity while enhancing strategies for calibration and foreground mitigation. In particular, we compare the imaging capability of several array configurations, both instantaneously (to address instrumental and ionospheric effects) and with rotation synthesis (for foreground removal). We also examine the effects that configuration has on calibratability using instantaneous redundancy. We find that improved imaging with sub-aperture sampling via “off-grid” antennas and increased angular resolution via far-flung “outrigger” antennas is possible with a redundantly calibratable array configuration.

  8. Saving lives at birth

    DEFF Research Database (Denmark)

    Daysal, N. Meltem; Trandafir, Mircea; van Ewijk, Reyn


    Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for endogeneity...... in location of birth, we exploit the exogenous variation in distance from a mother’s residence to the closest hospital. We find that giving birth in a hospital leads to substantial reductions in newborn mortality. We provide suggestive evidence that proximity to medical technologies may be an important...

  9. Early discharge following birth

    DEFF Research Database (Denmark)

    Nilsson, Ingrid M. S.; Kronborg, Hanne; Knight, Christopher H.


    of discharge after birth. Results In total 34% mothers were discharged within 12 hours (very early) and 25% between 13 and 50 hours (early), respectively. Vaginal birth and multiparity were the most influential predictors, as Caesarean section compared to vaginal birth had an OR of 0.35 (CI 0....... Smoking, favourable social support and breastfeeding knowledge were significantly associated with discharge within 12 hours. Finally time of discharge varied significantly according to region and time of day of birth. Conclusions Parity and birth related factors were the strongest predictors of early...

  10. Multifocal, chronic osteomyelitis of unknown etiology

    International Nuclear Information System (INIS)

    Kozlowski, K.; Beluffi, G.; Feltham, C.; James, M.; Nespoli, L.; Tamaela, L.; Pavia Univ.; Municipal Hospital, Nelson; Medical School, Jakarta


    Four cases of multifocal osteomyelitis of unknown origin in childhood are reported. The variable clinical and radiographic appearances of the disease are illustrated and the diagnostic difficulties in the early stages of the disease are stressed. (orig.) [de

  11. Understanding Pregnancy and Birth Issues (United States)

    ... Home Current Issue Past Issues Understanding Pregnancy and Birth Issues Past Issues / Winter 2008 Table of Contents ... about NICHD preeclampsia research in the sidebar.) Preterm Birth Preterm (premature) birth is birth before the baby ...

  12. Planned place of birth

    DEFF Research Database (Denmark)

    Overgaard, Charlotte; Coxon, Kirstie; Stewart, Mary

    in Denmark Coxon K et al: Planned place of birth in England: perceptions of accessing obstetric units, midwife led units and home birth amongst women and their partners. How these papers interrelate These papers draw upon recent research in maternity care, undertaken in Denmark and in England. In both......Title Planned place of birth: issues of choice, access and equity. Outline In Northern European countries, giving birth is generally safe for healthy women with uncomplicated pregnancies, and their babies. However, place of birth can affect women’s outcomes and experiences of birth. Whilst tertiary...... centres provide appropriate medical supervision to women with complex pregnancies, the likelihood of receiving interventions including surgical birth is increased for low risk women in these settings. In this symposium, we consider issues of choice, access and equitable care for women in the context...

  13. Investigations on Important Properties of the 10 cm x 10 cm GEM Prototype

    CERN Document Server

    Saenboonruang, Kiadtisak; Kulasri, Kittipong; Ritthirong, Anawat


    The Gas Electron Multiplier (GEM) detector is one of promising particle and radiation detectors that has been improved greatly from previous gas detectors. The improvement includes better spatial resolutions, higher detection rate capabilities, and flexibilities in designs. In particular, the 10 cm x 10 cm GEM prototype is designed and provided by the Gas Detectors Development group (GDD) at CERN, Switzerland. With its simplicity in operations and designs, while still maintaining high qualities, the GEM prototype is suitable for both start-up and advanced researches. This article aims to report the investigations on some important properties of the 10 cm x 10 cm GEM detector using current measurement and signal counting. Results have shown that gains of the GEM prototype exponentially increase as voltage supplied to the detector increases, while the detector reaches full efficiency (plateau region) when the voltage is greater than 4100 V. In terms of signal sharing between X and Y strips of the readout, X str...

  14. IR aperture measurement at β*=40 cm

    CERN Document Server

    Bruce, Roderik; Hermes, Pascal Dominik; Kwee-Hinzmann, Regina; Mereghetti, Alessio; Mirarchi, Daniele; Redaelli, Stefano; Salvachua Ferrando, Belen Maria; Skowronski, Piotr Krzysztof; Valentino, Gianluca; Valloni, Alessandra; CERN. Geneva. ATS Department


    This note summarizes MD 307, performed on August 27 2015, during which we measured with beam the global apertures at 6.5 TeV with IR1 and IR5 squeezed to β* =40 cm and a half crossing angle of 205 rad. The measurement technique involved opening collimators in steps, while inducing beam losses at each step, until the main loss location moved from the collimators to the global bottleneck in one of the triplets. Measurements were performed in both beams and planes, and each measurement gave the minimum triplet aperture over IR1 and IR5. The results are in very good agreement with theoretical predictions. At the end of the MD, an asynchronous beam dump test was performed with all collimators moved in to so-called 2-σ retraction settings. This MD is one in a series meant to address various open points for the reach in β* in Run II.

  15. GMRT and VLA Observations at 49 cm and 20 cm of the HII Region ...

    Indian Academy of Sciences (India)


    Mar 8, 2007 ... GMRT and VLA Observations at 49 cm and 20 cm of the HII Region near l = 24.8. ◦ l = 24.8. ◦ l = 24.8. ◦. , b = 0.1. ◦ b = 0.1. ◦ b = 0.1. ◦. N. G. Kantharia. 1. , W. M. Goss. 2. , D. Anish Roshi. 3. , Niruj R. Mohan. 4. &. Francois Viallefond. 5. 1National Centre for Radio Astrophysics, Tata Institute of Fundamental ...

  16. Ecological analysis of secular trends in low birth weight births and adult height in Japan. (United States)

    Morisaki, Naho; Urayama, Kevin Yuji; Yoshii, Keisuke; Subramanian, S V; Yokoya, Susumu


    Japan, which currently maintains the highest life expectancy in the world and has experienced an impressive gain in adult height over the past century, has suffered a dramatic twofold increase in low birth weight (LBW) births since the 1970s. We observed secular trends in birth characteristics using 64 115 249 live births included the vital statistics (1969-2014), as well as trends in average height among 3 145 521 adults born between 1969 and 1996, included in 79 surveys conducted among a national, subnational or community population in Japan. LBW rates exhibited a U-shaped pattern showing reductions until 1978-1979 (5.5%), after which it increased. Conversely, average adult height peaked for those born during the same period (men, 171.5 cm; women, 158.5 cm), followed by a reduction over the next 20 years. LBW rate and adult height showed a strong inverse correlation (men, r=-0.98; women, r=-0.88). A prediction model based on birth and economical characteristics estimated the national average of adult height would continue to decline, to 170.0cm (95% CI 169.6 to 170.3) for men and 157.9cm (95% CI 157.5 to 158.3) for women among those born in 2014. Adult height in Japan has started to decline for those born after 1980, a trend that may be attributed to increases in LBW births over time. Considering the known association between shorter adult height and adverse health outcomes, evidence of population-level decline in adult health due to long-term consequences of increasing LBW births in Japan is anticipated. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Validation of an ICD-9-CM and ICD-10-CM map to AIS 2005 Update 2008. (United States)

    Glerum, Kimberly M; Zonfrillo, Mark R


    Although the Abbreviated Injury Scale (AIS) is the most widely used severity scoring system for traumatic injuries, hospitals are required to document and bill based on the International Classification of Diseases (ICD). An expert panel recently developed a map between ICD-9-CM and ICD-10-CM to AIS 2005 Update 2008. This study aimed to validate the recently developed map using a large trauma registry. The map demonstrated moderate to substantial agreement for maximum AIS (MAIS) scores per body region based on expert chart review versus map-derived values (range: 44%-86%). Injury Severity Scores (ISSs) calculated from expert coders versus map-derived values were also compared and demonstrated moderate agreement (ICD-9-CM: 48%, ICD-10-CM: 54%). Although not a perfect conversion tool, the new ICD-AIS map provides a systematic method to assign injury severity for datasets with only ICD-9-CM and ICD-10-CM codes available and can be used for future injury-related research and data analysis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  18. The impact of postpartum contraception on reducing preterm birth: findings from California. (United States)

    Rodriguez, Maria I; Chang, Richard; Thiel de Bocanegra, Heike


    Family planning is recommended as a strategy to prevent adverse birth outcomes. The potential contribution of postpartum contraceptive coverage to reducing rates of preterm birth is unknown. In this study, we examine the impact of contraceptive coverage and use within 18 months of a birth on preventing preterm birth in a Californian cohort. We identified records for second or higher-order births among women from California's 2011 Birth Statistical Master File and their prior births from earlier Birth Statistical Master Files. To identify women who received contraceptive services from publicly funded programs, we applied a probabilistic linking methodology to match birth files with enrollment records for women with Medi-Cal or Family Planning, Access, Care, and Treatment Program (PACT) claims. The length of contraceptive coverage was determined through applying an algorithm based on the specified method and the quantity dispensed. Preterm birth was defined as a birth occurring birth using subcategories defined by the World Health Organization: extremely preterm (birth and control for key covariates. The cohort consisted of 111,948 women who were seen at least once by a Medi-Cal or Family PACT provider within 18 months of delivery. Of the cohort, 9.75% had a preterm birth. Contraceptive coverage was found to be protective against preterm birth. For every month of contraceptive coverage, odds of a preterm birth confidence interval, 0.986-0.993). Improving postpartum contraceptive use has the potential to reduce preterm births. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Bayesian modeling of unknown diseases for biosurveillance. (United States)

    Shen, Yanna; Cooper, Gregory F


    This paper investigates Bayesian modeling of unknown causes of events in the context of disease-outbreak detection. We introduce a Bayesian approach that models and detects both (1) known diseases (e.g., influenza and anthrax) by using informative prior probabilities and (2) unknown diseases (e.g., a new, highly contagious respiratory virus that has never been seen before) by using relatively non-informative prior probabilities. We report the results of simulation experiments which support that this modeling method can improve the detection of new disease outbreaks in a population. A key contribution of this paper is that it introduces a Bayesian approach for jointly modeling both known and unknown causes of events. Such modeling has broad applicability in medical informatics, where the space of known causes of outcomes of interest is seldom complete.

  20. Protocol for counterfactually transporting an unknown qubit

    Directory of Open Access Journals (Sweden)

    Hatim eSalih


    Full Text Available Quantum teleportation circumvents the uncertainty principle using dual channels: a quantum one consisting of previously-shared entanglement, and a classical one, together allowing the disembodied transport of an unknown quantum state over distance. It has recently been shown that a classical bit can be counterfactually communicated between two parties in empty space, Alice and Bob. Here, by using our dual version of the chained quantum Zeno effect to achieve a counterfactual CNOT gate, we propose a protocol for transporting an unknown qubit counterfactually, that is without any physical particles travelling between Alice and Bob—no classical channel and no previously-shared entanglement.

  1. ICD-10-CM/PCS: Transferring Knowledge from ICD-9-CM


    Sand, Jaime N.; Elison-Bowers, Patt


    The transition to ICD-10-CM/PCS has expanded educational opportunities for educators and trainers who are taking on the responsibility of training coders on the new system. Coding education currently faces multiple challenges in the areas of how to train the new workforce, what might be the most efficient method of providing that training, how much retraining of the current workforce with ICD-9-CM training will be required, and how to meet the national implementation deadline of 2014 in the m...

  2. Determination of Am-241, Cm-242 and Cm-244 in environmental samples

    International Nuclear Information System (INIS)

    Afsar, M.; Schuettelkopf, H.


    An analytical procedure for the determination of Am and Cm in environmental, liquid and gaseous effluent samples was developed. It is based on extraction chromatography with subsequent anion and cation exchange to remove matrix elements and to purify Am and Cm, which are then electrode posited from an oxalate/HCl medium. The mean value of the chemical yield is about 90%. A detection limit of 7 μBq/g is achieved. The decontamination factors for important α emitters are > 10 4 . Four analyses/week can be performed by one technician. (orig./RB) [de

  3. Epidemiology of preterm birth. (United States)

    Purisch, Stephanie E; Gyamfi-Bannerman, Cynthia


    Preterm birth is a worldwide epidemic with a global incidence of 15 million per year. Though rates of preterm birth in the United States have declined over the last decade, nearly 1 in 10 babies is still born preterm. The incidence, gestational age, and underlying etiology of preterm birth is highly variable across different racial and ethnic groups and geographic boundaries. In this article, we review the epidemiology of preterm birth in the United States and globally, with a focus on temporal trends and racial, ethnic, and geographic disparities. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Conquering the Unknown: Exploring the Options (United States)

    Baker, Lynne M.


    There are many challenges that lie ahead for families of children with special needs. It is indeed a time for conquering the unknown and diligently exploring the options in an effort to locate, understand, and ultimately embrace the as yet undiscovered beauties of the new setting. This paper will consider some of the issues relevant for parents,…

  5. Unknown Vocabulary Density and Reading Comprehension. (United States)

    Hsueh-Chao, Marcella Hu; Nation, Paul


    Examines what percentage of coverage of text is needed for unassisted reading for pleasure, where learners are able to read without the interruption of looking up words. Looks at the effect of three densities of unknown vocabulary on two measures of reading comprehension, a multiple-choice test and a cued written recall test. (Author/VWL)

  6. Ovine wet carcass syndrome of unknown aetiology

    African Journals Online (AJOL)

    A condition of unknown aetiology, known as 'the wet sheep carcass syndrome' has led to the loss of about ... aetiology. Introduction. Wet sheep carcasses were seen with increasing frequency at abattoirs from January 1981. ... the holding pens, and transport stress. In the high incidence area (see Figure 1), feeding systems.

  7. Association of short antenatal corticosteroid administration-to-birth intervals with survival and morbidity among very preterm infants results from the EPICE cohort

    NARCIS (Netherlands)

    Norman, Mikael; Piedvache, Aurelie; Børch, Klaus; Huusom, Lene Drasbek; Bonamy, Anna Karin Edstedt; Howell, Elizabeth A.; Jarreau, Pierre Henri; Maier, Rolf F.; Pryds, Ole; Toome, Liis; Varendi, Heili; Weber, Tom; Wilson, Emilija; van Heijst, Arno; Cuttini, Marina; Mazela, Jan; Barros, Henrique; Van Reempts, Patrick; Draper, Elizabeth S.; Zeitlin, Jennifer; Martens, Evelyne; Martens, Guy; Hasselager, Asbjoern; Ancel, Pierre Yves; Blondel, Béatrice; Bonet, Mercedes; Burguet, Antoine; Truffert, Patrick; Misselwitz, Bjoern; Schmidt, Stephan; Gortner, Ludvig; Baronciani, Dante; Gargano, Giancarlo; Agostino, Rocco; DiLallo, Domenico; Franco, Francesco; Carnielli, Virgilio; Croci, Ileana; Koopman-Esseboom, Corrine|info:eu-repo/dai/nl/14117739X; Nijman, Joppe; Gadzinowski, Janusz; Graça, Luís Mendes; Do Céu Machado, Maria; Rodrigues, Carina; Ribeiro-Rodrigues, Teresa; Boyle, Elaine M.; Manktelow, Brad N.; Fenton, Alan C.


    IMPORTANCE Administration-to-birth intervals of antenatal corticosteroids (ANS) vary. The significance of this variation is unclear. Specifically, to our knowledge, the shortest effective administration-to-birth interval is unknown. OBJECTIVE To explore the associations between ANS

  8. Prenatal exposure to polybrominated diphenyl ethers and birth outcomes

    International Nuclear Information System (INIS)

    Chen, Limei; Wang, Caifeng; Cui, Chang; Ding, Guodong; Zhou, Yijun; Jin, Jun; Gao, Yu; Tian, Ying


    This study aimed to examine the potential association between maternal PBDEs and birth outcomes, including birth weight (g), length (cm), head circumference (cm) and gestational age (week). 215 mothers were recruited from a prospective birth cohort in rural northern China between September 2010 and February 2012. Serum PBDE congeners were detected and their association with birth outcomes were examined. The median maternal serum concentrations of BDE-28, -47, -99, -100, -153 were 2.27, 2.26, 3.58, 2.13, 4.87 ng/g lipid, respectively. Maternal LgBDE-28 and LgBDE-100 were negatively associated with birth length (β = −0.92, 95% confidence interval (CI): −1.82, −0.02; β = −0.97, 95% CI: −1.83, −0.08). A negative association was found between LgBDE-28 and birth weight among male infants (β = −253.76, 95% CI: −438.16, −69.36). PBDE congeners were not associated with head circumference, or gestational age. Our results contribute to growing evidence suggesting that PBDEs have adverse effects on birth outcomes. - Highlights: • We examined the relations between maternal exposure to PBDEs and birth outcomes. • BDE-28, -47, -99, -100, and -153 were detected in serum from 215 pregnant women. • There was a negative association between BDE-28, -100 and birth length. • BDE-28 showed a negative association with birth weight among male infants. - Negative associations were found between BDE-28, -100 exposure and birth length as well as between BDE-28 exposure and birth weight in male infants.

  9. Resettlement and Birth Rates

    African Journals Online (AJOL)


    effect on mothers' age at first birth (p < 0.001), the number of children born within the five years of the survey (p<0.001), and the total number of ... approach that compares reported numbers of births for settlers and non-settlers in ... 1Department of Geography, Sonoma State University, USA. 2. Department of Epidemiology ...

  10. Birth Control Methods (United States)

    ... Women can choose from many different types of birth control methods. These include, in order of most effective to least effective at preventing pregnancy: Female and male sterilization (female tubal ligation or occlusion, male vasectomy) — Birth control that prevents pregnancy for the rest of ...

  11. Extremely Preterm Birth (United States)

    ... Search FAQs Extremely Preterm Birth Page Navigation ▼ ACOG Pregnancy Book Patient Education FAQs Patient Education Pamphlets - Spanish FAQ173, June 2016 ... Labor and Birth (FAQ087) Tobacco, Alcohol, Drugs, and Pregnancy (FAQ170) Patient Education ... Committee Opinions Practice Bulletins Patient ...

  12. Elizabeth Belle's Birth Story. (United States)

    Boro, Jessica; Boro, Samuel


    In this article, Jessica and Samuel Boro share the story of the birth of their daughter, Elizabeth Belle. With the physical and emotional support of her husband and her doula, this mother was able to cope with a long labor and have the natural birth she wanted. Her husband describes how important the doula was for him.

  13. birth-weight infants

    African Journals Online (AJOL)

    hours of life was more strongly associated with death than four traditional risk factors (birth weight, short gestation, male sex and the diagnosis of respiratory distress syndrome). Furthermore, mean pH in the first 12 hours was as strongly associated with death as was birth weight. Previous research in our neonatal population ...

  14. Narcissism and birth order. (United States)

    Eyring, W E; Sobelman, S


    The purpose of this investigation was to clarify the relationship between birth-order position and the development of narcissism, while refining research and theory. The relationship between birth-order status and narcissism was examined with a sample of 79 undergraduate students (55 women and 24 men). These subjects were placed in one of the four following birth-order categories of firstborn, second-born, last-born, and only children. These categories were chosen given their significance in Adlerian theory. Each subject completed the Narcissistic Personality Inventory and a demographic inventory. Based on psychodynamic theory, it was hypothesized that firstborn children were expected to score highest, but statistical significance was not found for an association between narcissism and birth order. Further research is urged to investigate personality theory as it relates to parenting style and birth order.

  15. Christian Petzold’s melodramas : From unknown woman to reciprocal unknownness in Phoenix, Wolfsburg, and Barbara

    NARCIS (Netherlands)

    Staat, W.


    Stanley Cavell’s theory of film melodrama is used for Christian Petzold’s Phoenix, Wolfsburg, and Barbara. Key for Cavell’s understanding of classical Hollywood melodrama is his notion of the ‘unknown woman.’ Remarkably, Petzold’s more contemporary melodramas feature unknown, i.e. unacknowledged,

  16. Melanoma of unknown origin: a case series.

    LENUS (Irish Health Repository)

    Kelly, J


    The natural history of metastatic melanoma involving lymph nodes, in the absence of a known primary site (cutaneous, ocular or mucosal) has, to date, been poorly defined; and the optimal management of this rare subtype of disease is therefore unclear. Melanomas of unknown primary site (MUP) are estimated to comprise between 3.7 and 6% of all melanomas (Anbari et al. in Cancer 79:1861-1821, 1997).

  17. "Freud" and Bullitt: an unknown manuscript. (United States)

    Solms, Mark


    An English translation of a previously unknown manuscript by Freud is presented. The manuscript, originally prepared in 1931 for William Bullitt's psychobiography of Woodrow Wilson, provides a general theoretical introduction to psychoanalysis. It also includes an original interpretation of Christianity that postulates a deep-going continuity between Christ identification and latent homosexuality. An editorial introduction to the translation clarifies the nature and limits of Freud's involvement with Bullitt's controversial psychobiography.

  18. Multidimensional procurement auctions with unknown weights

    DEFF Research Database (Denmark)

    Greve, Thomas

    This paper studies the consequences of holding a procurement auction when the principal chooses not to show its preferences. My paper extends the procurement auction model of Che (1993) to a situation where both the principal and the agents have private information. Thus, unknown parameters of bo...... gives rise to an analysis of a principal that can not fully commit to the outcome induced by the scoring rule. Therefore, my result apply to contract theory and it’s problems with imperfect commitment....

  19. Season of Birth and Risk for Adult Onset Glioma

    Directory of Open Access Journals (Sweden)

    Jimmy T. Efird


    Full Text Available Adult onset glioma is a rare cancer which occurs more frequently in Caucasians than African Americans, and in men than women. The etiology of this disease is largely unknown. Exposure to ionizing radiation is the only well established environmental risk factor, and this factor explains only a small percentage of cases. Several recent studies have reported an association between season of birth and glioma risk. This paper reviews the plausibility of evidence focusing on the seasonal interrelation of farming, allergies, viruses, vitamin D, diet, birth weight, and handedness. To date, a convincing explanation for the occurrence of adult gliomas decades after a seasonal exposure at birth remains elusive.

  20. Preterm Birth and Adult Wealth: Mathematics Skills Count. (United States)

    Basten, Maartje; Jaekel, Julia; Johnson, Samantha; Gilmore, Camilla; Wolke, Dieter


    Each year, 15 million babies worldwide are born preterm. Preterm birth is associated with adverse neurodevelopmental outcomes across the life span. Recent registry-based studies suggest that preterm birth is associated with decreased wealth in adulthood, but the mediating mechanisms are unknown. This study investigated whether the relationship between preterm birth and low adult wealth is mediated by poor academic abilities and educational qualifications. Participants were members of two British population-based birth cohorts born in 1958 and 1970, respectively. Results showed that preterm birth was associated with decreased wealth at 42 years of age. This association was mediated by decreased intelligence, reading, and, in particular, mathematics attainment in middle childhood, as well as decreased educational qualifications in young adulthood. Findings were similar in both cohorts, which suggests that these mechanisms may be time invariant. Special educational support in childhood may prevent preterm children from becoming less wealthy as adults. © The Author(s) 2015.

  1. The CM class number one problem for curves

    NARCIS (Netherlands)

    Kilicer, P.


    The main subject of this thesis is the CM class number one problem for curves of genus g, in the cases g=2 and g=3. The problem asks for which CM fields of degree 2g with a primitive CM type are the corresponding CM curves of genus g defined over the reflex field. Chapter 1 is an introduction to

  2. Birth control pills - progestin only (United States)

    ... this page: // Birth control pills - progestin only To use the sharing ... have estrogen in them. What Are Progestin Only Birth Control Pills? Birth control pills help keep you ...

  3. Screening Tests for Birth Defects (United States)

    ... Advocacy For Patients About ACOG Screening Tests for Birth Defects Home For Patients Search FAQs Screening Tests ... FAQ165, April 2014 PDF Format Screening Tests for Birth Defects Pregnancy What is a birth defect? What ...

  4. Perinatal mortality in second- vs firstborn twins: a matter of birth size or birth order? (United States)

    Luo, Zhong-Cheng; Ouyang, Fengxiu; Zhang, Jun; Klebanoff, Mark


    Second-born twins on average weigh less than first-born twins and have been reported at an elevated risk of perinatal mortality. Whether the risk differences depend on their relative birth size is unknown. The present study aimed to evaluate the association of birth order with perinatal mortality by birth order-specific weight difference in twin pregnancies. In a retrospective cohort study of 258,800 twin pregnancies without reported congenital anomalies using the US matched multiple birth data 1995-2000 (the available largest multiple birth dataset), conditional logistic regression was applied to estimate the odds ratio (OR) of perinatal death adjusted for fetus-specific characteristics (sex, presentation, and birthweight for gestational age). Comparing second vs first twins, the risks of perinatal death were similar if they had similar birthweights (within 5%) and were increasingly higher if second twins weighed progressively less (adjusted ORs were 1.37, 1.90, and 3.94 if weighed 5.0-14.9%, 15.0-24.9%, and ≥25.0% less, respectively), and progressively lower if they weighed increasingly more (adjusted ORs were 0.67, 0.63, and 0.36 if weighed 5.0-14.9%, 15.0-24.9%, and ≥25.0% more, respectively) (all P birth size. Vaginal delivery at term is associated with a substantially greater risk of perinatal mortality in second twins. Copyright © 2014 Mosby, Inc. All rights reserved.

  5. Evolution of the Birth Plan


    Kaufman, Tamara


    Many birth professionals are discarding the birth plan as an outdated and ineffectual document. This column discusses the past limitations and present uses of the birth plan in an effort to enhance current teaching on how expectant parents can write and use this important document. Encouraging expectant parents to prepare two separate, but corresponding, birth plans—the “Discussion Birth Plan” and the “Hospital Birth Plan”—is proposed. Teaching suggestions and possible implications are explor...

  6. Birthing postures and birth canal lacerations. (United States)

    Suzuki, Shunji


    This study was performed to assess the differences in the birth canal lacerations following the lateral and fours posture deliveries compared with those following the supine posture deliveries. We examined the birth canal lacerations of our "low risk" pregnant women under the midwife-led delivery care at Japanese Red Cross Katsushika Maternity Hospital between April 2006 and March 2015. There were 3826, 1754 and 719 women who delivered with supine, lateral and fours postures. The rate of no laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.630, 95% CI 0.56-0.71, p < 0.01); however, the incidence of perineal laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.856, 95% CI 0.76-0.90, p < 0.01). The incidence of perineal laceration of third- or fourth-degree in the women who delivered with fours posture was significant higher than that in the women who delivered with supine posture (OR 2.28, 95% CI 1.2-4.2, p < 0.01). The current results may be to help for self-determination of birthing postures in prenatal women.

  7. Recovering from Birth (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  8. Labor and Birth (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  9. Contraception and Birth Control (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... discuss birth control methods with one’s sexual partner. General methods of contraception include: Barrier —physically interferes with ...

  10. Preterm Labor and Birth (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about 40 weeks, ...

  11. Birth Control Patch (United States)

    ... Things That Help Feelings Expert Answers Q&A Movies & More for Teens Teens site Sitio para adolescentes ... and effective method of birth control. Most young women who use the patch have no side effects. ...

  12. Metastasis to neck from unknown primary tumor

    International Nuclear Information System (INIS)

    Jose, B.; Bosch, A.; Caldwell, W.L.; Frias, Z.


    The records of 54 consecutive patients who were irradiated for metastatic disease in the neck from an unknown primary tumor were reviewed. The overall survival results are comparable to those of other reported series. Patients with high or posterior cervical lymph node involvement were irradiated with fields including the nasopharynx and oropharynx. Patients with high neck nodes had a better survival rate than those with low neck nodes. The size of the neck tumors and the local control after treatment also have prognostic significance. (Auth.)

  13. To Know The Way To The Unknown

    DEFF Research Database (Denmark)

    Boysen, Mikkel Snorre Wilms


    , in various ways, expertise plays an important part in creative processes. However, the case studies also indicate that expertise sometimes leads to an entrenched perspective, in the sense that knowledge and experience may work as a path into the well-known rather than into the unknown. In this article......, these issues are explored with reference to different theoretical approaches to creativity and learning, including actor-network theory, the theory of blind variation and selective retention, and Csikszentmihalyi’s system model. Finally, some educational aspects and implications of this are discussed....

  14. Infectious causes of fever of unknown origin. (United States)

    McGregor, Alastair C; Moore, David A


    The causes of fever of unknown origin (FUO) are changing because advances in clinical practice and diagnostics have facilitated the identification of some infections. A variety of bacterial infections can cause FUO, and these can be divided into those that are easy to identify using culture and those that require serological or molecular tests for identification. A number of viral, parasitic and fungal infections can also cause prolonged fever. This article summarises the clinical features and diagnostic strategy of these infections. © Royal College of Physicians 2015. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Fotache Lacramioara


    Full Text Available The paper is an effort to unknown areas identity affirmation, through collaborative development of advertising mix, with an emphasis on virtual platforms as admissible solution for increasing visibility. Based upon comparative effective analysis of categories of communication particularities, it is suggested a positioning strategic solution, via virtual advertising platform as unique, integrated, complex and very attractive tourism product promotion, fitted for the internal and international tourism circuit. The active promotion of the specified territorial identity will launch a brand with an impact among tourists by using marketing techniques and innovating technical means and prioritizing tourism as a principal vector of local and regional development.

  16. Hypnotherapy for birth. (United States)

    Howell, Maggie


    There are many misunderstandings about hypnotherapy for birth and how best to support a woman who has chosen to use it. This article brings together experiences of midwives who have attended women in labour using hypnotherapy, and aims to help birth professionals understand a bit more about hypnotherapy and how they can best support women who are using it. It is a personal account from a hypnotherapy trainer reflecting on her encounters with midwives as they share experiences of observing hypnotherapy in action.

  17. Regulation of the pituitary-thyroid axis in adulthood is not related to birth weight

    DEFF Research Database (Denmark)

    Nielsen, Morten Frost Munk; Petersen, Inge; Hegedüs, Laszlo


    Low birth weight has been linked with changes in thyroid function in adulthood, but it is unknown whether fetal programming or underlying genetic and environmental factors explains the association. We hypothesized that birth weight influences the pituitary-thyroid set point in adults....

  18. Birth order and Risk of Childhood Cancer: A Pooled Analysis from Five U.S. States


    Von Behren, Julie; Spector, Logan G.; Mueller, Beth A.; Carozza, Susan E.; Chow, Eric J.; Fox, Erin E.; Horel, Scott; Johnson, Kimberly J.; McLaughlin, Colleen; Puumala, Susan E.; Ross, Julie A.; Reynolds, Peggy


    The causes of childhood cancers are largely unknown. Birth order has been used as a proxy for prenatal and postnatal exposures, such as frequency of infections and in utero hormone exposures. We investigated the association between birth order and childhood cancers in a pooled case-control dataset. The subjects were drawn from population-based registries of cancers and births in California, Minnesota, New York, Texas, and Washington. We included 17,672 cases less than 15 years of age who were...

  19. The Unknown Component Problem Theory and Applications

    CERN Document Server

    Villa, Tiziano; Brayton, Robert K; Mishchenko, Alan; Petrenko, Alexandre; Sangiovanni-Vincentelli, Alberto


    The Problem of the Unknown Component: Theory and Applications addresses the issue of designing a component that, combined with a known part of a system, conforms to an overall specification. The authors tackle this problem by solving abstract equations over a language. The most general solutions are studied when both synchronous and parallel composition operators are used. The abstract equations are specialized to languages associated with important classes of automata used for modeling systems. The book is a blend of theory and practice, which includes a description of a software package with applications to sequential synthesis of finite state machines. Specific topologies interconnecting the components, exact and heuristic techniques, and optimization scenarios are studied. Finally the scope is enlarged to domains like testing, supervisory control, game theory and synthesis for special omega languages. The authors present original results of the authors along with an overview of existing ones.

  20. Fever of unknown origin in returning travellers. (United States)

    Korzeniewski, Krzysztof; Gaweł, Bartłomiej; Krankowska, Dagny; Wasilczuk, Katarzyna


    The aim of the article is to discuss issues associated with the occurrence of febrile illnesses in leisure and business travellers, with a particular emphasis on fevers of unknown origin (FUO). FUO, apart from diarrhoeas, respiratory tract infections and skin lesions, are one of the most common health problems in travellers to tropical and subtropical countries. FUO are manifestations of various diseases, typically of infectious or invasive aetiology. In one out of 3 cases, the cause of a fever in travellers returning from the hot climate zone is malaria, and therefore diagnostic tests should first aim at ruling out this specific disease entity. Other illnesses with persistent fever include dengue, enteric fever, viral hepatitis A, bacterial diarrhoeas and rickettsioses. Fever may also occur in travellers suffering from diseases of non-tropical origin, e.g. cosmopolitan respiratory tract or urinary tract infections, also, fever may coexist with other illnesses or injuries (skin rashes, bites, burns).

  1. Information gain when measuring an unknown qubit (United States)

    Björk, Gunnar


    In quantum information the fundamental information-containing system is the qubit. A measurement of a single qubit can at most yield one classical bit. However, a dichotomous measurement of an unknown qubit will yield much less information about the qubit state. We use Bayesian inference to compute how much information one progressively gets by making sucessive, individual measurements on an ensemble of identically prepared qubits. Perhaps surprisingly, even if the measurements are arranged so that each measurement yields one classical bit, that is, the two possible measurement outcomes are a priori equiprobable, it takes almost a handful of measurements before one has gained one bit of information about the gradually concentrated qubit probability density. We also show that by following a strategy that reaps the maximum information per measurement, we are led to a mutually unbiased basis as our measurement bases. This is a pleasing, although not entirely surprising, result.

  2. Fukushima to Jaitapur: battling fear of unknown

    International Nuclear Information System (INIS)

    Ghate, Tushar P.; Takwale, M.G.; Dhole, Sanjay


    After-Fukushima incident, various concerns were raised by public and media about the safety of nuclear installations operating all around the world. All nuclear related eventualities of the past were meshed with the present, adding disproportionate factors, unrealistic conclusions were framed based mostly on notions. Fear of unknown radiation syndrome has played up on the minds of common man. India, on a verge of entering path-breaking nuclear energy arena, obviously could not be isolated from such concerns. Such issues were discussed with ongoing protests at Jaitapur and Kudankulam. This paper discusses various concerns expressed after Fukushima incident, overview on proposed Jaitapur nuclear power plant and justifications to the raised concerns. (author)

  3. Education Through Exploration: Evaluating the Unknown (United States)

    Anbar, A. D.


    Mastery of the peculiar and powerful practices of science is increasingly important for the average citizen. With the rise of the Internet, most of human knowledge is at our fingertips. As content becomes a commodity, success and survival aren't about who knows the most, but who is better able to explore the unknown, actively applying and extending knowledge through critical thinking and hypothesis-driven problem-solving. This applies to the economic livelihoods of individuals and to society at large as we grapple with climate change and other science-infused challenges. Unfortunately, science is too often taught as an encyclopedic collection of settled facts to be mastered rather than as a process of exploration that embraces curiosity, inquiry, testing, and communication to reduce uncertainty about the unknown. This problem is exacerbated by the continued prevalence of teacher-centric pedagogy, which promotes learning-from-authority and passive learning. The initial wave of massively open online courses (MOOCs) generally mimic this teaching style in virtual form. It is hypothesized that emerging digital teaching technologies can help address this challenge at Internet scale in "next generation" MOOCs and flipped classroom experiences. Interactive simulations, immersive virtual field trips, gamified elements, rapid adaptive feedback, intelligent tutoring systems, and personalized pathways, should motivate and enhance learning. Through lab-like projects and tutorials, students should be able to construct knowledge from interactive experiences, modeling the authentic practice of science while mastering complex concepts. Freed from lecturing, teaching staff should be available for direct and intense student-teacher interactions. These claims are difficult to evaluate with traditional assessment instruments, but digital technologies provide powerful new ways to evaluate student learning and learn from student behaviors. We will describe ongoing experiences with such

  4. Right Atrial Metastatic Melanoma with Unknown Primaries

    Directory of Open Access Journals (Sweden)

    Robin Kuriakose


    Full Text Available A 54-year-old male with history of anemia and rheumatoid arthritis presented with a three-month history of dyspnea on exertion and lower extremity edema. Patient was referred for a transthoracic echocardiogram that revealed a large right atrial mass with reduced ejection fraction of 40% and an incidental large liver mass. Subsequent cardiac MRI revealed a lobulated right atrial mass measuring 5.4 cm × 5.3 cm with inferior vena cava compression and adjacent multiple large liver lesions confirmed to be malignant melanoma through biopsy. Interestingly, no primaries were found in the patient. PET/CT imaging displayed hypermetabolic masses within the right atrium and liver that likely represent metastases, as well as bilateral pleural effusions, most likely due to heart failure. Preoperative coronary angiogram demonstrated perfusion to the mass by a dense network of neovasculature arising from the mid right coronary artery. The cardiac melanoma was surgically removed, and the right atrium was reconstructed with a pericardial patch. After surgery, all cardiac chambers appeared normal in size and function with associated moderate tricuspid regurgitation. The patient is currently being administered ipilimumab for systemic therapy of metastatic melanoma.

  5. Maribo—a new CM fall from Denmark

    DEFF Research Database (Denmark)

    Haack, Henning; Grau, Thomas; Bischoff, Addi


    at the edge of the CM field, close to the CCAM line. The very low ¿17O and the presence of unaltered components suggest that Maribo is among the least altered CM chondrites. The bulk chemistry of Maribo is typical of CM chondrites. Trapped noble gases are similar in abundance and isotopic composition to other...

  6. Ethics and "normal birth". (United States)

    Lyerly, Anne Drapkin


    The concept of "normal birth" has been promoted as ideal by several international organizations, although debate about its meaning is ongoing. In this article, I examine the concept of normalcy to explore its ethical implications and raise a trio of concerns. First, in its emphasis on nonuse of technology as a goal, the concept of normalcy may marginalize women for whom medical intervention is necessary or beneficial. Second, in its emphasis on birth as a socially meaningful event, the mantra of normalcy may unintentionally avert attention to meaning in medically complicated births. Third, the emphasis on birth as a normal and healthy event may be a contributor to the long-standing tolerance for the dearth of evidence guiding the treatment of illness during pregnancy and the failure to responsibly and productively engage pregnant women in health research. Given these concerns, it is worth debating not just what "normal birth" means, but whether the term as an ideal earns its keep. © 2012, Copyright the Authors Journal compilation © 2012, Wiley Periodicals, Inc.

  7. Prevention of preterm birth.

    LENUS (Irish Health Repository)

    Flood, Karen


    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem.

  8. Birth room images

    DEFF Research Database (Denmark)

    Bowden, Calida; Sheehan, Athena; Foureur, Maralyn Jean


    and implications for practice: as images on the Internet inform and persuade society about stereotypical behaviours, the trends of our time and sociocultural norms, it is important to recognise images of the technological birth room on the Internet may be influential in dictating women's attitudes, choices......Objective: this study examined images of birth rooms in developed countries to analyse the messages and visual discourse being communicated through images. Design: a small qualitative study using Kress and van Leeuwen's (2006) social semiotic theoretical framework for image analysis, a form...... of discourse analysis. Setting/participants: forty images of birth rooms were collected in 2013 from Google Images, Flickr, Wikimedia Commons and midwifery colleagues. The images were from obstetric units, alongside and freestanding midwifery units located in developed countries (Australia, Canada, Europe, New...

  9. Genomics of Preterm Birth (United States)

    Swaggart, Kayleigh A.; Pavlicev, Mihaela; Muglia, Louis J.


    The molecular mechanisms controlling human birth timing at term, or resulting in preterm birth, have been the focus of considerable investigation, but limited insights have been gained over the past 50 years. In part, these processes have remained elusive because of divergence in reproductive strategies and physiology shown by model organisms, making extrapolation to humans uncertain. Here, we summarize the evolution of progesterone signaling and variation in pregnancy maintenance and termination. We use this comparative physiology to support the hypothesis that selective pressure on genomic loci involved in the timing of parturition have shaped human birth timing, and that these loci can be identified with comparative genomic strategies. Previous limitations imposed by divergence of mechanisms provide an important new opportunity to elucidate fundamental pathways of parturition control through increasing availability of sequenced genomes and associated reproductive physiology characteristics across diverse organisms. PMID:25646385

  10. Maternal body burden of cadmium and offspring size at birth

    International Nuclear Information System (INIS)

    Romano, Megan E.; Enquobahrie, Daniel A.; Simpson, Christopher; Checkoway, Harvey; Williams, Michelle A.


    Increasing evidence suggests an inverse association between cadmium (Cd) and size at birth, potentially greatest among female neonates. We evaluated whether greater maternal body burden of Cd is associated with reduced neonatal anthropometry (birthweight, birth length, head circumference, and ponderal index) and assessed whether these associations differ by infant sex. The analytic sample for the present study (n=396) was derived from a subcohort of 750 women randomly drawn from among all participants (N=4344) in the Omega Study, a prospective pregnancy cohort. Creatinine-corrected Cd in maternal clean-catch spot urine samples (U-Cd) was quantified by inductively coupled plasma mass spectrometry. Continuous log 2 -transformed Cd (log 2 -Cd) and U-Cd tertiles (low<0.29 μg/g creatinine, middle 0.29–0.42 μg/g creatinine, high≥0.43 μg/g creatinine) were used in multivariable linear regression models. Females had reduced birth length with greater U-Cd tertile, whereas males birth length marginally increased [β(95% CI) females: low=reference, middle=−0.59 cm (−1.37, 0.19), high=−0.83 cm (−1.69, 0.02), p-trend=0.08; males: low=reference, middle=0.18 cm (−0.59, 0.95), high=0.78 cm (–0.04, 1.60), p-trend=0.07; p for interaction=0.03]. The log 2 -Cd by infant sex interaction was statistically significant for ponderal index [p=0.003; β(95% CI): female=0.25 kg/m 3 (−0.20, 0.70); male=−0.63 kg/m 3 (−1.01, −0.24)] and birth length [p<0.001; β(95% CI): female=−0.47 cm (−0.74, −0.20), male=0.32 cm (0.00, 0.65)]. Our findings suggest potential sex-specific reversal of Cd’s associations on birth length and contribute to the evidence suggesting Cd impairs fetal growth. - Highlights: • Cadmium levels in the general population potentially adversely affect size at birth. • Maternal urinary cadmium was inversely related to birth length among female infants. • For male infants, maternal cadmium was positively associated with birth length.

  11. Cerebral oxygenation after birth

    DEFF Research Database (Denmark)

    Hessel, Trine W; Hyttel-Sorensen, Simon; Greisen, Gorm


    AIM: To compare absolute values of regional cerebral tissue oxygenation (cStO2 ) during haemodynamic transition after birth and repeatability during steady state for two commercial near-infrared spectroscopy (NIRS) devices. METHODS: In a prospective observational study, the INVOS 5100C and FORE......: The INVOS and FORE-SIGHT cStO2 estimates showed oxygenation-level-dependent difference during birth transition. The better repeatability of FORE-SIGHT could be due to the lower response to change in saturation....

  12. Correlation between several anthropometric measurements to birth weight

    Directory of Open Access Journals (Sweden)

    Muhammad Nur


    Full Text Available Perinatal mortality remains one of the factors leading to child mortality, even for crude death as a whole. Therefore, good perinatal care is considered to be useful for reducing this mortality. Low birth weight is one of neonatal morbidity cause; previous studies reported correlation between birth weight to several anthropometric measurements and their predictive value. We aimed to evaluate the correlation between birth length, head, chest, abdominal, calf and mid arm circumferences as well as to foot length to birth weight. A cross sectional study was conducted in Adam Malik Hospital Medan between November 1st 1998 to January 31st 1999. All babies without clear moulage, caput succedaneum or cephal hematoma were studied. Birth weight was measured by TANITA weighing scale within the first 24 hours after delivery. Birth length by somatometer and head, chest, abdominal, calf and mid arm circumferences as well as foot length were measured 3 times by using plastic measuring tape. It was evident a positive correlation of birth weight to all such anthropometric measurements with the highest correlation coefficient for calf circumference (r : 0.92. Calf circumference of 9,8 cm is predictor of low birth weight.

  13. Unknown Risks: Parental Hesitation about Vaccination. (United States)

    Blaisdell, Laura L; Gutheil, Caitlin; Hootsmans, Norbert A M; Han, Paul K J


    This qualitative study of a select sample of vaccine-hesitant parents (VHPs) explores perceived and constructed personal judgments about the risks and uncertainties associated with vaccines and vaccine-preventable diseases (VPDs) and how these subjective risk judgments influence parents' decisions about childhood vaccination. The study employed semistructured focus group interviews with 42 VHPs to elicit parents' perceptions and thought processes regarding the risks associated with vaccination and nonvaccination, the sources of these perceptions, and their approach to decision making about vaccination for their children. VHPs engage in various reasoning processes and tend to perceive risks of vaccination as greater than the risks of VPDs. At the same time, VHPs engage in other reasoning processes that lead them to perceive ambiguity in information about the harms of vaccination-citing concerns about the missing, conflicting, changing, or otherwise unreliable nature of information. VHPs' refusal of vaccination may reflect their aversion to both the risk and ambiguity they perceive to be associated with vaccination. Mitigating this vaccine hesitancy likely requires reconstructing the risks and ambiguities associated with vaccination-a challenging task that requires providing parents with meaningful evidence-based information on the known risks of vaccination versus VPDs and explicitly acknowledging the risks that remain truly unknown. © The Author(s) 2015.

  14. Bayesian constraints on the global 21-cm signal from the Cosmic Dawn (United States)

    Bernardi, G.; Zwart, J. T. L.; Price, D.; Greenhill, L. J.; Mesinger, A.; Dowell, J.; Eftekhari, T.; Ellingson, S. W.; Kocz, J.; Schinzel, F.


    The birth of the first luminous sources and the ensuing epoch of reionization are best studied via the redshifted 21-cm emission line, the signature of the first two imprinting the last. In this work, we present a fully Bayesian method, HIBAYES, for extracting the faint, global (sky-averaged) 21-cm signal from the much brighter foreground emission. We show that a simplified (but plausible) Gaussian model of the 21-cm emission from the Cosmic Dawn epoch (15 ≲ z ≲ 30), parametrized by an amplitude A_{H I}, a frequency peak ν _{H I} and a width σ _{H I}, can be extracted even in the presence of a structured foreground frequency spectrum (parametrized as a seventh-order polynomial), provided sufficient signal-to-noise (400 h of observation with a single dipole). We apply our method to an early, 19-min-long observation from the Large aperture Experiment to detect the Dark Ages, constraining the 21-cm signal amplitude and width to be -890 6.5 MHz (corresponding to Δz > 1.9 at redshift z ≃ 20) respectively at the 95-per cent confidence level in the range 13.2 ν > 50 MHz).

  15. Birth Order Debate Resolved? (United States)

    Zajonc, R. B.


    Critiques Rodgers et al.'s June 2000 research on the relation between birth order and intelligence, which suggests that it is a methodological illusion. Explains how the intellectual environment and the teaching function (whereby older children tutor younger ones) contribute to the growth of intellectual maturity, the first negatively and the…

  16. Finding Autonomy in Birth* (United States)

    Kukla, Rebecca; Kuppermann, Miriam; Little, Margaret; Lyerly, Anne Drapkin; Mitchell, Lisa M; Armstrong, Elizabeth M.; Harris, Lisa


    Over the last several years, as cesarean deliveries have grown increasingly common, there has been a great deal of public and professional interest in the phenomenon of women ‘choosing’ to deliver by cesarean section in the absence of any specific medical indication. The issue has sparked intense conversation, as it raises questions about the nature of autonomy in birth. Whereas mainstream bioethical discourse is used to associating autonomy with having a large array of choices, this conception of autonomy does not seem adequate to capture concerns and intuitions that have a strong grip outside of this discourse. An empirical and conceptual exploration of how delivery decisions ought to be negotiated must be guided by a rich understanding of women’s agency and its placement within a complicated set of cultural meanings and pressures surrounding birth. It is too early to be ‘for’ or ‘against’ women’s access to cesarean delivery in the absence of traditional medical indications - and indeed, a simple pro- or con- position is never going to do justice to the subtlety of the issue. The right question is not whether women ought to be allowed to choose their delivery approach, but rather, taking the value of women’s autonomy in decision-making around birth as a given, what sorts of guidelines, practices, and social conditions will best promote and protect women’s full inclusion in a safe and positive birth process. PMID:19076937

  17. Better Births Initiative

    African Journals Online (AJOL)

    Ensuring that health professionals practise according to evidence-based standards is important since it affects the quality and cost of care patients receive. The purpose of this research was to use a focused change programme (the Better Births Initiative) to influence obstetric practice at 10 hospitals in Gauteng, South Africa.

  18. Effects of electron irradiation and temperature on 1 ohm-cm and 10 ohm-cm silicon solar cells (United States)

    Nicoletta, C. A.


    One OHM-cm and 10 OHM-cm silicon solar cells were exposed to 1.0 MeV electrons at a fixed flux of 10 to the 11th power e/sq cm/sec and fluences of 10 to the 13th power, 10 to the 14th power and 10 to the 15th power e/ 1-V curves of the cells were made at room temperature, - 63 C and + or - 143 C after each irradiation. A value of 139.5 mw/sq cm was used as AMO incident energy rate per unit area. The 10 OHM-cm cells appear more efficient than 1 OHM-cm cells after exposure to a fluence greater than 10 to the 14th power e/sq cm. The 1.0 MeV electron damage coefficients for both 1 OHM-cm and 10 OHM-cm cells are somewhat less than those for previously irradiated cells at room temperature. The values of the damage coefficients increase as the cell temperatures decrease. Efficiencies pertaining to maximum power output are about the same as those of n on p silicon cells evaluated previously.

  19. Estimation of symmetrical components and their orthogonal components under unknown frequencies and unknown biases (United States)

    Chu, Zhaobi; Zhang, Rui; Chen, Bo; Li, Hua


    An algorithm to estimate symmetrical components, orthogonal components and amplitudes of each sinusoidal component in three-phase power system signal under unknown frequencies and unknown biases is presented. The algorithm consists of a signal transformation, a biased adaptive orthogonal decomposition (BAOD) and a symmetrical component estimation. The BAOD can be regarded as a combination of a low pass filter and a number of three-phase frequency estimators in parallel. The symmetrical component estimation employs addition and multiplication rather than operations of trigonometry, division and phase shift. The decomposition property and the convergence property were investigated by Lyapunov theorem, integral manifold of slow adaptation and average method. Two design parameters, bandwidth parameter and frequency adaptive gains, give different effects on the convergence property of frequency adaptation and amplitude estimation independently. Simulation results demonstrate the performance of the method.

  20. The Complementary Therapies for Labour and Birth Study making sense of labour and birth - Experiences of women, partners and midwives of a complementary medicine antenatal education course. (United States)

    Levett, K M; Smith, C A; Bensoussan, A; Dahlen, H G


    to gain insight into the experiences of women, partners and midwives who participated in the Complementary Therapies for Labour and Birth Study, an evidence based complementary medicine (CM) antenatal education course. qualitative in-depth interviews and a focus group as part of the Complementary Therapies for Labour and Birth Study. thirteen low risk primiparous women and seven partners who had participated in the study group of a randomised controlled trial of the complementary therapies for labour and birth study, and 12 midwives caring for these women. The trial was conducted at two public hospitals, and through the Western Sydney University in Sydney, Australia. the Complementary Therapies for Labour and Birth (CTLB) protocol, based on the She Births® course and the Acupressure for labour and birth protocol, incorporated six evidence-based complementary medicine (CM) techniques; acupressure, relaxation, visualisation, breathing, massage, yoga techniques and incorporated facilitated partner support. Randomisation to the trial occurred at 24-36 weeks' gestation, and participants attended a two-day antenatal education programme, plus standard care, or standard care alone. the overarching theme identified in the qualitative data was making sense of labour and birth. Women used information about normal birth physiology from the course to make sense of labour, and to utilise the CM techniques to support normal birth and reduce interventions in labour. Women's, partners' and midwives' experience of the course and its use during birth gave rise to supporting themes such as: working for normal; having a toolkit; and finding what works. the Complementary Therapies for Labour and Birth Study provided women and their partners with knowledge to understand the physiology of normal labour and birth and enabled them to use evidence-based CM tools to support birth and reduce interventions. the Complementary Therapies for Labour and Birth Study introduces concepts of what

  1. Planned Out-of-Hospital Birth and Birth Outcomes (United States)

    Snowden, Jonathan M.; Tilden, Ellen L.; Snyder, Janice; Quigley, Brian; Caughey, Aaron B.; Cheng, Yvonne W.


    Background The frequency of planned out-of-hospital birth in the United States has increased in recent years. The value of studies assessing the perinatal risks of planned out-of-hospital birth versus hospital birth has been limited by cases in which transfer to a hospital is required and a birth that was initially planned as an out-of-hospital birth is misclassified as a hospital birth. Methods We performed a population-based, retrospective cohort study of all births that occurred in Oregon during 2012 and 2013 using data from newly revised Oregon birth certificates that allowed for the disaggregation of hospital births into the categories of planned in-hospital births and planned out-of-hospital births that took place in the hospital after a woman’s intrapartum transfer to the hospital. We assessed perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital vs. hospital). Results Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth. Planned out-of-hospital birth was also strongly associated with unassisted vaginal delivery (93.8%, vs. 71.9% with planned in-hospital births; P<0.001) and with decreased odds for obstetrical procedures. Conclusions Perinatal mortality was higher with planned out-of-hospital birth than with planned in-hospital birth, but the absolute risk of death was low in both settings. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human

  2. Births: Final Data for 2012 (United States)

    ... characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at ... and fertility rates are presented by age, live-birth order, race and Hispanic origin, and marital status. Selected ...

  3. Birth control - slow release methods (United States)

    ... this page: // Birth control - slow release methods To use the sharing features on this page, please enable JavaScript. Certain birth control methods contain man-made forms of hormones. ...

  4. Effects of proton irradiation and temperature on 1 ohm-cm and 10 ohm-cm silicon solar cells (United States)

    Nicoletta, C. A.


    The 1 ohm-cm and 10 ohm-cm silicon solar cells were exposed to 1.0 MeV protons at a fixed flux of 10 to the 9th power P/sq cm-sec and fluences of 10 to the 10th power, 10 to the 11th power, 10 to the 12th power and 3 X 10 to the 12th power P/sq cm. I-V curves of the cells were made at room temperature, 65 C and 165 C after each irradiation. A value of 139.5 mw/sq cm was taken as AMO incident energy rate per unit area. Degradation occurred for both uncovered 1 ohm-cm and 10 ohm-cm cells. Efficiencies are generally higher than those of comparable U.S. cells tested earlier. Damage (loss in maximum power efficiency) with proton fluence is somewhat higher for 10 ohm-cm cells, measured at the three temperatures, for fluences above 2 X 10 to the 11th power P/sq cm. Cell efficiency, as expected, changes drastically with temperature.

  5. Screening for spontaneous preterm birth

    NARCIS (Netherlands)

    van Os, M.A.; van Dam, A.J.E.M.


    Preterm birth is the most important cause of perinatal morbidity and mortality worldwide. In this thesis studies on spontaneous preterm birth are presented. The main objective was to investigate the predictive capacity of mid-trimester cervical length measurement for spontaneous preterm birth in a

  6. New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. New Delhi Birth Cohort. In childhood Less than 1% were obese (IOTF 30 kg/m2). Mean BMI SD ranged from –0.4 to –1.0 (CDC). At 26-32 years 10% were obese (BMI >30 kg/m2). ~50% overweight (BMI > 25 kg/m2);. ~65% overweight (BMI > 23 kg/m2). 10% had IGT.

  7. Birth defects surveillance in China. (United States)

    Dai, Li; Zhu, Jun; Liang, Juan; Wang, Yan-Ping; Wang, He; Mao, Meng


    Birth defects are a global public health problem because of their large contribution to infant mortalities and disabilities. It is estimated that 4%-6% of Chinese newborns are affected by birth defects every year. Surveillance is a basic approach to understanding the occurrence and associated factors of birth defects. The Ministry of Health of China initiated a national hospital-based birth defects monitoring system 20 years ago. Nearly every province in this country has established its own surveillance system in the past. The authors reviewed the result of the monitoring system at different administrative levels in China. Available publications on the surveillance of birth defects and data from national and provincial birth defects surveillance systems were reviewed to evaluate the effectiveness of the surveillance systems. According to the 2009 data, the national hospital-based birth defects surveillance system monitored over 1.3 million births, which accounted for more than 8% of births in China. In addition, 30 provincial hospital-based surveillance programs covered a birth population of more than 3.6 million (22% of births in China). Great achievements have been made in terms of case ascertainment, data quality control, and online reporting. But the surveillance systems in China still have some limitations. A short ascertainment period may miss some internal anomalies, inherited metabolic diseases, and malformed fetus aborted before the 28th gestational week. Discrepancies in antenatal or postnatal diagnosis of birth defects between surveillance institutes may affect the detection rate and introduce biases. Absence of baseline data and lack of integrated database systems limit the application of surveillance data to etiological studies and affect the process of decision-making. The surveillance system for birth defects is prerequisite to propose, conduct and assess any interventions for the disease. To meet the need of study and prevention of birth defects

  8. 2-cm versus 4-cm surgical excision margins for primary cutaneous melanoma thicker than 2 mm: a randomised, multicentre trial

    DEFF Research Database (Denmark)

    Gillgren, Peter; Drzewiecki, Krzysztof T; Niin, Marianne


    Optimum surgical resection margins for patients with clinical stage IIA-C cutaneous melanoma thicker than 2 mm are controversial. The aim of the study was to test whether survival was different for a wide local excision margin of 2 cm compared with a 4-cm excision margin....

  9. Stress calculations for RTNS-iI 50-cm targets

    International Nuclear Information System (INIS)

    Schumacher, B.J.; House, P.A.


    Structural calculations made during design of a 50-cm target for the Rotating Target Neutron Source (RTNS-II) are detailed. The limited ability of the current 23-cm diameter target to dissipate the additional beam power required for a yield increase from 2 x 10 13 to 4 x 10 13 neutrons/second has resulted in the need for a larger target. The stresses of several design configurations for a 50-cm target were calculated. The stress contours that would occur in several different target designs with and without various types of structural reinforcement that reduce stress and deflection are presented

  10. Uncertainty Analysis of Consequence Management (CM) Data Products.

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, Brian D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Eckert-Gallup, Aubrey Celia [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Cochran, Lainy Dromgoole [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Kraus, Terrence D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Fournier, Sean Donovan [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Allen, Mark B. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Schetnan, Richard Reed [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Simpson, Matthew D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Okada, Colin E. [Remote Sensing Lab. (RSL), Nellis AFB, Las Vegas, NV (United States); Bingham, Avery A. [Remote Sensing Lab. (RSL), Nellis AFB, Las Vegas, NV (United States)


    The goal of this project is to develop and execute methods for characterizing uncertainty in data products that are deve loped and distributed by the DOE Consequence Management (CM) Program. A global approach to this problem is necessary because multiple sources of error and uncertainty from across the CM skill sets contribute to the ultimate p roduction of CM data products. This report presents the methods used to develop a probabilistic framework to characterize this uncertainty and provides results for an uncertainty analysis for a study scenario analyzed using this framework.

  11. CM Process Improvement and the International Space Station Program (ISSP) (United States)

    Stephenson, Ginny


    This viewgraph presentation reviews the Configuration Management (CM) process improvements planned and undertaken for the International Space Station Program (ISSP). It reviews the 2004 findings and recommendations and the progress towards their implementation.

  12. One-cm-thick Si detector at LHe temperature

    Energy Technology Data Exchange (ETDEWEB)

    Braggio, C. [Dipartimento di Fisica, Universita di Ferrara, Via Saragat 1, 44100 Ferrara (Italy)], E-mail:; Bressi, G. [INFN, Sez. di Pavia, Via Bassi 6, 27100 Pavia (Italy); Carugno, G. [INFN, Sez. di Padova, Via Marzolo 8, 35131 Padova (Italy); Galeazzi, G. [Laboratori Nazionali di Legnaro, Via dell' Universita 1, 35020 Legnaro (Italy); Serafin, A. [Dipartimento di Fisica, Universita di Padova, Via Marzolo 8, 35131 Padova (Italy)


    A silicon p-i-n diode of thickness 1 cm has been studied experimentally at liquid helium temperature. This preliminary study is aimed at the construction of a much bigger detector to detect low energy neutrino events.

  13. One-cm-thick Si detector at LHe temperature

    International Nuclear Information System (INIS)

    Braggio, C.; Bressi, G.; Carugno, G.; Galeazzi, G.; Serafin, A.


    A silicon p-i-n diode of thickness 1 cm has been studied experimentally at liquid helium temperature. This preliminary study is aimed at the construction of a much bigger detector to detect low energy neutrino events

  14. Cesarean sections in a birth center. (United States)

    Osava, Ruth Hitomi; Silva, Flora Maria Barbosa da; Tuesta, Esteban Fernandes; Oliveira, Sonia Maria Junqueira Vasconcellos de; Amaral, Maria Clara Estanislau do


    To estimate the prevalence of cesarean sections in a birth center of a hospital and identify factors associated. Cross-sectional study including medical records of 2,441 births assisted in a birth center in the city of São Paulo, southeastern Brazil, between March and April 2005. The dependent variable (type of delivery) included vaginal delivery and cesarean section. The independent variables were grouped into four categories: demographic characteristics; current and past obstetric history; intrapartum care; and perinatal outcomes. Prevalence ratios and 95% confidence intervals (95% CI) were estimated to assess the association between type of delivery and maternal and newborn variables. Of all deliveries, 14.9% were cesarean sections. Cesarean section in the current pregnancy was associated with past cesarean sections (PR = 3.19, 95%CI: 2.64,3.84); gestational age > 40 weeks (PR = 1.32, 95%CI: 1.09;1.61); cervical dilation of up to 4 cm on admission (PR = 3.22, 95%CI: 2.31;4.50); and meconium-stained amniotic fluid (PR = 2.5, 95%CI: 2.05;3.06). Regarding newborn characteristics cesarean section was associated with birth weight >4 kg (PR = 1.86, 95%CI: 1.29;2.66). Among women with history of past cesarean sections, having had also a prior vaginal delivery was a protective factor for cesarean section in the current pregnancy (PR = 0.46, 95%CI: 0.30;0.71). Factors related to fetal conditions including fetal stress, meconium-stained amniotic fluid, breech presentation and macrosomia accounted for 47.8% (175) while those related to the mechanism of birth including arrest disorders, functional dystocia and malposition accounted for 31,3% (115) of all indications for a cesarian section [corrected]. Prevalence of c-section was consistent with World Health Organization recommendations. Increased risk of c-section was associated with prior history of c-sections, cervical dilation of at least 4 cm upon admission, gestational age > 40 weeks, meconium-stained amniotic fluid

  15. Quantifying and modeling birth order effects in autism.

    Directory of Open Access Journals (Sweden)

    Tychele Turner

    Full Text Available Autism is a complex genetic disorder with multiple etiologies whose molecular genetic basis is not fully understood. Although a number of rare mutations and dosage abnormalities are specific to autism, these explain no more than 10% of all cases. The high heritability of autism and low recurrence risk suggests multifactorial inheritance from numerous loci but other factors also intervene to modulate risk. In this study, we examine the effect of birth rank on disease risk which is not expected for purely hereditary genetic models. We analyzed the data from three publicly available autism family collections in the USA for potential birth order effects and studied the statistical properties of three tests to show that adequate power to detect these effects exist. We detect statistically significant, yet varying, patterns of birth order effects across these collections. In multiplex families, we identify V-shaped effects where middle births are at high risk; in simplex families, we demonstrate linear effects where risk increases with each additional birth. Moreover, the birth order effect is gender-dependent in the simplex collection. It is currently unknown whether these patterns arise from ascertainment biases or biological factors. Nevertheless, further investigation of parental age-dependent risks yields patterns similar to those observed and could potentially explain part of the increased risk. A search for genes considering these patterns is likely to increase statistical power and uncover novel molecular etiologies.

  16. Study of Relation between Physical Activity and Preterm Birth

    Directory of Open Access Journals (Sweden)

    Mehran N.


    Full Text Available Background and Objectives: Preterm birth is the main cause of neonatal mortality and morbidity and the importance of knowing its causes is clear. Since the effect of physical activity on preterm birth is unknown and its prevention is the priority in health care, we decided to do this study with the aim of determining the relation between physical activity and preterm birth. Methods: In this case-control study, 300 pregnant women delivering in Izadi Hospital in Qom, Iran in the second half of 2008, selected through simple sampling. The data were collected using standard pregnancy physical activity questionnaire that categorizes the physical activity into 4 groups: work activities, home activities, transport activities and fun/exercise activities. The physical activity severity was calculated as MET (Metabolic Equivalence Test. Finally, the data were analyzed using descriptive and analytic (x2 and t test statistics. A p<0.05 was considered as significant.Results: The findings didn't show any significant relation between physical activity and preterm birth. In addition, in view of activity type, fun/exercise and work activities (respectively and in view of activity severity, sedentary and moderate activities (respectively were associated with higher, but insignificant rate of preterm birth. Among demographic factors, only gravidity of women was significantly associated with preterm birth.Conclusion: Although, in this study the significant relation between physical activity and preterm delivery wasn't observed, the same research with further sample is recommended.

  17. CmWRKY15 Facilitates Alternaria tenuissima Infection of Chrysanthemum. (United States)

    Fan, Qingqing; Song, Aiping; Xin, Jingjing; Chen, Sumei; Jiang, Jiafu; Wang, Yinjie; Li, Xiran; Chen, Fadi


    Abscisic acid (ABA) has an important role in the responses of plants to pathogens due to its ability to induce stomatal closure and interact with salicylic acid (SA) and jasmonic acid (JA). WRKY transcription factors serve as antagonistic or synergistic regulators in the response of plants to a variety of pathogens. Here, we demonstrated that CmWRKY15, a group IIa WRKY family member, was not transcriptionally activated in yeast cells. Subcellular localization experiments in which onion epidermal cells were transiently transfected with CmWRKY15 indicated that CmWRKY15 localized to the nucleus in vivo. The expression of CmWRKY15 could be markedly induced by the presence of Alternaria tenuissima inoculum in chrysanthemum. Furthermore, the disease severity index (DSI) data of CmWRKY15-overexpressing plants indicated that CmWRKY15 overexpression enhanced the susceptibility of chrysanthemum to A. tenuissima infection compared to controls. To illustrate the mechanisms by which CmWRKY15 regulates the response to A. tenuissima inoculation, the expression levels of ABA-responsive and ABA signaling genes, such as ABF4, ABI4, ABI5, MYB2, RAB18, DREB1A, DREB2A, PYL2, PP2C, RCAR1, SnRK2.2, SnRK2.3, NCED3A, NCED3B, GTG1, AKT1, AKT2, KAT1, KAT2, and KC1were compared between transgenic plants and controls. In summary, our data suggest that CmWRKY15 might facilitate A. tenuissima infection by antagonistically regulating the expression of ABA-responsive genes and genes involved in ABA signaling, either directly or indirectly.

  18. Perfluorinated compounds in umbilical cord blood and adverse birth outcomes.

    Directory of Open Access Journals (Sweden)

    Mei-Huei Chen

    Full Text Available Previous animal studies have shown that perfluorinated compounds (PFCs have adverse impacts on birth outcomes, but the results have been inconclusive in humans. We investigated associations between prenatal exposure to perfluorooctanoic acid (PFOA, perfluorooctyl sulfonate (PFOS, perfluorononanoic acid (PFNA, and perfluoroundecanoic acid (PFUA and birth outcomes.In total, 429 mother-infant pairs were recruited from the Taiwan Birth Panel Study (TBPS. Demographic data were obtained by interviewing mothers using a structured questionnaire and birth outcomes were extracted from medical records. Cord blood was collected for PFOA, PFOS, PFNA, and PFUA analysis by ultra-high-performance liquid chromatography/tandem mass spectrometry.The geometric mean (standard deviation levels of PFOA, PFOS, PFNA, and PFUA in cord blood plasma were 1.84 (2.23, 5.94 (1.95, 2.36(4.74, and 10.26 (3.07 ng/mL, respectively. Only PFOS levels were found to be inversely associated with gestational age, birth weight, and head circumference [per ln unit: adjusted β (95% confidence interval, CI = -0.37 (-0.60, -0.13 wks, -110.2 (-176.0, -44.5 gm and -0.25 (-0.46, -0.05 cm]. Additionally, the odds ratio of preterm birth, low birth weight, and small for gestational age increased with PFOS exposure [per ln unit: adjusted odds ratio (OR (95%CI = 2.45 (1.47, 4.08, 2.61(0.85, 8.03 and 2.27 (1.25, 4.15]. When PFOS levels were divided into quartiles, a dose-response relation was observed. However, PFOA, PFNA, and PFUA were not observed to have any convincing impact on birth outcomes.An adverse dose-dependent association was observed between prenatal PFOS exposure and birth outcomes. However, no associations were found for the other examined PFCs.

  19. Birth weight and stuttering: Evidence from three birth cohorts. (United States)

    McAllister, Jan; Collier, Jacqueline


    Previous studies have produced conflicting results with regard to the association between birth weight and developmental stuttering. This study sought to determine whether birth weight was associated with childhood and/or adolescent stuttering in three British birth cohort samples. Logistic regression analyses were carried out on data from the Millenium Cohort Study (MCS), British Cohort Study (BCS70) and National Child Development Study (NCDS), whose initial cohorts comprised over 56,000 individuals. The outcome variables were parent-reported stuttering in childhood or in adolescence; the predictors, based on prior research, were birth weight, sex, multiple birth status, vocabulary score and mother's level of education. Birth weight was analysed both as a categorical variable (low birth weight, stuttering during childhood (age 3, 5 and 7 and MCS, BCS70 and NCDS, respectively) or at age 16, when developmental stuttering is likely to be persistent. None of the multivariate analyses revealed an association between birth weight and parent-reported stuttering. Sex was a significant predictor of stuttering in all the analyses, with males 1.6-3.6 times more likely than females to stutter. Our results suggest that birth weight is not a clinically useful predictor of childhood or persistent stuttering. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. The statistical model calculation of prompt neutron spectra from spontaneous fission of {sup 244}Cm and {sup 246}Cm

    Energy Technology Data Exchange (ETDEWEB)

    Gerasimenko, B.F. [V.G. Khlopin Radium Inst., Saint Peterburg (Russian Federation)


    The calculations of integral spectra of prompt neutrons of spontaneous fission of {sup 244}Cm and {sup 246}Cm were carried out. The calculations were done by the Statistical Computer Code Complex SCOFIN applying the Hauser-Feschbach method as applied to the description of the de-excitation of excited fission fragments by means of neutron emission. The emission of dipole gamma-quanta from these fragments was considered as a competing process. The average excitation energy of a fragment was calculated by two-spheroidal model of tangent fragments. The density of levels in an excited fragment was calculated by the Fermi-gas model. The quite satisfactory agreement was reached between theoretical and experimental results obtained in frames of Project measurements. The calculated values of average multiplicities of neutron number were 2,746 for {sup 244}Cm and 2,927 for {sup 246}Cm that was in a good accordance with published experimental figures. (author)

  1. Large 21-cm signals from AGN-dominated reionization (United States)

    Kulkarni, Girish; Choudhury, Tirthankar Roy; Puchwein, Ewald; Haehnelt, Martin G.


    We present predictions for the spatial distribution of 21-cm brightness temperature fluctuations from high-dynamic-range simulations for active galactic nucleus (AGN)-dominated reionization histories that have been tested against available Lyα and cosmic microwave background (CMB) data. We model AGNs by extrapolating the observed Mbh - σ relation to high redshifts and assign them ionizing emissivities consistent with recent UV luminosity function measurements. We assess the observability of the predicted spatial 21-cm fluctuations in the late stages of reionization in the limit in which the hydrogen 21-cm spin temperature is significantly larger than the CMB temperature. Our AGN-dominated reionization histories increase the variance of the 21-cm emission by a factor of up to 10 compared to similar reionization histories dominated by faint galaxies, to values close to 100 mK2 at scales accessible to experiments (k ≲ 1 cMpc-1 h). This is lower than the sensitivity reached by ongoing experiments only by a factor of about 2 or less. When reionization is dominated by AGNs, the 21-cm power spectrum is enhanced on all scales due to the enhanced bias of the clustering of the more massive haloes and the peak in the large scale 21-cm power is strongly enhanced and moved to larger scales due to bigger characteristic bubble sizes. AGN-dominated reionization should be easily detectable by Low Frequency Array (and later Hydrogen Epoch of Reionization Array and Phase 1 of the Square Kilometre Array) at their design sensitivity, assuming successful foreground subtraction and instrument calibration. Conversely, these could become the first non-trivial reionization scenarios to be ruled out by 21-cm experiments, thereby constraining the contribution of AGNs to reionization.

  2. The Birth of Matter

    CERN Multimedia


    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create 'cosmic music'. The fourth lecture in the series, entitled 'The Birth of Matter', will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Auditorium...

  3. The Birth of Matter

    CERN Multimedia


    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create "cosmic music". The fourth lecture in the series, entitled "The Birth of Matter", will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Audito...

  4. Charting the parameter space of the global 21-cm signal (United States)

    Cohen, Aviad; Fialkov, Anastasia; Barkana, Rennan; Lotem, Matan


    The early star-forming Universe is still poorly constrained, with the properties of high-redshift stars, the first heating sources and reionization highly uncertain. This leaves observers planning 21-cm experiments with little theoretical guidance. In this work, we explore the possible range of high-redshift parameters including the star formation efficiency and the minimal mass of star-forming haloes; the efficiency, spectral energy distribution and redshift evolution of the first X-ray sources; and the history of reionization. These parameters are only weakly constrained by available observations, mainly the optical depth to the cosmic microwave background. We use realistic semi-numerical simulations to produce the global 21-cm signal over the redshift range z = 6-40 for each of 193 different combinations of the astrophysical parameters spanning the allowed range. We show that the expected signal fills a large parameter space, but with a fixed general shape for the global 21-cm curve. Even with our wide selection of models, we still find clear correlations between the key features of the global 21-cm signal and underlying astrophysical properties of the high-redshift Universe, namely the Ly α intensity, the X-ray heating rate and the production rate of ionizing photons. These correlations can be used to directly link future measurements of the global 21-cm signal to astrophysical quantities in a mostly model-independent way. We identify additional correlations that can be used as consistency checks.

  5. Error Analysis of CM Data Products Sources of Uncertainty

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, Brian D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Eckert-Gallup, Aubrey Celia [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Cochran, Lainy Dromgoole [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Kraus, Terrence D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Allen, Mark B. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Beal, Bill [National Security Technologies, Joint Base Andrews, MD (United States); Okada, Colin [National Security Technologies, LLC. (NSTec), Las Vegas, NV (United States); Simpson, Mathew [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)


    This goal of this project is to address the current inability to assess the overall error and uncertainty of data products developed and distributed by DOE’s Consequence Management (CM) Program. This is a widely recognized shortfall, the resolution of which would provide a great deal of value and defensibility to the analysis results, data products, and the decision making process that follows this work. A global approach to this problem is necessary because multiple sources of error and uncertainty contribute to the ultimate production of CM data products. Therefore, this project will require collaboration with subject matter experts across a wide range of FRMAC skill sets in order to quantify the types of uncertainty that each area of the CM process might contain and to understand how variations in these uncertainty sources contribute to the aggregated uncertainty present in CM data products. The ultimate goal of this project is to quantify the confidence level of CM products to ensure that appropriate public and worker protections decisions are supported by defensible analysis.

  6. The birth of joseph gabriel. (United States)

    Cantine, Anne Touhill


    In this column, a mother shares the story of the birth of her first child. With confidence in the process of birth and in her ability to give birth, and with the support, confidence, and encouragement of her mother and sisters, Anne manages to cope with strong contractions through a busy day. Finally, her husband realizes how fast labor is progressing. Baby Joseph was born less than 2 hours after arrival at the hospital.

  7. Roentgenodiagnosis of vertebrae birth injury

    International Nuclear Information System (INIS)

    Mikhajlov, M.K.


    Birth injuries of vertebrae and spinal cord is the new problem of child neutropathology. Basic roentgenological symptoms of birth injuries of vertebrae and spinal cord of different localizations have been described for the first time. These data are compared with neurological, electrophysiological, and Morphological data, that enables not only to describe each symptom, but also to evaluate its clinical significance. Roeptgenological classification of birth injuries of vertebrae and spinal cord in children is suggested

  8. Determination of the origin of unknown irradiated nuclear fuel. (United States)

    Nicolaou, G


    An isotopic fingerprinting method is presented to determine the origin of unknown nuclear material with forensic importance. Spent nuclear fuel of known origin has been considered as the 'unknown' nuclear material in order to demonstrate the method and verify its prediction capabilities. The method compares, using factor analysis, the measured U, Pu isotopic compositions of the 'unknown' material with U, Pu isotopic compositions simulating well known spent fuels from a range of commercial nuclear power stations. Then, the 'unknown' fuel has the same origin as the commercial fuel with which it exhibits the highest similarity in U, Pu compositions.

  9. Determination of the origin of unknown irradiated nuclear fuel

    International Nuclear Information System (INIS)

    Nicolaou, G.


    An isotopic fingerprinting method is presented to determine the origin of unknown nuclear material with forensic importance. Spent nuclear fuel of known origin has been considered as the 'unknown' nuclear material in order to demonstrate the method and verify its prediction capabilities. The method compares, using factor analysis, the measured U, Pu isotopic compositions of the 'unknown' material with U, Pu isotopic compositions simulating well known spent fuels from a range of commercial nuclear power stations. Then, the 'unknown' fuel has the same origin as the commercial fuel with which it exhibits the highest similarity in U, Pu compositions

  10. Predicting live birth, preterm delivery, and low birth weight in infants born from in vitro fertilisation: a prospective study of 144,018 treatment cycles.

    Directory of Open Access Journals (Sweden)

    Scott M Nelson


    Full Text Available The extent to which baseline couple characteristics affect the probability of live birth and adverse perinatal outcomes after assisted conception is unknown.We utilised the Human Fertilisation and Embryology Authority database to examine the predictors of live birth in all in vitro fertilisation (IVF cycles undertaken in the UK between 2003 and 2007 (n = 144,018. We examined the potential clinical utility of a validated model that pre-dated the introduction of intracytoplasmic sperm injection (ICSI as compared to a novel model. For those treatment cycles that resulted in a live singleton birth (n = 24,226, we determined the associates of potential risk factors with preterm birth, low birth weight, and macrosomia. The overall rate of at least one live birth was 23.4 per 100 cycles (95% confidence interval [CI] 23.2-23.7. In multivariable models the odds of at least one live birth decreased with increasing maternal age, increasing duration of infertility, a greater number of previously unsuccessful IVF treatments, use of own oocytes, necessity for a second or third treatment cycle, or if it was not unexplained infertility. The association of own versus donor oocyte with reduced odds of live birth strengthened with increasing age of the mother. A previous IVF live birth increased the odds of future success (OR 1.58, 95% CI 1.46-1.71 more than that of a previous spontaneous live birth (OR 1.19, 95% CI 0.99-1.24; p-value for difference in estimate <0.001. Use of ICSI increased the odds of live birth, and male causes of infertility were associated with reduced odds of live birth only in couples who had not received ICSI. Prediction of live birth was feasible with moderate discrimination and excellent calibration; calibration was markedly improved in the novel compared to the established model. Preterm birth and low birth weight were increased if oocyte donation was required and ICSI was not used. Risk of macrosomia increased with advancing

  11. Evolution of the 21 cm signal throughout cosmic history

    International Nuclear Information System (INIS)

    Pritchard, Jonathan R.; Loeb, Abraham


    The potential use of the redshifted 21 cm line from neutral hydrogen for probing the epoch of reionization is motivating the construction of several low-frequency interferometers. There is also much interest in the possibility of constraining the initial conditions from inflation and the nature of the dark matter and dark energy by probing the power spectrum of density perturbations in three dimensions and on smaller scales than probed by the microwave background anisotropies. Theoretical understanding of the 21 cm signal has been fragmented into different regimes of physical interest. In this paper, we make the first attempt to describe the full redshift evolution of the 21 cm signal between 0 or approx. 25 before the first galaxies had formed, or to z < or approx. 6 when the residual pockets of hydrogen trace large-scale structure.

  12. Simultaneous Evaluation of Fission Cross Sections for Cm Isotopes

    Directory of Open Access Journals (Sweden)

    Lee Y.-O.


    Full Text Available Fission Cross Sections for a complete set of Cm-isotopes, 240-250Cm, have been calculated in the incident energy range from above resonance region to 20 MeV. This work aims at providing the fission cross sections with consistent set of model parameters for Cm isotopes, as a part of a complete evaluation including covariance files for several minor actinides which play a great role in the Advanced Fuel Cycle (AFC design and applications as well as the design of new generation of nuclear reactors (GEN-IV. This was accomplished by means of computational analyses carried out with the nuclear model code EMPIRE-2.19 which is the modular system of nuclear reaction codes. A Fission model of this work took into account transmission derived in the WKB approximation within an optical model through a double-humped fission barrier.

  13. Relationship between physical activity and physical performance in later life in different birth weight groups. (United States)

    Jantunen, H; Wasenius, N S; Salonen, M K; Perälä, M-M; Kautiainen, H; Simonen, M; Pohjolainen, P; Kajantie, E; von Bonsdorff, M B; Eriksson, J G


    There is strong evidence that physical activity (PA) has an influence on physical performance in later life. Also, a small body size at birth has been associated with lower physical functioning in older age and both small and high birth weight have shown to be associated with lower leisure time physical activity. However, it is unknown whether size at birth modulates the association between PA and physical performance in old age. We examined 695 individuals from the Helsinki Birth Cohort Study born in Helsinki, Finland between 1934 and 1944. At a mean age of 70.7 years PA was objectively assessed with a multisensory activity monitor and physical performance with the Senior Fitness Test (SFT). Information on birth weight and gestational age was retrieved from hospital birth records. The study participants were divided in three birth weight groups, that is birth weight groups. However, the effect size of the association was large and significant only in men with a birth weight confidence interval 0.37-0.81, Pbirth weight. Our results suggest that men with low birth weight might benefit most from engaging in PA in order to maintain a better physical performance.

  14. Birth order and risk of childhood cancer: a pooled analysis from five US States. (United States)

    Von Behren, Julie; Spector, Logan G; Mueller, Beth A; Carozza, Susan E; Chow, Eric J; Fox, Erin E; Horel, Scott; Johnson, Kimberly J; McLaughlin, Colleen; Puumala, Susan E; Ross, Julie A; Reynolds, Peggy


    The causes of childhood cancers are largely unknown. Birth order has been used as a proxy for prenatal and postnatal exposures, such as frequency of infections and in utero hormone exposures. We investigated the association between birth order and childhood cancers in a pooled case-control dataset. The subjects were drawn from population-based registries of cancers and births in California, Minnesota, New York, Texas and Washington. We included 17,672 cases confidence intervals using logistic regression, adjusted for sex, birth year, maternal race, maternal age, multiple birth, gestational age and birth weight. Overall, we found an inverse relationship between childhood cancer risk and birth order. For children in the fourth or higher birth order category compared to first-born children, the adjusted OR was 0.87 (95% CI: 0.81, 0.93) for all cancers combined. When we examined risks by cancer type, a decreasing risk with increasing birth order was seen in the central nervous system tumors, neuroblastoma, bilateral retinoblastoma, Wilms tumor and rhabdomyosarcoma. We observed increased risks with increasing birth order for acute myeloid leukemia but a slight decrease in risk for acute lymphoid leukemia. These risk estimates were based on a very large sample size, which allowed us to examine rare cancer types with greater statistical power than in most previous studies, however the biologic mechanisms remain to be elucidated. Copyright © 2010 UICC.

  15. The neurophysiological balance in Chiari type 1 malformation (CM1), tethered cord and related syndromes. (United States)

    Vidmer, Scaioli; Sergio, Curzi; Veronica, Saletti; Flavia, Tripaldi; Silvia, Esposito; Sara, Bulgheroni; Valentini, Laura Grazia; Daria, Riva; Solero, Carlo Lazzaro


    The Chiari malformation (CM) is a syndrome embodied in heterogeneous groups of malformations, spanning from the more benign and known, the CM1, to more complex syndromes such as the rare association with the tethered cord, as spinal lipomas, and the CM2, associated to open spina bifida. The clinical picture may be well expressed and detected at birth or even during intrauterine life, as for CM2, but in the other cases they may run a rather subtle clinical course. The diagnosis of these syndromes is driven by clinical examination and MRI, and it usually requires a multidisciplinary approach in order to plan the therapeutic strategies, such as surgery. Among the diagnostic investigations, the imaging techniques represent the most useful, for their capabilities to detect subclinical lesions, such as syringomyielia and lipoma; the urological investigation is useful to evaluate the urogenital dysfunctions. The neurophysiological investigations represent a non invasive diagnostic procedure to investigate the peripheral nerve, the spinal cord, the brainstem functionalities and more higher brain functions; the nerve conduction studies and the cranial reflexes, the brainstem (BAEP) and the somatosensory (SEPs) evoked potentials (EPs), alone or in combination, can be used for the diagnosis, follow-up and intraoperative monitoring. The most useful diagnostic tools in CM1 are likely represented by the brainstem auditory evoked potentials (BAEPs) and the blink-reflex (BR), while the usefulness of SEPs is still doubtful and debated; in CM2 and tethered cord the neurophysiological techniques can be combined in different ways in order to make a functional balance and to answer specific questions. BAEPs and BR can be useful to investigate the brain stem functionality and SEP to evaluate whether the ascending sensory pathway to the cortex can be hampered at some level; the visual EPs are particularly useful to evaluate the integrity of posterior visual pathway and visual cortex in

  16. Predictors and birth outcomes: An investigation of birth and ...

    African Journals Online (AJOL)

    Objective: Birth and emergency preparedness is a safe motherhood strategy which encourages early decision making and minimizes delays in health care seeking in the event of obstetric complications. The aim of this study was to determine individual level factors influencing birth and emergency preparedness. Methods: A ...

  17. Giant urothelial carcinoma of unknown origin invading the sigmoid mesocolon - a case report

    International Nuclear Information System (INIS)

    Kolacinska, A.; Howaniec, J.; Stanczyk, M.; Pawlak, M.; Morawiec, Z.; Rykala, J.


    Background: Transitional cell carcinoma, also called urothelial carcinoma, is the most common malignancy of the urinary bladder. Additionally, it can develop in the lining of the renal pelvis, ureter, prostate and urethra. Exceptionally, cancer can arise from the urachus. Also primary transitional cell carcinoma of the endometrium or ovary is a rare entity. Aim: The aim of this article was to present a case of giant urothelial carcinoma of unknown origin invading the sigmoid mesocolon. We report a rare case of urothelial carcinoma invading the sigmoid mesocolon in a 60-year-old female admitted to our department. The patient presented with a 25-cm intra-abdominal mass and 6-cm ulcerated lesion at the top of the umbilicus. Laparotomy was performed which demonstrated a huge polycystic and solid tumour of the sigmoid mesentery infiltrating the sigmoid colon and appendix. Appendectomy and resection of the tumour with an infiltrated sigmoid loop were performed. A right ovarian cyst - not contiguous to the aforementioned tumour - was found at the time of the operation and excised. We also removed the 6-cm skin lesion in the umbilical area. Histopathological examination revealed urothelial carcinoma with squamous cell metaplasia of the sigmoid mesocolon with bowel and umbilical invasion. Concurrent desmoid cyst (mature teratoma) of the right ovary was found. In conclusion, this patient with a sigmoid mesocolon invasion from urothelial carcinoma of unknown origin posed a diagnostic dilemma. (authors)

  18. Birth order and myopia. (United States)

    Guggenheim, Jeremy A; McMahon, George; Northstone, Kate; Mandel, Yossi; Kaiserman, Igor; Stone, Richard A; Lin, Xiaoyu; Saw, Seang Mei; Forward, Hannah; Mackey, David A; Yazar, Seyhan; Young, Terri L; Williams, Cathy


    An association between birth order and reduced unaided vision (a surrogate for myopia) has been observed previously. We examined the association between birth order and myopia directly in four subject groups. Subject groups were participants in (1) the Avon Longitudinal Study of Parents and Children (ALSPAC; UK; age 15 years; N = 4401), (2) the Singapore Cohort Study of Risk Factors for Myopia (SCORM; Singapore; age 13 years; N = 1959), (3) the Raine Eye Health Study (REHS; Australia; age 20 years; N = 1344), and (4) Israeli Defense Force Pre-recruitment Candidates (IDFC; Israel; age 16-22 years; N = 888,277). The main outcome was odds ratios (OR) for myopia in first-born versus non-first-born individuals after adjusting for potential risk factors. The prevalence of myopia was numerically higher in first-born versus non-first-born individuals in all study groups, but the strength of evidence varied widely. Adjusted ORs (95% confidence intervals, CIs) were: ALSPAC, 1.31 (1.05-1.64); SCORM, 1.25 (0.89-1.77); REHS, 1.18 (0.90-1.55); and IDFC, 1.04 (1.03-1.06). In the large IDFC sample, the effect size was greater (a) for the first-born versus fourth- or higher-born comparison than for the first-born versus second/third-born comparison (p 4000 participants provided strong statistical support for the association. The available evidence suggested the relationship was independent of established risk factors such as time outdoors/reading, and thus may arise through a different causal mechanism.

  19. Accessory papillary muscles and papillary muscle hypertrophy are associated with sudden cardiac arrest of unknown cause. (United States)

    Uhm, Jae-Sun; Youn, Jong-Chan; Lee, Hye-Jeong; Park, Junbeom; Park, Jin-Kyu; Shim, Chi Young; Hong, Geu-Ru; Joung, Boyoung; Pak, Hui-Nam; Lee, Moon-Hyoung


    The present study was performed for elucidating the associations between the morphology of the papillary muscles (PMs) and sudden cardiac arrest (SCA). We retrospectively reviewed history, laboratory data, electrocardiography, echocardiography, coronary angiography, and cardiac CT/MRI for 190 patients with SCA. The prevalence of accessory PMs and PM hypertrophy in patients with SCA of unknown cause was compared with that in patients with SCA of known causes and 98 age- and sex-matched patients without SCA. An accessory PM was defined as a PM with origins separated from the anterolateral and posteromedial PMs, or a PM that branched into two or three bellies at the base of the anterolateral or posteromedial PM. PM hypertrophy was defined as at least one of the two PMs having a diameter of ≥1.1cm. In 49 patients (age 49.9±15.9years; 38 men) the cause of SCA was unknown, whereas 141 (age 54.2±16.6years; 121 men) had a known cause. The prevalence of accessory PMs was significantly higher in the unknown-cause group than in the known-cause group (24.5% and 7.8%, respectively; p=0.002) or the no-SCA group (7.1%, p=0.003). The same was true for PM hypertrophy (unknown-cause 12.2%, known-cause 2.1%, p=0.010; no SCA group 1.0%, p=0.006). By logistic regression, accessory PM and PM hypertrophy were independently associated with sudden cardiac arrest of unknown cause. An accessory PM and PM hypertrophy are associated with SCA of unknown cause. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.


    Kheirouri, Sorayya; Alizadeh, Mohammad


    This cross-sectional study was carried out to capture possible maternal factors affecting newborns' anthropometric measurements. Data were collected from eight public health centres and referral university hospital records in Tabriz and Heriss districts, north-west Iran, for 807 mother-neonate pairs delivering live singleton births and their offspring during the two years up to August 2014. The incidence of low birth weight (LBW) was 5.1%. A close correlation was found between maternal anthropometry and birth order with neonatal anthropometric data. Birth order and maternal height and body mass index (BMI) positively affected neonates' birth size (weight, length and head circumference). The rate of LBW was significantly higher for older (≥35 years), taller (≥170 cm), underweight (BMIbirth neonates. The results indicate that maternal anthropometric indices, age, iron intake and birth order influence the risk of LBW in newborns.

  1. Operation of a Five-Stage 40,000-CM2-Area Insulator Stack at 158 KV/CM

    International Nuclear Information System (INIS)

    We have demonstrated successful operation of a 3.35- m-diameter insulator stack at 158 kV/cm on five consecutive Z-accelerator shots. The stack consisted of five +45 deg;-profile 5.715-cm-thick cross-linked-polystyrene (Rexolite- 1422) insulator rings, and four anodized- aluminum grading rings shaped to reduce the field at cathode triple junctions. The width of the voltage pulse at 89% of peak was 32 ns. We compare this result to a new empirical flashover relation developed from previous small-insulator experiments conducted with flat unanodized electrodes. The relation predicts a 50% flashover probability for a Rexolite insulator during an applied voltage pulse when E max e -0.27/d (t eff C) 1/10 = 224, where E max is the peak mean electric field (kV/cm), d is the insulator thickness (cm), t eff is the effective pulse width (ps), and C is the insulator circumference (cm). We find the Z stack can be operated at a stress at least 19% higher than predicted. This result, and previous experiments conducted by Vogtlin, suggest anodized electrodes with geometries that reduce the field at both anode and cathode triple junctions would improve the flashover strength of +45 deg; insulators

  2. Relation between maternal body composition and birth weight. (United States)

    Sanin Aguirre, Luz Helena; Reza-López, Sandra; Levario-Carrillo, Margarita


    In order to establish the relationship between maternal body composition indicators (fat-free mass, fat mass, total body water) and birth weight, a cross-sectional study was designed, based on 196 pairs of mothers and live singleton newborns with gestational age of 37 weeks or more. Immediately after delivery, the mothers were interviewed to obtain information about different birth weight predictors. An analysis of maternal body composition through bioelectric impedance was held. Multiple linear regression was used to measure the effect of each variable on birth weight. The birth weight mean was 3,251 +/- 514 g. Maternal height was 160.44 +/- 6.3 cm, total net weight gain was 5.85 +/- 5.15 kg, fat mass consisted of 15.84 +/- 6.72 kg, and fat-free mass was 50.42 +/- 7.65 kg; total body water was 34.82 +/- 5.61 liters. The model which included total body water and all predictors found to be associated with birth weight in the bivariate analysis (maternal age, gestational age, gender, placenta weight, and placenta weight squared) was found to be the best in explaining the variability of birth weight (R(2) = 45.26%). Fat mass was an important predictor only in the subgroup of women within the low tertile of body mass index. In conclusion, fat-free mass and total body water explained a major proportion of the variability of birth weight in comparison with the mother's weight gain during the pregnancy period, which has already been considered an important predictor of birth weight. Copyright 2004 S. Karger AG, Basel

  3. 3 cm cryogenic electron linac for defectoscopy and medicine

    International Nuclear Information System (INIS)

    Androsov, V.V.; Saverskij, A.Ya.; Shchedrin, I.S.


    Comparative estimations of basic HF parameters of travelling and standing wave accelerating structures of cryogenic variants are given. A possibility for using liquid nitrogen as coolant has been considered. Changes in energy attenuation and storage along 1 m length for circular corrugated wavequide (CCW) when changing copper temperature from room to liquid nitrogen temperature has been considered as well. It is shown that nitrogen cooling does not result in significant energy gain for travelling wave CCW, however considerably decreases a share of power for attenuation in walls: electron efficiency of the accelerator may be increased at the expense of this share of power conserving energy storage a t the same level. Examination of the accelerating structure in the standing wave regime has shown that it is possible to gain considerably with respect to the field in comparison with 70 cm wave length when cooling 3 cm-wave length section with liquid nitrogen. At that, time of filling of the accele--rating cell with accelerating field reduces almost 3 times as compared to a ''hot'' 10 cm version. It is shown that liquid nitrogen consumption will amount not more than 2l/h for cooling of 1 m long 3 cm accelerating structure [ru

  4. GMRT Detection of HI 21cm Associated Absorption towards the ...

    Indian Academy of Sciences (India)

    Since the core is self-absorbed at this frequency, the absorption is most likely towards the hotspots. Comparison of the radio and deep optical images reveal linear filaments in the optical which overlap with the brighter radio jet towards the south-west.We therefore suggest that most of the HI 21 cm-line absorption could be ...

  5. How accurately can 21cm tomography constrain cosmology? (United States)

    Mao, Yi; Tegmark, Max; McQuinn, Matthew; Zaldarriaga, Matias; Zahn, Oliver


    There is growing interest in using 3-dimensional neutral hydrogen mapping with the redshifted 21 cm line as a cosmological probe. However, its utility depends on many assumptions. To aid experimental planning and design, we quantify how the precision with which cosmological parameters can be measured depends on a broad range of assumptions, focusing on the 21 cm signal from 6noise, to uncertainties in the reionization history, and to the level of contamination from astrophysical foregrounds. We derive simple analytic estimates for how various assumptions affect an experiment’s sensitivity, and we find that the modeling of reionization is the most important, followed by the array layout. We present an accurate yet robust method for measuring cosmological parameters that exploits the fact that the ionization power spectra are rather smooth functions that can be accurately fit by 7 phenomenological parameters. We find that for future experiments, marginalizing over these nuisance parameters may provide constraints almost as tight on the cosmology as if 21 cm tomography measured the matter power spectrum directly. A future square kilometer array optimized for 21 cm tomography could improve the sensitivity to spatial curvature and neutrino masses by up to 2 orders of magnitude, to ΔΩk≈0.0002 and Δmν≈0.007eV, and give a 4σ detection of the spectral index running predicted by the simplest inflation models.

  6. Radio Refractivity Gradient over Nigeria using CM-SAF Satellite ...

    African Journals Online (AJOL)

    Variations of radio refractivity gradients at the low level, mid-level and upper level of the atmosphere are presented for 26 stations in Nigeria using NOAA 15, 16 and 18 satellite data retrieved from the Department of Satellite Application Facilities on Climate Monitoring (CM-SAF), DWD, Germany. The selected stations were ...

  7. 'CM 88' - A multiple disease resistant chickpea mutant variety

    International Nuclear Information System (INIS)

    Haq, M.A.; Hassan, Mahmudul; Sadiq, M.


    Full text: Chickpea is the most important grain legume crop of Pakistan. Ascochyta blight (Ascochyta rabiei) and Fusarium wilt (Fusarium oxysporum F. sp cicer) are most serious diseases, having the potential to devastate a crop. A multiple disease resistant and high yielding mutant CM 88 has been developed through 100 Gy gamma irradiation treatment of variety 'C 727'. This was once a widely grown and popular variety, which lost its resistance to Ascochyta and was replaced. The selection of mutants was performed in the M2 generation grown in the Ascochyta blight nursery and sixteen mutants were selected. In the subsequent generations CM 88 proved resistant to both Ascochyta blight and Fusarium wilt, and exhibited superiority in agronomic characteristics. CM 88 was also tested for many years in the various yield trials on research stations and farmers fields throughout the country. In these trials it out yielded both the parent and standard varieties. The mutant CM 88 has been approved by the Punjab Seed Council on 27 October 1994 for general cultivation in the Punjab Province, especially the Thal area which accounts for more than 70% of the area under chickpea cultivation. (author)

  8. Review Prospects of Detecting HI using Redshifted 21-cm Radiation ...

    Indian Academy of Sciences (India)

    Abstract. Distributionof cold gas in the post-reionization era provides an important link between distribution of galaxies and the process of star formation. Redshifted 21-cm radiation from the hyperfine transition of neutral hydrogen allows us to probe the neutral component of cold gas, most of which is to be found in the.

  9. Exploring 21CM - Lyman Alpha Emitter Synergies for SKA

    NARCIS (Netherlands)

    Dayal, Pratika; Hutter, Anne; Müller, Volker; Trott, C. M.


    We study the signatures of reionization and ionizing properties of the early galaxies in the cross-correlations between the 21cm emission from the spin-flip transition of neutral hydrogen (H I ) and the underlying galaxy population, in particular a sub-population of galaxies visible as Lyman Alpha

  10. Calorimetric determination of kQ factors for NE 2561 and NE 2571 ionization chambers in 5 cm x 5 cm and 10 cm x 10 cm radiotherapy beams of 8 MV and 16 MV photons. (United States)

    Krauss, Achim; Kapsch, Ralf-Peter


    The relative uncertainty of the ionometric determination of the absorbed dose to water, D(w), in the reference dosimetry of high-energy photon beams is in the order of 1.5% and is dominated by the uncertainty of the calculated chamber- and energy-dependent correction factors k(Q). In the present investigation, k(Q) values were determined experimentally in 5 cm x 5 cm and 10 cm x 10 cm radiotherapy beams of 8 MV and 16 MV bremsstrahlung by means of a water calorimeter operated at 4 degrees C. Ionization chambers of the types NE 2561 and NE 2571 were calibrated directly in the water phantom of the calorimeter. The measurements were carried out at the linear accelerator of the Physikalisch-Technische Bundesanstalt. It is shown that the k(Q) factor of a single ionization chamber can be measured with a standard uncertainty of less than 0.3%. No significant variations of k(Q) were found for the different lateral sizes of the radiation fields used in this investigation.

  11. A 10 cm aperture, high quality TEA CO2 laser

    NARCIS (Netherlands)

    Ernst, G.J.


    Experiments have been performed on a corona preionization type 10 cm aperture TEA CO2 laser. For a CO2:N2:He=1: 1: 7: mixture an output energy of 34 joule per liter and for a 1 : 1 : 10 mixture 40 joule per liter could be obtained. The overall efficiency is about 18%. The time behaviour of the

  12. RBF neural network based H∞ synchronization for unknown chaotic ...

    Indian Academy of Sciences (India)

    Radial Basis Function Neural Network H∞ synchronization (RBFNNHS) strategy, for unknown chaotic systems in ... lation, the RBFNNHS controller and the learning laws are presented to reduce the effect of disturbance to an ... unknown chaotic systems; linear matrix inequality (LMI); learning law. 1. Introduction. Since the ...

  13. Maternal employment and birth outcomes

    DEFF Research Database (Denmark)

    Wüst, Miriam

    I use Danish survey and administrative data to examine the impact of maternal employment during pregnancy on birth outcomes. As healthier mothers are more likely to work and health shocks to mothers may impact employment and birth outcomes, I combine two strategies: First, I control extensively f...... explanation, namely, that exclusion from employment may stress mothers in countries with high-female employment rates....


    African Journals Online (AJOL)


    western Johannesburg and also at the. Donald Gordon Medical Centre. Neonatal skin, like the respiratory system, bears the brunt of the extreme change in external environment that characterises birth. NEONATES. 488 CME September 2004 Vol.22 No.9. NEONATES (BIRTH – 1 MONTH). Fig. 1. Café-au-lait macule. Fig. 2.

  15. Birth defects surveillance·

    African Journals Online (AJOL)


    Jul 1, 1989 ... A pilot birth defects surveillance system was established in. 1982 as part of an epidemiological baseline study pertaining to potential changes in water quality in the Cape Peninsula. The methodology used for reporting birth defects for two information systems, one hospital-based and the other popu-.

  16. Prediction of Spontaneous Preterm Birth

    NARCIS (Netherlands)

    Dijkstra, Karolien


    Preterm birth is a leading cause of neonatal morbidity and mortality. It is a major goal in obstetrics to lower the incidence of spontaneous preterm birth (SPB) and related neonatal morbidity and mortality. One of the principal objectives is to discover early markers that would allow us to identify

  17. Craniofacial anomalies amongst births at two hospitals in Nairobi, Kenya. (United States)

    Odhiambo, A; Rotich, E C; Chindia, M L; Macigo, F G; Ndavi, M; Were, F


    The pattern of congenital oral and craniofacial anomalies (CFAs) in the Kenyan population remains unknown. The objective of this study was to describe the pattern of occurrence of CFAs at two hospitals in Nairobi. A descriptive cross-sectional study at the Kenyatta National Hospital and Pumwani Maternity Hospital was carried out from November 2006 to March 2007. Mothers who delivered at the hospitals consented to an interview and physical examination of their babies within 48 h of delivery. The anomalies were classified for type and magnitude. Data were analysed to determine the association of these anomalies with ages of the mothers, gender, weight, birth order, mode of delivery and birth status of the babies. During the study period, 7989 babies were born. The CFAs manifested in 1.8% of the total births and were more common in female (1.4%) than in male (1.0%) live births. 12.8% of stillbirths had CFAs, with lesions manifesting more in males (16.7%) than in females (6.9%). The commonest CFA was preauricular sinus (4.3/1000) followed by hydrocephalus (1.9/1000) then preauricular tags and cleft lip and palate (1.5/1000 and 1.3/1000 total births, respectively). Copyright © 2012 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  18. Ectopic Expression of Pumpkin NAC Transcription Factor CmNAC1 Improves Multiple Abiotic Stress Tolerance in Arabidopsis

    Directory of Open Access Journals (Sweden)

    Haishun Cao


    Full Text Available Drought, cold and salinity are the major environmental stresses that limit agricultural productivity. NAC transcription factors regulate the stress response in plants. Pumpkin (Cucurbita moschata is an important cucurbit vegetable crop and it has strong resistance to abiotic stress; however, the biological functions of stress-related NAC genes in this crop are largely unknown. This study reports the function of CmNAC1, a stress-responsive pumpkin NAC domain protein. The CmNAC1-GFP fusion protein was transiently expressed in tobacco leaves for subcellular localization analysis, and we found that CmNAC1 is localized in the nucleus. Transactivation assay in yeast cells revealed that CmNAC1 functions as a transcription activator, and its transactivation domain is located in the C-terminus. CmNAC1 was ubiquitously expressed in different organs, and its transcript was induced by salinity, cold, dehydration, H2O2, and abscisic acid (ABA treatment. Furthermore, the ectopic expression (EE of CmNAC1 in Arabidopsis led to ABA hypersensitivity and enhanced tolerance to salinity, drought and cold stress. In addition, five ABA-responsive elements were enriched in CmNAC1 promoter. The CmNAC1-EE plants exhibited different root architecture, leaf morphology, and significantly high concentration of ABA compared with WT Arabidopsis under normal conditions. Our results indicated that CmNAC1 is a critical factor in ABA signaling pathways and it can be utilized in transgenic breeding to improve the abiotic stress tolerance of crops.

  19. 21 cm cosmology in the 21st century. (United States)

    Pritchard, Jonathan R; Loeb, Abraham


    Imaging the Universe during the first hundreds of millions of years remains one of the exciting challenges facing modern cosmology. Observations of the redshifted 21 cm line of atomic hydrogen offer the potential of opening a new window into this epoch. This will transform our understanding of the formation of the first stars and galaxies and of the thermal history of the Universe. A new generation of radio telescopes is being constructed for this purpose with the first results starting to trickle in. In this review, we detail the physics that governs the 21 cm signal and describe what might be learnt from upcoming observations. We also generalize our discussion to intensity mapping of other atomic and molecular lines.

  20. Lensing of 21-cm fluctuations by primordial gravitational waves. (United States)

    Book, Laura; Kamionkowski, Marc; Schmidt, Fabian


    Weak-gravitational-lensing distortions to the intensity pattern of 21-cm radiation from the dark ages can be decomposed geometrically into curl and curl-free components. Lensing by primordial gravitational waves induces a curl component, while the contribution from lensing by density fluctuations is strongly suppressed. Angular fluctuations in the 21-cm background extend to very small angular scales, and measurements at different frequencies probe different shells in redshift space. There is thus a huge trove of information with which to reconstruct the curl component of the lensing field, allowing tensor-to-scalar ratios conceivably as small as r~10(-9)-far smaller than those currently accessible-to be probed.

  1. Design and performances of the 5 cm microtron

    International Nuclear Information System (INIS)

    Zakharov, M.A.; Melekhin, V.N.; Sukhachev, V.Ya.


    Described is the 5 cm microtron with 14 orbits and the 10 MeV maximum energy of electron beam, the 10 μA pulse current and the 100 W average power. The electromagnet of the armoured type with the external diameter of 680 mm, the height of 260 mm, the pole gap of 62 mm is designed for generation of the 0.32 T magnetic field. The vacuum chamber is made of stainless steel and it is totally separated from the electromagnet. An accelerating resonator is inserted through the connection pipe. An intermetallic thermoemitter of the iridium-cerium alloy is used in the microtron. The acceleration regime of the first type with zero initial phases is used in the microtron. The prospects of utilization of the 5-cm microtron is illustrated

  2. 24 GHz cmWave Radio Propagation Through Vegetation

    DEFF Research Database (Denmark)

    Rodriguez, Ignacio; Abreu, Renato Barbosa; Portela Lopes de Almeida, Erika


    This paper presents a measurement-based analysis of cm-wave radio propagation through vegetation at 24 GHz. A set of dedicated directional measurements were performed with horn antennas located close to street level inside a densely-vegetated area illuminated from above. The full azimuth...... along the paper are useful for simulation and radio network planning of future wireless systems operating at 24 GHz in presence of vegetation....

  3. Power distribution for an Am/Cm bushing melter

    International Nuclear Information System (INIS)

    Gong, C.; Hardy, B.J.


    Decades of nuclear material production at the Savannah River Site (SRS) has resulted in the generation of large quantities of the isotopes Am 243 and Cm 244 . Currently, the Am and Cm isotopes are stored as a nitric acid solution in a tank. The Am and Cm isotopes have great commercial value but must be transferred to ORNL for processing. The nitric acid solution contains other isotopes and is intensely radioactive, which makes storage a problem and precludes shipment in the liquid form. In order to stabilize the material for onsite storage and to permit transport the material from SRS to ORNL, it has been proposed that the Am and Cm be separated from other isotopes in the solution and vitrified. Vitrification will be effected by depositing a liquid feed stream containing the isotopes in solution, together with a stream of glass frit, onto the top of a molten glass pool in a melter. The glass is non-conducting and the melter is a Platinum/Rhodium alloy vessel which is heated by passing an electric current through it. Because most of the power is required to evaporate the liquid feed at the top of the glass pool, power demands differ for the upper and lower parts of the melter. In addition, the melter is batch fed so that the local power requirements vary with time. In order to design a unique split power supply, which ensures adequate local power delivery, an analysis of the melter power distribution was performed with the ABAQUS finite element code. ABAQUS was used to calculate the electric potential and current density distributions in the melter for a variety of current and potential boundary conditions. The results of the calculation were compared with test data and will be used to compute power densities for input to a computational fluid dynamics model for the melter

  4. Accuracy of Topcon CM-1000 videokeratoscope on spherical test surfaces. (United States)

    Pérez-Yern, E; Fimia-Gil, A; Mateos, F; Carretero, L


    Many videokeratoscopes use mathematical formulas to calculate corneal radii; calculations depend on slope, curvature, coordinate position, or focal properties of the surface. Accuracy of each type of videokeratoscope must be evaluated. A controversy exists about whether axial or tangential methods best provide a precise description of corneal shape; therefore results with the Topcon CM-1000 using both methods were evaluated. Measurements were done on black polymethylmethacrylate (PMMA) spherical calibrated surfaces. Lenses were first aligned and measured and then misaligned in different directions and measured. Results for each position were compared with the zero or alignment position. Accuracy of the CM-1000 was high even under extreme misalignment conditions. Tolerance to misalignment was high (about 300 mm). Misalignment-induced variations in the output results were small (usually less than 0.05 mm). However, important variations (more than 1.00 diopter [D]) were found for the lowest measured radius (6 mm). In some cases, small differences between axial and tangential radii for the same point could be found. With the exception of extremely low radii of curvature, the CM-1000 was accurate for measuring spherical surfaces. Further investigation remains to be done on aspheric surfaces and in clinical practice.

  5. Redox and thermodynamic properties of Cm and transcurium elements

    International Nuclear Information System (INIS)

    David, F.


    The investigation of the main properties of heavy actinides shows, in each case (i.e. metal, entropies of aqueous ions, hydration, redox properties) that such basic properties are related to the characteristic parameters as radius, the number of f electrons, charge, electronic transitions. Therefore, expressions are obtained which make possible calculation of unknown data and predictions of properties. More work has to be done to get more reliable calculations fitting closely to experimental data: entropies, structures of many aqueous ions, ionization potentials and even existence or stability of some oxidation states need more imaginative works applying original radiochemical methods and correlations through heavy elements. 9 tables, 13 figs

  6. Prevalence of Perineal Lacerations in Women Giving Birth at Midwife-Led Birth Centers in Japan: A Retrospective Descriptive Study. (United States)

    Suto, Maiko; Takehara, Kenji; Misago, Chizuru; Matsui, Mitsuaki


    Perineal lacerations during birth can cause ongoing physical, psychological, and social problems. However, the prevalence of lacerations following normal spontaneous vaginal birth in women with low-risk pregnancies is unknown. We investigated the prevalence of perineal lacerations and factors associated with lacerations among low-risk Japanese women who had normal spontaneous vaginal births. Pregnant women who were cared for between January 1, 2008, and June 30, 2011, in 3 midwife-led birth centers in Tokyo, Japan, where invasive medical interventions are rarely applied, were included. We investigated the prevalence of perineal lacerations and conducted univariate and multivariate analyses on the relationship between the prevalence of lacerations and selected maternal and neonatal characteristics. A total of 1881 pregnant women had initial antenatal care at one of the 3 study sites. Of these, 1521 were eligible for inclusion. Intact perineum rates were 49.5% (209/422) and 69.9% (768/1099) in nulliparous and multiparous women, respectively. First-degree lacerations occurred in 36.7% (155/422) of nulliparous women and 27.1% (298/1099) of multiparous women, and second-degree lacerations occurred in 13.5% (57/422) of nulliparous women and 3.0% (33/1099) of multiparous women. One multiparous woman experienced a third-degree laceration (0.1%). No women suffered fourth-degree or cervical lacerations. Logistic regression analyses showed that older age (≥ 35 years), the hands-and-knees position, and using a birthing chair during birth increased the risk of perineal laceration both in nulliparous and in multiparous women. In addition, waterbirths increased the risk of perineal laceration in multiparous women. In normal spontaneous vaginal births among a low-risk population, it is possible to avoid episiotomy and achieve a high rate of intact perineum, with few second-degree and third-degree lacerations. © 2015 by the American College of Nurse-Midwives.

  7. Prenatal phthalate exposure and placental size and shape at birth: A birth cohort study. (United States)

    Zhu, Yuan-Duo; Gao, Hui; Huang, Kun; Zhang, Yun-Wei; Cai, Xiu-Xiu; Yao, Hui-Yuan; Mao, Lei-Jing; Ge, Xing; Zhou, Shan-Shan; Xu, Yuan-Yuan; Jin, Zhong-Xiu; Sheng, Jie; Yan, Shuang-Qin; Pan, Wei-Jun; Hao, Jia-Hu; Zhu, Peng; Tao, Fang-Biao


    There is concern over the potential placental effects of prenatal phthalate exposure, and the potential adverse effects of prenatal phthalate exposure require further study; however, few data are available in humans. We investigated the associations between phthalate exposure in each trimester and both placental size and shape at birth. We measured the urinary concentrations of phthalate metabolites among 2725 pregnant women in the Ma'anshan Birth Cohort. Before collecting urine samples from each of the three trimesters, the pregnant women were interviewed via questionnaires. Placental information was obtained from hospital records. We estimated the sex-specific associations between urinary phthalate concentrations in each trimester and both placental size and shape at birth using adjusted multiple regression. A linear mixed model was used for the repeated measures analysis with subject-specific random intercepts and slopes for gestational age at sample collection to test the effect of phthalate levels on placental size and shape and to estimate the effect sizes. Overall, placental breadth increased by 0.148cm (95% CI: 0.078, 0.218) with each 1 ln-concentration increase in MBP in the first trimester. The difference between placental length and breadth (length-breadth) decreased by 0.086cm (95% CI: -0.159, -0.012) and 0.149cm (95% CI: -0.221, -0.076) with each 1 ln-concentration increase in MMP and MBP, respectively, in the first trimester. In the second trimester, placental thickness increased by 0.017cm (95% CI: 0.006, 0.027), 0.020cm (95% CI: 0.004, 0.036), 0.028cm (95% CI: 0.007, 0.048), and 0.035cm (95% CI: 0.018, 0.053) with each 1 ln-concentration increase in MMP, MBP, MEOHP, and MEHHP, respectively. In the third trimester, placental thickness increased by 0.037cm (95% CI: 0.019, 0.056) and 0.019cm (95% CI: 0, 0.037) with each 1 ln-concentration increase in MBP and MEHP, respectively. Multiple linear regression for each offspring sex indicated that prenatal

  8. When Your Baby Has a Birth Defect (United States)

    ... Search English Español When Your Baby Has a Birth Defect KidsHealth / For Parents / When Your Baby Has ... to help you and your child. What Are Birth Defects? Birth defects (also called congenital anomalies) are ...

  9. Facial nerve palsy due to birth trauma (United States)

    Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant ... to this condition. Some factors that can cause birth trauma (injury) include: Large baby size (may be ...

  10. Changes in the newborn at birth (United States)

    Birth - changes in the newborn ... heart and flows through the baby's body. At birth, the baby's lungs are filled with fluid. They ... gastrointestinal system doesn't fully function until after birth. In late pregnancy, the baby produces a tarry ...

  11. CDC Vital Signs: Preventing Repeat Teen Births (United States)

    ... MB] Read the MMWR Science Clips Preventing Repeat Teen Births Recommend on Facebook Tweet Share Compartir On ... live birth before age 20. Problem Too many teens, ages 15–19, have repeat births. Nearly 1 ...

  12. Correlates of Low Birth Weight

    Directory of Open Access Journals (Sweden)

    Ankur Barua MD, PhD


    Full Text Available Background. Low birth weight is the single most important factor that determines the chances of child survival. A recent annual estimation indicated that nearly 8 million infants are born with low birth weight in India. The infant mortality rate is about 20 times greater for all low birth weight babies. Methods. A matched case–control study was conducted on 130 low birth weight babies and 130 controls for 12 months (from August 1, 2007, to July 31, 2008 at the Central Referral Hospital, Tadong, East District of Sikkim, India. Data were analyzed using the Statistical Package for Social Sciences, version 10.0 for Windows. Chi-square test and multiple logistic regression were applied. A P value less than .05 was considered as significant. Results. In the first phase of this study, 711 newborn babies, borne by 680 mothers, were screened at the Central Referral Hospital of Sikkim during the 1-year study period, and the proportion of low birth weight babies was determined to be 130 (18.3%. Conclusion. Multiple logistic regression analysis, conducted in the second phase, revealed that low or middle socioeconomic status, maternal underweight, twin pregnancy, previous history of delivery of low birth weight babies, smoking and consumption of alcohol during pregnancy, and congenital anomalies had independent significant association with low birth weight in this study population.

  13. Influence of family size and birth order on risk of cancer: a population-based study

    International Nuclear Information System (INIS)

    Bevier, Melanie; Weires, Marianne; Thomsen, Hauke; Sundquist, Jan; Hemminki, Kari


    Family size and birth order are known to influence the risk of some cancers. However, it is still unknown whether these effects change from early to later adulthood. We used the data of the Swedish Family-Cancer Database to further analyze these effects. We selected over 5.7 million offspring with identified parents but no parental cancer. We estimated the effect of birth order and family size by Poisson regression adjusted for age, sex, period, region and socioeconomic status. We divided the age at diagnosis in two groups, below and over 50 years, to identify the effect of family size and birth order for different age periods. Negative associations for increasing birth order were found for endometrial, testicular, skin, thyroid and connective tissue cancers and melanoma. In contrast, we observed positive association between birth order and lung, male and female genital cancers. Family size was associated with decreasing risk for endometrial and testicular cancers, melanoma and squamous cell carcinoma; risk was increased for leukemia and nervous system cancer. The effect of birth order decreased for lung and endometrial cancer from age at diagnosis below to over 50 years. Combined effects for birth order and family size were marginally significant for thyroid gland tumors. Especially, the relative risk for follicular thyroid gland tumors was significantly decreased for increasing birth order. Our findings suggest that the effect of birth order decreases from early to late adulthood for lung and endometrial cancer

  14. The BRIDGE HadCM3 family of climate models: HadCM3@Bristol v1.0 (United States)

    Valdes, Paul J.; Armstrong, Edward; Badger, Marcus P. S.; Bradshaw, Catherine D.; Bragg, Fran; Crucifix, Michel; Davies-Barnard, Taraka; Day, Jonathan J.; Farnsworth, Alex; Gordon, Chris; Hopcroft, Peter O.; Kennedy, Alan T.; Lord, Natalie S.; Lunt, Dan J.; Marzocchi, Alice; Parry, Louise M.; Pope, Vicky; Roberts, William H. G.; Stone, Emma J.; Tourte, Gregory J. L.; Williams, Jonny H. T.


    Understanding natural and anthropogenic climate change processes involves using computational models that represent the main components of the Earth system: the atmosphere, ocean, sea ice, and land surface. These models have become increasingly computationally expensive as resolution is increased and more complex process representations are included. However, to gain robust insight into how climate may respond to a given forcing, and to meaningfully quantify the associated uncertainty, it is often required to use either or both ensemble approaches and very long integrations. For this reason, more computationally efficient models can be very valuable tools. Here we provide a comprehensive overview of the suite of climate models based around the HadCM3 coupled general circulation model. This model was developed at the UK Met Office and has been heavily used during the last 15 years for a range of future (and past) climate change studies, but has now been largely superseded for many scientific studies by more recently developed models. However, it continues to be extensively used by various institutions, including the BRIDGE (Bristol Research Initiative for the Dynamic Global Environment) research group at the University of Bristol, who have made modest adaptations to the base HadCM3 model over time. These adaptations mean that the original documentation is not entirely representative, and several other relatively undocumented configurations are in use. We therefore describe the key features of a number of configurations of the HadCM3 climate model family, which together make up HadCM3@Bristol version 1.0. In order to differentiate variants that have undergone development at BRIDGE, we have introduced the letter B into the model nomenclature. We include descriptions of the atmosphere-only model (HadAM3B), the coupled model with a low-resolution ocean (HadCM3BL), the high-resolution atmosphere-only model (HadAM3BH), and the regional model (HadRM3B). These also include

  15. Choice of Surgical Procedure for Patients With Non-Small-Cell Lung Cancer ≤ 1 cm or > 1 to 2 cm Among Lobectomy, Segmentectomy, and Wedge Resection

    DEFF Research Database (Denmark)

    Dai, Chenyang; Shen, Jianfei; Ren, Yijiu


    PURPOSE: According to the lung cancer staging project, T1a (≤ 2 cm) non-small-cell lung cancer (NSCLC) should be additionally classified into ≤ 1 cm and > 1 to 2 cm groups. This study aimed to investigate the surgical procedure for NSCLC ≤ 1 cm and > 1 to 2 cm. METHODS: We identified 15,760 patie......PURPOSE: According to the lung cancer staging project, T1a (≤ 2 cm) non-small-cell lung cancer (NSCLC) should be additionally classified into ≤ 1 cm and > 1 to 2 cm groups. This study aimed to investigate the surgical procedure for NSCLC ≤ 1 cm and > 1 to 2 cm. METHODS: We identified 15...... for NSCLC ≤ 1 cm and > 1 to 2 cm. With sublobar resection, lower OS and LCSS emerged for NSCLC > 1 to 2 cm after wedge resection, whereas similar survivals were observed for NSCLC ≤ 1 cm. Multivariable analyses showed that wedge resection is an independent risk factor of survival for NSCLC > 1 to 2 cm...... but not for NSCLC ≤ 1 cm. CONCLUSION: Lobectomy showed better survival than sublobar resection for patients with NSCLC ≤ 1 cm and > 1 to 2 cm. For patients in whom lobectomy is unsuitable, segmentectomy should be recommended for NSCLC > 1 to 2 cm, whereas surgeons could rely on surgical skills and the patient...

  16. Cranial birth trauma; Kraniales Geburtstrauma

    Energy Technology Data Exchange (ETDEWEB)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostische und Interventionelle Neuroradiologie, Homburg/Saar (Germany); Rohrer, T. [Universitaetsklinikum des Saarlandes, Klinik fuer Allgemeine Paediatrie und Neonatologie, Homburg/Saar (Germany)


    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [German] Als Geburtstrauma werden die Verletzungen des Saeuglings bezeichnet, die waehrend der Geburt stattfinden. Zu den Verletzungen, die am Schaedel auftreten koennen und hauptsaechlich durch mechanische Kraefte wie Kompression oder Traktion verursacht werden, gehoeren das Caput succedaneum, das Zephalhaematom, das subgaleale Haematom und die intrakranielle Blutung. Die hypoxisch-ischaemische Enzephalopathie ist die Folge einer systemischen Asphyxie waehrend der Geburt. (orig.)

  17. Iterative Selection of Unknown Weights in Direct Weight Optimization Identification

    Directory of Open Access Journals (Sweden)

    Xiao Xuan


    Full Text Available To the direct weight optimization identification of the nonlinear system, we add some linear terms about input sequences in the former linear affine function so as to approximate the nonlinear property. To choose the two classes of unknown weights in the more linear terms, this paper derives the detailed process on how to choose these unknown weights from theoretical analysis and engineering practice, respectively, and makes sure of their key roles between the unknown weights. From the theoretical analysis, the added unknown weights’ auxiliary role can be known in the whole process of approximating the nonlinear system. From the practical analysis, we learn how to transform one complex optimization problem to its corresponding common quadratic program problem. Then, the common quadratic program problem can be solved by the basic interior point method. Finally, the efficiency and possibility of the proposed strategies can be confirmed by the simulation results.

  18. The Unknown Computer Viruses Detection Based on Similarity (United States)

    Liu, Zhongda; Nakaya, Naoshi; Koui, Yuuji

    New computer viruses are continually being generated and they cause damage all over the world. In general, current anti-virus software detects viruses by matching a pattern based on the signature; thus, unknown viruses without any signature cannot be detected. Although there are some static analysis technologies that do not depend on signatures, virus writers often use code obfuscation techniques, which make it difficult to execute a code analysis. As is generally known, unknown viruses and known viruses share a common feature. In this paper we propose a new static analysis technology that can circumvent code obfuscation to extract the common feature and detect unknown viruses based on similarity. The results of evaluation experiments demonstrated that this technique is able to detect unknown viruses without false positives.

  19. Using the Wheatstone Bridge to Compute Unknown Resistances. (United States)

    Schlenker, Richard M.

    This document presents a secondary level physics unit which introduces students to the Wheatstone Bridge, its use in determining the value of unknown resistors, and the effects of wiring resistors in series or in parallel. (SL)

  20. Stochastic Online Learning in Dynamic Networks under Unknown Models (United States)


    Stochastic Online Learning in Dynamic Networks under Unknown Models This research aims to develop fundamental theories and practical algorithms for...12211 Research Triangle Park, NC 27709-2211 Online learning , multi-armed bandit, dynamic networks REPORT DOCUMENTATION PAGE 11. SPONSOR/MONITOR’S... Online Learning in Dynamic Networks under Unknown Models Report Title This research aims to develop fundamental theories and practical algorithms for

  1. LIQUIDARMOR CM Flashing and Sealant, High Impact Technology Demonstration

    Energy Technology Data Exchange (ETDEWEB)

    Hun, Diana E [ORNL; Bhandari, Mahabir S [ORNL


    Air leakage is responsible for about 1.1 quads of energy or 6% of the total energy used by commercial buildings in the US. Consequently, infiltration and exfiltration are among the largest envelope-related contributors to the heating, ventilation, and air conditioning loads in commercial buildings. New air sealing technologies have recently emerged that aim to improve the performance of air barrier systems by simplifying their installation procedure. LIQUIDARMORTM CM Flashing and Sealant is an example of these new advanced material technologies. This technology is a spray-applied sealant and liquid flashing and can span gaps that are up to ¼ in. wide without a supporting material. ORNL verified the performance of LIQUIDARMORTM CM with field tests and energy simulations from a building in which LIQUIDARMORTM CM was one of components of the air barrier system. The Homeland Security Training Center (HTC) at the College of DuPage in Glen Ellyn, IL, served as the demonstration site. Blower door test results show the average air leakage rate in the demonstration site to be 0.15 cfm/ft2 at 1.57 psf, or 63% lower than the 0.4 cfm at 1.57 psf specified in the 2015 International Energy Conservation Code (IECC). According to simulation results, HTC lowered its annual heating and cooling cost by about $3,000 or 9% compared to a similar building that lacked an air barrier system. This demonstration project serves as an example of the level of building envelope airtightness that can be achieved by using air barrier materials that are properly installed, and illustrates the energy and financial savings that such an airtight envelope could attain.

  2. The Mukundpura meteorite, a new fall of CM chondrite (United States)

    Ray, Dwijesh; Shukla, Anil D.


    Mukundpura is a new CM chondrite fell near Jaipur, Rajasthan, India on June 6, 2017 at 5:15 IST. The fall was observed by local villager. According to eyewitness, the meteorite was fragmented into several pieces once the object hit the ground. Based on petrography, mineralogy and bulk composition, Mukundpura is classified as CM2 chondrite. The chondrules are mainly similar to type I (Olivine: Fo99). Olivines are often found associated with pyroxene (Wo10-35En62-87Fs2-7) phenocryst. However, occurrences of forsteritic and fayalitic olivine (Fa58-71) as isolated mineral clast in matrix are not uncommon. Other types of chondrules include porphyritic pyroxene (En86Fs14) and barred olivine (Fa32.7±0.3) clast. Chondrules are commonly rimmed by fine-grained accretionary dust mantles. Phyllosilicates are the most dominant secondary mineral in matrix and largely associated with poorly characterised phases (PCP). FeO/SiO2 and S/SiO2 of PCP are 2.7 and 0.4 respectively. Other phases in matrix generally include calcite (pure CaCO3), Fe-Ni metal and sulphides. Spinel and perovskite occur occasionally as inclusions. The spherical or elliptical shaped metals (within chondrule or in isolated grains) are low-Ni type (kamacite <7.5 wt%) and resembles the solar Ni/Co ratio. However, Ni content in metal rarely exceeds 8.5 wt% (up to 23 wt%, taenite). Pyrrhotite (Fe ∼62 wt%; S ∼38 wt%) and pentlandite (Fe ∼31-33 wt%, Ni ∼28-32 wt%, S ∼33 wt%)) are the common sulphides occur as isolated grains within the matrix, however, the former is the most dominant. The bulk chemical composition of Mukundpura is largely similar to other CM type chondrite (e.g. Paris CM). Based on petrography, we infer a modest aqueous alteration stage for Mukundpura while the effect of thermal metamorphism was negligible.

  3. Recycle Requirements for NASA's 30 cm Xenon Ion Thruster (United States)

    Pinero, Luis R.; Rawlin, Vincent K.


    Electrical breakdowns have been observed during ion thruster operation. These breakdowns, or arcs, can be caused by several conditions. In flight systems, the power processing unit must be designed to handle these faults autonomously. This has a strong impact on power processor requirements and must be understood fully for the power processing unit being designed for the NASA Solar Electric Propulsion Technology Application Readiness program. In this study, fault conditions were investigated using a NASA 30 cm ion thruster and a power console. Power processing unit output specifications were defined based on the breakdown phenomena identified and characterized.

  4. Plans for RegCM4 CORDEX-CORE simulations (United States)

    Giorgi, Filippo; Coppola, Erika; Giuliani, Graziano


    One of initiatives of the next phase CORDEX activities is the so-called CORDEX-CORE program, by which a core set of regional climate models (RCMs) will downscale a core set of Global Climate Model (GCM) 21st century projections over all, or most, CORDEX continental scale domains. This effort is aimed at providing a homogeneous set of RCM-based projections across land regions of the world, for use in impact assessment studies. The RegCM4 model will participate to this effort through contributions from its user community (the Regional Climate research NETwork, or RegCNET). Although the final details of the CORDEX-CORE experiment protocol have yet to be finalized by the CORDEX community, it is envisioned that ensembles of RegCM4 projections for the period 1950-2100 (or minimally 1970-2100), downscaling 3-6 GCMs over all CORDEX domains (except for the polar ones) will be produced, with forcing from a high end (likely RCP8.5) and a low end (likely RCP2.6) GHG concentration pathway. Depending on the availability of GCM simulations, CMIP5 and/or CMIP6 GCMs will be downscaled. The model grid spacing will be 20-25 km, except for the European domain, where it will be 12.5 km. The newest version of the model, RegCM4.6, will be used, which includes several new physics options compared to previous ones. The model will be validated and customized for the different domains via ERA-Interim driven simulations for the period 1979-2014. The simulations will be conducted by the International Centre for Theoretical Physics (ICTP) team, as well as several institutes located in the different CORDEX regions, and the data will be stored in CORDEX output format at different repositories. Analysis teams and targeted workshops will be organized to carefully assess the simulations. This presentation will describe the RegCM4 CORE experiment framework and will discuss preliminary results over different CORDEX domains from the ERA-Interim driven simulations.

  5. Birth Defects Data and Statistics (United States)

    ... Submit" /> Information For… Media Policy Makers Data & Statistics Recommend on Facebook Tweet Share Compartir On This ... and critical. Read below for the latest national statistics on the occurrence of birth defects in the ...

  6. Birth Defects Research and Tracking (United States)

    ... Environmental public health tracking is the ongoing collection, integration, analysis, interpretation, and dissemination of data on environmental ... 2016) Key Findings: Gastroschisis – a Serious Birth Defect – Continues to Increase New CDC research shows that the ...

  7. Congenital Anomalies among Live Births


    Vivian Rosa Vázquez Martínez; Cristobal Jorge Torres González; Alina Luisa Díaz Dueñas; Grisel Torres Vázquez; Dariel Diaz Díaz; Rafael de la Rosa López


    Background: congenital anomalies contribute significantly to mortality during early stages of life; they are the leading cause of infant death in developed countries.Objective: to determine the characteristics of congenital anomalies among live births. Methods: a descriptive study was conducted in the province of Cienfuegos in 2012. Thirty-seven women who had live-born neonates with congenital anomalies were studied. The variables analyzed were: parental age, skin color, order of birth, famil...

  8. Impact of Birth HIV-PCR Testing on the Uptake of Follow-up Early Infant Diagnosis Services in Cape Town, South Africa. (United States)

    Dunning, Lorna; Kroon, Max; Fourie, Lezanne; Ciaranello, Andrea; Myer, Landon


    Polymerase chain reaction testing at birth ("birth-testing") is suggested by new World Health Organization guidelines for rapid diagnosis of infants infected with HIV in utero. However, there are few data on the implementation of this approach in sub-Saharan Africa, and whether birth testing affects uptake of subsequent routine early infant diagnosis (EID) testing at 6-10 weeks of age is unknown. We reviewed 575 consecutive infants undergoing targeted high-risk birth testing in Cape Town, South Africa, and matched those testing HIV negative at birth (n = 551) to HIV-exposed infants who did not receive birth testing (n = 551). Maternal and infant clinical and demographic data, including EID testing uptake, were abstracted from routine records. Overall, 3.8% of all birth tests conducted were positive while later EID testing positivity rates were 0.5% for those infants testing HIV negative at birth and 0.4% for those without birth testing. Infants who underwent birth testing were less likely to present for later EID compared with those without a birth test (73% vs. 85%; P testing also presented for later EID at a significantly older age (mean age, 60 vs. 50 days; P testing in this setting appears high, neonates testing HIV negative at birth may be less likely to present for subsequent EID testing. For birth testing implementation to contribute to overall EID program goals, structured interventions are required to support follow-up EID services after negative birth test results.

  9. Measuring the reionization 21 cm fluctuations using clustering wedges (United States)

    Raut, Dinesh; Choudhury, Tirthankar Roy; Ghara, Raghunath


    One of the main challenges in probing the reionization epoch using the redshifted 21 cm line is that the magnitude of the signal is several orders smaller than the astrophysical foregrounds. One of the methods to deal with the problem is to avoid a wedge-shaped region in the Fourier k⊥ - k∥ space which contains the signal from the spectrally smooth foregrounds. However, measuring the spherically averaged power spectrum using only modes outside this wedge (i.e. in the reionization window) leads to a bias. We provide a prescription, based on expanding the power spectrum in terms of the shifted Legendre polynomials, which can be used to compute the angular moments of the power spectrum in the reionization window. The prescription requires computation of the monopole, quadrupole, and hexadecapole moments of the power spectrum using the theoretical model under consideration and also the knowledge of the effective extent of the foreground wedge in the k⊥ - k∥ plane. One can then calculate the theoretical power spectrum in the window which can be directly compared with observations. The analysis should have implications for avoiding any bias in the parameter constraints using 21 cm power spectrum data.

  10. Electric prototype power processor for a 30cm ion thruster (United States)

    Biess, J. J.; Inouye, L. Y.; Schoenfeld, A. D.


    An electrical prototype power processor unit was designed, fabricated and tested with a 30 cm mercury ion engine for primary space propulsion. The power processor unit used the thyristor series resonant inverter as the basic power stage for the high power beam and discharge supplies. A transistorized series resonant inverter processed the remaining power for the low power outputs. The power processor included a digital interface unit to process all input commands and internal telemetry signals so that electric propulsion systems could be operated with a central computer system. The electrical prototype unit included design improvement in the power components such as thyristors, transistors, filters and resonant capacitors, and power transformers and inductors in order to reduce component weight, to minimize losses, and to control the component temperature rise. A design analysis for the electrical prototype is also presented on the component weight, losses, part count and reliability estimate. The electrical prototype was tested in a thermal vacuum environment. Integration tests were performed with a 30 cm ion engine and demonstrated operational compatibility. Electromagnetic interference data was also recorded on the design to provide information for spacecraft integration.

  11. Tank testing of a 2500-cm2 solar panel (United States)

    Bever, R. S.; Staskus, J.


    A 50 cm by 50 cm solar array panel test patch was investigated for spacecraft charging and arcing effects. Bombardment with monochromatic electron was carried out. Some objectives of the test were: (1) to estimate at what voltage of electron bombardment arcing would be probable; (2) to find whether the arc's energy would be tolerable or damagingly large; (3) to try and separate thermal and photoeffects; and, (4) to see whether materials used were such as to minimize arcing. Some conclusions were: In sunlight the tracking data relay satellite's solar panel which has ceria glass on the front and conductive paint on the backside is probably a good design for reducing charge-up. In a geomagnetic substorm simulated in testing there will be arcing at the interconnects during eclipse and transitions into and out of eclipse in testing especially in view of the very cold temperatures that will be reached by this lightweight array. Ceria-doped glass is preferred to fused silica glass for reducing charge build up. The Kapton bare patch should still be conductively painted. The differential voltages on the panel determine when arcing first begins, and the electron beam voltages vary depending upon whether the metallic structure is directly grounded or semifloating.

  12. Collimation with tighter TCTs at β*=40 cm

    CERN Document Server

    Bruce, Roderik; Kwee-Hinzmann, Regina; Mereghetti, Alessio; Mirarchi, Daniele; Quaranta, Elena; Redaelli, Stefano; Salvachua Ferrando, Belen Maria; Valentino, Gianluca; Valloni, Alessandra; Garcia Morales, Hector; CERN. Geneva. ATS Department


    MD 310 was carried out on August 28 2015, in order to investigate the collimation performance using nominal optics with β* =40 cm, 2 σ retraction collimator settings in IR7, and the very tight TCT settings which are necessary to protect the small normalized aperture. With these tight settings, we expect higher losses on the TCTs which should cause also higher beam-halo background at the experiments. During the MD, a total of 70 betatron loss maps were performed over a range of TCT settings and for dierent settings of the TCLAs in IR7. ATLAS and CMS were exceptionally taking data outside stable beams, in order to monitor the background. Furthermore, betatron loss maps were performed with a small momentum oset of the whole beam, induced by a shift of the RF frequency. The MD results can therefore also be used to assess the cleaning eciency in IR7 with the β* =40 cm optics, as well as the eects of energy osets on the cleaning. At the end of the MD, an asynchronous dump test was performed, in order to monitor ...

  13. Protein phosphatase 2Cm is a critical regulator of branched-chain amino acid catabolism in mice and cultured cells. (United States)

    Lu, Gang; Sun, Haipeng; She, Pengxiang; Youn, Ji-Youn; Warburton, Sarah; Ping, Peipei; Vondriska, Thomas M; Cai, Hua; Lynch, Christopher J; Wang, Yibin


    The branched-chain amino acids (BCAA) are essential amino acids required for protein homeostasis, energy balance, and nutrient signaling. In individuals with deficiencies in BCAA, these amino acids can be preserved through inhibition of the branched-chain-alpha-ketoacid dehydrogenase (BCKD) complex, the rate-limiting step in their metabolism. BCKD is inhibited by phosphorylation of its E1alpha subunit at Ser293, which is catalyzed by BCKD kinase. During BCAA excess, phosphorylated Ser293 (pSer293) becomes dephosphorylated through the concerted inhibition of BCKD kinase and the activity of an unknown intramitochondrial phosphatase. Using unbiased, proteomic approaches, we have found that a mitochondrial-targeted phosphatase, PP2Cm, specifically binds the BCKD complex and induces dephosphorylation of Ser293 in the presence of BCKD substrates. Loss of PP2Cm completely abolished substrate-induced E1alpha dephosphorylation both in vitro and in vivo. PP2Cm-deficient mice exhibited BCAA catabolic defects and a metabolic phenotype similar to the intermittent or intermediate types of human maple syrup urine disease (MSUD), a hereditary disorder caused by defects in BCKD activity. These results indicate that PP2Cm is the endogenous BCKD phosphatase required for nutrient-mediated regulation of BCKD activity and suggest that defects in PP2Cm may be responsible for a subset of human MSUD.

  14. Birth order and childhood type 1 diabetes risk: a pooled analysis of 31 observational studies

    DEFF Research Database (Denmark)

    Cardwell, Chris R; Stene, Lars C; Joner, Geir


    The incidence rates of childhood onset type 1 diabetes are almost universally increasing across the globe but the aetiology of the disease remains largely unknown. We investigated whether birth order is associated with the risk of childhood diabetes by performing a pooled analysis of previous...

  15. Childhood Height and Birth Weight in Relation to Future Prostate Cancer Risk

    DEFF Research Database (Denmark)

    Cook, Michael B; Gamborg, Michael; Aarestrup, Julie


    Adult height has been positively associated with prostate cancer risk. However, the exposure window of importance is currently unknown and assessments of height during earlier growth periods are scarce. In addition, the association between birth weight and prostate cancer remains undetermined. We...

  16. Overview of Epidemiology, Genetics, Birth Defects, and Chromosome Abnormalities Associated With CDH


    Pober, Barbara R.


    Congenital diaphragmatic hernia (CDH) is a common and well-studied birth defect. The etiology of most cases remains unknown but increasing evidence points to genetic causation. The data supporting genetic etiologies which are detailed below include the association of CDH with recurring chromosome abnormalities, the existence of CDH-multiplex families, and the co-occurrence of CDH with additional congenital malformations.

  17. Birth order and childhood type 1 diabetes risk: a pooled analysis of 31 observational studies

    DEFF Research Database (Denmark)

    Cardwell, Chris R; Stene, Lars C; Joner, Geir


    BACKGROUND: The incidence rates of childhood onset type 1 diabetes are almost universally increasing across the globe but the aetiology of the disease remains largely unknown. We investigated whether birth order is associated with the risk of childhood diabetes by performing a pooled analysis of ...

  18. Spontaneous preterm birth : prevention, management and outcome

    NARCIS (Netherlands)

    Vermeulen, Gustaaf Michiel


    Preterm birth (birth before 37 completed weeks of pregnancy) is a major cause of perinatal morbidity and mortality. Strategies to prevent and adequately treat preterm labour, in order to postpone birth and to identify risk factors for neonatal damage due to preterm birth, have to be developed by

  19. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth : Results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    Hitzert, Marit F.; Hermus, Marieke A. A.; Boesveld, Inge I.C.; Franx, Arie; van der Pal-de Bruin, Karin M.; Steegers, Eric A. P.; Van Den Akker-Van Marle, Eiske M.E.


    Objectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design Economic evaluation

  20. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    Hitzert, M.; Hermus, M.M.; Boesveld, I.I.; Franx, A.; Pal-de Bruin, K.K. van der; Steegers, E.E.; Akker-van Marle, E.M. van den


    Objectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design Economic evaluation

  1. Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: Results of the Dutch Birth Centre study

    NARCIS (Netherlands)

    M.F. Hitzert (Marit); M.A.A. Hermus (Marieke A.A.); Boesveld, I.I.C. (Inge I.C.); A. Franx (Arie); K.M. van der Pal-De Bruin (Karin); E.A.P. Steegers (Eric); Van Den Akker-Van Marle, E.M.E. (Eiske M.E.)


    textabstractObjectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design

  2. 38 CFR 3.209 - Birth. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Birth. 3.209 Section 3..., Compensation, and Dependency and Indemnity Compensation Evidence Requirements § 3.209 Birth. Age or... abstract of the public record of birth. Such a record established more than 4 years after the birth will be...

  3. Progestin-Only Birth Control Pills (United States)

    ... Rehabilitation Emotional Well-Being Mental Health Sex and Birth Control Sex and Sexuality Birth Control Family Health Infants and Toddlers Kids and ... ExpectDepo-Provera: An Injectable ContraceptiveTubal Sterilization (Tubal Ligation)Birth Control OptionsNatural Family PlanningBirth Control: How to Use ...

  4. Extraction Chromatography for Am and Cm Recovery in Engineering Scale

    International Nuclear Information System (INIS)

    Koma, Y.; Watanabe, S.; Sano, Y.; Asakura, T.; Morita, Y.


    The Japan Atomic Energy Agency (JAEA) has been developing the extraction chromatography for Am and Cm (An(III)) recovery from HLLW aiming at an engineering scale application. For process development, we started to assess the characteristics of adsorbents with some extractants by laboratory scale experiments. The experimental results with HDEHP/SiO 2 -P adsorbent suggested that An(III) is separated from other fission products by adjusting the pH of a feed solution and/or an eluent containing DTPA to be an appropriate value. The durability of CMPO/SiO 2 -P and HDEHP/SiO 2 -P adsorbents for gamma-ray irradiation were estimated to be 1 and 0.5 MGy, respectively. In the system development, system experiments for fluid flow, safety and durability using engineering scale column as well as studies on remote control/maintenance are now under progress. (authors)


    Energy Technology Data Exchange (ETDEWEB)

    Jacobs, Daniel C.; Beardsley, A. P.; Bowman, Judd D. [Arizona State University, School of Earth and Space Exploration, Tempe, AZ 85287 (United States); Hazelton, B. J.; Sullivan, I. S.; Barry, N.; Carroll, P. [University of Washington, Department of Physics, Seattle, WA 98195 (United States); Trott, C. M.; Pindor, B.; Briggs, F.; Gaensler, B. M. [ARC Centre of Excellence for All-sky Astrophysics (CAASTRO) (Australia); Dillon, Joshua S.; Oliveira-Costa, A. de; Ewall-Wice, A.; Feng, L. [MIT Kavli Institute for Astrophysics and Space Research, Cambridge, MA 02139 (United States); Pober, J. C. [Brown University, Department of Physics, Providence, RI 02912 (United States); Bernardi, G. [Department of Physics and Electronics, Rhodes University, Grahamstown 6140 (South Africa); Cappallo, R. J.; Corey, B. E. [MIT Haystack Observatory, Westford, MA 01886 (United States); Emrich, D., E-mail: [International Centre for Radio Astronomy Research, Curtin University, Perth, WA 6845 (Australia); and others


    We present the 21 cm power spectrum analysis approach of the Murchison Widefield Array Epoch of Reionization project. In this paper, we compare the outputs of multiple pipelines for the purpose of validating statistical limits cosmological hydrogen at redshifts between 6 and 12. Multiple independent data calibration and reduction pipelines are used to make power spectrum limits on a fiducial night of data. Comparing the outputs of imaging and power spectrum stages highlights differences in calibration, foreground subtraction, and power spectrum calculation. The power spectra found using these different methods span a space defined by the various tradeoffs between speed, accuracy, and systematic control. Lessons learned from comparing the pipelines range from the algorithmic to the prosaically mundane; all demonstrate the many pitfalls of neglecting reproducibility. We briefly discuss the way these different methods attempt to handle the question of evaluating a significant detection in the presence of foregrounds.

  6. Evaluation of neutron nuclear data for 244Cm

    International Nuclear Information System (INIS)

    Igarasi, Sin-iti; Nakagawa, Tsuneo


    Evaluation of neutron nuclear data for 244 Cm was performed below 16 MeV. The energy region above 1000 eV was separated from the lower region where the resonance parameters were given. Evaluation was made to select suitable resonance parameters, and thermal values of the capture and fission cross sections were obtained with the adopted resonance parameters. Using a semi-empirical formula, the fission cross section was reproduced above 1000 eV. Optical and statistical model calculations were made in order to obtain the total, capture, inelastic and elastic scattering, and (n,2n) reaction cross sections. The number of neutrons per neutron-induced fission was estimated with an empirical formula. (auth.)

  7. Economic influences on birth rates. (United States)

    Ermisch, J


    A researcher uses an econometric analysis to test his theory that economic developments influence birth rates in post World War II in Great Britain. The base of the analysis consists of a group of equilibrium relationships examining the levels of conditional birth rates (at each birth order and each mother's age) and the levels of economic variables, e.g., ratio of women's hourly wage after taxes. The leading cause of a decrease in births, especially after 1974, was an increase in women's net wages in comparison to men's net wages. Additional evidence suggested that higher women's wages increase the cost of an additional child by raising missed earnings, and this higher opportunity cost reduces the chance of another birth. On the other hand, if men's earnings are higher, couples have more children and at a young age. Further, the higher the real house prices the more likely women are to postpone starting a family and, in the case of 20-24 year old women, these high prices also deter them from having a 2nd child. Higher house prices do not affect higher order births, however. When all other things are equal, women from larger families have a tendency to begin having children in their 30s and produce smaller families than those women from smaller families. Large child allowances encourage 3rd-4th births and early motherhood. To increase fertility to replacement level over the long term, the current level of child allowances would have to double costing about 5 billion British pounds or 1.5% of the gross domestic product.

  8. Grasping Unknown Objects in an Early Cognitive Vision System

    DEFF Research Database (Denmark)

    Popovic, Mila


    Grasping of unknown objects presents an important and challenging part of robot manipulation. The growing area of service robotics depends upon the ability of robots to autonomously grasp and manipulate a wide range of objects in everyday environments. Simple, non task-specific grasps of unknown ...... and comparing vision-based grasping methods, and the creation of algorithms for bootstrapping a process of acquiring world understanding for artificial cognitive agents....... presents a system for robotic grasping of unknown objects us- ing stereo vision. Grasps are defined based on contour and surface information provided by the Early Cognitive Vision System, that organizes visual informa- tion into a biologically motivated hierarchical representation. The contributions...... of the thesis are: the extension of the Early Cognitive Vision representation with a new type of feature hierarchy in the texture domain, the definition and evaluation of contour based grasping methods, the definition and evaluation of surface based grasping methods, the definition of a benchmark for testing...

  9. Smaller kidney size at birth in South Asians: findings from the Born in Bradford birth cohort study. (United States)

    Roderick, Paul J; Jeffrey, Robin F; Yuen, Ho M; Godfrey, Keith M; West, Jane; Wright, John


    Rates of advanced chronic kidney disease and renal replacement therapy are higher in South Asian than in white British populations. Low birth weight is also more frequent in South Asian populations and has been associated with increased risks of kidney disease, perhaps due to a reduced nephron endowment. Using ultrasound scans at 34 weeks of gestation, we measured fetal kidney dimensions (transverse and anteroposterior diameters, length and circumference) and derived volume in a random sample of 872 white British and 715 South Asian participants in the Born in Bradford cohort study. Kidney measurements were compared between ethnic groups. Birth weight for gestational age at 40 weeks was 200 g less in South Asian babies compared with white British babies. The mean kidney volume for gestational age was 16% lower in South Asian than in white British babies [8.79 versus 10.45 cm(3), difference 1.66 cm(3) (95% confidence interval 1.40-1.93, P < 0.001)]. The difference was robust after adjustment for maternal age, socio-economic factors, marital status, body mass index, smoking and alcohol use in pregnancy, parity, baby's gender and birth weight for gestational age [adjusted difference 1.38 cm(3) (0.97-1.84), P < 0.001]. There were smaller reductions in other fetal measures. South Asian babies have smaller kidneys compared with white British babies, even after adjusting for potential confounders including birth weight. This finding may contribute to increased risks of adult kidney disease in South Asian populations. © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

  10. Molecular toolbox for the identification of unknown genetically modified organisms. (United States)

    Ruttink, Tom; Demeyer, Rolinde; Van Gulck, Elke; Van Droogenbroeck, Bart; Querci, Maddalena; Taverniers, Isabel; De Loose, Marc


    Competent laboratories monitor genetically modified organisms (GMOs) and products derived thereof in the food and feed chain in the framework of labeling and traceability legislation. In addition, screening is performed to detect the unauthorized presence of GMOs including asynchronously authorized GMOs or GMOs that are not officially registered for commercialization (unknown GMOs). Currently, unauthorized or unknown events are detected by screening blind samples for commonly used transgenic elements, such as p35S or t-nos. If (1) positive detection of such screening elements shows the presence of transgenic material and (2) all known GMOs are tested by event-specific methods but are not detected, then the presence of an unknown GMO is inferred. However, such evidence is indirect because it is based on negative observations and inconclusive because the procedure does not identify the causative event per se. In addition, detection of unknown events is hampered in products that also contain known authorized events. Here, we outline alternative approaches for analytical detection and GMO identification and develop new methods to complement the existing routine screening procedure. We developed a fluorescent anchor-polymerase chain reaction (PCR) method for the identification of the sequences flanking the p35S and t-nos screening elements. Thus, anchor-PCR fingerprinting allows the detection of unique discriminative signals per event. In addition, we established a collection of in silico calculated fingerprints of known events to support interpretation of experimentally generated anchor-PCR GM fingerprints of blind samples. Here, we first describe the molecular characterization of a novel GMO, which expresses recombinant human intrinsic factor in Arabidopsis thaliana. Next, we purposefully treated the novel GMO as a blind sample to simulate how the new methods lead to the molecular identification of a novel unknown event without prior knowledge of its transgene

  11. Adaptive Incentive Controls for Stackelberg Games with Unknown Cost Functionals. (United States)



  12. Biomarkers for Ectopic Pregnancy and Pregnancy of Unknown Location (United States)

    Senapati, Suneeta; Barnhart, Kurt T.


    Early pregnancy failure is the most common complication of pregnancy, and 1–2% of all pregnancies will be ectopic. As one of the leading causes of maternal morbidity and mortality, diagnosing ectopic pregnancy and determining the fate of a pregnancy of unknown location are of great clinical concern. Several serum and plasma biomarkers for ectopic pregnancy have been investigated independently and in combination. The following is a review of the state of biomarker discovery and development for ectopic pregnancy and pregnancy of unknown location. PMID:23290746

  13. Quantum Sharing an Unknown Multi-Particle State via POVM (United States)

    Peng, Jia-Yin; Mo, Zhi-Wen


    Our purpose in this paper is to present a new tripartite quantum state sharing using partially quantum resources. The first scheme is to probabilistically split an unknown n-particle state using pre-shared a partially entangled four-particle cluster state as quantum resource by constructing some proper POVM. This scheme is further extended to share an unknown multi-particle cluster state using different states as quantum resources. Our schemes with general quantum channels are useful for various quantum information processing and quantum network tasks.

  14. Prediction of Primary Tumors in Cancers of Unknown Primary

    DEFF Research Database (Denmark)

    Søndergaard, Dan; Nielsen, Svend; Pedersen, Christian N S


    treatment choice and thus improve the clinical outcome. In this paper, we present a new method for predicting the location of the primary tumor using gene expression data: locating cancers of unknown primary (LoCUP). The method models the data as a mixture of normal and tumor cells and thus allows correct......A cancer of unknown primary (CUP) is a metastatic cancer for which standard diagnostic tests fail to identify the location of the primary tumor. CUPs account for 3-5% of cancer cases. Using molecular data to determine the location of the primary tumor in such cases can help doctors make the right...

  15. Liberalization of Birth Control and the Unmarried Share of Births

    DEFF Research Database (Denmark)

    Kennes, John; Knowles, John

    Half of unmarried births are to women who are already mothers, and a quarter to women who were previously married. We develop a model of equilibrium matching and fertility to replicate these facts. We use the model to revisit the hypothesis that liberalization of the Pill and abortion caused...... the massive increase since 1960 in the share of US births to unmarried women. Our results suggest that liberalization alone is ineffective; what matters are interactions between liberalization and the decline in the stability of marriage, and, secondarily, the rising status of single mothers....

  16. Birth in Brazil: national survey into labour and birth

    Directory of Open Access Journals (Sweden)

    do Carmo Leal Maria


    Full Text Available Abstract Background Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction. Methods Nationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients’ medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson’s groups. Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design. Discussion This study, for the first time, depicts a national panorama of labour and birth

  17. Forced Marriage and Birth Outcomes. (United States)

    Becker, Charles M; Mirkasimov, Bakhrom; Steiner, Susan


    We study the impact of marriages resulting from bride kidnapping on infant birth weight. Bride kidnapping-a form of forced marriage-implies that women are abducted by men and have little choice other than to marry their kidnappers. Given this lack of choice over the spouse, we expect adverse consequences for women in such marriages. Remarkable survey data from the Central Asian nation of Kyrgyzstan enable exploration of differential birth outcomes for women in kidnap-based and other types of marriage using both OLS and IV estimation. We find that children born to mothers in kidnap-based marriages have lower birth weight compared with children born to other mothers. The largest difference is between kidnap-based and arranged marriages: the magnitude of the birth weight loss is in the range of 2 % to 6 % of average birth weight. Our finding is one of the first statistically sound estimates of the impact of forced marriage and implies not only adverse consequences for the women involved but potentially also for their children.

  18. OPTIMASI DAN PEMEKATAN LIPASE Bacillus halodurans CM1

    Directory of Open Access Journals (Sweden)

    Arina Aisyah


    Full Text Available Abstrak Lipase diketahui memiliki peranan penting dalam bidang industri. Produksi lipase dapat dihasilkan oleh kapang, khamir, dan bakteri. Penelitian bertujuan untuk meningkatkan aktivitas lipase yang dihasilkan oleh Bacillus halodurans CM1. Aktivitas lipase dapat ditingkatkan dengan optimasi komposisi media, mutasi bakteri dengan radiasi gamma dan N-methyl-N’-nitro-N-nitrosoguanidine (NTG. Enzim yang dihasilkan dipekatkan dengan metode stirred-cell ultrafiltration (UF-ammonium sulfat dan UF-Polyethylene glycol (PEG. Uji aktivitas dilakukan pada tujuh media yang berbeda untuk mendapatkan media produksi. Delapan variabel komposisi media dioptimasi dengan rancangan Plackett-Burman. Bakteri dimutasi dengan radiasi gamma dosis 0,1–0,4 kGy dan NTG 0,05–0,15 mg/mL dengan waktu inkubasi 1–3 jam. Hasil penelitian menunjukkan bahwa media produksi yang digunakan berdasarkan optimasi media dan komposisi media Plackett-Burman adalah media dasar Bora & Bora yang mengandung 0,5% palm oil (PO dan 0,09% CaCl2. Aktivitas lipase optimal diproduksi oleh bakteri hasil mutasi dengan NTG 0,1 mg/mL yang diinkubasi selama 3 jam. Pemekatan enzim UF-ammonium sulfat dan UF-PEG mampu meningkatkan aktivitas enzim lipase sebesar 18,44%.  Abstract Lipase is known to have an important role in the industrial field. Lipase can be produced by molds, yeasts, and bacteria. The research aimed to increase the activity of lipase produced by Bacillus halodurans CM1. Lipase activity can be improved by optimization of the composition of the media, the mutation of bacteria with gamma radiation and N-methyl-N'-nitro-N-nitrosoguanidine (NTG. The enzyme was concentrated by stirred-cell ultrafiltration method (UF-ammonium sulfate and UF-Polyethylene glycol (PEG. The activity test was performed on seven different media to get production media. The eight variables of the media composition were optimized by Plackett-Burman design. The bacteria were subject to mutation by using 0.1–0

  19. [Nutritional status of pregnant women and birth outcome]. (United States)

    Kaim, Irena; Sochacka-Tatara, Elzbieta; Pac, Agnieszka; Basta, Antoni; Jedrychowski, Wiesław


    The aim of the study was to determine whether nutritional status of pregnant women influences the birth outcome. A prospective study, conducted in Krakow, in 382 non-smoking, no obese pregnant women between the ages of 18 - 35. The course of pregnancy was uncomplicated, finished with natural labor, in biological time limits. The impact of mother's nutritional status before pregnancy and weight gain on newborns weight, length and head circumference was estimated by multivariate linear regression. The infant birth weight depended on mothers nutritional status before pregnancy and was lower in the group of underweight subjects (3381.6 g vs. 3479.9 g, p = 0.022). Women with low increase in body mass during pregnancy delivered newborns with lower anthropometrics parameters. The increase in body weight of one category resulted in statistically significant increase of birth weight by 140.9 g, increase of length by 0.51 cm and in head circumference by 0.27 cm. Increase in body mass during pregnancy is particularly important in the group of women underweight before pregnancy. Change of nutritional habits before and in the course of pregnancy may have beneficial effects for intrauterine fetal development.

  20. Adaptive fuzzy prescribed performance control for MIMO nonlinear systems with unknown control direction and unknown dead-zone inputs. (United States)

    Shi, Wuxi; Luo, Rui; Li, Baoquan


    In this study, an adaptive fuzzy prescribed performance control approach is developed for a class of uncertain multi-input and multi-output (MIMO) nonlinear systems with unknown control direction and unknown dead-zone inputs. The properties of symmetric matrix are exploited to design adaptive fuzzy prescribed performance controller, and a Nussbaum-type function is incorporated in the controller to estimate the unknown control direction. This method has two prominent advantages: it does not require the priori knowledge of control direction and only three parameters need to be updated on-line for this MIMO systems. It is proved that all the signals in the resulting closed-loop system are bounded and that the tracking errors converge to a small residual set with the prescribed performance bounds. The effectiveness of the proposed approach is validated by simulation results. Copyright © 2016 ISA. Published by Elsevier Ltd. All rights reserved.

  1. Liability for Unknown Risks: A Law and Economics Perspective

    NARCIS (Netherlands)

    M.G. Faure (Michael); L.T. Visscher (Louis); F. Weber (Franziska)


    textabstractIn the law and economics literature liability is generally regarded as an instrument which provides potential tortfeasors with incentives for optimal care taking. The question, however, arises whether liability can still provide those incentives when risks are unknown. That is the

  2. Fast grasping of unknown objects using principal component analysis (United States)

    Lei, Qujiang; Chen, Guangming; Wisse, Martijn


    Fast grasping of unknown objects has crucial impact on the efficiency of robot manipulation especially subjected to unfamiliar environments. In order to accelerate grasping speed of unknown objects, principal component analysis is utilized to direct the grasping process. In particular, a single-view partial point cloud is constructed and grasp candidates are allocated along the principal axis. Force balance optimization is employed to analyze possible graspable areas. The obtained graspable area with the minimal resultant force is the best zone for the final grasping execution. It is shown that an unknown object can be more quickly grasped provided that the component analysis principle axis is determined using single-view partial point cloud. To cope with the grasp uncertainty, robot motion is assisted to obtain a new viewpoint. Virtual exploration and experimental tests are carried out to verify this fast gasping algorithm. Both simulation and experimental tests demonstrated excellent performances based on the results of grasping a series of unknown objects. To minimize the grasping uncertainty, the merits of the robot hardware with two 3D cameras can be utilized to suffice the partial point cloud. As a result of utilizing the robot hardware, the grasping reliance is highly enhanced. Therefore, this research demonstrates practical significance for increasing grasping speed and thus increasing robot efficiency under unpredictable environments.

  3. Prevalence and predictors of unknown HIV status among women ...

    African Journals Online (AJOL)

    sum test and logistic regression were used to test associations. Results: The prevalence of unknown HIV status was ... and occurs in utero, during labour and delivery and during breastfeeding1. Without any intervention, the MTCT rate ... transport costs to health facilities. Other service delivery factors assessed included ...

  4. Multiple analysis of an unknown optical multilayer coating

    International Nuclear Information System (INIS)

    Dobrowolski, J.A.; Ho, F.C.; Waldorf, A.


    Results are given of the analysis at five different laboratories of an unknown optical multilayer coating. In all, eleven different analytical and laboratory techniques were applied to the problem. The multilayer nominally consisted of three dielectric and two metallic layers. It was demonstrated convincingly that with present day techniques it is possible to determine the basic structure of such a coating

  5. Clostridium difficile: A healthcare-associated infection of unknown ...

    African Journals Online (AJOL)

    Clostridium difficile: A healthcare-associated infection of unknown significance in adults in sub-Saharan Africa. ... Abstract. Background: Clostridium difficile infection (CDI) causes a high burden of disease in high-resource healthcare systems, with significant morbidity, mortality, and financial implications. CDI is a ...

  6. Vision-based autonomous grasping of unknown piled objects

    International Nuclear Information System (INIS)

    Johnson, R.K.


    Computer vision techniques have been used to develop a vision-based grasping capability for autonomously picking and placing unknown piled objects. This work is currently being applied to the problem of hazardous waste sorting in support of the Department of Energy's Mixed Waste Operations Program

  7. Editoria: EBOLA: Fear of the unknown | Comoro | Tanzania Journal ...

    African Journals Online (AJOL)

    Tanzania Journal of Health Research. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 3, No 2 (2001) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Editoria: EBOLA: Fear of the unknown. C. Comoro, J.

  8. Prevalence and treatment outcome of cervicitis of unknown etiology. (United States)

    Taylor, Stephanie N; Lensing, Shelly; Schwebke, Jane; Lillis, Rebecca; Mena, Leandro A; Nelson, Anita L; Rinaldi, Anne; Saylor, Lisa; McNeil, Linda; Lee, Jeannette Y


    Mucopurulent cervicitis (MPC) is a clinical syndrome characterized by mucopurulent discharge from the cervix and other signs of inflammation. This was a phase III, multicenter study designed to evaluate the effectiveness of placebo versus empiric antibiotic treatment for clinical cure of MPC of unknown etiology at 2-month follow-up. Unfortunately, enrollment was terminated because of low accrual of women with cervicitis of unknown etiology, but important prevalence and outcome data were obtained. Five hundred seventy-seven women were screened for MPC. Women with MPC were randomized to the treatment or placebo arm of the study, and the 2 arms were evaluated based on the etiology, clinical cure rates, adverse events (AEs), and rates of pelvic inflammatory disease. One hundred thirty-one (23% [131/577]) screened women were found to have MPC. Eighty-seven were enrolled and randomized. After excluding women with sexually transmitted infections and other exclusions, 61% (53/87) had cervicitis of unknown etiology. The overall clinical failure rate was 30% (10/33), and the clinical cure rate was only 24% (8/33). Rates were not significantly different between the arms. There were 24 gastrointestinal AEs in the treatment arm compared with 1 AE in the placebo arm. More than half of the cases of MPC were of unknown etiology. Clinical cure rates for the placebo and treatment arms were extremely low, with most women concluding the study with a partial response. Gastrointestinal AEs were higher in the treatment arm.

  9. Fast grasping of unknown objects using principal component analysis

    Directory of Open Access Journals (Sweden)

    Qujiang Lei


    Full Text Available Fast grasping of unknown objects has crucial impact on the efficiency of robot manipulation especially subjected to unfamiliar environments. In order to accelerate grasping speed of unknown objects, principal component analysis is utilized to direct the grasping process. In particular, a single-view partial point cloud is constructed and grasp candidates are allocated along the principal axis. Force balance optimization is employed to analyze possible graspable areas. The obtained graspable area with the minimal resultant force is the best zone for the final grasping execution. It is shown that an unknown object can be more quickly grasped provided that the component analysis principle axis is determined using single-view partial point cloud. To cope with the grasp uncertainty, robot motion is assisted to obtain a new viewpoint. Virtual exploration and experimental tests are carried out to verify this fast gasping algorithm. Both simulation and experimental tests demonstrated excellent performances based on the results of grasping a series of unknown objects. To minimize the grasping uncertainty, the merits of the robot hardware with two 3D cameras can be utilized to suffice the partial point cloud. As a result of utilizing the robot hardware, the grasping reliance is highly enhanced. Therefore, this research demonstrates practical significance for increasing grasping speed and thus increasing robot efficiency under unpredictable environments.

  10. Severe scratcher-reaction: an unknown health hazard?

    Directory of Open Access Journals (Sweden)

    Carsten Sauer Mikkelsen


    Full Text Available Tattoos are well known to cause skin problems and the number of reported adverse reactions after tattooing has increased. Illegally imported tattoo ink is unrestrained and can contain unknown ingredients and contamination thereby posing a serious health hazard. We present a case illustrating the risk of pronounced phototoxic allergic reaction and other severe complications after using home kit tattoo ink.

  11. Bayesian Compressed Sensing with Unknown Measurement Noise Level

    DEFF Research Database (Denmark)

    Hansen, Thomas Lundgaard; Jørgensen, Peter Bjørn; Pedersen, Niels Lovmand


    In sparse Bayesian learning (SBL) approximate Bayesian inference is applied to find sparse estimates from observations corrupted by additive noise. Current literature only vaguely considers the case where the noise level is unknown a priori. We show that for most state-of-the-art reconstruction a...

  12. Inventory control in case of unknown demand and control parameters

    NARCIS (Netherlands)

    Janssen, E.


    This thesis deals with unknown demand and control parameters in inventory control. Inventory control involves decisions on what to order when and in what quantity. These decisions are based on information about the demand. Models are constructed using complete demand information; these models ensure

  13. A Size Exclusion Chromatography Laboratory with Unknowns for Introductory Students (United States)

    McIntee, Edward J.; Graham, Kate J.; Colosky, Edward C.; Jakubowski, Henry V.


    Size exclusion chromatography is an important technique in the separation of biological and polymeric samples by molecular weight. While a number of laboratory experiments have been published that use this technique for the purification of large molecules, this is the first report of an experiment that focuses on purifying an unknown small…

  14. Metastatic Carcinoma of Unknown Primary Presenting as Jugular Venous Thrombosis

    Directory of Open Access Journals (Sweden)

    Prince Cheriyan Modayil


    Full Text Available Jugular venous thrombosis is unusual and is associated with central venous catheterisation, intravenous drug abuse and head and neck sepsis. It is rarely associated with malignancy. We report a case of metastatic carcinoma of unknown primary in a forty year old female which presented with jugular venous thrombosis. The discussion includes investigation and treatment options for this condition.

  15. Strategies to Prevent Preterm Birth (United States)

    Newnham, John P.; Dickinson, Jan E.; Hart, Roger J.; Pennell, Craig E.; Arrese, Catherine A.; Keelan, Jeffrey A.


    After several decades of research, we now have evidence that at least six interventions are suitable for immediate use in contemporary clinical practice within high-resource settings and can be expected to safely reduce the rate of preterm birth. These interventions involve strategies to prevent non-medically indicated late preterm birth; use of maternal progesterone supplementation; surgical closure of the cervix with cerclage; prevention of exposure of pregnant women to cigarette smoke; judicious use of fertility treatments; and dedicated preterm birth prevention clinics. Quantification of the extent of success is difficult to predict and will be dependent on other clinical, cultural, societal, and economic factors operating in each environment. Further success can be anticipated in the coming years as other research discoveries are translated into clinical practice, including new approaches to treating intra-uterine infection, improvements in maternal nutrition, and lifestyle modifications to ameliorate maternal stress. The widespread use of human papillomavirus vaccination in girls and young women will decrease the need for surgical interventions on the cervix and can be expected to further reduce the risk of early birth. Together, this array of clinical interventions, each based on a substantial body of evidence, is likely to reduce rates of preterm birth and prevent death and disability in large numbers of children. The process begins with an acceptance that early birth is not an inevitable and natural feature of human reproduction. Preventative strategies are now available and need to be applied. The best outcomes may come from developing integrated strategies designed specifically for each health-care environment. PMID:25477878

  16. Birth experience in women with low, intermediate or high levels of fear: findings from the first baby study. (United States)

    Elvander, Charlotte; Cnattingius, Sven; Kjerulff, Kristen H


    Fear of childbirth and mode of delivery are two known factors that affect birth experience. The interactions between these two factors are unknown. The aim of this study was to estimate the effects of different levels of fear of birth and mode of delivery on birth experience 1 month after birth. As part of an ongoing prospective study, we interviewed 3,006 women in their third trimester and 1 month after first childbirth to assess fear of birth and birth experience. Logistic regression was performed to examine the interactions and associations between fear of birth, mode of delivery and birth experience. Compared with women with low levels of fear of birth, women with intermediate levels of fear, and women with high levels of fear had a more negative birth experience and were more affected by an unplanned cesarean section or instrumental vaginal delivery. Compared with women with low levels of fears with a noninstrumental vaginal delivery, women with high levels of fear who were delivered by unplanned cesarean section had a 12-fold increased risk of reporting a negative birth experience (OR 12.25; 95% CI 7.19-20.86). A noninstrumental vaginal delivery was associated with the most positive birth experience among the women in this study. This study shows that both levels of prenatal fear of childbirth and mode of delivery are important for birth experience. Women with low fear of childbirth who had a noninstrumental vaginal delivery reported the most positive birth experience. © 2013, Copyright the Authors Journal compilation © 2013, Wiley Periodicals, Inc.

  17. Physics with linear colliders in the tev CM energy region

    International Nuclear Information System (INIS)

    Bulos, F.; Cook, V.; Hinchliffe, I.; Lane, K.; Pellet, D.; Perl, M.; Seiden, A.; Wiedemann, H.


    It may well be that the e/sup +/e/sup -/ physics beyond PEP and PETRA and up to 200 GeV CM energy will deal primarily with the verification of the standard model (SM) of weak and electromagnetic interactions. Various theoretical and experimental studies at workshops for contemplated accelerators (SLC, LEP I, Z 0 ) have assumed this. Beyond 200 GeV the picture is less clear. The absence of theoretical models with strong predictions comparable to the SM adds to the difficulty. In addition, the experimental verification of the SM itself is yet to come, and one is forced to make certain assumptions about the outcome. The following assumptions are made: Z 0 , W/sup +-/, light higgs (if M/sub H/ < 100 GeV) have all been discovered. The t quark has been discovered if its mass is < 100 GeV. QCD is basically the correct theory of the strong interactions. With these assumptions, the authors have produced an updated table of possible physics in the TeV region. This table was used as the basis for the study of specific physics. It contains best estimates of cross-section, promising signatures for final states, and some helpful comments


    Directory of Open Access Journals (Sweden)

    Haryono S Huboyo


    Full Text Available The noise affects to working quality at the same degree as those to workforce and people health, therefore,appropriate noise control is indispensable. This study is aimed at evaluating of rockwool (5cm absorptioncoefficient and analyzing its effectivity on noise control. The room for simulation is equipped with known noisesource. In this case a sound system instrument and portable fire pump were used. The tested noise frequencieswere in the range of human hearing threshold for which an equalizer instrument was used to identify the soundfrequencies.Based on this study, the rockwool absorption coefficients were 0.8, 0.96, 0.98, 0.82 for sound frequency of 500Hz, 1000 Hz, 2000 Hz and 4000 Hz respectively. By installing the rockwool on 37.97% of room area of 72 m2,this rockwool was able to reduce the noise intensity by 10.16 dBA, 10.75 dBA, 10.5 dBA, 9.58 dBA, 9.25 dBA forfrequency of 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz and multiple frequencies respectively.The rockwool is an effective sound absorber in noise control owing to have high absorption coefficient (almostunity and ease for installment.

  19. Microbiological study of the Murchison CM2 meteorite (United States)

    Pikuta, Elena V.; Hoover, Richard B.


    In 1864, Louis Pasteur attempted to cultivate living microorganisms from pristine samples of the Orgueil CI1 carbonaceous meteorite. His results were negative and never published, but recorded it in his laboratory notebooks. At that time, only aerobic liquid or agar-based organic reach media were used, as his research on anaerobes had just started. In our laboratory the Murchison CM2 carbonaceous meteorite was selected to expand on these studies for microbiological study by cultivation on anaerobic mineral media. Since the surface could have been more easily contaminated, interior fragments of a sample of the Murchison meteorite were extracted and crushed under sterile conditions. The resulting powder was then mixed in anoxic medium and injected into Hungate tubes containing anaerobic media with various growth substrates at different pH and salinity and incubated at different temperatures. The goal of the experiments was to determine if living cells would grow from the material of freshly fractured interior fragments of the stone. If any growth occurred, work could then be carried out to assess the nature of the environmental contamination by observations of the culture growth (rates of speed and biodiversity); live/dead fluorescent staining to determine contamination level and DNA analysis to establish the microbial species present. In this paper we report the results of that study.

  20. Risk attitudes and birth order. (United States)

    Krause, Philipp; Heindl, Johannes; Jung, Andreas; Langguth, Berthold; Hajak, Göran; Sand, Philipp G


    Risk attitudes play important roles in health behavior and everyday decision making. It is unclear, however, whether these attitudes can be predicted from birth order. We investigated 200 mostly male volunteers from two distinct settings. After correcting for multiple comparisons, for the number of siblings and for confounding by gender, ordinal position predicted perception of health-related risks among participants in extreme sports (p Adlerian theory. Except for alcohol consumption, these findings extended to self-reported risk behavior. Together, the data call for a cautious stand on the impact of birth order on risk attitudes. © The Author(s) 2013.

  1. The Danish Medical Birth Register

    DEFF Research Database (Denmark)

    Bliddal, Mette; Broe, Anne; Pottegård, Anton


    on all births in Denmark and comprises primarily of data from the Danish National Patient Registry supplemented with forms on home deliveries and stillbirths. It contains information on maternal age provided by the Civil Registration System. Information on pre-pregnancy body mass index and smoking......The Danish Medical Birth Register was established in 1973. It is a key component of the Danish health information system. The register enables monitoring of the health of pregnant women and their offspring, it provides data for quality assessment of the perinatal care in Denmark, and it is used...

  2. Hypnotherapy for labor and birth. (United States)

    Beebe, Kathleen R


    Hypnotherapy is an integrative mind-body technique with therapeutic potential in various health care applications, including labor and birth. Evaluating the efficacy of this modality in controlled studies can be difficult, because of methodologic challenges, such as obtaining adequate sample sizes and standardizing experimental conditions. Women using hypnosis techniques for childbirth in hospital settings may face barriers related to caregiver resistance or institutional policies. The potential anxiolytic and analgesic effects of clinical hypnosis for childbirth merit further study. Nurses caring for women during labor and birth can increase their knowledge and skills with strategies for supporting hypnotherapeutic techniques. © 2014 AWHONN.

  3. Birth weight recovery among very low birth weight infants surviving ...

    African Journals Online (AJOL)

    A multiple linear regression showed a negative association between ZSW at discharge and number of days nil per os without parenteral nutrition (PN). Antenatal steroids were associated with poor GV. There were no factors associated with regaining birth weight after 21 days on multiple logistic regression. Conclusion.

  4. Birth weight recovery among very low birth weight infants surviving ...

    African Journals Online (AJOL)

    of enteral feeds in the first days of their life in order to prevent NEC. Uhing reported that preterm infants ... where: SS = required sample size; Z = 95% confidence interval. (standard value of 1.96); P ... The recommended growth velocity (GV) of very low birth weight (VLBW) infants is 15 g/kg/day. Several factors have been.

  5. Traditional Birth Attendant Training and Local Birthing Practices in India (United States)

    Saravanan, Sheela; Turrell, Gavin; Johnson, Helen; Fraser, Jenny; Patterson, Carla


    Training birth attendants (TBAs) to provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training…

  6. Bayesian source term determination with unknown covariance of measurements (United States)

    Belal, Alkomiet; Tichý, Ondřej; Šmídl, Václav


    Determination of a source term of release of a hazardous material into the atmosphere is a very important task for emergency response. We are concerned with the problem of estimation of the source term in the conventional linear inverse problem, y = Mx, where the relationship between the vector of observations y is described using the source-receptor-sensitivity (SRS) matrix M and the unknown source term x. Since the system is typically ill-conditioned, the problem is recast as an optimization problem minR,B(y - Mx)TR-1(y - Mx) + xTB-1x. The first term minimizes the error of the measurements with covariance matrix R, and the second term is a regularization of the source term. There are different types of regularization arising for different choices of matrices R and B, for example, Tikhonov regularization assumes covariance matrix B as the identity matrix multiplied by scalar parameter. In this contribution, we adopt a Bayesian approach to make inference on the unknown source term x as well as unknown R and B. We assume prior on x to be a Gaussian with zero mean and unknown diagonal covariance matrix B. The covariance matrix of the likelihood R is also unknown. We consider two potential choices of the structure of the matrix R. First is the diagonal matrix and the second is a locally correlated structure using information on topology of the measuring network. Since the inference of the model is intractable, iterative variational Bayes algorithm is used for simultaneous estimation of all model parameters. The practical usefulness of our contribution is demonstrated on an application of the resulting algorithm to real data from the European Tracer Experiment (ETEX). This research is supported by EEA/Norwegian Financial Mechanism under project MSMT-28477/2014 Source-Term Determination of Radionuclide Releases by Inverse Atmospheric Dispersion Modelling (STRADI).

  7. Birth statistics of high birth weight infants (macrosomia in Korea

    Directory of Open Access Journals (Sweden)

    Byung-Ho Kang


    Full Text Available &lt;B&gt;Purpose:&lt;/B&gt; The authors analyzed the trend from the birth-related statistics of high birth weight infants (HBWIs over 50 years in Korea from 1960 to 2010. &lt;B&gt;Methods:&lt;/B&gt; We used 2 data sources, namely, the hospital units (1960’s to 1990’s and Statistics Korea (1993 to 2010. The analyses include the incidence of HBWIs, birth weight distribution, sex ratio, and the relationship of HBWI to maternal age. &lt;B&gt;Results:&lt;/B&gt; The hospital unit data indicated the incidence of HBWI as 3 to 7% in the 1960’s and 1970’s and 4 to 7% in the 1980’s and 1990’s. Data from Statistics Korea indicated the percentages of HBWIs among total live births decreased over the years: 6.7% (1993, 6.3% (1995, 5.1 % (2000, 4.5% (2000, and 3.5% (2010. In HBWIs, the birth weight rages and percentage of incidence in infants’ were 4.0 to 4.4 kg (90.3%, 4.5 to 4.9 kg (8.8%, 5.0 to 5.4 kg (0.8%, 5.5 to 5.9 kg (0.1%, and &gt;6.0 kg (0.0% in 2000 but were 92.2%, 7.2%, 0.6%, 0.0%, and 0.0% in 2009. The male to female ratio of HBWIs was 1.89 in 1993 and 1.84 in 2010. In 2010, the mother's age distribution correlated with low (4.9%, normal (91.0%, and high birth weights (3.6%: an increase in mother's age resulted in an increase in the frequency of low birth weight infants (LBWIs and HBWIs. &lt;B&gt;Conclusion:&lt;/B&gt; The incidence of HBWIs for the past 50 years has been dropping in Korea. The older the mother, the higher was the risk of a HBWI and LBWI. We hope that these findings would be utilized as basic data that will aid those managing HBWIs.

  8. Quality assessment of home births in Denmark

    DEFF Research Database (Denmark)

    Jensen, Sabrina; Colmorn, Lotte B.; Schroll, Anne-Mette


    INTRODUCTION: The safety of home births has been widely debated. Observational studies examining maternal and neonatal outcomes of home births have become more frequent, and the quality of these studies has improved. The aim of the present study was to describe neonatal outcomes of home births...... compared with hospital births and to discuss which data are needed to evaluate the safety of home births. METHODS: This was a register-based cohort study. Data on all births in Denmark (2003-2013) were collected from the Danish Medical Birth Registry (DMBR). The cohort included healthy women...... with uncomplicated pregnancies and no medical interventions during delivery. A total of 6,395 home births and 266,604 hospital births were eligible for analysis. Comparative analyses were performed separately in nulliparous and multiparous women. The outcome measures were neonatal mortality and morbidity. RESULTS...

  9. Seasonal Evolution of Titan's South Pole 220 cm-1 Cloud (United States)

    Jennings, Donald


    A cloud of ices that had been seen only in Titan's north during winter began to emerge at the south pole in 2012. Discovered by Voyager IRIS as an emission feature at 220 cm-1, the cloud has been studied extensively in both the north and south by Cassini CIRS. The spectral feature acts as a tracer of the seasonal changes at Titan's poles, relating to evolving composition, temperature structure and dynamics. Although candidates have been proposed, the chemical makeup of the cloud has never been identified. The cloud is composed of condensates derived from gases created at high altitude and transported to the cold, shadowed pole. In the north the cloud has diminished gradually over the Cassini mission as Titan has transitioned from winter to spring. The southern cloud, on the other hand, grew rapidly after 2012. By late 2014 it had developed a complex ring structure that was confined to latitudes poleward of 70°S within the deep temperature well that had formed at the south pole [1]. The location of the cloud coincides in latitude with the HCN cloud reported by ISS and VIMS [2,3]. CIRS also saw enhanced gas emissions at those latitudes [4]. When it first formed, the cloud was abundant at altitudes as high as 250 km, while later it was found mostly at 100-150 km, suggesting that the material that had been deposited from above had gathered at the lower altitudes. Radiance from the southern cloud increased until mid-2015 and since then has decreased. The cloud may be transitioning to the more uniform hood morphology familiar in the north. Taking the north and south together, by the end of the Cassini mission in 2017 we will have observed almost an entire seasonal cycle of the ice cloud.

  10. Body size at birth and same-sex marriage in young adulthood. (United States)

    Frisch, Morten; Zdravkovic, Slobodan


    An unexplained excess of overweight has been reported among lesbians. In contrast, reports suggest that gay men may be, on average, slightly lighter and shorter than heterosexual men. We studied associations between weight, length, and body mass index (BMI) at birth and same-sex marriage in young adulthood among 818,671 Danes. We used linear regression to calculate differences in mean body measures at birth and Poisson regression analysis to calculate confounder-adjusted incidence rate ratios (IRR) of same-sex marriage according to body measures at birth. Overall, 739 persons entered same-sex marriage at age 18-32 years during 5.6 million person-years of follow-up. Birth year-adjusted mean body measures at birth were similar for same-sex married and other women. However, same-sex marriage rates were 65% higher among women of heavy birth weight (IRR = 1.65; 95% CI = 1.18-2.31, for > or =4000 vs. 3000-3499 g, p = .02), and rates were inversely associated with birth length (p (trend) = .04). For same-sex married men, birth year-adjusted mean weight (-72 g, p = .03), length (-0.3 cm, p = .04), and BMI (-0.1 kg/m(2), p = .09) at birth were lower than for other Danish men. Same-sex marriage rates were increased in men of short birth length (IRR = 1.45; 95% CI = 1.01-2.08, for average body measures at birth in same-sex marrying men need replication. Factors affecting intrauterine growth may somehow influence sexual and partner-related choices in adulthood.

  11. The neglected sociobehavioral risk factors of low birth weight

    Directory of Open Access Journals (Sweden)

    Mohsen Momeni


    Full Text Available Background: Low Birth Weight (LBW is one of the most important health indicators in the world. It has certain known and unknown causes. The present study was designed to evaluate the role of socio-behavioral factors on neonatal birth weight.Methods: The current case-control study was conducted on 300 eligible neonates (150 LBW infants as cases and 150 normal body weight infants as controls in 2015. The national pregnancy care forms of the neonates kept in heath care centers in Kerman were used. The data was analyzed running Independent samples t-test, Chi square test, and Fisher’s Exact test in SPSS. The significance level was set as 0.05.Results: Preterm birth (P<0.001, number of primary care during pregnancy (P=0.001, mother’s age (P=0.049, consumption of supplements during pregnancy (P=0.03, and history of substance abuse in mothers (P=0.03 were found to have significant roles in having LBW neonate.Conclusion: Identifying the sociobehavioral risk factors of Preterm labor and modifying them to prevent preterm birth are essential approaches to prevent LBW. Governments should pay special attention to nutritional status of teenage and young girls to have healthy mothers and babies in the future. Women of childbearing age should be screened and educated about risky behaviors. Pregnancy care and support should be delivered to all pregnant women according to the standard methods.Keywords: Low Birth Weight; Risk Factors; Behavior; Preterm Labor

  12. Prediction of low birth weight

    DEFF Research Database (Denmark)

    Sinding, Marianne; Peters, David A; Frøkjær, Jens B


    operating characteristic curves demonstrated a significantly higher performance of T2* (AUC of 0.92; 95% CI, 0.85-0.98) than UtA PI (AUC of 0.74; 95% CI, 0.60-0.89) in the prediction of low birth weight (p = 0.010). Placental pathological findings were closely related to the T2* values. CONCLUSIONS...... placental function. Therefore, we aimed to evaluate the performance of placental T2* in the prediction of low birth weight using the uterine artery (UtA) pulsatility index (PI) as gold standard. METHODS: This was a prospective observational study of 100 singleton pregnancies included at 20-40 weeks......' gestation. Placental T2* was obtained using a gradient recalled multi-echo MRI sequence and UtA PI was measured using Doppler ultrasound. Placental pathological examination was performed in 57 of the pregnancies. Low birth weight was defined by a Z-score ≤ -2.0. RESULTS: The incidence of low birth weight...

  13. Spinal cord injury at birth

    DEFF Research Database (Denmark)

    Fenger-Gron, Jesper; Kock, Kirsten; Nielsen, Rasmus G


    UNLABELLED: A case of perinatally acquired spinal cord injury (SCI) is presented. The foetus was vigorous until birth, the breech presented and delivery was performed by a non-traumatic Caesarean section. The infant displayed symptoms of severe SCI but diagnosis was delayed due to severe co...

  14. The Zulu traditional birth attendant

    African Journals Online (AJOL)

    birth attendants in their care of pregnant women are .... Postnatal care. The TBA normally visits any woman she has delivered during the traditional lying-in period of 8 days. She bathes the baby, gives him an enema when she considers this necessary, and offers ... instructed to kneel so that her heels press the wound edges ...

  15. The birth of nuclear physics

    International Nuclear Information System (INIS)

    Robertson, P.


    Although the exact date of birth of nuclear physics is difficult to set the author claims that 1932 was a year of great importance since it saw the discoveries of the neutron, the positron and the deuteron, together with the completion of the first particle accelerators. These breakthroughs and their crucial importance to the early development of nuclear physics are traced. (U.K.)

  16. Season of Birth and Intelligence (United States)

    Martindale, Colin; Black, F. William


    120 children, most with a diagnosisof chronic encephalopathy, were selected from the psychology department of a Boston hospital in this attempt to replicate Orme's findings. Results indicate a clear curvilinear relationship with modest temperatures in the birth month being associated with high IQ, while both higher and lower temperatures are…

  17. Adolescent perceptions of teen births. (United States)

    Herrman, Judith W


    To investigate teens' perceptions of the costs and rewards of teen births, potential interventions to prevent teen pregnancy, and the presence of someone with whom teens could discuss sexuality. Seventeen focus groups were conducted to solicit individual views, group interactions, and shared meanings. Purposive methods accessed a sample of teens considered at risk of teen pregnancy based on their membership in selected community service and teen groups. Teen parents and nonparents (n = 120), from 12 to 19 years of age, were asked about their lives and stresses and the costs and rewards related to teen births. This study yielded rich data about the consequences of teen births. Data were organized in the domains of Impact on relationships, Impact on vocation, and Impact on self. The data reflected the cost and reward themes in each domain. Though teens believed that there were positives of teen births, early childbearing was considered "hard" in many aspects. These perceptions may be used to guide programs, policies, messages, and curricula with the intent to prevent teen pregnancy. These initiatives may be more effective if informed by teens and guided by their perceptions.

  18. CONCLUSIONS New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    CONCLUSIONS New Delhi Birth Cohort. Crossing BMI centiles and early adiposity rebound associated with adult metabolic syndrome. BMI gain in infancy and early childhood – associated more with adult lean mass. BMI gain in later childhood / adolescence – associated more with adult fat mass and constituents of ...

  19. Eczema, birth order, and infection. (United States)

    Hughes, Ann Maree; Crouch, Simon; Lightfoot, Tracy; Ansell, Pat; Simpson, Jill; Roman, Eve


    The association between infections occurring in the first 2 years of life and development of eczema was investigated in 1,782 control children from a national population-based case-control study in the United Kingdom conducted over the period 1991-1996. Dates of eczema and infectious diagnoses were ascertained from contemporaneously collected primary care records. Children diagnosed with eczema before the age of 2 years had more prior clinically diagnosed infections recorded than did children without eczema (rate ratio = 1.26, 95% confidence interval (CI): 1.18, 1.36). The difference in infection rates between children with and without eczema was apparent from birth and throughout the first 2 years of life. As expected, compared with children of second or higher birth order, those firstborn were at increased risk of eczema (p = 0.020); however, the relation between eczema and prior infection was evident only among children of second or higher birth order and not among firstborn children (rate ratio = 1.45, 95% CI: 1.32, 1.59, and rate ratio = 1.08, 95% CI: 0.98, 1.20, respectively). The authors' results are consistent with the notion that the association between birth order and eczema is unlikely to be attributable to variations in early infectious exposure.

  20. Particulate matter and preterm birth (United States)

    Particulate matter (PM) has been variably associated with preterm birth (PTB) (gestation <37 weeks), but the role played by specific chemical components of PM has been little studied. We examined the association between ambient PM <2.5 micrometers in aerodynamic diameter (PM2.S) ...

  1. Preterm Birth: Transition to Adulthood (United States)

    Allen, Marilee C.; Cristofalo, Elizabeth; Kim, Christina


    Preterm birth is associated with greater difficulty with transitions from childhood to adolescence to adulthood. Adolescents and young adults born preterm have higher rates of cerebral palsy, intellectual disability, cognitive impairment, learning disability, executive dysfunction, attention deficit disorder, and social-emotional difficulties than…

  2. Birth Order and the Aviator. (United States)


    research on birth order. His book, Family Constellation , has been the basis for many subsequent studies. Toman states, ’We proceed from the assumption...patterns would do well to familiarize themselves with chapter 16 of Walter Toman’s Family Constellation . Procedures for conducting this type of

  3. The Effect of Birth Weight on Academic Performance: Instrumental Variable Analysis. (United States)

    Lin, Shi Lin; Leung, Gabriel Matthew; Schooling, C Mary


    Observationally, lower birth weight is usually associated with poorer academic performance; whether this association is causal or the result of confounding is unknown. To investigate this question, we obtained an effect estimate, which can have a causal interpretation under specific assumptions, of birth weight on educational attainment using instrumental variable analysis based on single nucleotide polymorphisms determining birth weight combined with results from the Social Science Genetic Association Consortium study of 126,559 Caucasians. We similarly obtained an estimate of the effect of birth weight on academic performance in 4,067 adolescents from Hong Kong's (Chinese) Children of 1997 birth cohort (1997-2016), using twin status as an instrumental variable. Birth weight was not associated with years of schooling (per 100-g increase in birth weight, -0.006 years, 95% confidence interval (CI): -0.02, 0.01) or college completion (odds ratio = 1.00, 95% CI: 0.96, 1.03). Birth weight was also unrelated to academic performance in adolescents (per 100-g increase in birth weight, -0.004 grade, 95% CI: -0.04, 0.04) using instrumental variable analysis, although conventional regression gave a small positive association (0.02 higher grade, 95% CI: 0.01, 0.03). Observed associations of birth weight with academic performance may not be causal, suggesting that interventions should focus on the contextual factors generating this correlation. © The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail:

  4. Towards high-speed autonomous navigation of unknown environments (United States)

    Richter, Charles; Roy, Nicholas


    In this paper, we summarize recent research enabling high-speed navigation in unknown environments for dynamic robots that perceive the world through onboard sensors. Many existing solutions to this problem guarantee safety by making the conservative assumption that any unknown portion of the map may contain an obstacle, and therefore constrain planned motions to lie entirely within known free space. In this work, we observe that safety constraints may significantly limit performance and that faster navigation is possible if the planner reasons about collision with unobserved obstacles probabilistically. Our overall approach is to use machine learning to approximate the expected costs of collision using the current state of the map and the planned trajectory. Our contribution is to demonstrate fast but safe planning using a learned function to predict future collision probabilities.

  5. Quadrotor Control in the Presence of Unknown Mass Properties (United States)

    Duivenvoorden, Rikky Ricardo Petrus Rufino

    Quadrotor UAVs are popular due to their mechanical simplicity, as well as their capability to hover and vertically take-off and land. As applications diversify, quadrotors are increasingly required to operate under unknown mass properties, for example as a multirole sensor platform or for package delivery operations. The work presented here consists of the derivation of a generalized quadrotor dynamic model without the typical simplifying assumptions on the first and second moments of mass. The maximum payload capacity of a quadrotor in hover, and the observability of the unknown mass properties are discussed. A brief introduction of L1 adaptive control is provided, and three different L 1 adaptive controllers were designed for the Parrot AR.Drone quadrotor. Their tracking and disturbance rejection performance was compared to the baseline nonlinear controller in experiments. Finally, the results of the combination of L1 adaptive control with iterative learning control are presented, showing high performance trajectory tracking under uncertainty.

  6. Learning Unknown Structure in CRFs via Adaptive Gradient Projection Method

    Directory of Open Access Journals (Sweden)

    Wei Xue


    Full Text Available We study the problem of fitting probabilistic graphical models to the given data when the structure is not known. More specifically, we focus on learning unknown structure in conditional random fields, especially learning both the structure and parameters of a conditional random field model simultaneously. To do this, we first formulate the learning problem as a convex minimization problem by adding an l_2-regularization to the node parameters and a group l_1-regularization to the edge parameters, and then a gradient-based projection method is proposed to solve it which combines an adaptive stepsize selection strategy with a nonmonotone line search. Extensive simulation experiments are presented to show the performance of our approach in solving unknown structure learning problems.

  7. On the emergence of unusual, unfamiliar and unknown climates (United States)

    Harrington, L. J.; Frame, D.; Joshi, M.; Hawkins, E.; Harrington, L. J.


    The concept of `Time of Emergence' (ToE), which characterizes when significant signals of climate change will emerge from existing variability, is a useful and increasingly common metric. However, its applicability to international policy has been limited by both usage and presentation. Here we present more generalized ToEs and related signal to noise (S/N) ratios, termed unusual, unfamiliar and unknown climates (based on how likely they would be in a human lifetime in the absence of anthropogenic warming), for different emissions scenarios. If transient climate response (TCR) is high, mitigation can delay the onset of "unknown" climates by decades for large sections of the world's population; even if TCR is low, mitigation can delay the onset of "unfamiliar" climates for many people by decades. We then disaggregate the time at which integer S/N values are passed into international groups to show how rapidly these integer S/N values are crossed under different scenarios.

  8. Situation assessment for aggregated vehicle merging at an unknown location (United States)

    Salaria, Kanupriya; Das, Suman; Hinman, Michael; Salerno, John; Bai, Li


    This paper introduces the merge at a point (MAP) algorithm to detect the vehicles convoys whose destination locations are unknown. The algorithm will predict the merged vehicles identification numbers in an iterative manner. We applied this method using the simulated Ground Moving Target Indicator (GMTI) data. The technique is similar to the dead reckoning and Kalman filtering algorithms. This algorithm consists of following procedures: 1) approximates the destination locations for each vehicle using its tracks, 2) validates what vehicles are going to merge at these predicted destination locations using the minimum error solution (MES), and 3) predicts the future destination locations where the vehicles will be merged at for the next iteration. This algorithm will be iteratively processed until predicted destination locations converge. We can use this algorithm to associate the vehicles that will merge to some unknown destination locations. It also has the potential to identify the convoy names and the threats associated with these vehicle groups.

  9. A New Method of Force Control for Unknown Environments

    Directory of Open Access Journals (Sweden)

    Vishnu Mallapragada


    Full Text Available Current robotic systems are expected to interact with unknown environment where controlling the interaction forces becomes an important issue. We propose a new control technique for force control on unknown environments that tunes the force controller based on online estimation of the environment parameters. However, the proposed approach overcomes the need for precise estimation of environment parameters, which are needed in many system identification-based force control approaches. This framework uses an artificial neural network (ANN-based proportional-integral (PI-gain scheduling force controller to track the desired force by adjusting control gains such that error in parameter estimation can be accommodated. Experimental results are presented to demonstrate the efficacy of the proposed control framework. Finally, the advantages and limitations of the proposed controller are discussed.

  10. Influence of synchrotron self-absorption on 21-cm experiments (United States)

    Zheng, Qian; Wu, Xiang-Ping; Gu, Jun-Hua; Wang, Jingying; Xu, Haiguang


    The presence of spectral curvature resulting from the synchrotron self-absorption of extragalactic radio sources could break down the spectral smoothness feature. This leads to the premise that the bright radio foreground can be successfully removed in 21-cm experiments that search for the epoch of reionization (EoR). We present a quantitative estimate of the effect of the spectral curvature resulting from the synchrotron self-absorption of extragalactic radio sources on the measurement of the angular power spectrum of the low-frequency sky. We incorporate a phenomenological model, which is characterized by the fraction (f) of radio sources with turnover frequencies in the range of 100-1000 MHz and by a broken power law for the spectral transition around the turnover frequencies νm, into simulated radio sources over a small sky area of 10° × 10°. We compare statistically the changes in their residual maps with and without the inclusion of the synchrotron self-absorption of extragalactic radio sources after the bright sources of S150 MHz ≥100 mJy are excised. Furthermore, the best-fitting polynomials in the frequency domain on each pixel are subtracted. It has been shown that the effect of synchrotron self-absorption on the detection of the EoR depends sensitively on the spectral profiles of the radio sources around the turnover frequencies νm. A hard transition model, described by the broken power law with the turnover of spectral index at νm, would leave pronounced imprints on the residual background and would therefore cause serious confusion with the cosmic EoR signal. However, the spectral signatures on the angular power spectrum of the extragalactic foreground, generated by a soft transition model in which the rising and falling power laws of the spectral distribution around νm are connected through a smooth transition spanning ≥200 MHz in a characteristic width, can be fitted and consequently subtracted by the use of polynomials to an acceptable

  11. SEOM clinical guideline on unknown primary cancer (2017). (United States)

    Losa, F; Soler, G; Casado, A; Estival, A; Fernández, I; Giménez, S; Longo, F; Pazo-Cid, R; Salgado, J; Seguí, M Á


    Cancer of unknown primary site is a histologically confirmed cancer that manifests in advanced stage, with no identifiable primary site following standard diagnostic procedures. Patients are initially categorized based on the findings of the initial biopsy: adenocarcinoma, squamous-cell carcinoma, neuroendocrine carcinoma, and poorly differentiated carcinoma. Appropriate patient management requires understanding several clinical and pathological features that aid in identifying several subsets of patients with more responsive tumors.

  12. Unknown Word Processing Method for the Common Sense Judgement System (United States)

    Tsuchiya, Seiji; Kojima, Kazuhide; Watabe, Hirokazu; Kawaoka, Tsukasa

    When we humans receive uncertain information, we interpret it properly, so we can expand the conversation, and take the proper actions. This is possible because we have “common sense” concerning the basic word concept, which is built up from long time experience storing knowledge of our language. Of the common sense we use in our every day lives we think that there are; common sense concerning quantity such as size, weight, speed, time, or place; common sense concerning sense or feeling such as hot, beautiful, or loud; and moreover common sense concerning emotion such as happy or sad. In order to make computers closer to human beings, we think that the construction of a “Common Sense Judgment System” which deals with these kinds of common sense is necessary. When aiming to realize this “Common Sense Judgment System” and trying to make a computer have the same common sense knowledge and judgment ability as human beings, a very important factor is the handling of unknown words. Judgment concerning words which were given to the computer as knowledge before hand, it can refer to that knowledge, and the process will have no problem at all. But when an unknown word, which is not registered as knowledge, is inputted, how to process that word is a very difficult problem. In this paper, by using a concept base, which is made from several electric dictionaries; the degree of association, which is done based on the concept base; neural network, putting the closeness of meaning in consideration, we propose a method of unknown word processing, which connects an inputted unknown word to a representing word that is registered in the judgment knowledge base, and we will verify its effectiveness by experiment applied to the emotional judgment subsystem.

  13. Diagnosis of the cancer of unknown primary origin

    International Nuclear Information System (INIS)

    Jurisova, S.; Poersoek, S.


    Cancer of unknown primary origin (CUP) is one of the ten most frequent cancers worldwide. It constitutes of 3-5% of all human malignancies. At time of diagnosis patients with CUP present with disseminated metastases without established primary origin. CUP manifests as heterogenous group of mainly epithelial cancers recognised by distinct clinico pathological entities. The diagnostic work-up includes extensive histopathology investigations and modern imaging technology. Nevertheless, the primary tumour remains undetected most of the time. (author)

  14. Evaluation of Unknown Tube Well Depth Using Electrical Resistivity Method

    Directory of Open Access Journals (Sweden)

    Zainal Abidin Mohd Hazreek


    Full Text Available Electrical resistivity method has increasingly adopted in engineering, environmental, mining and archaeological studies. Systematic and proper studies of unknown civil engineering structure evaluation particularly on tube well depth was rarely being established. Conventionally, camera test or string with weight approach has been used to evaluate unknown tube well depth thus exposed to several restriction due to its expensive and time consuming. Hence, this study focused on evaluation of unknown tube well depth using indirect test with particular reference to electrical resistivity method (ERM.A single spread line of electrical resistivity survey was performed using ABEM SAS 4000 equipment set based on Wenner and Pole-dipole array in line with the tube well position. Electrical resistivity raw data was processed using RES2DINV software producing electrical resistivity tomography (ERT of the subsurface profile studied. Then, electrical resistivity value (ERV obtained from RES2DINV analyses (ERT was extracted and analysed using plotted graph (depth versus ERV specifically at tube well position based on electrical resistivity spread line performed. It was found that both array have shown some good similarity results in term of tube well depth (20 m thus able to verify the result interpreted. Both array have shown some good similarity of ERV representing groundwater (ERV = 10 – 100 Ωm and soil with water (ERV > 100 Ωm at depth of 0 – 20 m and >20 m respectively. All those interpretation have shown good agreement based on verification thru established ERV of earth materials references, geological map and nearest available boreholes data. Hence, this study has shown that the application of ERM was applicable in evaluation of unknown tube well depth which efficient in term of cost, time and environmental sustainable.

  15. Component spectra extraction from terahertz measurements of unknown mixtures. (United States)

    Li, Xian; Hou, D B; Huang, P J; Cai, J H; Zhang, G X


    The aim of this work is to extract component spectra from unknown mixtures in the terahertz region. To that end, a method, hard modeling factor analysis (HMFA), was applied to resolve terahertz spectral matrices collected from the unknown mixtures. This method does not require any expertise of the user and allows the consideration of nonlinear effects such as peak variations or peak shifts. It describes the spectra using a peak-based nonlinear mathematic model and builds the component spectra automatically by recombination of the resolved peaks through correlation analysis. Meanwhile, modifications on the method were made to take the features of terahertz spectra into account and to deal with the artificial baseline problem that troubles the extraction process of some terahertz spectra. In order to validate the proposed method, simulated wideband terahertz spectra of binary and ternary systems and experimental terahertz absorption spectra of amino acids mixtures were tested. In each test, not only the number of pure components could be correctly predicted but also the identified pure spectra had a good similarity with the true spectra. Moreover, the proposed method associated the molecular motions with the component extraction, making the identification process more physically meaningful and interpretable compared to other methods. The results indicate that the HMFA method with the modifications can be a practical tool for identifying component terahertz spectra in completely unknown mixtures. This work reports the solution to this kind of problem in the terahertz region for the first time, to the best of the authors' knowledge, and represents a significant advance toward exploring physical or chemical mechanisms of unknown complex systems by terahertz spectroscopy.

  16. Adaptive Stabilization for Nonholonomic Systems with Unknown Time Delays

    Directory of Open Access Journals (Sweden)

    Yuanyuan Wu


    Full Text Available This paper presents an adaptive control strategy for a class of nonholonomic systems in chained form with virtual control coefficients, nonlinear uncertainties, and unknown time delays. State scaling technique and backstepping recursive approach are applied to design a nonlinear state feedback controller, which can guarantee the stabilization of the closed-loop systems. The simulation results are provided to show the effectiveness of the proposed method.

  17. Persistent Surveillance of Transient Events with Unknown Statistics (United States)


    that events at each location follow a stochastic process with an unknown rate that is independent of other locations’ rates. Since the events for both the prediction for ex- perts problem [20] and MAB [4], [5]. Unfortunately however, application or extension of these algorithms to the...station is independent of other stations’ rates. We assume that the stations are spatially distributed in the domain and hence the robot must spend a non

  18. A definition of unknown parent groups based on bull usage patterns across herds. (United States)

    Bouquet, A; Renand, G; Phocas, F


    In genetic evaluations, the definition of unknown parent groups (UPG) is usually based on time periods, selection path and flows of foreign founders. The definition of UPG may be more complex for populations presenting genetic heterogeneity due to both, large national expansion and coexistence of artificial insemination (AI) and natural service (NS). A UPG definition method accounting for beef bull flows was proposed and applied to the French Charolais cattle population. It assumed that, at a given time period, unknown parents belonged to the same UPG when their progeny were bred in herds that used bulls with similar origins (birth region and reproduction way). Thus, the birth period, region and AI rate of a herd were pointed out to be the three criteria reflecting genetic disparities at the national level in a beef cattle population. To deal with regional genetic disparities, 14 regions were identified using a factorial approach combining principal component analysis and Ward clustering. The selection nucleus of the French cattle population was dispersed over three main breeding areas. Flows of NS bulls were mainly carried out within each breeding area. On the contrary, the use and the selection of AI bulls were based on a national pool of candidates. Within a time period, herds of different regions were clustered together when they used bulls coming from the same origin and with an estimated difference of genetic level lower than 20% of genetic standard deviation (σg) for calf muscle and skeleton scores (SS) at weaning. This led to the definition of 16 UPG of sires, which were validated as robust and relevant in a sire model, meaning numerically stable and corresponding to distinct genetic subpopulations. The UPG genetic levels were estimated for muscle and SS under sire and animal models. Whatever the trait, differences between bull UPG estimates within a time period could reach 0.5 σg across regions. For a given time period, bull UPG estimates for muscle and

  19. Characterizing unknown systematics in large scale structure surveys

    International Nuclear Information System (INIS)

    Agarwal, Nishant; Ho, Shirley; Myers, Adam D.; Seo, Hee-Jong; Ross, Ashley J.; Bahcall, Neta; Brinkmann, Jonathan; Eisenstein, Daniel J.; Muna, Demitri; Palanque-Delabrouille, Nathalie; Yèche, Christophe; Pâris, Isabelle; Petitjean, Patrick; Schneider, Donald P.; Streblyanska, Alina; Weaver, Benjamin A.


    Photometric large scale structure (LSS) surveys probe the largest volumes in the Universe, but are inevitably limited by systematic uncertainties. Imperfect photometric calibration leads to biases in our measurements of the density fields of LSS tracers such as galaxies and quasars, and as a result in cosmological parameter estimation. Earlier studies have proposed using cross-correlations between different redshift slices or cross-correlations between different surveys to reduce the effects of such systematics. In this paper we develop a method to characterize unknown systematics. We demonstrate that while we do not have sufficient information to correct for unknown systematics in the data, we can obtain an estimate of their magnitude. We define a parameter to estimate contamination from unknown systematics using cross-correlations between different redshift slices and propose discarding bins in the angular power spectrum that lie outside a certain contamination tolerance level. We show that this method improves estimates of the bias using simulated data and further apply it to photometric luminous red galaxies in the Sloan Digital Sky Survey as a case study

  20. Characterizing unknown systematics in large scale structure surveys

    Energy Technology Data Exchange (ETDEWEB)

    Agarwal, Nishant; Ho, Shirley [McWilliams Center for Cosmology, Department of Physics, Carnegie Mellon University, Pittsburgh, PA 15213 (United States); Myers, Adam D. [Department of Physics and Astronomy, University of Wyoming, Laramie, WY 82071 (United States); Seo, Hee-Jong [Berkeley Center for Cosmological Physics, LBL and Department of Physics, University of California, Berkeley, CA 94720 (United States); Ross, Ashley J. [Institute of Cosmology and Gravitation, University of Portsmouth, Portsmouth, PO1 3FX (United Kingdom); Bahcall, Neta [Princeton University Observatory, Peyton Hall, Princeton, NJ 08544 (United States); Brinkmann, Jonathan [Apache Point Observatory, P.O. Box 59, Sunspot, NM 88349 (United States); Eisenstein, Daniel J. [Harvard-Smithsonian Center for Astrophysics, 60 Garden St., Cambridge, MA 02138 (United States); Muna, Demitri [Department of Astronomy, Ohio State University, Columbus, OH 43210 (United States); Palanque-Delabrouille, Nathalie; Yèche, Christophe [CEA, Centre de Saclay, Irfu/SPP, F-91191 Gif-sur-Yvette (France); Pâris, Isabelle [Departamento de Astronomía, Universidad de Chile, Casilla 36-D, Santiago (Chile); Petitjean, Patrick [Université Paris 6 et CNRS, Institut d' Astrophysique de Paris, 98bis blvd. Arago, 75014 Paris (France); Schneider, Donald P. [Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 (United States); Streblyanska, Alina [Instituto de Astrofisica de Canarias (IAC), E-38200 La Laguna, Tenerife (Spain); Weaver, Benjamin A., E-mail: [Center for Cosmology and Particle Physics, New York University, New York, NY 10003 (United States)


    Photometric large scale structure (LSS) surveys probe the largest volumes in the Universe, but are inevitably limited by systematic uncertainties. Imperfect photometric calibration leads to biases in our measurements of the density fields of LSS tracers such as galaxies and quasars, and as a result in cosmological parameter estimation. Earlier studies have proposed using cross-correlations between different redshift slices or cross-correlations between different surveys to reduce the effects of such systematics. In this paper we develop a method to characterize unknown systematics. We demonstrate that while we do not have sufficient information to correct for unknown systematics in the data, we can obtain an estimate of their magnitude. We define a parameter to estimate contamination from unknown systematics using cross-correlations between different redshift slices and propose discarding bins in the angular power spectrum that lie outside a certain contamination tolerance level. We show that this method improves estimates of the bias using simulated data and further apply it to photometric luminous red galaxies in the Sloan Digital Sky Survey as a case study.

  1. Searching Minor Planets and Photometric Quality of 60cm Reflector in Gimhae Astronomical Observatory

    Directory of Open Access Journals (Sweden)

    Sang Hyun Lee


    Full Text Available In this paper, we have presented the observational result for the photometric quality of main telescopes in Gimhae Astronomical Observatory. Also we performed the observation of searching new minor planets as competitive work in public observatories. The observation was carried out using 60cm telescope of Gimhae Astronomical Observatory on 2007 January 13. And, Schüler BVI filters and 1K CCD camera (AP8p were used. To define the quality of CCD photometry, we observed the region of well-known standard stars in the open cluster M67. From observed data, The transformation coefficients and airmass coefficients were obtained, and the accuracy of CCD photometry was investigated. From PSF photometry, we obtained the color-magnitude diagram of M67, and considered the useful magnitude limit and the physical properties of M67. This method can be successfully used to confirm the photometric quality of main telescope in public observatories. To investigate the detection possibility of unknown object as astroid, we observed the near area of the opposition in the ecliptic plane. And we discussed the result. Our result show that it can be possible to detect minor planets in solar system brighter than V ˜18.3mag. and it can carry out photometric study brighter than V~16mag. in Gimhae Astronomical Observatory. These results imply that the public observatories can make the research work.

  2. No. 155-Guidelines for Vaginal Birth After Previous Caesarean Birth. (United States)

    Martel, Marie-Jocelyne; MacKinnon, Catherine Jane


    To provide evidence-based guidelines for the provision of a trial of labour (TOL) after Caesarean section. Fetal and maternal morbidity and mortality associated with vaginal birth after Caesarean (VBAC) and repeat Caesarean section. MEDLINE database was searched for articles published from January 1, 1995, to February 28, 2004, using the key words "vaginal birth after Caesarean (Cesarean) section." The quality of evidence is described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam. VALIDATION: These guidelines were approved by the Clinical Practice Obstetrics and Executive Committees of the Society of Obstetricians and Gynaecologists of Canada. Copyright © 2018. Published by Elsevier Inc.

  3. Prevalence and Impact of Unknown Diabetes in the ICU. (United States)

    Carpenter, David L; Gregg, Sara R; Xu, Kejun; Buchman, Timothy G; Coopersmith, Craig M


    Many patients with diabetes and their care providers are unaware of the presence of the disease. Dysglycemia encompassing hyperglycemia, hypoglycemia, and glucose variability is common in the ICU in patients with and without diabetes. The purpose of this study was to determine the impact of unknown diabetes on glycemic control in the ICU. Prospective observational study. Nine ICUs in an academic, tertiary hospital and a hybrid academic/community hospital. Hemoglobin A1c levels were ordered at all ICU admissions from March 1, 2011 to September 30, 2013. Electronic medical records were examined for a history of antihyperglycemic medications or International Classification of Diseases, 9th Edition diagnosis of diabetes. Patients were categorized as having unknown diabetes (hemoglobin A1c > 6.5%, without history of diabetes), no diabetes (hemoglobin A1c 6.5%, with documented history of diabetes). None. A total of 15,737 patients had an hemoglobin A1c and medical record evaluable for the history of diabetes, and 5,635 patients had diabetes diagnosed by either medical history or an elevated hemoglobin A1c in the ICU. Of these, 1,460 patients had unknown diabetes, accounting for 26.0% of all patients with diabetes. This represented 41.0% of patients with an hemoglobin A1c > 6.5% and 9.3% of all ICU patients. Compared with patients without diabetes, patients with unknown diabetes had a higher likelihood of requiring an insulin infusion (44.3% vs 29.3%; p 180 mg/dL; p < 0.0001) and hypoglycemia (8.9% vs 2.5%; blood glucose < 70 mg/dL; p < 0.0001), higher glycemic variability (55.6 vs 28.8, average of patient SD of glucose; p < 0.0001), and increased mortality (13.8% vs 11.4%; p = 0.01). Patients with unknown diabetes represent a significant percentage of ICU admissions. Measurement of hemoglobin A1c at admission can prospectively identify a population that are not known to have diabetes but have significant challenges in glycemic control in the ICU.

  4. Birth-Order Complementarity and Marital Adjustment. (United States)

    Vos, Cornelia J. Vanderkooy; Hayden, Delbert J.


    Tested the influence of birth-order complementarity on marital adjustment among 327 married women using the Spanier Dyadic Adjustment Scale (1976). Birth-order complementarity was found to be unassociated with marital adjustment. (Author/BL)

  5. Multiple Pregnancy and Birth: Considering Fertility Treatments (United States)

    ... be possible, the delivery of triplets or higher order births usually requires cesarean section, with some risk to ... Reproductive Medicine, Patient Information Series. Multiple Pregnancy and Birth: Twins, Triplets, & Higher Order Multiples. 2004. Current Practices and Controversies in Assisted ...

  6. Thinking about Pregnancy After Premature Birth (United States)

    ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Calculating your due date Ovulation calendar Order bereavement materials News Moms Need Blog Stories & Media ...

  7. A note on birth interval distributions

    International Nuclear Information System (INIS)

    Shrestha, G.


    A considerable amount of work has been done regarding the birth interval analysis in mathematical demography. This paper is prepared with the intention of reviewing some probability models related to interlive birth intervals proposed by different researchers. (author). 14 refs


    Previous research with vital records finds income incongruity associated with adverse birth outcomes. We examined the effects of negative income incongruity (reporting lower household income than the census tract median household income) on preterm birth (PTB <37 weeks completed ...

  9. Births and deaths including fetal deaths (United States)

    U.S. Department of Health & Human Services — Access to a variety of United States birth and death files including fetal deaths: Birth Files, 1968-2009; 1995-2005; Fetal death file, 1982-2005; Mortality files,...

  10. Vaginal birth after C-section (United States)

    ... page: // Vaginal birth after C-section To use the sharing features ... please enable JavaScript. If you had a cesarean birth (C-section) before, it does not mean that ...

  11. Disease Human - MDC_LowBirthWeight (United States)

    NSGIC Local Govt | GIS Inventory — Polygon feature class based on Zip Code boundaries showing the percentage of babies born in Miami-Dade County in 2006 with low birth weights. Low birth weight is...

  12. "Risk factors of birth asphyxia". (United States)

    Aslam, Hafiz Muhammad; Saleem, Shafaq; Afzal, Rafia; Iqbal, Umair; Saleem, Sehrish Muhammad; Shaikh, Muhammad Waqas Abid; Shahid, Nazish


    Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Our goal was to evaluate antepartum, intrapartum, and fetal risk factors of birth asphyxia. It was a Retrospective Case control study, conducted at Neonatal Intensive Care Unit of pediatric ward (I, II, III) and in Gynecology wards (I, II, III) of Civil Hospital Karachi, Dow University of Health Sciences. Study was conducted from January 2011-November 2012. Neonates diagnosed with birth asphyxia were considered as "cases" while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as "control". Demographics of both the mother and neonate were noted and Questions regarding possible risk factors were asked from mother. Ethical issues were confirmed from Institutional review board of Civil Hospital Karachi, Dow University of Health Sciences. All data was entered and analyzed through SPSS 19. Out of total 240 neonates, 123 were "cases" and 117 were "control". Mean maternal age in "case" group was 24.22 ± 3.38 while maternal age of control group was 24.30 ± 4.04. Significant antepartum risk factors were maternal age of 20-25 (OR 0.30 CI 95% 0.07-1.21), booking status (OR 0.20 CI 95% 0.11-0.37), pre-eclampsia (OR 0.94 CI 95% 0.90-0.98) and primigravidity (OR 2.64 CI 95% 1.56-4.46). Significant Intrapartum risk factors were breech presentation (OR 2.96 CI 95% 1.25-7.02), home delivery (OR 16.16 CI 95% 3.74-69.75) and maternal fever (OR 10.01 CI95% 3.78-26.52). Significant Fetal risk factors were resuscitation of child (OR 23 CI 95% 31.27-1720.74), pre-term babies(OR 0.34 CI 95% 0.19-0.58), fetal distress (OR 0.01 CI 95% 0.00-0.11) and baby weight (OR 0.13 CI 95% 0.05-0.32). Measures should be taken to prevent neonatal mortality with great emphasis on skilled attendance at birth


    Directory of Open Access Journals (Sweden)



    Full Text Available India has a dubious distinction of belonging to the top bracket of countries with a very high under-5 Mortality Rate (U5MR of above 96/1000 live births. The U5MR considered the single most significant basic indicator of health status of a community, is proportional to the Infant Mortality Rate (IMR which in turn is contributed to directly and indirectly by the incidence of low Birth Weight (LB W.About 25 million LB W are born each year consisting 17% of all live births,nearly 95% of them in developing countries. About 26% of newborns are LBW in India, and indeed over 16% in those countries with very high U5MR.Both preterm and small-for-dates almost equally make up this category of vulnerable infants predisposed to asphyxia, feeding problems, anemia and growth failure.Considering the close relationship of birth weight with perinatal and infant morbidity as well as mortality, it is crucial to identify the liigh risk groups of low birth weight babies as early as possible.Unfortunately, in a community where 80% of newborns never get to have their weight measured, this itself is a tall order. In our society, the cry of the newborn is greeted with anxious queries about the sex of the baby and not his well­being and potential for healthy survival. The basic concept of the importance of birth weight is missing even among educated families. Indeed, it is as if the weighing machine has no place in the requirements at childbirth. In the absence of this basic facility, field workers and TBAs must report to other means to identify babies at risk. Mid-arm circumference, thigh circumference, foot length, and skin-fold thickness etc. are measurements that have been correlated satisfactorily with the baby’s weight. Simple tools like coloured strips have been developed and these show promise of applicability in field situation for identification of LB W by TBAs for early referral.

  14. Birth Satisfaction Scale/Birth Satisfaction Scale-Revised (BSS/BSS-R): A large scale United States planned home birth and birth centre survey. (United States)

    Fleming, Susan E; Donovan-Batson, Colleen; Burduli, Ekaterina; Barbosa-Leiker, Celestina; Hollins Martin, Caroline J; Martin, Colin R


    to explore the prevalence of birth satisfaction for childbearing women planning to birth in their home or birth centers in the United States. Examining differences in birth satisfaction of the home and birth centers; and those who birthed in a hospital using the 30-item Birth Satisfaction Scale (BSS) and the 10-item Birth Satisfaction Scale-Revised (BSS-R). a quantitative survey using the BSS and BSS-R were employed. Additional demographic data were collected using electronic linkages (Qualtrics ™ ). a convenience sample of childbearing women (n=2229) who had planned to birth in their home or birth center from the US (United States) participated. Participants were recruited via professional and personal contacts, primarily their midwives. the total 30-item BSS score mean was 128.98 (SD 16.92) and the 10-item BSS-R mean score was 31.94 (SD 6.75). Sub-scale mean scores quantified the quality of care provision, women's personal attributes, and stress experienced during labour. Satisfaction was higher for women with vaginal births compared with caesareans deliveries. In addition, satisfaction was higher for women who had both planned to deliver in a home or a birth centre, and who had actually delivered in a home or a birth center. total and subscale birth satisfaction scores were positive and high for the overall sample IMPLICATIONS FOR PRACTICE: the BSS and the BSS-R provide a robust tool to quantify women's experiences of childbirth between variables such as birth types, birth settings and providers. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. [Relation Between Stress During Pregnancy and Spontaneous Preterm Birth]. (United States)

    Ortiz Martínez, Roberth Alirio; Castillo, Alejandro


    Preterm birth occurs before 37 completed weeks, its causes are multifactorial and vary according to the gestational age, ethnicity and geographical context. Although several medical/social factors have been clearly identified, over 50% of cases are unknown or unclear; however, psychopathological components emerge as potentially important risk factors. To determine the relationship between the presence of stress during pregnancy and spontaneous preterm birth. Through a study of cases and controls in a level III hospital, with a sample of 360 patients during the period from March to November of 2013, where sociodemographic characteristics were collected. In addition, they were applied scales social adjustment, coping strategies and social support. Logistic regression models were developed; psychological, biological and social. Based on the significant variables in each of these generated a final one. The final model was found that stress during pregnancy increases the odds of spontaneous preterm birth 1.91 times (adjusted OR=2.91; 95%CI, 1.67-5.08; P<.05). Other significant variables were: history of preterm delivery, unplanned pregnancy, no emotional support, rural residence, inadequate prenatal care and non-stable partner. The findings support the hypothesis that stress during pregnancy is associated with spontaneous preterm delivery. Copyright © 2015 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  16. Maternal lean body mass may be the major determinant of birth weight: A study from India. (United States)

    Kulkarni, B; Shatrugna, V; Balakrishna, N


    This study explored the relationship of maternal body composition parameters to the birth weight of the offspring. Maternal anthropometric parameters (weight, height) and body composition by dual energy X-ray absorptiometry were measured in 76 women from low-income group during 12-21 days postpartum. The mean+/-s.d. height, weight of the mothers and birth weight of the newborns were 151.5+/-5.29 cm, 46.7+/-6.04 and 2.84+/-0.358 kg, respectively. When the relationship of maternal anthropometric and body composition parameters to the infants' birth weight was studied, maternal lean body mass was found to be the most important determinant of birth weight (R2 (%) = 21.3) (P < 0.001). This study highlights the importance of increasing lean body mass in young women for better pregnancy outcome.

  17. Birth Order, Family Size and Educational Attainment (United States)

    de Haan, Monique


    This paper investigates the effect of family size and birth order on educational attainment. An instrumental variables approach is used to identify the effect of family size. Instruments for the number of children are twins at last birth and the sex mix of the first two children. The effect of birth order is identified, by examining the relation…

  18. Methodology, Birth Order, Intelligence, and Personality. (United States)

    Michalski, Richard L.; Shackelford, Todd K.


    Critiques recent research on the effects of birth order on intelligence and personality, which found that the between-family design revealed that birth order negatively related to intelligence, while the within-family design revealed that birth order was unrelated to intelligence. Suggests that it may not be intelligence that co-varies with birth…

  19. Regression Equations for Birth Weight Estimation using ...

    African Journals Online (AJOL)

    In this study, Birth Weight has been estimated from anthropometric measurements of hand and foot. Linear regression equations were formed from each of the measured variables. These simple equations can be used to estimate Birth Weight of new born babies, in order to identify those with low birth weight and referred to ...

  20. Birth order, family size and educational attainment

    NARCIS (Netherlands)

    de Haan, M.


    This paper investigates the effect of family size and birth order on educational attainment. An instrumental variables approach is used to identify the effect of family size. Instruments for the number of children are twins at last birth and the sex mix of the first two children. The effect of birth

  1. 28 CFR 551.21 - Birth control. (United States)


    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Birth control. 551.21 Section 551.21 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MISCELLANEOUS Birth Control, Pregnancy, Child Placement, and Abortion § 551.21 Birth control. Medical staff shall...

  2. Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study

    NARCIS (Netherlands)

    Hitzert, M.; Hermes, M.A.; Scheerhagen, M.; Boesveld, L.C.; Wiegers, T.A.; Akker-van Marle, M.E.; Dommelen, P. van; Pal-de Bruin, K.M. de; Graaf, J.P. de


    Objective to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. Design this study is a cross-sectional study using the ReproQ

  3. Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study.

    NARCIS (Netherlands)

    Hitzert, M.; Hermus, M.; Scheerhagen, M.; Boesveld, I.C.; Wiegers, T.; Akker-van Marle, M.E. van den; Dommelen, P. van; Pal-de Bruin, K.M. van der; Graal, J. P. de


    Objective: to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. Design: this study is a cross-sectional study using the ReproQ

  4. Community Factors Influencing Birth Spacing among Married ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    order to harness the power of contextual influences on birth spacing. (Afr J Reprod Health 2015; 19[1]: 14-24). Keywords: birth ..... 25-38 months (reference), 39-59 months, and > 60 months. Figures presented are Relative Risk Ratio of birth interval category relative to 25-38 months, associated 95% Confidence Intervals,.

  5. Birth-death processes and associated polynomials

    NARCIS (Netherlands)

    van Doorn, Erik A.


    We consider birth-death processes on the nonnegative integers and the corresponding sequences of orthogonal polynomials called birth-death polynomials. The sequence of associated polynomials linked with a sequence of birth-death polynomials and its orthogonalizing measure can be used in the analysis

  6. Birth Experience through an Existential Lens

    DEFF Research Database (Denmark)

    Prinds, Christina Lange


    Background: The moment of birth is seen as a miracle, a journey and even a religious act. Research stress how giving birth might facilitate interference with previous conceptions of how to make meaning of life existentially. However, birth as an existential life transformative event, has been exp...

  7. Dose uncertainties associated with a set density override of unknown hip prosthetic composition. (United States)

    Rijken, James D; Colyer, Christopher J


    The dosimetric uncertainties associated with radiotherapy through hip prostheses while overriding the implant to a set density within the TPS has not yet been reported. In this study, the uncertainty in dose within a PTV resulting from this planning choice was investigated. A set of metallic hip prosthetics (stainless steel, titanium, and two different Co-Cr-Mo alloys) were CT scanned in a water bath. Within the TPS, the prosthetic pieces were overridden to densities between 3 and 10 g/cm 3 and irradiated on a linear accelerator. Measured dose maps were compared to the TPS to determine which density was most appropriate to override each metal. This was shown to be in disagreement with the reported literature values of density which was attributed to the TPS dose calculation algorithm and total mass attenuation coefficient differences in water and metal. The dose difference was then calculated for a set density override of 6 g/cm 3 in the TPS and used to estimate the dose uncertainty beyond the prosthesis. For beams passing through an implant, the dosimetric uncertainty in regions of the PTV may be as high as 10% if the implant composition remains unknown and a set density override is used. These results highlight limitations of such assumptions and the need for careful consideration by radiation oncologist, therapist, and physics staff. © 2017 Adelaide Radiotherapy Centre. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

  8. Higher intake of fruits and vegetables in pregnancy is associated with birth size. (United States)

    Loy, See-Ling; Marhazlina, M; Azwany, Y Nor; Hamid Jan, J M


    Maternal nutrition has a programming effect on fetal growth. This cross-sectional study investigated the association between maternal micronutrient, fruit and vegetable intake with birth size. Nutrient and food intake were examined using a validated semi-quantitative food frequency questionnaire. One hundred twenty-one pregnant women at 28 to 38 weeks gestation aged 19-40 years, were recruited from the Universiti Sains Malaysia Hospital, Malaysia. Birth weight, length and head circumference were obtained from the medical records. Data were analyzed using multiple linear regression. Results indicate no significant association between any of the measured micronutrients and birth size. However, 2 of the 6 vegetable subgroups and those consumed fruit during pregnancy had children whose birth size was significantly associated with consumption. An increase of 10 g of leafy vegetables per day was associated with a 1.78 cm increase in head circumference (p = 0.04), and tuber vegetable intake was associated with birth length (beta = 0.21, p = 0.03) and head circumference (beta = 0.21, p = 0.01). Fruit intake was associated with birth weight (beta = 0.19, p = 0.04), birth length (beta = 0.20, p = 0.04) and head circumference (beta = 0.19, p = 0.03). The lack of association between maternal nutrient intake and fetal growth and the significant association between fruit and vegetable intake and birth size suggests the existence of other micronutrients and phytochemicals present in foods that play an important role in birth size. The types of nutrients and their roles in birth size warrant further investigation.

  9. Team training for safer birth. (United States)

    Cornthwaite, Katie; Alvarez, Mary; Siassakos, Dimitrios


    Effective and coordinated teamworking is key to achieving safe birth for mothers and babies. Confidential enquiries have repeatedly identified deficiencies in teamwork as factors contributing to poor maternal and neonatal outcomes. The ingredients of a successful multi-professional team are varied, but research has identified some fundamental teamwork behaviours, with good communication, proficient leadership and situational awareness at the heart. Simple, evidence-based methods in teamwork training can be seamlessly integrated into a core, mandatory obstetric emergency training. Training should be an enjoyable, inclusive and beneficial experience for members of staff. Training in teamwork can lead to improved clinical outcomes and better birth experience for women. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Risk Attitudes and Birth Order


    Krause, Philipp; Heindl, Johannes; Jung, Andreas; Langguth, Berthold; Hajak, Göran; Sand, Philipp G.


    Risk attitudes play important roles in health behavior and everyday decision making. It is unclear, however, whether these attitudes can be predicted from birth order. We investigated 200 mostly male volunteers from two distinct settings. After correcting for multiple comparisons, for the number of siblings and for confounding by gender, ordinal position predicted perception of health-related risks among participants in extreme sports (p < .01). However, the direction of the effect contradict...

  11. The Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Olsen, Jørn


    and infant health) of a variety of exposures during pregnancy, as well as examples showing different methodological approaches in design and analyses of the studies, are presented. RESEARCH TOPICS: The exposures of interest include alcohol drinking, coffee intake, smoking, use of nicotine substitutes...... that this investment in epidemiologic infrastructure was well spent. The existence of the Danish National Birth Cohort together with other cohorts and national registers has given Denmark a leading position in reproductive epidemiology....

  12. Estimation of the false discovery proportion with unknown dependence. (United States)

    Fan, Jianqing; Han, Xu


    Large-scale multiple testing with correlated test statistics arises frequently in many scientific research. Incorporating correlation information in approximating false discovery proportion has attracted increasing attention in recent years. When the covariance matrix of test statistics is known, Fan, Han & Gu (2012) provided an accurate approximation of False Discovery Proportion (FDP) under arbitrary dependence structure and some sparsity assumption. However, the covariance matrix is often unknown in many applications and such dependence information has to be estimated before approximating FDP. The estimation accuracy can greatly affect FDP approximation. In the current paper, we aim to theoretically study the impact of unknown dependence on the testing procedure and establish a general framework such that FDP can be well approximated. The impacts of unknown dependence on approximating FDP are in the following two major aspects: through estimating eigenvalues/eigenvectors and through estimating marginal variances. To address the challenges in these two aspects, we firstly develop general requirements on estimates of eigenvalues and eigenvectors for a good approximation of FDP. We then give conditions on the structures of covariance matrices that satisfy such requirements. Such dependence structures include banded/sparse covariance matrices and (conditional) sparse precision matrices. Within this framework, we also consider a special example to illustrate our method where data are sampled from an approximate factor model, which encompasses most practical situations. We provide a good approximation of FDP via exploiting this specific dependence structure. The results are further generalized to the situation where the multivariate normality assumption is relaxed. Our results are demonstrated by simulation studies and some real data applications.

  13. Allostatic Load and Preterm Birth

    Directory of Open Access Journals (Sweden)

    David M. Olson


    Full Text Available Preterm birth is a universal health problem that is one of the largest unmet medical needs contributing to the global burden of disease. Adding to its complexity is that there are no means to predict who is at risk when pregnancy begins or when women will actually deliver. Until these problems are addressed, there will be no interventions to reduce the risk because those who should be treated will not be known. Considerable evidence now exists that chronic life, generational or accumulated stress is a risk factor for preterm delivery in animal models and in women. This wear and tear on the body and mind is called allostatic load. This review explores the evidence that chronic stress contributes to preterm birth and other adverse pregnancy outcomes in animal and human studies. It explores how allostatic load can be used to, firstly, model stress and preterm birth in animal models and, secondly, how it can be used to develop a predictive model to assess relative risk among women in early pregnancy. Once care providers know who is in the highest risk group, interventions can be developed and applied to mitigate their risk.

  14. Birth Control in Clinical Trials (United States)

    Stewart, J.; Beyer, B. K.; Chadwick, K.; De Schaepdrijver, L.; Desai, M.; Enright, B.; Foster, W.; Hui, J. Y.; Moffat, G. J.; Tornesi, B.; Van Malderen, K.; Wiesner, L.; Chen, C. L.


    The Health and Environmental Sciences Institute (HESI) Developmental and Reproductive Toxicology Technical Committee sponsored a pharmaceutical industry survey on current industry practices for contraception use during clinical trials. The objectives of the survey were to improve our understanding of the current industry practices for contraception requirements in clinical trials, the governance processes set up to promote consistency and/or compliance with contraception requirements, and the effectiveness of current contraception practices in preventing pregnancies during clinical trials. Opportunities for improvements in current practices were also considered. The survey results from 12 pharmaceutical companies identified significant variability among companies with regard to contraception practices and governance during clinical trials. This variability was due primarily to differences in definitions, areas of scientific uncertainty or misunderstanding, and differences in company approaches to enrollment in clinical trials. The survey also revealed that few companies collected data in a manner that would allow a retrospective understanding of the reasons for failure of birth control during clinical trials. In this article, suggestions are made for topics where regulatory guidance or scientific publications could facilitate best practice. These include provisions for a pragmatic definition of women of childbearing potential, guidance on how animal data can influence the requirements for male and female birth control, evidence-based guidance on birth control and pregnancy testing regimes suitable for low- and high-risk situations, plus practical methods to ascertain the risk of drug-drug interactions with hormonal contraceptives. PMID:27042398

  15. Fault tolerant control of wind turbines using unknown input observers

    DEFF Research Database (Denmark)

    Odgaard, Peter Fogh; Stoustrup, Jakob


    This paper presents a scheme for accommodating faults in the rotor and generator speed sensors in a wind turbine. These measured values are important both for the wind turbine controller as well as the supervisory control of the wind turbine. The scheme is based on unknown input observers, which...... are also used to detect and isolate these faults. The scheme is tested on a known benchmark for FDI and FTC of wind turbines. Tests on this benchmark model show a clear potential of the proposed scheme....

  16. Fast entanglement detection for unknown states of two spatial qutrits

    International Nuclear Information System (INIS)

    Lima, G.; Gomez, E. S.; Saavedra, C.; Vargas, A.; Vianna, R. O.


    We investigate the practicality of the method proposed by Maciel et al. [Phys. Rev. A. 80, 032325 (2009).] for detecting the entanglement of two spatial qutrits (three-dimensional quantum systems), which are encoded in the discrete transverse momentum of single photons transmitted through a multislit aperture. The method is based on the acquisition of partial information of the quantum state through projective measurements, and a data processing analysis done with semidefinite programs. This analysis relies on generating gradually an optimal entanglement witness operator, and numerical investigations have shown that it allows for the entanglement detection of unknown states with a cost much lower than full state tomography.

  17. Modal Parameter Identification from Responses of General Unknown Random Inputs

    DEFF Research Database (Denmark)

    Ibrahim, S. R.; Asmussen, J. C.; Brincker, Rune


    Modal parameter identification from ambient responses due to a general unknown random inputs is investigated. Existing identification techniques which are based on assumptions of white noise and or stationary random inputs are utilized even though the inputs conditions are not satisfied....... This is accomplished via adding. In cascade. A force cascade conversion to the structures system under consideration. The input to the force conversion system is white noise and the output of which is the actual force(s) applied to the structure. The white noise input(s) and the structures responses are then used...

  18. Maximum-revenue tariff under Bertrand duopoly with unknown costs (United States)

    Ferreira, Fernanda A.; Ferreira, Flávio


    This paper considers an international trade under Bertrand model with differentiated products and with unknown production costs. The home government imposes a specific import tariff per unit of imports from the foreign firm. We prove that this tariff is decreasing in the expected production costs of the foreign firm and increasing in the production costs of the home firm. Furthermore, it is increasing in the degree of product substitutability. We also show that an increase in the tariff results in both firms increasing their prices, an increase in both expected sales and expected profits for the home firm, and a decrease in both expected sales and expected profits for the foreign firm.

  19. Birth order and childhood type 1 diabetes risk: a pooled analysis of 31 observational studies

    DEFF Research Database (Denmark)

    Cardwell, Chris R; Stene, Lars C; Joner, Geir


    BACKGROUND: The incidence rates of childhood onset type 1 diabetes are almost universally increasing across the globe but the aetiology of the disease remains largely unknown. We investigated whether birth order is associated with the risk of childhood diabetes by performing a pooled analysis...... at birth and other confounders, a reduction in the risk of diabetes in second- or later born children became apparent [fully adjusted OR¿=¿0.90 95% confidence interval (CI) 0.83-0.98; P¿=¿0.02] but this association varied markedly between studies (I(2)¿=¿67%). An a priori subgroup analysis showed...

  20. Idiopathic severe hypermagnesemia in an extremely low birth weight infant on the first day of life

    Directory of Open Access Journals (Sweden)

    Hye Sun Hyun


    Full Text Available A preterm female infant born at 27 weeks of gestation with a birth weight of 990 g developed acute hypotonia, apnea, hypotension and bradycardia mimicking septic shock syndrome at 14h after birth. Laboratory tests indicated a severe hypermagnesemia of 45 mg/dL. The renal function, complete blood count and maternal blood concentrations of magnesium were normal, and the blood cultures were negative. The patient recovered with treatment including exchange transfusion. However, the etiology of the severe hypermagnesemia remains unknown.

  1. Millisest kontekstist pärineb Tallinna Linnaarhiivi käsikiri Cm3? / Meelis Friedenthal

    Index Scriptorium Estoniae

    Friedenthal, Meelis, 1973-


    Käsikirja varasemast uurimisest. Cm3 lühikirjeldus. Cm3 dateerimisvõimalustest. Kopeeritud on tekstid tõenäoliselt 14. sajandi lõpus 15. sajandi alguses ja pärinevad Kesk-Euroopast või Skandinaaviast. Cm3 ja Cm4 võrdlus. Mõlemaid raamatuid kasutasid tõenäoliselt Tallinna dominiiklased

  2. New 20-cm radio-continuum study of the Small Magellanic Cloud, part II: Point sources

    Directory of Open Access Journals (Sweden)

    Wong G.F.


    Full Text Available We present a new catalogue of radio-continuum sources in the field of the Small Magellanic Cloud (SMC. This catalogue contains sources previously not found in 2370 MHz (λ=13 cm with sources found at 1400 MHz (λ=20 cm and 843 MHz (λ=36 cm. 45 sources have been detected at 13 cm, with 1560 sources at 20 cm created from new high sensitivity and resolution radio-continuum images of the SMC at 20 cm from paper I. We also created a 36 cm catalogue to which we listed 1689 radio-continuum sources.

  3. The multisensory approach to birth and aromatherapy. (United States)

    Gutteridge, Kathryn


    The birth environment continues to be a subject of midwifery discourse within theory and practice. This article discusses the birth environment from the perspective of understanding the aromas and aromatherapy for the benefit of women and midwives The dynamic between the olfactory system and stimulation of normal birth processes proves to be fascinating. By examining other health models of care we can incorporate simple but powerful methods that can shape clinical outcomes. There is still more that midwives can do by using aromatherapy in the context of a multisensory approach to make birth environments synchronise with women's potential to birth in a positive way.

  4. Three-dimensional cinematography with control object of unknown shape. (United States)

    Dapena, J; Harman, E A; Miller, J A


    A technique for reconstruction of three-dimensional (3D) motion which involves a simple filming procedure but allows the deduction of coordinates in large object volumes was developed. Internal camera parameters are calculated from measurements of the film images of two calibrated crosses while external camera parameters are calculated from the film images of points in a control object of unknown shape but at least one known length. The control object, which includes the volume in which the activity is to take place, is formed by a series of poles placed at unknown locations, each carrying two targets. From the internal and external camera parameters, and from locations of the images of point in the films of the two cameras, 3D coordinates of the point can be calculated. Root mean square errors of the three coordinates of points in a large object volume (5m x 5m x 1.5m) were 15 mm, 13 mm, 13 mm and 6 mm, and relative errors in lengths averaged 0.5%, 0.7% and 0.5%, respectively.

  5. Unknown facets of Well-Known Scientists Series - Part II

    Directory of Open Access Journals (Sweden)

    V S Dixit


    Full Text Available 1st in the series of articles on “Unknown Facets of well-known Scientists” was about Sir Frederick Grant Banting, co-discoverer of Insulin, who also researched in Aviation and Diving Medicines, results of which brought extraordinary benefits for Flight crew during the World War II. The article was published in the previous issue of the Journal Unknown facets could be celebrated attributes, talents or otherwise, but it is necessary that we get to know fully about the “great mind". THIS ARTICLE IS ABOUT DR WERNER THEODOR OTTO FORSSMANN, A CARDIOLOGIST, WHO BECAME A UROLOGIST! Does the name Dr Forssmann ring a bell? He shared the 1956 Nobel Prize in Physiology or Medicine with “Andre Cournand and Dickinson Richards". The trio was awarded for their “discoveries concerning heart catheterization and pathological changes in the circulatory system". Dr Forssmann was nominated for performing an experiment in which he introduced a catheter into a vein of his arm, further passing it onward into his heart It was risky. This was in the year 1929. Subject of this article is the self-experimentation he carried out and what happened later.

  6. Atmospheric turbulence profiling with unknown power spectral density (United States)

    Helin, Tapio; Kindermann, Stefan; Lehtonen, Jonatan; Ramlau, Ronny


    Adaptive optics (AO) is a technology in modern ground-based optical telescopes to compensate for the wavefront distortions caused by atmospheric turbulence. One method that allows to retrieve information about the atmosphere from telescope data is so-called SLODAR, where the atmospheric turbulence profile is estimated based on correlation data of Shack–Hartmann wavefront measurements. This approach relies on a layered Kolmogorov turbulence model. In this article, we propose a novel extension of the SLODAR concept by including a general non-Kolmogorov turbulence layer close to the ground with an unknown power spectral density. We prove that the joint estimation problem of the turbulence profile above ground simultaneously with the unknown power spectral density at the ground is ill-posed and propose three numerical reconstruction methods. We demonstrate by numerical simulations that our methods lead to substantial improvements in the turbulence profile reconstruction compared to the standard SLODAR-type approach. Also, our methods can accurately locate local perturbations in non-Kolmogorov power spectral densities.

  7. Reactive Path Planning Approach for Docking Robots in Unknown Environment

    Directory of Open Access Journals (Sweden)

    Peng Cui


    Full Text Available Autonomous robots need to be recharged and exchange information with the host through docking in the long-distance tasks. Therefore, feasible path is required in the docking process to guide the robot and adjust its pose. However, when there are unknown obstacles in the work area, it becomes difficult to determine the feasible path for docking. This paper presents a reactive path planning approach named Dubins-APF (DAPF to solve the path planning problem for docking in unknown environment with obstacles. In this proposed approach the Dubins curves are combined with the designed obstacle avoidance potential field to plan the feasible path. Firstly, an initial path is planned and followed according to the configurations of the robot and the docking station. Then when the followed path is evaluated to be infeasible, the intermediate configuration is calculated as well as the replanned path based on the obstacle avoidance potential field. The robot will be navigated to the docking station with proper pose eventually via the DAPF approach. The proposed DAPF approach is efficient and does not require the prior knowledge about the environment. Simulation results are given to validate the effectiveness and feasibility of the proposed approach.

  8. Detecting unknown chemical clouds at distance with multispectral imagery (United States)

    Favier, Sylvain; Alazarine, Aymeric; Verneau, Manon; Verollet, Romain; Blanchard, Sébastien


    In the past, chemical incidents or attacks have often involved mixtures of chemicals or fractional formulations of toxic compounds. Terrorist groups are also likely to generate new toxic chemical agents. These situations involve unknown compounds and thus may be undetectable using traditional methods. Indeed, standoff gas detection with infrared devices traditionally relies on the comparison between measured signal and a library of signals included in a database. Observing the gas absorption in infrared band III (LWIR 8-14 μm), our multispectral infrared camera is used to detect gas clouds up to a range of several kilometers, to provide identification of gas type and to follow the motion of the cloud in real time. The approach described in this paper develops an algorithm that enables the device to detect gas even if the measured signature is not in the database - a pattern-matching-free algorithm. This detection process has been evaluated in the laboratory and subjected to significant experimental feedback. The results are a capability to detect unknown gases and gas mixtures.

  9. Birth weight reference percentiles for Chinese.

    Directory of Open Access Journals (Sweden)

    Li Dai

    Full Text Available To develop a reference of population-based gestational age-specific birth weight percentiles for contemporary Chinese.Birth weight data was collected by the China National Population-based Birth Defects Surveillance System. A total of 1,105,214 live singleton births aged ≥28 weeks of gestation without birth defects during 2006-2010 were included. The lambda-mu-sigma method was utilized to generate percentiles and curves.Gestational age-specific birth weight percentiles for male and female infants were constructed separately. Significant differences were observed between the current reference and other references developed for Chinese or non-Chinese infants.There have been moderate increases in birth weight percentiles for Chinese infants of both sexes and most gestational ages since 1980s, suggesting the importance of utilizing an updated national reference for both clinical and research purposes.

  10. The effects of birth order and birth interval on the phenotypic expression of autism spectrum disorder.

    Directory of Open Access Journals (Sweden)

    Loren A Martin

    Full Text Available A rise in the prevalence of diagnosed cases of autism spectrum disorder (ASD has been reported in several studies in recent years. While this rise in ASD prevalence is at least partially related to increased awareness and broadened diagnostic criteria, the role of environmental factors cannot be ruled out, especially considering that the cause of most cases of ASD remains unknown. The study of families with multiple affected children can provide clues about ASD etiology. While the majority of research on ASD multiplex families has focused on identifying genetic anomalies that may underlie the disorder, the study of symptom severity across ASD birth order may provide evidence for environmental factors in ASD. We compared social and cognitive measures of behavior between over 300 first and second affected siblings within multiplex autism families obtained from the Autism Genetic Resource Exchange dataset. Measures included nonverbal IQ assessed with the Ravens Colored Progressive Matrices, verbal IQ assessed with the Peabody Picture Vocabulary Test, and autism severity assessed with the Social Responsiveness Scale (SRS, an instrument established as a quantitative measure of autism. The results indicated that females were more severely impacted by ASD than males, especially first affected siblings. When first and second affected siblings were compared, significant declines in nonverbal and verbal IQ scores were observed. In addition, SRS results demonstrated a significant increase in autism severity between first and second affected siblings consistent with an overall decline in function as indicated by the IQ data. These results remained significant after controlling for the age and sex of the siblings. Surprisingly, the SRS scores were found to only be significant when the age difference between siblings was less than 2 years. These results suggest that some cases of ASD are influenced by a dosage effect involving unknown epigenetic


    Energy Technology Data Exchange (ETDEWEB)



    Identifying functions for all gene products in all sequenced organisms is a central challenge of the post-genomic era. However, at least 30-50% of the proteins encoded by any given genome are of unknown function, or wrongly or vaguely annotated. Many of these 'unknown' proteins are common to prokaryotes and plants. We accordingly set out to predict and experimentally test the functions of such proteins. Our approach to functional prediction is integrative, coupling the extensive post-genomic resources available for plants with comparative genomics based on hundreds of microbial genomes, and functional genomic datasets from model microorganisms. The early phase is computer-assisted; later phases incorporate intellectual input from expert plant and microbial biochemists. The approach thus bridges the gap between automated homology-based annotations and the classical gene discovery efforts of experimentalists, and is much more powerful than purely computational approaches to identifying gene-function associations. Among Arabidopsis genes, we focused on those (2,325 in total) that (i) are unique or belong to families with no more than three members, (ii) are conserved between plants and prokaryotes, and (iii) have unknown or poorly known functions. Computer-assisted selection of promising targets for deeper analysis was based on homology .. independent characteristics associated in the SEED database with the prokaryotic members of each family, specifically gene clustering and phyletic spread, as well as availability of functional genomics data, and publications that could link candidate families to general metabolic areas, or to specific functions. In-depth comparative genomic analysis was then performed for about 500 top candidate families, which connected ~55 of them to general areas of metabolism and led to specific functional predictions for a subset of ~25 more. Twenty predicted functions were experimentally tested in at least one prokaryotic organism

  12. Assisted Reproductive Technology and Birth Defects: Effects of Subfertility and Multiple Births. (United States)

    Liberman, Rebecca F; Getz, Kelly D; Heinke, Dominique; Luke, Barbara; Stern, Judy E; Declercq, Eugene R; Chen, Xiaoli; Lin, Angela E; Anderka, Marlene


    Assisted reproductive technology (ART) has been associated with birth defects, but the contributions of multiple births and underlying subfertility remain unclear. We evaluated the effects of subfertility and mediation by multiple births on associations between ART and nonchromosomal birth defects. We identified a retrospective cohort of Massachusetts live births and stillbirths from 2004 to 2010 among ART-exposed, ART-unexposed subfertile, and fertile mothers using linked information from fertility clinics, vital records, hospital discharges, and birth defects surveillance. Log-binomial regression was used to estimate prevalence ratios and 95% confidence intervals (CIs). Mediation analyses were performed to deconstruct the ART-birth defects association into the direct effect of ART, the indirect effect of multiple births, and the effect of ART-multiples interaction. Of 17,829 ART-exposed births, 355 had a birth defect, compared with 162 of 9431 births to subfertile mothers and 6183 of 445,080 births to fertile mothers. The adjusted prevalence ratio was 1.5 (95% CI, 1.3-1.6) for ART and 1.3 (95% CI, 1.1-1.5) in subfertile compared with fertile deliveries. We observed elevated rates of several birth defects with ART, including tetralogy of Fallot and hypospadias. Subfertility and multiple births affect these associations, with multiple births explaining 36% of the relative effect of ART on nonchromosomal birth defects. Although the risk of birth defects with ART is small, a substantial portion of the relative effect is mediated through multiple births, with subfertility contributing an important role. Future research is needed to determine the impact of newer techniques, such as single embryo transfer, on these risks. Birth Defects Research 109:1144-1153, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  13. The change in the sex ratio in multiple sclerosis is driven by birth cohort effects. (United States)

    Ajdacic-Gross, V; Schmid, M; Mutsch, M; Steinemann, N; von Wyl, V; Bopp, M


    Birth cohort effects have greatly shaped long-term trends in multiple sclerosis (MS). This study examined whether birth cohort effects have also determined trends in the sex ratio. Age-period-cohort analyses were applied to Swiss mortality data, 1901-2010, using logit models. Sex was introduced as an additional main effect (overall effect) and in interaction terms with A, P and C. Birth cohort effects strongly impacted the trends of MS risk in Switzerland, with a peak in cohorts born in the 1910s and 1920s. Similarly, birth cohort effects accounted for the change in the sex ratios during the 20th century. The balanced sex ratio at the beginning of the 20th century has been superseded by a ratio with a preponderance of women. Despite similarities in timing, the patterns of overall and sex-specific birth cohort estimates were not congruent. The change in the sex ratio in MS is driven by birth cohort related factors. Overall and sex-specific trends indicate that the appearance of MS has changed dramatically in the 20th century. The driving force behind these trends is related to yet unknown environmental factors. © 2016 EAN.

  14. Prevalence of atopic dermatitis in infants by domestic water hardness and season of birth

    DEFF Research Database (Denmark)

    Engebretsen, Kristiane A; Bager, Peter; Wohlfahrt, Jan


    , respectively, with onset of AD within the first 18 months of life in a large Danish birth cohort. METHODS: Of children from the Danish National Birth Cohort, 52,950 were included. History of physician-diagnosed AD and population characteristics were obtained from interviews. Birth data were obtained from......BACKGROUND: Atopic dermatitis (AD) appears to be more common in regions with hard domestic water and in children with a fall/winter birth. However, it is unknown whether a synergistic effect exists. OBJECTIVE: We sought to evaluate the association between domestic water hardness and season of birth......, 1.05; 95% CI, 1.03-1.07) higher for each 5° increase in domestic water hardness (range, 6.60-35.90 German degrees of hardness [118-641 mg/L]). Although the RP of AD was higher in children with a fall (RP, 1.24; 95% CI, 1.17-1.31) or winter (RP, 1.18; 95% CI, 1.11-1.25) birth, no significant...

  15. Bioelectrical impedance analysis during pregnancy and neonatal birth weight. (United States)

    Ghezzi, F; Franchi, M; Balestreri, D; Lischetti, B; Mele, M C; Alberico, S; Bolis, P


    To generate reference ranges for bioelectrical impedance indices throughout pregnancy and to investigate whether a relationship exists between these indices and the neonatal birth weight. Pregnant women with a singleton gestation, gestational age lower than 12 weeks, and absence of medical diseases before pregnancy were enrolled. Patients with pregnancy complications, such as hypertensive disorders, diabetes, and antiphospholipides syndrome were excluded. Antrophometric maternal parameters and bioelectrical impedance measurements were performed during the first, second, third trimester of pregnancy, at delivery and 60 days after delivery. Height(2)/resistance (cm(2)/Omega) and height(2)/reactance (cm(2)/Omega) were utilized to estimate the total and extracellular body water amounts, respectively. Spearman rank correlations and cox proportional hazard modelling were used for statistical purposes. 169 patients completed all measurements. Total and extracellular water amounts significantly increase as pregnancy advances and return to the pre-pregnancy values within 60 days after delivery. After adjustment for gestational age at delivery, fetal sex, and smoking habits, height(2)/resistance at 25 weeks (hazard=1.04, 95% confidence interval (CI) 1.02-1.06, Pweight. We have provided reference ranges for bioimpedance analysis during pregnancy, an easy, fast and non invasive method to estimate the body water composition during pregnancy. Bioelectrical impedance indices during the second trimester of pregnancy are independently related to the birth weight.

  16. Solvation effects on isomeric preferences of curium(iii) complexes with multidentate phosphonopropionic acid ligands: CmH(2)PPA(2+) and CmHPPA(+) complexes. (United States)

    Cao, Zhiji; Balasubramanian, K; Calvert, Michael G; Nitsche, Heino


    We have carried out both time-resolved laser fluorescence spectroscopic and computational studies on the complexes of curium(III) with multidentate Phosphonopropionic (PPA) acid ligands. A number of complexes of Cm(III) with these ligands, such as CmH(2)PPA(2+), CmHPPA(+), Cm[H(2)PPA](2)(+), and Cm[HPPA](2)(-) have been studied. Our computational studies focused on all possible isomers in the gas phase and aqueous solution so that the relative binding strengths of carboxylic versus phosphoric groups can be assessed in these multidentate systems. The solvation effects play an important role in the determination of the preferred configurations and binding propensities of carboxylate versus phosphate sites of the ligands. Our computations assess the relative strengths of single and multidentate complexes in solutions for these systems. The computed free energies of solvation explain the experimentally observed fluorescence spectra and the lifetimes of these complexes in that as more water molecules are displaced from the first hydration sphere by the ligands that bind to Cm(III), the fluorescence lifetime increases. We have found that the most stable complex for CmH(2)PPA(2+) in the aqueous phase exhibits a monodentate complex where the curium(III) is bound to the deprotonated phosphate oxygen atom. Our computations support the observed longer fluorescence lifetime of CmH(2)PPA(2+) (112 mus) compared to the free Cm(III) aquo ion (65 mus), suggesting a greater degree of H(2)O displacement from the hydration sphere. For the Cm-HPPA(+) complex, we find a tridentate form as the most stable structure which supports the observed fluorescence lifetime for the CmHPPA(+) complex (172 mus), confirming the removal of up to six water molecules from the inner hydration sphere. The relative stabilities of the complexes are found to vary substantially between the gas phase and solution, indicating a major role of solvation in the relative stabilities of these complexes.

  17. Autonomous Underwater Navigation and Optical Mapping in Unknown Natural Environments

    Directory of Open Access Journals (Sweden)

    Juan David Hernández


    Full Text Available We present an approach for navigating in unknown environments while, simultaneously, gathering information for inspecting underwater structures using an autonomous underwater vehicle (AUV. To accomplish this, we first use our pipeline for mapping and planning collision-free paths online, which endows an AUV with the capability to autonomously acquire optical data in close proximity. With that information, we then propose a reconstruction pipeline to create a photo-realistic textured 3D model of the inspected area. These 3D models are also of particular interest to other fields of study in marine sciences, since they can serve as base maps for environmental monitoring, thus allowing change detection of biological communities and their environment over time. Finally, we evaluate our approach using the Sparus II, a torpedo-shaped AUV, conducting inspection missions in a challenging, real-world and natural scenario.

  18. Villitis of unknown aetiology: correlation of recurrence with clinical outcome.

    LENUS (Irish Health Repository)

    Feeley, L


    Villitis of unknown aetiology (VUA) is associated with adverse pregnancy outcome. Consequently, an ability to predict recurrence could be clinically relevant. We examined placentas where villitis was diagnosed in a previous pregnancy to establish the risk of recurrence and outcome. A total of 304 cases of VUA were diagnosed in our laboratory over a 4-year period. Subsequently, 19 of this cohort had a second placenta examined histologically. Recurrence and clinical outcome were recorded. Villitis recurred in 7 of 19 cases (37%). There was a high level of adverse pregnancy outcome in this cohort overall, characterised by small for gestational age infants and stillbirth, particularly in cases with high-grade villitis. We identified recurrent villitis more frequently than previously reported. Our findings confirm an association between high-grade villitis and poor outcome. Adequately powered prospective studies are required to determine if enhanced surveillance of subsequent pregnancies is indicated following a diagnosis of villitis.

  19. Cancer of unknown primary origin: a case report

    Directory of Open Access Journals (Sweden)

    Elisa De Carlo


    Full Text Available Carcinoma of unknown primary origin (CUP accounts for 2-10% of all malignancies. The apparent absence of the primary tumour, the development of early, uncommon systemic metastases and the resistance to therapy and poor prognosis are hallmarks of this heterogeneous clinical entity and are a challenge for physicians. The diagnostic workup of patients with CUP includes a large amount of histopathological examination, as well as the use of imaging techniques that often fail to identify the primary tumour. Therefore, the optimal workup and treatment for these patients remains to be determined. Molecular diagnostic tools, such as DNA microarray analysis, could help in the search for "lost" CUP origin and guide the further treatment approach. We report the case of a 66-year-old man, with mediastinal lymph nodes metastasis of carcinoma and neurological syndrome with diplopia and balance disorders, in which many exams have been performed without finding the primary tumour.

  20. A Brief Introduction on Mystery, the Unknown, Surprise

    Directory of Open Access Journals (Sweden)

    Sean Scanlan


    Full Text Available In this age of globalization, this age of so many ways to know—and so many ways to know things so quickly—it is both satisfying and deeply unnerving to come upon things and events that are really hard to understand, things and events so shocking or strange or mysterious, that they seem Unknown. Perhaps even unknowable. The first note of NANO Issue 2 focuses on an unsolved murder and reveals a mystery that is confounding, creepy, and yet oddly compelling. In “Karr’s Kill Cult: Virtual Cults and Pseudo-Killing in the Digital Age,” Jeremy Biles and Brian Collins explore the edges of where cyber-crime threatens to turn real—and vice versa. In the second note, Jennifer Ballengee compares Oedipus at Colonus with Don DeLillo’s Falling Man.

  1. Distributed Synchronization Control of Multiagent Systems With Unknown Nonlinearities. (United States)

    Su, Shize; Lin, Zongli; Garcia, Alfredo


    This paper revisits the distributed adaptive control problem for synchronization of multiagent systems where the dynamics of the agents are nonlinear, nonidentical, unknown, and subject to external disturbances. Two communication topologies, represented, respectively, by a fixed strongly-connected directed graph and by a switching connected undirected graph, are considered. Under both of these communication topologies, we use distributed neural networks to approximate the uncertain dynamics. Decentralized adaptive control protocols are then constructed to solve the cooperative tracker problem, the problem of synchronization of all follower agents to a leader agent. In particular, we show that, under the proposed decentralized control protocols, the synchronization errors are ultimately bounded, and their ultimate bounds can be reduced arbitrarily by choosing the control parameter appropriately. Simulation study verifies the effectiveness of our proposed protocols.

  2. Chronic kidney disease of unknown etiology in agricultural communities. (United States)

    Almaguer, Miguel; Herrera, Raúl; Orantes, Carlos M


    In recent years, Central America, Egypt, India and Sri Lanka have reported a high prevalence of chronic kidney disease of unknown etiology in agricultural communities, predominantly among male farmworkers. This essay examines the disease's case definitions, epidemiology (disease burden, demographics, associated risk factors) and causal hypotheses, by reviewing published findings from El Salvador, Nicaragua, Costa Rica, Sri Lanka, Egypt and India. The range of confirmed chronic kidney disease prevalence was 17.9%-21.1%. Prevalence of reduced glomerular filtration (homemade alcohol use and family history of chronic kidney disease. There is no strong evidence for a single cause, and multiple environmental, occupational and social factors are probably involved. Further etiological research is needed, plus interventions to reduce preventable risk factors.

  3. Analysing Trust Transitivity and The Effects of Unknown Dependence

    Directory of Open Access Journals (Sweden)

    Touhid Bhuiyan


    Full Text Available Trust can be used to improve online automated recommendation within a given domain. Trust transitivity is used to make it successful. But trust transitivity has different interpretations. Trust and trust transitivity; both are the human mental phenomenon and for this reason, there is no such thing as objective transitivity. Trust transitivity and trust fusion both are important elements in computational trust. This paper analyses the parameter dependence problem in trust transitivity and proposes some definitions considering the effects of base rate. In addition, it also proposes belief functions based on subjective logic to analyse trust transitivity of three specified cases with sensitive and insensitive based rate. Then it presents a quantitative analysis of the effects of unknown dependence problem in an interconnected network environment; such Internet.

  4. Obstacle Avoidance for Unmanned Undersea Vehicle in Unknown Unstructured Environment

    Directory of Open Access Journals (Sweden)

    Zheping Yan


    Full Text Available To avoid obstacle in the unknown environment for unmanned undersea vehicle (UUV, an obstacle avoiding system based on improved vector field histogram (VFH is designed. Forward looking sonar is used to detect the environment, and the divisional sonar modal is applied to deal with the measure uncertainty. To adapt to the VFH, rolling occupancy grids are used for the map building, and high accuracy details of local environment are obtained. The threshold is adaptively adjusted by the statistic of obstacles to solve the problem that VFH is sensitive to threshold. To improve the environment adaptability, the hybrid-behaviors strategy is proposed, which selects the optimal avoidance command according to the motion status and environment character. The simulation shows that UUV could avoid the obstacles fast and escape from the U shape obstacles.

  5. Autonomous Underwater Navigation and Optical Mapping in Unknown Natural Environments (United States)

    Hernández, Juan David; Istenič, Klemen; Gracias, Nuno; Palomeras, Narcís; Campos, Ricard; Vidal, Eduard; García, Rafael; Carreras, Marc


    We present an approach for navigating in unknown environments while, simultaneously, gathering information for inspecting underwater structures using an autonomous underwater vehicle (AUV). To accomplish this, we first use our pipeline for mapping and planning collision-free paths online, which endows an AUV with the capability to autonomously acquire optical data in close proximity. With that information, we then propose a reconstruction pipeline to create a photo-realistic textured 3D model of the inspected area. These 3D models are also of particular interest to other fields of study in marine sciences, since they can serve as base maps for environmental monitoring, thus allowing change detection of biological communities and their environment over time. Finally, we evaluate our approach using the Sparus II, a torpedo-shaped AUV, conducting inspection missions in a challenging, real-world and natural scenario. PMID:27472337

  6. The Difficulty of Sexing Skeletons from Unknown Populations

    Directory of Open Access Journals (Sweden)

    Ingrid Sierp


    Full Text Available Determination of sex from skeletal remains is performed using a number of methods developed by biological anthropology. They must be evaluated for consistency and for their performance in a forensic setting. Twenty skeletons of varied provenance had their sex determined by 15 existing methods of forensic anthropology (7 metric and 8 morphological. The methods were evaluated for their consistency in determination of sex. No single individual was identified as belonging to one sex exclusively. Ambiguous results were obtained by metric methods for fourteen individuals (70% and by morphological methods for only five individuals (25% (Chi-squared = 4.3, df = 1, P<0.05. Methods which use the size of bones as an indicator of sex perform poorly on skeletal remains of individuals of unknown provenance. Methods which combine morphologic and metric techniques, that is, geometric morphometric analysis, may result in greater levels of consistency.

  7. Distributed Multisensor Data Fusion under Unknown Correlation and Data Inconsistency

    Directory of Open Access Journals (Sweden)

    Muhammad Abu Bakr


    Full Text Available The paradigm of multisensor data fusion has been evolved from a centralized architecture to a decentralized or distributed architecture along with the advancement in sensor and communication technologies. These days, distributed state estimation and data fusion has been widely explored in diverse fields of engineering and control due to its superior performance over the centralized one in terms of flexibility, robustness to failure and cost effectiveness in infrastructure and communication. However, distributed multisensor data fusion is not without technical challenges to overcome: namely, dealing with cross-correlation and inconsistency among state estimates and sensor data. In this paper, we review the key theories and methodologies of distributed multisensor data fusion available to date with a specific focus on handling unknown correlation and data inconsistency. We aim at providing readers with a unifying view out of individual theories and methodologies by presenting a formal analysis of their implications. Finally, several directions of future research are highlighted.

  8. Distributed Multisensor Data Fusion under Unknown Correlation and Data Inconsistency. (United States)

    Bakr, Muhammad Abu; Lee, Sukhan


    The paradigm of multisensor data fusion has been evolved from a centralized architecture to a decentralized or distributed architecture along with the advancement in sensor and communication technologies. These days, distributed state estimation and data fusion has been widely explored in diverse fields of engineering and control due to its superior performance over the centralized one in terms of flexibility, robustness to failure and cost effectiveness in infrastructure and communication. However, distributed multisensor data fusion is not without technical challenges to overcome: namely, dealing with cross-correlation and inconsistency among state estimates and sensor data. In this paper, we review the key theories and methodologies of distributed multisensor data fusion available to date with a specific focus on handling unknown correlation and data inconsistency. We aim at providing readers with a unifying view out of individual theories and methodologies by presenting a formal analysis of their implications. Finally, several directions of future research are highlighted.

  9. Impact of CT in patients with sepsis of unknown origin

    International Nuclear Information System (INIS)

    Barkhausen, J.; Stoeblen, F.; Mueller, R.D.


    Purpose: To evaluate the diagnostic relevance of CT in patients with sepsis of unknown origin. Material and Methods: Sixty-three consecutive intensive care patients with suspicion of an abscess and negative or inconclusive previous radiological examinations were included. CT was performed using the helical technique. A total of 45 abdominal and 38 chest examinations were evaluated. Results: 5/38 examinations of the chest revealed the source of sepsis (pleural empyema 2, lung abscess 1, mediastinitis 1, retrosternal abscess 1). 7/45 abdominal CT examinations showed the source of sepsis (intraabdominal abscess 2, hepatic abscess 3, intestinal perforation 1, gangrenous colitis 1). Conclusion: CT is useful for the evaluation of patients with fever or sepsis without a known source. Due to the detection of a spetic focus by CT, 19% of the patients in our study could be immediately referred to causal therapy as percutaneous drainage or surgery. (orig.)

  10. Lichen Scrofulosorum Presenting as Pyrexia of Unknown Origin

    International Nuclear Information System (INIS)

    Patra, S.; Patro, B.; Patel, R.; Aneja, S.; Sarkar, D.


    Cutaneous tuberculosis forms a subset of extra pulmonary tuberculosis. It accounts for about 1.5% of all the cases of extrapulmonary tuberculosis. Lichen Scrofulosorum is a rare form of cutaneous tuberculosis. It is usually seen in children or young adults and an important marker of occult tuberculosis. Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules. Underlying systemic involvement is more common in children, compared with adults. We report a case of 3 years old boy who was investigated for pyrexia of unknown origin and finally diagnosed as Lichen Scrofulosorum associated with tuberculous lymphadenitis of mediastinal lymph nodes. A skin biopsy showed extensive tuberculoid granulomas surrounding hair follicles which were consistent with the diagnosis of Lichen Scrofulosorum. The child was treated with antitubercular drugs and it showed improvement within 2 weeks of starting treatment with resolution of skin lesions. (author)

  11. Fever of unknown origin - Hidden in the head

    Directory of Open Access Journals (Sweden)

    Kamal Kishore Pandita


    Full Text Available The original algorithmic approach, as outlined by de Kleijn and colleagues and practiced commonly, envisages performing computed tomography (CT of chest, abdomen, and pelvis in patients with classical fever of unknown origin (FUO, in whom no potentially diagnostic clue exists. It further envisages performing positron emission tomography (PET scan, if CT scan is unrevealing. Imaging of head and neck especially magnetic resonance imaging (MRI has not been included in this algorithm, that leaves these important regions unexplored in most settings where PET scan is unavailable. MRI is a safe modality for evaluating central nervous system lesions and its role in FUO has not been adequately evaluated. We present three patients of FUO in whom the diagnosis of tuberculoma of brain as a cause of prolonged pyrexia got delayed because the MRI of head was not done initially, to comply with the approach of minimum diagnostic evaluation.

  12. Designing low cost autonomous robots in unknown environments (United States)

    Alouani, Ali T.; Sri, Aravind M.


    This paper documents the design and development of a low cost robot capable of autonomous navigation in unknown indoor environments. The proposed design uses only two complementary rotating sensors for navigation. The use of real time mapping allows for detection and avoidance of obstacles. The fusion of the sensors data helped improve accuracy of the online map of the robot environment. The robot builds an online map of its environment, and then automatically plans its navigation path. The feedback control keeps the robot moving along its planned path. The robot has been successfully tested in a cluttered environment in the Advanced Systems Lab. Preliminary tests carried out have shown the success of the robot in navigating autonomously.

  13. SUMO mediating fusion expression of antimicrobial peptide CM4 from two joined genes in Escherichia coli. (United States)

    Li, Jian Feng; Zhang, Jie; Zhang, Zhen; Kang, Chun Tao; Zhang, Shuang Quan


    Antibacterial peptide CM4 (ABP-CM4) is a small cationic peptide with broad-spectrum activities against bacteria, fungi, and tumor cells, which may possibly be used as an antimicrobial agent. To improve the expression level of CM4 in Escherichia coli, two tandem repeats of CM4 genes were cloned into the vector pSUMO to construct an expression vector pSUMO-2CM4. The fusion protein SUMO-2CM4, purified by Ni(2+)-chelating chromatography, was cleaved by hydroxylamine hydrochloride to release recombinant CM4. After the cleaved sample was re-applied to a Ni-IDA column, finally, about 48 mg recombinant CM4 was obtained from 1 L bacterial culture with no less than 96% purity, which was the highest yield of CM4 reported so far.

  14. Smooth extrapolation of unknown anatomy via statistical shape models (United States)

    Grupp, R. B.; Chiang, H.; Otake, Y.; Murphy, R. J.; Gordon, C. R.; Armand, M.; Taylor, R. H.


    Several methods to perform extrapolation of unknown anatomy were evaluated. The primary application is to enhance surgical procedures that may use partial medical images or medical images of incomplete anatomy. Le Fort-based, face-jaw-teeth transplant is one such procedure. From CT data of 36 skulls and 21 mandibles separate Statistical Shape Models of the anatomical surfaces were created. Using the Statistical Shape Models, incomplete surfaces were projected to obtain complete surface estimates. The surface estimates exhibit non-zero error in regions where the true surface is known; it is desirable to keep the true surface and seamlessly merge the estimated unknown surface. Existing extrapolation techniques produce non-smooth transitions from the true surface to the estimated surface, resulting in additional error and a less aesthetically pleasing result. The three extrapolation techniques evaluated were: copying and pasting of the surface estimate (non-smooth baseline), a feathering between the patient surface and surface estimate, and an estimate generated via a Thin Plate Spline trained from displacements between the surface estimate and corresponding vertices of the known patient surface. Feathering and Thin Plate Spline approaches both yielded smooth transitions. However, feathering corrupted known vertex values. Leave-one-out analyses were conducted, with 5% to 50% of known anatomy removed from the left-out patient and estimated via the proposed approaches. The Thin Plate Spline approach yielded smaller errors than the other two approaches, with an average vertex error improvement of 1.46 mm and 1.38 mm for the skull and mandible respectively, over the baseline approach.

  15. Identification of unknown sample using NAA, EDXRF, XRD techniques

    International Nuclear Information System (INIS)

    Dalvi, Aditi A.; Swain, K.K.; Chavan, Trupti; Remya Devi, P.S.; Wagh, D.N.; Verma, R.


    Analytical Chemistry Division (ACD), Bhabha Atomic Research Centre (BARC) receives samples from law enforcement agencies such as Directorate of Revenue Intelligence, Customs for analysis. Five unknown grey powdered samples were received for identification and were suspected to be Iridium (Ir). Identification of unknown sample is always a challenging task and suitable analytical techniques have to be judiciously utilized for arriving at the conclusion. Qualitative analysis was carried out using Jordan Valley, EX-3600 M Energy dispersive X-ray fluorescence (EDXRF) spectrometer at ACD, BARC. A SLP series LEO Si (Li) detector (active area: 30 mm 2 ; thickness: 3.5 mm; resolution: 140 eV at 5.9 keV of Mn K X-ray) was used during the measurement and only characteristic X-rays of Ir (Lα: 9.17 keV and Lβ: 10.70 keV) was seen in the X-ray spectrum. X-ray diffraction (XRD) measurement results indicated that the Ir was in the form of metal. To confirm the XRD data, neutron activation analysis (NAA) was carried out by irradiating samples and elemental standards (as comparator) in graphite reflector position of Advanced Heavy Water Reactor Critical Facility (AHWR CF) reactor, BARC, Mumbai. After suitable decay period, gamma activity measurements were carried out using 45% HPGe detector coupled to 8 k multi channel analyzer. Characteristic gamma line at 328.4 keV of the activation product 194 Ir was used for quantification of iridium and relative method of NAA was used for concentration calculations. NAA results confirmed that all the samples were Iridium metal. (author)

  16. The Birth of Shakespeare's Birthplace


    Schoch, Richard


    "There is, indeed, little doubt,” the formidable scholar James Orchard Halliwell-Phillipps confidently explained to the Victorian readers of his Outlines of the Life of Shakespeare, “that the Birth-place did not become one of the incentives for pilgrimage until public attention had been specially directed to it at the time of the Jubilee.” That's broadly true. The earliest reference to the three-gabled, half-timbered house (two houses, originally) on Henley Street in Stratford-upon-Avon as th...

  17. Birth of a new galaxy

    CERN Multimedia

    Rodgers, L


    Scientists using the Hubble telescope have been amazed by the number of stars being created in galaxy NGC 3310. But while some scientists are observing the birth of new stars, others are predicting the end of the universe. According to supersymmetry it is possible that the universe could spontaneously change to a state where the electric force is switched off, resulting in the disintegration of all matter. Called 'vacuum fluctuation', this event is even less likely than winning the lottery jackpot twice in the same day however (1/2 page).

  18. Low amniotic fluid index in high risk pregnancy and poor apgar score at birth

    International Nuclear Information System (INIS)

    Sultana, S.; Akhtar, K.A.K.


    To determine the accuracy of antepartum Amniotic Fluid Index (AFI) of 5 cm was labeled as predictor of good outcome at birth. The subjects in both the groups were demographically matched and fulfilled the inclusion and exclusion criteria. The Apgar score was calculated at 5 minutes of birth. The newborns, with Apgar score 6 were labeled as healthy. AFI was compared with Apgar score, using Chi-square and a p-value was calculated to determine the statistical significance. Sensitivity, specificity, efficiency and the predictive values of AFI at a cut off point of < 5 cm as a predictor of adverse outcome at birth (Apgar score of < 6 at 5 minutes of birth) in high-risk pregnancy were calculated. Only 8 neonates of 50 women with low AFI had low Apgar score. Similarly, 6 neonates of 50 women with normal AFI had poor Apgar score. The diagnostic sensitivity, specificity, positive predictive value, negative predictive value and efficiency of AFI as test were 57.1%, 51.3%, 16%, 88% and 52% respectively. Low AFI is a poor predictor of adverse outcome for high-risk term patients. AFI is not a good screening test for high-risk pregnant women at term for birth of an infant with low Apgar score. (author)

  19. Outcomes of independent midwifery attended births in birth centres and home births: a retrospective cohort study in Japan. (United States)

    Kataoka, Yaeko; Eto, Hiromi; Iida, Mariko


    the objective of this study was to describe and compare perinatal and neonatal outcomes of women who received care from independent midwives practicing home births and at birth centres in Tokyo. a retrospective cohort study. birth centres and homes serviced by independent midwives in Tokyo. of the 43 eligible independent midwives 19 (44%) (10 assisted birth at birth centres, nine assisted home birth) participated in the study. A total of 5477 women received care during their pregnancy and gave birth assisted by these midwives between 2001 and 2006. researchers conducted a retrospective chart review of women's individual data. Collected data included demographic characteristics, process of pregnancy and perinatal and neonatal outcomes. We also collected data about independent midwives and their practice. of the 5477 women, 83.9% gave birth at birth centres and 16.1% gave birth at home. The average age was 31.7 years old and the majority (70.6%) were multiparas. All women had vaginal spontaneous deliveries, with no vacuum, forceps or caesarean section interventions. No maternal fatalities were reported, nor were breech or multiple births. The average duration of the first and second stages of labour was 14.9 hours for primiparas and 6.2 hours for multiparas. Most women (97.1%) gave birth within 24 hours of membrane rupture. Maternal position during labour varied and family attended birth was common. The average blood loss was 371.3mL, while blood loss over 500mL was 22.6% and over 1000mL was 3.6%. Nearly 60% of women had intact perinea. There were few preterm births (0.6%) and post mature births (1.3%). Infant's average birth weight was 3126g and 0.5% were low-birthweight-infants, while 3.3% had macrosomia. Among primiparas, the birth centre group had more women experiencing an excess of 500mL blood loss compared to the home birth group (27.2% versus 17.6% respectively; RR 1.54; 95%CI 1.10 to 2.16). Multiparas delivering at birth centres were more likely to have a

  20. Birth outcome measures and prenatal exposure to 4-tert-octylphenol

    International Nuclear Information System (INIS)

    Lv, Shenliang; Wu, Chunhua; Lu, Dasheng; Qi, Xiaojuan; Xu, Hao; Guo, Jianqiu; Liang, Weijiu; Chang, XiuLi


    Exposure to 4-tert-octylphenol (tOP) has been linked with adverse health outcomes in animals and humans, while epidemiological studies about associations between prenatal exposure to tOP and fetal growth are extremely limited. We measured urinary tOP concentrations in 1100 pregnant women before their delivery, and examined whether tOP levels were associated with birth outcomes, including weight, length, head circumference and ponderal index at birth. tOP could be detected in all samples, and the median uncorrected and creatinine-corrected tOP concentrations were 0.90 μg/L (range from 0.25 to 20.05 μg/L) and 1.33 μg/g creatinine (range from 0.15 to 42.49 μg/g creatinine), respectively. Maternal urinary log-transformed tOP concentrations were significantly negatively associated with adjusted birth weight [β (g) = −126; 95% confidence interval (CI): −197, −55], birth length [β (cm) = −0.53; 95% CI:−0.93, −0.14], and head circumference [β (cm) = −0.30; 95% CI: −0.54, −0.07], respectively. Additionally, considering sex difference, these significant negative associations were also found among male neonates, while only higher maternal tOP concentrations were associated with a significant decrease in birth weight among female neonates. This study suggested significant negative associations between maternal urinary tOP concentrations and neonatal sizes at birth, and they differed by neonatal sex. Further epidemiological studies are required to more fully elaborate the associations between prenatal tOP exposure and birth outcomes. - Highlights: • We measured 4-tert-octylphenol (tOP) in urine from 1100 Chinese pregnant women. • The associations between maternal tOP levels and birth outcomes were investigated. • Prenatal exposure to tOP in the selected area was widespread at higher levels. • Maternal tOP levels were significantly negatively associated with birth sizes. • The associations between tOP and birth outcomes might

  1. Air pollution exposure during pregnancy and reduced birth size: a prospective birth cohort study in Valencia, Spain

    Directory of Open Access Journals (Sweden)

    Llop Sabrina


    Full Text Available Abstract Background Maternal exposure to air pollution has been related to fetal growth in a number of recent scientific studies. The objective of this study was to assess the association between exposure to air pollution during pregnancy and anthropometric measures at birth in a cohort in Valencia, Spain. Methods Seven hundred and eighty-five pregnant women and their singleton newborns participated in the study. Exposure to ambient nitrogen dioxide (NO2 was estimated by means of land use regression. NO2 spatial estimations were adjusted to correspond to relevant pregnancy periods (whole pregnancy and trimesters for each woman. Outcome variables were birth weight, length, and head circumference (HC, along with being small for gestational age (SGA. The association between exposure to residential outdoor NO2 and outcomes was assessed controlling for potential confounders and examining the shape of the relationship using generalized additive models (GAM. Results For continuous anthropometric measures, GAM indicated a change in slope at NO2 concentrations of around 40 μg/m3. NO2 exposure >40 μg/m3 during the first trimester was associated with a change in birth length of -0.27 cm (95% CI: -0.51 to -0.03 and with a change in birth weight of -40.3 grams (-96.3 to 15.6; the same exposure throughout the whole pregnancy was associated with a change in birth HC of -0.17 cm (-0.34 to -0.003. The shape of the relation was seen to be roughly linear for the risk of being SGA. A 10 μg/m3 increase in NO2 during the second trimester was associated with being SGA-weight, odds ratio (OR: 1.37 (1.01-1.85. For SGA-length the estimate for the same comparison was OR: 1.42 (0.89-2.25. Conclusions Prenatal exposure to traffic-related air pollution may reduce fetal growth. Findings from this study provide further evidence of the need for developing strategies to reduce air pollution in order to prevent risks to fetal health and development.

  2. CPAP of 4 cm H(2)O Has no short-term benefit at term in infants with BPD. (United States)

    Sandberg, Kenneth L; Hjalmarson, Ola


    Lung development and function is compromised at term in infants with bronchopulmonary dysplasia (BPD), characterized by reduced functional residual capacity (FRC) and impaired gas-mixing efficiency in distal airways. To determine whether continuous positive airway pressure (CPAP) improves FRC, ventilation, distal airway function, and gas exchange in spontaneously breathing infants with BPD. Twenty-one infants with BPD (median birth weight 0.72 kg (range 0.50-1.27) and median gestational age 26 weeks (range 23-28)) were studied before and after CPAP of 4 cm H(2)O was applied by a facemask system. A multiple-breath nitrogen washout method was used to assess FRC, ventilation, and gas-mixing efficiency. Moment analysis and lung clearance index was calculated from the nitrogen-decay curve for assessment of gas-mixing efficiency. Transcutaneous (Tc) PO(2)/PCO(2) was monitored during stable infant conditions before each washout test. When CPAP was raised from 0 to 4 cm H(2)O, FRC increased significantly together with a significant increase in moment ratios (M(1)/M(0) and M(2)/M(0)). Tc PO(2) decreased significantly and the breathing pattern changed, with significantly reduced respiratory rate, minute ventilation, and alveolar ventilation. There was also an increase in tidal volume and dead space. CPAP of 4 cm H(2)O applied with a facemask at term to infants with BPD did not improve ventilation, gas-mixing efficiency in distal airways, or oxygenation despite an increase in FRC. We speculate that instead of promoting recruitment of unventilated lung volumes, increasing the end-expiratory pressure in infants with BPD may lead to an overexpansion of already ventilated parts of the lung, causing further compromise of lung function. Copyright © 2012 S. Karger AG, Basel.

  3. Vicarious birth experiences and childbirth fear: does it matter how young canadian women learn about birth? (United States)

    Stoll, Kathrin; Hall, Wendy


    In our secondary analysis of a cross-sectional survey, we explored predictors of childbirth fear for young women (n = 2,676). Young women whose attitudes toward pregnancy and birth were shaped by the media were 1.5 times more likely to report childbirth fear. Three factors that were associated with reduced fear of birth were women's confidence in reproductive knowledge, witnessing a birth, and learning about pregnancy and birth through friends. Offering age-appropriate birth education during primary and secondary education, as an alternative to mass-mediated information about birth, can be evaluated as an approach to reduce young women's childbirth fear.

  4. [Psychological consequences of multiple births]. (United States)

    Garel, M; Charlemaine, E; Blondel, B


    Since the mid 1970s, the number of multiple births has dramatically increased in our country and most European countries. This paper summarizes the psychological consequences of multiple births based on a review of the literature and on our clinical experience. During pregnancy mothers experience great physical problems linked with increased medical risks for themselves and for the children. These risks cause psychological difficulties: hospitalisation and separation from the family, fear of a premature delivery and anxiety for the children. After delivery the children are often hospitalized, which makes the attachment process difficult. The mortality of multiple children is high and mourning for one child creates particular problems for parents who simultaneously face grieving and attachment processes. After hospital discharge, the overload of work mothers experience leads to physical and nervous fatigue, which does not make easier individual relationship with the children. Mothers have a high level of psychological vulnerability and an increased risk of depression. The satisfactory development of each twin or triplet child requires individualized relationship with his/her mother and his/her father. That is how he/she will be able to build his/her identity and future autonomy. It is important to be aware of the problems experienced by the families and to improve the way material help and psychological support are provided to them.

  5. Overview of Epidemiology, Genetics, Birth Defects, and Chromosome Abnormalities Associated With CDH (United States)

    Pober, Barbara R.


    Congenital diaphragmatic hernia (CDH) is a common and well-studied birth defect. The etiology of most cases remains unknown but increasing evidence points to genetic causation. The data supporting genetic etiologies which are detailed below include the association of CDH with recurring chromosome abnormalities, the existence of CDH-multiplex families, and the co-occurrence of CDH with additional congenital malformations. PMID:17436298

  6. Overview of epidemiology, genetics, birth defects, and chromosome abnormalities associated with CDH. (United States)

    Pober, Barbara R


    Congenital diaphragmatic hernia (CDH) is a common and well-studied birth defect. The etiology of most cases remains unknown but increasing evidence points to genetic causation. The data supporting genetic etiologies which are detailed below include the association of CDH with recurring chromosome abnormalities, the existence of CDH-multiplex families, and the co-occurrence of CDH with additional congenital malformations. (c) 2007 Wiley-Liss, Inc.

  7. The unknown-unknowns: Revealing the hidden insights in massive biomedical data using combined artificial intelligence and knowledge networks

    Directory of Open Access Journals (Sweden)

    Chris Yoo


    Full Text Available Genomic data is estimated to be doubling every seven months with over 2 trillion bases from whole genome sequence studies deposited in Genbank in just the last 15 years alone. Recent advances in compute and storage have enabled the use of artificial intelligence techniques in areas such as feature recognition in digital pathology and chemical synthesis for drug development. To apply A.I. productively to multidimensional data such as cellular processes and their dysregulation, the data must be transformed into a structured format, using prior knowledge to create contextual relationships and hierarchies upon which computational analysis can be performed. Here we present the organization of complex data into hypergraphs that facilitate the application of A.I. We provide an example use case of a hypergraph containing hundreds of biological data values and the results of several classes of A.I. algorithms applied in a popular compute cloud. While multiple, biologically insightful correlations between disease states, behavior, and molecular features were identified, the insights of scientific import were revealed only when exploration of the data included visualization of subgraphs of represented knowledge. The results suggest that while machine learning can identify known correlations and suggest testable ones, the greater probability of discovering unexpected relationships between seemingly independent variables (unknown-unknowns requires a context-aware system – hypergraphs that impart biological meaning in nodes and edges. We discuss the implications of a combined hypergraph-A.I. analysis approach to multidimensional data and the pre-processing requirements for such a system.

  8. Weight at birth and subsequent fecundability

    DEFF Research Database (Denmark)

    Wildenschild, Cathrine; Riis, Anders H; Ehrenstein, Vera


    OBJECTIVE: To examine the association between a woman's birth weight and her subsequent fecundability. METHOD: In this prospective cohort study, we included 2,773 Danish pregnancy planners enrolled in the internet-based cohort study "Snart-Gravid", conducted during 2007-2012. Participants were 18......-40 years old at study entry, attempting to conceive, and were not receiving fertility treatment. Data on weight at birth were obtained from the Danish Medical Birth Registry and categorized as birth weight...... was categorized according to z-scores for each gestational week at birth. Time-to-pregnancy measured in cycles was used to compute fecundability ratios (FR) and 95% confidence intervals (CI), using a proportional probabilities regression model. RESULTS: Relative to women with a birth weight of 3,000-3,999 grams...

  9. Birth Experience through an Existential Lens

    DEFF Research Database (Denmark)

    Prinds, Christina

    Background: The moment of birth is seen as a miracle, a journey and even a religious act. Research stress how giving birth might facilitate interference with previous conceptions of how to make meaning of life existentially. However, birth as an existential life transformative event, has been...... explored only briefly in empirical research. The aim of this study was two-fold: Firstly, to explore how first-time mothers experienced their first birth in relation to existential meaning-making. Secondly, to describe the relationship between considerations related to existential meaning-making and time...... of birth. Method: The study was based on a nationwide questionnaire, conducted among Danish first time mothers, who had given birth either preterm or full-term (n=517). The questionnaire consisted of 46 overall items. Eight core items were analysed in this study. Findings Preliminary findings show that new...

  10. Kriging with Unknown Variance Components for Regional Ionospheric Reconstruction

    Directory of Open Access Journals (Sweden)

    Ling Huang


    Full Text Available Ionospheric delay effect is a critical issue that limits the accuracy of precise Global Navigation Satellite System (GNSS positioning and navigation for single-frequency users, especially in mid- and low-latitude regions where variations in the ionosphere are larger. Kriging spatial interpolation techniques have been recently introduced to model the spatial correlation and variability of ionosphere, which intrinsically assume that the ionosphere field is stochastically stationary but does not take the random observational errors into account. In this paper, by treating the spatial statistical information on ionosphere as prior knowledge and based on Total Electron Content (TEC semivariogram analysis, we use Kriging techniques to spatially interpolate TEC values. By assuming that the stochastic models of both the ionospheric signals and measurement errors are only known up to some unknown factors, we propose a new Kriging spatial interpolation method with unknown variance components for both the signals of ionosphere and TEC measurements. Variance component estimation has been integrated with Kriging to reconstruct regional ionospheric delays. The method has been applied to data from the Crustal Movement Observation Network of China (CMONOC and compared with the ordinary Kriging and polynomial interpolations with spherical cap harmonic functions, polynomial functions and low-degree spherical harmonic functions. The statistics of results indicate that the daily ionospheric variations during the experimental period characterized by the proposed approach have good agreement with the other methods, ranging from 10 to 80 TEC Unit (TECU, 1 TECU = 1 × 1016 electrons/m2 with an overall mean of 28.2 TECU. The proposed method can produce more appropriate estimations whose general TEC level is as smooth as the ordinary Kriging but with a smaller standard deviation around 3 TECU than others. The residual results show that the interpolation precision of the

  11. Kriging with Unknown Variance Components for Regional Ionospheric Reconstruction. (United States)

    Huang, Ling; Zhang, Hongping; Xu, Peiliang; Geng, Jianghui; Wang, Cheng; Liu, Jingnan


    Ionospheric delay effect is a critical issue that limits the accuracy of precise Global Navigation Satellite System (GNSS) positioning and navigation for single-frequency users, especially in mid- and low-latitude regions where variations in the ionosphere are larger. Kriging spatial interpolation techniques have been recently introduced to model the spatial correlation and variability of ionosphere, which intrinsically assume that the ionosphere field is stochastically stationary but does not take the random observational errors into account. In this paper, by treating the spatial statistical information on ionosphere as prior knowledge and based on Total Electron Content (TEC) semivariogram analysis, we use Kriging techniques to spatially interpolate TEC values. By assuming that the stochastic models of both the ionospheric signals and measurement errors are only known up to some unknown factors, we propose a new Kriging spatial interpolation method with unknown variance components for both the signals of ionosphere and TEC measurements. Variance component estimation has been integrated with Kriging to reconstruct regional ionospheric delays. The method has been applied to data from the Crustal Movement Observation Network of China (CMONOC) and compared with the ordinary Kriging and polynomial interpolations with spherical cap harmonic functions, polynomial functions and low-degree spherical harmonic functions. The statistics of results indicate that the daily ionospheric variations during the experimental period characterized by the proposed approach have good agreement with the other methods, ranging from 10 to 80 TEC Unit (TECU, 1 TECU = 1 × 10 16 electrons/m²) with an overall mean of 28.2 TECU. The proposed method can produce more appropriate estimations whose general TEC level is as smooth as the ordinary Kriging but with a smaller standard deviation around 3 TECU than others. The residual results show that the interpolation precision of the new proposed

  12. Kriging with Unknown Variance Components for Regional Ionospheric Reconstruction (United States)

    Huang, Ling; Zhang, Hongping; Xu, Peiliang; Geng, Jianghui; Wang, Cheng; Liu, Jingnan


    Ionospheric delay effect is a critical issue that limits the accuracy of precise Global Navigation Satellite System (GNSS) positioning and navigation for single-frequency users, especially in mid- and low-latitude regions where variations in the ionosphere are larger. Kriging spatial interpolation techniques have been recently introduced to model the spatial correlation and variability of ionosphere, which intrinsically assume that the ionosphere field is stochastically stationary but does not take the random observational errors into account. In this paper, by treating the spatial statistical information on ionosphere as prior knowledge and based on Total Electron Content (TEC) semivariogram analysis, we use Kriging techniques to spatially interpolate TEC values. By assuming that the stochastic models of both the ionospheric signals and measurement errors are only known up to some unknown factors, we propose a new Kriging spatial interpolation method with unknown variance components for both the signals of ionosphere and TEC measurements. Variance component estimation has been integrated with Kriging to reconstruct regional ionospheric delays. The method has been applied to data from the Crustal Movement Observation Network of China (CMONOC) and compared with the ordinary Kriging and polynomial interpolations with spherical cap harmonic functions, polynomial functions and low-degree spherical harmonic functions. The statistics of results indicate that the daily ionospheric variations during the experimental period characterized by the proposed approach have good agreement with the other methods, ranging from 10 to 80 TEC Unit (TECU, 1 TECU = 1 × 1016 electrons/m2) with an overall mean of 28.2 TECU. The proposed method can produce more appropriate estimations whose general TEC level is as smooth as the ordinary Kriging but with a smaller standard deviation around 3 TECU than others. The residual results show that the interpolation precision of the new proposed

  13. Radiotherapy of metastatic neck nodes from an unknown primary site

    International Nuclear Information System (INIS)

    Park, I. K.; Yun, S. M.; Kim, J. C.


    This study was to evaluate survival, failure patterns, and prognostic factors of patients with metastatic neck nodes from an unknown primary site. A retrospective analysis was done for 35 patients with metastatic neck nodes from an unknown primary site who were treated with radiation from January 1986 to September 1994. There were 26 male and 9 female patients. Patients' age ranged from 41 to 74 years (median 58 years). Radiation therapy alone was done in 7 patients, induction chemotherapy and radiation therapy in 10, and postoperative radiation therapy in 18. Radiation therapy fields included both neck and pharyngeal axis, and total dose was 40-95.6Gy using 6MV X-ray. Chemotherapy consisted of 2 cycles of 5-fluorouracil and cisplatin. Surgical methods were a radical neck dissection in 17 patients and an excisional biopsy in 1 patient. Follow-up time ranged from 2 to 95 months, median 15 months. Overall and disease-free survival rate at 4 years were 33.4% and 33.9%, respectively. The factors associated with the overall survival rate were histologic type (adenocarcinoma vs. non-adenocarcinoma ), N stage, and the site of involved nodes. According to the treatment modality, 2-year survival rate was 14.3% in radiation therapy alone group, 35.8% in induction chemotherapy and radiation therapy, and 37.5% in postoperative radiation therapy, which might be due to the difference of N stage distribution. Local failure was noted in 7 patients, distant metastases in 6, local failure and distant metastases in 1. Excluding the 7 patients with supraclavicular lymph node metastases alone, 28%(7/25) of the patients had distant metastases. During the follow-up period, 11%(3/35) of the patients showed a delayed primary site, 1 in oral cavity, 1 in nasopharynx and 1 in hypopharynx. N stage, the site of involved node, and histologic type were associated with survival rate. In patients with advanced N stage, curative rather than inductive chemotherapy is needed because combined surgery

  14. An Overview of the Experimental 50-cm Laser Ramjet (X-50LR) Program (Postprint)

    National Research Council Canada - National Science Library

    Mead, Jr., Franklin B; Larson, C. W; Knecht, Sean D


    In January 2001, the X-50LR program was initiated to scale the Lightcraft concept ultimately to a 50-cm focal diameter, and to launch a 50 cm, fully functional vehicle, into space in either a sounding...

  15. An Overview of the Experimental 50-cm Laser Ramjet (X-50LR) Program

    National Research Council Canada - National Science Library

    Mead, Jr., Franklin B; Larson, C. W; Knecht, Sean D


    In January 2001, the X-50LR program was initiated to scale the Lightcraft concept ultimately to a 50-cm focal diameter, and to launch a 50 cm, fully functional vehicle, into space in either a sounding...

  16. The return of the Traditional Birth Attendant

    Directory of Open Access Journals (Sweden)

    Karen Lane


    Full Text Available Sub–Saharan Africa and Southern Asia lag behind other regions in the provision of antenatal care and skilled attendance at birth (although typically attended by a family member or villager and over 32 million of the 40 million births not attended by skilled health personnel in 2012 occurred in rural areas. Overall, one–quarter of women in developing nations still birth alone or with a relative to assist them.

  17. Home birth matters-for all women. (United States)

    Armstrong, Elizabeth Mitchell


    Although it remains rare in the United States, planned home birth has drawn increasing attention and criticism in the mainstream media and has come under attack from organized medicine. Yet, recent peer-reviewed studies contribute to the evidence base supporting home birth as a safe option for low-risk women attended by skilled midwives. The author of this editorial argues that home birth is an important cultural touchstone in the landscape of American maternity care.

  18. The impact of prenatal vitamin A and zinc supplementation on birth size and neonatal survival - a double-blind, randomized controlled trial in a rural area of Indonesia. (United States)

    Prawirohartono, Endy P; Nyström, Lennarth; Nurdiati, Detty S; Hakimi, Mohammad; Lind, Torbjörn


    Prenatal supplementation with micronutrients may increase birth weight and thus improve infant health and survival in settings where infants and children are at risk of micronutrient deficiencies. To assess whether vitamin A and/or zinc supplementation given during pregnancy can improve birth weight, birth length, neonatal morbidity, or infant mortality. A double-blind, randomized controlled trial supplementing women (n = 2173) in Central Java, Indonesia throughout pregnancy with vitamin A, zinc, combined vitamin A+zinc, or placebo. Out of 2173 supplemented pregnant women, 1956 neonates could be evaluated. Overall, zinc supplementation improved birth length compared to placebo or combined vitamin A+zinc (48.8 vs. 48.5 cm, p = 0.04); vitamin A supplementation improved birth length compared to placebo or combined vitamin A+zinc (48.7 vs. 48.2 cm, p = 0.04). These effects remained after adjusting for maternal height, pre-pregnancy weight, and parity. There was no effect of supplementation on birth weight, the proportion of low birth weight, neonatal morbidity, or mortality. Prenatal zinc or vitamin A supplementation demonstrates a small but significant effect on birth length, but supplementation with zinc, vitamin A or a combination of zinc and vitamin A, have no effect on birth weight, neonatal morbidity, or mortality.

  19. Above-threshold structure in {sup 244}Cm neutron-induced fission cross section

    Energy Technology Data Exchange (ETDEWEB)

    Maslov, V.M. [Radiation Physics and Chemistry Problems Inst., Minsk-Sosny (Belarus)


    The quasi-resonance structure appearing above the fission threshold in neutron-induced fission cross section of {sup 244}Cm(n,f) is interpreted. It is shown to be due to excitation of few-quasiparticle states in fissioning {sup 245}Cm and residual {sup 244}Cm nuclides. The estimate of quasiparticle excitation thresholds in fissioning nuclide {sup 245}Cm is consistent with pairing gap and fission barrier parameters. (author)

  20. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen


    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together with a f......A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...... with a fast acting effect on fish oil....

  1. [Risk factors of birth obstetric trauma]. (United States)

    Murguía-González, Alejandrina; Hernández-Herrera, Ricardo Jorge; Nava-Bermea, Manuel


    The proper prenatal care for pregnant women is crucial to quickly identify risk factors for birth trauma. To identify risk factors for neonatal birth trauma. Case-control study that included a patient in the case group for every two controls. The following risk factors were identified: cephalopelvic disproportion, macrosomia, use of forceps, precipitated or prolonged labor, malpresentation, and the most common types of birth trauma. We used descriptive statistics and odds ratios. Statistically significant risk factors for birth trauma were: maternal age or = 30 years (OR = 2.5), first pregnancy (OR = 4.0), cephalopelvic disproportion (OR = 8.3), forceps delivery (OR = 9.4), birth weight greater than 3,800 g (OR = 6.6), and non-cephalic presentation (OR = 8.3). Found birth trauma types were: ecchymosis (40.4%), caput succedaneum (25%), erosion (15.4%), clavicle fracture (5.9%), brachial plexus paralysis (4.7%), inter alia. The perinatal outcome of 79 infants with birth trauma were compared to 158 healthy newborns. Risk factors associated with birth injuries were: Maternal (age, pregnancy), newborn (weight), and birth care (presentation, instrumentation and pelvic sufficiency).

  2. Birth order and health of newborns

    DEFF Research Database (Denmark)

    Brenøe, Anne Ardila; Molitor, Ramona


    We examine birth order differences in health of newborns and follow the children throughout childhood using high-quality administrative data on individuals born in Denmark between 1981 and 2010. Family fixed effects models show a positive and robust effect of birth order on health at birth......; firstborn children are less healthy at birth. During earlier pregnancies, women are more likely to smoke, receive more prenatal care, and are more likely to suffer a medical pregnancy complication, suggesting worse maternal health. We further show that the health disadvantage of firstborns persists...

  3. Maternal race and intergenerational preterm birth recurrence. (United States)

    Smid, Marcela C; Lee, Jong Hyung; Grant, Jacqueline H; Miles, Gandarvaka; Stoddard, Gregory J; Chapman, Derek A; Manuck, Tracy A


    Preterm birth is a complex disorder with a heritable genetic component. Studies of primarily White women born preterm show that they have an increased risk of subsequently delivering preterm. This risk of intergenerational preterm birth is poorly defined among Black women. Our objective was to evaluate and compare intergenerational preterm birth risk among non-Hispanic Black and non-Hispanic White mothers. This was a population-based retrospective cohort study, using the Virginia Intergenerational Linked Birth File. All non-Hispanic Black and non-Hispanic White mothers born in Virginia 1960 through 1996 who delivered their first live-born, nonanomalous, singleton infant ≥20 weeks from 2005 through 2009 were included. We assessed the overall gestational age distribution between non-Hispanic Black and White mothers born term and preterm (preterm (preterm birth, 34-36 weeks; and early preterm birth, preterm birth among all eligible births; and (2) suspected spontaneous preterm birth among births to women with medical complications (eg, diabetes, hypertension, preeclampsia and thus higher risk for a medically indicated preterm birth). Multivariable logistic regression was used to estimate odds of preterm birth and spontaneous preterm birth by maternal race and maternal gestational age after adjusting for confounders including maternal education, maternal age, smoking, drug/alcohol use, and infant gender. Of 173,822 deliveries captured in the intergenerational birth cohort, 71,676 (41.2%) women met inclusion criteria for this study. Of the entire cohort, 30.0% (n = 21,467) were non-Hispanic Black and 70.0% were non-Hispanic White mothers. Compared to non-Hispanic White mothers, non-Hispanic Black mothers were more likely to have been born late preterm (6.8% vs 3.7%) or early preterm (2.8 vs 1.0%), P preterm were not at an increased risk of early or late preterm delivery compared to non-Hispanic White mothers born term. The risk of early preterm birth was most

  4. Chronic kidney disease of unknown etiology in Sri Lanka. (United States)

    Rajapakse, Senaka; Shivanthan, Mitrakrishnan Chrishan; Selvarajah, Mathu


    In the last two decades, chronic kidney disease of unknown etiology (CKDu) has emerged as a significant contributor to the burden of chronic kidney disease (CKD) in rural Sri Lanka. It is characterized by the absence of identified causes for CKD. The prevalence of CKDu is 15.1-22.9% in some Sri Lankan districts, and previous research has found an association with farming occupations. A systematic literature review in Pubmed, Embase, Scopus, and Lilacs databases identified 46 eligible peer-reviewed articles and one conference abstract. Geographical mapping indicates a relationship between CKDu and agricultural irrigation water sources. Health mapping studies, human biological studies, and environment-based studies have explored possible causative agents. Most studies focused on likely causative agents related to agricultural practices, geographical distribution based on the prevalence and incidence of CKDu, and contaminants identified in drinking water. Nonetheless, the link between agrochemicals or heavy metals and CKDu remains to be established. No definitive cause for CKDu has been identified. Evidence to date suggests that the disease is related to one or more environmental agents, however pinpointing a definite cause for CKDu is challenging. It is plausible that CKDu is multifactorial. No specific guidelines or recommendations exist for treatment of CKDu, and standard management protocols for CKD apply. Changes in agricultural practices, provision of safe drinking water, and occupational safety precautions are recommended by the World Health Organization.

  5. Familial clustering of Leiomyomatosis peritonealis disseminata: an unknown genetic syndrome?

    Directory of Open Access Journals (Sweden)

    Daboul Isam


    Full Text Available Abstract Background Leiomyomatosis peritonealis disseminata (LPD is defined as the occurrence of multiple tumorous intraabdominal lesions, which are myomatous nodules. LPD is a rare disease with only about 100 cases reported. The usual course of LPD is benign with the majority of the patients being premenopausal females. Only two cases involving men have been reported, no syndrome or familial occurrence of LPD has been described. Case presentation We describe a Caucasian-American family in which six members (three men are diagnosed with Leiomyomatosis peritonealis disseminata (LPD and three deceased family members most likely had LPD (based on the autopsy reports. Furthermore we describe the association of LPD with Raynaud's syndrome and Prurigo nodularis. Conclusion Familial clustering of Leiomyomatosis peritonealis disseminata (LPD has not been reported so far. The etiology of LPD is unknown and no mode of inheritance is known. We discuss possible modes of inheritance in the presented case, taking into account the possibility of a genetic syndrome. Given the similarity to other genetic syndromes with leiomyomatosis and skin alterations, we describe possible similar genetic pathomechanisms.

  6. Systemic treatment of cancer of unknown primary origin

    International Nuclear Information System (INIS)

    Reckova, M.


    Cancer of unknown primary origin (CUP) comprises a heterogenous group of cancers with distinct biology and prognosis. There is, however, a specific group of patients with curable diseases, or incurable diseases with good prognosis. The main aim of treatment in the group of patients with CUP is timely initiation of therapy in the cases of curable disease. There is no known standard of care in the cases of CUP with poor prognosis, but most frequently, platinum-based regimens are used. In the cases of specific immunohistochemistry (IHC) or molecular gene expression profile, there are used the treatment regimens similar to those used in the patients with known primary tumor and similar IHC or molecular profile. Currently, most of data in patients with CUP are from phase II clinical trials. Thus proficiently designed phase III randomized clinical trials with translation research is priority, with aim to improve our knowledge and personalize treatment of such heterogenous group of patients as is a group of patients with CUP. (author)

  7. Radiotherapeutic concepts in cancer of unknown primary site

    International Nuclear Information System (INIS)

    Krug, D.; Debus, J.; Sterzing, F.


    The term cancer of unknown primary (CUP) encompasses a group of entities which differ to a great extent regarding etiology, prognosis and therapeutic management. The aim of the study was an elaboration of the role of radiotherapy in CUP syndrome. Systematic literature search and specification of the available treatment options. Radiotherapy is an integral part of interdisciplinary management approaches for patients with CUP in both curative and palliative situations. Radio-oncological techniques, such as intensity-modulated radiotherapy and stereotactic body radiotherapy increase the therapeutic window. Modern diagnostic modalities from radiology and nuclear medicine are the cornerstone of radiotherapeutic interventions, especially in terms of target volume definition and pretherapeutic staging. In the interdisciplinary setting radiation oncology offers the possibility of curative and often organ preserving approaches in patients with axillary and cervical CUP. In addition, improvement and preservation of quality of life can be achieved in patients with metastatic disease. Radiation oncology is a crucial component of the interdisciplinary management of patients with CUP. Therapeutic decisions in patients with CUP should be made in an interdisciplinary setting. (orig.) [de

  8. Exploration for Agents with Different Personalities in Unknown Environments (United States)

    Doumit, Sarjoun; Minai, Ali

    We present in this paper a personality-based architecture (PA) that combines elements from the subsumption architecture and reinforcement learning to find alternate solutions for problems facing artificial agents exploring unknown environments. The underlying PA algorithm is decomposed into layers according to the different (non-contiguous) stages that our agent passes in, which in turn are influenced by the sources of rewards present in the environment. The cumulative rewards collected by an agent, in addition to its internal composition serve as factors in shaping its personality. In missions where multiple agents are deployed, our solution-goal is to allow each of the agents develop its own distinct personality in order for the collective to reach a balanced society, which then can accumulate the largest possible amount of rewards for the agent and society as well. The architecture is tested in a simulated matrix world which embodies different types of positive rewards and negative rewards. Varying experiments are performed to compare the performance of our algorithm with other algorithms under the same environment conditions. The use of our architecture accelerates the overall adaptation of the agents to their environment and goals by allowing the emergence of an optimal society of agents with different personalities. We believe that our approach achieves much efficient results when compared to other more restrictive policy designs.

  9. Physics at 13 TeV: CMS - scanning the unknown

    CERN Document Server

    Antonella Del Rosso


    CMS is getting ready to use its accurate detector to scan the many ripples of the unknown physics that may lie beyond the Standard Model. Foremost in everyone’s mind is the search for signs of the production of dark matter at a man-made machine.   Interestingly, the observation of dark matter or new weakly interacting particles implies detecting that some energy has escaped, i.e. it’s missing from the upcoming proton collisions at the LHC. This is why measuring and understanding “missing energy” will be a very important step in that direction. “A large amount of missing energy is the signature for many processes of physics beyond the Standard Model. However, it’s not the only interesting signature that we will be able to exploit when the new collision energy is available,” explains Luca Malgeri, CMS Physics Coordinator. Among the interesting things not associated with missing energy are high-mass resonanc...

  10. Developing Probabilistic Safety Performance Margins for Unknown and Underappreciated Risks (United States)

    Benjamin, Allan; Dezfuli, Homayoon; Everett, Chris


    Probabilistic safety requirements currently formulated or proposed for space systems, nuclear reactor systems, nuclear weapon systems, and other types of systems that have a low-probability potential for high-consequence accidents depend on showing that the probability of such accidents is below a specified safety threshold or goal. Verification of compliance depends heavily upon synthetic modeling techniques such as PRA. To determine whether or not a system meets its probabilistic requirements, it is necessary to consider whether there are significant risks that are not fully considered in the PRA either because they are not known at the time or because their importance is not fully understood. The ultimate objective is to establish a reasonable margin to account for the difference between known risks and actual risks in attempting to validate compliance with a probabilistic safety threshold or goal. In this paper, we examine data accumulated over the past 60 years from the space program, from nuclear reactor experience, from aircraft systems, and from human reliability experience to formulate guidelines for estimating probabilistic margins to account for risks that are initially unknown or underappreciated. The formulation includes a review of the safety literature to identify the principal causes of such risks.

  11. Fever in Children and Fever of Unknown Origin. (United States)

    Dayal, Rajeshwar; Agarwal, Dipti


    Fever is the most common symptom in children and can be classified as fever with or without focus. Fever without focus can be less than 7 d and is subclassified as fever without localizing signs and fever of unknown origin (FUO). FUO is defined as a temperature greater than 38.3 °C, for more than 3 wk or failure to reach a diagnosis after 1 wk of inpatient investigations. The most common causes of FUO in children are infections, connective tissue disorders and neoplasms. Infectious diseases most commonly implicated in children with FUO are salmonellosis, tuberculosis, malaria and rickettsial diseases. Juvenile rheumatic arthritis is the connective tissue disease frequently associated with FUO. Malignancy is the third largest group responsible for FUO in children. Diagnostic approach of FUO includes detailed history and examination supported with investigations. Age, history of contact, exposure to wild animals and medications should be noted. Examination should include, apart from general appearance, presence of sweating, rashes, tonsillitis, sinusitis and lymph node enlargement. Other signs such as abdominal tenderness and hepatosplenomegly should be looked for. The muscles and bones should be carefully examined for connective tissue disorders. Complete blood count, blood smear examination and level of acute phase reactants should be part of initial investigations. Radiological imaging is useful aid in diagnosing FUO. Trials of antimicrobial agents should not be given as they can obscure the diagnosis of the disease in FUO.

  12. Fever of unknown origin: Most frequent causes in adults patients. (United States)

    Popovska-Jovicić, Biljana; Canović, Predrag; Gajović, Olgica; Raković, Ivana; Mijailović, Zeljko


    The differential diagnosis of fever of unknown origin (FUO) includes more than 200 different diseases and conditions. The aim of this study was to identify the most frequent causes of FUO among adult patients according to gender and age. The study included 74 patients examined from June 2010 to June 2013 at the Infectious Disease Clinic, Clinical Center Kragujevac in Serbia, according to the defined criteria for FUO. The patients were divided according to the diagnosis into four groups: infectious, malignant, rheumatic and "other diseases". A cause of febricity could not be estabilshed in a portion of subjects, and they comprised the group of undiagnosed cases. Infectious diseases were dominant in the study, followed by rheumatic diseases, which were most frequently found in women and the elderly. The diseases recognised as the most common causes of febricity were subacute thyroiditis, subacute endocarditis, Still's disease, rheumatic polymyalgia with or without temporal arteritis, and cytomegalovirus infection. In 44% of the patients, the final diagnosis was composed of only six clinical entities. The importance of establishing the diagnosis of rheumatic disease is especially emphasised, in line with other authors' research indicating the number of these diseases is on the rise. The diagnostic approach to FUO should always be directed to the known frequency of diseases.

  13. Investigation of cervical lymph node metastasis from primary unknown carcinoma

    International Nuclear Information System (INIS)

    Sagawa, Kosuke; Terada, Tomonori; Saeki, Nobuo; Uwa, Nobuhiro; Mohri, Takeshi; Sakagami, Masafumi


    We retrospectively evaluated 41 patients with metastatic cervical tumors from unknown primary sites at the Hyogo College of Medicine between 1997 and 2007. The N stage classification of cervical lymph nodes was: N1 in 3 cases, N2a in 10 cases, N2b in 10 cases, N2c in 4 cases, and N3 in 14 cases. The histopathological diagnoses of cervical lymph node were: squamous cell carcinoma in 33 cases, adenocarcinoma in 5 cases, undifferentiated carcinoma in 2 cases, and papillary carcinoma in 1 cases. Primary tumor sites were: tonsil in 5 cases, esophaguses in 2 cases, hypopharynxies in 2 cases, and thyroid, oral floor, submandibular gland, lung, gastric and colon in 1 case each. The useful tests were gastric endoscope, positron emission tomography-computed tomography (PET-CT), and blind biopsy of tonsil. We treated 24 of the 41 patients. Therapies were: neck dissection with postoperative radiation therapy in 11 cases, neck dissection alone in 1 case, only radiation or chemoradiation therapy alone in 8 cases, and chemotherapy alone in 4 cases. The 5-year survival rate was 40.1% in all cases and 81.5% in cases who underwent neck dissection. (author)

  14. Recursive confidence band construction for an unknown distribution function. (United States)

    Kiatsupaibul, Seksan; Hayter, Anthony J


    Given a sample X1,...,Xn of independent observations from an unknown continuous distribution function F, the problem of constructing a confidence band for F is considered, which is a fundamental problem in statistical inference. This confidence band provides simultaneous inferences on all quantiles and also on all of the cumulative probabilities of the distribution, and so they are among the most important inference procedures that address the issue of multiplicity. A fully nonparametric approach is taken where no assumptions are made about the distribution function F. Historical approaches to this problem, such as Kolmogorov's famous () procedure, represent some of the earliest inference methodologies that address the issue of multiplicity. This is because a confidence band at a given confidence level 1-α allows inferences on all of the quantiles of the distribution, and also on all of the cumulative probabilities, at that specified confidence level. In this paper it is shown how recursive methodologies can be employed to construct both one-sided and two-sided confidence bands of various types. The first approach operates by putting bounds on the cumulative probabilities at the data points, and a recursive integration approach is described. The second approach operates by providing bounds on certain specified quantiles of the distribution, and its implementation using recursive summations of multinomial probabilities is described. These recursive methodologies are illustrated with examples, and R code is available for their implementation. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  15. Kidnapping Detection and Recognition in Previous Unknown Environment

    Directory of Open Access Journals (Sweden)

    Yang Tian


    Full Text Available An unaware event referred to as kidnapping makes the estimation result of localization incorrect. In a previous unknown environment, incorrect localization result causes incorrect mapping result in Simultaneous Localization and Mapping (SLAM by kidnapping. In this situation, the explored area and unexplored area are divided to make the kidnapping recovery difficult. To provide sufficient information on kidnapping, a framework to judge whether kidnapping has occurred and to identify the type of kidnapping with filter-based SLAM is proposed. The framework is called double kidnapping detection and recognition (DKDR by performing two checks before and after the “update” process with different metrics in real time. To explain one of the principles of DKDR, we describe a property of filter-based SLAM that corrects the mapping result of the environment using the current observations after the “update” process. Two classical filter-based SLAM algorithms, Extend Kalman Filter (EKF SLAM and Particle Filter (PF SLAM, are modified to show that DKDR can be simply and widely applied in existing filter-based SLAM algorithms. Furthermore, a technique to determine the adapted thresholds of metrics in real time without previous data is presented. Both simulated and experimental results demonstrate the validity and accuracy of the proposed method.

  16. Crowdsourcing the unknown: the satellite search for Genghis Khan.

    Directory of Open Access Journals (Sweden)

    A Y M Lin

    Full Text Available Massively parallel collaboration and emergent knowledge generation is described through a large scale survey for archaeological anomalies within ultra-high resolution earth-sensing satellite imagery. Over 10K online volunteers contributed 30K hours (3.4 years, examined 6,000 km², and generated 2.3 million feature categorizations. Motivated by the search for Genghis Khan's tomb, participants were tasked with finding an archaeological enigma that lacks any historical description of its potential visual appearance. Without a pre-existing reference for validation we turn towards consensus, defined by kernel density estimation, to pool human perception for "out of the ordinary" features across a vast landscape. This consensus served as the training mechanism within a self-evolving feedback loop between a participant and the crowd, essential driving a collective reasoning engine for anomaly detection. The resulting map led a National Geographic expedition to confirm 55 archaeological sites across a vast landscape. A increased ground-truthed accuracy was observed in those participants exposed to the peer feedback loop over those whom worked in isolation, suggesting collective reasoning can emerge within networked groups to outperform the aggregate independent ability of individuals to define the unknown.

  17. How to know unknown fungi: the role of a herbarium. (United States)

    Brock, Patrick M; Döring, Heidi; Bidartondo, Martin I


    The development of a universal approach to the identification of fungi from the environment is impeded by the limited number and narrow phylogenetic range of the named internal transcribed spacer DNA sequences available on GenBank. The goal here was to assess the potential impact of systematic DNA sequencing from a fungal herbarium collection. DNA sequences were generated from a diverse set of 279 specimens deposited at the fungal herbarium of the Royal Botanic Gardens at Kew (UK) and bioinformatic analyses were used to study their overlap with the public database. It is estimated that c. 70% of the herbarium taxonomic diversity is not yet represented in GenBank and that a further c. 10% of our sequences match solely to 'environmental samples' or fungi otherwise unidentified. Here it is shown that the unsampled diversity residing in fungal herbaria can substantially enlarge the coverage of GenBank's fully identified sequence pool to ameliorate the problem of environmental unknowns and to aid in the detection of truly novel fungi by molecular data.

  18. Ultrastructural mitochondrial alterations in equine myopathies of unknown origin. (United States)

    Van Driessche, K; Ducatelle, R; Chiers, K; Van Coster, R; van der Kolk, J H; van der Kolk, H


    Very few mitochondrial myopathies have been described in horses. To examine the ultrastructure of muscle mitochondria in equine cases of myopathy of unknown origin. Biopsies of vastus lateralis of the Musculus quadriceps femoris were taken predominantly immediately post mortem and processed for transmission electron microscopy. As a result, electron micrographs of 90 horses in total were available for analysis comprising 4 control horses, 16 horses suffering from myopathy and 70 otherwise diseased horses. Following a thorough clinical and laboratory work-up, four out of five patients that did not fit into the usual algorithm to detect known causes of myopathy showed ultrastructural mitochondrial alterations. Small mitochondria with zones with complete disruption of cristae associated with lactic acidemia were detected in a 17-year-old pony mare, extremely long and slender mitochondria with longitudinal cristae in a 5-year-old Quarter horse stallion, a mixture of irregular extremely large mitochondria (measuring 2500 by 800 nm) next to smaller ones in an 8-year-old Hanoverian mare and round mitochondria with only few cristae in a 11-year-old pony gelding. It remains uncertain whether the subsarcolemmal mitochondrial accumulations observed in the fifth patient have any pathological significance. Ultrastructural alterations in mitochondria were detected in at least four horses. To conclude that these are due to mitochondrial dysfuntions, biochemical tests should be performed. The possibility of a mitochondrial myopathy should be included in the differential diagnosis of muscle weakness.

  19. Challenges of the Unknown: Clinical Application of Microbial Metagenomics

    Directory of Open Access Journals (Sweden)

    Graham Rose


    Full Text Available Availability of fast, high throughput and low cost whole genome sequencing holds great promise within public health microbiology, with applications ranging from outbreak detection and tracking transmission events to understanding the role played by microbial communities in health and disease. Within clinical metagenomics, identifying microorganisms from a complex and host enriched background remains a central computational challenge. As proof of principle, we sequenced two metagenomic samples, a known viral mixture of 25 human pathogens and an unknown complex biological model using benchtop technology. The datasets were then analysed using a bioinformatic pipeline developed around recent fast classification methods. A targeted approach was able to detect 20 of the viruses against a background of host contamination from multiple sources and bacterial contamination. An alternative untargeted identification method was highly correlated with these classifications, and over 1,600 species were identified when applied to the complex biological model, including several species captured at over 50% genome coverage. In summary, this study demonstrates the great potential of applying metagenomics within the clinical laboratory setting and that this can be achieved using infrastructure available to nondedicated sequencing centres.

  20. Overfitting Bayesian Mixture Models with an Unknown Number of Components.

    Directory of Open Access Journals (Sweden)

    Zoé van Havre

    Full Text Available This paper proposes solutions to three issues pertaining to the estimation of finite mixture models with an unknown number of components: the non-identifiability induced by overfitting the number of components, the mixing limitations of standard Markov Chain Monte Carlo (MCMC sampling techniques, and the related label switching problem. An overfitting approach is used to estimate the number of components in a finite mixture model via a Zmix algorithm. Zmix provides a bridge between multidimensional samplers and test based estimation methods, whereby priors are chosen to encourage extra groups to have weights approaching zero. MCMC sampling is made possible by the implementation of prior parallel tempering, an extension of parallel tempering. Zmix can accurately estimate the number of components, posterior parameter estimates and allocation probabilities given a sufficiently large sample size. The results will reflect uncertainty in the final model and will report the range of possible candidate models and their respective estimated probabilities from a single run. Label switching is resolved with a computationally light-weight method, Zswitch, developed for overfitted mixtures by exploiting the intuitiveness of allocation-based relabelling algorithms and the precision of label-invariant loss functions. Four simulation studies are included to illustrate Zmix and Zswitch, as well as three case studies from the literature. All methods are available as part of the R package Zmix, which can currently be applied to univariate Gaussian mixture models.

  1. Overfitting Bayesian Mixture Models with an Unknown Number of Components. (United States)

    van Havre, Zoé; White, Nicole; Rousseau, Judith; Mengersen, Kerrie


    This paper proposes solutions to three issues pertaining to the estimation of finite mixture models with an unknown number of components: the non-identifiability induced by overfitting the number of components, the mixing limitations of standard Markov Chain Monte Carlo (MCMC) sampling techniques, and the related label switching problem. An overfitting approach is used to estimate the number of components in a finite mixture model via a Zmix algorithm. Zmix provides a bridge between multidimensional samplers and test based estimation methods, whereby priors are chosen to encourage extra groups to have weights approaching zero. MCMC sampling is made possible by the implementation of prior parallel tempering, an extension of parallel tempering. Zmix can accurately estimate the number of components, posterior parameter estimates and allocation probabilities given a sufficiently large sample size. The results will reflect uncertainty in the final model and will report the range of possible candidate models and their respective estimated probabilities from a single run. Label switching is resolved with a computationally light-weight method, Zswitch, developed for overfitted mixtures by exploiting the intuitiveness of allocation-based relabelling algorithms and the precision of label-invariant loss functions. Four simulation studies are included to illustrate Zmix and Zswitch, as well as three case studies from the literature. All methods are available as part of the R package Zmix, which can currently be applied to univariate Gaussian mixture models.

  2. CM5: A pre-Swarm magnetic field model based upon the comprehensive modeling approach

    DEFF Research Database (Denmark)

    Sabaka, T.; Olsen, Nils; Tyler, Robert


    We have developed a model based upon the very successful Comprehensive Modeling (CM) approach using recent CHAMP, Ørsted, SAC-C and observatory hourly-means data from September 2000 to the end of 2013. This CM, called CM5, was derived from the algorithm that will provide a consistent line of Leve...

  3. Size at birth and preterm birth in women with lifetime eating disorders

    DEFF Research Database (Denmark)

    Micali, N.; Larsen, P. Stemann; Strandberg-Larsen, K.


    OBJECTIVE: To investigate whether eating disorders are associated with lower size at birth, symmetric growth restriction, and preterm birth; and whether pregnancy smoking explains the association between anorexia nervosa and fetal growth. DESIGN: Longitudinal population-based cohort study. SETTING...

  4. Paternal occupation and birth defects: findings from the National Birth Defects Prevention Study.

    NARCIS (Netherlands)

    Desrosiers, T.A.; Herring, A.H.; Shapira, S.K.; Hooiveld, M.; Luben, T.J.; Herdt-Losavio, M.L.; Lin, S.; Olshan, A.F.


    Objectives: Several epidemiological studies have suggested that certain paternal occupations may be associated with an increased prevalence of birth defects in offspring. Using data from the National Birth Defects Prevention Study, the authors investigated the association between paternal occupation

  5. Biomarkers of spontaneous preterm birth

    DEFF Research Database (Denmark)

    Polettini, Jossimara; Cobo, Teresa; Kacerovsky, Marian


    predictors of pregnancy outcome. This systematic review was conducted to synthesize the knowledge on PTB biomarkers identified using multiplex analysis. Three electronic databases (PubMed, EMBASE and Web of Science) were searched for studies in any language reporting the use of multiplex assays for maternal......Despite decades of research on risk indicators of spontaneous preterm birth (PTB), reliable biomarkers are still not available to screen or diagnose high-risk pregnancies. Several biomarkers in maternal and fetal compartments have been mechanistically linked to PTB, but none of them are reliable......) followed by MIP-1β, GM-CSF, Eotaxin, and TNF-RI (two studies) were reported more than once in maternal serum. However, results could not be combined due to heterogeneity in type of sample, study population, assay, and analysis methods. By this systematic review, we conclude that multiplex assays...

  6. Alcohol Taxes and Birth Outcomes

    Directory of Open Access Journals (Sweden)

    Ning Zhang


    Full Text Available This study examines the relationships between alcohol taxation, drinking during pregnancy, and infant health. Merged data from the US Natality Detailed Files, as well as the Behavioral Risk Factor Surveillance System (1985–2002, data regarding state taxes on beer, wine, and liquor, a state- and year-fixed-effect reduced-form regression were used. Results indicate that a one-cent ($0.01 increase in beer taxes decreased the incidence of low-birth-weight by about 1–2 percentage points. The binge drinking participation tax elasticity is −2.5 for beer and wine taxes and −9 for liquor taxes. These results demonstrate the potential intergenerational impact of increasing alcohol taxes.

  7. Detectability of 21cm-signal during the Epoch of Reionization with 21cm-Lyman-$\\alpha$ emitter cross-correlation. I


    Kubota, Kenji; Yoshiura, Shintaro; Takahashi, Keitaro; Hasegawa, Kenji; Yajima, Hidenobu; Ouchi, Masami; Pindor, B.; Webster, R. L.


    Detection of the redshifted 21cm-line signal from neutral hydrogen in the intergalactic medium (IGM) during the Epoch of Reionization (EoR) is complicated by intense foregrounds such as galactic synchrotron and extragalactic radio galaxies. The 21cm-Lyman-$\\alpha$ emitter(LAE) cross-correlation is one of the tools available to reduce the foregrounds because the foreground emission from such radio sources is statistically independent of LAE distribution. LAE surveys during the EoR at redshifts...

  8. Birth Order and Perceived Birth Order of Chemically Dependent and Academic Women. (United States)

    Weeks, Kristie G.; Newlon, Betty J.

    Birth order as it relates to family constellation is one of the principle concepts of Adlerian theory, and has implications for the understanding of chemical addiction. Adler premised that it was the individual's interpretation of his/her birth circumstances that was more important than sequential birth order. This study examined whether…

  9. Risk factors and birth prevalence of birth defects and inborn errors of ...

    African Journals Online (AJOL)

    Children with any birth defect or metabolic errors of metabolism at birth or in the neonatology section were our sample for study. Control group was randomly selected from the cases with normal live births. Blood tests were performed for children suspected to suffer from genetic blood disorders. The principal BD as per the ...

  10. 'Birth to Ten' - pilot studies to test the feasibility of a birth cohort study ...

    African Journals Online (AJOL)

    Birth to Ten' is a birth cohort study currently being conducted in the Johannesburg-Soweto area. This paper describes the various pilot studies that were undertaken to investigate the feasibility of a cohort study in an urban area. These studies were designed to determine the monthly birth rate, the timing, frequency and ...

  11. Epigenetic Consequences of Low Birth-Weight and Preterm Birth in Adult Twins

    DEFF Research Database (Denmark)

    Tan, Qihua


    Adverse birth outcomes including low birth-weight and preterm birth are associated with long-term morbidity and health consequences at adult ages. Molecular mechanisms including epigenetic modification may have been involved in the adaptation to the stressful condition in peridelivery period whic...

  12. the z-transform applied to a birth-death process having varying birth

    African Journals Online (AJOL)


    The analysis of a birth-death process using the z-transform was recently reported for processes hav- ing fixed transition probabilities ... model can be used to study practical queuing and birth-death systems where the arrival, birth, ser- vice and death rates may ..... John-Wiley & Sons, New York. Krogh, A., Brown, M. Mian, ...

  13. Low birth weight infants and Calmette-Guérin bacillus vaccination at birth

    DEFF Research Database (Denmark)

    Roth, Adam Anders Edvin; Jensen, Henrik; Garly, May-Lill


    In developing countries, low birth weight (LBW) children are often not vaccinated with Calmette-Guérin bacillus (BCG) at birth. Recent studies have suggested that BCG may have a nonspecific beneficial effect on infant mortality. We evaluated the consequences of not vaccinating LBW children at birth...

  14. Quality of reporting on birth defects in birth certificates: case study from a Brazilian reference hospital. (United States)

    Luquetti, Daniela Varela; Koifman, Rosalina Jorge


    The aim of this study was to evaluate the coverage, validity and reliability of Brazil's Information System on Live Births (SINASC) for birth defects in a hospital in the city of Campinas (São Paulo State). The study population consisted of 2,823 newborn infants delivered in 2004 at the Women's Integrated Health Care Center (CAISM). A birth defect registry (ECLAMC) was used as the gold-standard. All birth defect cases reported at CAISM in 2004 (92 cases) were selected from SINASC data files. All 168 birth defect cases from the same city and year registered at ECLAMC were also retrieved. An underreporting of 46.8% was observed for all birth defects, and 36.4% when considering only the major birth defects. The ascertained sensitivity and specificity were, respectively, 54.2% and 99.8%. The reliability of three and four-digit ICD-10 coding for birth defects was 0.77 and 0.55 respectively (kappa statistic). These results suggest that information provided by birth certificates in Campinas still presents limitations when seeking to ascertain accurate estimates of the prevalence of birth defects, hence indicating the need for improvements in the SINASC database to enable it to portray birth defect prevalence at birth in this city.

  15. Randomized trial of BCG vaccination at birth to low-birth-weight children

    DEFF Research Database (Denmark)

    Aaby, Peter; Roth, Adam Anders Edvin; Ravn, Henrik


    Observational studies have suggested that BCG may have nonspecific beneficial effects on survival. Low-birth-weight (LBW) children are not given BCG at birth in Guinea-Bissau; we conducted a randomized trial of BCG at birth (early BCG) vs delayed BCG....

  16. Saving Lives at Birth : The Impact of Home Births on Infant Outcomes

    NARCIS (Netherlands)

    Meltem Daysal, N.; Trandafir, M.; van Ewijk, R.


    Abstract: Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for

  17. Popular Music in Jia Zhangke’s Unknown Pleasures

    Directory of Open Access Journals (Sweden)

    Jie Zhang


    Full Text Available With his documentary-style films reflecting upon China’s unprecedented transformation from a state-controlled to a market-driven economy, Jia Zhangke has risen from within the movement of independent Chinese cinema that began to flourish in the late 1990s to become one of the most recognized filmmakers of contemporary China. Born in 1970 and raised in the underdeveloped Shanxi Province, Jia studied film theory at Beijing Film Academy and was first noticed for his controversial “Hometown Trilogy”—'Pickpocket '('Xiao Wu', 1997, 'Platform '('Zhantai', 1999, and 'Unknown Pleasures '('Ren xiao yao', 2002. These three films, shot with handheld video camera on the streets of his hometown province, focus on the reckless changes that China’s aggressive economic growth and globalization have brought to socially marginalized groups. Like other independently made films—films that are produced with capital from outside the state-sponsored avenues and without the approval of film censorship, and that are not allowed to be shown in China’s public theaters—Jia’s first three films reach domestic audiences only through unofficial DVD copies and small-scaled screenings at universities, film bars, and art salons. His limited domestic influence sharply contrasts with the critical acclaim that he receives from international film festival audiences, who are searching for alternative film culture from China after the Fifth Generation directors. By the late 1990s, Jia had become a spokesperson for an ever-increasing group of aspiring Chinese independent filmmakers, particularly through writings and interviews that theorize independent Chinese cinema’s practice.

  18. Vestibular Function in Adults With Epilepsy of Unknown Etiology. (United States)

    Hamed, Sherifa A; Tohamy, Amal M; Oseilly, Amira M


    This study aimed to evaluate vestibular function in adults with chronic epilepsy of unknown etiology in the inter-ictal period. Epilepsy is a chronic medical disorder. Life-long therapy may be required in one-third of patients. Epilepsy is associated with comorbid somatic conditions which impairs patients' quality of life. This cross-sectional study included 28 with generalized tonic clonic (GTC) convulsions and 14 and 3 with temporal (TLE) and frontal lobe (FLE) epilepsies with secondary generalization (all were on regular carbamazepine therapy) and 40 healthy control subjects. The patients' mean age was 34.97 ± 7.35 years and the duration of illness was 18.75 ± 7.99 years. All underwent videonystagmography (VNG). Compared with controls, patients had frequent vestibular symptoms including dizziness (62.22%) (p = 0.0001) and sense of imbalance (44.44%) (p = 0.0001). Eleven patients (24.44%) had central vestibular dysfunction (p = 0.0001); 9 (20%) had mixed vestibular dysfunction and one (2.22%) had peripheral vestibular dysfunction (p = 0.0001). Abnormalities were observed in saccadic (44.4%) and pursuit (42.2%) eye movements, optokinetic nystagmus (42.2%) and positioning/positional (11.11%) and caloric (13.33%) testing. TLE and FLE were associated with more VNG abnormalities than GTC. No significant differences were observed in the demographic and clinical characteristics between patients with and without VNG abnormalities. Vestibular manifestations are frequent in patients with epilepsy. This may be a result of the permanent damaging effect of chronic epilepsy on the vestibular cortical areas and/or a toxic effect from prolonged carbamazepine therapy on the peripheral and central vestibular systems.

  19. Adaptive vison aided integrated navigation for dynamic unknown enviroments (United States)

    Nematallah, Heba

    In this research, a novel method for visual odometry (VO) and the integration with multi-sensors navigation systems for vehicular platforms is proposed. The proposed method partitions the field of single camera view into regions of interests where each region likely contains different types of visual features. By applying computer vision processing techniques, ambiguous pose estimation is calculated up to a scale factor. The proposed method uses aiding measurements from vehicle's odometer to adaptively resolve the scale factor ambiguity problem in monocular camera systems. Unlike some state-of-art approaches, this work does not depend on offline pre-processing or predefined landmarks or visual maps. In addition, this work addresses unknown uncontrolled environments where moving objects likely exist. Innovative odometer-aided Local Bundle Adjustment (LBA) along with a fuzzy C-mean clustering mechanism is proposed to reject outliers corresponding to moving objects. A Gaussian Mixture approach is also applied to detect visual background regions during stationary periods which enables further rejection of moving objects. Finally, an empirical scoring method is applied to calculate a matching score of the different visual features and to use this score in a Kalman filter as measurement covariance noise to integrate VOestimated pose changes within a larger multi-sensors integrated navigation system. Experimental work was performed with a physical vehicular platform equipped by MEMS inertial sensors, GPS, speed measurements and GPS-enabled camera. The experimental work includes three testing vehicular trajectories in downtown Toronto and the surrounding areas. The experimental work showed significant navigation improvements during long GPS outages where only VO is fused with inertial sensors and the vehicle's speed measurements.

  20. Known unknowns: indirect energy effects of information and communication technology (United States)

    Horner, Nathaniel C.; Shehabi, Arman; Azevedo, Inês L.


    Background. There has been sustained and growing interest in characterizing the net energy impact of information and communication technology (ICT), which results from indirect effects offsetting (or amplifying) the energy directly consumed by ICT equipment. These indirect effects may be either positive or negative, and there is considerable disagreement as to the direction of this sign as well as the effect magnitude. Literature in this area ranges from studies focused on a single service (such as e-commerce versus traditional retail) to macroeconomic studies attempting to characterize the overall impact of ICT. Methods. We review the literature on the indirect energy effect of ICT found via Google Scholar, our own research, and input from other researchers in the field. The various studies are linked to an effect taxonomy, which is synthesized from several different hierarchies present in the literature. References are further grouped according to ICT service (e.g., e-commerce, telework) and summarized by scope, method, and quantitative and qualitative findings. Review results. Uncertainty persists in understanding the net energy effects of ICT. Results of indirect energy effect studies are highly sensitive to scoping decisions and assumptions made by the analyst. Uncertainty increases as the impact scope broadens, due to complex and interconnected effects. However, there is general agreement that ICT has large energy savings potential, but that the realization of this potential is highly dependent on deployment details and user behavior. Discussion. While the overall net effect of ICT is likely to remain unknown, this review suggests several guidelines for improving research quality in this area, including increased data collection, enhancing traditional modeling studies with sensitivity analysis, greater care in scoping, less confidence in characterizing aggregate impacts, more effort on understanding user behavior, and more contextual integration across the

  1. Vibrational Raman and optical studies of Cm in zirconia-based pyrochlores and related oxide matrices

    International Nuclear Information System (INIS)

    Assefa, Z.; Haire, R.G.; Raison, P.E.


    Raman spectroscopy has been employed to follow the phase behavior of Cm-Zr oxide materials as a function of Cm:Zr ratio. Three different structural phases, monoclinic, cubic and pyrochlore, are formed when the Cm:Zr ratio is varied from > 0 to 1. Each phase produces a distinct Raman profile in the 100-700 cm -1 spectral region. Up to 10 atom % Cm, the Raman spectra indicate that the monoclinic structure is dominant. Raman bands corresponding to the monoclinic phase are absent in samples containing 20-40 atom % Cm. Concomitantly, a band at ∼600 cm -1 broadens and increases in intensity with increasing curium content, indicating that the cubic phase is dominant in this concentration range. The pyrochlore oxide structure, which forms at 50 atom % Cm, generates three Raman bands (the center of mass are at 283, 387, 495 cm -1 ) out of six bands predicted by nuclear site group analyses. The strongest of these is at 283 cm -1 , and corresponds to the O-Cm-O bending mode. Details of these studies will be compared and discussed with data obtained for comparable systems containing selected analogous 4f-elements. (author)

  2. Tochilinite: A Sensitive Indicator of Alteration Conditions on the CM Asteroidal Parent Body (United States)

    Browning, L. B.; Bourcier, W. L.


    Each CM chondrite experienced a different degree of aqueous alteration. As a group, then, these meteorites preserve tangible evidence of asteroidal reactions that were interrupted at many different stages of completion. Geochemical modeling of CM reaction progress should elucidate the nature of the accreted CM materials and the specific types of asteroidal processes and conditions that subsequently influenced them. However, most of the minerals in CM chondrites are stable under a wide range of environmental conditions, which hinders efforts to capitalize on the diverse degree of CM alteration. Petrologic evidence suggests that Fe-rich tochilinite, the widespread mineralic component of CM chondrites previously referred to as "poorly characterized phase (PCP)", may be the most sensitive indicator of the conditions of CM alteration. This possibility has not previously been explored because thermodynamic data for tochilinite are lacking. We have estimated the thermodynamic properties of tochilinite from mixing equations and then calculated its stability limits with associated non-silicate phases as a function of PS2, PO2, and PCO2. The resultant phase relations : a) are consistent with mineral association in CM chondrites, b) indicate that the CM fluids were S-depleted and extremely reducing, c) imply the possibility of H2 gas seeps on the CM parent body, and d) suggest that the alteration of CM materials occurred at significant asteroidal depths.

  3. Characteristics and risk factors of preterm births in a tertiary center in Lagos, Nigeria. (United States)

    Butali, Azeez; Ezeaka, Chinyere; Ekhaguere, Osayame; Weathers, Nancy; Ladd, Jenna; Fajolu, Iretiola; Esezobor, Christopher; Makwe, Christian; Odusanya, Bukola; Anorlu, Rose; Adeyemo, Wasiu; Iroha, Edna; Egri-Okwaji, Mathias; Adejumo, Prisca; Oyeneyin, Lawal; Abiodun, Moses; Badejoko, Bolaji; Ryckman, Kelli


    Preterm birth is a dire complication of pregnancy that poses huge long-term medical and financial burdens for affected children, their families, and the health care system. The aim of the present study was to identify characteristics associated with preterm births at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria from 2011 to 2013. We obtained Information from 5,561 maternal, fetal/neonatal and obstetric records from the labor ward. We excluded delivery at less than 22 weeks (0.25%), post-term birth at ≥42 weeks gestation (1.3%), and unknown gestation (1.4%). Additionally, we excluded records of multiple births (5.4%) and stillbirths (8.3%) leaving 4,691 records of singleton live-births for analysis. Logistic regression analysis was performed comparing preterm birth (22-36 weeks gestation) to term birth (37-41 weeks gestation). Multiple variable models adjusting for maternal age, parity, fetal position, delivery method and booking status were also evaluated. Multinomial regression was used to identify characteristics associated with preterm birth (PTB) defined as early PTB (22-31 weeks gestation), moderate PTB (32-34 weeks gestation), late PTB (35-36 weeks gestation), compared to term birth (37-41 completed weeks gestation). From our data, 16.8% of the singleton live-birth deliveries were preterm (<37 weeks gestation). Of these, 4.7% were early (22-31 weeks), 4.5% were moderate (32-34 weeks) and 7.7% were late (35-36) PTBs. Older maternal age (≥35 years) [odds ratio (OR) = 1.41], hypertension (OR = 3.44) and rupture of membranes (OR = 4.03) were significantly associated with increased odds of PTB. Women being treated for the prevention of mother-to-child transmission of HIV were at a significantly decreased risk for PTB (OR = 0.70). Sixteen percent of women in this cohort were not registered for antenatal care in LUTH. These non-registered subjects had significantly greater odds of all categories of PTB, including early (odds ratio (OR) = 20

  4. Magnitude of Birth Defects in Central and Northwest Ethiopia from 2010-2014: A Descriptive Retrospective Study.

    Directory of Open Access Journals (Sweden)

    Molla Taye

    Full Text Available Birth defects are defined as structural and functional defects that develop during the organogenesis period and present at birth or detected later in life. They are one of the leading causes of infant and child mortality, morbidity, and long term disability. The magnitude of birth defects varies from country to country and from race/ethnicity to race/ethnicity, and about 40-60% of their causes are unknown. The known causes of birth defects are genetic and environmental factors which may be prevented. For various reasons, there is lack of data and research on birth defects in Ethiopia.The major objective of this study is to estimate the magnitude of birth defects in Ethiopia.A hospital based, retrospective, cross sectional, descriptive study was conducted. The subjects were babies/children aged 0-17years who visited selected hospitals between 2010 and 2014. Fourteen hospitals (8 in Addis Ababa, 6 in Amhara Region were selected purposively based on case load. A data retrieving form was developed to extract relevant information from record books.In the hospitals mentioned, 319,776 various medical records of children aged 0-17years were found. Of these, 6,076 (1.9% with 95% CI: 1.85%-1.95% children were diagnosed as having birth defects. The majority (58.5% of the children were male and 41.5% female. A slightly more than half (51.1% of the children were urban dwellers, while 48.9% were from rural areas. Among the participants of the study the proportion of birth defects ranged as follows: orofacial (34.2%, neural tube (30.8%, upper and lower limb (12.8%, cardiovascular system (10.3%, digestive system and abdominal wall (4.8%, unspecified congenital malformations (2.5%, Down syndrome (2%, genitourinary system (2%, head, face, and neck defects (0.4%, and others (0.3%. The trend of birth defects increased linearly over time [Extended Mantel-Haenszel chi square for linear trend = 356.7 (P<0.0001]. About 275 (4.5% of the cases had multiple (associated

  5. Impact of the thimerosal controversy on hepatitis B vaccine coverage of infants born to women of unknown hepatitis B surface antigen status in Michigan. (United States)

    Biroscak, Brian J; Fiore, Anthony E; Fasano, Nancy; Fineis, Patrick; Collins, Michael P; Stoltman, Gillian


    Hepatitis B vaccine is recommended for all infants, and the series may be started during the delivery admission. For infants who are born either to women who are positive for hepatitis B surface antigen (HBsAg) or to women whose HBsAg status is unknown, vaccination should be started within 12 hours of birth to prevent perinatal and early childhood hepatitis B virus infection. Because of concerns about mercury exposures from vaccines that contain thimerosal, the United States Public Health Service (USPHS) and the American Academy of Pediatrics (AAP) recommended in July 1999 that the first dose of hepatitis B vaccine be deferred until 2-6 months of age but only for infants who are born to HBsAg-negative women. To assess the impact on birth-dose vaccine coverage for infants who are born to women with unknown HBsAg status, we measured coverage before and after July 1999. A sample of Michigan infants who were born to women whose HBsAg status was either unknown or missing were identified by reviewing newborn screening cards for infants who were born during 1) March-April 1999 (before recommendation changes [T1]); 2) July 15-September 15, 1999 (immediately after recommendation changes [T2]); and 3) March-April 2000 (6 months after resumption of pre-1999 practices were recommended [T3]). We verified maternal HBsAg screening and newborn hepatitis B vaccination by reviewing infant and maternal hospital records. Of 1201 infants who were born to women whose HBsAg status was indicated as unknown or missing on the newborn screening card during the 3 time periods, 216 (18%) were born to women whose status was truly unknown at the time of delivery, as determined by medical record review. During T1, 53% of these 216 infants received hepatitis B vaccine before hospital discharge, compared with 7% of infants who were born during T2 and 57% of infants who were born during T3. During T1, 19% of these infants received hepatitis B vaccine within 12 hours of birth compared with 1% of

  6. Year of birth determination using radiocarbon dating of dental enamel. (United States)

    Buchholz, B A; Spalding, K L


    Radiocarbon dating is typically an archaeological tool rather than a forensic one. Recently however, we have shown that the amount of radiocarbon present in tooth enamel, as a result of nuclear bomb testing during the cold war, is a remarkably accurate indicator of when a person is born. Enamel isolated from human teeth is processed to form graphite and carbon-14 ((14)C) levels are measured using accelerator mass spectrometry. Since there is no turnover of enamel after it is formed, (14)C levels in the enamel represent (14)C levels in the atmosphere at the time of its formation. In this paper we describe the strategy used to determine the date of birth of an individual based on radiocarbon levels in tooth enamel, focusing on the methodology of this strategy. Year of birth information can significantly assist police investigators when the identity of a deceased individual is unknown. In such cases police will try to match particulars of the unidentified individual (which is often only gender and/or an estimate of age), with particulars from missing persons lists.

  7. Year of Birth Determination Using Radiocarbon Dating of Dental Enamel

    Energy Technology Data Exchange (ETDEWEB)

    Buchholz, B A; Spalding, K L


    Radiocarbon dating is typically an archaeological tool rather than a forensic one. Recently however, we have shown that the amount of radiocarbon present in tooth enamel, as a result of nuclear bomb testing during the cold war, is a remarkably accurate indicator of when a person is born. Enamel isolated from human teeth is processed to form graphite and carbon-14 ({sup 14}C) levels are measured using accelerator mass spectrometry. Since there is no turnover of enamel after it is formed, {sup 14}C levels in the enamel represent {sup 14}C levels in the atmosphere at the time of its formation. In this paper we describe the strategy used to determine the date of birth of an individual based on radiocarbon levels in tooth enamel, focusing on the methodology of this strategy. Year of birth information can significantly assist police investigators when the identity of a deceased individual is unknown. In such cases police will try to match particulars of the unidentified individual (which is often only gender and/or an estimate of age), with particulars from missing persons lists.

  8. Coffee Consumption During Pregnancy and Birth Weight

    DEFF Research Database (Denmark)

    Bech, Bodil Hammer; Frydenberg, Morten; Henriksen, Tine Brink


    Background: A previous randomized trial demonstrated an association between coffee intake and birth weight in smokers only. This could be a chance finding or because smoking interferes with caffeine metabolism. This study assessed the association between coffee intake during pregnancy and birth...

  9. Elizabeth Belle’s Birth Story (United States)

    Boro, Jessica; Boro, Samuel


    In this article, Jessica and Samuel Boro share the story of the birth of their daughter, Elizabeth Belle. With the physical and emotional support of her husband and her doula, this mother was able to cope with a long labor and have the natural birth she wanted. Her husband describes how important the doula was for him. PMID:25364215

  10. Birth defects in children with newborn encephalopathy

    NARCIS (Netherlands)

    Felix, JF; Badawi, N; Kurinczuk, JJ; Bower, C; Keogh, JM; Pemberton, PJ


    This study was designed to investigate birth defects found in association with newborn encephalopathy. All possible birth defects were ascertained in a population-based study of 276 term infants with moderate or severe encephalopathy and 564 unmatched term control infants. A strong association

  11. Student Volunteers as Birth Control Educators (United States)

    Sanders, Raymond S.; And Others


    A one-year project on birth control education that used students as birth control educators was initiated to increase student awareness of the need for contraception. Support for this method of disseminating information was demonstrated. The project facilitated student use of the Gynecological Clinic of the Student Health Center. (Author)

  12. Barrier methods of birth control - slideshow (United States)

    ... gov/ency/presentations/100107.htm Barrier methods of birth control - series—Female normal anatomy To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Birth Control A.D.A.M., Inc. is accredited by ...

  13. Community Context, Land Use, and First Birth (United States)

    Ghimire, Dirgha J.; Axinn, William G.


    This article examines the influence of community context and land use on the monthly odds of first birth in a society in the midst of dramatic fertility transition. The theoretical framework guiding our work predicts that proximity to nonfamily services should delay first births by creating opportunities for competing nonfamily activities and…

  14. Catholics vs. Protestants - Birth and Tax

    DEFF Research Database (Denmark)

    Gøtze, Michael


    Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July......Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July...

  15. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen


    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...

  16. Analysis of birth-death fluid queues

    NARCIS (Netherlands)

    van Doorn, Erik A.; Scheinhardt, Willem R.W.


    We present a survey of techniques for analysing the performance of a reservoir which receives and releases fluid at rates which are determined by the state of a background birth-death process. The reservoir is assumed to be infinitely large, but the state space of the modulating birth-death process

  17. Birth Control: How to Use Your Diaphragm (United States)

    ... Rehabilitation Emotional Well-Being Mental Health Sex and Birth Control Sex and Sexuality Birth Control Family Health Infants and Toddlers Kids and ... TeensRead MoreBMI Calculator Vasectomy: What to ExpectProgestin-Only ... Control PillsDepo-Provera: An Injectable ContraceptiveTubal Sterilization (Tubal ...

  18. Opting for natural birth: A survey of birth intentions among young Icelandic women. (United States)

    Swift, Emma Marie; Gottfredsdottir, Helga; Zoega, Helga; Gross, Mechthild M; Stoll, Kathrin


    To describe and analyse factors associated with natural birth intentions in a sample of pre-pregnant Icelandic women. An internationally validated tool was used to survey pre-pregnant women about their attitudes towards birth. The online survey was sent to all students at the University of Iceland in November 2014. Log binomial regression was used to calculate crude and adjusted relative risks (RR a ), and corresponding 95% confidence intervals (CI), for intentions of natural birth (defined as vaginal birth without epidural analgesia) by high, moderate and low childbirth fear and by high, moderate and low confidence in birth knowledge. Models were adjusted for socio-demographic and psychological factors. 410 eligible women completed the cross-sectional survey. Women with low fear of birth were more likely to have natural birth intentions when compared to women with moderate (RR a  = 2.83; 95% CI; 1.48-5.41) and high (RR a  = 4.86; 95% CI; 1.37-17.27) fear. Women with high confidence in their birth knowledge were more likely to have natural birth intentions compared to women with moderate (RR a  = 2.81; 95% CI; 1.51-5.22) and low (RR a  = 3.42; 95% CI; 1.43-8.18) confidence in their birth knowledge. Pre-pregnant women with low fear of birth and high confidence in their birth knowledge are more likely to have natural birth intentions. Addressing concerns about pain, safety, the perceived unpredictability of birth and worries about the physical impact of childbirth may strengthen natural birth intentions. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Aberrant clones: Birth order generates life history diversity in Greater Duckweed, Spirodela polyrhiza. (United States)

    Mejbel, Hebah S; Simons, Andrew M


    Environmental unpredictability is known to result in the evolution of bet-hedging traits. Variable dormancy enhances survival through harsh conditions, and is widely cited as a diversification bet-hedging trait. The floating aquatic plant, Spirodela polyrhiza (Greater Duckweed), provides an opportunity to study diversification because although partially reliable seasonal cues exist, its growing season is subject to an unpredictable and literally "hard" termination when the surface water freezes, and overwinter survival depends on a switch from production of normal daughter fronds to production of dense, sinking "turions" prior to freeze-over. The problem for S. polyrhiza is that diversified dormancy behavior must be generated among clonally produced, genetically identical offspring. Variation in phenology has been observed in the field, but its sources are unknown. Here, we investigate sources of phenological variation in turion production , and test the hypothesis that diversification in turion phenology is generated within genetic lineages through effects of parental birth order. As expected, phenotypic plasticity to temperature is expressed along a thermal gradient; more interestingly, parental birth order was found to have a significant and strong effect on turion phenology: Turions are produced earlier by late birth-order parents. These results hold regardless of whether turion phenology is measured as first turion birth order, time to first turion, or turion frequency. This study addresses a question of current interest on potential mechanisms generating diversification, and suggests that consistent phenotypic differences across birth orders generate life history variation.

  20. Executive Functions of Six-Year-Old Boys with Normal Birth Weight and Gestational Age (United States)

    Phua, Desiree Yee-Ling; Rifkin-Graboi, Anne; Saw, Seang-Mei; Meaney, Michael J.; Qiu, Anqi


    Impaired fetal development, reflected by low birth weight or prematurity, predicts an increased risk for psychopathology, especially attention deficit hyperactivity disorder (ADHD). Such effects cut across the normal range of birth weight and gestation. Despite the strength of existing epidemiological data, cognitive pathways that link fetal development to mental health are largely unknown. In this study we examined the relation of birth weight (>2500 g) and gestational age (37–41 weeks) within the normal range with specific executive functions in 195 Singaporean six-year-old boys of Chinese ethnicity. Birth weight adjusted for gestational age was used as indicator of fetal growth while gestational age was indicative of fetal maturity. Linear regression revealed that increased fetal growth within the normal range is associated with an improved ability to learn rules during the intra/extra-dimensional shift task and to retain visual information for short period of time during the delayed matching to sample task. Moreover, faster and consistent reaction times during the stop-signal task were observed among boys born at term, but with higher gestational age. Hence, even among boys born at term with normal birth weight, variations in fetal growth and maturity showed distinct effects on specific executive functions. PMID:22558470

  1. Season of birth shapes neonatal immune function

    DEFF Research Database (Denmark)

    Thysen, Anna Hammerich; Rasmussen, Morten Arendt; Kreiner-Møller, Eskil


    Birth season has been reported to be a risk factor for several immune-mediated diseases. We hypothesized that this association is mediated by differential changes in neonatal immune phenotype and function with birth season. We sought to investigate the influence of season of birth on cord blood...... immune cell subsets and inflammatory mediators in neonatal airways. Cord blood was phenotyped for 26 different immune cell subsets, and at 1 month of age, 20 cytokines and chemokines were quantified in airway mucosal lining fluid. Multivariate partial least squares discriminant analyses were applied...... to determine whether certain immune profiles dominate by birth season, and correlations between individual cord blood immune cells and early airway immune mediators were defined. We found a birth season-related fluctuation in neonatal immune cell subsets and in early-life airway mucosal immune function...

  2. Birth and Emergency Planning: A Cross Sectional Survey of ...

    African Journals Online (AJOL)

    Accompaniment by a birth companion and saving money were considered the most useful planning steps. Knowledge of danger signs was associated with birth and emergency planning, and birth and emergency planning was associated with reported birth outcome. Birth and emergency planning as a critical component of ...

  3. Accuracy of maternal recall of birth weight and selected delivery ...

    African Journals Online (AJOL)

    mr. faki

    birth weight data. This study was carried out to determine recall of birth weight and delivery complications among mothers in Unguja West District of Zanzibar. Methods: .... Considering confidence level of 95% and response rate of 90%, the ... delivery, delivery complications, child's birth date, birth's order and birth weight.

  4. Kairos time at the moment of birth. (United States)

    Crowther, Susan; Smythe, Elizabeth; Spence, Deb


    there is something extraordinary in the lived experience of being there at the time of birth. Yet the meaning and significance of this special time, named Kairos time in this paper, have received little attention. to describe the lived-experience of Kairos time at birth and surface its meaning. this is an interpretive hermeneutic phenomenology study informed by the writings of Heidegger and Gadamer. 14 in-depth interviews with mothers, birth partners, midwives and obstetricians were transcribed and stories from the data were hermeneutically analysed. there is a time, like no other, at the moment of birth that is widely known and valued. This paper reveals and names this phenomenon Kairos time. This is a felt-time that is lineal, process and cyclic time and more. Kairos time describes an existential temporal experience that is rich in significant sacred meaning; a time of emergent insight rarely spoken about in practice yet touches everyone present. The notion of Kairos time in relation to the moment of birth is introduced as a reminder of something significant that matters. Kairos time is revealed as a moment in and beyond time. It has a temporal enigmatic mystery involving spiritual connectedness. Kairos time is a time of knowing and remembrance of our shared natality. In this time life is disclosed as extraordinary and beyond everyday personal and professional concerns. It is all this and more. Kairos time at birth is precious and powerful yet vulnerable. It needs to be safeguarded to ensure its presence continues to emerge. This means maternity care providers and others at birth need to shelter and protect Kairos time from the sometimes harsh realities of birth and the potentially insensitive ways of being there at the moments of birth. Those who find themselves at birth need to pause and allow the profundity of its meaning to surface and inspire their actions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Infrared spectroscopy of the NO3 radical from 2000 to 3000 cm-1 (United States)

    Kawaguchi, Kentarou; Fujimori, Ryuji; Tang, Jian; Ishiwata, Takashi


    The present paper reports high-resolution spectroscopic study of the 14NO3 radical in the 2000-3000 cm-1 region, where eight E‧-A2‧ bands from the ground state are observed. Three bands at 2206, 2246, and 2377 cm-1 are analyzed for the first time, and assigned to the ν1 + 3ν4, 2ν2 + 2ν4, and ν3 + 3ν4 bands, respectively. Bands at 2024, 2155, 2518, and 2585 cm-1 are reassigned to the ν1 + ν3, 2ν3, ν1 + ν3 + ν4, and 2ν3 + ν4 bands, respectively, by adopting the new ν3 vibrational frequency of 1055 cm-1 lower than the previous ν3 = 1492 cm-1. The band at 2902 cm-1 is observed for the first time and assigned to the ν1 + ν3 + 2ν4 band which is the ν1 combined band with the 1927 cm-1 band. Band intensities observed in the 2000-3000 cm-1 region are attributed to the intensity borrowing from the B˜2E‧ -X˜2 A2‧ electronic transition through the vibronic interaction. Although the ν3 fundamental band has not been observed due to the cancelation of vibrational intensity and borrowed intensity, the 2ν3 band becomes stronger than ν3 by a factor of more than 50. Perturbation effects are recognized for the bands observed except for the 2206 cm-1 and 2377 cm-1 bands, and are analyzed by taking into account the Coriolis interaction in the most cases. However, the 2024 cm-1 band is free from the Coriolis interaction, and the v1-v3 interaction is incorporated in the analysis, leading to the 2ν1 frequency of 2008.8 cm-1, which is close to the energy value of 2010 cm-1 observed by a laser induced fluorescence study.

  6. Adaptation and Validation of the Combined Comorbidity Score for ICD-10-CM. (United States)

    Sun, Jenny W; Rogers, James R; Her, Qoua; Welch, Emily C; Panozzo, Catherine A; Toh, Sengwee; Gagne, Joshua J


    The combined comorbidity score, which merges the Charlson and Elixhauser comorbidity indices, uses the ninth revision of the International Classification of Diseases, Clinical Modification (ICD-9-CM). In October 2015, the United States adopted the 10th revision (ICD-10-CM). The objective of this study is to examine different coding algorithms for the ICD-10-CM combined comorbidity score and compare their performance to the original ICD-9-CM score. Four ICD-10-CM coding algorithms were defined: 2 using General Equivalence Mappings (GEMs), one based on ICD-10-CA (Canadian modification) codes for Charlson and Elixhauser measures, and one including codes from all 3 algorithms. We used claims data from the Clinfomatics Data Mart to identify 2 cohorts. The ICD-10-CM cohort comprised patients who had a hospitalization between January 1, 2016 and March 1, 2016. The ICD-9-CM cohort comprised patients who had a hospitalization between January 1, 2015 and March 1, 2015. We used logistic regression models to predict 30-day hospital readmission for the original score in the ICD-9-CM cohort and for each ICD-10-CM algorithm in the ICD-10-CM cohort. Distributions of each version of the score were similar. The algorithm based on ICD-10-CA codes [c-statistic, 0.646; 95% confidence interval (CI), 0.640-0.653] had the most similar discrimination for readmission to the ICD-9-CM version (c, 0.646; 95% CI, 0.639-0.653), but combining all identified ICD-10-CM codes had the highest c-statistic (c, 0.651; 95% CI, 0.644-0.657). We propose an ICD-10-CM version of the combined comorbidity score that includes codes identified by ICD-10-CA and GEMs. Compared with the original score, it has similar performance in predicting readmission in a population of United States commercially insured individuals.

  7. Prevalence of atopic dermatitis in infants by domestic water hardness and season of birth: Cohort study. (United States)

    Engebretsen, Kristiane A; Bager, Peter; Wohlfahrt, Jan; Skov, Lone; Zachariae, Claus; Nybo Andersen, Anne-Marie; Melbye, Mads; Thyssen, Jacob P


    Atopic dermatitis (AD) appears to be more common in regions with hard domestic water and in children with a fall/winter birth. However, it is unknown whether a synergistic effect exists. We sought to evaluate the association between domestic water hardness and season of birth, respectively, with onset of AD within the first 18 months of life in a large Danish birth cohort. Of children from the Danish National Birth Cohort, 52,950 were included. History of physician-diagnosed AD and population characteristics were obtained from interviews. Birth data were obtained from the Civil Registration System, and domestic water hardness data were obtained from the Geological Survey of Denmark and Greenland. The relative prevalence (RP) of AD was calculated by using log-linear binomial regression. The prevalence of AD was 15.0% (7,942/52,950). The RP of AD was 5% (RP trend , 1.05; 95% CI, 1.03-1.07) higher for each 5° increase in domestic water hardness (range, 6.60-35.90 German degrees of hardness [118-641 mg/L]). Although the RP of AD was higher in children with a fall (RP, 1.24; 95% CI, 1.17-1.31) or winter (RP, 1.18; 95% CI, 1.11-1.25) birth, no significant interaction was observed with domestic water hardness. The population attributable risk of hard domestic water on AD was 2%. We observed that early exposure to hard domestic water and a fall/winter birth was associated with an increase in the relative prevalence of AD within the first 18 months of life. Although the 2 exposures did not interact synergistically, a dose-response relationship was observed between domestic water hardness and AD. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  8. Post-term birth and the risk of behavioural and emotional problems in early childhood. (United States)

    El Marroun, Hanan; Zeegers, Mijke; Steegers, Eric A P; van der Ende, Jan; Schenk, Jacqueline J; Hofman, Albert; Jaddoe, Vincent W V; Verhulst, Frank C; Tiemeier, Henning


    Post-term birth, defined as birth after pregnancy duration of 42 weeks, is associated with increased neonatal morbidity and mortality. The long-term consequences of post-term birth are unknown. We assessed the association of post-term birth with problem behaviour in early childhood. The study was performed in a large population-based prospective cohort study in Rotterdam, The Netherlands. Pregnant mothers enrolled between 2001 and 2005. Of a cohort of 5145 children, 382 (7%) were born post-term, and 226 (4%) were born preterm. Parents completed a standardized and validated behavioural checklist (Child Behavior Checklist, CBCL/1.5-5) when their children were 1.5 and 3 years old. We examined the relation between gestational age (GA) at birth, based on early fetal ultrasound examination, and problem behaviour with regression analyses, adjusting for socio-economic and pregnancy-related confounders. A quadratic relationship between GA at birth and problem behaviour indicates that both preterm and post-term children have higher behavioural and emotional problem scores than the term born children. Compared with term born children, post-term born children had a higher risk for overall problem behaviour [odds ratio (OR) = 2.10, 95% confidence interval (CI) = 1.32-3.36] and were almost two and a half times as likely to have attention deficit / hyperactivity problem behaviour (OR = 2.44, 95% CI = 1.38-4.32). Post-term birth was associated with more behavioural and emotional problems in early childhood, especially attention deficit / hyperactivity problem behaviour. When considering expectant management, this aspect of post-term pregnancy should be taken into account.

  9. Birth environment facilitation by midwives assisting in non-hospital births: a qualitative interview study. (United States)

    Igarashi, Toshiko; Wakita, Mariko; Miyazaki, Kikuko; Nakayama, Takeo


    midwifery homes (similar to birth centres) are rich in midwifery wisdom and skills that differ from those in hospital obstetrical departments, and a certain percentage of pregnant women prefer birth in these settings. This study aimed to understand the organisation of the perinatal environment considered important by independent midwives in non-hospital settings and to clarify the processes involved. semi-structured qualitative interview study and constant comparative analysis. 14 independent midwives assisting at births in midwifery homes in Japan, and six independent midwives assisting at home births. Osaka, Kyoto, Nara, and Shiga, Japan. midwives assisting at non-hospital births organised the birth environment based on the following four categories: 'an environment where the mother and family are autonomous'; 'a physical environment that facilitates birth'; 'an environment that facilitates the movement of the mother for birth'; and 'scrupulous safety preparation'. These, along with their sub-categories, are presented in this paper. independent midwives considered it important to create a candid relationship between the midwife and the woman/family from the period of pregnancy to facilitate birth in which the woman and her family were autonomous. They also organised a distinctive environment for non-hospital birth, with preparations to guarantee safety. Experiential knowledge and skills played a major part in creating an environment to facilitate birth, and the effectiveness of this needs to be investigated objectively in future research. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Physically demanding work, fetal growth and the risk of adverse birth outcomes. The Generation R Study. (United States)

    Snijder, Claudia A; Brand, Teus; Jaddoe, Vincent; Hofman, Albert; Mackenbach, Johan P; Steegers, Eric A P; Burdorf, Alex


    Work-related risk factors, such as long work hours, and physically demanding work have been suggested to adversely influence pregnancy outcome. The authors aimed to examine associations between various aspects of physically demanding work with fetal growth in different trimesters during pregnancy and the risks of adverse birth outcomes. Associations between physically demanding work and fetal growth were studied in 4680 pregnant women participating in a population-based prospective cohort study from early pregnancy onwards in The Netherlands (2002-2006). Mothers who filled out a questionnaire during mid-pregnancy (response 77% of enrolment) were included if they conducted paid employment and had a spontaneously conceived singleton live born pregnancy. Questions on physical workload were obtained from the Dutch Musculoskeletal Questionnaire and concerned questions on lifting, long periods of standing or walking, night shifts and working hours. Fetal growth characteristics were repeatedly measured by ultrasound and were used in combination with measurements at birth. There were no consistent significant associations between physically demanding work nor working hours in relation to small for gestational age, low birth weight or preterm delivery. Women exposed to long periods of standing had lower growth rates for fetal head circumference (HC), resulting in a reduction of approximately 1 cm (3%) of the average HC at birth. Compared with women working working 25-39 h/week and >40 h/week had lower growth rates for both fetal weight and HC, resulting in a difference of approximately 1 cm in HC at birth and a difference of 148-198 g in birth weight. Long periods of standing and long working hours per week during pregnancy seem to negatively influence intrauterine growth.

  11. Twin's Birth-Order Differences in Height and Body Mass Index From Birth to Old Age

    DEFF Research Database (Denmark)

    Yokoyama, Yoshie; Jelenkovic, Aline; Sund, Reijo


    We analyzed birth order differences in means and variances of height and body mass index (BMI) in monozygotic (MZ) and dizygotic (DZ) twins from infancy to old age. The data were derived from the international CODATwins database. The total number of height and BMI measures from 0.5 to 79.5 years...... of age was 397,466. As expected, first-born twins had greater birth weight than second-born twins. With respect to height, first-born twins were slightly taller than second-born twins in childhood. After adjusting the results for birth weight, the birth order differences decreased and were no longer...... statistically significant. First-born twins had greater BMI than the second-born twins over childhood and adolescence. After adjusting the results for birth weight, birth order was still associated with BMI until 12 years of age. No interaction effect between birth order and zygosity was found. Only limited...

  12. Evaluation of factors affecting birth weight and preterm birth in southern Turkey. (United States)

    Col-Araz, Nilgun


    To identify factors affecting birth weight and pre-term birth, and to find associations with electromagnetic devices such as television, computer and mobile phones. The study was conducted in Turkey at Gazintep University, Faculty of Medicine's Outpatient Clinic at the Paediatric Ward. It comprised 500 patients who presented at the clinic from May to December 2009. All participants were administered a questionnaire regarding their pregnancy history. SPSS 13 was used for statistical analysis. In the study, 90 (19%) patients had pre-term birth, and 64 (12.9%) had low birth weight rate Birth weight was positively correlated with maternal age and baseline maternal weight (r = 0.115, p history of disease during pregnancy (p computer by mothers did not demonstrate any relationship with birth weight. Mothers who used mobile phones or computers during pregnancy had more deliveries before 37 weeks (p computers during pregnancy (p computers may have an effect on pre-term birth.

  13. Birth Outcomes Among Military Personnel Following Exposure to Documented Open-Air Burn Pits Before and During Pregnancy (United States)


    a role in adverse birth outcomes as well. For example, studies have linked paternal exposures to pesticides , herbicides, and ion- izing radiation with...Health and Fertility. Ist ed. New York, NY: Cambridge University Press; 2010. 28. Somers CM, Cooper DN. Air pollution and mutations in the germline: are

  14. The Relationship between Barriers to Birth Control Use and Actual Birth Control Use among Mexican-American Adolescents. (United States)

    Pesa, Jacqueline A.; Mathews, Jeff


    Examines the relationship between barriers to using birth control and actual use of birth control among Mexican American adolescents (N=26,666). Results show that nonusers had significantly higher barrier scores compared with users of birth control. These results indicate that attitudes toward birth control are associated with actual birth control…

  15. Births resulting from assisted reproductive technology: comparing birth certificate and National ART Surveillance System Data, 2011. (United States)

    Thoma, Marie E; Boulet, Sheree; Martin, Joyce A; Kissin, Dmitry


    This report compares data on births resulting from assisted reproductive technology (ART) procedures from 2011 birth certificates with data from the 2011 National ART Surveillance System (NASS) among the subset of jurisdictions that adopted the 2003 revised birth certificate as of January 1, 2011, with information on ART. Birth certificate data are based on 100% of births registered in 27 states and the District of Columbia. NASS data included all ART cycles initiated in 2010 or 2011 for which a live birth in 2011 was reported. The same reporting area was used for both data sources and represents 67% of all births in the United States in 2011. A ratio was computed by dividing the percentage of births resulting from ART procedures for NASS data by the percentage for birth certificate data. A ratio of 1.0 represents equivalent levels of reporting. Because this reporting area is not a random sample of births, the results are not generalizable to the United States as a whole. Overall, the percentage of births resulting from ART procedures was 2.06 times higher for NASS data (1.44%) compared with birth certificate data (0.70%). The ratio for each jurisdiction varied from 1.04 for Utah and Wisconsin to 7.50 for Florida. Higher-risk groups had more consistent reporting. between data sources [e.g., triplet or higher-order multiples (1.36) compared with singletons (2.11)]. Births resulting from ART procedures appear to be underreported on the birth certificate; however, the magnitude of underreporting varied by jurisdiction and maternal-infant health characteristics.

  16. Evaluation of CF/CM, concentration ratios for elements in fetus to mother, using cord blood and maternal blood

    International Nuclear Information System (INIS)

    Watanabe, Y.; Yukawa, M.; Kim, H.S.; Nishimura, Y.; Osada, H.; Sekiya, S.


    ICRP recommends age-dependent dose evaluation for intakes of radionuclides by inhalation and ingestion, and gave age-specific biokinetic models and dose coefficients (doses per unit intake) for infants, children and adults in the publications. Dose coefficients are also needed for the assessment of exposures received in utero and after birth by the offspring of the woman who has received intakes of radionuclides. In the model that has been adopted by ICRP, the doses to the developing fetus are calculated using CF/CM values, concentration ratios for radionuclides in the fetus and the maternal tissues. The purpose of this study is to evaluate the CF/CM of each radionuclide by the measurement of element concentration in cord blood and maternal blood. Blood samples were obtained from 35 mothers who delivered in Department of Obstetrics and Gynecology of Chiba University. Just after the delivery, unbiblical cord blood was sampled. Maternal blood was also obtained from the arm vein within 30 minutes after the delivery. The serum was separated from the blood sample with centrifugation. About 50 mg of freezer-dried whole blood and serum were digested with 0.5 ml of 65% ultra-pure nitric acid and 0.2 ml of 30% hydrogen peroxide in a microwave digester. The diluted solutions were used for the determination of elements by ICP-MS (Inductively Coupled Plasma Mass Spectrometry) and ICP-AES (Inductively Coupled Plasma Atomic Emission Spectrometry). The elements determined in these samples included Mg, K, Ca, Mn, Fe, Cu, Zn, Se, Rb, Sr and Cs. The concentration of Cu was higher in the maternal blood than in the cord blood in both whole blood and serum. On the other hand, Mn and Fe were higher in the cord blood. The differences of concentration ratios among elements and the differences among tissues will be discussed. (author)

  17. Altered expression of CmNRRa changes flowering time of Chrysanthemum morifolium. (United States)

    Zhang, Yuman; Lian, Lijuan; Liu, Qing; Xiao, Na; Fang, Rongxiang; Liu, Qinglin; Chen, Xiaoying


    Flowering time is an important ornamental trait for chrysanthemum (Chrysanthemum morifolium, Dendranthema x grandiflorum) floricultural production. In this study, CmNRRa, an orthologous gene of OsNRRa that regulates root growth in response to nutrient stress in rice, was identified from Chrysanthemum and its role in flowering time was studied. The entire CmNRRa cDNA sequence was determined using a combinatorial PCR approach along with 5' and 3' RACE methods. CmNRRa expression levels in various tissues were monitored by real-time RT-PCR. CmNRRa was strongly expressed in flower buds and peduncles, suggesting that CmNRRa plays a regulatory role in floral development. To investigate the biological function of CmNRRa in chrysanthemums, overexpression and knockdown of CmNRRa were carried out using transgenic Chrysanthemum plants generated through Agrobacterium-mediated transformation. CmNRRa expression levels in the transgenic plants were assayed by real-time RT-PCR and Northern blot analysis. The transgenic plants showed altered flowering times compared with nontransgenic plants. CmNRRa-RNAi transgenic plants flowered 40-64 days earlier, while CmNRRa-overexpressing plants exhibited a delayed flowering phenotype. These results revealed a negative effect of CmNRRa on flowering time modulation. Alteration of CmNRRa expression levels might be an effective means of controlling flowering time in Chrysanthemum. These results possess potential application in molecular breeding of chrysanthemums that production year-round, and may improve commercial chrysanthemum production in the flower industry. © 2012 The Authors Plant Biotechnology Journal © 2012 Society for Experimental Biology, Association of Applied Biologists and Blackwell Publishing Ltd.

  18. Separation of Am, Cm from Pm by elution chromatography with DTPA-lactic acid mixed solution

    International Nuclear Information System (INIS)

    Wei Liansheng; Zhang Zuyi; Zhong Jiahua


    The effect of various factors on the separation of Am and Cm from Pm in the cation exchange-DPTA (diethylenetiaminepenlaacetic acid)-lactic acid system is studied, such as the concentration of DTPA, pH of the eluant, temperature and flow rate. Separation results show that the recovery of Am and Cm is 99.18% and the decontamination factor of Am, Cm from Pm is 431

  19. RegCM4: model description and preliminary tests over multiple CORDEX domains F


    Giorgi, Filippo et al; Coppola, E.; Solmon, F.; Mariotti, L.; Sylla, M. B.; Bi, X.; Elguindi, N.; Diro, G. T.; Nair, V.; Giuliani, G.; Turuncoglu, U. U.; Cozzini, S.; Güttler, I.; O’Brien, T. A.; Tawfik, A. B.


    A new version of the RegCM regional climate modeling system, RegCM4, has been recently developed and made available for public use. Compared to previous versions, RegCM4 includes new land surface, planetary boundary layer, and air–sea flux schemes, a mixed convection and tropical band configuration, modifications to the pre-existing radiative transfer and boundary layer schemes, and a full upgrade of the model code towards improved flexibility, portability, and user friendliness. The model...

  20. Failure pressures after repairs of 2-cm × 2.5-cm rhinologic dural defects in a porcine ex vivo model. (United States)

    Lin, Ryan P; Weitzel, Erik Kent; Chen, Philip G; McMains, Kevin Christopher; Chang, Daniel R; Braxton, Ernest E; Majors, Jacob; Bunegin, Leon


    The objective of this study was to determine failure pressures of 6 rhinologic repair techniques of large skull base/dural defects in a controlled, ex vivo model. Failure pressures of 6 dural repairs in a porcine model were studied using a closed testing apparatus; 24-mm × 19-mm dural defects were created; 40-mm × 34-mm grafts composed of porcine Duragen (Integra), fascia lata, and Biodesign (Cook) were used either with or without Tisseel (Baxter International Inc.) to create 6 repairs: Duragen/no glue (D/NG), Duragen/Tisseel (D/T), fascia lata/no glue (FL/NG), fascia lata/Tisseel (FL/T), Biodesign/no glue (B/NG), and Biodesign/Tisseel (B/T). Saline was infused at 30 mL/hour, applying even force to the underside of the graft until repair failure. Five trials were performed per repair type for a total of 30 repairs. Mean failure pressures were as follows: D/NG 1.361 ± 0.169 cmH 2 O; D/T 9.127 ± 1.805 cmH 2 O; FL/NG 0.200 ± 0.109 cmH 2 O; FL/T 7.833 ± 2.657 cmH 2 O; B/NG 0.299 ± 0.109 cmH 2 O; and B/T 2.67 ± 0.619 cmH 2 O. There were statistically significant differences between glued (Tisseel) and non-glued repairs for each repair category (p < 0.05). All glued repairs performed better than non-glued repairs. Both D/T and FL/T repairs performed better than B/T repairs. No repair tolerated pressures throughout the full range of adult supine intracranial pressure. © 2016 ARS-AAOA, LLC.