WorldWideScience

Sample records for breaks treating adolescents

  1. Treating Depression and Oppositional Behavior in Adolescents

    Science.gov (United States)

    Jacobs, Rachel H.; Becker-Weidman, Emily G.; Reinecke, Mark A.; Jordan, Neil; Silva, Susan G.; Rohde, Paul; March, John S.

    2010-01-01

    Adolescents with depression and high levels of oppositionality often are particularly difficult to treat. Few studies, however, have examined treatment outcomes among youth with both externalizing and internalizing problems. This study examines the effect of fluoxetine, cognitive behavior therapy (CBT), the combination of fluoxetine and CBT, and…

  2. Utilising forgiveness to help sexually abused adolescents break free ...

    African Journals Online (AJOL)

    Guilt and shame can be traumatic, self-conscious experiences which have an impact on sexually abused adolescents' physical, psychological, social, emotional, moral and religious development. It can determine the adolescents' behaviour, their views of themselves and their interpersonal relationships. Guilt and shame ...

  3. Treating Teens: A Guide to Adolescent Drug Programs.

    Science.gov (United States)

    Drug Strategies, Washington, DC.

    This guide looks at drug abuse in the context of adolescent development and provides a framework for understanding what has been learned about effective adolescent drug treatment over the last decade. The guide, which underscores the need to address developmental issues when treating adolescents, provides concrete ways to assess treatment…

  4. Treating Adolescents for Substance Abuse and Comorbid Psychiatric Disorders

    OpenAIRE

    Riggs, Paula D.

    2003-01-01

    Recent research has identified a cluster of standardized approaches that effectively treat adolescents with substance abuse disorders. Many of these approaches share elements that may be adopted to improve outcomes in substance treatment programs. In adolescents, treatment goals should be informed by a comprehensive assessment that includes the adolescent patient?s developmental history and evaluation of psychiatric comorbidity. Treatment for behavioral, psychosocial, and psychiatric problems...

  5. Effects of physical activity and breaks on mathematics engagement in adolescents.

    Science.gov (United States)

    Owen, Katherine B; Parker, Philip D; Astell-Burt, Thomas; Lonsdale, Chris

    2018-01-01

    The purpose of this study was to determine whether physical activity has a positive relationship with school engagement regardless of the presence or absence of a recess or lunch break before the classroom lesson. Data were collected over three ten-week periods: January-April 2014 (Time 1), October-December 2014 (Time 2), and April-June 2015 (Time 3). A cohort of 2194 adolescents (mean age=13.40years, SD=.73) wore an accelerometer during the hour before a mathematics lesson and completed a questionnaire following the mathematics lesson to assess school engagement in that lesson. Linear mixed models indicated that moderate-intensity activity before a mathematics lesson had a positive linear relationship with cognitive engagement (β=.40, pengagement (β=-.18, pengagement. Educators should be aware that students tend to demonstrate the lowest levels of school engagement after recess breaks. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  6. Parental break-ups and stress: roles of age & family structure in 44 509 pre-adolescent children.

    Science.gov (United States)

    Dissing, Agnete S; Dich, Nadya; Andersen, Anne-Marie Nybo; Lund, Rikke; Rod, Naja H

    2017-10-01

    Parental break-up is wide spread, and the effects of parental break-up on children's well-being are known. The evidence regarding child age at break-up and subsequent family arrangements is inconclusive. Aim: to estimate the effects of parental break-up on stress in pre-adolescent children with a specific focus on age at break-up and post-breakup family arrangements. We used data from the Danish National Birth Cohort. Participants included 44 509 children followed from birth to age 11. Stress was self-reported by children at age 11, when the children also reported on parental break-up and post break-up family arrangements. Twenty-one percent of the children had experienced a parental break-up at age 11, and those who had experienced parental break-up showed a higher risk of stress (OR:1.72, 95%CI:1.55;1.91) regardless of the child's age at break-up. Children living in a new family with stepparents (OR = 1.63, 95%CI:1.38;1.92), or shared between the parents (OR = 1.48, 95%CI:1.26;1.75) reported higher stress than children of intact families. Single parent families reported markedly higher stress levels than children in intact families (OR = 2.18, 95%CI:1.90;2.50) and all other family types. Children who were satisfied with their living arrangements post-break-up reported the same stress level as children living in intact families (OR = 1.01, 95%CI:0.86;1.18). Children who experience parental break-up have higher stress levels, also many years after the break-up, and those living in a single parent household post break-up seem to be most vulnerable. Living arrangements post-breakup should be further investigated as a potential protective factor.

  7. Developmental pathways from childhood aggression-disruptiveness, chronic peer rejection, and deviant friendships to early-adolescent rule breaking.

    Science.gov (United States)

    Ettekal, Idean; Ladd, Gary W

    2015-01-01

    Childhood aggression-disruptiveness (AD), chronic peer rejection, and deviant friendships were examined as predictors of early-adolescent rule-breaking behaviors. Using a sample of 383 children (193 girls and 190 boys) who were followed from ages 6 to 14, peer rejection trajectories were identified and incorporated into a series of alternative models to assess how chronic peer rejection and deviant friendships mediate the association between stable childhood AD and early-adolescent rule breaking. There were multiple mediated pathways to rule breaking that included both behavioral and relational risk factors, and findings were consistent for boys and girls. Results have implications for better understanding the influence of multiple social processes in the continuity of antisocial behaviors from middle childhood to early adolescence. © 2014 The Authors. Child Development © 2014 Society for Research in Child Development, Inc.

  8. Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence.

    Science.gov (United States)

    Becht, Andrik I; Prinzie, Peter; Deković, Maja; van den Akker, Alithe L; Shiner, Rebecca L

    2016-05-01

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated by 2-year intervals, mothers and fathers reported on their children's aggression and rule breaking (N = 290, M age = 8.8 years at Time 1). At Time 1, parents reported on their children's personality traits and their own overreactivity. Growth mixture modeling identified three aggression trajectories (low decreasing, high decreasing, and high increasing) and two rule-breaking trajectories (low and high). Lower optimism and compliance and higher energy predicted trajectories for both aggression and rule breaking, whereas higher expressiveness and irritability and lower orderliness and perseverance were unique risk factors for increasing aggression into adolescence. Lower concentration was a unique risk factor for increasing rule breaking. Parental overreactivity predicted higher trajectories of aggression but not rule breaking. Only two Trait × Overreactivity interactions were found. Our results indicate that personality facets could differentiate children at risk for different developmental trajectories of aggression and rule breaking.

  9. [The local and sensual conditions of delay of voice breaking in adolescent boys].

    Science.gov (United States)

    Wiskirska-Woźnica, Bozena; Obrebowski, Andrzej; Wojciechowska, Anna; Walczak, Marta

    2006-01-01

    Disorders of voice breaking in adolescent boys (mutational dysphonia) could be a result of local, hormonal, neuropsychiatric or sensual factors. The aim of this paper was the voice assessment of three subjects with incomplete mutation with particular additional factors, disturbing hearing, voice and speech: like hearing loss, hyperfunctional childhood dysphonia and speech dysfluency. Diagnostics included complete phoniatric examination with perceptive estimation, videostroboscopy and acoustic voice analysis, done before and after treatment. Rehabilitation process results were well seen in perceptive and objective voice analysis except significant improvement of fundamental frequency average. Analysis of incomplete mutation etiological factors need special attention due to coexist with another voice, speech and hearing disorders, which undergo with high tension of voice organ muscles or with the lack of phonation auditory feedback.

  10. Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence

    NARCIS (Netherlands)

    Becht, Andrik I.; Prinzie, Peter; Dekovic, Maja; van den Akker, Alithe L.; Shiner, Rebecca L.

    2016-01-01

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9–15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated

  11. Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence

    NARCIS (Netherlands)

    Becht, A.I.; Prinzie, P.; Deković, M.; van den Akker, A.L.; Shiner, R.L.

    2016-01-01

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated

  12. Teacher-student relationships and adolescent behavioral engagement and rule-breaking behavior: The moderating role of dopaminergic genes.

    Science.gov (United States)

    De Laet, Steven; Colpin, Hilde; Van Leeuwen, Karla; Van den Noortgate, Wim; Claes, Stephan; Janssens, Annelies; Goossens, Luc; Verschueren, Karine

    2016-06-01

    This study examined whether the dopamine transporter DAT1 and the dopamine receptor DRD4 genes moderate the effect of student-reported teacher-student relationship affiliation or dissatisfaction on parent-reported adolescent rule-breaking behavior and behavioral engagement. The sample included 1053 adolescents (51% boys, Mage=13.79) from grades 7 to 9. Regression analyses were conducted using Mplus while controlling for multiple testing and nested data. Adolescents who experienced stronger affiliation with their teachers were more engaged in school, whereas greater dissatisfaction predicted more rule-breaking behavior. In addition, a significant gene-environment interaction was found for both genes examined. The link between low teacher-student affiliation and low engagement was more pronounced for DAT1-10R homozygotes. The link between high teacher-student dissatisfaction and more rule-breaking was stronger for DRD4 non-long carriers. Implications for understanding the role of teacher-student relationships in adolescence and suggestions for future research are outlined. Copyright © 2016 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

  13. Effectiveness of amitriptyline for treating functional dyspepsia in adolescents

    Directory of Open Access Journals (Sweden)

    Indra Mustawa

    2017-01-01

    Full Text Available Background Functional dyspepsia is common among adolescents. Pain reduces children’s quality of life, psychosocial functioning, and school attendance. Amitriptyline is assumed to be one of the alternative treatments in functional dyspepsia. Objective To investigate the effectiveness of amytriptyline as a treatment  for  functional dyspepsia in adolescents. Methods We conducted a randomized, single-blind, controlled trial from January to March 2011 in junior and senior high school students in Dobo City, Aru Island District, Maluku Province. Adolescents suffering from functional dyspepsia and who fulfilled the inclusion criteria were eligible for the study. Subjects were randomized into two groups. Each group received 10 mg (for body weight < 35 kg or 20 mg (for body weight ≥ 35 kg amitriptyline or placebo once per day for 28 days. Pain frequency was measured in terms of abdominal pain episodes per month, and duration was measured in minutes. Data were analyzed using t-test. Results Eighty-eight students participated in this study: the amitriptyline group (43 subjects and the placebo group (45 subjects. There were no statistically significant differences between the amitriptyline and placebo groups in frequency (P=0.777; 95%CI -0.846 to 1.129 or duration (P=0.728 of abdominal pain after treatment. Conclusion  Amitriptyline is not more effective than placebo for treating functional dyspepsia in adolescents.

  14. Assessing the benefits of napping and short rest breaks on processing speed in sleep-restricted adolescents.

    Science.gov (United States)

    Lim, Julian; Lo, June C; Chee, Michael W L

    2017-04-01

    Achievement-oriented adolescents often study long hours under conditions of chronic sleep restriction, adversely affecting cognitive function. Here, we studied how napping and rest breaks (interleaved off-task periods) might ameliorate the negative effects of sleep restriction on processing speed. Fifty-seven healthy adolescents (26 female, age = 15-19 years) participated in a 15-day live-in protocol. All participants underwent sleep restriction (5 h time-in-bed), but were then randomized into two groups: one of these groups received a daily 1-h nap opportunity. Data from seven of the study days (sleep restriction days 1-5, and recovery days 1-2) are reported here. The Blocked Symbol Decoding Test, administered once a day, was used to assess time-on-task effects and the effects of rest breaks on processing speed. Controlling for baseline differences, participants who took a nap demonstrated faster speed of processing and greater benefit across testing sessions from practice. These participants were also affected significantly less by time-on-task effects. In contrast, participants who did not receive a nap benefited more from the rest breaks that were permitted between blocks of the test. Our results indicate that napping partially reverses the detrimental effects of sleep restriction on processing speed. However, rest breaks have a greater effect as a countermeasure against poor performance when sleep pressure is higher. These data add to the growing body of evidence showing the importance of sleep for good cognitive functioning in adolescents, and suggest that more frequent rest breaks might be important in situations where sleep loss is unavoidable. © 2017 European Sleep Research Society.

  15. Adjustment disorders in hospital treated adolescents: A follow-up study

    OpenAIRE

    Popović-Deušić Smiljka; Mitković Marija; Pejović-Milovančević Milica; Lečić-Toševski Dušica; Draganić-Gajić Saveta; Aleksić-Hil Olivera; Radosavljev-Kirćanski Jelena

    2012-01-01

    Introduction. Adjustment disorders represent a frequent diagnostic entity especially among adolescents. They involve a wide spectrum of various emotional and behaviour problems. Objective. The aim was to investigate characteristics of diagnostic category known as adjustment disorders among hospital treated adolescents for the first time at the Clinical Department for Children and Adolescents of the Institute of Mental Health in Belgrade, during five consecutive years, as well as to inve...

  16. Change and reciprocity in adolescent aggressive and rule-breaking behaviors and parental support and dysfunctional discipline.

    Science.gov (United States)

    de Haan, Amaranta D; Prinzie, Peter; Deković, Maja

    2012-02-01

    This study examined how the development of aggressive/rule-breaking behaviors (9-17 years) is related to the development of overreactive and warm parenting, and explored gender differences in development and interrelations. Externalizing was assessed using combined mother/father reports of the Child Behavior Checklist (N = 516). Overreactivity was assessed using self-reports of the Parenting Scale; warmth was measured using self-reports of the Parenting Practices Questionnaire. All constructs were assessed three times across 6 years. The interrelated development of externalizing and parenting was examined by cohort-sequential multigroup latent growth models. Timing of effects was investigated using multigroup cross-lagged models. The results from latent growth models suggest that boys and girls change similarly in the extent to which they show externalizing behaviors, and indicate that mothers and fathers show somewhat different parenting toward boys than girls. No gender differences were found for interrelations between externalizing and parenting. Initial levels of aggression were related to changes in overreactivity and warmth, and vice versa. Changes in externalizing were related to changes in parenting. Cross-lagged models showed that relations between overreactivity and aggression/rule breaking were reciprocal. Together, results from this study show that adolescent externalizing and parenting affect each other in important ways, regardless of the gender of the child or the parent.

  17. Breaking the Taboo: Illicit Drug Use among Adolescents with Type 1 Diabetes Mellitus.

    Science.gov (United States)

    Hogendorf, Anna M; Fendler, Wojciech; Sieroslawski, Janusz; Bobeff, Katarzyna; Wegrewicz, Krzysztof; Malewska, Kamila I; Przudzik, Maciej W; Szmigiero-Kawko, Malgorzata; Sztangierska, Beata; Mysliwiec, Malgorzata; Szadkowska, Agnieszka; Mlynarski, Wojciech

    2016-01-01

    The aim of the study was to explore the prevalence of illicit drug use in a group of Polish adolescents with type 1 diabetes (DM1) in comparison with a national cohort of their healthy peers. Two hundred and nine adolescents with DM1, aged 15-18 years, were studied in 2013 with an anonymous questionnaire prepared for the European School Survey Project on Alcohol and Other Drugs (ESPAD). The control group was a representative sample of 12114 students at the same age who took part in ESPAD in 2011. Metabolic control was regarded as good if self-reported HbA1c was <8% or poor if HbA1c was ≥8%. Lifetime prevalence of illicit drug use was lower among adolescents with DM1 than in the control group [58 (28%) versus 5524 (46%), p = 10(-5)]. Cannabis preparations were the most frequently used substances [38 (18.3%) versus 3976 (33.1%), p = 10(-5)], followed by tranquilizers, sedatives, and amphetamine. Lifetime and last 12-month use of cannabis were associated with poorer glycemic control (HbA1c ≥ 8%), p < 0.01 and 0.02, respectively. Adolescents with DM1 report using illicit drugs to a lesser extent than their healthy peers. The use of cannabis is associated with a poorer metabolic control in teens with DM1.

  18. Family characteristics, custody arrangements, and adolescent psychological well-being after lesbian mothers break up

    NARCIS (Netherlands)

    Gartrell, N.; Bos, H.; Peyser, H.; Deck, A.; Rodas, C.

    2011-01-01

    As part of the largest, longest running prospective American study of same-sex parent families, the present investigation examined relationship dissolution in planned lesbian families. Data were collected from 40 separated couples and their 17-year-old adolescent offspring—19 girls and 21 boys.

  19. Family Characteristics, Custody Arrangements, and Adolescent Psychological Well-Being after Lesbian Mothers Break up

    Science.gov (United States)

    Gartrell, Nanette; Bos, Henny; Peyser, Heidi; Deck, Amalia; Rodas, Carla

    2011-01-01

    As part of the largest, longest running prospective American study of same-sex parent families, the present investigation examined relationship dissolution in planned lesbian families. Data were collected from 40 separated couples and their 17-year-old adolescent offspring--19 girls and 21 boys. Nearly all breakups occurred before the former…

  20. Breaking the Taboo: Illicit Drug Use among Adolescents with Type 1 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Anna M. Hogendorf

    2016-01-01

    Full Text Available Background. The aim of the study was to explore the prevalence of illicit drug use in a group of Polish adolescents with type 1 diabetes (DM1 in comparison with a national cohort of their healthy peers. Methods. Two hundred and nine adolescents with DM1, aged 15–18 years, were studied in 2013 with an anonymous questionnaire prepared for the European School Survey Project on Alcohol and Other Drugs (ESPAD. The control group was a representative sample of 12114 students at the same age who took part in ESPAD in 2011. Metabolic control was regarded as good if self-reported HbA1c was <8% or poor if HbA1c was ≥8%. Results. Lifetime prevalence of illicit drug use was lower among adolescents with DM1 than in the control group [58 (28% versus 5524 (46%, p=10-5]. Cannabis preparations were the most frequently used substances [38 (18.3% versus 3976 (33.1%, p=10-5], followed by tranquilizers, sedatives, and amphetamine. Lifetime and last 12-month use of cannabis were associated with poorer glycemic control (HbA1c ≥ 8%, p<0.01 and 0.02, respectively. Conclusions. Adolescents with DM1 report using illicit drugs to a lesser extent than their healthy peers. The use of cannabis is associated with a poorer metabolic control in teens with DM1.

  1. Interventions for treating femoral shaft fractures in children and adolescents.

    Science.gov (United States)

    Madhuri, Vrisha; Dutt, Vivek; Gahukamble, Abhay D; Tharyan, Prathap

    2014-12-01

    Fractures of the femoral shaft in children are relatively uncommon but serious injuries that disrupt the lives of children and their carers and can result in significant long-term disability. Treatment involves either surgical fixation, such as intramedullary nailing or external fixation, or conservative treatment involving prolonged immobilisation, often in hospital. To assess the effects (benefits and harms) of interventions for treating femoral shaft fractures in children and adolescents. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (accessed 16 August 2013), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2013 Issue 7), MEDLINE (1946 to August Week 1 2013), EMBASE (1980 to 2012 week 9), CINAHL (16 August 2013), clinical trials registries, conference proceedings and reference lists; and contacted trial authors and experts in the field. Randomised and quasi-randomised controlled trials comparing conservative and surgical interventions for diaphyseal fractures of the femur in children under 18 years of age. Our primary outcomes were functional outcome measures, unacceptable malunion, and serious adverse events. Two authors independently screened and selected trials, assessed risk of bias and extracted data. We assessed the overall quality of the evidence for each outcome for each comparison using the GRADE approach. We pooled data using a fixed-effect model. We included 10 trials (six randomised and four quasi-randomised) involving a total of 527 children (531 fractures). All trials were at some risk of bias, including performance bias as care provider blinding was not practical, but to a differing extent. Just one trial was at low risk of selection bias. Reflecting both the risk of bias and the imprecision of findings, we judged the quality of evidence to be 'low' for most outcomes, meaning that we are unsure about the estimates of effect. Most trials failed to report on self-assessed function or when

  2. Interventions for treating femoral shaft fractures in children and adolescents.

    Science.gov (United States)

    Madhuri, Vrisha; Dutt, Vivek; Gahukamble, Abhay D; Tharyan, Prathap

    2014-07-29

    Fractures of the femoral shaft in children are relatively uncommon but serious injuries that disrupt the lives of children and their carers and can result in significant long-term disability. Treatment involves either surgical fixation, such as intramedullary nailing or external fixation, or conservative treatment involving prolonged immobilisation, often in hospital. To assess the effects (benefits and harms) of interventions for treating femoral shaft fractures in children and adolescents. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (accessed 16 August 2013), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2013 Issue 7), MEDLINE (1946 to August Week 1 2013), EMBASE (1980 to 2012 week 9), CINAHL (16 August 2013), clinical trials registries, conference proceedings and reference lists; and contacted trial authors and experts in the field. Randomised and quasi-randomised controlled trials comparing conservative and surgical interventions for diaphyseal fractures of the femur in children under 18 years of age. Our primary outcomes were functional outcome measures, unacceptable malunion, and serious adverse events. Two authors independently screened and selected trials, assessed risk of bias and extracted data. We assessed the overall quality of the evidence for each outcome for each comparison using the GRADE approach. We pooled data using a fixed-effect model. We included 10 trials (six randomised and four quasi-randomised) involving a total of 527 children (531 fractures). All trials were at some risk of bias, including performance bias as care provider blinding was not practical, but to a differing extent. Just one trial was at low risk of selection bias. Reflecting both the risk of bias and the imprecision of findings, we judged the quality of evidence to be 'low' for most outcomes, meaning that we are unsure about the estimates of effect. Most trials failed to report on self-assessed function or when

  3. Incidence of cancer in adolescent idiopathic scoliosis patients treated 25 years previously

    DEFF Research Database (Denmark)

    Simony, Ane; Hansen, Emil Jesper; Christensen, Steen Bach

    2016-01-01

    PURPOSE: To report the incidence of cancer in a cohort of adolescent idiopathic scoliosis (AIS) patients treated 25 years previously. METHODS: 215 consecutive AIS patients treated between 1983 and 1990 were identified and requested to return for clinical and radiographic examination. The incidence...

  4. Treating Social Anxiety in Adolescents: Ten Group Therapy Lesson Plans

    Science.gov (United States)

    Mazur-Elmer, Alison; McBride, Dawn

    2009-01-01

    This project provides a comprehensive overview of the research literature on social anxiety disorder (SAD) in adolescents and concludes by offering a set of 10 group therapy lesson plans for SAD that therapists can use in their practice. The overview includes a description of social anxiety disorder and highlights various theories of anxiety. The…

  5. Adverse events in children and adolescents treated with quetiapine

    DEFF Research Database (Denmark)

    Jakobsen, Klaus D; Wallach-Kildemoes, Helle; Bruhn, Christina H

    2017-01-01

    and adolescents is scarce, quetiapine is increasingly being used for youth in Denmark. The aim of this case study is to discuss adverse drug events (ADEs) spontaneously reported to the Danish Medicines Agency on quetiapine used in the pediatric population in relation to adversive drug reactions (ADRs) reported......Quetiapine is a low-affinity dopamine D2 receptor antagonist, approved for the treatment of bipolar disorder and schizophrenia in children and adolescents by the Food and Drug Administration, but not by European Medicine Agency. Although knowledge of adverse drug reactions in children...... in the European Summary of Product Characteristics (SPCs). The ADE report database at Danish Medicines Agency was searched for all quetiapine ADRs involving individuals (reports were retrieved, scrutinized, and categorized. The average age was 14.8 years (range...

  6. [Obesity in adolescents: simple to diagnose, complex to treat].

    Science.gov (United States)

    Lefèvre, Hervé

    2015-01-01

    Obesity concerns 3 to 4% of adolescents between the ages of 11-18. It comes with multiple difficulties. On an immediate level, psychological suffering, the cause and consequence of a social malaise, favours the worsening of the obesity. To a lesser extent, somatic complications are either silent, or associated with a functional impact. Treatment is multi-disciplinary. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  7. Cognitive outcome in children and adolescents treated for acute lymphoblastic leukaemia with chemotherapy only

    OpenAIRE

    Lofstad, G Elisabeth; Reinfjell, Trude; Hestad, Knut; Diseth, Trond H

    2009-01-01

    Objective: To examine cognitive outcome in children and adolescents with acute lymphoblastic leukaemia (ALL) in remission, treated with central nervous system prophylactic chemotherapy only. Method: Thirty-five children and adolescents, age 8.4?15.3 years in long-term remission from ALL, 4.2?12.4 years post diagnosis, without relapse and no prediagnosis history of neurodevelopmental disorder were compared with 35 healthy controls matched for gender and age, on measures of intellectual functio...

  8. Joint trajectories for social and physical aggression as predictors of adolescent maladjustment: Internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features

    Science.gov (United States)

    UNDERWOOD, MARION K.; BERON, KURT J.; ROSEN, LISA H.

    2011-01-01

    This investigation examined the relation between developmental trajectories jointly estimated for social and physical aggression and adjustment problems at age 14. Teachers provided ratings of children's social and physical aggression in Grades 3, 4, 5, 6, and 7 for a sample of 255 children (131 girls, 21% African American, 52% European American, 21% Mexican American). Participants, parents, and teachers completed measures of the adolescent's adjustment to assess internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. Results showed that membership in a high and rising trajectory group predicted rule-breaking behaviors and borderline personality features. Membership in a high desister group predicted internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. The findings suggest that although low levels of social and physical aggression may not bode poorly for adjustment, individuals engaging in high levels of social and physical aggression in middle childhood may be at greatest risk for adolescent psychopathology, whether they increase or desist in their aggression through early adolescence. PMID:21532919

  9. Joint trajectories for social and physical aggression as predictors of adolescent maladjustment: internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features.

    Science.gov (United States)

    Underwood, Marion K; Beron, Kurt J; Rosen, Lisa H

    2011-05-01

    This investigation examined the relation between developmental trajectories jointly estimated for social and physical aggression and adjustment problems at age 14. Teachers provided ratings of children's social and physical aggression in Grades 3, 4, 5, 6, and 7 for a sample of 255 children (131 girls, 21% African American, 52% European American, 21% Mexican American). Participants, parents, and teachers completed measures of the adolescent's adjustment to assess internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. Results showed that membership in a high and rising trajectory group predicted rule-breaking behaviors and borderline personality features. Membership in a high desister group predicted internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. The findings suggest that although low levels of social and physical aggression may not bode poorly for adjustment, individuals engaging in high levels of social and physical aggression in middle childhood may be at greatest risk for adolescent psychopathology, whether they increase or desist in their aggression through early adolescence.

  10. Outcome of Adolescents with Acute Lymphoblastic Leukemia Treated by Pediatrics versus Adults Protocols

    Directory of Open Access Journals (Sweden)

    Abeer Ibrahim

    2014-01-01

    Full Text Available Objective. Several studies showed better outcome in adolescents and young adults with acute lymphoblastic leukemia (ALL treated with pediatrics protocols than similarly aged patients treated with adults protocols, while other studies showed similar outcome of both protocols. We conducted this study to compare the outcome of our pediatrics and adults therapeutic protocols in treatment of adolescents ALL. Patients and Methods. We retrospectively reviewed files of 86 consecutive adolescent ALL patients aged 15–18 years who attended to outpatients clinic from January 2003 to January 2010. 32 out of 86 were treated with pediatrics adopted BFM 90 high risk protocol while 54 were treated with adults adopted BFM protocol. We analyzed the effect of different treatment protocols on achieving complete remission (CR, disease-free survival (DFS, and overall survival (OS. Results. The 2 patients groups have almost similar characteristics. The CR was significantly higher in pediatrics protocol 96% versus 89% (P=0.001. Despite the fact that the toxicity profiles were higher in pediatrics protocol, they were tolerable. Moreover, the pediatrics protocol resulted in superior outcome in EFS 67% versus 39% (P=0.001, DFS 65% versus 41% (P=0.000, and OS 67% versus 45% (P=0.000. Conclusion. Our study’s findings recommend using intensified pediatrics inspired protocol to treat adolescents with acute lymphoblastic leukemia.

  11. Survival of adolescents with cancer treated at pediatric versus adult oncology treatment centers in France.

    Science.gov (United States)

    Desandes, Emmanuel; Brugieres, Laurence; Laurence, Valérie; Berger, Claire; Kanold, Justyna; Tron, Isabelle; Clavel, Jacqueline; Lacour, Brigitte

    2017-05-01

    In France, although children aged less than 15 years with cancer are usually referred to pediatric oncology centers, adolescents may be treated at pediatric or adult oncology centers. The objective was to compare survival according to their site of treatment. Using population-based registration, 15- to 19-year-old patients diagnosed with cancer in 2006 or 2007 and living in six French regions (accounting for 41% of the French population) were included. Of the 594 patients included, 33% of the French adolescents were treated at a pediatric oncology center. Compared with those treated at a pediatric center, adolescents treated at an adult center were older, were more likely to have carcinoma and germ-cell tumor, had a longer time to diagnosis, and were less likely to be enrolled in a clinical trial. In addition, the decisions for their management were less likely to be taken in the context of multidisciplinary team meetings. In multivariate analysis, adolescent patients treated at a pediatric center did not have significantly different overall survival (OS) compared with those treated at an adult center (5-year OS: 84.1% [95% confidence interval: 78.6-90.0] versus 87.7% [95% confidence interval: 84.2-91.3]; P = 0.25). The outcomes of French adolescents with cancer have begun to improve, with 81.2% survival in 2006-2007, with no difference between the types of treatment center. However, for this unique group of diseases, survival is not the unique endpoint. In order to ensure good quality of life after cancer, management of those patients requires specific approaches, designed to reduce the late effects of cancer treatment and improve supportive care. © 2016 Wiley Periodicals, Inc.

  12. Selection of fusion levels in idiopathic adolescent scoliosis treated by Harrington-DDT instrumentation

    DEFF Research Database (Denmark)

    Andersen, G R; Andersen, M O; Christensen, S B

    1995-01-01

    Clinical records and radiographs of 106 patients treated by Harrington-dorsal transverse traction (DDT) instrumentation for idiopathic adolescent thoracolumbar scoliosis were reviewed. Our strategy was to fuse from one vertebra above the measured curve to two vertebrae below the curve, but to avoid...

  13. Treating child and adolescent anxiety effectively: Overview of systematic reviews.

    Science.gov (United States)

    Bennett, Kathryn; Manassis, Katharina; Duda, Stephanie; Bagnell, Alexa; Bernstein, Gail A; Garland, E Jane; Miller, Lynn D; Newton, Amanda; Thabane, Lehana; Wilansky, Pamela

    2016-12-01

    We conducted an overview of systematic reviews about child and adolescent anxiety treatment options (psychosocial; medication; combination; web/computer-based treatment) to support evidence informed decision-making. Three questions were addressed: (i) Is the treatment more effective than passive controls? (ii) Is there evidence that the treatment is superior to or non-inferior to (i.e., as good as) active controls? (iii) What is the quality of evidence for the treatment? Pre-specified inclusion criteria identified high quality systematic reviews (2000-2015) reporting treatment effects on anxiety diagnosis and symptom severity. Evidence quality (EQ) was rated using Oxford evidence levels [EQ1 (highest); EQ5 (lowest)]. Twenty-two of 39 eligible reviews were high quality (AMSTAR score≥3/5). CBT (individual or group, with or without parents) was more effective than passive controls (EQ1). CBT effects compared to active controls were mixed (EQ1). SSRI/SNRI were more effective than placebo (EQ1) but comparative effectiveness remains uncertain. EQ for combination therapy could not be determined. RCTs of web/computer-based interventions showed mixed results (EQ1). CBM/ABM was not more efficacious than active controls (EQ1). No other interventions could be rated. High quality RCTs support treatment with CBT and medication. Findings for combination and web/computer-based treatment are encouraging but further RCTs are required. Head-to-head comparisons of active treatment options are needed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Vitamin D in Health and Disease in Adolescents: When to Screen, Whom to Treat, and How to Treat.

    Science.gov (United States)

    Golden, Neville H; Carey, Dennis E

    2016-01-01

    The existing guidelines on screening and treatment are confusing because different guidelines target different populations. The IOM and AAP guidelines target generally healthy populations, whereas the Endocrine Society and other subspecialty guidelines target individuals with specific medical conditions associated with increased bone fragility. These distinctions have not always been well articulated. For healthy adolescents, the AAP does not recommend universal screening or screening of obese or dark-skinned individuals. Increased dietary intake of vitamin D is recommended, and vitamin D supplementation can be considered if the RDA cannot be met. For adolescents with chronic medical illnesses associated with increased fracture risk, screening for vitamin D deficiency should be performed by obtaining a serum 25-OHD level. Those found to be deficient (25-OHD level vitamin D2 or vitamin D3 higher than the daily requirement (as discussed in the section on vitamin D and chronic disease), followed by a maintenance dose. A repeat 25-OHD level should be obtained after the therapeutic course is completed. Some experts advocate for achievement of 25-OHD levels greater than 30 ng/mL in conditions associated with increased bone fragility, and several pediatric subspecialty organizations have made recommendations specific to the diseases they treat. In such instances, the recommendations of the pediatric subspecialty organizations should take precedence over the AAP recommendations for adolescents with chronic illnesses associated with increased bone fragility because the AAP recommendations were primarily targeted at a healthy population.

  15. Adjustment disorders in hospital treated adolescents: A follow-up study

    Directory of Open Access Journals (Sweden)

    Popović-Deušić Smiljka

    2012-01-01

    Full Text Available Introduction. Adjustment disorders represent a frequent diagnostic entity especially among adolescents. They involve a wide spectrum of various emotional and behaviour problems. Objective. The aim was to investigate characteristics of diagnostic category known as adjustment disorders among hospital treated adolescents for the first time at the Clinical Department for Children and Adolescents of the Institute of Mental Health in Belgrade, during five consecutive years, as well as to investigate the outcome of the disorder in follow-up period. Methods. We conducted a retrospective investigation of the first time hospital treated adolescents from Belgrade with discharge diagnosis of adjustment disorders during 2000-2004. The follow up was conducted 5-10 years after a first discharge from the hospital. Results. During the investigated period 75 adolescents from Belgrade were hospitalized for the first time with diagnosis adjustment disorder. From the studied patients the main sample was formed that included 24 (32% males and 51 (68% females. After 5-10 years a follow-up of 52 patients was conducted (sample at follow-up which included 16 (30.77% males and 36 (69.23% females. Of the main sample, 70% of the patients were under follow-up. After the first hospitalization 58% of adolescents continued with further psychiatric treatment, either as rehospitalized or out-of-hospital patients. Conclusion. Our findings showed that 38% of adolescents under follow-up for 5-10 years after the first discharge from hospital with the diagnosis adjustment disorders had multiple hospitalizations. The outcome of the disorder among these patients was the worst, because three-quarters of the patients were rediagnosed in the follow-up period with a new psychiatric disorder, often from psychotic spectrum.

  16. The Adolescent Girls' Anaemia Control Programme: a decade of programming experience to break the inter-generational cycle of malnutrition in India.

    Science.gov (United States)

    Aguayo, Víctor M; Paintal, Kajali; Singh, Gayatri

    2013-09-01

    To document the scale-up of India’s Adolescent Girls’ Anaemia Control Programme following a knowledge-centred framework for scaling up nutrition interventions and to identify the critical elements of and lessons learned from a decade of programme experience for the control of anaemia in adolescent girls. We reviewed all articles, programme and project reports, and baseline and endline assessments published between 1995 and 2012 regarding the control of anaemia through intermittent iron and folic acid supplementation; key programme specialists and managers were interviewed to complete or verify information wherever needed. India. Adolescent girls. The scale-up of India’s Adolescent Girls’ Anaemia Control Programme followed a knowledge-centred programme cycle comprising five phases: Evidence, Innovation, Evaluation, Replication and Universalization. By the end of 2011, the programme was being rolled out in thirteen states and was reaching 27.6 million adolescent girls of whom 16.3 million were school-going girls and 11.3 million were out-of-school girls. Building on the critical elements of and lessons learned from the programme, the Government of India launched in 2012 the national Weekly Iron and Folic Acid Supplementation (WIFS) programme to universalize the benefits of anaemia control to the overall population of Indian adolescents. The Adolescent Girls’ Anaemia Control Programme in India provides a good example of how a knowledge-centred approach can successfully guide the scaling up of public health nutrition interventions and facilitate intersectoral convergence among different government departments and development partners to break the inter-generational cycle of undernutrition and deprivation.

  17. Providing food to treat adolescents at risk for cardiovascular disease.

    Science.gov (United States)

    de Ferranti, Sarah D; Milliren, Carly E; Denhoff, Erica Rose; Quinn, Nicolle; Osganian, Stavroula K; Feldman, Henry A; Ebbeling, Cara B; Ludwig, David S

    2015-10-01

    Diet modification is recommended to treat childhood cardiovascular (CV) risk factors; however, the optimal dietary strategy is unknown. In a randomized trial, the effect of a low-fat (LF) and a low-glycemic-load (LGL) reduced-calorie diet were examined in youth with overweight/obesity with CV risk factors. Using a novel intervention, we delivered LF or LGL meals and nutrition education to the home for 8 weeks (Intensive Phase), followed by 4 months Maintenance without food provision. Between-group differences in the change in insulin area under the curve (InsAUC) by oral glucose tolerance test and other risk factors were analyzed. Overall, participants (n = 27) showed substantial improvement during the Intensive Phase, including InsAUC (-59 ± 18.2 µU/ml × 120 min, P = 0.004), total cholesterol (-9.9 ± 3.6 mg/dl, P = 0.01), weight (-2.7 ± 0.5 kg, P risk factors that diminished without food delivery and did not differ based on dietary intervention. If scalable, food provision may represent an alternative nutrition treatment strategy. © 2015 The Obesity Society.

  18. DATE: Depressed adolescents treated with exercise: Study rationale and design for a pilot study

    OpenAIRE

    Hughes, Carroll W; Trivedi, Madhukar H.; Cleaver, Joseph; Greer, Tracy L.; Emslie, Graham J.; Kennard, Beth; Dorman, Shauna; Bain, Tyson; Dubreuil, Judy; Barnes, Conrad

    2009-01-01

    There is an important need for non-medication interventions for depressed youth. The aim of this study is to evaluate the feasibility of using a standardized aerobic exercise regime to treat non-medicated clinically depressed adolescents based on adherence and completion rates, including 1) establishing effect sizes for the primary outcomes including the Chidren’s Depression Rating Scale – Revised (CDRS-R) and Actical (energy expenditure data) as well as selected secondary outcomes; (e.g., Cl...

  19. Psychological referral and consultation for adolescents and young adults with cancer treated at pediatric oncology unit.

    Science.gov (United States)

    Clerici, Carlo Alfredo; Massimino, Maura; Casanova, Michela; Cefalo, Graziella; Terenziani, Monica; Vasquez, Roberto; Meazza, Cristina; Ferrari, Andrea

    2008-07-01

    Managing older adolescents and young adults with cancer is a challenge, both medically and psychosocially: it is important to assess these patients' psychological issues and the type of services they need when deciding who should treat these patients, and where. This study describes the pattern of psychological referral and consultation for older adolescents and young adults with cancer being treated at a pediatric oncology unit, as compared with the case of younger patients. Between 1999 and 2006, 318 patients /= 15 years old (30%) were referred for psychological consultation. The number of interviews per patient was 2.8 for patients under fifteen and 7.8 for older patients. Younger patients were referred by all members of staff, while most older patients were referred by doctors, mainly because they had trouble adapting to the cancer's diagnosis and treatment. An ongoing, weekly, long-term psychotherapy was needed for 1% of patients /=15 years old. Adolescents and young adults with cancer have specific psychological needs. While awaiting the full development of programs dedicated to these patients, they would seem to benefit from being treated in a multidisciplinary setting of the kind usually developed at pediatric units, fully integrating the psychological operators with the other staff members. (c) 2008 Wiley-Liss, Inc.

  20. Treated Prevalence of and Mental Health Services Received by Children and Adolescents in 42 Low-and-Middle-Income Countries

    Science.gov (United States)

    Morris, Jodi; Belfer, Myron; Daniels, Amy; Flisher, Alan; Ville, Liesbet; Lora, Antonio; Saxena, Shekhar

    2011-01-01

    Background: Little is known about the treated prevalence and services received by children and adolescents in low- and middle-income countries (LAMICs). The purpose of this study is to describe the characteristics and capacity of mental health services for children and adolescents in 42 LAMICs. Methods: The "World Health Organization Assessment…

  1. Breaking Bat

    Science.gov (United States)

    Aguilar, Isaac-Cesar; Kagan, David

    2013-01-01

    The sight of a broken bat in Major League Baseball can produce anything from a humorous dribbler in the infield to a frightening pointed projectile headed for the stands. Bats usually break at the weakest point, typically in the handle. Breaking happens because the wood gets bent beyond the breaking point due to the wave sent down the bat created…

  2. Children and adolescents treated for post-traumatic stress disorder at the Free State Psychiatric Complex

    Directory of Open Access Journals (Sweden)

    F J W Calitz

    2014-04-01

    Full Text Available Background. Children and adolescents can develop post-traumatic stress disorder (PTSD after exposure to a range of traumatic events, including domestic, political or community violence, violent crime, physical and sexual abuse, hijacking, witnessing a violent crime and motor vehicle accidents. This is particularly critical given the substantial challenge that PTSD poses to the healthy physical, cognitive and emotional development of children and adolescents. Methods. The clinical records of 1 229 children (age 2 - 11 years and adolescents (age 12 - 18 years treated at the Child Mental Health Unit of the Free State Psychiatric Complex (FSPC were screened for the diagnosis of PTSD and analysed for the purpose of this study. Results. Forty-nine (4.0% of the children and adolescents treated at the unit were diagnosed with PTSD, of whom most were female (63.3%. Approximately 22% of the participants had comorbid major depressive disorder. The main traumatic event in both groups was witnessing the death of a close relative (32.7%, followed by sexual assault (25%, rape (25% and physical attack (10.2%. Associated stressors identified included problems at school (55.1%, isolation (39%, fear or anxiety (37%, problematic family relationships (29%, emotional (27% and physical (23% abuse, and lack of social support (23%. Most of the participants (59.2% received psychotherapy. Conclusions. Children and adolescents referred to the FSPC are also exposed to traumatic events which lead to the development of PTSD. The Free State is a sprawling province with remote areas where specialist services and facilities are limited. It is therefore recommended that preventive programmes, training opportunities and consultation services are implemented to identify and treat children and adolescents with PTSD. Schools with limited access to psychological services and large classrooms, impeding the diagnosis and treatment of PTSD specifically, face similar challenges

  3. Long-term morbidity in adolescents and young adults with surgically treated esophageal atresia.

    Science.gov (United States)

    Okuyama, Hiroomi; Tazuke, Yuko; Uenoa, Takehisa; Yamanaka, Hiroaki; Takama, Yuichi; Saka, Ryuta; Nara, Keigo; Usui, Noriaki

    2017-07-01

    To investigate the long-term morbidity of surgically treated esophageal atresia (EA) in adolescents and young adults and establish whether these long-term morbidities are affected by the type of EA. We reviewed the medical records, including backgrounds and associated conditions, of 69 long-term survivors of EA, aged >15 years. The long-term morbidities included neurodevelopmental abnormality, nutritional impairment (short height morbidities included neurodevelopmental abnormality (13%), nutritional impairment (62%: as short height in 34% and as low BMI in 46%), subjective symptoms (14%), and musculoskeletal deformities (59%). There were no differences in the long-term morbidities between Gross A and Gross C. The incidence of the long-term morbidities is high in adolescents and young adults, regardless of the type of EA. Early detection of morbidity is important to improve the long-term outcomes of EA.

  4. Teen trauma without the drama: outcomes of adolescents treated at Ohio adult versus pediatric trauma centers.

    Science.gov (United States)

    Walther, Ashley E; Pritts, Timothy A; Falcone, Richard A; Hanseman, Dennis J; Robinson, Bryce R H

    2014-07-01

    The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only trauma centers (ATCs) versus pediatric-only trauma centers (PTCs) in a state system with legislated American College of Surgeons-verified institutions to determine ideal prehospital referral patterns. The Ohio Trauma Registry was queried for patients 15 years to 19 years with a length of stay (LOS) greater than 1 day at ATC (Level 1) or PTC (Levels 1 and 2) from 2008 to 2012. Race, sex, emergency department vital signs, Injury Severity Score (ISS), computed tomography, and ultrasound imaging were reviewed. Outcomes by mechanism of injury included ventilator days, intensive care unit LOS, hospital LOS, and mortality. Statistical analysis was performed using χ test, t test, and Wilcoxon rank-sum test. Propensity score-based risk adjustment matching was used to compare groups (propensity score within 0.01, ISS within 5). Of 5,793 adolescents examined, (84% blunt, 16% penetrating) 66% were treated at an ATC. In unmatched comparisons, age, ISS, vital signs, and mortality differed significantly between centers (p < 0.01). For adolescents with blunt injury, more males (71.6% vs. 66.3%, p < 0.01) and nonwhites (19.2% vs. 15.8%, p < 0.01) were seen at PTCs. For penetrating trauma, more males (88.6% vs. 50.8%, p < 0.01) and nonwhites (66.4% vs. 34.3%, p < 0.01) were admitted to ATCs. In 873 propensity-matched pairs for blunt trauma and 95 propensity-matched pairs of penetrating injuries, no differences were seen in a priori outcomes. Imaging (blunt, head computed tomography and abdominal ultrasound, p < 0.01; penetrating, abdominal ultrasound, p = 0.02) was more common at ATCs. Major outcome differences for injured adolescents do not exist between ATCs and PTCs, regardless of injury pattern. Imaging remains more prevalent at ATCs. In a state system with mandatory American College of Surgeons-verified centers

  5. Risk Factors for Neutropenia in Clozapine-Treated Children and Adolescents with Childhood-Onset Schizophrenia

    Science.gov (United States)

    Maher, Kristin N.; Tan, Marcus; Tossell, Julia W.; Weisinger, Brian; Gochman, Peter; Miller, Rachel; Greenstein, Deanna; Overman, Gerald P.; Rapoport, Judith L.

    2013-01-01

    Abstract Objective The purpose of this study was to retrospectively analyze rates of neutropenia and risk factors for neutropenia in hospitalized children and adolescents treated with clozapine. Methods A retrospective chart review was conducted for all patients who received clozapine at any time during a hospitalization at the National Institute of Mental Health (NIMH) between 1990 and 2011. All patients satisfied screening criteria for the NIMH childhood-onset schizophrenia study, including onset of psychosis before the age of 13 years. Absolute neutrophil count (ANC) values recorded during inpatient hospitalization were extracted for 87 eligible patients with a mean age of 13.35±2.46 years at hospitalization and a mean length of stay of 117±43 days. Results Mild neutropenia only (lowest ANC1500/mm3) was observed in 27 (31%) patients and moderate neutropenia (any ANCneutropenia compared with no hematologic adverse effects (HAEs) were male gender (p=0.012) and younger age (pneutropenia compared with no HAEs (p=0.003). If a child of African American ethnicity developed neutropenia during hospitalization at all that child was significantly more likely to develop moderate neutropenia than mild neutropenia only (p=0.017). African American boys had the highest rate of moderate neutropenia at 47%. Sixteen of the 17 patients exhibiting moderate neutropenia were successfully treated with clozapine by the time of discharge; 8 of these 16 required adjunctive lithium carbonate administration to maintain ANC>2000/mm3. Conclusions Our study shows that the rates of neutropenia in clozapine-treated children and adolescents are considerably higher than in the adult population. Younger age, African American ethnicity, and male gender were significant risk factors. These are also risk factors for benign neutropenia in healthy children and adolescents. Despite these high rates of neutropenia, all but one of the patients with neutropenia during hospitalization were successfully

  6. Dentists' training and willingness to treat adolescents with learning disabilities: the mediating role of social and clinical factors.

    Science.gov (United States)

    Coyle, C F; Humphris, G M; Freeman, R

    2013-12-01

    To test a theoretical model based on Cohen's dental profession factors (training; practitioner attitudes; geography) to investigate practitioners' willingness to treat adolescents with learning disabilities (LD) in primary dental care. A sample of all 537 primary care dentists working in a mainly urban area of Northern Ireland and a more rural area of Scotland. Willingness to treat adolescents with LD. Questionnaire survey of demographic profile, undergraduate education, current knowledge, attitudes towards individuals with LD and willingness to treat this patient group. A path analytical approach (multiple meditational model) was used. Three hundred dentists participated giving a valid response rate of 61%. Undergraduate education and current knowledge (training) strengthened a social model perspective promoting positive attitudes and willingness to treat adolescents with LD. Undergraduate education and current knowledge about disability did not significantly contribute to dentists whose attitudes were underpinned by the medical model of disability. Therefore geography (rural or urban location) was not an influential factor in willingness to treat adolescents with LD. This does not exclude the possibility that area of work may have an influence as a consequence of undergraduate university attended. This model identifies the importance of undergraduate and continuing dental education with regard to modifying professional attitudes (social and clinical factors) to assist practitioners treat adolescents with LD and provide them with inclusive dental services in primary dental care.

  7. [Hodgkin's lymphoma in adolescents: where to treat it--in an adult or pediatric institution?].

    Science.gov (United States)

    Müller, Judit; Molnár, Zsuzsanna; Illés, Arpád; Csóka, Monika; Jakab, Zsuzsanna; Deák, Beáta; Schneider, Tamás; Várady, Erika; Rosta, András; Simon, Zsófia; Keresztes, Katalin; Gergely, Lajos; Kovács, Gábor

    2008-11-23

    Adolescent patients with Hodgkin's lymphoma (HL) are treated either in pediatric, or in adult oncological wards. The aim of our work was to compare the treatment modalities and the survival rates in adolescents with HL treated in adult (A) or pediatric (P) institutes. From January 1990 to December 2004, 138 patients (14-21 years) with HL were treated in two adult institutes (A) and 107 in the 10 centres of the Hungarian Pediatric Oncology Network (P). Male:female ratio was 1:1.15 (A) and 1:1.38 (P). The mean age was 18.6 (A) and 15.7 (P) years. There was no difference between the distribution of the stages in the two patient groups. The distribution of histological subtypes (A and P): nodular sclerosing 47% and 59%, mixed cellularity 45% and 25%, lymphocyte rich 1.5% and 10%, lymphocyte depleted 4% and 1%, nodular lymphocyte predominant 1.5% and 3% and unknown 1% and 2%. The majority of the patients were treated with ABVD (A) and OPPA/OEPA +/- COPP (P). One hundred and fifteen (A) and 97 (P) adolescents received irradiation therapy. 80% (A) and 91% (A) of the patients got radiotherapy. In group A 14%, in group P 13% of the patients had relapse. In group A 16 patients died and in group P 7. There was no significant difference in the overall survival (OS) rates at 5 and 10 years in the two patient groups. The event-free survival (EFS) was 76.5 +/- 4% and 72.5 +/- 4% at 5 and 10 years in group A, and 85.3 +/- 4% at both times in group P ( p = 0.0452). Survival rates in HL are quite high, 80-90% of the patients can be cured. Event-free survival was higher in pediatric than in adult institutes. In case of patients younger than 18 years, the survival rates were much better in pediatric institutes, so these patients should be treated in pediatric institutes or with protocols used by the pediatricians.

  8. Breaking Away to Find a Way: Poverty and School Failure in a Spanish Adolescent Life-History

    Science.gov (United States)

    Calderon-Almendros, I.

    2011-01-01

    This article is part of a biographical research study, and explores the social path that an adolescent from a marginal background in Malaga (Spain) has travelled throughout his life. The research shows a class differentiation that divides society in two: you, who control the means of production, impose your culture, and define the policy and the…

  9. Cognitive outcome in children and adolescents treated for acute lymphoblastic leukaemia with chemotherapy only

    Science.gov (United States)

    Lofstad, G Elisabeth; Reinfjell, Trude; Hestad, Knut; Diseth, Trond H

    2009-01-01

    Objective: To examine cognitive outcome in children and adolescents with acute lymphoblastic leukaemia (ALL) in remission, treated with central nervous system prophylactic chemotherapy only. Method: Thirty-five children and adolescents, age 8.4–15.3 years in long-term remission from ALL, 4.2–12.4 years post diagnosis, without relapse and no prediagnosis history of neurodevelopmental disorder were compared with 35 healthy controls matched for gender and age, on measures of intellectual functioning Wechsler Intelligence Scale for Children-Third Edition (WISC-III). Results: All but two of the ALL survivors treated by chemotherapy only obtained WISC-III Total Intelligence Quotient (IQ) scores in the normal range (M = 95.3), but their scores were significantly below levels for their matched controls and below normative standards for WISC-III. The difference between patients and controls was significant at the p < 0.001 level for the following measures: Total IQ, Verbal IQ, Verbal Comprehension Index, Freedom from Distraction Index and three verbal subtest scores. Conclusion: The results indicate long-term sequelae in global cognitive functions, and indicate that verbal function, processing speed, attention and complex visual-spatial problem solving may be affected in the chemotherapy only group. PMID:18826490

  10. Are the Psychological Needs of Adolescent Survivors of Pediatric Cancer Adequately Identified and Treated?

    Science.gov (United States)

    Kahalley, Lisa S.; Wilson, Stephanie J.; Tyc, Vida L.; Conklin, Heather M.; Hudson, Melissa M.; Wu, Shengjie; Xiong, Xiaoping; Stancel, Heather H.; Hinds, Pamela S.

    2012-01-01

    Objectives To describe the psychological needs of adolescent survivors of acute lymphoblastic leukemia (ALL) or brain tumor (BT), we examined: (a) the occurrence of cognitive, behavioral, and emotional concerns identified during a comprehensive psychological evaluation, and (b) the frequency of referrals for psychological follow-up services to address identified concerns. Methods Psychological concerns were identified on measures according to predetermined criteria for 100 adolescent survivors. Referrals for psychological follow-up services were made for concerns previously unidentified in formal assessment or not adequately addressed by current services. Results Most survivors (82%) exhibited at least one concern across domains: behavioral (76%), cognitive (47%), and emotional (19%). Behavioral concerns emerged most often on scales associated with executive dysfunction, inattention, learning, and peer difficulties. CRT was associated with cognitive concerns, χ2(1,N=100)=5.63, psurvivors, t(47)=3.28, psurvivors, t(48)=2.93, psurvivors with concerns, 38% were referred for psychological follow-up services. Lower-income ALL survivors received more referrals for follow-up, χ2(1,N=41)=8.05, psurvivors had more concerns across domains than non-referred survivors, ALL: t(39)=2.96, psurvivors may be at risk for experiencing unaddressed cognitive needs. Conclusions Many adolescent survivors of cancer experience psychological difficulties that are not adequately managed by current services, underscoring the need for long-term surveillance. In addition to prescribing regular psychological evaluations, clinicians should closely monitor whether current support services appropriately meet survivors’ needs, particularly for lower-income survivors and those treated with CRT. PMID:22278930

  11. Giant nonossifying fibroma of the distal tibia in adolescents treated by curettage and intralesional cementation

    Directory of Open Access Journals (Sweden)

    N. G. Bishay Sherif

    2015-01-01

    Full Text Available Abstract Background. Fibrous cortical defects and nonossifying fibromas are the most common benign non-neoplastic bone lesions occurring in the metaphyses of long bones in children and adolescents. Giant nonossifying fibromas (NOF are not asymptomatic but usually present with pain and/or pathological fractures due to increased stress. Materials and methods. 20 adolescent patients, 14 males and 6 females, with mean age 18 years and 6 months (range, from 16 to < 21 years; presented to the National Institute of Neuromotor system, Egypt, between September 2007 and September 2009, with giant nonossifying fibromas of the distal tibia. Diagnosis was made by clinical examination, plain radiographs, magnetic resonance imaging, and histopathological reports. Treatment was achieved by curettage without bone graft, but with intralesional filling with bone cement. Evaluation concerning pain, functional activity using MSTS scoring, pathological fracture, and local recurrence were done over a mean follow-up period of 6 years and 2 months (range, 5 to 7 years. Results. Pain and functional activity improved in the twenty patients with mean MSTS score of 29.2 (range, 25 to 30. There was no pathological fracture, no local recurrence, no change in the cement-bone interface, and no arthro- genic problems over the follow-up period. The p value was <0.05. Conclusion. Giant nonossifying fibromas can be treated simply and effectively by curettage and intralesional cementation with excellent functional results.

  12. Adolescent Volar Barton Fracture with Open Physis treated with Volar Plating using Buttressing Principle

    Directory of Open Access Journals (Sweden)

    Shah H

    2015-07-01

    Full Text Available Objective: The objective of the study was to assess the outcome of Salter- Harris type III distal radius fracture fixed using the principle of buttressing and avoiding screw insertion through the physis. Materials and Method: Eight school going children in the age group of 11-16 years with volar Barton fractures were treated with a volar plate using the buttress principle without inserting screws in the distal fragment. Patients were evaluated over a period of 18 months. Clinical evaluation was done using the Green O’Brien criteria and radiological evaluation using the Sarmiento criteria. Results: The average union time was two months. All the patients had good to excellent functional outcome with full extension and flexion. Conclusion: Buttress plating of volar Barton fractures in the adolescent age group is an excellent technique to achieve satisfactory outcome without violation of the physis.

  13. Hyperprolactinemia in Thai children and adolescents with autism spectrum disorder treated with risperidone

    Directory of Open Access Journals (Sweden)

    Hongkaew Y

    2015-01-01

    Full Text Available Yaowaluck Hongkaew,1,2 Nattawat Ngamsamut,3 Apichaya Puangpetch,1,2 Natchaya Vanwong,1,2 Pornpen Srisawasdi,4 Montri Chamnanphon,1,2 Bhunnada Chamkrachchangpada,3 Teerarat Tan-kam,3 Penkhae Limsila,3 Chonlaphat Sukasem1,2 1Division of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine, 2Laboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC, Ramathibodi Hospital, Mahidol University, 3Yuwaprasart Waithayopathum Child and Adolescent Psychiatric Hospital, Department of Mental Health Services, Ministry of Public Health, 4Division of Clinical Chemistry, Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand Abstract: Hyperprolactinemia is a common adverse effect observed in children with autism spectrum disorder (ASD during pharmacotherapy with risperidone. The main aim of this study was to investigate important clinical factors influencing the prolactin response in risperidone-treated Thai ASD. A total of 147 children and adolescents (127 males and 20 females aged 3–19 years with ASD received risperidone treatment (0.10–6.00 mg/day for up to 158 weeks. Prolactin levels were measured by chemiluminescence immunoassay. The clinical data of patients collected from medical records – age, weight, height, body mass index, dose of risperidone, duration of treatment, and drug-use pattern – were recorded. Hyperprolactinemia was observed in 66 of 147 (44.90% subjects. Median prolactin level at the high doses (24.00, interquartile range [IQR] 14.30–29.20 of risperidone was significantly found to be higher than at the recommended (16.20, IQR 10.65–22.30 and low (11.70, IQR 7.51–16.50 doses of risperidone. There was no relationship between prolactin levels and duration of risperidone treatment. Dose-dependence is identified as a main factor associated with hyperprolactinemia in Thai children and adolescents with ASD treated with

  14. Effects of a Behavioral Sleep Medicine Intervention on Trauma Symptoms in Adolescents Recently Treated for Substance Abuse

    Science.gov (United States)

    Stevens, Sally; Haynes, Patricia L.; Ruiz, Bridget; Bootzin, Richard R.

    2007-01-01

    This study tested whether improvement in sleep by an integrative, behavioral sleep intervention was associated with improvement in traumatic stress (TS) symptoms in a sample of 20 adolescents who were recently treated for substance abuse. Sleep was measured throughout the intervention via daily sleep diaries, and traumatic stress symptoms were…

  15. Permethrin-treated bed nets in the prevention of malaria and anemia in adolescent schoolgirls in western Kenya

    NARCIS (Netherlands)

    Leenstra, Tjalling; Phillips-Howard, Penelope A.; Kariuki, Simon K.; Hawley, William A.; Alaii, Jane A.; Rosen, Daniel H.; Oloo, Aggrey J.; Nahlen, Bernard L.; Kager, Piet A.; ter Kuile, Feiko O.

    2003-01-01

    The impact of insecticide (permethrin)-treated bed nets (ITNs) on the health of adolescent schoolgirls was investigated during a community-based, randomized, controlled trial of ITNs in western Kenya. Two school-based cross-sectional surveys were conducted to determine the prevalence of malaria and

  16. The Break

    DEFF Research Database (Denmark)

    Strand, Anete Mikkala Camille

    2018-01-01

    The chapter elaborates on how to deal with one of the major challenges facing organizations worldwide; Stress. The Break enacts a quantum approach to meet the challenges by proposing a combination of three different quantum storytelling technologies; protreptic mentoring, walking and material...... storytelling to enact fruitful breakings of patterns unbecoming. The claim being, that the hamster wheel of Work-life anno 2016 needs reconfiguration and the simple yet fruitful manner by which this is done is through acknowledging the benefits of bodies, spaces and artifacts – and the benefits of actually...... taking a break, discontinuing for a moment in order to continue better, wiser and more at ease. Both within and as part of the daily routines, and – now and then – outside these routines in the majesty of nature with time to explore and redirect the course of life in companionships with fellow man...

  17. Bioimpedance and Fluid Status in Children and Adolescents Treated With Dialysis.

    Science.gov (United States)

    Milani, Gregorio P; Groothoff, Jaap W; Vianello, Federica A; Fossali, Emilio F; Paglialonga, Fabio; Edefonti, Alberto; Agostoni, Carlo; Consonni, Dario; van Harskamp, Dewi; van Goudoever, Johannes B; Schierbeek, Henk; Oosterveld, Michiel J S

    2017-03-01

    Assessment of hydration status in patients with chronic kidney failure treated by dialysis is crucial for clinical management decisions. Dilution techniques are considered the gold standard for measurement of body fluid volumes, but they are unfit for day-to-day care. Multifrequency bioimpedance has been shown to be of help in clinical practice in adults and its use in children and adolescents has been advocated. We investigated whether application of multifrequency bioimpedance is appropriate for total-body water (TBW) and extracellular water (ECW) measurement in children and adolescents on dialysis therapy. A study of diagnostic test accuracy. 16 young dialysis patients (before a hemodialysis session or after peritoneal dialysis treatment) from the Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy, and the Emma Children's Hospital-Academic Medical Center, Amsterdam, the Netherlands. TBW and ECW volumes assessed by multifrequency bioimpedance. TBW and ECW volumes measured by deuterium and bromide dilution, respectively. Mean TBW volumes determined by multifrequency bioimpedance and deuterium dilution were 19.2±8.7 (SD) and 19.3±8.3L, respectively; Bland-Altman analysis showed a mean bias between the 2 methods of -0.09 (95% limits of agreement, -2.1 to 1.9) L. Mean ECW volumes were 8.9±4.0 and 8.3±3.3L measured by multifrequency bioimpedance and bromide dilution, respectively; mean bias between the 2 ECW measurements was +0.6 (95% limits of agreement, -2.3 to 3.5). Participants ingested the deuterated water at home without direct supervision by investigators, small number of patients, repeated measurements in individual patients were not performed. Multifrequency bioimpedance measurements were unbiased but imprecise in comparison to dilution techniques. We conclude that multifrequency bioimpedance measurements cannot precisely estimate TBW and ECW in children receiving dialysis. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier

  18. Tratamento de macroprolactinoma com cabergolina em adolescente An adolescent patient with prolactinoma treated with cabergoline

    Directory of Open Access Journals (Sweden)

    Leila Warszawski

    2011-09-01

    Full Text Available OBJETIVO: Relatar um caso de macroprolactinoma diagnosticado em adolescente e tratado com cabergolina. DESCRIÇÃO DO CASO: Paciente do sexo feminino, 15 anos, iniciou quadro clínico aos dez anos, com cefaleia, obesidade e não havia apresentado menarca ao diagnóstico. A dosagem sérica inicial de prolactina foi de 2492ng/mL (valor de referência: 19-25ng/mL. A ressonância nuclear magnética de crânio evidenciou formação expansiva selar e suprasselar compatível com macroadenoma hipofisário sem compressão do quiasma óptico. Seis meses após o início do tratamento com cabergolina, houve queda significativa dos níveis séricos de prolactina para 87,7ng/mL, com redução de 76% no tamanho da lesão e melhora sintomática. COMENTÁRIOS: A ocorrência dos prolactinomas é rara na infância e na adolescência, mas o seu comportamento pode ser mais agressivo. O diagnóstico precoce e o manejo adequado do caso são importantes para um bom prognóstico.OBJECTIVE: To report a teenager with macroprolactinoma treated with cabergoline. CASE DESCRIPTION: A 15-year old female adolescent reported the onset of headaches and obesity since ten years old. At diagnosis amenorrhea was not present. The serum level of prolactin was initially 2492ng/mL (reference values: 19-25ng/mL. Magnetic resonance images of the skull revealed an expansive sellar and suprasellar pituitary macroadenoma without optical chiasmal compression. Six months after starting treatment with cabergoline, there was a significant decrease of prolactin levels to 87.7 ng/mL, with a 76% reduction in the lesion size and she reported improvement of the symptoms. COMMENTS: In childhood and adolescence, prolactinomas are rare, but when they occur the clinical course is more aggressive. Early diagnosis and proper management of the disease are important for a good prognosis.

  19. Electroweak breaking and supersymmetry breaking

    Indian Academy of Sciences (India)

    We discuss the clash between the absence of fine tuning in the Higgs potential and a sufficient suppression of flavour changing neutral current transitions in supersymmetric extensions of the standard model. It is pointed out that horizontal U ( 1 ) symmetry combined with the D -term supersymmetry breaking provides a ...

  20. Incidence of cancer in adolescent idiopathic scoliosis patients treated 25 years previously.

    Science.gov (United States)

    Simony, Ane; Hansen, Emil Jesper; Christensen, Steen Bach; Carreon, Leah Y; Andersen, Mikkel Osterheden

    2016-10-01

    To report the incidence of cancer in a cohort of adolescent idiopathic scoliosis (AIS) patients treated 25 years previously. 215 consecutive AIS patients treated between 1983 and 1990 were identified and requested to return for clinical and radiographic examination. The incidence of cancer was determined through chart review and follow-up interviews. Using the original radiographic log file that included patient position, mAs, kV and the total number of X-rays taken, a radiation physicist calculated the total radiation dose during treatment and follow-up adjusted for BMI and sex. From the original cohort of 215 consecutive AIS patients, radiation information was available in 211 of the patients, and medical charts were available in 209 AIS patients. 170 (83 %) of the 205 AIS patients participated in the follow-up study with questionnaires. The calculated mean total radiation exposure was 0.8-1.4 mSV per examination and 2.4-5.6 mSv/year. An average of 16 radiographs were taken during the treatment period. Nine AIS patients developed cancer, mostly breast (3) and endometrial (4). The AIS patients had a relative risk of 4.8 (CI 2.3-5.8, p cancer compared to the normal Danish population. The overall cancer rate in this AIS cohort was 4.3 % which is five times higher than compared to the age-matched Danish population, and endometrial and breast cancer was most frequent. The radiation dose applied to the patients in this study, is comparable to modern equipment. This is to our knowledge the first study to report increased rates of endometrial cancers in a cohort of AIS patients, and future attention is needed to reduce the radiation dose distributed to the AIS patients both pre-operatively and during surgery.

  1. The Break

    DEFF Research Database (Denmark)

    Strand, Anete Mikkala Camille; Larsen, Jens

    2015-01-01

    that language and the social has been granted too much power on the dispense of the bodily, physical and biological – or in short, in dispense of the material. The break To be or not to be poses the theoretical notion of dis-/continuity (Barad, 2007, 2010) from the quantum approach to storytelling (Strand 2012...... and euro each year. The paper tries to explore new ways to deal with these challenges through a quantum approach to storytelling where the enactment of core values, bodies, spaces and artifacts positions managers and CEO’s from major Scandinavian organizations in sites where they can re-evaluate their life...... stones on a table in an office of a municipality in Denmark. Silence….. Rebuilding rooms for taking breaks with the inclusion of different activities such as a game of soccer or a hike seems to provide the tools to rework these imbalances or enslaving patterns. Break……. The attempt at meeting...

  2. Exploratory research to design a school nurse-delivered intervention to treat adolescent overweight and obesity.

    Science.gov (United States)

    Gellar, Lauren; Druker, Sue; Osganian, Stavroula K; Gapinski, Mary Ann; Lapelle, Nancy; Pbert, Lori

    2012-01-01

    In preparation for a pilot study to evaluate the efficacy of a school nurse-delivered intervention, focus groups were conducted to gain insight into the perceptions of stakeholders regarding the design and implementation of the intervention. Fifteen focus groups at participating schools. One hundred subjects, including overweight and obese high school students, parents, high school nurses, and staff. Stakeholders' perceptions. Focus groups were audiotaped and transcribed verbatim. Theme instances related to the research aim were identified, coded, and sorted into theme categories. Major topics discussed included teen issues, family support, intervention implementation-related concerns, and curriculum content. Teen issues included dealing with peer pressure, avoiding emotional eating, and support from friends. Many participants thought it should be the teen's choice to involve parents. Confidentiality was the most commonly identified potential barrier to implementation. Recommendations for nutrition and physical activity curriculum content focused on concrete, practical strategies. Results of this research provided insight into stakeholder's needs and perceptions regarding the content and structure of a school nurse-delivered intervention to treat adolescent overweight and obesity. Findings were used in the design and implementation of intervention protocols and materials. Copyright © 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  3. Treating adolescent drug abuse: a randomized trial comparing multidimensional family therapy and cognitive behavior therapy.

    Science.gov (United States)

    Liddle, Howard A; Dakof, Gayle A; Turner, Ralph M; Henderson, Craig E; Greenbaum, Paul E

    2008-10-01

    To examine the efficacy of two adolescent drug abuse treatments: individual cognitive behavioral therapy (CBT) and multidimensional family therapy (MDFT). A 2 (treatment condition) x 4 (time) repeated-measures intent-to-treat randomized design. Data were gathered at baseline, termination, 6 and 12 months post-termination. Analyses used latent growth curve modeling. Community-based drug abuse clinic in the northeastern United States. A total of 224 youth, primarily male (81%), African American (72%), from low-income single-parent homes (58%) with an average age of 15 years were recruited into the study. All youth were drug users, with 75% meeting DSM-IV criteria for cannabis dependence and 13% meeting criteria for abuse. Five outcomes were measured: (i) substance use problem severity; (ii) 30-day frequency of cannabis use; (iii) 30-day frequency of alcohol use; (iv) 30-day frequency of other drug use; and (v) 30-day abstinence. Both treatments produced significant decreases in cannabis consumption and slightly significant reductions in alcohol use, but there were no treatment differences in reducing frequency of cannabis and alcohol use. Significant treatment effects were found favoring MDFT on substance use problem severity, other drug use and minimal use (zero or one occasion of use) of all substances, and these effects continued to 12 months following treatment termination. Both interventions are promising treatments. Consistent with previous controlled trials, MDFT is distinguished by the sustainability of treatment effects.

  4. Seven-liter ovarian cyst in an adolescent treated by minimal access surgery: laparoscopy and open cystectomy.

    Science.gov (United States)

    Coccia, Maria Elisabetta; Rizzello, Francesca; Bracco, Gian Luca; Scarselli, Gianfranco

    2009-06-01

    Laparoscopic approaches to giant ovarian cysts, particularly in adolescents, have critical management concerns as follows: risk of malignancy, risk of cyst rupture, and limited working space. A 15-year-old girl presented with a giant (>25 cm) ovarian serous cyst adenoma containing 7 L of fluid. At open laparoscopy, a giant, entirely cystic, smooth mass originating from the right ovary and lying between the symphysis and the xiphoid was observed. After intraabdominal fluid aspiration, open conservative cystectomy was performed, avoiding spillage. The patient made an uneventful postoperative recovery and was discharged on the second postoperative day. To our knowledge, this is the largest ovarian cyst treated conservatively in an adolescent. Minimal access surgery, laparoscopy and open cystectomy, can be safely proposed in this group of patients. Conservative surgery should always be evaluated for preservation of ovarian function in cases of giant ovarian cysts in adolescents.

  5. Cognitive–Behavioral Therapy and Hypnotic Relaxation to Treat Sleep Problems in an Adolescent With Diabetes

    OpenAIRE

    Perfect, Michelle M.; Gary R. Elkins

    2010-01-01

    Inadequate sleep among adolescents frequently contributes to obesity and reduced academic performance, along with symptoms of anxiety, depression, fatigue, and attention deficits. The etiological bases of sleep quality has been associated with both stress and sleep habits. These problems tend to be especially important for adolescents with diabetes as the effects of poor sleep complicate health outcomes. This case example concerns a 14-year-old adolescent girl with a history of type I diabete...

  6. The role of the primary care provider in preventing and treating alcohol problems in adolescents

    NARCIS (Netherlands)

    Knight, [No Value

    2001-01-01

    Adolescents use alcohol more frequently and heavily than all other illicit drugs combined.(1) Given the myriad health, developmental, and social problems associated with alcohol use, it is not surprising that the American Medical Association's Guidelines for Adolescent Preventive Services recommends

  7. Suicidal behavior differs among early and late adolescents treated with antidepressant agents.

    Science.gov (United States)

    Hysinger, Erik B; Callahan, S Todd; Caples, T Lynne; Fuchs, D Catherine; Shelton, Richard; Cooper, William O

    2011-09-01

    To identify circumstances and characteristics of suicidal behavior among early (aged 10-14 years) and late (aged 15-18 years) adolescents from a cohort of youth who were prescribed antidepressant medication. In-depth reviews of all available medical records were performed for 250 randomly chosen confirmed episodes of suicidal behavior identified as part of a large retrospective cohort study of antidepressant users and suicidal behavior. Study data were obtained from Tennessee Medicaid records and death certificates from January 1, 1995, to December 31, 2006. Medical records and autopsy reports for cases identified from electronic data were adjudicated by 2 investigators blinded to exposure status and classified by using a validated scale. Of the 250 cases reviewed, 65.6% were female and 26.4% were aged 10 to 14 years. Medication ingestion was the most frequent method of suicidal behavior for both early and late adolescents; however, early adolescents were significantly more likely to use hanging as a method of suicide. Nearly one-half of the adolescents had previously attempted suicide. Early adolescents were significantly more likely to have a history of sexual abuse and significantly less likely to have a history of substance abuse. Early adolescents were also significantly more likely than older adolescents to have a history of a psychotic disorder and to report hallucinations before the suicide attempt. Suicidal behavior among early and late adolescents prescribed antidepressant medication differed in terms of methods used, previous psychiatric history, and proximal symptoms.

  8. Dyslipidemia in Children and Adolescents: When and How to Diagnose and Treat?

    OpenAIRE

    Yoon, Jung Min

    2014-01-01

    Recently, the incidence and prevalence of obesity and dyslipidemia are increasing. Dyslipidemia is associated with significant comorbidities and complications, and with cardiovascular risk factors (obesity, diabetes mellitus, hypertension and smoking). The main objectives of this article are that describe the prevalence of dyslipidemia in Korean children and adolescents and review the diagnosis and management of dyslipidemia in children and adolescents.

  9. Cervical sagittal alignment variations in adolescent idiopathic scoliosis patients treated with thoraco-lumbo-sacral orthosis.

    Science.gov (United States)

    Corradin, Marco; Canavese, Federico; Dimeglio, Alain; Dubousset, Jean

    2017-04-01

    Thoraco-lumbo-sacral orthosis (TLSO) is an effective treatment in adolescent idiopathic scoliosis (AIS) patients, but cervical sagittal alignment (CSA) variations after bracing have never been evaluated. The purpose of this study was to assess changes in CSA before, during and after TLSO treatment, and to determine whether patients developed cervical pain. This was a retrospective study in 38 AIS patients (33 females; mean age 10.8 years) treated by TLSO. Patients were Risser 0 (n = 34) or 1 (n = 4). Major curve deformity (MC) in the coronal plane and cervical (CSA), thoracic (TSA) and lumbar (LSA) sagittal alignment were evaluated radiographically at start of treatment (t 0), after 1 month of brace treatment (t 1), and 1 year after end of treatment (t 2). Cervical pain was evaluated at t 2 using a visual analogue scale (VAS). The TLSO was worn for an average of 4.6 years. Mean CSA, TSA and LSA were significantly lower at t 2 than at t 0: 0 ± 2.5° vs. 9.4 ± 2.3°, 24.1 ± 2.6° vs. 29.3 ± 2.4° and 5 ± 1.9° vs. 44.2 ± 2.5°, respectively (p  0.8). VAS score was 0 in all patients. The TLSO can control progression of the deformity in the frontal plane, but it influences CSA, TSA and LSA. In particular, it decreases cervical spine lordosis, with reduction maintained 1 year after the end of treatment. Numerical differences, although statistically significant, were not clinically relevant.

  10. Self-determined motivation towards physical activity in adolescents treated for obesity: an observational study

    Directory of Open Access Journals (Sweden)

    Theuwis Lotte

    2011-09-01

    Full Text Available Abstract Background Within the Self-Determination Theory (SDT framework, the first major study aim was to investigate the SDT tenets in an obese adolescent population by examining the factor structure of the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2 and by investigating associations between physical activity (PA and motivation in obese adolescents. The second aim was to study differences in motivation according to adolescents' educational level, since lower educated obese adolescent are a sub-risk group for lower PA levels among the obese adolescents. The third aim was to investigate whether attending a residential obesity treatment program could lead to an increase in autonomous motivation towards PA and to see if the treatment effect on motivation was different in low versus high educated youth. Methods For the first study aim, the sample comprised 177 obese adolescents at the start of a 10-month multidisciplinary residential obesity treatment program (BMI = 35.9 ± 6.0 kg/m2, 15.1 ± 1.5 years, 62% girls. A subsample of 65 adolescents (stratified by educational level were divided into low (n = 34 versus high educated (n = 31 as part of the second and third study aim. Motivation was assessed using the BREQ-2 and PA using the Flemish Physical Activity Questionnaire. Results Exploratory factor analysis showed sufficient validations with the original factor for 17 out of 19 BREQ-2 items. Significant positive correlations were found between PA and the composite score of relative autonomy (r = 0.31, p Conclusions The BREQ-2 can be used in an obese adolescent population. Higher levels of autonomous motivation towards PA were related to higher PA levels. Adolescents had increases in both autonomous and controlled forms of motivation during treatment. Special attention for lower educated adolescents during treatment is needed, as they have a lower autonomous motivation at the start of treatment and an increase in introjected

  11. Conservative interventions for treating middle third clavicle fractures in adolescents and adults.

    Science.gov (United States)

    Lenza, Mário; Faloppa, Flávio

    2016-12-15

    Clavicle (collarbone) fractures account for around 4% of all fractures. Most (76%) clavicle fractures involve the middle-third section of the clavicle. Treatment of these fractures is usually non-surgical (conservative). Commonly used treatments are arm slings, strapping and figure-of-eight bandages.This is an update of a Cochrane review first published in 2009 and updated in 2014. To evaluate the effects (benefits and harms) of different methods for conservative (non-operative) treatment for acute (treated soon after injury) middle third clavicle fractures in adolescents and adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE (from 1966), Embase (from 1980), LILACS (from 1982), trial registers, orthopaedic proceedings and reference lists of articles. We applied no language or publication restrictions. The date of the last search was 5 January 2016. Randomised and quasi-randomised controlled trials testing conservative interventions for treating adolescents and adults with acute middle third clavicle fractures. The primary outcomes were shoulder function or disability, pain and treatment failure. For this update, two review authors selected eligible trials, independently assessed risk of bias and cross-checked data extraction. We calculated risk ratios and 95% confidence intervals for dichotomous variables, and mean differences and 95% confidence intervals for continuous variables. There was very limited pooling of data. We included four trials in this review with 416 participants, who were aged 14 years or above. One new trial was included in this update.Very low quality evidence was available from three trials (296 participants) that compared the figure-of-eight bandage with an arm sling for treating acute middle third clavicle fractures. The three trials were underpowered and compromised by poor methodology. Shoulder function was assessed in different ways in the

  12. Self-determined motivation towards physical activity in adolescents treated for obesity: an observational study

    Science.gov (United States)

    2011-01-01

    Background Within the Self-Determination Theory (SDT) framework, the first major study aim was to investigate the SDT tenets in an obese adolescent population by examining the factor structure of the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2) and by investigating associations between physical activity (PA) and motivation in obese adolescents. The second aim was to study differences in motivation according to adolescents' educational level, since lower educated obese adolescent are a sub-risk group for lower PA levels among the obese adolescents. The third aim was to investigate whether attending a residential obesity treatment program could lead to an increase in autonomous motivation towards PA and to see if the treatment effect on motivation was different in low versus high educated youth. Methods For the first study aim, the sample comprised 177 obese adolescents at the start of a 10-month multidisciplinary residential obesity treatment program (BMI = 35.9 ± 6.0 kg/m2, 15.1 ± 1.5 years, 62% girls). A subsample of 65 adolescents (stratified by educational level) were divided into low (n = 34) versus high educated (n = 31) as part of the second and third study aim. Motivation was assessed using the BREQ-2 and PA using the Flemish Physical Activity Questionnaire. Results Exploratory factor analysis showed sufficient validations with the original factor for 17 out of 19 BREQ-2 items. Significant positive correlations were found between PA and the composite score of relative autonomy (r = 0.31, p motivation towards PA were related to higher PA levels. Adolescents had increases in both autonomous and controlled forms of motivation during treatment. Special attention for lower educated adolescents during treatment is needed, as they have a lower autonomous motivation at the start of treatment and an increase in introjected regulation during treatment. PMID:21923955

  13. Self-determined motivation towards physical activity in adolescents treated for obesity: an observational study.

    Science.gov (United States)

    Verloigne, Maïté; De Bourdeaudhuij, Ilse; Tanghe, Ann; D'Hondt, Eva; Theuwis, Lotte; Vansteenkiste, Maarten; Deforche, Benedicte

    2011-09-19

    Within the Self-Determination Theory (SDT) framework, the first major study aim was to investigate the SDT tenets in an obese adolescent population by examining the factor structure of the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2) and by investigating associations between physical activity (PA) and motivation in obese adolescents. The second aim was to study differences in motivation according to adolescents' educational level, since lower educated obese adolescent are a sub-risk group for lower PA levels among the obese adolescents. The third aim was to investigate whether attending a residential obesity treatment program could lead to an increase in autonomous motivation towards PA and to see if the treatment effect on motivation was different in low versus high educated youth. For the first study aim, the sample comprised 177 obese adolescents at the start of a 10-month multidisciplinary residential obesity treatment program (BMI = 35.9 ± 6.0 kg/m², 15.1 ± 1.5 years, 62% girls). A subsample of 65 adolescents (stratified by educational level) were divided into low (n = 34) versus high educated (n = 31) as part of the second and third study aim. Motivation was assessed using the BREQ-2 and PA using the Flemish Physical Activity Questionnaire. Exploratory factor analysis showed sufficient validations with the original factor for 17 out of 19 BREQ-2 items. Significant positive correlations were found between PA and the composite score of relative autonomy (r = 0.31, p motivation towards PA were related to higher PA levels. Adolescents had increases in both autonomous and controlled forms of motivation during treatment. Special attention for lower educated adolescents during treatment is needed, as they have a lower autonomous motivation at the start of treatment and an increase in introjected regulation during treatment.

  14. Testing the effects of peer socialization versus selection on alcohol and marijuana use among treated adolescents.

    Science.gov (United States)

    Becker, Sara J; Curry, John F

    2014-02-01

    This study examined the relative influence of peer socialization and selection on alcohol and marijuana use among 106 adolescents who received a brief intervention. Adolescents were recruited between 2003 and 2007 and followed for 12 months as part of a SAMHSA-funded study. Cross-lagged panel models using four assessment points examined the longitudinal relationship between adolescent substance use and peer substance involvement separately for alcohol and marijuana. Consistent with community studies, there was evidence of both peer socialization and peer selection for alcohol use, and only evidence of peer selection for marijuana use. Implications for research and intervention are discussed.

  15. Subjective stimulant and sedative effects of alcohol during early drinking experiences predict alcohol involvement in treated adolescents.

    Science.gov (United States)

    Chung, Tammy; Martin, Christopher S

    2009-09-01

    Research on low subjective response to alcohol has focused primarily on alcohol's sedative effects during early drinking experiences. This study examined subjective response to both stimulant and sedative effects of alcohol during initial drinking experiences as predictors of treated adolescents' severity of alcohol involvement before treatment and over 1-year follow-up. Adolescents (N = 169) recruited from addictions treatment reported on the number of drinks needed to obtain stimulant and sedative effects of alcohol for early and heavy drinking periods. The number of drinks needed to obtain stimulant and sedative effects, as well as the degree of stimulant and sedative effect obtained, were examined as predictors of adolescents' alcohol involvement at baseline (before treatment) and 1-year follow-up. During early drinking experiences, females reported a greater degree of sedative effect compared with males; there was no gender difference in degree of stimulant effect reported during early drinking experiences. Both early subjective stimulant and sedative effects of alcohol predicted the usual number of drinks needed to become intoxicated and the maximum drinking quantity per day before treatment. However, at 1-year follow-up, only early sedative effects predicted 1-year outcomes. Study findings suggest potentially important roles for both early subjective stimulant and sedative effects of alcohol in relation to adolescent alcohol involvement.

  16. Neurological, Metabolic, and Psychiatric Adverse Events in Children and Adolescents Treated With Aripiprazole

    DEFF Research Database (Denmark)

    Jakobsen, Klaus Damgaard; Bruhn, Christina Hedegaard; Pagsberg, Anne-Katrine

    2016-01-01

    Aripiprazole is a partial dopamine agonist with only minor neurological and psychiatric adverse effects, making it a potential first-line drug for the treatment of psychiatric disorders. However, the evidence of its use in children and adolescents is rather sparse. The aim of this case study...... is to discuss adverse drug reaction (ADR) reports concerning aripiprazole-associated neurological and psychiatric events in children and adolescents. The ADR report database at Danish Medicines Agency was searched for all ADRs involving children and adolescents (... insomnia, Parkinsonism, behavioral changes psychoses, and weight gain, whereas the adverse effects in the PS group was predominantly anxiety, convulsions, and neuroleptic malignant syndrome. Although aripiprazole is considered safe and well tolerated in children and adolescents, severe adverse events...

  17. BMI changes in adolescents treated with bupropion SR for smoking cessation.

    Science.gov (United States)

    Floden, Lysbeth; Taren, Douglas L; Muramoto, Myra L; Leischow, Scott J

    2016-01-01

    Adolescent overweight and obesity and smoking continue to be very important health challenges because of their lasting effects on overall health. Weight gain after smoking cessation is a barrier to quitting as well as a negative consequence to health. This study reports changes in the body mass index (BMI) z-scores of adolescent smokers participating in a dose-ranging clinical trial of bupropion SR (150 mg/day and 300 mg/day) for smoking cessation. A total of N = 296 adolescent smokers (placebo n = 100, 150 mg/day n = 101, 300 mg/day n = 95) with a BMI z-score of 0.5 (sd: 1.4), 0.5 (sd: 1.3), and 0.5 (sd: 1.2) in the placebo, 150 mg/day, and 300 mg/day groups, respectively, were followed for 6 months. Adolescents in the 300 mg/day group had a significant reduction in BMI z-score 6 weeks after quitting (β = -0.16, CI = (-0.29, -0.04), P-value = 0.01). This result was not sustained at the 6-month follow-up. A reduction in BMI z-score during smoking cessation with bupropion has important implications for the future of adolescent smoking cessation. These results are particularly relevant for adolescents who have either overweight or obesity or who have reservations about quitting for fear of gaining weight or BMI. © 2015 The Obesity Society.

  18. Acute Myeloid Leukemia in Adolescents and Young Adults Treated in Pediatric and Adult Departments in the Nordic Countries

    DEFF Research Database (Denmark)

    Wennström, Lovisa; Edslev, Pernille Wendtland; Abrahamsson, Jonas

    2016-01-01

    BACKGROUND: Studies on adolescents and young adults with acute lymphoblastic leukemia suggest better results when using pediatric protocols for adult patients, while corresponding data for acute myeloid leukemia (AML) are limited. PROCEDURE: We investigated disease characteristics and outcome...... for de novo AML patients 10-30 years old treated in pediatric or adult departments. We included 166 patients 10-18 years of age with AML treated according to the pediatric NOPHO-protocols (1993-2009) compared with 253 patients aged 15-30 years treated in hematology departments (1996-2009) in the Nordic...... countries. RESULTS: The incidence of AML was 4.9/million/year for the age group 10-14 years, 6.5 for 15-18 years, and 6.9 for 19-30 years. Acute promyelocytic leukemia (APL) was more frequent in adults and in females of all ages. Pediatric patients with APL had similar overall survival as pediatric patients...

  19. Color vision and macular recovery time in epileptic adolescents treated with valproate and carbamazepine.

    Science.gov (United States)

    Verrotti, A; Lobefalo, L; Tocco, A M; Spalice, A; Gallenga, P E; Chiarelli, F; Iannetti, P

    2006-07-01

    Visual dysfunction has been reported in patients diagnosed with epilepsy. Some of these visual disturbances may be attributable to either the disease process, or the anticonvulsant therapy prescribed to control the seizures. The aims of our study were to evaluate whether color vision and macular function are impaired in epileptic adolescents, to study if the monotherapy with valproic acid (VPA) and carbamazepine (CBZ) can affect color vision and macular function and to determine the possible relationship between color vision, retinal function and antiepileptic drugs (AEDs) dosage and their serum concentrations. We examined 45 (16 male and 29 female, mean age +/- SD, 15.71 +/- 2.01 years) Caucasian epileptic patients suffering from various types of cryptogenic epilepsy before the beginning of therapy and after 1 year of VPA or CBZ monotherapy and 40 sex- and age-matched healthy controls. Color vision was assessed by Farnsworth Munsell (FM) 100-hue test and total error score (TES) was evaluated. This test consists of colored caps: the testee has to arrange the caps according to their colors macular function was assessed by nyctometry evaluating initial recovery time (IRT) and summation method (SM). This test evaluates visual acuity after a period of intense illumination of macula. Analysis of variance was used to evaluate the difference between controls and patients; moreover, Pearson's correlation test have been performed. Before the beginning of therapy, there were no differences in color vision and macular function between controls and epileptic patients. After 1 year, the patients, treated with VPA or CBZ, showed a deficit in FM 100-hue test. At nyctometry, all patients showed no significant variation of macular function between baseline evaluation and second evaluation at end of the follow-up. Our study demonstrates that, in our group of epileptic patients, epilepsy per se does not affect color vision and retinal function. In contrast, after 1 years of therapy

  20. Quality of life in adolescents with treated coeliac disease: influence of compliance and age at diagnosis.

    Science.gov (United States)

    Wagner, Gudrun; Berger, Gabriele; Sinnreich, Ursula; Grylli, Vasileia; Schober, Edith; Huber, Wolf-Dietrich; Karwautz, Andreas

    2008-11-01

    To assess the influence of gluten-free diet (GFD) compliance on the quality of life (QOL) of adolescents with coeliac disease (CD), and the impact of patient's age at time of diagnosis. Participants included 365 subjects: 283 adolescents (10-20 years old) with biopsy-proven CD and 82 adolescents without a chronic condition matched for age, sex, education, and social status. Their subjective QOL-comprising physical, mental, and social dimensions as defined by the World Health Organization-was measured and has been analyzed according to compliance status and age at CD diagnosis. Adolescents noncompliant with GFD reported a lower general QOL, more physical problems, a higher burden of illness, more family problems, and more problems in leisure time than adolescents who are compliant with GFD. More frequent GFD transgressions were associated with poorer QOL. Higher problem anticipation and higher feelings of "ill-being" were found in the noncompliant group. No differences between compliant patients with CD and adolescents without any chronic condition were found in all QOL aspects. Adolescents with a late CD diagnosis showed more problems at school and in social contact with peers, as well as worse physical health and higher CD-associated burden. Compliance with GFD is an essential factor to obtain optimal QOL. Psychosocial and educational support should be provided for patients having difficulties strictly adhering to GFD. Early CD onset and diagnosis is associated with better physical health, lower CD-associated burden and fewer social problems, indicating the importance of the earliest CD diagnosis possible.

  1. Rates and Correlates of Violent Behaviors among Adolescents Treated in an Urban ED

    Science.gov (United States)

    Walton, Maureen A.; Cunningham, Rebecca M.; Goldstein, Abby L.; Chermack, Stephen T.; Zimmerman, Marc; Bingham, C. Raymond; Shope, Jean T.; Stanley, Rachel; Blow, Frederic C.

    2010-01-01

    Purpose Violence is a leading cause of death for adolescents in inner-city settings. This paper describes violent behaviors in relation to other risk behaviors (e.g., substance use) among adolescents screened in an urban ED. Methods Patients ages 14–18 were approached to self-administer a computerized survey assessing violent behaviors (i.e., physical aggression), substance use (cigarettes, alcohol, marijuana), and weapon carriage. Results 1128 adolescents (83.8% participation rate; 45.9% male; 58.0% African-American) were surveyed. In the past year, 75.3% of adolescents reported peer violence, 27.6% reported dating violence, and 23.5% carried a weapon. In the past year, 28.0% drank alcohol, 14.4% binge drank, 5.7% reported alcohol-related fighting, and 36.9% smoked marijuana. Logistic regression analyses predicting violent behaviors were significant. Teens reporting peer violence were more likely to be younger, African-American, on public assistance, carry a weapon, binge drink, and smoke marijuana. Teens reporting dating violence were more likely to be female, African-American, carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Teens reporting alcohol-related fighting were more likely to carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Conclusions Adolescents presenting to an urban ED have elevated rates of violent behaviors. Substance use (i.e., binge drinking and smoking marijuana) is an important risk factor for violent behaviors among urban adolescents. Universal screening and intervention protocols to address multiple risk behaviors, including violent behaviors and substance use, may be useful to prevent injury among adolescents presenting to the urban ED. PMID:19541253

  2. Rates and correlates of violent behaviors among adolescents treated in an urban emergency department.

    Science.gov (United States)

    Walton, Maureen A; Cunningham, Rebecca M; Goldstein, Abby L; Chermack, Stephen T; Zimmerman, Marc A; Bingham, C Raymond; Shope, Jean T; Stanley, Rachel; Blow, Frederic C

    2009-07-01

    Violence is a leading cause of death for adolescents in inner-city settings. This article describes violent behaviors in relation to other risk behaviors (e.g., substance use) among adolescents screened in an urban emergency department (ED). Patients aged 14-18 years were approached to self-administer a computerized survey assessing violent behaviors (i.e., physical aggression), substance use (cigarettes, alcohol, marijuana), and weapon carriage. A total of 1128 adolescents (83.8% participation rate; 45.9% male; 58.0% African-American) were surveyed. In the past year, 75.3% of adolescents reported peer violence, 27.6% reported dating violence, and 23.5% reported carrying a weapon. In the past year, 28.0% drank alcohol, 14.4% binge drank, 5.7% reported alcohol-related fighting, and 36.9% smoked marijuana. Logistic regression analyses predicting violent behaviors were significant. Teens reporting peer violence were more likely to be younger, African-American, on public assistance, carry a weapon, binge drink, and smoke marijuana. Teens reporting dating violence were more likely to be female, African-American, carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Teens reporting alcohol-related fighting were more likely to carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Adolescents presenting to an urban ED have elevated rates of violent behaviors. Substance use (i.e., binge drinking and smoking marijuana) is an important risk factor for violent behaviors among urban adolescents. Universal screening and intervention protocols to address multiple risk behaviors, including violent behaviors and substance use, may be useful to prevent injury among adolescents presenting to the urban ED.

  3. Depressed Adolescents Treated with Exercise (DATE): A pilot randomized controlled trial to test feasibility and establish preliminary effect sizes

    Science.gov (United States)

    Hughes, Carroll W.; Barnes, Shauna; Barnes, Conrad; DeFina, Laura F.; Nakonezny, Paul; Emslie, Graham J.

    2013-01-01

    The Depressed Adolescents Treated with Exercise (DATE) study evaluated a standardized aerobic exercise protocol to treat nonmedicated adolescents that met DSM-IV-TR criteria for major depressive disorder. From an initial screen of 90 individuals, 30 adolescents aged 12-18 years were randomized to either vigorous exercise (EXER) (>12 kg/kcal/week [KKW]) or a control stretching (STRETCH) activity (Depression Rating Scale – Revised (CDRS-R) to assess depression severity and Actical (KKW) accelerometry 24hr/7days a week to assess energy expenditure and adherence. Follow-up evaluations occurred at weeks 26 and 52. The EXER group averaged 77% adherence and the STRETCH group 81% for meeting weekly target goals for the 12 week intervention based on weekly sessions completed and meeting KKW requirements. There was a significant increase in overall weekly KKW expenditures (p Depressive symptoms were significantly reduced from baseline for both groups with the EXER group improving more rapidly than STRETCH after six weeks (p exercise group had a 100% response rate (86% remission), whereas the stretch group response rate was 67% (50% remission) (p = .02). Both groups had improvements in multiple areas of psychosocial functioning related to school and relationships with parents and peers. Anthropometry reflected decreased waist, hip and thigh measurements (p = .02), more so for females than males (p = .05), but there were no weight changes for either gender. The EXER group sustained 100% remission at week 26 and 52. The STRETCH group had 80% response and 70% remission rates at week 26 and by week 52 only one had not fully responded. The study provides support for the use of exercise as a non-medication intervention for adolescents with major depressive disorders when good adherence and energy expenditure (KKW) are achieved. PMID:24244220

  4. Depressed Adolescents Treated with Exercise (DATE): A pilot randomized controlled trial to test feasibility and establish preliminary effect sizes.

    Science.gov (United States)

    Hughes, Carroll W; Barnes, Shauna; Barnes, Conrad; Defina, Laura F; Nakonezny, Paul; Emslie, Graham J

    2013-06-01

    The Depressed Adolescents Treated with Exercise (DATE) study evaluated a standardized aerobic exercise protocol to treat nonmedicated adolescents that met DSM-IV-TR criteria for major depressive disorder. From an initial screen of 90 individuals, 30 adolescents aged 12-18 years were randomized to either vigorous exercise (EXER) (>12 kg/kcal/week [KKW]) or a control stretching (STRETCH) activity (Depression Rating Scale - Revised (CDRS-R) to assess depression severity and Actical (KKW) accelerometry 24hr/7days a week to assess energy expenditure and adherence. Follow-up evaluations occurred at weeks 26 and 52. The EXER group averaged 77% adherence and the STRETCH group 81% for meeting weekly target goals for the 12 week intervention based on weekly sessions completed and meeting KKW requirements. There was a significant increase in overall weekly KKW expenditures (p Depressive symptoms were significantly reduced from baseline for both groups with the EXER group improving more rapidly than STRETCH after six weeks (p exercise group had a 100% response rate (86% remission), whereas the stretch group response rate was 67% (50% remission) (p = .02). Both groups had improvements in multiple areas of psychosocial functioning related to school and relationships with parents and peers. Anthropometry reflected decreased waist, hip and thigh measurements (p = .02), more so for females than males (p = .05), but there were no weight changes for either gender. The EXER group sustained 100% remission at week 26 and 52. The STRETCH group had 80% response and 70% remission rates at week 26 and by week 52 only one had not fully responded. The study provides support for the use of exercise as a non-medication intervention for adolescents with major depressive disorders when good adherence and energy expenditure (KKW) are achieved.

  5. Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa?

    Science.gov (United States)

    Wagner, Gudrun; Wagner, Gudrun; Penelo, Eva; Nobis, Gerald; Mayerhofer, Anna; Schau, Johanna; Spitzer, Marion; Imgart, Hartmut; Karwautz, Andreas

    2013-01-01

    This study aims to evaluate the long-term outcome of new technology assisted guided self-help in adolescents with bulimia nervosa (BN). One hundred and twenty-six patients with BN (29 adolescents and 97 adults) were randomly allocated to a cognitive behavioural therapy-based self-help program delivered by the Internet or bibliotherapy, both accompanied by e-mail guidance. Outcomes were assessed at baseline, month 4, 7 and 18 including remission rates and eating disorder associated psychopathology. In all, 44% of adolescents vs. 38.7% of adults were in remission at month 7, and 55% of adolescents vs. 62.5% of adults were in remission at follow-up. Objective binge eating and compensatory behaviour improved significantly over time in both groups, with the highest decrease during the first 4 months. A significant decrease over time and no group differences have been found in almost all EDI-2 subscales. E-mail guided self-help (delivered via the Internet or bibliotherapy) is equally effective for adolescents as for adults with BN, and can be recommended as an initial step of treatment for this younger age group.

  6. Treatment resistant adolescent depression with upper airway resistance syndrome treated with rapid palatal expansion: a case report

    Directory of Open Access Journals (Sweden)

    Miller Paul

    2012-12-01

    Full Text Available Abstract Introduction To the best of our knowledge, this is the first report of a case of treatment-resistant depression in which the patient was evaluated for sleep disordered breathing as the cause and in which rapid palatal expansion to permanently treat the sleep disordered breathing produced a prolonged symptom-free period off medication. Case presentation An 18-year-old Caucasian man presented to our sleep disorders center with chronic severe depression that was no longer responsive to medication but that had recently responded to electroconvulsive therapy. Ancillary, persistent symptoms included mild insomnia, moderate to severe fatigue, mild sleepiness and severe anxiety treated with medication. Our patient had no history of snoring or witnessed apnea, but polysomnography was consistent with upper airway resistance syndrome. Although our patient did not have an orthodontic indication for rapid palatal expansion, rapid palatal expansion was performed as a treatment of his upper airway resistance syndrome. Following rapid palatal expansion, our patient experienced a marked improvement of his sleep quality, anxiety, fatigue and sleepiness. His improvement has been maintained off all psychotropic medication and his depression has remained in remission for approximately two years following his electroconvulsive therapy. Conclusions This case report introduces the possibility that unrecognized sleep disordered breathing may play a role in adolescent treatment-resistant depression. The symptoms of upper airway resistance syndrome are non-specific enough that every adolescent with depression, even those responding to medication, may have underlying sleep disordered breathing. In such patients, rapid palatal expansion, by widening the upper airway and improving airflow during sleep, may produce a prolonged improvement of symptoms and a tapering of medication. Psychiatrists treating adolescents may benefit from having another treatment option for

  7. Cognitive-behavioral therapy and hypnotic relaxation to treat sleep problems in an adolescent with diabetes.

    Science.gov (United States)

    Perfect, Michelle M; Elkins, Gary R

    2010-11-01

    Inadequate sleep among adolescents frequently contributes to obesity and reduced academic performance, along with symptoms of anxiety, depression, fatigue, and attention deficits. The etiological bases of sleep quality has been associated with both stress and sleep habits. These problems tend to be especially important for adolescents with diabetes as the effects of poor sleep complicate health outcomes. This case example concerns a 14-year-old adolescent girl with a history of type I diabetes and stress-related sleep difficulties. Treatment included cognitive-behavioral methods and hypnotic relaxation therapy. Results of this case example and other controlled research suggest that hypnotic relaxation therapy is well accepted, results in good compliance, and serves as a useful adjunctive to cognitive-behavioral intervention for sleep problems. © 2010 Wiley Periodicals, Inc.

  8. Eye movement desensitization and reprocessing for treating psychological disturbances in Taiwanese adolescents who experienced Typhoon Morakot.

    Science.gov (United States)

    Tang, Tze-Chun; Yang, Pinchen; Yen, Cheng-Fang; Liu, Tai-Ling

    2015-07-01

    In this case-control study, we aimed to assess the intervention effects of four-session eye movement desensitization and reprocessing (EMDR) on reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in Taiwanese adolescents who experienced Typhoon Morakot. A total of 83 adolescents with posttraumatic stress disorder related to Typhoon Morakot, major depressive disorder, or current moderate or high suicide risk after experiencing Typhoon Morakot were allocated to a four-session course of EMDR (N = 41) or to treatment as usual (TAU; N = 42). A multivariate analysis of covariance was performed to examine the effects of EMDR in reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in adolescents by using preintervention severity values as covariates. The multivariate analysis of covariance results indicated that the EMDR group exhibited significantly lower preintervention severity values of general anxiety and depression than did the TAU group. In addition, the preintervention severity value of disaster-related anxiety in the EMDR group was lower than that in the TAU group (p = 0.05). The results of this study support that EMDR could alleviate general anxiety and depressive symptoms and reduce disaster-related anxiety in adolescents experiencing major traumatic disasters. Copyright © 2015. Published by Elsevier Taiwan.

  9. Predicting Time to Recovery Among Depressed Adolescents Treated in Two Psychosocial Group Interventions

    Science.gov (United States)

    Rohde, Paul; Seeley, John R.; Kaufman, Noah K.; Clarke, Gregory N.; Stice, Eric

    2006-01-01

    Aims were to identify the demographic, psychopathology, and psychosocial factors predicting time to major depressive disorder (MDD) recovery and moderators of treatment among 114 depressed adolescents recruited from a juvenile justice center and randomized to a cognitive behavioral treatment (CBT) condition or a life skills-tutoring control…

  10. Eye movement desensitization and reprocessing for treating psychological disturbances in Taiwanese adolescents who experienced Typhoon Morakot

    Directory of Open Access Journals (Sweden)

    Tze-Chun Tang

    2015-07-01

    Full Text Available In this case–control study, we aimed to assess the intervention effects of four-session eye movement desensitization and reprocessing (EMDR on reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in Taiwanese adolescents who experienced Typhoon Morakot. A total of 83 adolescents with posttraumatic stress disorder related to Typhoon Morakot, major depressive disorder, or current moderate or high suicide risk after experiencing Typhoon Morakot were allocated to a four-session course of EMDR (N = 41 or to treatment as usual (TAU; N = 42. A multivariate analysis of covariance was performed to examine the effects of EMDR in reducing the severity of disaster-related anxiety, general anxiety, and depressive symptoms in adolescents by using preintervention severity values as covariates. The multivariate analysis of covariance results indicated that the EMDR group exhibited significantly lower preintervention severity values of general anxiety and depression than did the TAU group. In addition, the preintervention severity value of disaster-related anxiety in the EMDR group was lower than that in the TAU group (p = 0.05. The results of this study support that EMDR could alleviate general anxiety and depressive symptoms and reduce disaster-related anxiety in adolescents experiencing major traumatic disasters.

  11. Body Image and Quality-of-Life in Untreated Versus Brace-Treated Females With Adolescent Idiopathic Scoliosis.

    Science.gov (United States)

    Schwieger, Traci; Campo, Shelly; Weinstein, Stuart L; Dolan, Lori A; Ashida, Sato; Steuber, Keli R

    2016-02-01

    The Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST) included skeletally immature high-risk patients with adolescent idiopathic scoliosis (AIS) with moderate curve sizes (20°- 40°). BrAIST was a multicenter, controlled trial using both randomized and preference treatment arms into either an observation group or a brace treatment group. The aim of this study was to analyze and compare body image and quality-of-life (QOL) in female AIS patients who were observed or treated with a brace. Brace treatment is an effective means for controlling progressive scoliosis and preventing the need for surgery, but there is no consensus regarding the effect of brace treatment on body image or on QOL in adolescents with AIS. Data from female BrAIST patients in the randomized (n = 132) or preference (n = 187) arms and were observed (n = 120) or brace treated (n = 199) were analyzed. Patients completed the Spinal Appearance Questionnaire (SAQ) and the Pediatric Quality of Life Inventory (PedsQOL) 4.0 Generic Scales at baseline and 6 month follow-up visits up to 2 years. Items on the SAQ measured three body image constructs (self, ideal, and overall). The PedsQOL measured health, activities, feelings, social factors, and school. . In general, there were no significant differences within or between study arms or treatments regarding body image or QOL through 2 years of follow-up. Poorer body image was significantly correlated with poorer QOL during the first 2 years of follow-up regardless of study arm or treatment. Patients who crossed-over to a different treatment and patients with largest Cobb angles ≥ 40 degrees had significantly poorer body image, in particular self-body image, compared with those that did not. This study does not support findings from previous research indicating that wearing a brace has a negative impact on or is negatively impacted by body image or QOL. 2.

  12. Quality of life in Danish children and adolescents with type 1 diabetes treated with continuous subcutaneous insulin infusion or multiple daily injections

    DEFF Research Database (Denmark)

    Birkebæk, Niels; Kristensen, Lene Juel; Mose, Anne

    2014-01-01

    AIMS: The aims of the study were to compare health-related quality of life (HRQoL) in a National Danish population of children and adolescents with type 1 diabetes (T1D) treated with either continuous subcutaneous insulin injection (CSII) or multiple daily insulin injections (MDI...... for more than one year) and 405 with MDI (238 for more than one year). Participants and their parents completed the Pediatric Quality of Life Inventory Diabetes and Generic Module. HbA1c was analyzed centrally. RESULTS: Parents reported children and adolescents on CSII for more than one year to have less......), and to investigate whether HRQoL assessments were influenced by treatment duration. METHODS: Participants were recruited through the Danish Registry for Diabetes in Childhood and Adolescence. A total of 700 children and adolescents (360 girls), 8-17 years, were included. Of these, 295 were treated with CSII (160...

  13. Peer relations scale for adolescents treated for substance use disorder: a factor analytic presentation.

    Science.gov (United States)

    Yao, Ping; Ciesla, James R; Mazurek, Kathryn D; Spear, Sherilynn F

    2012-07-12

    The literature indicates that peer relations are an important aspect of the treatment and recovery of adolescents with substance use disorder (SUD). Unfortunately, no standard measure of peer relations exists. The objective of this research is to use exploratory factor analysis to examine the underlying factor structure of a 14-item peer relations scale for use in this treatment population. Participants are 509 adolescents discharged from primary substance abuse treatment from 2003-2010. The data are from research conducted between six and twelve months post discharge via a 230-item questionnaire that included the 14-item peer relations scale. The scale has questions that assess the degree to which the adolescent's social contacts conform to norms of positive behavior and therefore foster non-use and recovery. The response rate was 62%. The scale was decomposed by principal component factor analysis. When the matrix was rotated by varimax a three factor solution explaining 99.99% of the common variance emerged. The first factor yielded ten items that measure association with peers who engage in positive versus delinquent social behavior (positive versus negative social behavior). The three items in the second factor specify association with peers who use versus those who don't use drugs, and thereby encourage recovery and discourage drug use (drug use). The third and factor contained two items measuring the degree to which the recovering adolescent associates with new or previous friends (post treatment peer association). This scale is useful as a standard measure in that it begins to identify the measurable dimensions of peer relations that influence sustaining post treatment recovery.

  14. Peer relations scale for adolescents treated for substance use disorder: a factor analytic presentation

    Directory of Open Access Journals (Sweden)

    Yao Ping

    2012-07-01

    Full Text Available Abstract Background The literature indicates that peer relations are an important aspect of the treatment and recovery of adolescents with substance use disorder (SUD. Unfortunately, no standard measure of peer relations exists. The objective of this research is to use exploratory factor analysis to examine the underlying factor structure of a 14-item peer relations scale for use in this treatment population. Methods Participants are 509 adolescents discharged from primary substance abuse treatment from 2003–2010. The data are from research conducted between six and twelve months post discharge via a 230-item questionnaire that included the 14-item peer relations scale. The scale has questions that assess the degree to which the adolescent's social contacts conform to norms of positive behavior and therefore foster non-use and recovery. The response rate was 62%. Results The scale was decomposed by principal component factor analysis. When the matrix was rotated by varimax a three factor solution explaining 99.99% of the common variance emerged. The first factor yielded ten items that measure association with peers who engage in positive versus delinquent social behavior (positive versus negative social behavior. The three items in the second factor specify association with peers who use versus those who don’t use drugs, and thereby encourage recovery and discourage drug use (drug use. The third and factor contained two items measuring the degree to which the recovering adolescent associates with new or previous friends (post treatment peer association. Conclusions This scale is useful as a standard measure in that it begins to identify the measurable dimensions of peer relations that influence sustaining post treatment recovery.

  15. Severe hypertension due to renal polar artery stenosis in an adolescent treated with coil embolization

    Energy Technology Data Exchange (ETDEWEB)

    Docx, Martine K. [Koningin Paola Kinderziekenhuis, Department of Paediatrics, Chronic Diseases and Hypertension, Antwerp (Belgium); Vandenberghe, Philippe [Koningin Paola Kinderziekenhuis, Department of Paediatric Cardiology, Antwerp (Belgium); Maleux, Geert [University Hospitals Leuven, Department of Radiology, Leuven (Belgium); Gewillig, Marc [University Hospitals Leuven, Department of Paediatric Cardiology, Leuven (Belgium); Mertens, Luc [Hospital for Sick Children, Paediatric Cardiology, Toronto (Canada)

    2009-11-15

    A 12-year-old boy presented with severe arterial hypertension due to a severe subsegmental renal artery stenosis. Treatment consisted of selective embolization of the stenosed polar artery, which resulted in near normalization of the arterial pressures. Renal artery stenosis should always be considered, even in young adolescents, as a cause for arterial hypertension. Only selective angiography was able to demonstrate the subsegmental artery stenosis in this patient. (orig.)

  16. Dying after cure: A case of suicide in an adolescent treated for cancer

    Directory of Open Access Journals (Sweden)

    Laura Veneroni

    2015-01-01

    Full Text Available Although suicide among childhood cancer survivors is rare, there is still a significantly higher risk in this population than in healthy adolescents. A 17-year-old girl cured of Burkitt lymphoma committed suicide after completing her treatment. She had never previously shown signs of psychological suffering and was in good general health. This case made the operators wonder how this tragic possibility might be prevented. It is essential for the ongoing monitoring of the psychological and social suffering of young people during follow-up programs to be assured by a multidisciplinary team involved in the patient′s global care.

  17. Dance-related injuries in children and adolescents treated in US emergency departments in 1991-2007.

    Science.gov (United States)

    Roberts, Kristin J; Nelson, Nicolas G; McKenzie, Lara

    2013-02-01

    Dancing is one of the most physically strenuous activities on the musculoskeletal system. As other literature has previously described, the types, sites, and rates of dance-related injuries are similar to those suffered by athletes in traditional sports. A retrospective analysis was conducted with data from the National Electronic Injury Surveillance System from 1991-2007. Sample weights were used to calculate national estimates of dance-related injuries. Trend significance of the numbers and age-adjusted rates of dance-related injuries over time was analyzed using linear regression. An estimated 113,084 children and adolescents 3-19 years of age were treated in US emergency departments for dance-related injuries. Classical dance (ballet, jazz, tap, modern) accounted for 55.0% of dance-related injuries. Adolescents 15-19 years of age constituted 40.4% of the dance-related injury cases. The majority of injuries (58.1%) occurred to the lower extremities. Sprains or strains were the most common injury (52.4%) and falls were the most common mechanism of injury (44.8%). Dance-related injuries have distinct injury patterns and mechanisms of injury. Injury patterns differ by types of dance and by age. Further research is needed to identify injury prevention strategies specific to these age groups.

  18. Nutritional assessment and lipid profile in HIV-infected children and adolescents treated with highly active antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Marina Hjertquist Tremeschin

    2011-06-01

    Full Text Available INTRODUCTION: HIV-infected children and adolescents treated with highly active antiretroviral therapy (HAART regimens that include a protease inhibitor (PI can show significant improvements in clinical outcomes, nutritional status and quality of life. The study aimed to report nutritional and metabolic alterations for pediatric patients continuously exposed to HAART and for healthy controls for up to 1 year. METHODS: Clinical, anthropometric, lipid profile and food intake data were collected prospectively over approximately 12-months for each patient. RESULTS: Fifty-one individuals were studied, of these, 16 were healthy. After 12 months follow-up, HIV-positive individuals remained below the healthy control group parameters. No change was observed concerning food intake. Triglyceride serum levels were higher in patients using protease inhibitor at the onset of the study [PI groups: 114 (43 - 336, and 136 (63 - 271 versus control group: 54.5 (20 - 162; p = 0.003], but after twelve months follow-up, only the group using protease inhibitor for up to two months presented higher values [140 (73 - 273 versus 67.5 (33 - 117; p = 0.004]. HDL-cholesterol was lower in HIV-positive individuals [HIV-positive groups: 36 (27 - 58 and 36 (23 - 43; control 49.5 (34 - 69; p = 0.004]. CONCLUSIONS: HIV-infected children and adolescents treated with highly active antiretroviral therapy showed compromised nutritional parameters compared to a paired healthy control group. Individuals using protease inhibitor presented worse triglyceride serum levels compared to their healthy counterparts.

  19. Bootstrap Dynamical Symmetry Breaking

    Directory of Open Access Journals (Sweden)

    Wei-Shu Hou

    2013-01-01

    Full Text Available Despite the emergence of a 125 GeV Higgs-like particle at the LHC, we explore the possibility of dynamical electroweak symmetry breaking by strong Yukawa coupling of very heavy new chiral quarks Q . Taking the 125 GeV object to be a dilaton with suppressed couplings, we note that the Goldstone bosons G exist as longitudinal modes V L of the weak bosons and would couple to Q with Yukawa coupling λ Q . With m Q ≳ 700  GeV from LHC, the strong λ Q ≳ 4 could lead to deeply bound Q Q ¯ states. We postulate that the leading “collapsed state,” the color-singlet (heavy isotriplet, pseudoscalar Q Q ¯ meson π 1 , is G itself, and a gap equation without Higgs is constructed. Dynamical symmetry breaking is affected via strong λ Q , generating m Q while self-consistently justifying treating G as massless in the loop, hence, “bootstrap,” Solving such a gap equation, we find that m Q should be several TeV, or λ Q ≳ 4 π , and would become much heavier if there is a light Higgs boson. For such heavy chiral quarks, we find analogy with the π − N system, by which we conjecture the possible annihilation phenomena of Q Q ¯ → n V L with high multiplicity, the search of which might be aided by Yukawa-bound Q Q ¯ resonances.

  20. Severe neurological disorders and refractory aspergillosis in an adolescent treated by vincristine and voriconazole.

    Science.gov (United States)

    Bennis, Y; Bodeau, S; Lutun, A; Gourmel, A; Solas, C; Quaranta, S; Guillaume, N; Chouaki, T; Lemaire-Hurtel, A-S; Masmoudi, K

    2017-08-10

    Voriconazole and vincristine are major therapeutics in paediatric haematology. However, the risk-benefit ratio of the treatment of invasive aspergillosis with voriconazole in patients receiving vincristine-based chemotherapy remains unclear. We report severe peripheral and central neurological disorders in a 14-year-old girl with T-cell acute lymphoblastic leukaemia and pulmonary aspergillosis. The case describes a strong exacerbation by voriconazole of the vincristine-induced neuropathic pains. It shows the high variability of the trough serum concentration of voriconazole leading to antifungal treatment failure and suggests that its own central neurotoxicity could also be potentiated by vincristine. Given the risk of either insufficient antifungal efficacy or excessive neurological disorders, this case warns on a probable unfavourable risk-benefit profile of voriconazole during vincristine-based chemotherapy in adolescents. © 2017 John Wiley & Sons Ltd.

  1. Effects of treating gender dysphoria and anorexia nervosa in a transgender adolescent: Lessons learned.

    Science.gov (United States)

    Strandjord, Sarah E; Ng, Henry; Rome, Ellen S

    2015-11-01

    Patients with gender dysphoria and patients with eating disorders often experience discontent with their bodies. Several reports have recognized the co-occurrence of these two conditions, typically in adults who identify as transgender females and desire a more feminine physique. This case report, in contrast, describes a 16-year-old patient with a female sex assigned at birth who first presented with features consistent with anorexia nervosa and later revealed underlying gender dysphoria with a drive for a less feminine body shape. We discuss both the path to recognizing gender dysphoria in this patient as well as the impact of treatment on his eating disorder and overall well-being. This case is one of only a few reports describing a female-to-male transgender patient with an eating disorder and is the first to explore the effects of hormone and surgical intervention in an adolescent patient. © 2015 Wiley Periodicals, Inc.

  2. Atypical femur fracture in an adolescent boy treated with bisphosphonates for X-linked osteoporosis based on PLS3 mutation.

    Science.gov (United States)

    van de Laarschot, Denise M; Zillikens, M Carola

    2016-10-01

    Long-term use of bisphosphonates has raised concerns about the association with Atypical Femur Fractures (AFFs) that have been reported mainly in postmenopausal women. We report a case of an 18-year-old patient with juvenile osteoporosis based on X-linked osteoporosis due to a PLS3 mutation who developed a low trauma femoral fracture after seven years of intravenous and two years of oral bisphosphonate use, fulfilling the revised ASBMR diagnostic criteria of an AFF. The occurrence of AFFs has not been described previously in children or adolescents. The underlying monogenetic bone disease in our case strengthens the possibility of a genetic predisposition at least in some cases of AFF. We cannot exclude that a transverse fracture of the tibia that also occurred after a minor trauma at age 16 might be part of the same spectrum of atypical fractures related to the use of bisphosphonates. In retrospect our patient experienced prodromal pain prior to both the tibia and the femur fracture. Case reports of atypical fractures in children with a monogenetic bone disease such as Osteogenesis Imperfecta (OI) or juvenile osteoporosis are important to consider in the discussion about optimal duration of bisphosphonate therapy in growing children. In conclusion, this case report 1) highlights that AFFs also occur in adolescents treated with bisphosphonates during childhood and pain in weight-bearing bones can point towards this diagnosis 2) supports other reports suggesting that low trauma fractures of other long bones besides the femur may be related to long-term use of bisphosphonates 3) strengthens the concept of an underlying genetic predisposition in some cases of AFF, now for the first time reported in X-linked osteoporosis due to a mutation in PLS3 and 4) should be considered in decisions about the duration of bisphosphonate therapy in children with congenital bone disorders. Copyright © 2016. Published by Elsevier Inc.

  3. The epidemiology of pharmacologically treated attention deficit hyperactivity disorder (ADHD) in children, adolescents and adults in UK primary care

    LENUS (Irish Health Repository)

    McCarthy, Suzanne

    2012-06-19

    AbstractBackgroundAttention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder characterised by the symptoms of inattention, impulsivity and hyperactivity. ADHD was once perceived as a condition of childhood only; however increasing evidence has highlighted the existence of ADHD in older adolescents and adults. Estimates for the prevalence of ADHD in adults range from 2.5–4%. Few data exist on the prescribing trends of the stimulants methylphenidate and dexamfetamine, and the non-stimulant atomoxetine in the UK. The aim of this study was to investigate the annual prevalence and incidence of pharmacologically treated ADHD in children, adolescents and adults in UK primary care.MethodsThe Health Improvement Network (THIN) database was used to identify all patients aged over 6 years with a diagnosis of ADHD\\/hyperkinetic disorder and a prescription for methylphenidate, dexamfetamine or atomoxetine from 2003–2008. Annual prevalence and incidence of pharmacologically treated ADHD were calculated by age category and sex.ResultsThe source population comprised 3,529,615 patients (48.9% male). A total of 118,929 prescriptions were recorded for the 4,530 patients in the pharmacologically treated ADHD cohort during the 6-year study. Prevalence (per 1000 persons in the mid-year THIN population) increased within each age category from 2003 to 2008 [6–12 years: from 4.8 (95% CI: 4.5–5.1) to 9.2 (95% CI: 8.8–9.6); 13–17 years: from 3.6 (95% CI: 3.3–3.9) to 7.4 (95% CI: 7.0–7.8); 18–24 years: from 0.3 (95% CI: 0.2–0.3) to 1.1 (95% CI: 1.0–1.3); 25–45 years: from 0.02 (95% CI: 0.01–0.03) to 0.08 (95% CI: 0.06–0.10); >45 years: from 0.01 (95% CI: 0.00–0.01) to 0.02 (95% CI: 0.01–0.03). Whilst male patients aged 6-12 years had the highest prevalence; the relative increase in prescribing was higher amongst female patients of the same age - the increase in prevalence in females aged 6–12 years was 2.1 fold

  4. The epidemiology of pharmacologically treated attention deficit hyperactivity disorder (ADHD in children, adolescents and adults in UK primary care

    Directory of Open Access Journals (Sweden)

    McCarthy Suzanne

    2012-06-01

    Full Text Available Abstract Background Attention Deficit Hyperactivity Disorder (ADHD is a common neurodevelopmental disorder characterised by the symptoms of inattention, impulsivity and hyperactivity. ADHD was once perceived as a condition of childhood only; however increasing evidence has highlighted the existence of ADHD in older adolescents and adults. Estimates for the prevalence of ADHD in adults range from 2.5–4%. Few data exist on the prescribing trends of the stimulants methylphenidate and dexamfetamine, and the non-stimulant atomoxetine in the UK. The aim of this study was to investigate the annual prevalence and incidence of pharmacologically treated ADHD in children, adolescents and adults in UK primary care. Methods The Health Improvement Network (THIN database was used to identify all patients aged over 6 years with a diagnosis of ADHD/hyperkinetic disorder and a prescription for methylphenidate, dexamfetamine or atomoxetine from 2003–2008. Annual prevalence and incidence of pharmacologically treated ADHD were calculated by age category and sex. Results The source population comprised 3,529,615 patients (48.9% male. A total of 118,929 prescriptions were recorded for the 4,530 patients in the pharmacologically treated ADHD cohort during the 6-year study. Prevalence (per 1000 persons in the mid-year THIN population increased within each age category from 2003 to 2008 [6–12 years: from 4.8 (95% CI: 4.5–5.1 to 9.2 (95% CI: 8.8–9.6; 13–17 years: from 3.6 (95% CI: 3.3–3.9 to 7.4 (95% CI: 7.0–7.8; 18–24 years: from 0.3 (95% CI: 0.2–0.3 to 1.1 (95% CI: 1.0–1.3; 25–45 years: from 0.02 (95% CI: 0.01–0.03 to 0.08 (95% CI: 0.06–0.10; >45 years: from 0.01 (95% CI: 0.00–0.01 to 0.02 (95% CI: 0.01–0.03. Whilst male patients aged 6-12 years had the highest prevalence; the relative increase in prescribing was higher amongst female patients of the same age - the increase in prevalence in females aged 6–12 years was 2

  5. Children and adolescents previously treated with glucocorticoids display lower verbal intellectual abilities

    DEFF Research Database (Denmark)

    Holm, Sara Krøis; Vestergaard, Martin; Madsen, Kathrine Skak

    2015-01-01

    /kg (range 21-723) and the mean time that had elapsed since treatment was three-and-a-half (standard deviation 2.2) years. Intellectual abilities were assessed with the Wechsler Intelligence Scale for Children and memory performance and behavioural problems with a pattern recognition memory task......AIM: Perinatal exposure to glucocorticoids has been associated with adverse cerebral effects, but little is known about their effect on cognitive development and exposure later in childhood. This study examined intellectual abilities, memory and behavioural problems in children previously treated...... and the Child Behaviour Check List. RESULTS: There were no significant differences between the groups in pattern recognition memory, perceptual organisation index or behavioural problems, but patients had a significantly lower verbal comprehension index and this difference was present in both disease groups...

  6. Improved functionality, health related quality of life and decreased burden of disease in patients with ADHD treated with OROS® MPH: is treatment response different between children and adolescents?

    Directory of Open Access Journals (Sweden)

    Rettig Klaus

    2011-07-01

    Full Text Available Abstract Background To compare clinical and health-related quality of life (HRQoL outcomes between children and adolescents with ADHD treated with OROS® MPH, using data from two large similarly-designed multicenter, prospective, open-label, single-arm, non-interventional studies. Methods Pooled analysis (42603ATT4037, 42603 - ATT - 4001 including patients (6 to 18 years with a confirmed diagnosis of ADHD. Patients were treated with OROS® MPH for 12 weeks; ADHD symptoms, functioning, HRQoL, safety and tolerability parameters were assessed. Results 822 patients (583 children [6-12 years], 239 adolescents [13-18 years] were included in the pooled analysis. Mean daily OROS® MPH starting doses in the child and adolescent subgroups were 29.0 ± 11.7 and 37.6 ± 15.6 mg, respectively (p ® MPH in 76.9%, 86.0% and 79.3% of children, adolescents and the total population, respectively, at study end (p = 0.029 between-age subgroups. 195 of 822 patients (23.7% experienced at least one treatment-emergent adverse event; most commonly reported AEs in the total group (≥4% were insomnia (7.2%, anorexia (4.3% and involuntary muscle contractions (4.1%. No clinically relevant changes in body weight or vital signs were observed. Conclusions Clinically relevant differences between children and adolescents with ADHD are present. Adolescents appeared to have a lower health related quality of life and functioning compared to children at baseline, however, they were able to reach comparable ratings at endpoint for most items. Similarly, burden of disease decreased in patients and their carers. OROS MPH was generally safe and well tolerated.

  7. Clinical audit on "evaluation of special issues in adolescents with cancer treated in an adult cancer setting": an Indian experience.

    Science.gov (United States)

    Salins, Naveen S; Vallath, Nandini; Varkey, Prince; Ranganath, Kavya; Nayak, Malathi G

    2012-09-01

    Adolescents with cancer form a distinct group with special care needs. These patients are often cared in an adult supportive care setting where the special needs of adolescents are not met. To identify special issues in adolescents with cancer and to determine whether special needs of adolescents are met in an adult cancer setting 10 adolescents with cancer were randomly chosen and retrospectively studied for physical, psychoscocial and emotional issues using an internally validated tool. Pain was the most common physical symptom seen in all 10 patients. 3 out of 10 patients were involved in decision making, 3 out of 10 patients had identity issues and 4 out of 10 patients had peer group isolation issues. Only 3 were aware of diagnosis and none were aware of treatment outcomes and mortality. 4 out of 10 had anxiety and depression and 3 out of 10 had body image issues. Sexuality, spiritual and existential issues were not explored in any of the patients studied. The outcomes of the study were in an adult oncology setting there was a poor recognition of key adolescent issues such as sexuality, body image, identity and peer group isolation. The psychosocial supports to these adolescents were minimal and spiritual and existential issues were not explored. The inferences drawn from this study suggested a need for multidisciplinary team approach oriented in handling adolescent care needs and preferably to have a dedicated space that will help the peer group to interact, bond and cope better with the illness.

  8. CoCr rods provide better frontal correction of adolescent idiopathic scoliosis treated by all-pedicle screw fixation.

    Science.gov (United States)

    Lamerain, Mayalen; Bachy, Manon; Delpont, Marion; Kabbaj, Reda; Mary, Pierre; Vialle, Raphaël

    2014-06-01

    Pedicle screw fixation is considered biomechanically advantageous in adolescent idiopathic scoliosis (AIS) correction, because it uses as an anchor the pedicle, which is the hardest part of the vertebral body. The ability of the rod to correct and hold the correction is a key factor in the selection of rod material. The goal of this study was to compare the results obtained by stainless steel (SS) and cobalt-chromium (CoCr) rods materials for the treatment of AIS curves. Ninety patients were retrospectively included. Sixty-four patients (group 1) were operated on using CoCr rods. Twenty-six patients (group 2) were operated on using SS rods. All the patients were treated by the same surgeon using all-pedicle screw constructs. In group 1, the correction was respectively 41.03° and 35.78° for main and secondary curves. In group 2, the correction was respectively 30.98° and 24.42° for main and secondary curves. Statistical analysis showed improved correction rates in patients operated with CoCr rods for main (P < 0.0001) and secondary (P = 0.0003) curves with a lower loss of correction at final follow-up. Regarding the sagittal profile, postoperative T4T12 thoracic kyphosis was 28.04° in CoCr group compared to 22.79° in SS group (P = 0. 0.0038). The present study confirms the ability of the all-pedicle screw construct to reach the maximum coronal plane correction and prevent deformity progression while maintaining balance. CoCr rods have the ability to exert higher corrective forces on the spine with relatively small amounts of rod deformation. Our findings confirm that CoCr rods have the ability to produce higher correction rates in frontal plane compared to SS rods of the same diameter.

  9. Treating disruptive behavior disorders with risperidone: a 1-year, open-label safety study in children and adolescents.

    Science.gov (United States)

    Haas, Magali; Karcher, Keith; Pandina, Gahan J

    2008-08-01

    The aim of this study was to determine the long-term safety of risperidone as maintenance therapy in children and adolescents with disruptive behavior disorders (DBDs) and normal intelligence. An open-label, 1-year extension study was conducted from January, 2002, to July, 2004, in 232 subjects with DBDs (5-17 years) previously randomized to risperidone (RIS) (n = 115, RIS/RIS) or placebo (PLA) (n = 117, PLA/RIS) in a double-blind, 6-month withdrawal study. Adverse events (AEs) and clinical laboratory test results were recorded. Efficacy was assessed using Nisonger Child Behavior Rating Form. Safety and efficacy were evaluated in the intent-to-treat population. A total of 169/232 (73%) subjects completed the study. Subjects were predominantly male, with a diagnosis of oppositional defiant disorder. Risperidone was generally well tolerated. Weight gain and extrapyramidal symptoms were each reported as AEs by 10 subjects (4.3%). Mean weight z-scores decreased for RIS/RIS subjects (-0.04 +/- 0.28) and increased for PLA/RIS subjects (0.11 +/- 0.43). No subject developed tardive dyskinesia. Prolactin tended to increase with risperidone, although this effect diminished with prolonged use and was infrequently associated with AEs. There were no clinically relevant changes in glucose or lipid metabolism. Clinical improvement in DBD symptoms was observed with flexible risperidone doses, regardless of previous treatment and whether subjects had experienced symptom recurrence. Risperidone reinitiated for DBD in children with normal intelligence quotients (IQ) was safe and well tolerated over an additional year of treatment. Patients demonstrated clinical benefits, including those who previously experienced symptom recurrence.

  10. Treating Children and Adolescents

    Science.gov (United States)

    ... foods often constitute a major source of the child's daily caloric intake, and are important sources of dietary calcium; eliminating them may result in malnutrition. Oral nutritional supplements can be helpful for some ...

  11. Consistency of Trend Break Point Estimator with Underspecified Break Number

    Directory of Open Access Journals (Sweden)

    Jingjing Yang

    2017-01-01

    Full Text Available This paper discusses the consistency of trend break point estimators when the number of breaks is underspecified. The consistency of break point estimators in a simple location model with level shifts has been well documented by researchers under various settings, including extensions such as allowing a time trend in the model. Despite the consistency of break point estimators of level shifts, there are few papers on the consistency of trend shift break point estimators in the presence of an underspecified break number. The simulation study and asymptotic analysis in this paper show that the trend shift break point estimator does not converge to the true break points when the break number is underspecified. In the case of two trend shifts, the inconsistency problem worsens if the magnitudes of the breaks are similar and the breaks are either both positive or both negative. The limiting distribution for the trend break point estimator is developed and closely approximates the finite sample performance.

  12. Treating adolescents with cannabis use disorder with Multidimensional Family Therapy (MDFT): Main results of a Randomized Controlled Trial (RCT)

    NARCIS (Netherlands)

    P. Tossmann (Peter); B. Jonas (Benjamin); H. Rigter (Henk); A. Gantner (Andreas)

    2012-01-01

    textabstractAims: To determine the effectiveness of Multidimensional Family Therapy (MDFT) among adolescents with cannabis use disorder in Germany. Methods: In a randomized controlled trial (RCT), MDFT was compared with Youth Psychotherapy (JUP), an individual intervention including Cognitive

  13. A preliminary functional magnetic resonance imaging study of prefrontal-amygdalar activation changes in adolescents with bipolar depression treated with lamotrigine.

    Science.gov (United States)

    Chang, Kiki D; Wagner, Christopher; Garrett, Amy; Howe, Meghan; Reiss, Allan

    2008-05-01

    Hypotheses regarding mood dysregulation in bipolar disorder (BD) have centered on limbic overactivity with relative prefrontal underactivity during mood episodes. Therefore, we hypothesized that adolescents with bipolar depression successfully treated with lamotrigine would show decreases in amygdalar activation, and increases in prefrontal activation. Eight adolescents with BD underwent functional magnetic resonance imaging (fMRI) at baseline and after eight weeks of lamotrigine treatment. Blocks of negatively and neutrally valenced emotional pictures were presented during scanning, and subjects were asked to rate how each picture made them feel. Activation in bilateral amygdalae and dorsolateral prefrontal cortices (DLPFC) for negative minus neutral pictures was correlated with Children's Depression Rating Scale (CDRS) scores. Mean (SD) CDRS scores decreased significantly, from 53.0 (10.6) at baseline to 26.3 (5.3) at Week 8. This clinical improvement was correlated with decreased right amygdalar activation (r = 0.91, p = 0.002). At Week 8, but not baseline, CDRS score was positively correlated with bilateral amygdalar activation (r = 0.85, p = 0.007). DLPFC activation was not correlated with change in CDRS score. These preliminary results indicate that adolescents with BD treated with lamotrigine demonstrated less amygdalar activation when viewing negative stimuli as depressive symptoms improved. Larger controlled studies are needed to confirm these findings.

  14. Retrospective Evaluation of Metformin and/or Metformin Plus a New Polysaccharide Complex in Treating Severe Hyperinsulinism and Insulin Resistance in Obese Children and Adolescents with Metabolic Syndrome

    Directory of Open Access Journals (Sweden)

    Stefano Stagi

    2017-05-01

    Full Text Available Background: Pharmacological treatment of obesity and glucose-insulin metabolism disorders in children may be more difficult than in adults. Thus, we evaluate the effects of metformin in comparison with metformin plus a polysaccharide complex (Policaptil Gel Retard®, PGR on body weight and metabolic parameters in obese children and adolescents with metabolic syndrome (MetS. Patients and methods: We retrospectively collected 129 children and adolescents (67 girls, 62 boys; median age 12.6 years treated for a minimum of two years with metformin and low glycemic index (LGI diet. Of these, 71 patients were treated with metformin plus PGR after at least 12 months of metformin alone. To minimize the confounding effect of the LGI on auxological and metabolic parameters, the patients were compared with age-, sex-, and BMI-matched control group with obesity and MetS (51 subjects; 24 males, 27 females treated only with a LGI diet. Assessments included lipids, glucose and insulin (fasting and after oral glucose tolerance test concentrations. The Homeostatic Model Assessment of Insulin Resistance (HOMA-IR, Matsuda, insulinogenic and disposition indices were calculated. Results: Metformin treatment led to a significant reduction in BMI SDS (p < 0.0001, with a significant difference in ΔBMI SDS between patients and controls (p < 0.0001. Moreover, metformin treated patients showed a reduction in HOMA-IR (p < 0.0001, HbA1c levels (p < 0.0001 and a significant increase in Matsuda index (p < 0.0001 in respect to the reduction discovered in controls (p < 0.05. Moreover, in contrast to the group treated with metformin alone and controls, patients treated with metformin plus PGR showed a further reduction in BMI SDS (p < 0.0001, HOMA-IR (p < 0.0001, HbA1c (p < 0.0001, total, HDL and LDL cholesterol (p < 0.0001, as well as an increase in Matsuda (p < 0.0001, disposition (p < 0.005 and insulinogenic (respectively, p < 0.05 and p < 0.0001 indices. Conclusions

  15. Addressing, understanding and treating conduct disorders in adolescents through psychoanalysis and neuroscience: towards a disappearance of sex-differences.

    Science.gov (United States)

    Bronsard, Guillaume; Benjelloun, Amine; Rufo, Marcel; Simeoni, Marie-Claude

    2010-11-01

    Based on our findings showing that female adolescents in resident group homes exhibit externalized disorders at the same rate as male adolescents, explanatory hypotheses are developed from neuroscience (genetics and endocrinology) and from psychoanalysis (psychopathological and environmental approach). In particular, the place of the psychoanalytic approach in improving our understanding of such results is discussed with regard first to the clinical context and then to the research context. This article underlines that both approaches in psychoanalysis and neuroscience can, and maybe have to/should, coexist in child psychiatry. Copyright © 2010 Elsevier Ltd. All rights reserved.

  16. Feasibility of an Online Cognitive Behavioral-Based Group Intervention for Adolescents Treated for Cancer: A Pilot Study

    NARCIS (Netherlands)

    Maurice-Stam, Heleen; Scholten, Linde; de Gee, Elisabeth A.; van der Zanden, Rianne A.; Conijn, Barbara; Last, Bob F.; Grootenhuis, Martha A.

    2014-01-01

    The objective of this study was to investigate satisfaction with and feasibility of an online cognitive behavioral-based group intervention (OK Onco Online) for adolescent childhood cancer survivors (CCS). The intervention, carried out by pediatric psychologists, aimed to prevent psychosocial

  17. Cortical Brain Morphology in Young, Estrogen-Naive, and Adolescent, Estrogen-Treated Girls with Turner Syndrome

    Science.gov (United States)

    Lepage, Jean-Francois; Mazaika, Paul K.; Hong, David S.; Raman, Mira; Reiss, Allan L.

    2013-01-01

    Turner syndrome (TS) is a genetic condition that permits direct investigation of the complex interaction among genes, hormones, behavior, and brain development. Here, we used automated segmentation and surface-based morphometry to characterize the differences in brain morphology in children (n = 30) and adolescents (n = 16) with TS relative to age- and sex-matched control groups (n = 21 and 24, respectively). Our results show that individuals with TS, young and adolescent, present widespread reduction of gray matter volume, white matter volume and surface area (SA) over both parietal and occipital cortices bilaterally, as well as enlarged amygdala. In contrast to the young cohort, adolescents with TS showed significantly larger mean cortical thickness and significantly smaller total SA compared with healthy controls. Exploratory developmental analyses suggested aberrant regional brain maturation in the parahippocampal gyrus and orbitofrontal regions from childhood to adolescence in TS. These findings show the existence of abnormal brain morphology early in development in TS, but also suggest the presence of altered neurodevelopmental trajectories in some regions, which could potentially be the consequences of estrogen deficiency, both pre- and postnatally. PMID:22806268

  18. A Case Report of Dissociative Neurosis (Depersonalization Disorder) in an Adolescent Treated with Family Therapy and Behavior Modification.

    Science.gov (United States)

    Dollinger, Stephen J.

    1983-01-01

    Describes the use of behavioral procedures as part of systems-oriented family therapy for the treatment of an adolescent girl's functional blackouts. Treatment successfully eliminated blackouts without directly addressing clear psychosexual issues. Discusses the case in terms of conceptualizing etiology and treatments and advocates working with…

  19. Clinical audit on "Evaluation of special issues in adolescents with cancer treated in an adult cancer setting": An Indian experience

    Directory of Open Access Journals (Sweden)

    Naveen S Salins

    2012-01-01

    Results: Pain was the most common physical symptom seen in all 10 patients. 3 out of 10 patients were involved in decision making, 3 out of 10 patients had identity issues and 4 out of 10 patients had peer group isolation issues. Only 3 were aware of diagnosis and none were aware of treatment outcomes and mortality. 4 out of 10 had anxiety and depression and 3 out of 10 had body image issues. Sexuality, spiritual and existential issues were not explored in any of the patients studied. Conclusion: The outcomes of the study were in an adult oncology setting there was a poor recognition of key adolescent issues such as sexuality, body image, identity and peer group isolation. The psychosocial supports to these adolescents were minimal and spiritual and existential issues were not explored. The inferences drawn from this study suggested a need for multidisciplinary team approach oriented in handling adolescent care needs and preferably to have a dedicated space that will help the peer group to interact, bond and cope better with the illness.

  20. Model Breaking Points Conceptualized

    Science.gov (United States)

    Vig, Rozy; Murray, Eileen; Star, Jon R.

    2014-01-01

    Current curriculum initiatives (e.g., National Governors Association Center for Best Practices and Council of Chief State School Officers 2010) advocate that models be used in the mathematics classroom. However, despite their apparent promise, there comes a point when models break, a point in the mathematical problem space where the model cannot,…

  1. Chiral symmetry and chiral-symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Peskin, M.E.

    1982-12-01

    These lectures concern the dynamics of fermions in strong interaction with gauge fields. Systems of fermions coupled by gauge forces have a very rich structure of global symmetries, which are called chiral symmetries. These lectures will focus on the realization of chiral symmetries and the causes and consequences of thier spontaneous breaking. A brief introduction to the basic formalism and concepts of chiral symmetry breaking is given, then some explicit calculations of chiral symmetry breaking in gauge theories are given, treating first parity-invariant and then chiral models. These calculations are meant to be illustrative rather than accurate; they make use of unjustified mathematical approximations which serve to make the physics more clear. Some formal constraints on chiral symmetry breaking are discussed which illuminate and extend the results of our more explicit analysis. Finally, a brief review of the phenomenological theory of chiral symmetry breaking is presented, and some applications of this theory to problems in weak-interaction physics are discussed. (WHK)

  2. Phosphorylation of H2AX histones in response to double-strand breaks and induction of premature chromatin condensation in hydroxyurea-treated root meristem cells of Raphanus sativus, Vicia faba, and Allium porrum.

    Science.gov (United States)

    Rybaczek, Dorota; Maszewski, Janusz

    2007-01-01

    Histone H2A variant H2AX is rapidly phosphorylated on the induction of DNA double-strand breaks by ionizing radiation and hydroxyurea-mediated replication arrest, resulting in the formation of gamma-H2AX foci along megabase chromatin domains nearby the sites of incurred DNA damage. In an attempt to establish a relationship between species-specific nuclear architecture and H2AX phosphorylation in S/G(2) phase-arrested root meristem cells, immunocytochemical comparisons using an antibody raised against human gamma-H2AX were made among three plants differing with respect to DNA contents: Allium porrum, representing a reticulate type of DNA package, Vicia faba, having semireticulate cell nuclei, and Raphanus sativus, characterised by a chromocentric type of chromatin. Another approach was aimed at determining possible correlations between the extent of hydroxyurea-induced phosphorylation of H2AX histones and the quantities of root meristem cells induced by caffeine to enter aberrant mitotic division (premature chromosome condensation). It was concluded that the higher-order structure of chromatin may contribute to the accessibility of molecular factors engaged in the recognition and repair of genetic lesions. Consequently, in contrast to A. porrum and V. faba, a diffuse chromatin in chromocentric cell nuclei of R. sativus may become more vulnerable both to generate DNA double-strand breaks and to recruit molecular elements needed to arrange the cell cycle checkpoint functions, and thus, more resistant to factors which allow the cells to enter premature chromosome condensation spontaneously. On the other hand, however, caffeine-mediated overriding of the S-M checkpoint control system resulted in the typical appearance of premature chromosome condensation, irrespective of the genomic content of DNA.

  3. Breaking News as Radicalisation

    DEFF Research Database (Denmark)

    Hartley, Jannie Møller

    The aim of the paper is to make explicit how the different categories are applied in the online newsroom and thus how new categories can be seen as positioning strategies in the form of radicalisations of already existing categories. Thus field theory provides us with tools to analyse how online...... journalists are using the categorisations to create hierarchies within the journalistic field in order to position themselves as specialists in what Tuchman has called developing news, aiming and striving for what today is know as breaking news and the “exclusive scoop,” as the trademark of online journalism...... in a media environment where immediacy rules (Domingo 2008a). Following this research the primary focus of this paper is the category breaking news and Tuchmans developing news, but as they are all connected the analysis will also draw upon the other categories in Tuchmans typology. The theoretical framework...

  4. Validation of a targeted peer relations scale for adolescents treated for substance use disorder: an application of rasch modeling.

    Science.gov (United States)

    Ciesla, James R; Yao, Ping

    2011-01-01

    The objective of this research is to use item response theory (IRT) to validate a 14-item peer relations scale for use in the adolescent treatment population. Subjects are 509 adolescents discharged from substance abuse treatment from 2004-2009. The person reliability is 0.76 and the Cronbach's alpha person raw score reliability is 0.93 both indicating the scale is a strong metric. The item reliability of 0.99 is high showing the model is reliable. The real separation (8.49) meaning items are placed on the Rasch "ruler" with about eight levels of importance identified. The mean-square statistics of the infit and outfit values were between 0.5 and 1.5 for the items indicating a low level of randomness and thus unidimensionality of the scale. Inspection of a Wright Item Map shows the hierarchical structure of the scale with a moderate degree of inter-item spread. The analysis shows the scale is a reliable unidimensional metric.

  5. Validation of a Targeted Peer Relations Scale for Adolescents Treated for Substance Use Disorder: An Application of Rasch Modeling

    Directory of Open Access Journals (Sweden)

    James R. Ciesla

    2011-01-01

    Full Text Available The objective of this research is to use item response theory (IRT to validate a 14-item peer relations scale for use in the adolescent treatment population. Subjects are 509 adolescents discharged from substance abuse treatment from 2004–2009. The person reliability is 0.76 and the Cronbach's alpha person raw score reliability is 0.93 both indicating the scale is a strong metric. The item reliability of 0.99 is high showing the model is reliable. The real separation (8.49 meaning items are placed on the Rasch “ruler” with about eight levels of importance identified. The mean-square statistics of the infit and outfit values were between 0.5 and 1.5 for the items indicating a low level of randomness and thus unidimensionality of the scale. Inspection of a Wright Item Map shows the hierarchical structure of the scale with a moderate degree of inter-item spread. The analysis shows the scale is a reliable unidimensional metric.

  6. The Association Between Hospital-Treated Injuries and ADHD Symptoms in Childhood and Adolescence: A Follow-Up Study in the Northern Finland Birth Cohort 1986.

    Science.gov (United States)

    Hurtig, Tuula; Ebeling, Hanna; Jokelainen, Jari; Koivumaa-Honkanen, Heli; Taanila, Anja

    2016-01-01

    We examined the risk of hospital-treated injuries related to the symptoms/diagnosis of ADHD. The study population (N = 6,111) was composed from the Northern Finland Birth Cohort 1986. At the age of 8, symptoms of hyperactivity and at the age of 15, symptoms of ADHD were assessed by the parents while the clinical diagnoses of ADHD were set in adolescence. Information on injuries was obtained from national register. The risk for hospital-treated injuries during ages 0 to 7 was 1.7-fold increased among those with symptoms of hyperactivity assessed at age 8. Also, injuries during ages 7 to 15 years were more common among those with symptoms of ADHD at age 15 with respect to any injury, fractures, and intracranial injuries, and among those with the diagnosis of ADHD with respect to any injury. The present study shows an association between hospital-treated injuries and symptoms of ADHD in a large epidemiological sample of 0- to 15-year-old children. © The Author(s) 2013.

  7. Routinizing Breaking News

    DEFF Research Database (Denmark)

    Hartley, Jannie Møller

    2011-01-01

    This chapter revisits seminal theoretical categorizations of news proposed three decades earlier by US sociologist Gaye Tuchman. By exploring the definition of ”breaking news” in the contemporary online newsrooms of three Danish news organisations, the author offers us a long overdue re......-theorization of journalistic practice in the online context and helpfully explores well-evidenced limitations to online news production, such as the relationship between original reporting and the use of ”shovelware.”...

  8. Epigenetic and genetic variants in the HTR1B gene and clinical improvement in children and adolescents treated with fluoxetine.

    Science.gov (United States)

    Gassó, Patricia; Rodríguez, Natalia; Blázquez, Ana; Monteagudo, Ana; Boloc, Daniel; Plana, Maria Teresa; Lafuente, Amalia; Lázaro, Luisa; Arnaiz, Joan Albert; Mas, Sergi

    2017-04-03

    The serotonin 1B receptor (5-HT1B) is important to both the pathogenesis of major depressive disorder and the antidepressant effects of selective serotonin reuptake inhibitors. Although fluoxetine has been shown to be effective and safe in children and adolescents, not all patients experience a proper clinical response, which has led to further study into the main factors involved in this inter-individual variability. Our aim was to study the effect of epigenetic and genetic factors that could affect 5-hydroxytryptamine receptor 1B (HTR1B) gene expression, and thereby response to fluoxetine. A total of 83 children and adolescents were clinically assessed 12weeks after of initiating an antidepressant treatment with fluoxetine for the first time. We evaluated the influence of single nucleotide polymorphisms (SNPs) specifically located in transcription factor binding sites (TFBSs) on their clinical improvement. A combined genetic analysis considering the significant SNPs together with the functional variant rs130058 previously associated in our population was also performed. Moreover, we assessed, for the first time in the literature, whether methylation levels of the HTR1B promoter region could be associated with the pharmacological response. Two, rs9361233 and rs9361235, were significantly associated with clinical improvement after treatment with fluoxetine. The heterozygous genotype combination analysis showed a negative correlation with clinical improvement. The lowest improvement was experienced by patients who were heterozygous for all three SNPs. Moreover, a negative correlation was found between clinical improvement and the average methylation level of the HTR1B promoter. These results give new evidence for the role of epigenetic and genetic factors which could modulate HTR1B expression in the pharmacological response to antidepressants. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. The Effect of Abuse History on Adolescent Patients with Feeding and Eating Disorders Treated through Psychodynamic Therapy: Comorbidities and Outcome.

    Science.gov (United States)

    Strangio, Annamaria M; Rinaldi, Lucio; Monniello, Gianluigi; Sisti, Leuconoe Grazia; de Waure, Chiara; Janiri, Luigi

    2017-01-01

    The first aim of our study was to compare the characteristics and comorbidities of patients with eating disorders between those who suffered from a childhood abuse and those who did not. Our second aim was to analyze the differences in the outcome of the psychodynamic therapy between abused and not abused patients. Twenty-six adolescent patients with eating disorders were assessed. Adolescent were evaluated by a single expert psychiatrist by checklists and questionnaires: EDI 3, SCL 90, BIS11, Dissociative Experiences Scale, Global Assessment of Functioning, SCID II, and CTQ-Self control (SF). According to the results of CTQ-SF (cut-off ≥ 8), patients were divided into two groups: those who had experienced a history of abuse and those who had not. They underwent a psychodynamic psychotherapy and were assessed again after 12 months. Eleven patients (42.3%) had a history of abuse according to CTQ score. No significant differences were found in abused and not abused patients in their demographic, clinical, and comorbid characteristics (sex, age, type of eating disorder, comorbid impulse control, personality, and addictive disorders). Abused patients showed a significantly higher score in many scale. The psychotherapeutic intervention in patients with a history of abuse resulted only in a significant decrease in symptom checklist-90 (SCL-90) psychoticism dimension (p dimensions, the SCL-90 Global Severity Index, the Eating Disorder Inventory-3 interceptive deficits, and the dissociative experience scale. Regarding the first aim of our study, we proved that history of abuse is not significantly related to patient comorbidities. Regarding our second aim, history of abuse was related to patient improvement only for psychotic symptoms; whereas patients who had not experienced an abuse improved in a variety of symptoms. Thus, abuse history can be considered as a negative prognostic factor for patients with eating disorders undergoing dynamic psychotherapy. However

  10. Long-term outcome of 25 children and adolescents with severe aplastic anemia treated with antithymocyte globulin

    Directory of Open Access Journals (Sweden)

    de-Medeiros C.R.

    2000-01-01

    Full Text Available Severe aplastic anemia (SAA is probably an immune-mediated disorder, and immunosuppressive therapy is recommended for patients with no available donor for bone marrow transplant. Between October 1984 and November 1987, 25 consecutive children and adolescents with SAA with no HLA-compatible marrow donor received equine antithymocyte globulin (ATG (15 mg kg-1 day-1 for 10 days. The patients were evaluated 6 weeks, 6 months, and 12 months after starting ATG treatment. Thereafter, patients were evaluated yearly until July 1998. Median age was 10 years (range, 1.5-20 years, granulocyte counts on referral ranged from 0.032 to 1.4 x 10(9/l (median 0.256 x 10(9/l, and 12 patients had granulocyte counts <0.2 x 10(9/l. At a median follow-up of 9.6 years (range, 8.6-11.8 years, 10 patients (40% remained alive with good marrow function. No morphologic evidence of hematological clonal disorders has been observed, although two patients probably have acquired clonal chromosomal abnormalities (trisomy 8 and del(6q21, respectively. Responses to ATG were observed between 6 weeks and 6 months from the start of treatment in 60% of evaluable patients. The response rate was not different in patients whose granulocyte count at diagnosis was <0.2 x 10(9/l, or in those who were <10 years of age. This study supports the view that, when compared with supportive measures, ATG is an effective treatment for children or adolescents with SAA. Although these results are inferior to those reported for marrow transplantation or more intensive immunosuppressive regimens, these patients who responded to ATG are long-term survivors with stable peripheral blood counts and a low rate of relapse.

  11. Consensus statement on the management of the GH-treated adolescent in the transition to adult care

    DEFF Research Database (Denmark)

    Clayton, P E; Cuneo, R C; Juul, A

    2005-01-01

    The European Society for Paediatric Endocrinology held a consensus workshop in Manchester, UK in December 2003 to discuss issues relating to the care of GH-treated patients in the transition from paediatric to adult life. Clinicians experienced in the care of paediatric and adult patients on GH t...

  12. Breaking bad news in cancer patients

    Directory of Open Access Journals (Sweden)

    Apostolos Konstantis

    2015-01-01

    Full Text Available Objective: In a regional hospital, many patients are newly diagnosed with cancer. Breaking the bad news in these patients and their relatives is a tough task. Many doctors are not experienced in talking to patients about death or death-related diseases. In recent years, there have been great efforts to change the current situation. The aim of this study was to investigate the experience and education of medical personnel in breaking bad news in a secondary hospital. Materials and Methods: 59 doctors from General Hospital of Komotini, Greece were included in the study. All the doctors were in clinical specialties that treated cancer patients. A brief questionnaire was developed based on current guidelines such as Baile/SPIKES framework and the ABCDE mnemonic. Results: Residents are involved in delivering bad news less frequently than specialists. Only 21 doctors (35.59% had specific training on breaking bad news. 20 doctors (33.90% were aware of the available techniques and protocols on breaking bad news. 47 doctors (79.66% had a consistent plan for breaking bad news. 57 (96.61% delivered bad news in a quiet place, 53 (89.83% ensured no interruptions and enough time, 53 (89.83% used simple words and 54 (91.53% checked for understanding and did not rush through the news. 46 doctors (77.97% allowed relatives to determine patient′s knowledge about the disease. Conclusions: There were low rates of specific training in breaking bad news. However, the selected location, the physician′s speech and their plan were according to current guidelines.

  13. Break the Pattern!

    DEFF Research Database (Denmark)

    Hasse, Cathrine; Trentemøller, Stine

    Break the Pattern! A critical enquiry into three scientific workplace cultures: Hercules, Caretakers and Worker Bees is the third publication of the international three year long project "Understanding Puzzles in the Gendered European Map" (UPGEM). By contrasting empirical findings from academic ...... (physics in culture) and discuss how physics as and in culture influence the perception of science, of work and family life, of the interplay between religion and science as well as how physics as culture can either hinder or promote the career of female scientists....

  14. Mental Health of Adults Treated in Adolescence with Scoliosis-Specific Exercise Program or Observed for Idiopathic Scoliosis

    Directory of Open Access Journals (Sweden)

    Maciej Płaszewski

    2014-01-01

    Full Text Available Objective. To examine general mental health in adult males and females, who in adolescence participated in a scoliosis-specific therapeutic exercise program or were under observation due to diagnosis of scoliosis. Design. Registry-based, cross-sectional study with retrospective data collection. Methods. Sixty-eight subjects (43 women aged 30.10 (25–39 years, with mild or moderate scoliosis (11–36° Cobb angle, and 76 (38 women nonscoliotic subjects, aged 30.11 (24–38 years, participated. The time period since the end of the exercise or observation regimes was 16.5 (12-26 years. Beck Depression Inventory (BDI and General Health Questionnaire (GHQ-28 scores were analyzed with the χ2 and U tests. Multiple regression analyses for confounders were also performed. Results. Intergroup differences of demographic characteristics were nonsignificant. Scoliosis, gender, participation in the exercise program, employment, and marital status were associated with BDI scores. The presence of scoliosis and participation in the exercise program manifested association with the symptoms. Higher GHQ-28 “somatic symptoms” subscale scores interacted with the education level. Conclusions. Our findings correspond to the reports of a negative impact of the diagnosis of scoliosis and treatment on mental health. The decision to introduce a therapeutic program in children with mild deformities should be made with judgment of potential benefits, risks, and harm.

  15. Wave Kinematics and Sediment Suspension at Wave Breaking Point.

    Science.gov (United States)

    1982-06-01

    Cayley , A. 1895, An Elementary Treatise on Elliptic Functions, George BeTl an Sons, London. Dally, W. R., 1980, A Numerical Model for Beach Profile...were studied in the laboratory. - The flow field concerns mainly the drift velocity on sloping beach. The drift velocity profiles as well as the mean...to treat the breaking point as a natural boundary for various studies of surf zone problems. The breaking point itself, however, has not been widely

  16. Prophylactic treatment of retinal breaks

    DEFF Research Database (Denmark)

    Blindbæk, Søren Leer; Grauslund, Jakob

    2015-01-01

    Prophylactic treatment of retinal breaks has been examined in several studies and reviews, but so far, no studies have successfully applied a systematic approach. In the present systematic review, we examined the need of follow-up after posterior vitreous detachment (PVD) - diagnosed by slit...... breaks. Additional retinal breaks were only revealed at follow-up in patients where a full retinal examination was compromised at presentation by, for example, vitreous haemorrhage. Asymptomatic and symptomatic retinal breaks progressed to rhegmatogenous retinal detachment (RRD) in 0-13.8% and 35...

  17. Electroweak breaking in supersymmetric models

    CERN Document Server

    Ibáñez, L E

    1992-01-01

    We discuss the mechanism for electroweak symmetry breaking in supersymmetric versions of the standard model. After briefly reviewing the possible sources of supersymmetry breaking, we show how the required pattern of symmetry breaking can automatically result from the structure of quantum corrections in the theory. We demonstrate that this radiative breaking mechanism works well for a heavy top quark and can be combined in unified versions of the theory with excellent predictions for the running couplings of the model. (To be published in ``Perspectives in Higgs Physics'', G. Kane editor.)

  18. Breaking soliton equations and negative-order breaking soliton ...

    Indian Academy of Sciences (India)

    We develop breaking soliton equations and negative-order breaking soliton equations of typical and higher orders. The recursion operator of the KdV equation is used to derive these models.We establish the distinctdispersion relation for each equation. We use the simplified Hirota's method to obtain multiple soliton ...

  19. Cost-effectiveness of extended-release methylphenidate in children and adolescents with attention-deficit/hyperactivity disorder sub-optimally treated with immediate release methylphenidate.

    Directory of Open Access Journals (Sweden)

    Jurjen van der Schans

    Full Text Available Attention-Deficit/Hyperactivity Disorder (ADHD is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at school often leads to reduced compliance, sub-optimal treatment, and therefore economic loss. Replacement of IR-MPH with a single-dose extended release (ER-MPH formulation may improve drug response and economic efficiency.To evaluate the cost-effectiveness from a societal perspective of a switch from IR-MPH to ER-MPH in patients who are sub-optimally treated.A daily Markov-cycle model covering a time-span of 10 years was developed including four different health states: (1 optimal response, (2 sub-optimal response, (3 discontinued treatment, and (4 natural remission. ER-MPH options included methylphenidate osmotic release oral system (MPH-OROS and Equasym XL/Medikinet CR. Both direct costs and indirect costs were included in the analysis, and effects were expressed as quality-adjusted life years (QALYs. Univariate, multivariate as well as probabilistic sensitivity analysis were conducted and the main outcomes were incremental cost-effectiveness ratios.Switching sub-optimally treated patients from IR-MPH to MPH-OROS or Equasym XL/Medikinet CR led to per-patient cost-savings of €4200 and €5400, respectively, over a 10-year treatment span. Sensitivity analysis with plausible variations of input parameters resulted in cost-savings in the vast majority of estimations.This study lends economic support to switching patients with ADHD with suboptimal response to short-acting IR-MPH to long-acting ER-MPH regimens.

  20. Cost-effectiveness of extended-release methylphenidate in children and adolescents with attention-deficit/hyperactivity disorder sub-optimally treated with immediate release methylphenidate.

    Science.gov (United States)

    van der Schans, Jurjen; Kotsopoulos, Nikos; Hoekstra, Pieter J; Hak, Eelko; Postma, Maarten J

    2015-01-01

    Attention-Deficit/Hyperactivity Disorder (ADHD) is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH) is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at school often leads to reduced compliance, sub-optimal treatment, and therefore economic loss. Replacement of IR-MPH with a single-dose extended release (ER-MPH) formulation may improve drug response and economic efficiency. To evaluate the cost-effectiveness from a societal perspective of a switch from IR-MPH to ER-MPH in patients who are sub-optimally treated. A daily Markov-cycle model covering a time-span of 10 years was developed including four different health states: (1) optimal response, (2) sub-optimal response, (3) discontinued treatment, and (4) natural remission. ER-MPH options included methylphenidate osmotic release oral system (MPH-OROS) and Equasym XL/Medikinet CR. Both direct costs and indirect costs were included in the analysis, and effects were expressed as quality-adjusted life years (QALYs). Univariate, multivariate as well as probabilistic sensitivity analysis were conducted and the main outcomes were incremental cost-effectiveness ratios. Switching sub-optimally treated patients from IR-MPH to MPH-OROS or Equasym XL/Medikinet CR led to per-patient cost-savings of €4200 and €5400, respectively, over a 10-year treatment span. Sensitivity analysis with plausible variations of input parameters resulted in cost-savings in the vast majority of estimations. This study lends economic support to switching patients with ADHD with suboptimal response to short-acting IR-MPH to long-acting ER-MPH regimens.

  1. Early response or nonresponse at week 2 and week 3 predict ultimate response or nonresponse in adolescents with schizophrenia treated with olanzapine

    DEFF Research Database (Denmark)

    Stentebjerg-Olesen, Marie; Ganocy, Stephen J; Findling, Robert L

    2015-01-01

    in adolescents aged 13-17 with schizophrenia were randomized 2:1 to olanzapine or placebo. ER was defined as ≥20 % reduction in Brief Psychiatric Rating Scale-children (BPRS-C) total score at week 2 (ER2) or 3 (ER3); UR was defined with increasing stringency as total BPRS-C score reduction ≥20, ≥30, ≥40 or ≥50...... %; remission was defined cross-sectionally using Andreasen et al. (2005) criteria. By week 2 (n = 69) and 3 (n = 66), olanzapine-treated youth achieved 73.3 and 85.5 % of their overall BPRS-C score reduction at 6 weeks last observation carried forward. ER and ENR patients did not differ significantly regarding...... baseline demographic, illness and treatment variables. ER 2 (frequency = 68.1 %) and ER 3 (frequency = 65.2 %) significantly predicted UR and remission (p = 0.0044-p BPRS-C reduction threshold for ER had best predictive validity (area under...

  2. Core break-off mechanism

    Science.gov (United States)

    Myrick, Thomas M. (Inventor)

    2003-01-01

    A mechanism for breaking off and retaining a core sample of a drill drilled into a ground substrate has an outer drill tube and an inner core break-off tube sleeved inside the drill tube. The break-off tube breaks off and retains the core sample by a varying geometric relationship of inner and outer diameters with the drill tube. The inside diameter (ID) of the drill tube is offset by a given amount with respect to its outer diameter (OD). Similarly, the outside diameter (OD) of the break-off tube is offset by the same amount with respect to its inner diameter (ID). When the break-off tube and drill tube are in one rotational alignment, the two offsets cancel each other such that the drill can operate the two tubes together in alignment with the drill axis. When the tubes are rotated 180 degrees to another positional alignment, the two offsets add together causing the core sample in the break-off tube to be displaced from the drill axis and applying shear forces to break off the core sample.

  3. Breaking the silence

    DEFF Research Database (Denmark)

    Konradsen, Hanne; Kirkevold, Marit; McCallin, Antoinette

    2012-01-01

    Little is known about the psychosocial effects of facial disfigurement. We present the results of a qualitative study following 15 patients who had been surgically treated for head, neck, or eye cancer over the course of their first postoperative year. Taped nurse-patient conversations and indivi......Little is known about the psychosocial effects of facial disfigurement. We present the results of a qualitative study following 15 patients who had been surgically treated for head, neck, or eye cancer over the course of their first postoperative year. Taped nurse-patient conversations...

  4. Onabotulinumtoxin A for Treating Overactive/Poor Compliant Bladders in Children and Adolescents with Neurogenic Bladder Secondary to Myelomeningocele

    Directory of Open Access Journals (Sweden)

    Antonio Marte

    2012-12-01

    Full Text Available This retrospective study was performed to verify the efficacy and safety of Onabotulinumtoxin A (BTX-A in treating children with neurogenic bladder (NB secondary to myelomeningocele (MMC with detrusor overactivity/low compliance. From January 2002 to June 2011, 47 patients out of 68 with neuropathic bladder were selected (22 females, 25 males, age range 5–17 years; mean age 10.7 years at first injection. They presented overactive/poor compliant neurogenic bladders on clean intermittent catheterization, and were resistant or non compliant to pharmacological therapy. Ten patients presented second to fourth grade concomitant monolateral/bilateral vesicoureteral reflux (VUR. All patients were incontinent despite catheterization. In the majority of patients Botulinum-A toxin was administered under general/local anesthesia by the injection of 200 IU of toxin, without exceeding the dosage of 12IU/kg body weight, diluted in 20 cc of saline solution in 20 sites, except in the periureteral areas. Follow-up included clinical and ultrasound examination, urodynamics performed at 6, 12 and 24 weeks, and annually thereafter. Seven patients remained stable, 21 patients required a second injection after 6–9 months and 19 a third injection. VUR was corrected, when necessary, in the same session after the BT-A injection, by 1–3 cc of subureteral Deflux®. Urodynamic parameters considered were leak point pressure (LPP, leak point volume (LPV and specific volume at 20 cm H2O pressure. The results were analyzed using the Wilcoxon test. All patients experienced a significant 66.45% average increase of LPV (Wilcoxon paired rank test = 7169 × 10 −10 and a significant 118.57% average increase of SC 20 (Wilcoxon paired rank test = 2.466 × 10 −12. The difference between preoperative and postoperative LPP resulted not significant (Wilcoxon paired rank test = 0.8858 No patient presented severe systemic complications; 38/47 patients presented slight hematuria for

  5. Adolescent Sexuality and the Struggle Over Authority

    Science.gov (United States)

    Gadpaille, Warren J.

    1970-01-01

    Adolescent use of sex as a vehicle for coping with authority is by no means always pathological. Adolescents are normally progressing into full heterosexuality. Some cultures force adolescents to break tabus and defy prohibitions in order to exhibit normal sexuality. They thus incur automatic definition as being bad by the defining authorities. It…

  6. [The evaluation of the stress coping styles and emotional intelligence in psychiatrically treated adolescent patients with deliberate self-harm in relation to chosen clinical features].

    Science.gov (United States)

    Gmitrowicz, Agnieszka; Szczepaniak, Anna; Jabłkowska-Górecka, Karolina

    2012-01-01

    The primary goal of the study was an evaluation of the dominating stress coping styles in adolescent patients with self-harm records, who were psychiatrically treated, taking into account the level of their emotional intelligence vs. the psychiatric diagnosis, the type of motives and decision involved in self-harming and the presence of suicidal attempts (SA) in the past. The secondary goal included an analysis of the correlations between particular stress coping skills and the level of emotional intelligence. The reported studies involved self-harming patients aged of 13-18 years during their psychiatric hospitalisation (n=31). The applied tools included the Coping Inventory for Stressful Situations (CISS) and the Two-Dimensional Inventory of Emotional Intelligence (DINEMO). An evaluation of the correlation between stress coping styles and the levels of emotional intelligence in the studied group and the types of mental disorders did not reveal any significant differences between the evaluated subgroups. Patients, who confirmed an instrumental motive, obtained statistically significantly higher scores on the task-oriented scale vs. those who performed the acts of DSH for reactive or pathological reasons. Taking into consideration the type of decision, involved in self-harming acts, did not show any differences in the stress coping styles of the patients, however, those patients, who had planned an act of DSH, achieved statistically significantly higher scores in the OTHERS scale of the DINEMO. Patients with DSH and with SA in the past (77% studied group), achieved similar results in CISS and DINEMO vs. the self-harming patients without SA in the past. In the study group, one statistically significant correlation was demonstrated between CISS--the avoidance-oriented style--and the I in DINEMO. 1. Patients with DSH records and without SA constitute a fairly uniform group with regards to stress coping styles, taking into account the type of psychic disorders and the

  7. Anastrozole Increases Predicted Adult Height of Short Adolescent Males Treated with Growth Hormone: A Randomized, Placebo-Controlled, Multicenter Trial for One to Three Years

    National Research Council Canada - National Science Library

    Mauras, Nelly; Gonzalez de Pijem, Lilliam; Hsiang, Helen Y; Desrosiers, Paul; Rapaport, Robert; Schwartz, I. David; Klein, Karen Oerter; Singh, Ravinder J; Miyamoto, Anna; Bishop, Kim

    2008-01-01

    ...: Our objective was to investigate whether anastrozole, a potent aromatase inhibitor, could delay bone age acceleration and increase predicted adult height in adolescent boys with GH deficiency. Methods...

  8. Effect of Preoperative Brace Treatment on the Mental Health Scores of SRS-22 and SF-36 Questionnaire in Surgically Treated Adolescent Idiopathic Scoliosis Patients.

    Science.gov (United States)

    Yu, Bin; Wang, Yipeng; Qiu, Guixing; Shen, Jianxiong; Zhang, Jianguo

    2016-06-01

    Retrospective study. The aim of this study was to analyze whether there were differences in mental health scores of Scoliosis Research Society-22 (SRS-22) questionnaire and Short Form-36 (SF-36) questionnaire between adolescent idiopathic scoliosis (AIS) patients with/without preoperative brace treatment. Mental health is an important domain of SRS-22 and SF-36 questionnaire. There are few studies focused on the effect of preoperative brace treatment on mental health in surgically treated AIS patients. The SRS-22 and SF-36 questionnaires of 211 AIS patients who underwent posterior correction surgery were retrospectively reviewed. The average age of the patients was 14.4 years (range, 11-18 y), and the patients were classified into 2 groups: with preoperative brace treatment (group BS-32 cases, 5 male and 27 female) and without preoperative brace treatment (group S-179 cases, 23 male and 156 female). The radiographic data and mental health scores of SRS-22 and SF-36 questionnaires were compared between the 2 groups. There was no significant difference in terms of height, rib hump, the mean preoperative coronal Cobb angle or apical vertebral translation of the major curve, sagittal thoracic kyphosis, or coronal trunk balance between group BS and group S (all P>0.05). The average and total mental health scores of SRS-22 between group BS and group S were 3.6±0.7 and 3.7±0.5, and 18.1±3.5 and 18.3±2.6, respectively. The total mental health scores of SF-36 between group BS and group S were 71.1±8.7 and 68.7±11.5, respectively. There was no significant difference with regard to the mental health scores of SRS-22 and SF-36 questionnaires between group BS and group S (all P>0.05). Preoperative brace treatment did not have obvious influence on the mental health scores of SRS-22 and SF-36 questionnaires in surgically treated AIS patients.

  9. Breaking the Rules in Style.

    Science.gov (United States)

    Romano, Tom

    1988-01-01

    Describes how allowing students to break the rules of standard writing can increase students' creativity in their written expression. Discusses several traits of this alternate style, or "Grammar B," including sentence fragments, double voice, lists, and spelling variations. (MM)

  10. Maternal monitoring, adolescent disclosure, and adolescent adjustment among Palestinian refugee youth in Jordan

    NARCIS (Netherlands)

    Ahmad, L.; Smetana, J.; Klimstra, T.A.

    2015-01-01

    The role of parenting (adolescent-perceived maternal solicitation of information and control), and child-driven processes (adolescent disclosure and secrecy) in parental knowledge of adolescents' activities, norm-breaking, and anxiety were examined among 498 poor Palestinian youth (M = 15 years)

  11. Effects of different methods of breaking dormancy and seed ...

    African Journals Online (AJOL)

    Seed dormancy in palms, date palm inclusive have continued to be challenging especially when cultivating through seeds. This study evaluated different methods of breaking dormancy and seed germination rate in P. dactylifera. Using Completely Randomize Design, two varieties of P. dactylifera were treated with three ...

  12. On breaks of the Indian monsoon

    Indian Academy of Sciences (India)

    Further, there are three or four active-break cycles in a season according to Webster et al (1998) which implies a time scale of about 40 days for which Goswami and Mohan (2000), and Annamalai and Slingo (2001) have studied breaks and active minus break fluctuations. On the other hand, neither the traditional breaks ...

  13. Factors associated with the success of the Rigo System Chêneau brace in treating mild to moderate adolescent idiopathic scoliosis.

    Science.gov (United States)

    Ovadia, Dror; Eylon, Sharon; Mashiah, Avraham; Wientroub, Shlomo; Lebel, Eduard David

    2012-08-01

    Adolescent idiopathic scoliosis (AIS) is the most prevalent spine deformity within the pediatric population. Orthosis is the mainstay of conservative treatment for mild to moderate AIS. The Rigo System Chêneau (RSC) brace is a custom-made thoracolumbar sacral orthosis (TLSO) based on a three-dimensional correction concept. The purpose of this study was to identify factors that could predict the therapeutic success/failure of the RSC brace. A retrospective cohort study was performed on all consecutive patients according to the Scoliosis Research Society (SRS) criteria for the success of conservative treatment. Participants had a 2-year follow-up beyond the termination of brace treatment. All patients were treated with the RSC orthotic device. Ninety-three patients met the inclusion criteria. At treatment onset, their average age was 12.9 years, average Cobb angle 31.97°, Risser score 1.07, and the mean angle of thoracic rotation (ATR) was 10.2°. The mean brace treatment period was 36 months. Treatment was successful in 83.8 % of these patients (n = 79). The average final Cobb angle was 28.97°, Risser score 4.88, and ATR 8.09°. The pre-treatment factors associated with the success of applying the RSC brace were a high Risser score [odds ratio (OR) = 2.97, 95 % confidence interval [CI] 1.18-7.44; p = 0.02), a low Cobb angle (OR = 0.92, 95 % CI 0.85-0.99; p = 0.02), and low ATR (OR = 0.86, 95 % CI 0.75-0.99; p = 0.04). The treatment of mild to moderate AIS with the RSC brace provides excellent clinical results. Its added benefit is enabling a three-dimensional correction of a three-dimensional deformity. Pre-treatment high Risser score, low Cobb angles, and low ATRs are associated with treatment success. Retrospective analysis, Level III.

  14. Metabolic control by insulin detemir in basal-bolus therapy: treat-to-target study in children and adolescents with type 1 diabetes.

    Science.gov (United States)

    Nimri, Revital; Lebenthal, Yael; Shalitin, Shlomit; Benzaquen, Hadasa; Demol, Sharon; Phillip, Moshe

    2013-05-01

    To assess the efficacy and safety of insulin detemir administered once vs. twice daily in children and adolescents with type 1 diabetes mellitus. In this prospective, open-label, treat-to-target study, 37 patients [mean age 12.7 ± 3 yr; diabetes duration 4.2 ± 3 yr, hemoglobin A1c (HbA1c) 8.8 ± 0.8%] were scheduled to receive insulin detemir once daily before breakfast, with pre-meal insulin aspart, for 16-20 wk. Detemir dose titration algorithm was based on age-related target fasting blood glucose levels during 4-8 wk. Patients achieving target range continued on once-daily detemir (Group A) if up-titration could not be done due to hypoglycemia patients were switched to twice-daily detemir (Group B). Nineteen (51%) patients continued with once-daily detemir. HbA1c decreased significantly in both groups (A: -0.7%, p = 0.02; B: -0.8%, p = 0.004), without a significant difference between groups. The frequency of nocturnal hypoglycemic events/week decreased in both groups but a significant change was found only in Group A (10.9-2.7, p < 0.05 vs. 8.7-5.8, NS), with no change in frequency of severe hypoglycemic episodes in either group. No significant differences were found between and within groups for body mass index-standard deviation score, insulin requirement or treatment satisfaction. Group B patients were significantly younger than Group A patients (11.5 ± 2.3 vs.13.8 ± 3.2 yr, p = 0.01), with a higher percentage in active puberty (50 vs. 11%, p = 0.003). Since twice-daily determir showed no clinical advantage over once-daily detemir, it appears reasonable to commence all children on once-daily detemir, taking into consideration that younger children and those in active puberty may require twice-daily therapy (ClinicalTrials.gov number, NCT00542399). © 2013 John Wiley & Sons A/S.

  15. Psychotherapies for Children and Adolescents

    Science.gov (United States)

    ... Facts for Families - Vietnamese Psychotherapy for Children and Adolescents: Different Types No. 86; updated February 2017 Psychotherapy ... Therapy (DBT) can be used to treat older adolescents who have chronic suicidal feelings/thoughts, engage in ...

  16. The adolescent outcome of children with attention deficit hyperactivity disorder treated with methylphenidate or methylphenidate combined with multimodal behaviour therapy: results of a naturalistic follow-up study.

    Science.gov (United States)

    van der Oord, S; Prins, P J M; Oosterlaan, J; Emmelkamp, P M G

    2012-01-01

    Children with attention deficit hyperactivity disorder (ADHD) who participated in a randomized clinical trial, which compared a brief intensive multimodal behaviour therapy combined with optimally titrated methylphenidate to optimally titrated methylphenidate alone (n = 45), were re-assessed at adolescence in a naturalistic follow-up 4.5 to 7.5 years after treatment. Also a matched normal control group was recruited (n = 23). Assessments at follow-up included diagnostic status, ADHD symptoms, oppositional and conduct behaviour, substance abuse symptoms and parenting stress. Of the 24 adolescents participating in the follow-up study, 50% still met diagnostic criteria for ADHD. There were no significant differences between adolescents at follow-up and those lost for follow-up. At follow-up, adolescents in the combined treatment condition used significantly less medication than children in the methylphenidate condition; there were no other significant differences between the treatment conditions. The adolescents showed a significant decline in hyperactivity/impulsivity, oppositional and conduct disorder symptoms from post-test to follow-up. Only inattention symptoms increased from post-test to follow-up but not to pre-test levels. The adolescents originally diagnosed with ADHD fared significantly worse than the matched controls on all outcomes, except on conduct disorder and substance abuse symptoms. Our study shows in adolescents, diagnosed with ADHD in childhood, age-dependent decline of ADHD symptoms, although they still fared significantly worse than matched normal controls. Implications of results are restricted by small samples size, and the results may be subject to chance findings and need replication before firm conclusions can be drawn. Copyright © 2011 John Wiley & Sons, Ltd.

  17. Isospin breaking from diquark clustering

    Science.gov (United States)

    Gibbs, W. R.; Dedonder, Jean-Pierre

    2017-09-01

    Background: Although SU(2) isospin symmetry is generally assumed in the basic theory of the strong interaction, a number of significant violations have been observed in scattering and bound states of nucleons. Many of these violations can be attributed to the electromagnetic interaction but the question of how much of the violation is due to it remains open. Purpose: To establish the connection between diquark clustering in the two-nucleon system and isospin breaking from the Coulomb interaction between the members of diquark pairs. Method: A schematic model based on clustering of quarks in the interior of the confinement region of the two-nucleon system is introduced and evaluated. In this model the Coulomb interaction is the source of all isospin breaking. It draws on a picture of the quark density based on the diquark-quark model of hadron structure which has been investigated by a number of groups. Results: The model produces three isospin breaking potentials connecting the unbroken value of the low-energy scattering amplitude to those of the p p , n n , and n p singlet channels. A simple test of the potentials in the three-nucleon energy difference problem yields results in agreement with the known binding energy difference. Conclusion: The illustrative model suggests that the breaking seen in the low-energy nucleon-nucleon (NN) interaction may be understood in terms of the Coulomb force between members of diquark clusters. It allows the prediction of the charge symmetry breaking interaction and the n n scattering length from the well measured n p singlet scattering length. Values of the n n scattering length around -18 fm are favored. Since the model is based on the quark picture, it can be easily extended, in the SU(3) limit, to calculate isospin breaking in the strange sector in the corresponding channels. A natural consequence of isospin breaking from diquark clustering is that the breaking in the strange sector, as measured by the separation energy

  18. Factors associated with caregiver burden among pharmacotherapy-treated children/adolescents with ADHD in the Caregiver Perspective on Pediatric ADHD survey in Europe.

    Science.gov (United States)

    Fridman, Moshe; Banaschewski, Tobias; Sikirica, Vanja; Quintero, Javier; Erder, M Haim; Chen, Kristina S

    2017-01-01

    Burden on caregivers of children/adolescents with attention-deficit/hyperactivity disorder (ADHD) is multidimensional, but incompletely understood. To analyze caregiver burden across the concepts of work, social/family life, and parental worry/stress, in relation to selected contributing factors. The online Caregiver Perspective on Pediatric ADHD survey was fielded in ten European countries. Analysis included children/adolescents (6-17 years) who were receiving/had received ADHD pharmacotherapy in the previous 6 months. Caregivers recorded their child's/adolescent's symptoms "on"/"off" medication (ie, when the caregiver reported that the child/adolescent forgot/chose not to take medication, before the onset of medication effect, or medication worn off). Effects of ADHD severity, comorbidities, and medication adherence on each burden outcome were assessed (multiple regression models). In total, 2,326 caregivers were included (children/adolescents' mean age: 11.5 years, 80% male). Caregivers reported missed/altered work, avoiding social activity, increased parental worry/stress, and strain on family life, despite using ADHD pharmacotherapy. Child/adolescent comorbidities and ADHD severity were significantly related to all burden concepts measured; the strongest comorbidity associations were with altered work (odds ratios [ORs] =1.68 [95% confidence interval {CI} 1.33, 2.12], 1.87 [1.37, 2.54], 3.47 [2.51, 4.78] for 1, 2, 3+ comorbidities, respectively) and planning the day around the child/adolescent (OR =1.42 [95% CI 1.17, 1.72], 1.73 [1.33, 2.15], 2.65 [1.99, 3.53]); the strongest severity associations were: quitting a job (OR =1.41 [95% CI 1.26, 1.59]) and planning a day around the child/adolescent (OR =1.26 [95% CI 1.20, 1.32]). Increased medication adherence was most associated with reducing the caregiver burden for altered work (OR =0.57 [95% CI 0.45, 0.72]), worrying about how they are being perceived as a parent (OR =0.68 [0.56, 0.83]), and avoiding social

  19. Suicide attempts by exogenous intoxication among female adolescents treated at a reference hospital in the city of Recife-PE, Brazil

    Directory of Open Access Journals (Sweden)

    Juliana Lourenço de Araújo Veras

    2011-10-01

    Full Text Available This study aimed to assess cases of self-inflicted poisoning among adolescents reported by the Toxicological Care Center of a reference hospital in Recife-PE, Brazil. The data were collected between March and May 2010 from hospital charts and structured interviews with the participants and parents/guardians. Among the 25 cases of attempted suicide registered in the period, 21 were female adolescents, who made up the sample of the present study. The adolescents were between 13 and 19 years of age. Pesticides were the most frequent toxic agent used (61.9%. The results of the present study underscore the importance of studying suicide in this population, with a focus on family relations, in order to lay the foundation for the development of prevention and treatment programs for this vulnerable group.

  20. supersymmetry breaking with extra dimensions

    Indian Academy of Sciences (India)

    physics pp. 497-511 supersymmetry breaking with extra dimensions. FABIO ZWIRNER. Theory Division, CERN, CH-1211 Geneva 23, Switzerland. On leave from: Physics ... theory which accounts for all the observed interactions at the presently available ... For some standard reviews of sUsY and of the MssM, with lists.

  1. Aluminum break-point contacts

    NARCIS (Netherlands)

    Heinemann, Martina; Groot, R.A. de

    1997-01-01

    Ab initio molecular dynamics is used to study the contribution of a single Al atom to an aluminum breakpoint contact during the final stages of breaking and the initial stages of the formation of such a contact. A hysteresis effect is found in excellent agreement with experiment and the form of the

  2. Code breaking in the pacific

    CERN Document Server

    Donovan, Peter

    2014-01-01

    Covers the historical context and the evolution of the technically complex Allied Signals Intelligence (Sigint) activity against Japan from 1920 to 1945 Describes, explains and analyzes the code breaking techniques developed during the war in the Pacific Exposes the blunders (in code construction and use) made by the Japanese Navy that led to significant US Naval victories

  3. Breaking Carbon Lock-in

    DEFF Research Database (Denmark)

    Driscoll, Patrick Arthur

    2014-01-01

    This central focus of this paper is to highlight the ways in which path dependencies and increasing returns (network effects) serve to reinforce carbon lock-in in large-scale road transportation infrastructure projects. Breaking carbon lock-in requires drastic changes in the way we plan future...

  4. Baryon and chiral symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Gorsky, A. [Institute for Theoretical and Experimental Physics (ITEP), Moscow, Russia and Moscow Institute of Physics and Technology (MIPT), Dolgoprudny (Russian Federation); Krikun, A. [NORDITA, KTH Royal Institute of Technology and Stockholm University Stockholm, Sweden and Institute for Theoretical and Experimental Physics (ITEP), Moscow (Russian Federation)

    2014-07-23

    We briefly review the generalized Skyrmion model for the baryon recently suggested by us. It takes into account the tower of vector and axial mesons as well as the chiral symmetry breaking. The generalized Skyrmion model provides the qualitative explanation of the Ioffe’s formula for the baryon mass.

  5. Breaking Rules–Making Bonds

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 21; Issue 1. Breaking Rules - Making Bonds. A G Samuelson. General Article Volume 21 Issue 1 January 2016 pp 43-48. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/021/01/0043-0048. Keywords.

  6. Small Break Air Ingress Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Chang Oh; Eung Soo Kim

    2011-09-01

    The small break air-ingress experiment, described in this report, is designed to investigate air-ingress phenomena postulated to occur in pipes in a very high temperature gas-cooled reactor (VHTRs). During this experiment, air-ingress rates were measured for various flow and break conditions through small holes drilled into a pipe of the experimental apparatus. The holes were drilled at right angles to the pipe wall such that a direction vector drawn from the pipe centerline to the center of each hole was at right angles with respect to the pipe centerline. Thus the orientation of each hole was obtained by measuring the included angle between the direction vector of each hole with respect to a reference line anchored on the pipe centerline and pointing in the direction of the gravitational force. Using this reference system, the influence of several important parameters on the air ingress flow rate were measured including break orientation, break size, and flow velocity . The approach used to study the influence of these parameters on air ingress is based on measuring the changes in oxygen concentrations at various locations in the helium flow circulation system as a function of time using oxygen sensors (or detectors) to estimate the air-ingress rates through the holes. The test-section is constructed of a stainless steel pipe which had small holes drilled at the desired locations.

  7. Sediment transport under breaking waves

    DEFF Research Database (Denmark)

    Christensen, Erik Damgaard; Hjelmager Jensen, Jacob; Mayer, Stefan

    2000-01-01

    generated at the surface where the wave breaks as well as the turbulence generated near the bed due to the wave-motion and the undertow. In general, the levels of turbulent kinetic energy are found to be higher than experiments show. This results in an over prediction of the sediment transport. Nevertheless...

  8. Strong coupling electroweak symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Barklow, T.L. [Stanford Linear Accelerator Center, Menlo Park, CA (United States); Burdman, G. [Univ. of Wisconsin, Madison, WI (United States). Dept. of Physics; Chivukula, R.S. [Boston Univ., MA (United States). Dept. of Physics

    1997-04-01

    The authors review models of electroweak symmetry breaking due to new strong interactions at the TeV energy scale and discuss the prospects for their experimental tests. They emphasize the direct observation of the new interactions through high-energy scattering of vector bosons. They also discuss indirect probes of the new interactions and exotic particles predicted by specific theoretical models.

  9. Access to diagnosis, treatment, and supportive services among pharmacotherapy-treated children/adolescents with ADHD in Europe: data from the Caregiver Perspective on Pediatric ADHD survey.

    Science.gov (United States)

    Fridman, Moshe; Banaschewski, Tobias; Sikirica, Vanja; Quintero, Javier; Chen, Kristina S

    2017-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood psychiatric disorders and negatively impacts caregivers' lives. Factors including barriers to accessing care, dissatisfaction with support services, and lack of caregiver resources may contribute to this. To report caregivers' experiences of ADHD diagnosis, behavioral therapy (BT), and supportive care for children/adolescents with ADHD. The Caregiver Perspective on Pediatric ADHD (CAPPA) survey included caregivers of children/adolescents (6-17 years) from ten European countries who were currently receiving/had received ADHD pharmacotherapy in the previous 6 months. Caregivers reported experiences of obtaining an ADHD diagnosis, access to BT, availability of caregiver resources, and level of health care/school support. Pan-EU and country-specific descriptive statistics are reported; responses were compared across countries. Of 3,616 caregivers, 66% were female. Mean age of children/adolescents was 11.5 years; 80% were male. Mean time from the first doctor visit to diagnosis was 10.8 (95% confidence interval 10.2, 11.3) months; 31% of caregivers reported the greatest degrees of difficulty in obtaining an ADHD diagnosis; 44% of children/adolescents did not receive BT. Forty-seven percent of caregivers reported that sufficient resources were available, 44% were "very satisfied"/"satisfied" with medical care, and 50% found health care providers "very supportive"/"somewhat supportive". Mainstream schools were attended by 82% of children/adolescents. Of those, 67% of caregivers thought schools could help more with the child/adolescent's ADHD and 48% received extra help/special arrangement. Results varied significantly between countries (P<0.001, all parameters). Almost a third of caregivers reported a high degree of difficulty in obtaining an ADHD diagnosis for their child/adolescent, less than half felt that sufficient resources were available, and gaps in support from health care

  10. Dynamical chiral symmetry breaking and Bethe-Salpeter equation

    Energy Technology Data Exchange (ETDEWEB)

    Naito, Kenichi [Tokyo Inst. of Tech. (Japan)

    1998-08-01

    {pi} meson, (pseudo) Nambu-Goldstone particle caused by a spontaneous breaking of chiral symmetry, was studied by use of Bethe-Salpeter (BS) equation in the limits of effective model as a bound state of quark and antiquark. The effective model has nonlocal interaction and proved to satisfy the Gell-Mann-Oaks-Renner (GMOR) mass formula by treating correct Noether current in spite of loss of local chiral invariance of interaction term. GMOR mass formula: M{sub {pi}}{sup 2}f{sub {pi}}{sup 2}{approx_equal}-2m{sub 0} was realized as the result of the dynamical breaking and the clear breaking of chiral symmetry. M{sub {pi}}, f{sub {pi}}, m{sub 0}, and indicate mass of pseudo scalar meson, decay constant, mass of quark and vacuum condensation of quark and antiquark. (S.Y.)

  11. Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

    NARCIS (Netherlands)

    Mulugeta, A.; Hagos, F.; Stroecker, B.; Kruseman, G.; Linderhof, V.G.M.; Zenebe, A.; Mekonen, Y.; Girmay, G.

    2009-01-01

    Background: Addressing the nutritional needs of adolescents could be an important step towards breaking the vicious cycle of intergenerational malnutrition. Objective: Assess nutritional status of rural adolescent girls. Design: Cross-sectional. Methods: Anthropometric and socio-demographic

  12. Quantum Measurement Driven by Spontaneous Symmetry Breaking

    Science.gov (United States)

    Morikawa, M.; Nakamichi, A.

    2006-10-01

    Quantum mechanics cannot be applied within a closed system. Inevitable measurement process in quantum mechanics is usually treated separately from the basic principles of the framework and requires outside observer of the system. In this paper, we propose that the quantum measurement process is actually a physical process associated with the ubiquitous mechanism of spontaneous symmetry breaking. Based on this proposal, we construct a quantum measurement model in which the mixed state evolves into a pure state as the dynamical pro-coherence process. Furthermore, the classically distinguishable pointer parameter emerges as the c-number order parameter in the formalism of closed time-path quantum field theory. We also discuss the precision of the measurement and the possible deduction of the Born probability postulate.

  13. Spontaneous breaking of continuous translational invariance

    Science.gov (United States)

    Watanabe, Haruki; Brauner, Tomáš

    2012-04-01

    Unbroken continuous translational invariance is often taken as a basic assumption in discussions of spontaneous symmetry breaking (SSB), which singles out SSB of translational invariance itself as an exceptional case. We present a framework that allows us to treat translational invariance on the same footing as other symmetries. It is shown that existing theorems on SSB can be straightforwardly extended to this general case. As a concrete application, we analyze the Nambu-Goldstone modes in a (ferromagnetic) supersolid. We prove on the ground of the general theorems that the Bogoliubov mode stemming from a spontaneously broken internal U(1) symmetry and the longitudinal phonon due to a crystalline order are distinct physical modes.

  14. Family violence and body mass index among adolescents enrolled in the Bolsa Família Program and treated at a primary care clinic.

    Science.gov (United States)

    Silva, Ana Maria Vieira Lourenço da; Taquette, Stella Regina; Hasselmann, Maria Helena

    2014-03-01

    This article aimed to investigate the relationship between family violence and body mass index (BMI) in adolescents whose families were enrolled in the Bolsa Família Program. The cross-sectional study included 201 adolescents of both sexes, 10 to 19 years of age, in Rio de Janeiro, Brazil, 2008-2009. BMI and physical, psychological, and verbal abuse of adolescents by their parents were evaluated. The association between family violence and BMI was measured via linear regression models. In girls, verbal abuse was directly associated with BMI, showing a significant mean increase of 2.064, 2.438, and 2.403 in BMI when perpetrated by the mother, father, and both parents, respectively. Among boys, family violence was associated with lower BMI (but without reaching statistical significance). The findings point to the need for innovative practices and approaches in the nutritional care of adolescents enrolled in the Bolsa Família Program, considering family violence as a contributing factor to inadequate nutritional status.

  15. Family violence and body mass index among adolescents enrolled in the Bolsa Família Program and treated at a primary care clinic

    Directory of Open Access Journals (Sweden)

    Ana Maria Vieira Lourenço da Silva

    2014-03-01

    Full Text Available This article aimed to investigate the relationship between family violence and body mass index (BMI in adolescents whose families were enrolled in the Bolsa Família Program. The cross-sectional study included 201 adolescents of both sexes, 10 to 19 years of age, in Rio de Janeiro, Brazil, 2008-2009. BMI and physical, psychological, and verbal abuse of adolescents by their parents were evaluated. The association between family violence and BMI was measured via linear regression models. In girls, verbal abuse was directly associated with BMI, showing a significant mean increase of 2.064, 2.438, and 2.403 in BMI when perpetrated by the mother, father, and both parents, respectively. Among boys, family violence was associated with lower BMI (but without reaching statistical significance. The findings point to the need for innovative practices and approaches in the nutritional care of adolescents enrolled in the Bolsa Família Program, considering family violence as a contributing factor to inadequate nutritional status.

  16. Cost-Effectiveness of Extended-Release Methylphenidate in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder Sub-Optimally Treated with Immediate Release Methylphenidate

    NARCIS (Netherlands)

    van der Schans, Jurjen; Kotsopoulos, Niko; Hoekstra, Pieter J.; Hak, Eelko; Postma, Maarten J.

    2015-01-01

    BACKGROUND: Attention-Deficit/Hyperactivity Disorder (ADHD) is a common psychiatric disorder in children and adolescents. Immediate-release methylphenidate (IR-MPH) is the medical treatment of first choice. The necessity to use several IR-MPH tablets per day and associated potential social stigma at

  17. Vitamin D3 supplementation increases spine bone mineral density in adolescents and young adults with HIV infection being treated with tenofovir disoproxil fumarate: a randomized, placebo controlled trial

    Science.gov (United States)

    Background: Tenofovir disoproxil fumarate (TDF) decreases bone mineral density (BMD). We hypothesized vitamin D3 (VITD3) would increase BMD in adolescents/young adults receiving TDF. Methods: Randomized double-blind placebo-controlled trial of directly observed VITD3 50,000 IU vs. placebo every 4 ...

  18. A model of intrinsic symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Ge, Li [Research Center for Quantum Manipulation, Department of Physics, Fudan University, Shanghai 200433 (China); Li, Sheng [Department of Physics, Zhejiang Normal University, Zhejiang 310004 (China); George, Thomas F., E-mail: tfgeorge@umsl.edu [Office of the Chancellor and Center for Nanoscience, Department of Chemistry and Biochemistry, University of Missouri-St. Louis, St. Louis, MO 63121 (United States); Department of Physics and Astronomy, University of Missouri-St. Louis, St. Louis, MO 63121 (United States); Sun, Xin, E-mail: xin_sun@fudan.edu.cn [Research Center for Quantum Manipulation, Department of Physics, Fudan University, Shanghai 200433 (China)

    2013-11-01

    Different from the symmetry breaking associated with a phase transition, which occurs when the controlling parameter is manipulated across a critical point, the symmetry breaking presented in this Letter does not need parameter manipulation. Instead, the system itself suddenly undergoes symmetry breaking at a certain time during its evolution, which is intrinsic symmetry breaking. Through a polymer model, it is revealed that the origin of the intrinsic symmetry breaking is nonlinearity, which produces instability at the instance when the evolution crosses an inflexion point, where this instability breaks the original symmetry.

  19. Recommendations for Breast Cancer Surveillance for Female Childhood, Adolescent and Young Adult Cancer Survivors Treated with Chest Radiation: A Report from the International Late Effects of Childhood Cancer Guideline Harmonization Group

    Science.gov (United States)

    Mulder, Renée L.; Kremer, Leontien C.M.; Hudson, Melissa M.; Bhatia, Smita; Landier, Wendy; Levitt, Gill; Constine, Louis S.; Wallace, W. Hamish; van Leeuwen, Flora E.; Ronckers, Cécile M.; Henderson, Tara O.; Dwyer, Mary; Skinner, Roderick; Oeffinger, Kevin C.

    2014-01-01

    Summary Female childhood, adolescent and young adult (CAYA) cancer survivors treated with radiation to fields that include breast tissue (chest radiation) have an increased risk of breast cancer. Clinical practice guidelines are essential to ensure that these survivors receive optimum care, and thereby reduce the detrimental consequences of cancer treatment. However, surveillance recommendations vary among the existing long-term follow-up guidelines. This guideline provides international harmonized breast cancer surveillance recommendations for female CAYA cancer survivors treated with chest radiation prior to age 30 years. We applied evidence-based methods to develop the international harmonized recommendations. The recommendations were formulated by an international multidisciplinary guideline panel and categorized according to a 4-level colour grading schema adapted from existing level of evidence criteria. The harmonized breast cancer surveillance recommendations are based on a transparent process and are intended to be scientifically rigorous, positively influence health outcomes, and facilitate care for CAYA cancer survivors. PMID:24275135

  20. Emotional well-being in children and adolescents treated with atomoxetine for attention-deficit/hyperactivity disorder: Findings from a patient, parent and physician perspective using items from the pediatric adverse event rating scale (PAERS

    Directory of Open Access Journals (Sweden)

    Dittmann Ralf W

    2008-05-01

    Full Text Available Abstract Background The objective of this analysis was to measure changes in items on the Pediatric Adverse Event Rating Scale (PAERS that relate to emotional well-being of children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD during treatment with atomoxetine for up to 24 weeks from the perspective of the patient, the parent, and the physician. Methods Patients aged 6–17 years with ADHD were treated with atomoxetine (target dose 1.2 mg/kg/day. In the two studies on which this secondary analysis is based the PAERS was used to assess the tolerability of atomoxetine in children and adolescents. This scale has a total of 48 items. The ten items that reflect emotional well-being were selected to measure changes over time from a patient, parent, and physician perspective. Results 421 patients were treated with atomoxetine. 355 patients completed the 8-week treatment period, and 260 patients completed the 24-week treatment period. The ten items that reflect emotional well-being were grouped in five dimensions: depressed mood, self-harm, irritability/agitation, drowsiness, and euphoria. The scores of these dimensions decreased over time, both from a patient as well as from a parent and physician perspective. Only the dimension self-harm was extremely low at baseline and stayed low over time. The mean scores for the ten items depended on the rater perspective. Conclusion The emotional well-being of children and adolescents with ADHD improved in terms of depressed mood, irritability/agitation, drowsiness, and euphoria during treatment with atomoxetine for up to 24 weeks.

  1. Hmong American Parents' Views on Promoting Adolescent Sexual Health

    Science.gov (United States)

    Meschke, Laurie L.; Peter, Christina R.

    2014-01-01

    Parents play an important role in the promotion of adolescent sexual health, but little is known about parents' attitudes and beliefs in immigrant families. We examine Hmong American parents' attitudes about adolescent sexual health using survey data from 202 parents of adolescents with attention to parental gender differences. Breaking from…

  2. Breaking through the tranfer tunnel

    CERN Multimedia

    Laurent Guiraud

    2001-01-01

    This image shows the tunnel boring machine breaking through the transfer tunnel into the LHC tunnel. Proton beams will be transferred from the SPS pre-accelerator to the LHC at 450 GeV through two specially constructed transfer tunnels. From left to right: LHC Project Director, Lyn Evans; CERN Director-General (at the time), Luciano Maiani, and Director for Accelerators, Kurt Hubner.

  3. Models of electroweak symmetry breaking

    CERN Document Server

    Pomarol, Alex

    2015-01-01

    This chapter present models of electroweak symmetry breaking arising from strongly interacting sectors, including both Higgsless models and mechanisms involving a composite Higgs. These scenarios have also been investigated in the framework of five-dimensional warped models that, according to the AdS/CFT correspondence, have a four-dimensional holographic interpretation in terms of strongly coupled field theories. We explore the implications of these models at the LHC.

  4. Treating Infertility

    Science.gov (United States)

    ... Education & Events Advocacy For Patients About ACOG Treating Infertility Home For Patients Search FAQs Treating Infertility Page ... Treating Infertility FAQ137, October 2017 PDF Format Treating Infertility Gynecologic Problems What is infertility? What causes infertility ...

  5. Mechanics of lithographically defined break junctions

    NARCIS (Netherlands)

    Vrouwe, SAG; van der Giessen, E; van der Molen, SJ; Dulic, D; Trouwborst, ML; van Wees, BJ

    We investigate the mechanics of lithographically defined mechanically controllable break junctions, both theoretically and experimentally. It is shown that the relationship between controlled deflection and junction opening depends on the details of the break junction geometry. As a result the

  6. Dynamic breaking of a single gold bond

    DEFF Research Database (Denmark)

    Pobelov, Ilya V.; Lauritzen, Kasper Primdal; Yoshida, Koji

    2017-01-01

    . Conversely, if the force is loaded rapidly it is more likely that the maximum breaking force is measured. Paradoxically, no clear differences in breaking force were observed in experiments on gold nanowires, despite being conducted under very different conditions. Here we explore the breaking behaviour...

  7. Greater Prevalence of Proposed DSM-5 Nicotine Use Disorder Compared to DSM-IV Nicotine Dependence in Treated Adolescents and Young Adults

    Science.gov (United States)

    Chung, Tammy; Martin, Christopher S.; Maisto, Stephen A.; Cornelius, Jack R.; Clark, Duncan B.

    2011-01-01

    Aims Compared to DSM-IV nicotine dependence, proposed DSM-5 Nicotine Use Disorder (NUD) would lower the threshold from 3 to 2 symptoms, and increase the number of criteria used for diagnosis from 7 to 11. The impact of the proposed changes on nicotine disorder prevalence, and the concurrent validity of diagnostic criteria were examined. Design Cross-sectional survey to compare DSM-IV and proposed DSM-5 algorithms. Setting and Participants Adolescent (N=179) and young adult (N=292) past year cigarette users recruited from addictions treatment. Measurements Semi-structured clinical interview to evaluate DSM-IV nicotine dependence, and 10 of the 11 proposed DSM-5 NUD criteria; 30-day Time Line Follow-Back; and Fagerstrom Test for Nicotine Dependence (FTND). Findings Prevalence of proposed DSM-5 NUD (2-symptom threshold) was much higher (adolescents: 69%, young adults: 86%) than DSM-IV nicotine dependence (33% and 60%, respectively), although prevalence of DSM-5 severe NUD (4-symptom threshold) was similar to DSM-IV nicotine dependence. Concurrent validity analyses in both samples indicated consistent support for DSM-5 severe NUD diagnosis (4-symptoms) but not for the moderate NUD (2-symptoms) diagnosis, which had modest relations with only FTND score. IRT analyses indicated strong support for the new Craving item, but not for the proposed Interpersonal Problems and Hazardous Use items. Conclusions The proposed DSM-5 Nicotine Use Disorder criteria have substantial limitations when applied to adolescents and young adults, and appear to have low concurrent validity. PMID:22092543

  8. A 5-Year Follow-Up Study of Laparoscopic Sleeve Gastrectomy Among Morbidly Obese Adolescents: Does It Improve Body Image and Prevent and Treat Diabetes?

    Science.gov (United States)

    El-Matbouly, Moamena Ahmed; Khidir, Nesreen; Touny, Hussien Aly; El Ansari, Walid; Al-Kuwari, Mohammed; Bashah, Moataz

    2018-02-01

    Laparoscopic sleeve gastrectomy (LSG) is widely used, and it is important to examine its physiologic and psychological efficacy among adolescents. We assessed LSG's efficacy for weight loss, its short- and long-term effects on resolving and improving obesity-related comorbidities, and its psychological outcomes among morbidly obese adolescents. We retrospectively analyzed the medical records of 91 morbidly obese adolescents in Qatar who underwent LSG (2011-2014), with 1- and 5-year follow-ups. The mean preoperative weight and body mass index (BMI) were 132.5 ± 25.3 kg and 48 ± 7.5 kg/m 2 , respectively. Postoperatively, mean weight and BMI decreased to 101 ± 22 kg and 36.4 ± 7.2 kg/m 2 , respectively. At 1 year, the mean excess weight loss (%EWL), percent total weight loss (%TWL), and percent BMI loss (%BMIL) were 49.48 ± 25.8, 23.1 ± 11.9, and 23.16 ± 11.8%, respectively. At 5 years, %EWL, %TWL, and %BML were 78 ± 12, 35.8 ± 11.5, and 36 ± 12%, respectively. No patients developed postoperative leaks, and three patients had endoscopic dilatation due to stenosis. Overall, 64% of obstructive sleep apnea patients were cured, all prediabetic patients had total remission, and 50% of the diabetic patients were cured. The overall mean HBA1c level was 6 mmol/L, which significantly decreased to 5.1 mmol/L postoperatively (P = 0.0001). At 5 years, there was no relapse of diabetes, and 75% of the diabetic adolescents had complete remission. The only patient with hypertension showed complete resolution with laparoscopic sleeve gastrectomy. Postoperatively, overall body image satisfaction significantly improved (P = 0.0001). LSG significantly ameliorated short- and long-term obesity-related comorbidities and body image dissatisfaction among Qatari adolescents.

  9. Taking breaks from work: an exploratory inquiry.

    Science.gov (United States)

    Strongman, K T; Burt, C D

    2000-05-01

    Two studies concerned with taking breaks from either mental or physical work are presented. In the first study, a questionnaire was given to 101 students in which they answered questions about their own break taking and that of others. They also completed a time management questionnaire and scales about procrastination, self-esteem, and work overload. In the second study, 17 students kept detailed diaries of their daily break-taking behavior over a 6-week period. Results are discussed in terms of the types of reasons given for taking breaks and the possible discrepancies between such reasons and the actual activities engaged in during breaks.

  10. Cognitive-behavioral therapy for weight management and eating disorders in children and adolescents.

    Science.gov (United States)

    Wilfley, Denise E; Kolko, Rachel P; Kass, Andrea E

    2011-04-01

    Eating disorders and obesity in children and adolescents involve harmful behavior and attitude patterns that infiltrate daily functioning. Cognitive-behavioral therapy (CBT) is well suited to treating these conditions, given the emphasis on breaking negative behavior cycles. This article reviews the current empirically supported treatments and the considerations for youth with weight control issues. New therapeutic modalities (ie, enhanced CBT and the socioecologic model) are discussed. Rationale is provided for extending therapy beyond the individual treatment milieu to include the family, peer network, and community domains to promote behavior change, minimize relapse, and support healthy long-term behavior maintenance. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. Effects of summer school participation and psychosocial outcomes on changes in body composition and physical fitness during summer break.

    Science.gov (United States)

    Park, Kyung-Shin; Lee, Man-Gyoon

    2015-06-01

    Evidence suggests that adolescents gain more weight during the summer break than they do during the school year, and that participation in the summer school program is beneficial in maintaining their healthy lifestyle. It is known that obesity and physical fitness in adolescents can be affected by their socio-economic and psychological status, especially during a long school break. The purpose of this study was to examine the effects of summer school participation and psychosocial outcomes on changes in body composition and physical fitness in underprivileged adolescents during the summer break. Body composition and physical fitness in 138 underprivileged adolescents were measured at the beginning and end of the summer break. A survey on socio-economic and psychological status was conducted at the beginning of the summer break. Two-way repeated measures ANOVA and Tukey post hoc tests were used for data analysis. Pearson correlation analysis was performed to establish a relation between psychological outcomes and changes in body composition and physical fitness during the summer break. Significant increases in body weight (p = .003) and % body fat (p = .014) as well as a decrease in VO2max (p = .018) were found in summer school non-attendants during the summer whereas no significant changes were found in summer school attendants. Summer school non-attendants with lower psychosocial outcomes had a greater decline in physical fitness and weight gain; however, summer school attendants were not affected by psychosocial outcomes. The summer school program effectively prevented summer weight gain among underprivileged adolescents due to the structured environment, restricted food access, and scheduled time for exercise in addition to minimizing the effects of their psychosocial outcomes. Results indicated that summer school non-attendants may require comprehensive intervention for psychosocial outcomes and nutritional education to maintain body weight and physical fitness

  12. Leaders break ground for INFINITY

    Science.gov (United States)

    2008-01-01

    Community leaders from Mississippi and Louisiana break ground for the new INFINITY at NASA Stennis Space Center facility during a Nov. 20 ceremony. Groundbreaking participants included (l to r): Gottfried Construction representative John Smith, Mississippi Highway Commissioner Wayne Brown, INFINITY board member and Apollo 13 astronaut Fred Haise, Stennis Director Gene Goldman, Studio South representative David Hardy, Leo Seal Jr. family representative Virginia Wagner, Hancock Bank President George Schloegel, Mississippi Rep. J.P. Compretta, Mississippi Band of Choctaw Indians representative Charlie Benn and Louisiana Sen. A.G. Crowe.

  13. History of electroweak symmetry breaking

    CERN Document Server

    Kibble, T W B

    2015-01-01

    In this talk, I recall the history of the development of the unified electroweak theory, incorporating the symmetry-breaking Higgs mechanism, as I saw it from my standpoint as a member of Abdus Salam's group at Imperial College. I start by describing the state of physics in the years after the Second World War, explain how the goal of a unified gauge theory of weak and electromagnetic interactions emerged, the obstacles encountered, in particular the Goldstone theorem, and how they were overcome, followed by a brief account of more recent history, culminating in the historic discovery of the Higgs boson in 2012.

  14. New strategies to ensure good patient–physician communication when treating adolescents and young adults with cancer: the proposed model of the Milan Youth Project

    Directory of Open Access Journals (Sweden)

    Magni MC

    2015-08-01

    Full Text Available Maria Chiara Magni,1 Laura Veneroni,1 Carlo Alfredo Clerici,2 Tullio Proserpio,3 Giovanna Sironi,1 Michela Casanova,1 Stefano Chiaravalli,1 Maura Massimino,1 Andrea Ferrari1 1Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy; 2Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; 3Pastoral Care Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy Abstract: Adolescence is a particularly complex time of life, entailing physiological, psychological, and social changes that further the individual's cognitive, emotional, and social growth. Being diagnosed with cancer at this time can have important consequences on an individual's emotional and physical development, and adolescent and young adult cancer patients have particular medical and psychosocial needs. Patient–physician communications are important in any clinical relationship, but fundamental in the oncological sphere because their quality can affect the patient–physician relationship, the therapeutic alliance, and patient compliance. A major challenge when dealing with adolescent and young adult patients lies in striking the right balance between their need and right to understand their disease, treatment, and prognosis, and the need for them to remain hopeful and to protect their emotional sensitivity. We herein describe the activities of the Youth Project of the Istituto Nazionale Tumori in Milan, Italy in order to share a possible model of interaction with these special patients and the tactics our group has identified to help them communicate and share their thoughts. This model implies not only the involvement of a multidisciplinary team, including psychologists and spirituality experts, but also the constitution of dedicated creative activities to give patients the opportunity to express feelings they would otherwise never feel at ease putting into words. These efforts seek the goal to minimize the potentially

  15. A randomized controlled trial testing an adherence-optimized Vitamin D regimen to mitigate bone change in adolescents being treated for acute lymphoblastic leukemia.

    Science.gov (United States)

    Orgel, Etan; Mueske, Nicole M; Sposto, Richard; Gilsanz, Vicente; Wren, Tishya A L; Freyer, David R; Butturini, Anna M; Mittelman, Steven D

    2017-10-01

    Adolescents with acute lymphoblastic leukemia (ALL) develop osteopenia early in therapy, potentially exacerbated by high rates of concurrent Vitamin D deficiency. We conducted a randomized clinical trial testing a Vitamin D-based intervention to improve Vitamin D status and reduce bone density decline. Poor adherence to home supplementation necessitated a change to directly observed therapy (DOT) with intermittent, high-dose Vitamin D3 randomized versus standard of care (SOC). Compared to SOC, DOT Vitamin D3 successfully increased trough Vitamin 25(OH)D levels (p = .026) with no residual Vitamin D deficiency, 100% adherence to DOT Vitamin D3, and without associated toxicity. However, neither Vitamin D status nor supplementation impacted bone density. Thus, this adherence-optimized intervention is feasible and effective to correct Vitamin D deficiency in adolescents during ALL therapy. Repletion of Vitamin D and calcium alone did not mitigate osteopenia, however, and new, comprehensive approaches are needed to address treatment-associated osteopenia during ALL therapy.

  16. Using a Cross-Study Design to Assess the Efficacy of Motivational Enhancement Therapy–Cognitive Behavioral Therapy 5 (MET/CBT5) in Treating Adolescents with Cannabis-Related Disorders*

    Science.gov (United States)

    Ramchand, Rajeev; Griffin, Beth Ann; Suttorp, Marika; Harris, Katherine M.; Morral, Andrew

    2011-01-01

    Objective: To evaluate how adolescents with marijuana problems who received a research-based treatment (five sessions of motivational enhancement therapy plus cognitive behavioral therapy [MET/CBT5]) in an experimental setting would have fared had they received exemplary community-based outpatient treatment. Method: Twelve-month outcomes representing six domains (substance use problems, substance use frequency, emotional problems, illegal activities, recovery, and institutionalization) were assessed for youth who received MET/CBT5 in the Cannabis Youth Treatment study and youth who received outpatient treatment from one of three community-based programs selected for evidence of efficacy. Groups were matched on pretreatment characteristics using a propensity score weighting strategy. Results: Youth who received MET/CBT5 exhibited greater reductions in substance use frequency, substance use problems, and illegal behaviors 12 months after treatment entry than had they entered the community-based outpatient programs. Results showed no evidence that youth who received MET/CBT5 would have fared better with respect to emotional problems, the likelihood of being institutionalized, or achieving a "recovery" status at 12 months had they received community-based treatments. Conclusions: The community-based treatments used in this study have not been assessed relative to "treatment as usual" but were selected as "exemplary" models of adolescent treatment. There is no evidence in this study that these exemplary programs yielded superior 12-month outcomes for the treatment of adolescents with marijuana problems; youth receiving MET/CBT5 experienced greater reductions in substance use and illegal activities. Thus, MET/CBT5 may be a promising treatment for community-based providers to adopt to treat these clients. PMID:21513674

  17. Using a cross-study design to assess the efficacy of motivational enhancement therapy-cognitive behavioral therapy 5 (MET/CBT5) in treating adolescents with cannabis-related disorders.

    Science.gov (United States)

    Ramchand, Rajeev; Griffin, Beth Ann; Suttorp, Marika; Harris, Katherine M; Morral, Andrew

    2011-05-01

    To evaluate how adolescents with marijuana problems who received a research-based treatment (five sessions of motivational enhancement therapy plus cognitive behavioral therapy [MET/CBT5]) in an experimental setting would have fared had they received exemplary community-based outpatient treatment. Twelve-month outcomes representing six domains (substance use problems, substance use frequency, emotional problems, illegal activities, recovery, and institutionalization) were assessed for youth who received MET/CBT5 in the Cannabis Youth Treatment study and youth who received outpatient treatment from one of three community-based programs selected for evidence of efficacy. Groups were matched on pretreatment characteristics using a propensity score weighting strategy. Youth who received MET/CBT5 exhibited greater reductions in substance use frequency, substance use problems, and illegal behaviors 12 months after treatment entry than had they entered the community based outpatient programs. Results showed no evidence that youth who received MET/CBT5 would have fared better with respect to emotional problems, the likelihood of being institutionalized, or achieving a "recovery" status at 12 months had they received community-based treatments. The community-based treatments used in this study have not been assessed relative to "treatment as usual" but were selected as "exemplary" models of adolescent treatment. There is no evidence in this study that these exemplary programs yielded superior 12-month outcomes for the treatment of adolescents with marijuana problems; youth receiving MET/CBT5 experienced greater reductions in substance use and illegal activities. Thus, MET/CBT5 may be a promising treatment for community-based providers to adopt to treat these clients.

  18. Boundary breaking for interdisciplinary learning

    Directory of Open Access Journals (Sweden)

    Adi Kidron

    2015-10-01

    Full Text Available The purpose of this work is to contribute to the body of knowledge on processesby which students develop interdisciplinary understanding of contents, as well as to suggest technology-enhanced means for supporting them in these processes in the context of higher education. In doing so, we suggest a rethinking of three traditional practices that tend to characterise typical higher education instruction: (1 compartmentalisation of disciplines; (2 traditional pedagogy; and (3 traditional hierarchies based on levels of expertise. Our high-level conjecture was that meaningful dialogue with peers and experts supports both the deepening of ideas in one knowledge domain and the formation of connections between ideas from several domains, both of which are required for the development of interdisciplinary understanding. We developed the Boundary Breaking for Interdisciplinary Learning (BBIL model, which harnesses technology to break boundaries between disciplines, learners and organisational levels of hierarchy. Findings indicate that 36 undergraduate students who participated in an interdisciplinary online course that implemented the BBIL model have significantly improved their interdisciplinary understanding of the course contents. This study illustrates how innovative use of available, free and low-cost technology can produce a ‘positive disruption’ in higher education instruction.

  19. Greater Prevalence of Proposed ICD-11 Alcohol and Cannabis Dependence Compared to ICD-10, DSM-IV, and DSM-5 in Treated Adolescents.

    Science.gov (United States)

    Chung, Tammy; Cornelius, Jack; Clark, Duncan; Martin, Christopher

    2017-09-01

    Proposed International Classification of Diseases, 11th edition (ICD-11), criteria for substance use disorder (SUD) radically simplify the algorithm used to diagnose substance dependence. Major differences in case identification across DSM and ICD impact determinations of treatment need and conceptualizations of substance dependence. This study compared the draft algorithm for ICD-11 SUD against DSM-IV, DSM-5, and ICD-10, for alcohol and cannabis. Adolescents (n = 339, ages 14 to 18) admitted to intensive outpatient addictions treatment completed, as part of a research study, a Structured Clinical Interview for DSM SUDs adapted for use with adolescents and which has been used to assess DSM and ICD SUD diagnoses. Analyses examined prevalence across classification systems, diagnostic concordance, and sources of diagnostic disagreement. Prevalence of any past-year proposed ICD-11 alcohol or cannabis use disorder was significantly lower compared to DSM-IV and DSM-5 (ps DSM-IV, DSM-5, and ICD-10 (ps DSM-5 SUD diagnoses showed only moderate concordance. For both alcohol and cannabis, youth typically met criteria for an ICD-11 dependence diagnosis by reporting tolerance and much time spent using or recovering from the substance, rather than symptoms indicating impaired control over use. The proposed ICD-11 dependence algorithm appears to "overdiagnose" dependence on alcohol and cannabis relative to DSM-IV and ICD-10 dependence, and DSM-5 moderate/severe use disorder, generating potential "false-positive" cases of dependence. Among youth who met criteria for proposed ICD-11 dependence, few reported impaired control over substance use, highlighting ongoing issues in the conceptualization and diagnosis of SUD. Copyright © 2017 by the Research Society on Alcoholism.

  20. A naturalistic study of suicidal adolescents treated with an SSRI: suicidal ideation and behavior during 3-month post-hospitalization period.

    Science.gov (United States)

    Ghaziuddin, Neera; Merchant, Christopher; Dopp, Richard; King, Cheryl

    2014-10-01

    Describe suicidal ideation and suicide related/other emergencies (SRE), among depressed and acutely suicidal adolescents during a 3-month period following psychiatric hospitalization. One hundred twenty adolescents, who were both depressed and suicidal, were receiving an SSRI either alone or in combination with other medications, remained on a consistent medication regimen between baseline and at 3-months and their 3-month outcome data were available. The participants were divided into four medication groups: SSRI antidepressant only (n=71); SSRI plus mood stabilizer (n=17); SSRI plus antipsychotic (n=20); and SSRI plus antipsychotic and mood stabilizer (n=12). Standardized instruments were used. Mean age=15.5±1.3, Caucasian=80.8%, female=74.2%, mean CDRS-R=61.7±12.1, suicide attempt during month prior to hospitalization=58.6%. During the 3-month post-hospitalization period: (1) there were no suicides, six participants (5%) attempted suicide and 21 (17.5%) experienced an SRE; (2) decline in suicidal ideation and depression severity was noted; (3) SSRI plus an antipsychotic group reported the highest number of SREs; (4) higher baseline hopelessness and aggression scores were associated with greater reduction in suicidal ideation at 3-months. Declines in suicidal ideation, depression severity, and suicide attempts were noted, irrespective of psychotropic-combination received. A higher rate of SREs was associated with receiving an antipsychotic agent in combination with an SSRI. Given naturalistic design of study, cause-effect conclusions cannot be drawn. The lack of an objective measure to identify medication adherence is a study limitation. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Parental Break-Ups and Stress

    DEFF Research Database (Denmark)

    Dissing, Agnete S.; Dich, Nadya; Nybo Andersen, Anne-Marie

    2017-01-01

    Background: Parental break-up is wide spread, and the effects of parental break-up on children’s well-being are known. The evidence regarding child age at break-up and subsequent family arrangements is inconclusive. Aim: to estimate the effects of parental break-up on stress in pre...... on parental break-up and post break-up family arrangements. Results: Twenty-one percent of the children had experienced a parental break-up at age 11, and those who had experienced parental break-up showed a higher risk of stress (OR:1.72, 95%CI:1.55;1.91) regardless of the child’s age at break-up. Children...... living in a new family with stepparents (OR = 1.63, 95%CI:1.38;1.92), or shared between the parents (OR = 1.48, 95%CI:1.26;1.75) reported higher stress than children of intact families. Single parent families reported markedly higher stress levels than children in intact families (OR = 2.18, 95%CI:1...

  2. Give me a better break: Choosing workday break activities to maximize resource recovery.

    Science.gov (United States)

    Hunter, Emily M; Wu, Cindy

    2016-02-01

    Surprisingly little research investigates employee breaks at work, and even less research provides prescriptive suggestions for better workday breaks in terms of when, where, and how break activities are most beneficial. Based on the effort-recovery model and using experience sampling methodology, we examined the characteristics of employee workday breaks with 95 employees across 5 workdays. In addition, we examined resources as a mediator between break characteristics and well-being. Multilevel analysis results indicated that activities that were preferred and earlier in the work shift related to more resource recovery following the break. We also found that resources mediated the influence of preferred break activities and time of break on health symptoms and that resource recovery benefited person-level outcomes of emotional exhaustion, job satisfaction, and organizational citizenship behavior. Finally, break length interacted with the number of breaks per day such that longer breaks and frequent short breaks were associated with more resources than infrequent short breaks. (c) 2016 APA, all rights reserved).

  3. Developmental changes in genetic and environmental influences on rule-breaking and aggression: age and pubertal development.

    Science.gov (United States)

    Harden, K Paige; Patterson, Megan W; Briley, Daniel A; Engelhardt, Laura E; Kretsch, Natalie; Mann, Frank D; Tackett, Jennifer L; Tucker-Drob, Elliot M

    2015-12-01

    Antisocial behavior (ASB) can be meaningfully divided into nonaggressive rule-breaking versus aggressive dimensions, which differ in developmental course and etiology. Previous research has found that genetic influences on rule-breaking, but not aggression, increase from late childhood to mid-adolescence. This study tested the extent to which the developmental increase in genetic influence on rule-breaking was associated with pubertal development compared to chronological age. Child and adolescent twins (n = 1,031), ranging in age from 8 to 20 years (M age = 13.5 years), were recruited from public schools as part of the Texas Twin Project. Participants reported on their pubertal development using the Pubertal Development Scale and on their involvement in ASB on items from the Child Behavior Checklist. Measurement invariance of ASB subtypes across age groups (≤12 years vs. >12 years old) was tested using confirmatory factor analyses. Quantitative genetic modeling was used to test whether the genetic and environmental influences on aggression and rule-breaking were moderated by age, pubertal status, or both. Quantitative genetic modeling indicated that genetic influences specific to rule-breaking increased as a function of pubertal development controlling for age (a gene × puberty interaction), but did not vary as a function of age controlling for pubertal status. There were no developmental differences in the genetic etiology of aggression. Family-level environmental influences common to aggression and rule-breaking decreased with age, further contributing to the differentiation between these subtypes of ASB from childhood to adolescence. Future research should discriminate between alternative possible mechanisms underlying gene × puberty interactions on rule-breaking forms of antisocial behavior, including possible effects of pubertal hormones on gene expression. © 2015 Association for Child and Adolescent Mental Health.

  4. Gedanken Worlds without Higgs: QCD-Induced Electroweak Symmetry Breaking

    Energy Technology Data Exchange (ETDEWEB)

    Quigg, Chris; /Fermilab /Karlsruhe U., TTP; Shrock, Robert; /YITP, Stony Brook

    2009-01-01

    To illuminate how electroweak symmetry breaking shapes the physical world, we investigate toy models in which no Higgs fields or other constructs are introduced to induce spontaneous symmetry breaking. Two models incorporate the standard SU(3){sub c} {circle_times} SU(2){sub L} {circle_times} U(1){sub Y} gauge symmetry and fermion content similar to that of the standard model. The first class--like the standard electroweak theory--contains no bare mass terms, so the spontaneous breaking of chiral symmetry within quantum chromodynamics is the only source of electroweak symmetry breaking. The second class adds bare fermion masses sufficiently small that QCD remains the dominant source of electroweak symmetry breaking and the model can serve as a well-behaved low-energy effective field theory to energies somewhat above the hadronic scale. A third class of models is based on the left-right-symmetric SU(3){sub c} {circle_times} SU(2){sub L} {circle_times} SU(2){sub R} {circle_times} U(1)B?L gauge group. In a fourth class of models, built on SU(4){sub PS} {circle_times} SU(2){sub L} {circle_times} SU(2){sub R} gauge symmetry, lepton number is treated as a fourth color. Many interesting characteristics of the models stem from the fact that the effective strength of the weak interactions is much closer to that of the residual strong interactions than in the real world. The Higgs-free models not only provide informative contrasts to the real world, but also lead us to consider intriguing issues in the application of field theory to the real world.

  5. Breaking through to Teens: Psychotherapy for the New Adolescence

    Science.gov (United States)

    Taffel, Ron

    2005-01-01

    This book presents groundbreaking strategies for psychotherapy with today's teens, for whom high-risk behavior, lack of adult guidance, and intense anxiety and stress increasingly come with the territory. Ron Taffel addresses the key challenge of building a therapeutic relationship that is strong enough to promote real behavioral and emotional…

  6. Adolescent development

    Science.gov (United States)

    Development - adolescent; Growth and development - adolescent ... During adolescence, children develop the ability to: Understand abstract ideas. These include grasping higher math concepts, and developing moral ...

  7. Effects of Rest-Break Intention on Rest-Break Frequency and Work-Related Fatigue.

    Science.gov (United States)

    Blasche, Gerhard; Pasalic, Sanja; Bauböck, Verena-Maria; Haluza, Daniela; Schoberberger, Rudolf

    2017-03-01

    The present paper presents findings from two studies addressing the effects of the employee's intention to have rest breaks on rest-break frequency and the change of well-being during a workday. Rest breaks are effective in avoiding an accumulation of fatigue during work. However, little is known about individual differences in rest-break behavior. In Study 1, the association between rest-break intention and the daily number of rest breaks recorded over 4 consecutive workdays was determined by generalized linear model in a sample of employees ( n = 111, 59% females). In Study 2, professional geriatric nurses ( n = 95 females) who worked over two consecutive 12-hour day shifts recorded well-being (fatigue, distress, effort motivation) at the beginning and the end of their shifts. The effect of rest-break intention on the change of well-being was determined by multilevel modeling. Rest-break intention was positively associated with the frequency of rest breaks (Study 1) and reduced the increase of fatigue and distress over the workday (Study 2). The results indicate that individual differences account for the number of breaks an employee takes and, as a consequence, for variations in the work-related fatigue and distress. Strengthening rest-break intentions may help to increase rest-break behavior to avoid the buildup of fatigue and distress over a workday.

  8. Mechanisms of supersymmetry breaking in the minimal ...

    Indian Academy of Sciences (India)

    Mechanisms of supersymmetry breaking in the minimal supersymmetric standard model ... Supersymmetry breaking; MSSM; mechanisms. ... The essentials of gauge, gravity, anomaly and gaugino/higgsino mediation mechanisms are covered briefly and the phenomenology of the associated models is touched upon.

  9. SU(3) breaking in hyperon beta decays

    Energy Technology Data Exchange (ETDEWEB)

    Roos, M. (Helsinki Univ. (Finland). Dept. of High Energy Physics)

    1990-08-23

    The symmetry breaking in the hyperon semi-leptonic decays is analyzed with the constraint that vertical strokeV{sub us}vertical stroke is given by K{sub e3}. The mechanism of symmetry breaking of Donoghue, Holstein and Klimt and the one-loop corrected vector form factors of Krause are compared with data. (orig.).

  10. SU(3) breaking in hyperon beta decays

    Science.gov (United States)

    Roos, M.

    1990-08-01

    The symmetry breaking in the hyperon semi-leptonic decays is analyzed with the constraint the | us| is given by K e3. The mechanisms of symmetry breaking of Donoghue, Holstein and Klimt and the one-loop corrected vector form factors of Krause are compared with data.

  11. Structural Break Tests Robust to Regression Misspecification

    NARCIS (Netherlands)

    Abi Morshed, Alaa; Andreou, E.; Boldea, Otilia

    2016-01-01

    Structural break tests developed in the literature for regression models are sensitive to model misspecification. We show - analytically and through simulations - that the sup Wald test for breaks in the conditional mean and variance of a time series process exhibits severe size distortions when the

  12. Mathematical models of spontaneous symmetry breaking

    OpenAIRE

    Sardanashvily, G.

    2008-01-01

    The Higgs mechanism of mass generation is the main ingredient in the contemporary Standard Model and its various generalizations. However, there is no comprehensive theory of spontaneous symmetry breaking. We summarize the relevant mathematical results characterizing spontaneous symmetry breaking phenomena in algebraic quantum theory, axiomatic quantum field theory, group theory, and classical gauge theory.

  13. Symmetry breaking signaling mechanisms during cell polarization

    NARCIS (Netherlands)

    Bruurs, LJM|info:eu-repo/dai/nl/413640779

    2017-01-01

    Breaking of cellular symmetry in order to establish an apico-basal polarity axis initiates de novo formation of cell polarity. However, symmetry breaking provides a formidable challenge from a signaling perspective, because by definition no spatial cues are present to instruct axis establishment.

  14. Symmetry Breaking in Hofstadter's Butterfly in graphene

    Science.gov (United States)

    Forsythe, Carlos; Dean, Cory; Wang, Lei; Maher, Patrick; Ghahari, Fereshte; Moon, Pilkyung; Koshino, Mikito; Taniguchi, Takashi; Watanabe, Kenji; Shepard, Ken; Hone, Jim; Kim, Philip

    2013-03-01

    We will present magnetotransport measurements in hBN encapsulated bilayer graphene devices where one of hBN substrates provides a weak modulation of lattice potential. Under a strong magnetic field, interplay between periodic electric potential and quantizing magnetic field lead to a fractal energy spectrum known as Hofstadter's butterfly. In graphene, while spin and layer symmetry breakings are expected in dual gated devices under large magnetic fields, valley symmetry breaking in the Hofstadter regime is not so easily understood. We will present the observance of these measured gaps along with a discussion of symmetry breaking in our BLG-hBN devices. Further quantitative analysis of these breakings will be presented through the temperature dependence of quantized conductance at these gaps. Through careful modulation of temperature and electron density, we have extracted a range of activation energies associated with symmetry breakings. the speaker acknowledges support from the Columbia Optics and Quantum Electronics IGERT under NSF grant DGE-1069420

  15. Research progress on dam-break floods

    KAUST Repository

    Wu, Jiansong

    2011-08-01

    Because of the catastrophic effects downstream of dam-break failure, more and more researchers around the world have been working on the study of dam-break flows to accurately forecast the downstream inundation mapping. With the rapid development of computer hardware and computing techniques, numerical study on dam-break flows has been a popular research subject. In the paper, the numerical methodologies used to solve the governing partial differential equations of dam-break flows are classified and summarized, and their characteristics and applications are discussed respectively. Furthermore, the fully-developed mathematical models developed in recent decades are reviewed, and also introduced the authors\\' on-going work. Finally, some possible future developments on modeling the dam-break flows and some solutions are presented and discussed. © 2011 IEEE.

  16. Big break for charge symmetry

    CERN Document Server

    Miller, G A

    2003-01-01

    Two new experiments have detected charge-symmetry breaking, the mechanism responsible for protons and neutrons having different masses. Symmetry is a crucial concept in the theories that describe the subatomic world because it has an intimate connection with the laws of conservation. The theory of the strong interaction between quarks - quantum chromodynamics - is approximately invariant under what is called charge symmetry. In other words, if we swap an up quark for a down quark, then the strong interaction will look almost the same. This symmetry is related to the concept of sup i sospin sup , and is not the same as charge conjugation (in which a particle is replaced by its antiparticle). Charge symmetry is broken by the competition between two different effects. The first is the small difference in mass between up and down quarks, which is about 200 times less than the mass of the proton. The second is their different electric charges. The up quark has a charge of +2/3 in units of the proton charge, while ...

  17. Predictors of thrombohemorrhagic early death in children and adolescents with t(15;17)-positive acute promyelocytic leukemia treated with ATRA and chemotherapy.

    Science.gov (United States)

    Abla, Oussama; Ribeiro, Raul C; Testi, Anna Maria; Montesinos, Pau; Creutzig, Ursula; Sung, Lillian; Di Giuseppe, Giancarlo; Stephens, Derek; Feusner, James H; Powell, Bayard L; Hasle, Henrik; Kaspers, Gertjan J L; Dalla-Pozza, Luciano; Lassaletta, Alvaro; Tallman, Martin S; Locatelli, Franco; Reinhardt, Dirk; Lo-Coco, Francesco; Hitzler, Johann; Sanz, Miguel A

    2017-09-01

    Clinical trials on childhood acute promyelocytic leukemia (APL) report early death (ED) rates of 3-8%, but predictors of thrombohemorrhagic (TH)-ED are not well understood. In a retrospective study, we aimed to determine the incidence and predictors of TH-ED in childhood APL. Data were analyzed from children and adolescents with t(15;17)-positive APL (n = 683) who started treatment with all-trans retinoic acid (ATRA) and chemotherapy in different international studies. Demographic data; initial white blood cell (WBC), peripheral blood (PB) blast, and platelet counts; hemoglobin value; coagulation parameters; morphologic variant (M3 or M3v); and induction details were analyzed. Early death was defined as death occurring within 30 days of presentation. The incidence of ED was 4.7% (32 of 683 patients). Predictors of TH-ED were identified by univariable and multivariable Cox proportional hazard regression analyses (n = 25). In univariable analysis, high WBC (>10 × 10(9)/L) (P 30 × 10(9)/L) (P < 0.001), M3v (P < 0.01), and black ethnicity (P < 0.001) were independent predictors of TH-ED. In multivariable analysis, high WBC count (P < 0.01) and obesity (i.e., body mass index ≥95th percentile for age) (P = 0.03) were predictors of TH-ED. Initial high WBC counts and obesity are likely predictors of TH-ED in childhood APL. The efficacy of novel drugs for APL-associated coagulopathy or of frontline arsenic trioxide and ATRA combination regimens in reducing ED rates in childhood APL remains to be established.

  18. Type III Guyon Syndrome in 'B Boy' Break-Dancer: A Case Report.

    Science.gov (United States)

    Hu, Soo-Young; Choi, Jin-Gyu; Son, Byung-Chul

    2015-10-01

    Although the musculoskeletal injuries associated with break-dancing which is gaining more popularity among adolescent and young people has been reported, the report regarding a peripheral nerve injury associated with breakdance is scarce. We report a rare case of a young amateur break-dancer, 'b-boy' who suffered from a painful paresthesia in his left hand, later diagnosed as type III Guyon's canal syndrome. A 23-year-old, right handed college man presented with a tenderness over the left hypothenar eminence and painful paresthesia over the ring and little fingers of 3 months duration. He trained himself as an amateur 'b boy' break-dancer for the last 10 months. Conservative management under the diagnosis of wrist sprain before presentation did not improve his hand pain. An magnetic resonance imaging and electrodiagnostic study revealed that painful paresthesia was caused by type III Guyon's canal syndrome, and 4 weeks of corticosteroid treatment was given with resolution of pain and paresthesia.

  19. Improving long term driving comfort by taking breaks - How break activity affects effectiveness.

    Science.gov (United States)

    Sammonds, George M; Mansfield, Neil J; Fray, Mike

    2017-11-01

    During long duration journeys, drivers are encouraged to take regular breaks. The benefits of breaks have been documented for safety; breaks may also be beneficial for comfort. The activity undertaken during a break may influence its effectiveness. Volunteers completed 3 journeys on a driving simulator. Each 130 min journey included a 10 min break after the first hour. During the break volunteers either stayed seated, left the simulator and sat in an adjacent room, or took a walk on a treadmill. The results show a reduction in driver discomfort during the break for all 3 conditions, but the effectiveness of the break was dependent on activity undertaken. Remaining seated in the vehicle provided some improvement in comfort, but more was experienced after leaving the simulator and sitting in an adjacent room. The most effective break occurred when the driver walked for 10 min on a treadmill. The benefits from taking a break continued until the end of the study (after a further hour of driving), such that comfort remained the best after taking a walk and worst for those who remained seated. It is concluded that taking a break and taking a walk is an effective method for relieving driving discomfort. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Outcome of adolescents and young adults compared to children with Hodgkin lymphoma treated with response-based chemotherapy on pediatric protocols: A Children's Oncology Group report.

    Science.gov (United States)

    Fernández, Karen S; Schwartz, Cindy L; Chen, Lu; Constine, Louis S; Chauvenet, Allen; de Alarcón, Pedro A

    2017-12-01

    We evaluated the outcome of children (Children's Oncology Group clinical trials, P9425 and P9426, that used dose-dense, response-based chemotherapy and reduced dose radiotherapy. Subjects 21 years or younger with HL were eligible for these studies. Subjects with low-risk (stages IA, IIA, and IIIA1) without large mediastinal adenopathy biopsy-proven HL, eligible for P9426, were treated with two to four 28-day cycles of doxorubicin, bleomycin, vincristine, and etoposide (ABVE) chemotherapy and 25.5 Gy of involved field radiotherapy. Subjects with intermediate-risk (stages IB, IIA, IIIA1 with large mediastinal adenopathy, and IIIA2) and high-risk (stages IIB, IIIB, and IV) biopsy-proven HL, eligible for P9425, were treated with three to five 21-day cycles of ABVE plus prednisone and cyclophosphamide (ABVE-PC) chemotherapy and 21 Gy of involved region radiotherapy. We compared the 5-year event-free survival (EFS), based on Kaplan-Meier product-limit method, of children versus that of AYA. Four hundred seventy-one subjects were enrolled on P9425 and P9426 combined. Of these subjects, 203 were AYA, 104 with intermediate and high-risk HL, and 99 with low-risk HL. The 5-year EFS of children did not significantly differ from that of AYA (85.9 vs. 87.1%) with a median follow up of 7.7 years (P = 0.51). Given the equivalent and excellent results of therapy, HL represents an opportunity for adult and pediatric cancer treatment collaborative groups to jointly design clinical trials targeted to AYA. These trials should focus on both treatment efficacy and the quality of life of AYA while receiving chemotherapy and in reduction of long-term side effects in the survivorship years. © 2017 Wiley Periodicals, Inc.

  1. Key Impact Factors on Dam Break Fatalities

    Science.gov (United States)

    Huang, D.; Yu, Z.; Song, Y.; Han, D.; Li, Y.

    2016-12-01

    Dam failures can lead to catastrophes on human society. However, there is a lack of research about dam break fatalities, especially on the key factors that affect fatalities. Based on the analysis of historical dam break cases, most studies have used the regression analysis to explore the correlation between those factors and fatalities, but without implementing optimization to find the dominating factors. In order to understand and reduce the risk of fatalities, this study has proposed a new method to select the impact factors on the fatality. It employs an improved ANN (Artificial Neural Network) combined with LOOCV (Leave-one-out cross-validation) and SFS (Stepwise Forward Selection) approach to explore the nonlinear relationship between impact factors and life losses. It not only considers the factors that have been widely used in the literature but also introduces new factors closely involved with fatalities. Dam break cases occurred in China from 1954 to 2013 are summarized, within which twenty-five cases are selected with a comprehensive coverage of geographic position and temporal variation. Twelve impact factors are taken into account as the inputs, i.e., severity of dam break flood (SF), population at risk (PR), public understanding of dam break (UB), warning time (TW), evacuation condition (EC), weather condition during dam break (WB), dam break mode (MB), water storage (SW), building vulnerability (VB), dam break time (TB), average distance from the affected area to the dam (DD) and preventive measures by government (PG).From those, three key factors of SF, MB and TB are chosen. The proposed method is able to extract the key factors, and the derived fatality model performs well in various types of dam break conditions.

  2. Breaking of longitudinal Akhiezer-Polovin waves.

    Science.gov (United States)

    Verma, Prabal Singh; Sengupta, Sudip; Kaw, Predhiman

    2012-03-23

    The breaking of longitudinal Akhiezer-Polovin (AP) waves is demonstrated using a one-dimensional simulation based on the Dawson sheet model. It is found that the AP longitudinal waves break through the process of phase mixing at an amplitude well below the breaking amplitude for AP waves, when subjected to arbitrarily small longitudinal perturbations. Results from the simulation show a good agreement with the Dawson phase mixing formula modified to include relativistic mass variation effects. This result may be of direct relevance to the laser- or particle-beam plasma wakefield experiments.

  3. Peer status beyond adolescence : Types and behavioral associations

    NARCIS (Netherlands)

    Ruschoff, Britta; Dijkstra, Jan Kornelis; Veenstra, René; Lindenberg, Siegwart

    2015-01-01

    This study investigates the types and behavioral associations of peer status in school-bound young adults in the Netherlands. We argue that adolescent peer popularity and its link with aggressive and norm-breaking behavior result from adolescents' desire to create an image of maturity among their

  4. Nutritional Status of Adolescent Girls from Rural Communities of ...

    African Journals Online (AJOL)

    Background: Addressing the nutritional needs of adolescents could be an important step towards breaking the vicious cycle of intergenerational malnutrition. Objective: Assess nutritional status of rural adolescent girls. Design: Cross-sectional. Methods: Anthropometric and socio-demographic information from 211 ...

  5. Adolescents' Explanations for Romantic Dissolutions: A Developmental Perspective

    Science.gov (United States)

    Connolly, Jennifer; McIsaac, Caroline

    2009-01-01

    Our objective was to examine the prevalence and developmental significance of romantic break-ups in adolescence, a relatively unexplored area of study. We examined their occurrence in a sample of 910 adolescents, first noting the frequency of these events across age, gender, and romantic experience, and then analyzing the dissolution explanations…

  6. Water Breaking: Understand This Sign of Labor

    Science.gov (United States)

    Healthy Lifestyle Labor and delivery, postpartum care Water breaking worries? Prepare yourself for childbirth by getting the facts about this important sign of labor. By Mayo Clinic Staff If you're ...

  7. Adolescent externalizing behaviour, psychological control, and peer rejection: Transactional links and dopaminergic moderation.

    Science.gov (United States)

    Janssens, Annelies; Van Den Noortgate, Wim; Goossens, Luc; Verschueren, Karine; Colpin, Hilde; Claes, Stephan; Van Heel, Martijn; Van Leeuwen, Karla

    2017-09-01

    This study investigated (1) reciprocal links among parental psychological control, peer rejection, and adolescent externalizing (aggressive and rule-breaking behaviour), and (2) the moderating effect of an adolescent genetic factor (biologically informed polygenic score for dopamine signalling). Three-year longitudinal data from 1,116 adolescents (51% boys; M age = 13.79) and their parents included psychological measures (adolescent-reported psychological control, peer-reported rejection, and parent-reported aggressive and rule-breaking behaviour). Cross-lagged analyses showed bidirectional effects between psychological control and both aggressive and rule-breaking behaviour and a unidirectional effect of peer rejection on both forms of problem behaviour over time. Multigroup structural equation modelling revealed genetic moderation only for rule-breaking behaviour: for adolescents with intermediate levels of dopamine signalling significant environmental effects were present, whereas adolescent effects of rule-breaking behaviour on psychological control were significant for adolescents with both intermediate and high profiles and effects on peer rejection only for adolescents with high dopamine profiles. Statement of contribution What is already known on this subject? Parental psychological control is related to adolescent externalizing problems. Experiencing peer rejection reinforces aggressive and rule-breaking behaviour. Single-gene studies show that dopaminergic genes influence externalizing problems directly or in interaction with the environment. What does this study add? Parental psychological control and adolescent aggressive and rule-breaking behaviour exacerbate one another longitudinally. Longitudinal associations between peer rejection and both subtypes of externalizing behaviour are unidirectional. With a polygenic approach, dopaminergic moderation is present for rule-breaking behaviour only. © 2017 The British Psychological Society.

  8. Entropic Entanglement: Information Prison Break

    Directory of Open Access Journals (Sweden)

    Alexander Y. Yosifov

    2017-01-01

    Full Text Available We argue that certain nonviolent local quantum field theory (LQFT modification considered at the global horizon (r=2M of a static spherically symmetric black hole can lead to adiabatic leakage of quantum information in the form of Hawking particles. The source of the modification is (i smooth at r=2M and (ii rapidly vanishing at r≫2M. Furthermore, we restore the unitary evolution by introducing extra quanta which departs slightly from the generic Hawking emission without changing the experience of an infalling observer (no drama. Also, we suggest that a possible interpretation of the Bekenstein-Hawking bound as entanglement entropy may yield a nonsingular dynamical horizon behavior described by black hole thermodynamics. Hence, by treating gravity as a field theory and considering its coupling to the matter fields in the Minkowski vacuum, we derive the conjectured fluctuations of the background geometry of a black hole.

  9. Booster Breaks in the workplace: participants’ perspectives on health-promoting work breaks

    Science.gov (United States)

    Taylor, Wendell C.; King, Kathryn E.; Shegog, Ross; Paxton, Raheem J.; Evans-Hudnall, Gina L.; Rempel, David M.; Chen, Vincent; Yancey, Antronette K.

    2013-01-01

    Increasing sedentary work has been associated with greater cardiovascular and metabolic risk, as well as premature mortality. Interrupting the sedentary workday with health-promoting work breaks can counter these negative health effects. To examine the potential sustainability of work-break programs, we assessed the acceptance of these breaks among participants in a Booster Break program. We analyzed qualitative responses from 35 participants across five worksites where one 15-min physical activity break was taken each workday. Two worksites completed a 1-year intervention and three worksites completed a 6-month intervention. Responses to two open-ended questions about the acceptance and feasibility of Booster Breaks were obtained from a survey administered after the intervention. Three themes for benefits and two themes for barriers were identified. The benefit themes were (i) reduced stress and promoted enjoyment, (ii) increased health awareness and facilitated behavior change, and (iii) enhanced workplace social interaction. The barrier themes were the need for (iv) greater variety in Booster Break routines and (v) greater management support. This study provides empirical support for the acceptance and feasibility of Booster Breaks during the workday. Emphasizing the benefits and minimizing the barriers are strategies that can be used to implement Booster Breaks in other workplaces. PMID:23466367

  10. Treating Meningitis

    Science.gov (United States)

    ... David C. Spencer, MD Steven Karceski, MD Treating meningitis Steven Karceski, MD WHAT DID THE AUTHORS STUDY? ... study, “ Dexamethasone and long-term survival in bacterial meningitis, ” Dr. Fritz and his colleagues carefully evaluated 2 ...

  11. Rule-making, rule breaking? Law breaking by government in the Netherlands and the United Kingdom

    NARCIS (Netherlands)

    Huberts, L.W.J.C.; van Montfort, A.J.G.M.; Doig, A.; Clark, D.

    2006-01-01

    This article concerns a relatively novel issue: rule breaking and unlawful conduct by government bodies; to which degree does it occur, what is the nature of this misconduct, what are the underlying motives, and what are the consequences and possible solutions? Rule and law breaking is harmful for

  12. Jet simulations and gamma-ray burst afterglow jet breaks

    NARCIS (Netherlands)

    van Eerten, H. J.; Meliani, Z.; Wijers, Ramj; Keppens, R.

    2011-01-01

    The conventional derivation of the gamma-ray burst afterglow jet break time uses only the blast wave fluid Lorentz factor and therefore leads to an achromatic break. We show that in general gamma-ray burst afterglow jet breaks are chromatic across the self-absorption break. Depending on

  13. Jet simulations and gamma-ray burst afterglow jet breaks

    NARCIS (Netherlands)

    van Eerten, H. J.; Meliani, Z.; Wijers, R.A.M.J.; Keppens, R.

    2010-01-01

    The conventional derivation of the gamma-ray burst afterglow jet break time uses only the blast wave fluid Lorentz factor and therefore leads to an achromatic break. We show that in general gamma-ray burst afterglow jet breaks are chromatic across the self-absorption break. Depending on

  14. 19 CFR 149.4 - Bulk and break bulk cargo.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Bulk and break bulk cargo. 149.4 Section 149.4... TREASURY (CONTINUED) IMPORTER SECURITY FILING § 149.4 Bulk and break bulk cargo. (a) Bulk cargo exempted.... (b) Break bulk cargo exempted from time requirement. For break bulk cargo that is exempt from the...

  15. Clinical Perspective Cognitive behavioral therapy for adolescent ...

    African Journals Online (AJOL)

    Many interventions are available for treating adolescent depression. This paper attempts to present a summary of cognitive behavioral therapies/techniques that might be useful for treating depression in Asian immigrant adolescents. Articles were selected by conducting a literature search on Psyc-Info. Prevalence ...

  16. Break-glass handling exceptional situations in access control

    CERN Document Server

    Petritsch, Helmut

    2014-01-01

    Helmut Petritsch describes the first holistic approach to Break-Glass which covers the whole life-cycle: from access control modeling (pre-access), to logging the security-relevant system state during Break-Glass accesses (at-access), and the automated analysis of Break-Glass accesses (post-access). Break-Glass allows users to override security restrictions in exceptional situations. While several Break-Glass models specific to given access control models have already been discussed in research (e.g., extending RBAC with Break-Glass), the author introduces a generic Break-Glass model. The pres

  17. Ethical Issues in the Mental Health Treatment of Gender Dysphoric Adolescents.

    Science.gov (United States)

    Swann, Stephanie; Herbert, Sarah E.

    1999-01-01

    Examines ethical dilemmas arising when treating adolescents with gender dysphoria, discussing ethical and legal issues pertinent to treating any adolescent and highlighting gender dysphoric adolescents. Reviews legal decisions, existing data on adolescent decision making, and ethical principles for resolving complex situations. Illustrates ethical…

  18. Workshop on electroweak symmetry breaking: proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Hinchliffe, I. (ed.)

    1984-10-01

    A theoretical workshop on electroweak symmetry breaking at the Superconducting Supercollider was held at Lawrence Berkeley Laboratory, June 4-22, 1984. The purpose of the workshop was to focus theoretical attention on the ways in which experimentation at the SSC could reveal manifestations of the phenomenon responsible for electroweak symmetry breaking. This issue represents, at present, the most compelling scientific argument for the need to explore the energy region to be made accessible by the SSC, and a major aim of the workshop was to involve a broad cross section of particle theorists in the ongoing process of sharpening the requirements for both accelerator and detector design that will ensure detection and identification of meaningful signals, whatever form the electroweak symmetry breaking phenomenon should actually take. Separate entries were prepared for the data base for the papers presented.

  19. A break in the obesity epidemic?

    DEFF Research Database (Denmark)

    Visscher, T L S; Heitmann, B L; Rissanen, A

    2015-01-01

    epidemic. However, follow-ups of short duration may, in part, explain the apparent break or decrease in the obesity epidemic. On the other hand, a single focus on body mass index (BMI) ⩾25 or ⩾30 kg m(-)(2) is likely to mask a real increase in the obesity epidemic. And, in both children and adults, trends......Recent epidemiologic papers are presenting prevalence data suggesting breaks and decreases in obesity rates. However, before concluding that the obesity epidemic is not increasing anymore, the validity of the presented data should be discussed more thoroughly. We had a closer look...... into the literature presented in recent reviews to address the major potential biases and distortions, and to develop insights about how to interpret the presented suggestions for a potential break in the obesity epidemic. Decreasing participation rates, the use of reported rather than measured data and small sample...

  20. Supersymmetry breaking in spatially modulated vacua

    Science.gov (United States)

    Nitta, Muneto; Sasaki, Shin; Yokokura, Ryo

    2017-11-01

    We study spontaneous supersymmetry breaking in spatially modulated stable or metastable vacua in supersymmetric field theories. Such spatial modulation can be realized in a higher derivative chiral model for which vacuum energies are positive, negative, or zero, depending on the model parameters. There appears a Nambu-Goldstone boson associated with the spontaneous breaking of the translational and U (1 ) symmetries without the quadratic kinetic term and with a quartic derivative term in the modulated direction, and a gapless Higgs mode. We show that there appears a Goldstino associated with the supersymmetry breaking at a metastable vacuum, where energy is positive, while it becomes a fermionic ghost in the negative energy vacuum, and zero norm state and disappears from the physical sector in the zero energy vacuum.

  1. On Supersymmetry Breaking in Intersecting Brane Models

    Energy Technology Data Exchange (ETDEWEB)

    Klein, M

    2004-01-13

    We discuss a framework to analyze the transmission of supersymmetry breaking in models of intersecting D-branes. Generically, different intersections preserve different fractions of an extended bulk supersymmetry, thus breaking supersymmetry completely but in a nonlocal way. We analyze this mechanism in a 5D toy model where two brane intersections, which are separated in the fifth dimension, break different halves of an extended {Nu} = 2 supersymmetry. The sector of the theory on one brane intersection feels the breakdown of the residual {Nu} = 1 supersymmetry only through two-loop interactions involving a coupling to fields from the other intersection. We compute the diagrams that contribute to scalar masses on one intersection and find that the masses are proportional to the compactification scale up to logarithmic corrections. We also compute the three-loop diagrams relevant to the Casimir energy between the two intersections and find a repulsive Casimir force.

  2. Tricky Treats

    Centers for Disease Control (CDC) Podcasts

    2008-08-04

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Tricky Treats shows children the difference between healthy snacks and sweet treats.  Created: 8/4/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 8/5/2008.

  3. Implications of career break from personal and company perspectives

    OpenAIRE

    Vuorinen, Niina

    2017-01-01

    The objective of this study is to show the implications that career breaks have on individuals and employers. The intensions are to identify personal motivations for career breaks, and if the breaks change the careers of the people taking them. Furthermore, this study intends to understand how career breaks are viewed by employers, and if career breaks are becoming more acceptable internationally. The theoretical framework was based on description of work and careers both from employee an...

  4. Model for chiral symmetry breaking in QCD

    Energy Technology Data Exchange (ETDEWEB)

    Govaerts, J.; Weyers, J.; Mandula, J.E.

    1984-04-30

    A recently proposed model for dynamical breaking of chiral symmetry in QCD is extended and developed for the calculation of pion and chiral symmetry breaking parameters. The pion is explicitly realized as a massless Goldstone boson and as a bound state of the constituent quarks. We compute, in the limit of exact chiral symmetry, Msub(Q), the constituent quark mass, fsub(..pi..), the pion decay coupling, , the constituent quark loop density, ..mu..sub(..pi..)/sup 2//msub(q), the ratio of the Goldstone boson mass squared to the bare quark mass, and sub(..pi..), the pion electromagnetic charge radius squared.

  5. Electromagnetic radiation under explicit symmetry breaking.

    Science.gov (United States)

    Sinha, Dhiraj; Amaratunga, Gehan A J

    2015-04-10

    We report our observation that radiation from a system of accelerating charges is possible only when there is explicit breaking of symmetry in the electric field in space within the spatial configuration of the radiating system. Under symmetry breaking, current within an enclosed area around the radiating structure is not conserved at a certain instant of time resulting in radiation in free space. Electromagnetic radiation from dielectric and piezoelectric material based resonators are discussed in this context. Finally, it is argued that symmetry of a resonator of any form can be explicitly broken to create a radiating antenna.

  6. La poetica degli spazi di Breaking Bad

    Directory of Open Access Journals (Sweden)

    Sara Martin

    2015-12-01

    Full Text Available Breaking Bad (2008-2013 produced, thanks to the creativity of Vince Gilligan and his writing room, some of the most emblematic characters in the history of contemporary television. Also, the writers of Breaking Bad were able to devise places and spaces that play important symbolic functions: spaces of mediation, spaces of transit, sacred spaces. This article investigates the meanings and characteristics of some of these settings: the swimming pool, the White family home, the meth lab. The analysis considers also the relation between characters and spaces, paying particular attention to the places inhabited by the main character, Walter White.

  7. Superconducting properties of lithographic lead break junctions

    Science.gov (United States)

    Weber, David; Scheer, Elke

    2018-01-01

    We have fabricated mechanically controlled break junction samples made of lead (Pb) by means of state-of-the-art nanofabrication methods: electron beam lithography and physical vapour deposition. The electrical and magnetic properties were characterized in a {}3{He} cryostat and showed a hard superconducting gap. Temperature and magnetic field dependence of tunnel contacts were compared and quantitatively described by including either thermal broadening of the density of states or pair breaking in the framework of a Skalski model, respectively. We show point contact spectra of few-atom contacts and present tunneling spectra exhibiting a superconducting double-gap structure.

  8. Spontaneous symmetry breaking in gauge theories.

    Science.gov (United States)

    Kibble, T W B

    2015-01-13

    The aim of this historical article is to describe the development of the idea of spontaneous symmetry breaking in gauge theories as seen from my perspective as a member of Abdus Salam's group at Imperial College London, UK. Beginning with an account of particle physics in the years after the Second World War, I describe early attempts at constructing a unified theory of weak and electromagnetic interactions, the obstacles encountered and how they were eventually overcome with the mass-generating mechanism incorporating the idea of spontaneous symmetry breaking, one of whose features is the now-famous Higgs boson.

  9. Detecting Structural Breaks using Hidden Markov Models

    DEFF Research Database (Denmark)

    Ntantamis, Christos

    Testing for structural breaks and identifying their location is essential for econometric modeling. In this paper, a Hidden Markov Model (HMM) approach is used in order to perform these tasks. Breaks are defined as the data points where the underlying Markov Chain switches from one state to another....... The estimation of the HMM is conducted using a variant of the Iterative Conditional Expectation-Generalized Mixture (ICE-GEMI) algorithm proposed by Delignon et al. (1997), that permits analysis of the conditional distributions of economic data and allows for different functional forms across regimes...

  10. Using Music Techniques To Treat Adolescent Depression.

    Science.gov (United States)

    Hendricks, C. Bret; Robinson, Beth; Bradley, Loretta J.; Davis, Kenneth

    1999-01-01

    Discusses a school-based therapy program using music for teenagers (N=19) who demonstrated depressive symptoms. Pre- and post-testing indicated a significant decrease in depressive symptoms. Offers recommendations for further research. (Author/MKA)

  11. Does artificial UV use prior to spring break protect students from sunburns during spring break?

    Science.gov (United States)

    Dennis, Leslie K; Lowe, John B

    2013-06-01

    Dark-skinned individuals are less likely than light-skinned individuals to become sunburned or develop skin cancer. Some have extrapolated this relationship and surmised that developing and maintaining a tan will reduce the risk of sunburns and melanoma. In order to examine whether this strategy indeed protects against sunburns, we surveyed college students about both their tanning habits prior to spring break and their spring break activities. Sorority and fraternity students were recruited after spring break. Analyses examined associations between potential risk factors and the development of one or more sunburns during spring break. As expected, the risk of obtaining a sunburn increased with: time spent in the sun during spring break; light complexion, as assessed by various sun-sensitivity factors; and lack of sunscreen use. We also found that tanning using an artificial UV source during the 10 weeks prior to spring break was not associated with reduced risk of sunburns during spring-break, but rather with a marginal increase in this risk. These data provide evidence that maintaining a tan may not provide protection from sunburns. Public health messages need to address this misconception, stating clearly that a tan does not protect against or reduce the chances of developing a sunburn. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Firm break-up and performance

    Czech Academy of Sciences Publication Activity Database

    Kočenda, Evžen; Hanousek, Jan

    2012-01-01

    Roč. 13, č. 2 (2012), s. 121-143 ISSN 1435-6104 R&D Projects: GA ČR GA402/09/1595 Institutional support: PRVOUK-P23 Keywords : break-up of firms * corporate performance * ownership changes Subject RIV: AH - Economics Impact factor: 0.588, year: 2012

  13. On breaks of the Indian monsoon

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    of rainfall over the monsoon zone. The rainfall criteria are chosen so as to ensure a large over- lap with the traditional breaks documented by Ramamurthy (1969) and De et al (1998). We have identified these rainbreaks for 1901–89. We have also identified active spells on the basis of rainfall over the Indian monsoon zone.

  14. Density Functional Simulation of a Breaking Nanowire

    DEFF Research Database (Denmark)

    Nakamura, A.; Brandbyge, Mads; Hansen, Lars Bruno

    1999-01-01

    We study the deformation and breaking of an atomic-sized sodium wire using density functional simulations. The wire deforms through sudden atomic rearrangements and smoother atomic displacements. The conductance of the wire exhibits plateaus at integer values in units of 2e(2)/h corresponding...

  15. Dynamical Symmetry Breaking in RN Quantum Gravity

    Directory of Open Access Journals (Sweden)

    A. T. Kotvytskiy

    2011-01-01

    Full Text Available We show that in the RN gravitation model, there is no dynamical symmetry breaking effect in the formalism of the Schwinger-Dyson equation (in flat background space-time. A general formula for the second variation of the gravitational action is obtained from the quantum corrections hμν (in arbitrary background metrics.

  16. Duality and supersymmetry breaking in string theory

    Energy Technology Data Exchange (ETDEWEB)

    Ferrara, S. (European Organization for Nuclear Research, Geneva (Switzerland) California Univ., Los Angeles (USA)); Magnoli, N.; Veneziano, G. (European Organization for Nuclear Research, Geneva (Switzerland)); Taylor, T.R. (Northeastern Univ., Boston, MA (USA))

    1990-08-16

    Target-space duality is incorporated in previously proposed effective actions describing non-perturbative supersymmetry breaking in string theory via gaugino condensation. Duality-preserving vacua with broken supersymmetry and fixed unified coupling constant do generically occur. The question of the vanishing of the cosmological constant is also briefly addressed. (orig.).

  17. Path-breaking books in regional science

    NARCIS (Netherlands)

    Waldorf, BS

    This article presents a collection of regional science books that long-standing members of the Regional Science Association International (RSAI) identified as path-breaking books. The most frequently nominated books include the "classics" by Isard, the seminal books in urban economics by Alonso,

  18. Spontaneous Symmetry Breaking in Nonrelativistic Systems

    Science.gov (United States)

    Watanabe, Haruki

    The subject of condensed matter physics is very rich --- there are an infinite number of parameters producing a diversity of exciting phenomena. As a theorist, my goal is to distill general principles out of this complexity --- to construct theories that can coherently explain many known examples altogether. This thesis is composed of several attempts to develop such theories in topics related to spontaneously symmetry breaking. A remarkable feature of many-body interacting systems is that although they are described by equations respecting various symmetries, they may spontaneously organize into a state that explicitly breaks symmetries. Examples are numerous: various types of crystalline and magnetic orders, Bose-Einstein condensates of cold atoms, superfluids of liquid helium, chiral symmetry in QCD, neutron stars, and cosmic inflation. These systems with spontaneously broken continuous symmetries have gapless excitations, so called Nambu-Goldstone bosons (NGBs). Although the properties of NGBs are well understood in Lorentz-invariant systems, surprisingly, some basic properties of NGBs such as their number and dispersion in nonrelativistic systems have not been discussed from a general perspective. In the first part of this thesis, we solve this issue by developing and analyzing an effective Lagrangian that coherently captures the low-energy, long-distance physics of many different symmetry-breaking states all at once. Next, we examine whether these NGBs originating from spontaneous symmetry breaking remain to be well-defined excitations inside a metal, where low-energy electrons near Fermi surface can collide with them. Our result is a one equation criterion that specifies whether the interactions between electrons and NGBs can be ignored, or whether it completely changes their character. In the latter case, unusual phases of matter such as non-Fermi liquids may arise; in that case, NGBs are overdamped and cannot form particle-like excitations in spite of the

  19. Retinal break and rhegmatogenous retinal detachment after transpupillary thermotherapy as primary or adjunct treatment of choroidal melanoma.

    Science.gov (United States)

    Mashayekhi, Arman; Shields, Carol L; Lee, Sung Chul; Marr, Brian P; Shields, Jerry A

    2008-02-01

    To report the development of retinal break or rhegmatogenous retinal detachment (RRD) after transpupillary thermotherapy (TTT) as primary or adjunct treatment of choroidal melanoma. In this noncomparative, interventional case series, the authors reviewed medical records of 13 patients who developed retinal break or RRD following TTT. The main outcome measures were clinical features and outcome of treatment of retinal break or RRD following TTT. Of 1574 patients managed on the Oncology Service at Wills Eye Institute with TTT as primary or adjunct treatment of choroidal melanoma, 13 (1%) developed retinal break with or without RRD. The mean patient age at diagnosis of choroidal melanoma was 56 years. Treatment for choroidal melanoma included combined plaque radiotherapy and TTT in 10 patients and TTT alone in 3 patients. The median number of TTT sessions before development of retinal break or RRD was 2. Retinal break or RRD developed at a median of 3 months following the last TTT. All the retinal breaks were located in the TTT-treated area. Retinal breaks were atrophic in 11 eyes and horseshoe shaped in 2 cases. The extent of retinal detachment was none in 1 eye, 1 quadrant or less in 5 eyes, 2 or 3 quadrants in 4 eyes, and 4 quadrants in 3 eyes. Seven patients underwent vitrectomy, one received cryotherapy and laser photocoagulation, and five were observed without treatment. In all eight patients who received treatment for RRD, the retina was attached after a mean follow-up period of 54 months with no intraocular or local extraocular tumor dissemination. Development of retinal break or RRD is a rare complication of TTT for treatment of choroidal melanoma. The majority of these cases develop within 6 months of TTT and most are caused by atrophic retinal holes in the TTT-treated area.

  20. Quantum break-time of de Sitter

    Science.gov (United States)

    Dvali, Gia; Gómez, César; Zell, Sebastian

    2017-06-01

    The quantum break-time of a system is the time-scale after which its true quantum evolution departs from the classical mean field evolution. For capturing it, a quantum resolution of the classical background—e.g., in terms of a coherent state—is required. In this paper, we first consider a simple scalar model with anharmonic oscillations and derive its quantum break-time. Next, following [1], we apply these ideas to de Sitter space. We formulate a simple model of a spin-2 field, which for some time reproduces the de Sitter metric and simultaneously allows for its well-defined representation as quantum coherent state of gravitons. The mean occupation number N of background gravitons turns out to be equal to the de Sitter horizon area in Planck units, while their frequency is given by the de Sitter Hubble parameter. In the semi-classical limit, we show that the model reproduces all the known properties of de Sitter, such as the redshift of probe particles and thermal Gibbons-Hawking radiation, all in the language of quantum S-matrix scatterings and decays of coherent state gravitons. Most importantly, this framework allows to capture the 1/N-effects to which the usual semi-classical treatment is blind. They violate the de Sitter symmetry and lead to a finite quantum break-time of the de Sitter state equal to the de Sitter radius times N. We also point out that the quantum-break time is inversely proportional to the number of particle species in the theory. Thus, the quantum break-time imposes the following consistency condition: older and species-richer universes must have smaller cosmological constants. For the maximal, phenomenologically acceptable number of species, the observed cosmological constant would saturate this bound if our Universe were 10100 years old in its entire classical history.

  1. SWE-SPHysics Simulation of Dam Break Flows at South-Gate Gorges Reservoir

    Directory of Open Access Journals (Sweden)

    Shenglong Gu

    2017-05-01

    Full Text Available This paper applied a Smoothed Particle Hydrodynamics (SPH approach to solve Shallow Water Equations (SWEs to study practical dam-break flows. The computational program is based on the open source code SWE-SPHysics, where a Monotone Upstream-centered Scheme for Conservation Laws (MUSCL reconstruction method is used to improve the Riemann solution with Lax-Friedrichs flux. A virtual boundary particle method is applied to treat the solid boundary. The model is first tested on two benchmark collapses of water columns with the existence of downstream obstacle. Subsequently the model is applied to forecast a prototype dam-break flood, which might occur in South-Gate Gorges Reservoir area of Qinghai Province, China. It shows that the SWE-SPH modeling approach could provide a promising simulation tool for practical dam-break flows in engineering scale.

  2. Influence of night-breaks on flowering and phytohormones content in Hyoscyamus niger L.

    Directory of Open Access Journals (Sweden)

    Jan Kopcewicz

    2014-01-01

    Full Text Available Night-breaks caused both stimulated shoot growth and caused formation of flowers as well as a general increase in the content of phytohormones in leaves of the long-day plant Hyoscyamus niger L. At the time of flower formation in night-break treated plants, new gibberellin-like substances also appear. The results show that night-breaks cause similar changes in the phytohormones content as a long inductive photoperiod. It may be assumed that independently of the way of induction, the generative differentiation of long-day plants is always accompanied by a general increase in the amount of endogenous hormones and the appearance of new gibberellins. These results suggest the possibility of a morphogenetic role of hormones, especially gibberellins, in the phenomena of flower formation and differentiation.

  3. The relation between popularity and aggressive, destructive, and norm-breaking behaviors : Moderating effects of athletic abilities, physical attractiveness, and prosociality

    NARCIS (Netherlands)

    Dijkstra, Jan Kornelis; Lindenberg, Siegwart; Verhulst, Frank C.; Ormel, Johan; Veenstra, René

    The aim of this study was to examine the relations between popularity and different types of aggressive, destructive, and norm-breaking behaviors in a large cross-sectional sample of adolescents (N=3,312, M age=13.60). We were interested in the extent to which the relations of these behaviors with

  4. Rotation Breaking Induced by ELMs on EAST

    DEFF Research Database (Denmark)

    Xiong, H.; Xu, G.; Sun, Y.

    Spontaneous rotation has been observed in LHCD H-mode plasmas with type III ELMs (edge localized modes) on EAST, and it revealed that type III ELMs can induce the loss of both core and edge toroidal rotation. Here we work on the breaking mechanism during the ELMs. Several large tokamaks have...... discovered ELMs' filamentary structures. It revealed that the ELMs are filamentary perturbations of positive density formed along the local field lines close to the LCFS. Currents flowing in the filaments induce magnetic perturbations, which break symmetry of magnetic field strength and lead to deformation...... of magnetic surface, thus generate NTV (neoclassical toroidal viscosity) torque that affects toroidal rotation. We adopt 1cm maximum edge magnetic surface displacement from experimental observation, and our calculation shows that the edge torque is about 0.35 N/m2, and the core very small. The expected...

  5. Mechanochemical symmetry breaking in Hydra aggregates.

    Science.gov (United States)

    Mercker, Moritz; Köthe, Alexandra; Marciniak-Czochra, Anna

    2015-05-05

    Tissue morphogenesis comprises the self-organized creation of various patterns and shapes. Although detailed underlying mechanisms are still elusive in many cases, an increasing amount of experimental data suggests that chemical morphogen and mechanical processes are strongly coupled. Here, we develop and test a minimal model of the axis-defining step (i.e., symmetry breaking) in aggregates of the Hydra polyp. Based on previous findings, we combine osmotically driven shape oscillations with tissue mechanics and morphogen dynamics. We show that the model incorporating a simple feedback loop between morphogen patterning and tissue stretch reproduces a wide range of experimental data. Finally, we compare different hypothetical morphogen patterning mechanisms (Turing, tissue-curvature, and self-organized criticality). Our results suggest the experimental investigation of bigger (i.e., multiple head) aggregates as a key step for a deeper understanding of mechanochemical symmetry breaking in Hydra. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  6. Kondo Effect in Bare Electromigrated Break Junctions

    Science.gov (United States)

    Houck, Andrew; Labaziewicz, Jarek

    2005-03-01

    Electromigrated break junctions are one of only a very few systems currently available that provide sub-nanometer electrode gaps in a gated geometry. They have been used in several experiments over the past few years to measure transport through nanometer-scale objects such as single molecules. Our measurements show that the electromigrated electrode system--even by itself, without added nanoparticles-- is richer than previously thought. This talk will present gate- dependent transport measurements of Kondo impurities in bare gold break junctions, generated with high yield using an electromigration process that is actively controlled. An unexpected behavior of the splitting is observed in the crossover regime, where spin splitting is of the same order as the Kondo temperature. The Kondo resonances observed here may be due to atomic-scale metallic grains formed during electromigration.

  7. Breaking Bad News in Veterinary Medicine.

    Science.gov (United States)

    Nickels, Bonnie McCracken; Feeley, Thomas Hugh

    2017-06-16

    The patient-provider relationship in the context of veterinary medicine represents a unique opportunity for studying how bad news is communicated to pet owners by conducting structured interviews with veterinarians. A sample of 44 veterinarians' responses was recorded and content-analyzed in an effort to identify themes among providers in their clinical experience of breaking bad news (BBN). Two coders revealed several themes in the data that were organized by three overarching areas: (1) breaking bad news in general, (2) euthanasia, and (3) social support. The findings from interviews indicated the COMFORT model (Villagran, Goldsmith, Wittenberg-Lyles, & Baldwin, 2010) in medical education provided a useful framework to organize the communication of BBN in veterinary medicine. Results were discussed in relation to future research in patient-provider communication and COMFORT's potential value for training students in veterinarian education.

  8. Multiscale Simulation of Breaking Wave Impacts

    DEFF Research Database (Denmark)

    Lindberg, Ole

    The purpose of this project is to make an accurate, robust, geometric flexible and efficient model for calculation of forces on structures from nonlinear ocean waves and breaking wave impacts. Accurate prediction of the extreme forces on wind turbine foundations, breakwaters and tidal or wave power...... devises are important for enhancement structural designs. The proposed model is based on an incompressible and inviscid flow approximation and the governing equations are applied in an arbitrary Lagrangian-Eulerian moving frame of reference (ALE). The Runge-Kutta method (RK) is used for time integration...... compare reasonably well. The incompressible and inviscid ALE-WLS model is coupled with the potential flow model of Engsig-Karup et al. [2009], to perform multiscale calculation of breaking wave impacts on a vertical breakwater. The potential flow model provides accurate calculation of the wave...

  9. Soft Supersymmetry Breaking in KKLT Flux Compactification

    CERN Document Server

    Choi, Kiwoon; Nilles, Hans Peter; Olechowski, Marek; Choi, Kiwoon; Falkowski, Adam; Nilles, Hans Peter; Olechowski, Marek

    2005-01-01

    We examine the structure of soft supersymmetry breaking terms in KKLT models of flux compactification with low energy supersymmetry. Moduli are stabilized by fluxes and nonperturbative dynamics while a de Sitter vacuum is obtained by adding supersymmetry breaking anti-branes. We discuss the characteristic pattern of mass scales in such a set-up as well as some features of 4D N=1 supergravity breakdown by anti-branes. Anomaly mediation is found to always give an important contribution and one can easily arrange for flavor-independent soft terms. In its most attractive realization, the modulus mediation is comparable to the anomaly mediation, yielding a quite distinctive sparticle spectrum. In addition, the axion component of the modulus/dilaton superfield dynamically cancels the relative CP phase between the contributions of anomaly and modulus mediation, thereby avoiding dangerous SUSY CP violation.

  10. Missed retinal breaks in rhegmatogenous retinal detachment

    Directory of Open Access Journals (Sweden)

    Brijesh Takkar

    2016-12-01

    Full Text Available AIM: To evaluate the causes and associations of missed retinal breaks (MRBs and posterior vitreous detachment (PVD in patients with rhegmatogenous retinal detachment (RRD. METHODS: Case sheets of patients undergoing vitreo retinal surgery for RRD at a tertiary eye care centre were evaluated retrospectively. Out of the 378 records screened, 253 were included for analysis of MRBs and 191 patients were included for analysis of PVD, depending on the inclusion criteria. Features of RRD and retinal breaks noted on examination were compared to the status of MRBs and PVD detected during surgery for possible associations. RESULTS: Overall, 27% patients had MRBs. Retinal holes were commonly missed in patients with lattice degeneration while missed retinal tears were associated with presence of complete PVD. Patients operated for cataract surgery were significantly associated with MRBs (P=0.033 with the odds of missing a retinal break being 1.91 as compared to patients with natural lens. Advanced proliferative vitreo retinopathy (PVR and retinal bullae were the most common reasons for missing a retinal break during examination. PVD was present in 52% of the cases and was wrongly assessed in 16%. Retinal bullae, pseudophakia/aphakia, myopia, and horse shoe retinal tears were strongly associated with presence of PVD. Traumatic RRDs were rarely associated with PVD. CONCLUSION: Pseudophakic patients, and patients with retinal bullae or advanced PVR should be carefully screened for MRBs. Though Weiss ring is a good indicator of PVD, it may still be over diagnosed in some cases. PVD is associated with retinal bullae and pseudophakia, and inversely with traumatic RRD.

  11. Continental underplating after slab break-off

    Science.gov (United States)

    Magni, V.; Allen, M. B.; van Hunen, J.; Bouilhol, P.

    2017-09-01

    We present three-dimensional numerical models to investigate the dynamics of continental collision, and in particular what happens to the subducted continental lithosphere after oceanic slab break-off. We find that in some scenarios the subducting continental lithosphere underthrusts the overriding plate not immediately after it enters the trench, but after oceanic slab break-off. In this case, the continental plate first subducts with a steep angle and then, after the slab breaks off at depth, it rises back towards the surface and flattens below the overriding plate, forming a thick horizontal layer of continental crust that extends for about 200 km beyond the suture. This type of behaviour depends on the width of the oceanic plate marginal to the collision zone: wide oceanic margins promote continental underplating and marginal back-arc basins; narrow margins do not show such underplating unless a far field force is applied. Our models show that, as the subducted continental lithosphere rises, the mantle wedge progressively migrates away from the suture and the continental crust heats up, reaching temperatures >900 °C. This heating might lead to crustal melting, and resultant magmatism. We observe a sharp peak in the overriding plate rock uplift right after the occurrence of slab break-off. Afterwards, during underplating, the maximum rock uplift is smaller, but the affected area is much wider (up to 350 km). These results can be used to explain the dynamics that led to the present-day crustal configuration of the India-Eurasia collision zone and its consequences for the regional tectonic and magmatic evolution.

  12. Systems with Symmetry Breaking and Restoration

    Directory of Open Access Journals (Sweden)

    Vyacheslav I. Yukalov

    2010-01-01

    Full Text Available Statistical systems, in which spontaneous symmetry breaking can be accompanied by spontaneous local symmetry restoration, are considered. A general approach to describing such systems is formulated, based on the notion of weighted Hilbert spaces and configuration averaging. The approach is illustrated by the example of a ferroelectric with mesoscopic fluctuations of paraelectric phase. The influence of the local symmetry restoration on the system characteristics, such as sound velocity and Debye-Waller factor, is discussed.

  13. Breaking democracy with non renormalizable mass terms

    CERN Document Server

    Silva-Marcos, Joaquim I

    2001-01-01

    The exact democratic structure for the quark mass matrix, resulting from the action of the family symmetry group $A_{3L}\\times A_{3R}$, is broken by the vacuum expectation values of heavy singlet fields appearing in non renormalizable dimension 6 operators. Within this specific context of breaking of the family symmetry we formulate a very simple ansatz which leads to correct quark masses and mixings.

  14. Microwave-assisted rock breaking modelling and application

    CSIR Research Space (South Africa)

    Monchusi, B

    2012-10-01

    Full Text Available As part of the ongoing development of novel mining methods, the CSIR has developed alternative methods to break rocks. In this case, we show the application of microwave energy to break narrow tabular ore bodies....

  15. Dormancy Breaking in Ormosia arborea Seeds

    Directory of Open Access Journals (Sweden)

    Edilma Pereira Gonçalves

    2011-01-01

    Full Text Available Ormosia arborea is a tree species planted in urban areas and used to restore degraded areas. Its seeds are dormant and propagation is difficult. This study compares different dormancy breaking methods and physiological seed quality and seedling production. The seeds were germinated in sand in the laboratory of the Universidade Estadual de Santa Cruz, Ilhéus, Bahia, Brazil. The following dormancy breaking treatments were applied: control (intact seeds, 100°C water immersion; boiling water immersion followed by 24 hours of soaking; scarification with number 100 and number 50 sandpaper opposite from root emergence; sulfuric acid immersion for 1 hour, 50, 45, and 30 minutes. Seed immersion in 100°C and boiling water did not break the dormancy. The study species showed a greater vigor of seedling when its seeds were submitted to treatments associated with tegument rupturing by sandpaper or sulfuric acid. On the other hand, seed scarification with sulfuric acid for 1 hour, 50, 45, and 30 minutes or sandpaper favored seed germination and vigor.

  16. 24 CFR 982.315 - Family break-up.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Family break-up. 982.315 Section... SECTION 8 TENANT BASED ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Leasing a Unit § 982.315 Family break-up... assistance in the program if the family breaks up. The PHA administrative plan must state PHA policies on how...

  17. 75 FR 80073 - Reasonable Break Time for Nursing Mothers

    Science.gov (United States)

    2010-12-21

    ... public comment on any and all issues concerning the reasonable break time for nursing mothers law. The... Hour Division RIN 1235-ZA00 Reasonable Break Time for Nursing Mothers AGENCY: Wage and Hour Division... Standards Act (FLSA) that requires employers to provide reasonable break time and a place for nursing...

  18. Morphological composition of web-break inducing shives in ...

    African Journals Online (AJOL)

    Web-breaks during paper production cause a serious inconvenience in production process and increase cost of production. Earlier studies indicate that web breaks occur at tensions far below the ultimate tensile strength values determined by tensile testing in the laboratory. It was also reported that most of the web-breaks ...

  19. 24 CFR 904.108 - Break-even amount.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Break-even amount. 904.108 Section... LOW RENT HOUSING HOMEOWNERSHIP OPPORTUNITIES Turnkey III Program Description § 904.108 Break-even amount. (a) Definition. The term “break-even amount” as used herein means the minimum average monthly...

  20. Improvement of flavor and viscosity in hot and cold break tomato juice and sauce by peel removal.

    Science.gov (United States)

    Mirondo, Rita; Barringer, Sheryl

    2015-01-01

    Tomatoes are typically not peeled before being made into juice but the peels contain enzymes that affect the odor, flavor, and viscosity of the juice. The peels are removed in the finisher, but their presence during the break process may affect quality. Juice was processed from peeled and unpeeled tomatoes using hot or cold break. The juices were pasteurized by high temperature short time (HTST), low temperature long time (LTLT), or with a retort. The control samples were treated with 10% calcium chloride to stop enzymatic activity in the juice. Sauce was made from juice and the tomato products were analyzed for volatiles, color, viscosity, and by sensory. Cold break juice made with peel contained higher levels of some lipoxygenase-, carotenoid-, and amino acid-derived volatiles, than the juice made without peel. Because of the lack of enzyme activity, hot break juices had lower levels of these volatiles and there was no significant difference between hot break juices made with and without peel. CaCl2 -treated and HTST juice had higher levels of most of the volatiles than LTLT, including the lipoxygenase-derived volatiles. The presence of peel produced a significant decrease in the viscosity of the cold break juice and sauce. There was no significant difference in the hue angle, total soluble solids, pH, titratable acidity, and vitamin C for most of the treatments. The texture, flavor, and overall liking of cold break juice made without peel were preferred over cold break juice made with peel whereas the color was less preferred. Between the sauces no significant differences in preference were obtained. © 2014 Institute of Food Technologists®

  1. Developmental hip dysplasia in adolescence

    Directory of Open Access Journals (Sweden)

    Vukašinović Zoran

    2009-01-01

    Full Text Available The authors define adolescence and developmental dysplasia of the hip (DDH. Special attention is paid to pathological findings characteristic of DDH in adolescence (unrecognized and untreated DDH; treated DDH, but non-terminated treatment; DDH diagnosed with delay, inadequately treated, with complications. The authors emphasise that DDH treatment has to be successfully terminated well before the adolescence; possibilities are explained on management modes at the time of adolescence, and possible persons guilty for the persistence of later hip problems are indicated. Based on the authors' experience and having in mind all surgical possibilities for the treatment (pelvic osteotomies, femoral osteotomies, trochanteroplasties, leg length equalization procedures the authors propose treatment protocols. The intention is to provide better treatment results and to prevent secondary hip arthrosis. Furthermore, how to improve the struggle against DDH is suggested.

  2. Psychological Characteristics of Adolescents Orphans with Different Experience of Living in a Family

    Science.gov (United States)

    Shulga, Tatyana I.; Savchenko, Daria D.; Filinkova, Evgeniya B.

    2016-01-01

    The complexity of settling adolescents-orphans in foster families and significant number of break-downs in these families are the problems which determine the relevance of current research. Many adolescent orphans get in social institutions repeatedly, because their psychological features lead to difficulties that their foster parents are unable…

  3. A perfectly conducting surface in electrodynamics with Lorentz symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Borges, L.H.C. [UNESP, Campus de Guaratingueta, DFQ, Guaratingueta, SP (Brazil); Barone, F.A. [IFQ, Universidade Federal de Itajuba, Itajuba, MG (Brazil)

    2017-10-15

    In this paper we consider a model which exhibits explicit Lorentz symmetry breaking due to the presence of a single background vector v{sup μ} coupled to the gauge field. We investigate such a theory in the vicinity of a perfectly conducting plate for different configurations of v{sup μ}. First we consider no restrictions on the components of the background vector and we treat it perturbatively up to second order. Next, we treat v{sup μ} exactly for two special cases: the first one is when it has only components parallel to the plate, and the second one when it has a single component perpendicular to the plate. For all these configurations, the propagator for the gauge field and the interaction force between the plate and a point-like electric charge are computed. Surprisingly, it is shown that the image method is valid in our model and we argue that it is a non-trivial result. We show there arises a torque on the mirror with respect to its positioning in the background field when it interacts with a point-like charge. It is a new effect with no counterpart in theories with Lorentz symmetry in the presence of a perfect mirror. (orig.)

  4. A Preliminary Investigation of Caffeinated Alcohol Use During Spring Break.

    Science.gov (United States)

    Linden-Carmichael, Ashley N; Lau-Barraco, Cathy

    2016-06-06

    Caffeinated alcoholic beverages (e.g., Red Bull and vodka) are popular but associated with negative consequences. CABs may be particularly popular during Spring Break, a potentially risky social event. We aimed to identify the prevalence of Spring Break caffeinated alcohol use, determine how caffeinated alcohol use Spring Break drinking habits differ from usual, and examine the association between Spring Break caffeinated alcohol use and alcohol-related problems. Data were collected from 95 college students during March of 2013 and 2014. Students completed questionnaires of their alcohol and caffeinated alcohol use before and during Spring Break and Spring Break alcohol-related problems. Approximately 54% of students used caffeinated alcohol during Spring Break. Spring Break caffeinated alcohol use was associated with more alcohol-related problems, even after controlling for other alcohol consumed and Spring Break vacation status. Caffeinated alcoholic beverages are commonly consumed during Spring Break and their use uniquely predicted harms. Prevention efforts placed on caffeinated alcoholic beverage users may be helpful in reducing Spring Break-related harms.

  5. Integrating Science and Pedagogy Breaks our Unreflective Habit of Teaching

    Science.gov (United States)

    McManus, D. A.

    2005-12-01

    Almost no faculty, particularly at research universities, were taught to teach. We merely continued the habit of teaching that we experienced as student learners, with little thought to assumptions and goals underlying the habit. Until the integration of science and pedagogy, this habit had rarely undergone broad critical examination. Rather, it had been tacitly accepted as "common sense," and reasonably so, when we neglected to examine it. It was treated as a "force of nature." Now we use the results of research in pedagogy and the science of learning to erect new educational assumptions and goals. The following are some contrasts of new and old assumptions and goals: Assumptions about education: The process of student learning is as important as the content taught; rather than only the content taught being important. Learning is a dynamic process of restructuring, rather than merely a process of accumulation. Students enter class with a perceptual framework intact, rather than with "empty" minds. Most students are different from the professor, rather than being like the professor. Educational goals: The professor creates a learning environment for the students, rather than transfers information to the students. Students develop skills in constructing and using knowledge, rather than accumulate knowledge. To apply these new assumptions and goals in the classroom is to break an old habit. To break a habit this hoary is difficult and risky. It requires of us more than learning other teaching methods, new methods of assessing results, and new responsibilities as a teacher. It means internalizing these new assumptions and goals. It means entering a different world of education that places the greatest importance on what the students learn, what they take away from the class, rather than on what the professor teaches, what he or she puts into the class. We learn to apply to our teaching the risk acceptance, feedback, reflection, adaptation, creativity, and partnership

  6. A mechanistic explanation of popularity: genes, rule breaking, and evocative gene-environment correlations.

    Science.gov (United States)

    Burt, Alexandra

    2009-04-01

    Previous work has suggested that the serotonergic system plays a key role in "popularity" or likeability. A polymorphism within the 5HT-sub(2A) serotonin receptor gene (-G1438A) has also been associated with popularity, suggesting that genes may predispose individuals to particular social experiences. However, because genes cannot code directly for others' reactions, any legitimate association should be mediated via the individual's behavior (i.e., genes-->behaviors-->social consequences), a phenomenon referred to as an evocative gene-environment correlation (rGE). The current study aimed to identify one such mediating behavior. The author focused on rule breaking given its prior links to both the serotonergic system and to increased popularity during adolescence. Two samples of previously unacquainted late-adolescent boys completed a peer-based interaction paradigm designed to assess their popularity. Analyses revealed that rule breaking partially mediated the genetic effect on popularity, thereby furthering our understanding of the biological mechanisms that underlie popularity. Moreover, the present results represent the first meaningfully explicated evidence that genes predispose individuals not only to particular behaviors but also to the social consequences of those behaviors. (c) 2009 APA, all rights reserved.

  7. Interventions for treating obesity in children

    NARCIS (Netherlands)

    Oude Luttikhuis, Hiltje; Baur, Louise; Jansen, Hanneke; Shrewsbury, Vanessa A.; O'Malley, Claire; Stolk, Ronald P.; Summerbell, Carolyn D.

    2009-01-01

    Background Child and adolescent obesity is increasingly prevalent, and can be associated with significant short- and long-term health consequences. Objectives To assess the efficacy of lifestyle, drug and surgical interventions for treating obesity in childhood. Search strategy We searched CENTRAL

  8. Adolescent Idiopathic Scoliosis

    Directory of Open Access Journals (Sweden)

    Safak Ekinci

    2014-06-01

    Full Text Available Scoliosis is called idiopathic when no other underlying disease can be identified. The etiology of adolescent idiopathic scoliosis (AIS is still unknown despite many years of research effort. Theories on AIS's etiology have included mechanical, hormonal, metabolic, neuromuscular, growth, and genetic abnormalities. Skeletally immature patients with adolescent idiopathic scoliosis are at risk of curve progression. The adolescent onset of severe idiopathic scoliosis has traditionally been evaluated using standing posteroanterior radiographs of the full spine to assess lateral curvature with the Cobb method. Scoliosis in children of school age and above primarily occurs in girls. The therapeutic goal in children is to prevent progression. In children, scoliosis of 20 and deg; or more should be treated with a brace, and scoliosis of 45 and deg; or more with surgery. [Arch Clin Exp Surg 2014; 3(3.000: 174-182

  9. Breaking Barriers in Polymer Additive Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Love, Lonnie J [ORNL; Duty, Chad E [ORNL; Post, Brian K [ORNL; Lind, Randall F [ORNL; Lloyd, Peter D [ORNL; Kunc, Vlastimil [ORNL; Peter, William H [ORNL; Blue, Craig A [ORNL

    2015-01-01

    Additive Manufacturing (AM) enables the creation of complex structures directly from a computer-aided design (CAD). There are limitations that prevent the technology from realizing its full potential. AM has been criticized for being slow and expensive with limited build size. Oak Ridge National Laboratory (ORNL) has developed a large scale AM system that improves upon each of these areas by more than an order of magnitude. The Big Area Additive Manufacturing (BAAM) system directly converts low cost pellets into a large, three-dimensional part at a rate exceeding 25 kg/h. By breaking these traditional barriers, it is possible for polymer AM to penetrate new manufacturing markets.

  10. Large eddy simulation of breaking waves

    DEFF Research Database (Denmark)

    Christensen, Erik Damgaard; Deigaard, Rolf

    2001-01-01

    . The incoming waves are specified by a flux boundary condition. The waves are approaching in the shore-normal direction and are breaking on a plane, constant slope beach. The first few wave periods are simulated by a two-dimensional model in the vertical plane normal to the beach line. The model describes...... of the turbulence (the characteristic size of the eddies resolved by the model) is similar in the horizontal and the vertical direction. It is found to be of the order one half of the water depth....

  11. Parity breaking medium and squeeze operators

    Science.gov (United States)

    Andrianov, A. A.; Kolevatov, S. S.; Soldati, R.

    2017-04-01

    The transition between a Minkowski space region and a parity breaking medium domain is thoroughly discussed. The requirement of continuity of the field operator content across the separating boundary of the two domains leads to Bogolyubov transformations, squeezed pairs states and squeeze operators that turn out to generate a functional SU(2) algebra. According to this algebraic approach, the reflection and transmission probability amplitude across the separating boundary are computed. The probability rate of the emission or absorption of squeezed pairs out of the vacuum (generalization of the Sauter-Schwinger-Nikishov formula) is obtained.

  12. Electroweak Symmetry Breaking (3/3)

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    The focus of the lectures will be on the role of the Higgs boson in the mechanism of electroweak symmetry breaking, both in the Standard Model and in models of New Physics. In particular, I will discuss how a determination of its couplings to matter and gauge fields can give important information on the nature and origin of the Higgs boson. I will thus review the picture on Higgs couplings implied by the current experimental data and examine further interesting processes that can be measured in the future.

  13. Electroweak Symmetry Breaking (1/3)

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    The focus of the lectures will be on the role of the Higgs boson in the mechanism of electroweak symmetry breaking, both in the Standard Model and in models of New Physics. In particular, I will discuss how a determination of its couplings to matter and gauge fields can give important information on the nature and origin of the Higgs boson. I will thus review the picture on Higgs couplings implied by the current experimental data and examine further interesting processes that can be measured in the future.

  14. Electroweak Symmetry Breaking (2/3)

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    The focus of the lectures will be on the role of the Higgs boson in the mechanism of electroweak symmetry breaking, both in the Standard Model and in models of New Physics. In particular, I will discuss how a determination of its couplings to matter and gauge fields can give important information on the nature and origin of the Higgs boson. I will thus review the picture on Higgs couplings implied by the current experimental data and examine further interesting processes that can be measured in the future.

  15. Unit roots, nonlinearities and structural breaks

    DEFF Research Database (Denmark)

    Haldrup, Niels; Kruse, Robinson; Teräsvirta, Timo

    a persistent effect with resulting policy implications. From a statistical perspective on the other hand, the presence of unit roots has dramatic implications for econometric model building, estimation, and inference in order to avoid the so-called spurious regression problem. The present paper provides...... a selective review of contributions to the field of unit root testing over the past three decades. We discuss the nature of stochastic and deterministic trend processes, including break processes, that are likely to affect unit root inference. A range of the most popular unit root tests are presented...

  16. Report of Break Out Group 1

    DEFF Research Database (Denmark)

    Alward, Randy; Carley, Kathleen M.; Madsen, Fredrik Huitfeldt

    2006-01-01

    To help understand a network and its ability to continue operating when under attack, the break out group discussed issues that need to be considered when presenting network vulnerability information to an analyst, manager or commander in effective support of that person's "observe, orient, decid...... of characterizing a vulnerability. This would take into account the potential for the vulnerability to be exploited as well as the potential impact on the operations supported by the network, and on the network structure itself, of a successful exploit of that vulnerability....

  17. NASA Shared Services Center breaks ground

    Science.gov (United States)

    2006-01-01

    NASA officials and elected leaders were on hand for the groundbreaking ceremony of the NASA Shared Services Center Feb. 24, 2006, on the grounds of Stennis Space Center. The NSSC provides agency centralized administrative processing, human resources, procurement and financial services. From left, Louisiana Economic Development Secretary Mike Olivier, Stennis Space Center Director Rick Gilbrech, Computer Sciences Corp. President Michael Laphen, NASA Deputy Administrator Shana Dale, Rep. Gene Taylor, Sen. Trent Lott, Mississippi Gov. Haley Barbour, NASA Administrator Mike Griffin and Shared Services Center Executive Director Arbuthnot use golden shovels to break ground at the site.

  18. On inflation, cosmological constant, and SUSY breaking

    Energy Technology Data Exchange (ETDEWEB)

    Linde, Andrei [Department of Physics and SITP, Stanford University, Stanford, California 94305 (United States)

    2016-11-02

    We consider a broad class of inflationary models of two unconstrained chiral superfields, the stabilizer S and the inflaton Φ, which can describe inflationary models with nearly arbitrary potentials. These models include, in particular, the recently introduced theories of cosmological attractors, which provide an excellent fit to the latest Planck data. We show that by adding to the superpotential of the fields S and Φ a small term depending on a nilpotent chiral superfield P one can break SUSY and introduce a small cosmological constant without affecting main predictions of the original inflationary scenario.

  19. SU(3) flavour breaking and baryon structure

    Energy Technology Data Exchange (ETDEWEB)

    Cooke, A.N.; Horsley, R. [Edinburgh Univ. (United Kingdom). School of Physics and Astronomy; Nakamura, Y. [RIKEN Advanced Institute for Computational Science, Kobe, Hyogo (Japan); Pleiter, D. [Forschungszentrum Juelich GmbH (Germany). Juelich Supercomputing Centre (JSC); Regensburg Univ. (Germany). Institut fuer Theoretische Physik; Rakow, P.E.L. [Liverpool Univ. (United Kingdom). Theoretical Physics Div.; Shanahan, P.; Zanotti, J.M. [Adelaide Univ., SA (Australia). CSSM, School of Chemistry and Physics; Schierholz, G. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Stueben, H. [Hamburg Univ. (Germany). Regionales Rechenzentrum; Collaboration: QCDSF/UKQCD Collaboration

    2013-11-15

    We present results from the QCDSF/UKQCD collaboration for hyperon electromagnetic form factors and axial charges obtained from simulations using N{sub f}=2+1 flavours of O(a)-improved Wilson fermions. We also consider matrix elements relevant for hyperon semileptonic decays. We find flavour-breaking effects in hyperon magnetic moments which are consistent with experiment, while our results for the connected quark spin content indicates that quarks contribute more to the spin of the {Xi} baryon than they do to the proton.

  20. Menstrual suppression in the adolescent.

    Science.gov (United States)

    Kantartzis, Kelly L; Sucato, Gina S

    2013-06-01

    Menstrual suppression, the use of contraceptive methods to eliminate or decrease the frequency of menses, is often prescribed for adolescents to treat menstrual disorders or to accommodate patient preference. For young women using hormonal contraceptives, there is no medical indication for menstruation to occur monthly, and various hormonal contraceptives can be used to decrease the frequency of menstruation with different side effect profiles and rates of amenorrhea. This article reviews the different modalities for menstrual suppression, common conditions in adolescents which may improve with menstrual suppression, and strategies for managing common side effects. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  1. [Adolescent pregnancy].

    Science.gov (United States)

    Chauliac, M; Raimbault, A M

    1992-01-01

    An unplanned adolescent pregnancy can have serious physical, psychological, and social consequences, especially in the youngest adolescent. Adolescents have not finished growing and their reserves are very low. Fetal growth and lactation increase the nutritional needs of the adolescent. Adolescent pregnancy-related risks carry over to the mother and the newborn. Adolescent growth in girls less than 16 years who have a child nearly stops, even if nutrition is good. Maternal mortality among adolescents is higher than it is among women aged 20-30. Maternal morbidity is also higher in girls aged 15-19. The main pregnancy complications are severe anemia, renal complications, eclampsia, pre-eclampsia, and labor complications (e.g., vesico-vaginal or recto-vaginal fistulas). They are most common in the youngest adolescents. Poor quality of prenatal care contributes greatly to poor pregnancy outcomes. Prematurity and low birth weight are also more common among adolescents than other age groups. The perinatal mortality rate of infants born to adolescent mothers is also greater: 104-120% greater in Sao Paulo, Brazil and 73% greater in India. The psychological and social consequences of adolescent pregnancy depend on the acceptance of the family and of society. In many cultures, the single pregnant adolescent carries feelings of shame and guilt and hides her condition from her family and society for as long as possible due to fear of a lack of understanding and of rejection. A pregnant adolescent in many countries is forced to quit school. Traditional societies in Africa and Latin America, however, consider a child a blessing and the family supports the adolescent during pregnancy and delivery. Urbanization, socioeconomic pressure, and female education have a tendency to dispel this traditional attitude. Interventions to reduce adolescent pregnancy and its consequences include accessible contraception and access to good quality prenatal care.

  2. Emulsion for hydraulically breaking the gas layer

    Energy Technology Data Exchange (ETDEWEB)

    Matveev, D.F.; Kendis, M.Sh.; Polkovnichenko, I.T.; Yaroshenko, N.A.; Zhadanova, K.M.

    1981-05-25

    Acid monoesters and diesters of alkyl phosphates based on primary fatty alcohols of the C /sub 12/ -C /sub 16/ fraction are added as emulsifiers to an emulsion for hydraulically breaking the gas layer with a view to increasing its thermal stability. The components have the following ratio: hydrocarbon mixture, 9.8-20.6%; acid monoesters and diesters, 0.3-0.6%; aqueous fraction, 25.7-38.8%, and sand, 40-60%. In preparing the composition, the emulsifier is dissolved in a hydrocarbon liquid at 50/sup 0/C. Then, an aqueous phase is gradually added while stirring at a rate of 8,000-10,000 revolutions per minute for 30 min. Afterwards, sand is added. Tests of the mixtures for hydraulic breakage have been carried out in the laboratory by the KTs-5 consistometer. The plastic viscosity of the emulsions were determined in the absence of sand by the Reotest-2 device. The mixture which is proposed has heightened (up to 130/sup 0/C) thermal stability as compared with the known one (diesel fuel, water, ethanolamide of free fatty acids): the emulsions in a mixture with sand decompose at 70/sup 0/C. The high thermal stability of the mixture makes it possible to use hydraulic breakage in a wider range. The gas yield of the borehole doubles as a result of hydraulically breaking the productive layer by the given mixture.

  3. Chiral symmetry breakings in supersymmetric QCD

    Energy Technology Data Exchange (ETDEWEB)

    Shinmura, Mamoru; Yamawaki, Koichi (Nagoya Univ. (Japan). Dept. of Physics)

    1984-05-01

    It is argued that spontaneous chiral symmetry breaking in supersymmetric QCD is due to the boson pair condensation instead of the fermion pair condensation in sharp contrast to the ordinary QCD. We further construct a low energy effective Lagrangian for supersymmetric QCD, which realizes the symmetry breaking, SU(N) sub(L) x SU(N) sub(R) x U(1) sub(V) x U(1) sub(X) down to SU(N) sub(V) x U(1) sub(V), in the massless limit. Our Lagrangian has no singular behaviour in the massless limit, supersymmetry being preserved independently of the quark mass m. It is shown that linear masses (instead of quadratic masses) of the pseudo-Nambu-Goldstone bosons are proportional to the quark mass and supersymmetric variants of Dashen's formulae are all saturated by the condensations -- O(m..lambda../sup 2/) and -- O (..lambda../sup 2/) for m -- 0.

  4. Rock Directed Breaking Under the Impulse Load

    Science.gov (United States)

    Khomeriki, Sergo; Mataradze, Edgar; Chikhradze, Nikoloz; Losaberidze, Marine; Khomeriki, Davit; Shatberashvili, Grigol

    2016-10-01

    In the work the problem of directed chipping of facing stone material by means of managing of explosion process is considered. The technology of the mining of decorative stone by the use of explosion energy means the very rapid transfer of potential energy of elastic deformations to kinetic energy. As a result, the explosion impulse, in the expanse of the inertia of rock massive, does not cause the increase of existing cracks. In the course of explosion, the shock wave is propagated by ultrasonic velocity and in this case the medium parameters (pressure, density, temperature, velocity) increase in spurts. In spite of this fact the all three conservation laws of mechanics remain valid on basis of three laws the equations are derived by which the parameters of shock wave may be defined by means of the rock physical-mechanical properties. The load on the body volume at breaking under explosion acts over very small period of the time. Therefore, stressed-deformed state of the rock was studied when the impulse load acts on the boundary. It was considered that the mining of the blocks of facing stone is performed from the hard rocks. This means that the breaking proceeds in the zone of elastic deformation. In the conditions of mentioned assumptions, the expression of the stress tensor and displacement of vector components initiated by stressed-deformed state in the rock are written.

  5. Break-induced replication is highly inaccurate.

    Directory of Open Access Journals (Sweden)

    Angela Deem

    2011-02-01

    Full Text Available DNA must be synthesized for purposes of genome duplication and DNA repair. While the former is a highly accurate process, short-patch synthesis associated with repair of DNA damage is often error-prone. Break-induced replication (BIR is a unique cellular process that mimics normal DNA replication in its processivity, rate, and capacity to duplicate hundreds of kilobases, but is initiated at double-strand breaks (DSBs rather than at replication origins. Here we employed a series of frameshift reporters to measure mutagenesis associated with BIR in Saccharomyces cerevisiae. We demonstrate that BIR DNA synthesis is intrinsically inaccurate over the entire path of the replication fork, as the rate of frameshift mutagenesis during BIR is up to 2,800-fold higher than during normal replication. Importantly, this high rate of mutagenesis was observed not only close to the DSB where BIR is less stable, but also far from the DSB where the BIR replication fork is fast and stabilized. We established that polymerase proofreading and mismatch repair correct BIR errors. Also, dNTP levels were elevated during BIR, and this contributed to BIR-related mutagenesis. We propose that a high level of DNA polymerase errors that is not fully compensated by error-correction mechanisms is largely responsible for mutagenesis during BIR, with Pol δ generating many of the mutagenic errors. We further postulate that activation of BIR in eukaryotic cells may significantly contribute to accumulation of mutations that fuel cancer and evolution.

  6. Helping Gifted Adolescents Cope with Social Stigma.

    Science.gov (United States)

    Swiatek, Mary Ann

    1998-01-01

    Examines ways of helping gifted adolescents cope with a perceived stigma. Research is cited showing that many gifted adolescents believe they are treated differently because of their abilities and behave differently because of this belief, including denial of one's giftedness. The school's role, ability grouping, and special needs of gifted girls…

  7. Homosexuality, Counseling, and the Adolescent Male

    Science.gov (United States)

    Kremer, Ellen R.; And Others

    1975-01-01

    Authors report relatively high incidence of homosexuality among adolescents. They review various attitudes, theories and methods to treat homosexuality. Counselor should be aware of his/her own attitudes and reactions towards homosexuality and should be ready to discuss it in a direct, nonthreatened and open manner with adolescents and other…

  8. 'Jet breaks' and 'missing breaks' in the X-Ray afterglow of Gamma Ray Bursts

    CERN Document Server

    Dado, Shlomo; De Rújula, Alvaro

    2008-01-01

    The X-ray afterglows (AGs) of Gamma-Ray Bursts (GRBs) and X-Ray Flashes (XRFs) have, after the fast decline phase of their prompt emission, a temporal behaviour varying between two extremes. A large fraction of these AGs has a 'canonical' light curve which, after an initial shallow-decay 'plateau' phase, 'breaks smoothly' into a fast power-law decline. Very energetic GRBs, contrariwise, appear not to have a 'break', their AG declines like a power-law from the start of the observations. Breaks and 'missing breaks' are intimately related to the geometry and deceleration of the jets responsible for GRBs. In the frame of the 'cannonball' (CB) model of GRBs and XRFs, we analyze the cited extreme behaviours (canonical and pure power-law) and intermediate cases spanning the observed range of X-ray AG shapes. We show that the entire panoply of X-ray light-curve shapes --measured with Swift and other satellites-- are as anticipated, on very limpid grounds, by the CB model. We test the expected correlations between the...

  9. Tear film break-up time in rabbits.

    Science.gov (United States)

    Wei, Xiaojia E; Markoulli, Maria; Zhao, Zhenjun; Willcox, Mark D P

    2013-01-01

    Rabbits have a longer inter-blink time (approximately 10 minutes) compared with humans (five to eight seconds), suggesting that rabbits have a much more stable tear film. Using fluorescein, the tear break-up time of rabbits has been reported to be similar to that of humans. This study set out to measure the tear break-up time in rabbits using non-invasive methods and to establish the pattern of tear break-up compared to humans. The tear break-up time was measured and the pattern of tear break-up was observed in six New Zealand White rabbits on two separate occasions using both the Keeler Tearscope-plus(TM) and a slitlamp biomicroscope. The mean rabbit tear break-up time was 29.8 ± 3.4 (SD) minutes. This contrasts with the reports of human tear break-up time of eight to 30 seconds. The tear breaking spread very slowly and was often restricted to the area of the initial break. Rabbit tears have a significantly higher tear break-up time than humans and this aligns with previously demonstrated differences in inter-blink time between rabbits and humans. Understanding the underlying mechanisms of tear stability may lead to novel ways of increasing human tear film stability. © 2012 The Authors. Clinical and Experimental Optometry © 2012 Optometrists Association Australia.

  10. Study to improve the breaking strength of the no-bake chromite sand-furan resin cores

    Directory of Open Access Journals (Sweden)

    Ntwagae M.

    2015-01-01

    Full Text Available This study was carried out to determine the effects of number of washings, curing time and heat treatment on the breaking strength of no-bake chromite sand-furan resin cores. The Hevi chromite sand produced by a single stage washing of chromite sand was found to exhibit lower breaking strength in service. Forty five samples of no-bake chromite sand mixes were prepared with furan resin at room temperature and 39% humidity from chromite sand washed in single and two stages and cured at 2, 4 and 24 hours. Eighteen of the samples washed in single and two stages were tested for breaking strength without heat treatment, while the 27 obtained from single stage washing sand mix were heated to 900oC and held at 12, 14 and 16 minutes before cooling. Re-washing gave an appreciable increase in breaking strength only for samples cured for 24 hours. The results obtained showed that highest breaking strength occurred in heat treated and cured samples with the highest occurring at curing period of 24 hours and 900oC with holding time of 16 minutes. For re-washed samples held in room atmosphere, there was a decrease in breaking strength compared to the single stage washed samples. The implication of this work is that Hevi chromite sand has better breaking strength when heat treated at 900°C and held in the temperature for 16 minutes. Evidently, the air cured samples may have been affected by the air humidity.

  11. Symmetry Breaking in MILP Formulations for Unit Commitment Problems

    KAUST Repository

    Lima, Ricardo

    2015-12-11

    This paper addresses the study of symmetry in Unit Commitment (UC) problems solved by Mixed Integer Linear Programming (MILP) formulations, and using Linear Programming based Branch & Bound MILP solvers. We propose three sets of symmetry breaking constraints for UC MILP formulations exhibiting symmetry, and its impact on three UC MILP models are studied. The case studies involve the solution of 24 instances by three widely used models in the literature, with and without symmetry breaking constraints. The results show that problems that could not be solved to optimality within hours can be solved with a relatively small computational burden if the symmetry breaking constraints are assumed. The proposed symmetry breaking constraints are also compared with the symmetry breaking methods included in two MILP solvers, and the symmetry breaking constraints derived in this work have a distinct advantage over the methods in the MILP solvers.

  12. Higgsless approach to electroweak symmetry breaking

    CERN Document Server

    Grojean, Christophe

    2007-01-01

    Higgsless models are an attempt to achieve a breaking of the electroweak symmetry via boundary conditions at the end-points of a fifth dimension compactified on an interval, as an alternative to the usual Higgs mechanism. There is no physical Higgs scalar in the spectrum and the perturbative unitarity violation scale is delayed via the exchange of massive spin-1 KK resonances. The correct mass spectrum is reproduced in a model in warped space, which inherits a custodial symmetry from a left–right gauge symmetry in the bulk. Phenomenological challenges as well as collider signatures are presented. From the AdS/CFT perspective, this model appears as a weakly coupled dual to walking technicolour models.

  13. Supersymmetry Breaking, Gauge Mediation, and the LHC

    Energy Technology Data Exchange (ETDEWEB)

    Shih, David [Rutgers Univ., New Brunswick, NJ (United States)

    2015-04-14

    Gauge mediated SUSY breaking (GMSB) is a promising class of supersymmetric models that automatically satisfies the precision constraints. Prior work of Meade, Seiberg and Shih in 2008 established the full, model-independent parameter space of GMSB, which they called "General Gauge Mediation" (GGM). During the first half of 2010-2015, Shih and his collaborators thoroughly explored the parameter space of GGM and established many well-motivated benchmark models for use by the experimentalists at the LHC. Through their work, the current constraints on GGM from LEP, the Tevatron and the LHC were fully elucidated, together with the possible collider signatures of GMSB at the LHC. This ensured that the full discovery potential for GGM could be completely realized at the LHC.

  14. Break the silence: Let's talk about AIDS.

    Science.gov (United States)

    1999-10-11

    The organizers of the Confederation of East and Central Africa Football Associations¿ (CECAFA) Youth Tournament in Kenya will organize a campaign on AIDS prevention. ¿Break the Silence: Let¿s Talk About AIDS¿ is the campaign slogan, which will be used before, during, and after the 2-week football tournament. The campaign will involve an estimated 300 players and coaches and millions of fans who will attend, watch television, or listen to radios. AIDS prevention efforts linked to the tournament include: radio and television AIDS prevention spots featuring famous football players; campaign orientation and training in AIDS outreach and education for coaches and team managers; telephone hotlines for HIV/AIDS counseling through public phone booths and health information booths; AIDS information caravans to support community awareness rallies about AIDS prevention; and a minute of silence at the beginning of all matches to commemorate soccer heroes and other loved ones who have died of AIDS.

  15. Physical Model of Cellular Symmetry Breaking

    Science.gov (United States)

    van der Gucht, Jasper; Sykes, Cécile

    2009-01-01

    Cells can polarize in response to external signals, such as chemical gradients, cell–cell contacts, and electromagnetic fields. However, cells can also polarize in the absence of an external cue. For example, a motile cell, which initially has a more or less round shape, can lose its symmetry spontaneously even in a homogeneous environment and start moving in random directions. One of the principal determinants of cell polarity is the cortical actin network that underlies the plasma membrane. Tension in this network generated by myosin motors can be relaxed by rupture of the shell, leading to polarization. In this article, we discuss how simplified model systems can help us to understand the physics that underlie the mechanics of symmetry breaking. PMID:20066077

  16. Superradiance with local phase-breaking effects

    Science.gov (United States)

    Shammah, Nathan; Lambert, Neill; Nori, Franco; De Liberato, Simone

    2017-08-01

    We study the superradiant evolution of a set of N two-level systems spontaneously radiating under the effect of phase-breaking mechanisms. We investigate the dynamics generated by nonradiative losses and pure dephasing, and their interplay with spontaneous emission. Our results show that in the parameter region relevant to many solid-state cavity quantum electrodynamics experiments, even with a dephasing rate much faster than the radiative lifetime of a single two-level system, a suboptimal collective superfluorescent burst is still observable. We also apply our theory to the dilute excitation regime, often used to describe optical excitations in solid-state systems. In this regime, excitations can be described in terms of bright and dark bosonic quasiparticles. We show how the effect of dephasing and losses in this regime translate into intermode scattering rates and quasiparticle lifetimes.

  17. Symmetry breaking: The standard model and superstrings

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard, M.K.

    1988-08-31

    The outstanding unresolved issue of the highly successful standard model is the origin of electroweak symmetry breaking and of the mechanism that determines its scale, namely the vacuum expectation value (vev)v that is fixed by experiment at the value v = 4m//sub w//sup 2///g/sup 2/ = (..sqrt..2G/sub F/)/sup /minus/1/ approx. = 1/4 TeV. In this talk I will discuss aspects of two approaches to this problem. One approach is straightforward and down to earth: the search for experimental signatures, as discussed previously by Pierre Darriulat. This approach covers the energy scales accessible to future and present laboratory experiments: roughly (10/sup /minus/9/ /minus/ 10/sup 3/)GeV. The second approach involves theoretical speculations, such as technicolor and supersymmetry, that attempt to explain the TeV scale. 23 refs., 5 figs.

  18. Breaking Gaussian incompatibility on continuous variable quantum systems

    Energy Technology Data Exchange (ETDEWEB)

    Heinosaari, Teiko, E-mail: teiko.heinosaari@utu.fi [Turku Centre for Quantum Physics, Department of Physics and Astronomy, University of Turku, FI-20014 Turku (Finland); Kiukas, Jukka, E-mail: jukka.kiukas@aber.ac.uk [Department of Mathematics, Aberystwyth University, Penglais, Aberystwyth, SY23 3BZ (United Kingdom); Schultz, Jussi, E-mail: jussi.schultz@gmail.com [Turku Centre for Quantum Physics, Department of Physics and Astronomy, University of Turku, FI-20014 Turku (Finland); Dipartimento di Matematica, Politecnico di Milano, Piazza Leonardo da Vinci 32, I-20133 Milano (Italy)

    2015-08-15

    We characterise Gaussian quantum channels that are Gaussian incompatibility breaking, that is, transform every set of Gaussian measurements into a set obtainable from a joint Gaussian observable via Gaussian postprocessing. Such channels represent local noise which renders measurements useless for Gaussian EPR-steering, providing the appropriate generalisation of entanglement breaking channels for this scenario. Understanding the structure of Gaussian incompatibility breaking channels contributes to the resource theory of noisy continuous variable quantum information protocols.

  19. Covalent bond symmetry breaking and protein secondary structure

    OpenAIRE

    Lundgren, Martin; Niemi, Antti J.

    2011-01-01

    Both symmetry and organized breaking of symmetry have a pivotal r\\^ole in our understanding of structure and pattern formation in physical systems, including the origin of mass in the Universe and the chiral structure of biological macromolecules. Here we report on a new symmetry breaking phenomenon that takes place in all biologically active proteins, thus this symmetry breaking relates to the inception of life. The unbroken symmetry determines the covalent bond geometry of a sp3 hybridized ...

  20. Line-breaking algorithm enhancement in inverse typesetting paradigma

    Directory of Open Access Journals (Sweden)

    Jan Přichystal

    2007-01-01

    Full Text Available High quality text preparing using computer desktop publishing systems usually uses line-breaking algorithm which cannot make provision for line heights and typeset paragraph accurately when composition width, page break, line index or other object appears. This article deals with enhancing of line-breaking algorithm based on optimum-fit algorithm. This algorithm is enhanced with calculation of immediate typesetting width and thus solves problem of forced change. Line-breaking algorithm enhancement causes expansion potentialities of high-quality typesetting in cases that have not been yet covered with present typesetting systems.

  1. Optical chirality breaking in a bilayered chiral metamaterial.

    Science.gov (United States)

    Zhao, Jianxing; Fu, Yuegang; Liu, Zhiying; Zhou, Jianhong

    2017-09-18

    We propose a planar optical bilayered chiral metamaterial, which consists of periodic metallic arrays of two L-shaped structures and a nanorod twisted on both sides of a dielectric slab, to investigate the optical chirality breaking effect by using finite-difference time-domain (FDTD) method. Even the metamaterial is with chiral symmetry, an optical chirality breaking window in the asymmetric transmission pass band is obtained in chiral metamaterial structure. We analyze the plasmonic mode properties and attribute the mechanism of the optical chirality breaking effect to the plasmonic analogue of EIT. The optical chirality breaking window can be modulated by changing the geometric parameters of the nanorods in the structure.

  2. Soft supersymmetry-breaking terms from supergravity and superstring models

    CERN Document Server

    Brignole, A; Muñoz, C

    1998-01-01

    We review the origin of soft supersymmetry-breaking terms in N=1 supergravity models of particle physics. We first consider general formulae for those terms in general models with a hidden sector breaking supersymmetry at an intermediate scale. The results for some simple models are given. We then consider the results obtained in some simple superstring models in which particular assumptions about the origin of supersymmetry breaking are made. These are models in which the seed of supersymmetry breaking is assumed to be originated in the dilaton/moduli sector of the theory.

  3. Morning and evening behavior in children and adolescents treated with atomoxetine once daily for Attention-Deficit/Hyperactivity Disorder (ADHD: Findings from two 24-week, open-label studies

    Directory of Open Access Journals (Sweden)

    Schacht Alexander

    2009-02-01

    Full Text Available Abstract Background The impact of once daily atomoxetine treatment on symptoms in children and adolescents with ADHD may vary over the day. In order to capture such variations, two studies were undertaken in children and adolescents with ADHD using two instruments that capture morning and evening behavior and ADHD-related difficulties over the day. This secondary measure analysis builds on two primary analyses that were conducted separately for children and adolescents and also published separately. Methods In two open-label studies, ADHD patients aged 6–17 years (n = 421, received atomoxetine in the morning (target-dose 0.5–1.2 mg/kg/day for up to 24 weeks. Morning and evening behavior was assessed using the investigator-rated Weekly Rating of Evening and Morning Behavior (WREMB-R scale. ADHD-related difficulties at various times of the day (morning, during school, during homework, evening were assessed using the Global Impression of Perceived Difficulties (GIPD scale, rated by patients, parents and physicians. Data from both studies were combined for this secondary measure analysis. Results Both WREMB-R subscores decreased significantly over time, the evening subscore from 13.7 (95% CI 13.2;14.2 at baseline to 8.0 (7.4;8.5 at week 2, the morning subscore from 4.3 (4.0;4.5 to 2.4 (2.2;2.6. Scores then remained stable until week 24. All GIPD items improved correspondingly. At all times of the day, patients rated ADHD-related difficulties as less severe than parents and physicians. Conclusion These findings from two open-label studies suggest that morning and evening behavior and ADHD-related difficulties in the mornings and evenings improve over time with once daily atomoxetine treatment.

  4. Breaks in the Breaks: An Analysis of Divorce Rates in Europe

    OpenAIRE

    González-Val, Rafael; Marcén, Miriam

    2010-01-01

    This paper explores the frequency of permanent shocks in divorce rates for 16 European countries during the period 1930 to 2006, by examining whether the divorce rate is a stationary series, exhibits a unit root, or is stationary around a process subject to structural breaks. A clear finding from this analysis is that not all shocks have transitory effects on the divorce rate. Results provide evidence of both stationarity around occasional shocks which have permanent effects, and of a unit ro...

  5. [Adolescent psychology].

    Science.gov (United States)

    Lemerle, Sophie

    2005-05-31

    Adolescence is a transitional period dominated by puberty modifications. These modifications must come with a psychological work leading towards increased self containing from parents and also towards the choice of an own life orientation. In order to do so, adolescent must satisfy his needs to be able to change. This process will not run smoothly. The troubled adolescent will express himself with groans or acting out more than with words. This modus operandi is typical of that age. The general practitioner will be in the front line in being attentive to the adolescent and his parents needs.

  6. Breaking sod or breaking even? Flax on the northern Great Plains and Prairies, 1889-1930.

    Science.gov (United States)

    MacFayden, Joshua D

    2009-01-01

    A new thirst for paint and color in cities made extensive flax production profitable in the northern Great Plains and Prairies and contributed to the cultivation of the most fragile grassland ecosystems. The production of flax seed for linseed oil became an early spin-off of the Prairie wheat economy but, unlike wheat, flax vanished from old land after one or two rotations and reappeared in districts with the most new breaking. Officials explained the migrant crop as preparing native grasslands for cultivation or exhausting soil in old land, but farmers brought flax to their new breaking for other reasons. Producers would only put flax on any land when a range of economic and environmental conditions were in place. It was never sown without promise of adequately high prices or in the absence of affordable seed and other inputs. When price allowed, it usually appeared on new breaking because it could be planted later and transported further without upsetting the balance of other activities and without farmers learning many new techniques. Scientists discovered that diseased soil drove flax off old land, not soil exhaustion. Circumventing the disease was possible but costly, and farmers simply replaced flax with the next most lucrative commodity.

  7. Scepticism towards insecticide treated mosquito nets for malaria ...

    African Journals Online (AJOL)

    The study explores reasons for scepticism and low uptake of insecticide treated mosquito nets (ITNs) that were promoted through social marketing strategy for malaria control prior to the introduction of long lasting nets (LLN). The paper breaks from traditional approach that tend to study low uptake of health interventions in ...

  8. 1 Scepticism towards insecticide treated mosquito nets for malaria ...

    African Journals Online (AJOL)

    The study explores reasons for scepticism and low uptake of insecticide treated mosquito nets (ITNs) that were promoted through social marketing strategy for malaria control prior to the introduction of long lasting nets (LLN). The paper breaks from traditional approach that tend to study low uptake of health interventions in ...

  9. Relationship between Age and the Ability to Break Scored Tablets.

    Science.gov (United States)

    Notenboom, Kim; Vromans, Herman; Schipper, Maarten; Leufkens, Hubert G M; Bouvy, Marcel L

    2016-01-01

    Practical problems with the use of medicines, such as difficulties with breaking tablets, are an often overlooked cause for non-adherence. Tablets frequently break in uneven parts and loss of product can occur due to crumbling and powdering. Health characteristics, such as the presence of peripheral neuropathy, decreased grip strength and manual dexterity, can affect a patient's ability to break tablets. As these impairments are associated with aging and age-related diseases, such as Parkinson's disease and arthritis, difficulties with breaking tablets could be more prevalent among older adults. The objective of this study was to investigate the relationship between age and the ability to break scored tablets. A comparative study design was chosen. Thirty-six older adults and 36 young adults were systematically observed with breaking scored tablets. Twelve different tablets were included. All participants were asked to break each tablet by three techniques: in between the fingers with the use of nails, in between the fingers without the use of nails and pushing the tablet downward with one finger on a solid surface. It was established whether a tablet was broken or not, and if broken, whether the tablet was broken accurately or not. The older adults experienced more difficulties to break tablets compared to the young adults. On average, the older persons broke 38.1% of the tablets, of which 71.0% was broken accurately. The young adults broke 78.2% of the tablets, of which 77.4% was broken accurately. Further analysis by mixed effects logistic regression revealed that age was associated with the ability to break tablets, but not with the accuracy of breaking. Breaking scored tablets by hand is less successful in an elderly population compared to a group of young adults. Health care providers should be aware that tablet breaking is not appropriate for all patients and for all drugs. In case tablet breaking is unavoidable, a patient's ability to break tablets should

  10. Skills Associated with Line Breaks in Elite Rugby Union

    Directory of Open Access Journals (Sweden)

    Steve den Hollander, James Brown, Michael Lambert, Paul Treu, Sharief Hendricks

    2016-09-01

    Full Text Available The ability of the attacking team to break through the defensive line is a key indicator of success as it creates opportunities to score tries. The aim of this study was to analyse line breaks and identify the associated skills and playing characteristics. The 2013 Super Rugby season (125 games was analysed, in which 362 line breaks were identified and coded using variables that assessed team patterns and non-contact attacking skills in the phases preceding the line break. There was an average of 3 line breaks per game, with 39% of line breaks resulting in a try. Line breaks occurred when the ball-carrier was running fast [61%, x2(4 = 25.784, p = 0.000, Cramer’s v = 0.1922, weak]. At a moderate distance, short lateral passes (19% and skip passes (15% attributed to the highest percentage of line breaks [x2(26 = 50.899, p = 0.036, Cramer’s v = 0.2484, moderate]. Faster defensive line speeds resulted in more line breaks [x2(12 = 61.703, p < 0.001, Cramer’s v = 0.3026, moderate]. Line breaks are associated with overall team success and try scoring opportunities. Awareness of the defenders line speed and depth, fast running speed when receiving the ball and quick passing between attackers to the outside backs creates line break opportunities. During training, coaches should emphasise the movement speed of the ball between attackers and manipulate the speed and distance of the defenders.

  11. Active and break spells of the Indian summer monsoon

    Indian Academy of Sciences (India)

    In this paper, we suggest criteria for the identification of active and break events of the Indian summer monsoon on the basis of recently derived high resolution daily gridded rainfall dataset over India (1951–2007). Active and break events are defined as periods during the peak monsoon months of July and August, in which ...

  12. Breaking Bad News for Patients with Gastro-Intestinal Malignancy ...

    African Journals Online (AJOL)

    No patient was told about the prognosis and the chances of cure. Conclusion: Sympathy over-ride empathy in communicating bad news to Sudanese patients suffering of cancer. Patient education and training in breaking the bad news is needed. Key words: Communication skills, breaking bad news, truth telling, Sudan.

  13. Global increase in record-breaking monthly-mean temperatures

    NARCIS (Netherlands)

    Coumou, Dim; Robinson, Alexander; Rahmstorf, Stefan

    The last decade has produced record-breaking heat waves in many parts of the world. At the same time, it was globally the warmest since sufficient measurements started in the 19th century. Here we show that, worldwide, the number of local record-breaking monthly temperature extremes is now on

  14. Radiative symmetry breaking from interacting UV fixed points

    Science.gov (United States)

    Abel, Steven; Sannino, Francesco

    2017-09-01

    It is shown that the addition of positive mass-squared terms to asymptotically safe gauge-Yukawa theories with perturbative UV fixed points leads to calculable radiative symmetry breaking in the IR. This phenomenon, and the multiplicative running of the operators that lies behind it, is akin to the radiative symmetry breaking that occurs in the supersymmetric standard model.

  15. 27 CFR 19.282 - Breaking Government locks.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Breaking Government locks... Breaking Government locks. Where affixed, Government locks shall not be removed without the authorization... obtain authorization from an appropriate TTB officer, Government locks may be removed, by the proprietor...

  16. Should I Give the Exam before or after the Break?

    Science.gov (United States)

    O'Connor, Kevin J.

    2014-01-01

    This study was designed to help faculty make decisions about when to administer an exam in relation to an in-semester break. Students in multiple sections of an undergraduate educational psychology class were assigned to take an exam either before or after a scheduled 5-day break (Thursday-Monday). A multiple regression analysis revealed the break…

  17. DNA breaks early in replication in B cell cancers

    Science.gov (United States)

    Research by scientists at the NCI has identified a new class of DNA sites in cells that break early in the replication process. They found that these break sites correlate with damage often seen in B cell cancers, such as diffuse large B cell lymphoma.

  18. Distributed Decision Making in Combined Vehicle Routing and Break Scheduling

    NARCIS (Netherlands)

    Meyer, Christoph Manuel; Kopfer, Herbert; Kok, A.L.; Schutten, Johannes M.J.

    2009-01-01

    The problem of combined vehicle routing and break scheduling comprises three subproblems: clustering of customer requests, routing of vehicles, and break scheduling. In practice, these subproblems are usually solved in the interaction between planners and drivers. We consider the case that the

  19. Breaking the spores of Ganoderma lucidum by fermentation with ...

    African Journals Online (AJOL)

    In this paper, fermentation of G. lucidum with Lactobacillus plantarum was applied to break down the sporoderm. Scanning electron microscope (SEM) was used to characterize the spores. The broken spores were found on the 3rd day and complete breaking on the 5th day of fermentation. Lactic acid, acetic acid and ...

  20. Detecting structural breaks in time series via genetic algorithms

    DEFF Research Database (Denmark)

    Doerr, Benjamin; Fischer, Paul; Hilbert, Astrid

    2016-01-01

    Detecting structural breaks is an essential task for the statistical analysis of time series, for example, for fitting parametric models to it. In short, structural breaks are points in time at which the behaviour of the time series substantially changes. Typically, no solid background knowledge ...

  1. The Year Zero: Iconoclastic Breaks with the Past

    NARCIS (Netherlands)

    de Baets, Antoon

    2015-01-01

    Some regimes try to force a complete break with the past and even to start from the year zero. Throughout history, such iconoclastic breaks were meant to erase, once and for all, the entire past or to destroy as many of its relics and symbols as possible, and either to reach orregain some faraway

  2. Breaking waves on a dynamic Hele-Shaw beach

    NARCIS (Netherlands)

    Bokhove, Onno; van der Horn, Bram; van der Horn, Avraham/Bram; van der Meer, Roger M.; Zweers, Wout; Thornton, Anthony Richard

    We report the formation of quasi-steady beaches and dunes via breaking waves in our tabletop ‘Hele-Shaw’ beach experiment. Breaking waves are generated by a wave maker, and zeolite particles act as sand. The tank is narrow, just over one-particle diameter wide, creating a quasi-2D set-up. Classical

  3. Late-breaking papers of EuroGP-99

    NARCIS (Netherlands)

    W.B. Langdon; R. Poli; P. Nordin; T. Fogarty

    1999-01-01

    textabstractThis booklet contains the late-breaking papers of the Second European Workshop on Genetic Programming (EuroGP'99) held in G'oteborg Sweden 26--27~May~1999. EuroGP'99 was one of the EvoNet workshops on evolutionary computing, EvoWorkshops'99. The purpose of the late-breaking papers was to

  4. 36 CFR 7.52 - Cedar Breaks National Monument.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Cedar Breaks National Monument. 7.52 Section 7.52 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.52 Cedar Breaks National Monument. (a...

  5. Breaking Wave Impact Pressure on a Vertical Wall

    Directory of Open Access Journals (Sweden)

    C. Rajasekaran

    2010-09-01

    Full Text Available Offshore and coastal structures experience wave impact loads particularly due to breaking waves throughout its design period. In the present paper, an experimental program has been devised to improve our perceptive of the physics and the characteristics of impact pressures due to breaking waves on a vertical wall. The salient features of the study such as model details, breaking wave simulation, the impact and dynamic pressure variation along the depth of the wall are presented. The maximum impact pressure magnitude is found to be of the order of ten times that of the non-breaking dynamic pressure and it always occurred above the still water level for different intensities of breaking waves considered. The minimum pressure rise time is observed to be 0.235 ms.

  6. ANALISA BREAK EVENT POINT (BEP TERHADAP LABA PERUSAHAAN

    Directory of Open Access Journals (Sweden)

    Muhammad Yusuf

    2015-09-01

    Full Text Available Break event point or the break-even point can be defined as a situation where the operating company does not make a profit and not a loss. The goal is to provide the knowledge to increase knowledge about the break event point (the point of principal and its relationship with the company profit and to know how the results of the. Analysis break event point is very important for the leadership of the company to determine the production rate how much the cost will be equal to the amount of sales or in other words to determine the break event point we will determine the relationship between sales, production, selling price, cost, loss or profit, making it easier for leaders to take discretion.DOI: 10.15408/ess.v4i1.1955 

  7. Stochastic chiral symmetry breaking process besides the deterministic one.

    Science.gov (United States)

    Silva-Dias, L; López-Castillo, A

    2017-11-08

    In chiral symmetry breaking, populations with initial enantiomeric excess (EE) are probabilistically favored if statistical fluctuation is present, as in nature. Stochastic methods correctly describe chiral symmetry breaking by taking into account the quantitative enantiomeric difference (excess or deficiency) and the statistical fluctuation amplitude, which is inversely proportional to the absolute size of the populations involved. From this, we obtain a law, which indicates that such a favoring probability decreases exponentially [P(EE) = 1/(e(αEE) + 1)] with an initial enantiomeric deficiency mediated by statistical fluctuation. Obviously, chiral symmetry breaking equally favors populations without enantiomeric excess [P(0) = 1/2]. However, if deterministic methods are considered, chiral symmetry breaking will strictly favor the population with an initial enantiomeric excess (EE). To study these stochastic chiral symmetry breaking processes the autocatalytic Frank model was considered. Summarizing, our results show that the initial enantiomeric excesses are not entirely responsible for the final state configuration of autocatalytic finite systems.

  8. Unstable volatility functions: the break preserving local linear estimator

    DEFF Research Database (Denmark)

    Casas, Isabel; Gijbels, Irene

    The objective of this paper is to introduce the break preserving local linear (BPLL) estimator for the estimation of unstable volatility functions. Breaks in the structure of the conditional mean and/or the volatility functions are common in Finance. Markov switching models (Hamilton, 1989......) and threshold models (Lin and Terasvirta, 1994) are amongst the most popular models to describe the behaviour of data with structural breaks. The local linear (LL) estimator is not consistent at points where the volatility function has a break and it may even report negative values for finite samples....... The estimator presented in this paper generalises the classical LL. The BPLL maintains the desirable properties of the LL with regard to the bias and the boundary estimation, it estimates the breaks consistently and it ensures that the volatility estimates are always positive....

  9. Rice Research to Break Yield Barriers

    Science.gov (United States)

    Verma, Vivek; Ramamoorthy, Rengasamy; Kohli, Ajay; Kumar, Prakash P.

    2015-10-01

    The world’s population continues to expand and it is expected to cross 9 billion by 2050. This would significantly amplify the demand for food, which will pose serious threats to global food security. Additional challenges are being imposed due to a gradual decrease in the total arable land and global environmental changes. Hence, it is of utmost importance to review and revise the existing food production strategies by incorporating novel biotechnological approaches that can help to break the crop yield barriers in the near future. In this review, we highlight some of the concerns hampering crop yield enhancements. The review also focuses on modern breeding techniques based on genomics as well as proven biotechnological approaches that enable identification and utilization of candidate genes. Another aspect of discussion is the important area of research, namely hormonal regulation of plant development, which is likely to yield valuable regulatory genes for such crop improvement efforts in the future. These strategies can serve as potential tools for developing elite crop varieties for feeding the growing billions.

  10. Breaking the Ceiling of Human Maximal Lifespan.

    Science.gov (United States)

    Ben-Haim, Moshe Shay; Kanfi, Yariv; Mitchel, Sarah J; Maoz, Noam; Vaughan, Kelli; Amariglio, Ninette; Lerrer, Batia; de Cabo, Rafael; Rechavi, Gideon; Cohen, Haim Y

    2017-11-07

    While average human life expectancy has increased dramatically in the last century, the maximum lifespan has only modestly increased. These observations prompted the notion that human lifespan might have reached its maximal natural limit of ~115 years. To evaluate this hypothesis, we conducted a systematic analysis of all-cause human mortality throughout the 20 th century. Our analyses revealed that, once cause of death is accounted for, there is a proportional increase in both median age of death and maximum lifespan. To examine whether pathway targeted aging interventions affected both median and maximum lifespan, we analyzed hundreds of interventions performed in multiple organisms (yeast, worms, flies, and rodents). Three criteria: median, maximum, and last survivor lifespans were all significantly extended, and to a similar extent. Altogether, these findings suggest that targeting the biological/genetic causes of aging can allow breaking the currently observed ceiling of human maximal lifespan. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Warped Electroweak Breaking Without Custodial Symmetry

    CERN Document Server

    Cabrer, Joan A; Quiros, Mariano

    2010-01-01

    We propose an alternative to the introduction of an extra gauge (custodial) symmetry to suppress the contribution of KK modes to the T parameter in warped theories of electroweak breaking. The mechanism is based on a general class of warped 5D metrics and a Higgs propagating in the bulk. The metrics are nearly AdS in the UV region but depart from AdS in the IR region, towards where KK fluctuations are mainly localized, and have a singularity outside the slice between the UV and IR branes. This gravitational background is generated by a bulk stabilizing scalar field which triggers a natural solution to the hierarchy problem. Depending on the model parameters, gauge-boson KK modes can be consistent with present bounds on EWPT for m > 1 TeV at 95% CL. The model contains a light Higgs mode which unitarizes the four-dimensional theory. The reduction in the precision observables can be traced back to a large wave function renormalization for this mode.

  12. Golden Probe of Electroweak Symmetry Breaking

    CERN Document Server

    Chen, Yi; Spiropulu, Maria; Stolarski, Daniel; Vega-Morales, Roberto

    2016-12-09

    The ratio of the Higgs couplings to $WW$ and $ZZ$ pairs, $\\lambda_{WZ}$, is a fundamental parameter in electroweak symmetry breaking as well as a measure of the (approximate) custodial symmetry possessed by the gauge boson mass matrix. We show that Higgs decays to four leptons are sensitive, via tree level/1-loop interference effects, to both the magnitude and, in particular, overall sign of $\\lambda_{WZ}$. Determining this sign requires interference effects, as it is nearly impossible to measure with rate information. Furthermore, simply determining the sign effectively establishes the custodial representation of the Higgs boson. We find that $h\\to4\\ell$ ($4\\ell \\equiv 2e2\\mu, 4e, 4\\mu$) decays have excellent prospects of directly establishing the overall sign at a high luminosity 13 TeV LHC. We also examine the ultimate LHC sensitivity in $h\\to4\\ell$ to the magnitude of $\\lambda_{WZ}$. Our results are independent of other measurements of the Higgs boson couplings and, in particular, largely free of assumpti...

  13. Dynamical Local Chirality and Chiral Symmetry Breaking

    CERN Document Server

    Alexandru, Andrei

    2013-01-01

    We present some of the reasoning and results substantiating the notion that spontaneous chiral symmetry breaking (SChSB) in QCD is encoded in local chiral properties of Dirac eigenmodes. Such association is possible when viewing chirality as a dynamical effect, measured with respect to the benchmark of statistically independent left-right components. Following this rationale leads to describing local chiral behavior by a taylor-made correlation, namely the recently introduced correlation coefficient of polarization C_A. In this language, correlated modes (C_A>0) show dynamical preference for local chirality while anti-correlated modes (C_A<0) favor anti-chirality. Our conclusion is that SChSB in QCD can be viewed as dominance of low-energy correlation (chirality) over anti-correlation (anti-chirality) of Dirac sea. The spectral range of local chirality, chiral polarization scale Lambda_ch, is a dynamically generated scale in the theory associated with SChSB. One implication of these findings is briefly dis...

  14. Chiral symmetry breaking in unstirred crystallization

    Energy Technology Data Exchange (ETDEWEB)

    Szurgot, M. [Center of Mathematics and Physics, Technical University of Lodz (Poland)

    2012-01-15

    Statistics of nucleation of chiral forms of sodium bromate from unstirred aqueous solutions was studied. It was established that bimodal, trimodal and unimodal distributions of enantiomers are obtained in unstirred crystallization. It was also found out that probabilities of the creation of L or D crystals and racemates R, as well as the presence of D, L, and R peaks in distributions depend on crystallizer size, supersaturation and temperature. Nucleation at low supersaturations in small, closed crystallizers leads to the formation of pure enantiomers, and to bimodal distributions with D and L peaks at any temperature. At high supersaturations in large, open crystallizers the formation of racemates and unimodal distributions with racemate R peaks results. In open crystallizers at the lowest temperatures and at the highest temperatures used in crystallization from aqueous solution racemates of sodium bromate are preferentially formed, but in a wide range of intermediate-temperatures apart from racemates, pure enantiomers are efficiently formed which leads to trimodal distributions. The spontaneous formation of pure enantiomers in crystallization from unstirred, unseeded solutions is caused by the chiral symmetry breaking phenomenon, the same as that discovered in stirred crystallization. The conservation of chiral symmetry is, in unstirred crystallization, one of the two possibilities, and the other one is the breakage of symmetry. Both of them occur in nature. (copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  15. Cilia in Left-Right Symmetry Breaking.

    Science.gov (United States)

    Shinohara, Kyosuke; Hamada, Hiroshi

    2017-10-03

    Visceral organs of vertebrates show left-right (L-R) asymmetry with regard to their position and morphology. Cilia play essential role in generating L-R asymmetry. A number of genes required for L-R asymmetry have now been identified in vertebrates, including human, many of which contribute to the formation and motility of cilia. In the mouse embryo, breaking of L-R symmetry occurs in the ventral node, where two types of cilia (motile and immotile) are present. Motile cilia are located at the central region of the node, and generate a leftward fluid flow. These motile cilia at the node are unique in that they rotate in the clockwise direction, unlike other immotile cilia such as airway cilia that show planar beating. The second type of cilia essential for L-R asymmetry is immotile cilia that are peripherally located immotile cilia. They sense a flow-dependent signal, which is either chemical or mechanical in nature. Although Ca 2+ signaling is implicated in flow sensing, the precise mechanism remains unknown. Copyright © 2017 Cold Spring Harbor Laboratory Press; all rights reserved.

  16. LHC Report: a break from luminosity production

    CERN Multimedia

    Jan Uythoven for the LHC team

    2016-01-01

    The LHC has been in great shape over the last few months, delivering over 20 fb-1 of integrated luminosity before the ICHEP conference in Chicago at the beginning of August. This is not much below the 25 fb-1 target for the whole of 2016. With this success in mind, a break in luminosity production was taken for six days, starting on 26 July 2016, for a machine development period.   This year, 20 days of the LHC schedule are devoted to machine development with the aim of carrying out detailed studies of the accelerator. The 20 days are divided over five different periods, called MD blocks. They can be seen as an investment in the future, so the machine can produce collisions more efficiently in the months and years to come. A detailed programme is worked out for each MD block, whereby different specialist teams are assigned periods of four to twelve hours, depending on the topic, to perform their previously approved tests. The MD program continues 24 hours per day, as in normal physics operation. One...

  17. Generalized geometry and partial supersymmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Triendl, Hagen Mathias

    2010-08-15

    This thesis consists of two parts. In the first part we use the formalism of (exceptional) generalized geometry to derive the scalar field space of SU(2) x SU(2)-structure compactifications. We show that in contrast to SU(3) x SU(3) structures, there is no dynamical SU(2) x SU(2) structure interpolating between an SU(2) structure and an identity structure. Furthermore, we derive the scalar manifold of the low-energy effective action for consistent Kaluza-Klein truncations as expected from N = 4 supergravity. In the second part we then determine the general conditions for the existence of stable Minkowski and AdS N = 1 vacua in spontaneously broken gauged N = 2 supergravities and construct the general solution under the assumption that two appropriate commuting isometries exist in the hypermultiplet sector. Furthermore, we derive the low-energy effective action below the scale of partial supersymmetry breaking and show that it satisfies the constraints of N = 1 supergravity. We then apply the discussion to special quaternionic-Kaehler geometries which appear in the low-energy limit of SU(3) x SU(3)-structure compactifications and construct Killing vectors with the right properties. Finally we discuss the string theory realizations for these solutions. (orig.)

  18. Gender dysphoria in adolescence.

    Science.gov (United States)

    Leibowitz, Scott; de Vries, Annelou L C

    2016-01-01

    Adolescents presenting with gender-related concerns are increasingly seeking support from providers from a variety of disciplines within health care settings across the world. For those treating young people who meet the criteria for the DSM 5 diagnosis of gender dysphoria (GD), complex decisions in clinical care are common. Defining best practice with this population with respect to interventions that span mental health, physical, and surgical domains can be challenging, given a relative dearth of empirical data available; yet practice guidelines have emerged from different professional organizations which can aid with this. For this review paper, a broad literature search was performed to identify relevant studies pertaining to the care of adolescents with GD. In addition, an overview of trends in clinical practice, including shifts in conceptualization of how clinicians and patients define care that is considered affirming when working with this population, is described. This paper explores the characteristics of referral patterns to specialized clinics, provides a brief overview of gender identity development in adolescence, and then describes the phenomenology of known aetiological factors and co-occurring psychiatric issues in adolescents with GD. Additionally, clinical management considerations that detail assessment aims and common treatment interventions across disciplines will be explored.

  19. Adolescent Turmoil.

    Science.gov (United States)

    Offer, Daniel

    1982-01-01

    Examines recent empirical evidence to test theories postulated in separate works by G. Stanley Hall and Anna Freud that adolescents must experience psychological turbulence in the transition to adulthood. Concludes that turmoil is no longer a necessary condition of adolescence and that those who do experience it need psychiatric attention.…

  20. Punishing adolescents

    DEFF Research Database (Denmark)

    Ryberg, Jesper

    2014-01-01

    Should an adolescent offender be punished more leniently than an adult offender? Many theorists believe the answer to be in the affirmative. According to the diminished culpability model, adolescents are less mature than adults and, therefore, less responsible for their wrongdoings and should...

  1. Tratamiento con láser puntura: alternativa para el tratamiento de la migraña en los adolescentes Treatment with laserpuncture: an alternative for treating migraine in adolescents

    Directory of Open Access Journals (Sweden)

    Aida Gabina Cárdenas Giraudy

    2008-09-01

    Full Text Available INTRODUCCIÓN. Además de tener costos sociales y económicos muy elevados, la migraña afecta la calidad de vida de quien la padece. Se estima que más del 30 % de los pacientes con cefalea no responden al tratamiento farmacológico. El objetivo de este trabajo fue valorar las crisis de migraña refractarias en los adolescentes y evaluar el tratamiento medicamentoso indicado, para lograr una mejor calidad de vida. MÉTODOS. Se realizó un estudio descriptivo, longitudinal con acciones prospectivas, con 17 pacientes atendidos en el Hospital Pediátrico Docente «William Soler» (2004 a 2006 a causa de crisis frecuentes de migraña. El diagnóstico y tratamiento se realizó sobre la base de los principios de la medicina bioenergética. RESULTADOS. El grupo de edad que más crisis de migraña presentó fue el de 12 a 15 años (41,17 %, principalmente las adolescentes féminas (58,82 %. La localizacion del dolor frontal y hemicranea constituyeron las localizaciones más frecuentes y 14 pacientes (82,35 % mostraron respuesta favorable al método de laserterapia. CONCLUSIONES. El tratamiento con láser constituyó otra alternativa para el control de las crisis frecuentes de migraña en los adolescentes.INTRODUCTION. In addition to the very high social and economic costs, migraine affects the quality of life of those suffering from it. It is estimated that more than 30 % of patients with headache do not respond to drug treatment. The aim of this paper was to assess the crisis of refractory migraine in adolescents and to evaluate also the drug treatment indicated to achieve a better quality of life. METHODS. A longitudinal and descriptive prospective study was undertaken in 17 patients seen in "William Soler" Teaching and Children Hospital (2004-2006 due to frequent crises of migraine. The diagnosis and treatment were based on the principles of bioenergetic medicine. RESULTS. Migraine was more common in the group aged 12-15 (41.17 %, mainly among the

  2. When does taking a break help in negotiations? The influence of breaks and social motivation on negotiation processes and outcomes

    NARCIS (Netherlands)

    Harinck, F.; de Dreu, C.K.W.

    2011-01-01

    Most negotiations are interrupted from time to time to reflect on the negotiation or to do other pressing tasks. This study investigated how these breaks and the thoughts during these breaks influence subsequent negotiation behavior. Prosocially motivated dyads, with a tendency to think

  3. RANS-VOF modeling of hydrodynamics and sand transport under full-scale non-breaking and breaking waves

    NARCIS (Netherlands)

    Fernandez Mora, Maria de Los Angeles; Ribberink, Jan S.; van der Zanden, Joep; van der Werf, Jebbe J.; Jacobsen, N.G.; Lynett, P.; Lynett, Patrick

    2017-01-01

    A 2D RANS-VOF model is used to simulate the flow and sand transport for two different full-scale laboratory experiments: i) non-breaking waves over a horizontal sand bed (Schretlen et al., 2011) and ii) plunging breaking waves over a barred mobile bed profile (Van der Zanden et al., 2016). For the

  4. Infantile acne treated with oral isotretinoin

    DEFF Research Database (Denmark)

    Miller, Iben Marie; Echeverría, Begoña; Torrelo, Antonio

    2013-01-01

    ). Consistent with the previous, limited literature, we found predominantly boys are affected, a predilection for the cheeks, and a polymorphic inflammatory morphology. Two patients had a family history of acne. All cases were successfully and safely treated with oral isotretinoin. The suggested treatment...... of childhood acne is similar to that of adolescents (graded according to the severity of the skin disease and risk of scarring). Oral isotretinoin appears to be an effective and safe treatment for severe IA.......In contrast to adolescent acne, infantile acne (IA) is a rare condition with only a limited body of available literature. In this descriptive, retrospective study, we reviewed six cases from 2002 to 2010 treated with oral isotretinoin. The average age of onset was 6.16 months (range 0-21 mos...

  5. Intensity-Modulated Radiation Therapy for Rectal Carcinoma Can Reduce Treatment Breaks and Emergency Department Visits

    Directory of Open Access Journals (Sweden)

    Salma K. Jabbour

    2012-01-01

    Full Text Available Purpose. To compare the acute toxicities of IMRT to 3D-conformal radiation therapy (3DCRT in the treatment of rectal cancer. Methods and Materials. Eighty-six patients with rectal cancer preoperatively treated with IMRT (n=30 and 3DCRT (n=56 were retrospectively reviewed. Rates of acute toxicity between IMRT and 3DCRT were compared for anorexia, dehydration, diarrhea, nausea, vomiting, weight loss, radiation dermatitis, fatigue, pain, urinary frequency, and blood counts. Fisher's exact test and chi-square analysis were applied to detect statistical differences in incidences of toxicity between these two groups of patients. Results. There were fewer hospitalizations and emergency department visits in the group treated with IMRT compared with 3DCRT (P=0.005 and no treatment breaks with IMRT compared to 20% with 3DCRT (P=0.0002. Patients treated with IMRT had a significant reduction in grade ≥3 toxicities versus grade ≤2 toxicities (P=0.016 when compared to 3DCRT. The incidence of grade ≥3 diarrhea was 9% among 3DCRT patients compared to 3% among IMRT patients (P=0.31. Conclusions. IMRT for rectal cancer can reduce treatment breaks, emergency department visits, hospitalizations, and all grade ≥3 toxicities compared to 3DCRT. Further evaluation and followup is warranted to determine late toxicities and long-term results of IMRT.

  6. The effects of black garlic (Allium sativum L.) ethanol extract on the estimated total number of Purkinje cells and motor coordination of male adolescent Wistar rats treated with monosodium glutamate.

    Science.gov (United States)

    Aminuddin, M; Partadiredja, G; Sari, D C R

    2015-03-01

    A number of studies have indicated that monosodium glutamate (MSG) might cause negative effects on the nervous system, including in the cerebellum. Garlic (Allium sativum) has long been known as a flavouring agent and a traditional remedy for various illnesses. The present study aimed at investigating the effects of garlic on the motor coordination and the number of Purkinje cells present in rats treated with MSG. A total of 25 male Wistar rats aged 4 to 5 weeks old were used in this study and were divided into five groups, namely a negative control (C-) group, which received 0.9 % NaCl solution, a positive control (C+) group, which received MSG, and three treated groups, which received 2 mg/g bw of MSG and 2.5 mg (T2.5), 5 mg (T5), or 10 mg (T10) of black garlic solution per oral administration (per 200 g bw), respectively. All treatments were carried out for 10 days. Upon the end of the treatment, the motor performance of all rats were tested using the rotarod apparatus. The rats were subsequently sacrificed, and the cerebella of the rats were processed for stereological analyses. It has been found that the number of Purkinje cells of the cerebella of all treated groups were significantly higher than that of the group treated with MSG only. No changes in motor coordination function were observed as a result of MSG treatment.

  7. Hydraulic Response of Caisson Breakwaters in Multidirectional Breaking and Non-Breaking Waves

    DEFF Research Database (Denmark)

    Grønbech, J.; Kofoed, Jens Peter; Hald, Tue

    1998-01-01

    The present paper concerns the results and findings of a physical study on wave impacts on vertical caisson breakwaters situated in irregular, multidirectional breaking seas. The study has taken place as part of the framework programme "Dynamic of Structures" financially supported by the Danish...... Technical Research Council, during the period of January '97 to December '97. The tests were carried out in the 3D wave basin at the Hydraulics and Coastal Engineering Laboratory, Aalborg University. The objective of the study was to asses the effects of wave obliquity and multidirectionality on the wave...

  8. Breaks in the Breaks: A Time-Series Analysis of Divorce Rates

    OpenAIRE

    González-Val, Rafael; Marcén, Miriam

    2009-01-01

    The economic literature examining changes in divorce rates is not conclusive since legal reforms have been found to have permanent, transitory or no effect on divorce rates. This paper studies differences in divorce rates among 16 European countries from 1930 to 2006, by exploiting time-series analysis. We find that 37.5% of the divorce rate’s series are stationary, so that any shock had a transitory effect. However, we also detect structural breaks in the average divorce rate for each countr...

  9. Nutrition. You can break the diarrhoea circle.

    Science.gov (United States)

    1993-01-01

    During a diarrheal episode, the body cannot absorb nutrients as well as it can when it is healthy. Nutrient intake may fall as much as 33% during the first days of a diarrheal episode. Loss of appetite or vomiting often occurs, or mothers may follow traditional beliefs or incorrect recommendations and feed the child less. This contributes to malnutrition, which, in turn, facilitates infections (e.g., diarrhea) because the body does not have the nutrients to fight infections. In fact, malnourished children usually have longer and more severe episodes of acute diarrhea (14 days) than well-nourished children. Good nutrition before, during, and after diarrhea can break the cycle of malnutrition and diarrhea. If a child develops dehydration, oral rehydration therapy (ORT) should be administered and feeding (other than breast feeding) should be suspended for a few hours. ORT may include home fluids (e.g., soup). Caretakers should resume feeding within 4-6 hours after ORT begins. The children should receive at least 6 small meals a day during and after diarrhea. Severely malnourished children should continue to receive food, especially potassium-rich foods (e.g., bananas and coconut water) during ORT. Rehydration should last longer (12-24 hours) in severely malnourished children. Growth slows down during diarrhea regardless of food intake. During the recovery period, the very hungry children may consume as much as 2 times the amount normally eaten. Caretakers should provide an extra meal for a recovering child for 2 weeks. Breast feeding should continue at least at the same level during diarrhea. Non-breast-fed infants should continue to receive undiluted animal milk or formula during acute diarrhea. Older infants (=or 4 months) who are already receiving soft or solid foods should continue to receive them during diarrhea. Adding 1-2 teaspoonfuls of vegetable oil (e.g., red palm oil) to staple foods increases the energy content.

  10. PCB-Based Break-Out Box

    Science.gov (United States)

    Lee, Jason H.

    2011-01-01

    Break-out boxes (BOBs) are necessary for all electrical integration/cable checkouts and troubleshooting. Because the price of a BOB is high, and no work can be done without one, often the procedure stops, simply waiting for a BOB. A less expensive BOB would take less time in the integration, testing, and troubleshooting process. The PCB-based BOB works and looks the same as a standard JPL BOB, called Gold Boxes. The only differences between the old BOB and the new PCB-based BOB is that the new one has 80 percent of its circuitry in a printed circuit board. This process reduces the time for fabrication, thus making the BOBs less expensive. Moreover, because of its unique design, the new BOBs can be easily assembled and fixed. About 80 percent of the new PCB-based BOB is in a $22 (at the time of this reporting) custom-designed, yet commercially available PCB. This device has been used successfully to verify that BOB cables were properly made. Also, upon completion, the BOB was beeped out via a multimeter to ensure that all sockets on the connectors were properly connected to the respective banana jack. When compared to the Gold Box BOBs, the new BOB has many advantages. It is much more cost efficient, it delivers equal usability at substantially lower cost of the BOB, and the Gold Box is much heavier when compared to the new BOB. The new BOB is also a bit longer and much more versatile in that connectors are easily changeable and if a banana jack is broken, it can be replaced instead of throwing away an entire BOB.

  11. Sexual abuse, adolescent pregnancy, and child abuse. A developmental approach to an intergenerational cycle.

    Science.gov (United States)

    Stevens-Simon, C; Reichert, S

    1994-01-01

    To elucidate the relationship between childhood sexual abuse and adolescent pregnancy. Articles published in English during the past two decades and pertaining to the sequelae of childhood sexual abuse or the antecedents of adolescent pregnancy. Studies that did not contain data pertinent to the relationship between childhood sexual abuse and adolescent pregnancy were excluded. Studies suggest that former victims of childhood sexual abuse may be at increased risk for conception during adolescence and that adolescent pregnancies that are antedated by childhood sexual abuse are often only one manifestation of socially deviant behavior. Experiences associated with childhood sexual abuse may affect the incidence and the outcome of adolescent childbearing. Identification and treatment of previously abused adolescent prenatal patients may break this vicious intergenerational cycle of violence.

  12. Spectra of massive QCD Dirac operators from random matrix theory: all three chiral symmetry breaking patterns

    Energy Technology Data Exchange (ETDEWEB)

    Akemann, G.; Kanzieper, E

    2001-03-01

    The microscopic spectral eigenvalue correlations of QCD Dirac operators in the presence of dynamical fermions are calculated within the framework of Random Matrix Theory (RMT). Our approach treats the low-energy correlation functions of all three chiral symmetry breaking patterns (labeled by the Dyson index {beta} = 1, 2 and 4) on the same footing, offering a unifying description of massive QCD Dirac spectra. RMT universality is explicitly proven for all three symmetry classes and the results are compared to the available lattice data for {beta} = 4.

  13. Ago2 facilitates Rad51 recruitment and DNA double-strand break repair by homologous recombination

    DEFF Research Database (Denmark)

    Gao, Min; Wei, Wei; Li, Ming Hua

    2014-01-01

    DNA double-strand breaks (DSBs) are highly cytotoxic lesions and pose a major threat to genome stability if not properly repaired. We and others have previously shown that a class of DSB-induced small RNAs (diRNAs) is produced from sequences around DSB sites. DiRNAs are associated with Argonaute...... cells. Interestingly, we show that Ago2 forms a complex with Rad51 and that the interaction is enhanced in cells treated with ionizing radiation. We demonstrate that Rad51 accumulation at DSB sites and HR repair depend on catalytic activity and small RNA-binding capability of Ago2. In contrast, DSB...

  14. Adolescent contraception.

    Science.gov (United States)

    Apter, Dan

    2012-01-01

    Sexual health for adolescents is based on three components: recognizing sexual rights, sexuality education and counseling, and confidential high-quality services. Contraception needs to include prevention of both STIs and pregnancy. The main options for adolescents are condoms backed-up by emergency contraception; and hormonal contraceptives in a longer, mutually monogamous relationship. Condoms and hormonal contraception together can be well recommended for adolescents. Condom use should not be stopped before it is reasonably certain that the partner is STI-negative. Other alternatives can be considered in special cases. Improved contraceptive methods do not automatically lead to reduced numbers of adolescent abortions. The prevention of unintended adolescent pregnancies requires four elements: a desire to use protection, a good contraceptive method, ability to obtain the contraceptive method, and ability to use it. All these components are important, and if one is missing contraception will fail. In the developed countries, we have good contraceptive methods, but improvements are still needed in the other components. When adolescent sexuality is not condemned but sexuality education and sexual health services instead are provided, it is possible to profoundly improve adolescent sexual health with comparatively small costs. Each year new groups of young people mature, requiring new efforts. Copyright © 2012 S. Karger AG, Basel.

  15. Stages of Adolescence

    Science.gov (United States)

    ... Español Text Size Email Print Share Stages of Adolescence Page Content Article Body Adolescence, these years from puberty to adulthood, may be roughly divided into three stages: early adolescence, generally ages eleven to fourteen; middle adolescence, ages ...

  16. Electronic cigarettes induce DNA strand breaks and cell death independently of nicotine in cell lines.

    Science.gov (United States)

    Yu, Vicky; Rahimy, Mehran; Korrapati, Avinaash; Xuan, Yinan; Zou, Angela E; Krishnan, Aswini R; Tsui, Tzuhan; Aguilera, Joseph A; Advani, Sunil; Crotty Alexander, Laura E; Brumund, Kevin T; Wang-Rodriguez, Jessica; Ongkeko, Weg M

    2016-01-01

    Evaluate the cytotoxicity and genotoxicity of short- and long-term e-cigarette vapor exposure on a panel of normal epithelial and head and neck squamous cell carcinoma (HNSCC) cell lines. HaCaT, UMSCC10B, and HN30 were treated with nicotine-containing and nicotine-free vapor extract from two popular e-cigarette brands for periods ranging from 48 h to 8 weeks. Cytotoxicity was assessed using Annexin V flow cytometric analysis, trypan blue exclusion, and clonogenic assays. Genotoxicity in the form of DNA strand breaks was quantified using the neutral comet assay and γ-H2AX immunostaining. E-cigarette-exposed cells showed significantly reduced cell viability and clonogenic survival, along with increased rates of apoptosis and necrosis, regardless of e-cigarette vapor nicotine content. They also exhibited significantly increased comet tail length and accumulation of γ-H2AX foci, demonstrating increased DNA strand breaks. E-cigarette vapor, both with and without nicotine, is cytotoxic to epithelial cell lines and is a DNA strand break-inducing agent. Further assessment of the potential carcinogenic effects of e-cigarette vapor is urgently needed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. 3D Simulation of Dam-break effect on a Solid Wall using Smoothed Particle Hydrodynamics

    CERN Document Server

    Suprijadi,; Naa, Christian; Putra, Anggy Trisnawan

    2013-01-01

    Dam is built for water supply, water flow or flooding control and electricity energy storage, but in other hand, dam is one of the most dangerous natural disaster in many countries including in Indonesia. The impact of dam break in neighbour area and is huge and many flooding in remote area, as happen in Dam Situ Gintung in Tangerang (close to Jakarta) in 2009. Smoothed Particle Hydrodynamics (SPH), is one of numerical method based on Lagrangian grid which is ap- plied in astrophysical simulation may be used to solve the simulation on dam break effect. The development of SPH methods become alternative methods to solving Navier Stokes equation, which is main key in fluid dynamic simulation. In this paper, SPH is developed for supporting solid par- ticles in use for 3D dam break effect (3D-DBE) simulation. Solid particle have been treated same as fluid particles with additional calculation for converting gained position became translation and rotation of solid object in a whole body. With this capability, the r...

  18. Adolescent development.

    Science.gov (United States)

    Blakeney, A B

    1985-01-01

    Adolescence is a period of development considered by most to be transitory. It is often viewed as filled with storm, rebellion, and conflict. Although the profession of occupational therapy has developed special practice areas and generated research in the areas of pediatrics and gerontology, little focus in our literature has been placed on adolescents and their special needs in development and treatment. This paper presents an overview of normal development in adolescence. The model of human occupation is used as structure to organize research from other fields to provide therapists with useful guidelines for treatment.

  19. An automatic system for elaboration of chip breaking diagrams

    DEFF Research Database (Denmark)

    Andreasen, Jan Lasson; De Chiffre, Leonardo

    1998-01-01

    A laboratory system for fully automatic elaboration of chip breaking diagrams has been developed and tested. The system is based on automatic chip breaking detection by frequency analysis of cutting forces in connection with programming of a CNC-lathe to scan different feeds, speeds and cutting...... depths. An evaluation of the system based on a total of 1671 experiments has shown that unfavourable snarled chips can be detected with 98% certainty which indeed makes the system a valuable tool in chip breakability tests. Using the system, chip breaking diagrams can be elaborated with a previously...

  20. Flavour breaking effects in the pseudoscalar meson decay constants

    Energy Technology Data Exchange (ETDEWEB)

    Bornyakov, V.G. [Institute for High Energy Physics, Protvino (Russian Federation); Institute of Theoretical and Experimental Physics, Moscow (Russian Federation); Far Eastern Federal Univ., Vladivostok (Russian Federation). School of Biomedicine; Horsley, R. [Edinburgh Univ. (United Kingdom). School of Physics and Astronomy; Nakamura, Y. [RIKEN Advanced Institute for Computational Science, Hyogo (Japan); Perlt, H.; Schiller, A. [Leipzig Univ. (Germany). Inst. fuer Theoretische Physik; Pleiter, D. [Forschungszentrum Juelich (Germany). Juelich Supercomputing Centre; Regensburg Univ. (Germany). Inst. fuer Theoretische Physik; Rakow, P.E.L. [Liverpool Univ. (United Kingdom). Theoretical Physics Division; Schierholz, G. [DESY Hamburg (Germany); Stueben, H. [Hamburg Univ. (Germany). Regionales Rechenzentrum; Zanotti, J.M. [Adelaide Univ. (Australia). CSSM, Dept. of Physics; Collaboration: QCDSF-UKQCD Collaborations

    2016-12-14

    The SU(3) flavour symmetry breaking expansion in up, down and strange quark masses is extended from hadron masses to meson decay constants. This allows a determination of the ratio of kaon to pion decay constants in QCD. Furthermore when using partially quenched valence quarks the expansion is such that SU(2) isospin breaking effects can also be determined. It is found that the lowest order SU(3) flavour symmetry breaking expansion (or Gell-Mann-Okubo expansion) works very well. Simulations are performed for 2+1 flavours of clover fermions at four lattice spacings.

  1. Spontaneous symmetry breaking in spinor Bose-Einstein condensates

    DEFF Research Database (Denmark)

    Scherer, Manuel; Lücke, Bernd; Peise, Jan

    2013-01-01

    We present an analytical model for the theoretical analysis of spin dynamics and spontaneous symmetry breaking in a spinor Bose-Einstein condensate (BEC). This allows for an excellent intuitive understanding of the processes and provides good quantitative agreement with the experimental results...... in the creation efficiency of these atom pairs can be traced back to excitation modes of this confinement. The understanding of these excitation modes allows for a detailed characterization of the symmetry-breaking mechanism, showing how a twofold spontaneous breaking of spatial and spin symmetry can occur....... In addition, a detailed account of the experimental methods for the preparation and analysis of spinor quantum gases is given....

  2. Automatic assessment of tear film break-up dynamics.

    Science.gov (United States)

    Ramos, L; Barreira, N; Pena-Verdeal, H; Giráldez, M J

    2014-01-01

    Dry eye syndrome is a common disorder of the tear film which affects a remarkable percentage of the population. The Break-Up Time (BUT) is a clinical test used for the diagnosis of this disease, which computes the time the first tear film break-up appears. This work describes a fully automatic methodology to compute the BUT measurement and evaluate the break-up dynamics until the final blink. This analysis provides useful additional information for the assessment of tear film stability.

  3. Breaking bad news to people with a learning disability.

    Science.gov (United States)

    Read, S

    This article identifies the difficulties often associated with breaking bad news, from a nursing perspective. The additional considerations involved in breaking bad news to people with learning disabilities are identified, and a six-step protocol (Buckman, 1991) is introduced and explored in relation to this client group. Effective communication is seen to be crucial when working with people with a learning disability, and a system for accurate listening is offered (Conboy-Hill, 1992). Finally, recommendations for helping professionals to learn how to break bad news sensitively to this client group are suggested. They include multi-agency working, education and training opportunities, standard statements, resources, support and research initiatives.

  4. Unified models of the QCD axion and supersymmetry breaking

    Directory of Open Access Journals (Sweden)

    Keisuke Harigaya

    2017-08-01

    Full Text Available Similarities between the gauge meditation of supersymmetry breaking and the QCD axion model suggest that they originate from the same dynamics. We present a class of models where supersymmetry and the Peccei–Quinn symmetry are simultaneously broken. The messengers that mediate the effects of these symmetry breakings to the Standard Model are identical. Since the axion resides in the supersymmetry breaking sector, the saxion and the axino are heavy. We show constraints on the axion decay constant and the gravitino mass.

  5. Spontaneous symmetry breaking, self-trapping, and Josephson oscillations

    CERN Document Server

    2013-01-01

    This volume collects a a number of contributions on spontaneous symmetry breaking. Current studies in this general field are going ahead at a full speed. The book present review chapters which give an overview on the major break throughs of recent years. It covers a number of different physical settings which are introduced when a nonlinearity is added to the underlying symmetric problems and its strength exceeds a certain critical value. The corresponding loss of symmetry, called spontaneous symmetry breaking, alias self-trapping into asymmetric states is extensively discussed in this book.

  6. Simulation of breaking waves using the high-order spectral method with laboratory experiments: wave-breaking energy dissipation

    Science.gov (United States)

    Seiffert, Betsy R.; Ducrozet, Guillaume

    2017-11-01

    We examine the implementation of a wave-breaking mechanism into a nonlinear potential flow solver. The success of the mechanism will be studied by implementing it into the numerical model HOS-NWT, which is a computationally efficient, open source code that solves for the free surface in a numerical wave tank using the high-order spectral (HOS) method. Once the breaking mechanism is validated, it can be implemented into other nonlinear potential flow models. To solve for wave-breaking, first a wave-breaking onset parameter is identified, and then a method for computing wave-breaking associated energy loss is determined. Wave-breaking onset is calculated using a breaking criteria introduced by Barthelemy et al. (J Fluid Mech https://arxiv.org/pdf/1508.06002.pdf, submitted) and validated with the experiments of Saket et al. (J Fluid Mech 811:642-658, 2017). Wave-breaking energy dissipation is calculated by adding a viscous diffusion term computed using an eddy viscosity parameter introduced by Tian et al. (Phys Fluids 20(6): 066,604, 2008, Phys Fluids 24(3), 2012), which is estimated based on the pre-breaking wave geometry. A set of two-dimensional experiments is conducted to validate the implemented wave breaking mechanism at a large scale. Breaking waves are generated by using traditional methods of evolution of focused waves and modulational instability, as well as irregular breaking waves with a range of primary frequencies, providing a wide range of breaking conditions to validate the solver. Furthermore, adjustments are made to the method of application and coefficient of the viscous diffusion term with negligible difference, supporting the robustness of the eddy viscosity parameter. The model is able to accurately predict surface elevation and corresponding frequency/amplitude spectrum, as well as energy dissipation when compared with the experimental measurements. This suggests the model is capable of calculating wave-breaking onset and energy dissipation

  7. Simulation of breaking waves using the high-order spectral method with laboratory experiments: wave-breaking energy dissipation

    Science.gov (United States)

    Seiffert, Betsy R.; Ducrozet, Guillaume

    2018-01-01

    We examine the implementation of a wave-breaking mechanism into a nonlinear potential flow solver. The success of the mechanism will be studied by implementing it into the numerical model HOS-NWT, which is a computationally efficient, open source code that solves for the free surface in a numerical wave tank using the high-order spectral (HOS) method. Once the breaking mechanism is validated, it can be implemented into other nonlinear potential flow models. To solve for wave-breaking, first a wave-breaking onset parameter is identified, and then a method for computing wave-breaking associated energy loss is determined. Wave-breaking onset is calculated using a breaking criteria introduced by Barthelemy et al. (J Fluid Mech https://arxiv.org/pdf/1508.06002.pdf, submitted) and validated with the experiments of Saket et al. (J Fluid Mech 811:642-658, 2017). Wave-breaking energy dissipation is calculated by adding a viscous diffusion term computed using an eddy viscosity parameter introduced by Tian et al. (Phys Fluids 20(6): 066,604, 2008, Phys Fluids 24(3), 2012), which is estimated based on the pre-breaking wave geometry. A set of two-dimensional experiments is conducted to validate the implemented wave breaking mechanism at a large scale. Breaking waves are generated by using traditional methods of evolution of focused waves and modulational instability, as well as irregular breaking waves with a range of primary frequencies, providing a wide range of breaking conditions to validate the solver. Furthermore, adjustments are made to the method of application and coefficient of the viscous diffusion term with negligible difference, supporting the robustness of the eddy viscosity parameter. The model is able to accurately predict surface elevation and corresponding frequency/amplitude spectrum, as well as energy dissipation when compared with the experimental measurements. This suggests the model is capable of calculating wave-breaking onset and energy dissipation

  8. Adolescent pregnancy.

    Science.gov (United States)

    Short, J D; Slusher, I L

    1994-01-01

    Kentucky has the fourth highest percentage of infants born to teenage mothers in the US. Risk factors for adolescent pregnancy are poor academic performance, family history of adolescent pregnancy, absence of one or both biological parents in the home, troubled family relationships, family violence, history of substance abuse, and poor self-concept. Pregnancy adds new developmental requirements to the continual developmental crisis of adolescence. Some of these developmental requirements are dealing with pregnancy and birth of a child and peer and family reactions and relationships. Pregnant teens are at high risk for anemia, preeclampsia, preterm delivery, and low birth weight infants. The health care team must assess the abilities, needs, practices, and priorities of teens. Nurses should promote health and positive health practices in teens. They should focus on prevention of adolescent pregnancy and on meeting the needs of pregnant teens. Adolescent pregnancy interventions include education and adolescent-centered special programs. Peer groups, role playing, videos, and computer games are individualized and effective education techniques for teens. Formal adolescent pregnancy prevention programs are abstinence education, knowledge-based programs, and clinic-focused or school-based programs. A combination of approaches is more effective than using just one approach. Adolescent pregnancy prevention interventions should promote the value of education, discourage substance abuse, and provide counseling for victims of child abuse. Pregnant teens should receive prenatal care as soon as possible. One health care agency should combine physical care, psychosocial support, and education for teens. Kentucky schools help pregnant teens continue their education and help them obtain information and support for care for themselves and their babies. Nurses can be effective at reducing the number of unwanted teen pregnancies.

  9. Involvement of EARLY BUD-BREAK, an AP2/ERF Transcription Factor Gene, in Bud Break in Japanese Pear (Pyrus pyrifolia Nakai) Lateral Flower Buds: Expression, Histone Modifications and Possible Target Genes.

    Science.gov (United States)

    Anh Tuan, Pham; Bai, Songling; Saito, Takanori; Imai, Tsuyoshi; Ito, Akiko; Moriguchi, Takaya

    2016-05-01

    In the Japanese pear (Pyrus pyrifolia Nakai) 'Kosui', three developmental stages of lateral flower buds have been proposed to occur during ecodormancy to the flowering phase, i.e. rapid enlargement, sprouting and flowering. Here, we report an APETALA2/ethylene-responsive factor (AP2/ERF) transcription factor gene, named pear EARLY BUD-BREAK (PpEBB), which was highly expressed during the rapid enlargement stage occurring prior to the onset of bud break in flower buds. Gene expression analysis revealed that PpEBB expression was dramatically increased during the rapid enlargement stage in three successive growing seasons. PpEBB transcript levels peaked 1 week prior to onset of bud break in 'Kosui' potted plants treated with hydrogen cyanamide or water under forcing conditions. Chromatin immunoprecipitation-quantitative PCR showed that higher levels of active histone modifications (trimethylation of the histone H3 tail at Lys4) in the 5'-upstream and start codon regions of the PpEBB gene were associated with the induced expression level of PpEBB during the rapid enlargement stage. In addition, we provide evidence that PpEBB may interact with and regulate pear four D-type cyclin (PpCYCD3) genes during bud break in 'Kosui' lateral flower buds. PpEBB significantly increased the promoter activities of four PpCYCD3 genes in a dual-luciferase assay using tobacco leaves. Taken together, our findings uncovered aspects of the bud break regulatory mechanism in the Japanese pear and provided further evidence that the EBB family plays an important role in bud break in perennial plants. © The Author 2016. Published by Oxford University Press on behalf of Japanese Society of Plant Physiologists. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  10. STRESS FRACTURE OF THE ULNA IN A BREAK-DANCER

    Directory of Open Access Journals (Sweden)

    Yu-Hsu Chen

    2008-12-01

    Full Text Available Break dancing is a popular activity in teenagers and is associated with severe trauma to bones and tissues. We report the first known case of a break dancer with an ulnar stress fracture. Such injuries occur in a variety of sports due to substantial stress on the ulna and repetitive excessive rotation of the forearm. In this study we describe a patient who experienced an ulnar stress fracture during break dancing training. The diagnosis was established by history and physical examination. Initial radiographic findings were negative. However, radiographs taken 3 months after initial presented revealed callus formation over the ulnar shaft. This suggested that readjustment is required in break dancing training protocols. It is important to increase awareness of this injury among physicians to expedite the diagnosis and to prevent the possibility of conversion to an overt fracture in the future

  11. Effective photon mass by Super and Lorentz symmetry breaking

    National Research Council Canada - National Science Library

    Bonetti, Luca; dos Santos Filho, Luís R; Helayël-Neto, José A; Spallicci, Alessandro D.A.M

    2017-01-01

    .... Thus, we extract a massive Carroll–Field–Jackiw photon term in the Lagrangian and show that the effective mass is proportional to the breaking vector and moderately dependent on the direction of observation...

  12. Chip breaking for an automated accurate turning system

    Energy Technology Data Exchange (ETDEWEB)

    Burnham, M.W. (BDM Corp., Albuquerque, NM (USA)); Abbatiello, L.A. (Oak Ridge Y-12 Plant, TN (USA))

    1988-01-01

    Based upon a survey of chip breakup information, the various methods have been evaluated for application to automated accurate turning systems. Many chip breaking methods work well on shafts or cylinders but fail to break chips for an entire inside or outside contouring cut. Many metals produce straight or snarled chip forms at small depths of cut, feed rates, or moderate surface speeds. These chip forms can be a cause of workpiece and tool damage. Such forms also interfere with on-machine gaging, part transfer, and tool change. Often the chip wraps around the tool holder and is difficult to remove even in manual operation. Computer analysis now makes it possible to get the most of each types of chip breaking system. Reliable ship breaking is urgently needed for automated systems, especially those operating in an unmanned mode. 83 refs., 10 figs., 2 tabs.

  13. Chip breaking and control for a precision automated turning system

    Energy Technology Data Exchange (ETDEWEB)

    Burnham, M.W. (BDM International, Inc., McLean, VA (USA)); Abbatiello, L.A. (Martin Marietta Energy Systems, Inc., Oak Ridge, TN (USA))

    1990-01-01

    Chip breaking and control is essential to automatic operation of precision turning systems. Failure to transfer parts and system jams can occur if chip fragments are not continuously removed. Surface damage and tool breakage also result from chips that are permitted to wrap around the tool. Also, with increasing environmental concerns, chip handling and recycling are becoming major issues in manufacturing. New information on a variety of mechanisms for breaking chips and methods for removal from the system are discussed. Some of the chip breaking methods are evaluated for the range of cutting in which they are effective. Chip curl and chip breaking analyzed carefully by Nakayama and others is expanded to more fully understand the ways in which chips can be broken. 23 figs.

  14. Footprints of Buildings at Cedar Breaks National Monument, Utah (footprints)

    Data.gov (United States)

    National Park Service, Department of the Interior — This is an Arc/INFO coverage consisting of 10 polygons representing the buildings' footprints at Cedar Breaks National Monument, Utah. The footprints were collected...

  15. Approximate equations at breaking for nearshore wave transformation coefficients

    Digital Repository Service at National Institute of Oceanography (India)

    Chandramohan, P.; Nayak, B.U.; SanilKumar, V.

    Based on small amplitude wave theory approximate equations are evaluated for determining the coefficients of shoaling, refraction, bottom friction, bottom percolation and viscous dissipation at breaking. The results obtainEd. by these equations...

  16. Could dynamical Lorentz symmetry breaking induce the superluminal neutrinos?

    Energy Technology Data Exchange (ETDEWEB)

    Nojiri, Shin' ichi [Nagoya University, Department of Physics, Nagoya (Japan); Nagoya University, Kobayashi-Maskawa Institute for the Origin of Particles and the Universe, Nagoya (Japan); Odintsov, Sergei D. [Facultat de Ciencies, Institucio Catalana de Recerca i Estudis Avancats (ICREA) and Institut de Ciencies de l' Espai (IEEC-CSIC), Campus UAB, Bellaterra (Barcelona) (Spain); Tomsk State Pedagogical University, Tomsk (Russian Federation)

    2011-11-15

    A toy fermion model coupled to the Lagrange multiplier constraint field is proposed. The possibility of superluminal neutrino propagation as a result of dynamical Lorentz symmetry breaking is studied. (orig.)

  17. Recurring genomic breaks in independent lineages support genomic fragility

    Directory of Open Access Journals (Sweden)

    Hannenhalli Sridhar

    2006-11-01

    Full Text Available Abstract Background Recent findings indicate that evolutionary breaks in the genome are not randomly distributed, and that certain regions, so-called fragile regions, are predisposed to breakages. Previous approaches to the study of genomic fragility have examined the distribution of breaks, as well as the coincidence of breaks with segmental duplications and repeats, within a single species. In contrast, we investigate whether this regional fragility is an inherent genomic characteristic and is thus conserved over multiple independent lineages. Results We do this by quantifying the extent to which certain genomic regions are disrupted repeatedly in independent lineages. Our investigation, based on Human, Chimp, Mouse, Rat, Dog and Chicken, suggests that the propensity of a chromosomal region to break is significantly correlated among independent lineages, even when covariates are considered. Furthermore, the fragile regions are enriched for segmental duplications. Conclusion Based on a novel methodology, our work provides additional support for the existence of fragile regions.

  18. Spontaneous Breaking of Spatial and Spin Symmetry in Spinor Condensates

    DEFF Research Database (Denmark)

    Scherer, M.; Lücke, B.; Gebreyesus, G.

    2010-01-01

    Parametric amplification of quantum fluctuations constitutes a fundamental mechanism for spontaneous symmetry breaking. In our experiments, a spinor condensate acts as a parametric amplifier of spin modes, resulting in a twofold spontaneous breaking of spatial and spin symmetry in the amplified...... broken, but phase squeezing prevents spin-symmetry breaking. If, however, nondegenerate spin modes contribute to the amplification, quantum interferences lead to spin-dependent density profiles and hence spontaneously formed patterns in the longitudinal magnetization....... clouds. Our experiments permit a precise analysis of the amplification in specific spatial Bessel-like modes, allowing for the detailed understanding of the double symmetry breaking. On resonances that create vortex-antivortex superpositions, we show that the cylindrical spatial symmetry is spontaneously...

  19. Breaking supercontinents; no need to choose between passive or active

    Science.gov (United States)

    Wolstencroft, Martin; Davies, J. Huw

    2017-08-01

    Much debate has centred on whether continental break-up is predominantly caused by active upwelling in the mantle (e.g. plumes) or by long-range extensional stresses in the lithosphere. We propose the hypothesis that global supercontinent break-up events should always involve both. The fundamental principle involved is the conservation of mass within the spherical shell of the mantle, which requires a return flow for any major upwelling beneath a supercontinent. This shallow horizontal return flow away from the locus of upwelling produces extensional stress. We demonstrate this principle with numerical models, which simultaneously exhibit both upwellings and significant lateral flow in the upper mantle. For non-global break-up the impact of the finite geometry of the mantle will be less pronounced, weakening this process. This observation should motivate future studies of continental break-up to explicitly consider the global perspective, even when observations or models are of regional extent.

  20. Stroma Breaking Theranostic Nanoparticles for Targeted Pancreatic Cancer Therapy

    Science.gov (United States)

    This project develops a dual-targeted and stroma breaking theranostic nanoparticle platform to address an unmet, clinical challenge of poor drug delivery efficiency in the application of nanomedicine to cancer therapy.

  1. ATLAS diboson excess from low scale supersymmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Petersson, Christoffer [Department of Fundamental Physics, Chalmers University of Technology,412 96 Göteborg (Sweden); Physique Théorique et Mathématique, Université Libre de Bruxelles,C.P. 231, 1050 Brussels (Belgium); International Solvay Institutes,1050 Brussels (Belgium); Torre, Riccardo [Dipartimento di Fisica e Astronomia, Università di Padova and INFN Sezione di Padova,Via Marzolo 8, I-35131 Padova (Italy)

    2016-01-18

    We provide an interpretation of the recent ATLAS diboson excess in terms of a class of supersymmetric models in which the scale of supersymmetry (SUSY) breaking is in the few TeV range. The particle responsible for the excess is the scalar superpartner of the Goldstone fermion associated with SUSY breaking, the sgoldstino. This scalar couples strongly to the Standard Model vector bosons and weakly to the fermions, with all coupling strengths determined by ratios of soft SUSY breaking parameters over the SUSY breaking scale. Explaining the ATLAS excess selects particular relations and ranges for the gaugino masses, while imposing no constraints on the other superpartner masses. Moreover, this signal hypothesis predicts a rate in the Zγ final state that is expected to be observable at the LHC Run II already with a few fb{sup −1} of integrated luminosity.

  2. A two-dimensional dam-break flood plain model

    Science.gov (United States)

    Hromadka, T.V.; Berenbrock, C.E.; Freckleton, J.R.; Guymon, G.L.

    1985-01-01

    A simple two-dimensional dam-break model is developed for flood plain study purposes. Both a finite difference grid and an irregular triangle element integrated finite difference formulation are presented. The governing flow equations are approximately solved as a diffusion model coupled to the equation of continuity. Application of the model to a hypothetical dam-break study indicates that the approach can be used to predict a two-dimensional dam-break flood plain over a broad, flat plain more accurately than a one-dimensional model, especially when the flow can break-out of the main channel and then return to the channel at other downstream reaches. ?? 1985.

  3. Utilities at Cedar Breaks National Monument, Utah (utilpnt)

    Data.gov (United States)

    National Park Service, Department of the Interior — This feature class represents various types of utilities, including water- and power-related utilities, at Cedar Breaks National Monument, Utah. The utilities were...

  4. Nearshore bars and the break-point hypothesis

    Science.gov (United States)

    Sallenger, A.H.; Howd, P.A.

    1989-01-01

    The set of hypotheses calling for bar formation at the break point was tested with field data. During two different experiments, waves were measured across the surf zone coincident with the development of a nearshore bar. We use a criterion, based on the wave height to depth ratio, to determine the offshore limit of the inner surf zone. During the first experiment, the bar became better developed and migrated offshore while remaining well within the inner surf zone. During the second experiment, the surf zone was narrower and we cannot rule out the possibility of break point processes contributing to bar development. We conclude that bars are not necessarily coupled with the break point and can become better developed and migrate offshore while being in the inner surf zone landward from initial wave breaking in the outer surf zone. ?? 1989.

  5. Non-minimal scalar multiplets, supersymmetry breaking and dualities

    Energy Technology Data Exchange (ETDEWEB)

    Farakos, Fotis; Hulík, Ondřej; Kočí, Pavel; Unge, Rikard von [Institute for Theoretical Physics, Masaryk University,611 37 Brno (Czech Republic)

    2015-09-25

    We study supersymmetry breaking in theories with non-minimal multiplets (such as the complex linear or CNM multiplets), by using superspace higher derivative terms which give rise to new supersymmetry breaking vacuum solutions on top of the standard supersymmetric vacuum. We illustrate the decoupling of the additional massive sectors inside the complex linear and the CNM multiplets and show that only the Goldstino sector is left in the low energy limit. We also discuss the duality between non-minimal scalar multiplets and chiral multiplets in the presence of superspace higher derivatives. From the superspace Noether procedure we calculate the supercurrents, and we show that in the supersymmetry breaking vacuum the chiral superfield X which enters the Ferrara-Zumino supercurrent conservation equation does indeed flow in the IR to the chiral constrained Goldstino superfield. We also provide a description of the Goldstino sector in terms of the Samuel-Wess superfield for the supersymmetry breaking mechanism at hand.

  6. Dam-Break Flood Analysis Upper Hurricane Reservoir, Hartford, Vermont

    National Research Council Canada - National Science Library

    Acone, Scott

    1995-01-01

    .... Various dam break flood conditions were modeled and inundation maps developed. Based on this analysis the dam is rated a Class 2 or significant hazard category in terms of its potential to cause downstream damage...

  7. Mind the Gap: Women in STEM Career Breaks

    Directory of Open Access Journals (Sweden)

    Catherine Mavriplis

    2010-03-01

    Full Text Available There are two issues related to women and pathways to STEM careers. Recruitment to the field is one aspect. The second issue is the retention of women in STEM fields. This paper reports on the structured interviews with 14 women who have taken career breaks sometime after receiving their PhD in order to understand the pressures in place to take such breaks, how women remain connected (or not to their field during the break and issues related to re-entering the field after a career break. Suggestions based on the interviews include enhancements for women’s preparation for STEM fields and changes to the STEM culture itself. We suggest the inclusion workshops to detail what they might expect in their career and a provision for networking opportunities. We urge changes in the fee structure for society membership, differences in how resumes are reviewed as well as changes in maternity and child care leave.

  8. Ras activation and symmetry breaking during Dictyostelium chemotaxis

    NARCIS (Netherlands)

    Kortholt, Arjan; Keizer-Gunnink, Ineke; Kataria, Rama; Van Haastert, Peter J. M.

    2013-01-01

    Central to chemotaxis is the molecular mechanism by which a shallow spatial gradient of chemoattractant induces symmetry breaking of activated signaling molecules. Previously, we have used Dictyostelium mutants to investigate the minimal requirements for chemotaxis, and identified a basal signaling

  9. Automatic first-break picking using the instantaneous traveltime attribute

    KAUST Repository

    Saragiotis, Christos

    2012-01-01

    Picking the first breaks is an important step in seismic processing. The large volume of the seismic data calls for automatic and objective picking. We introduce a new automatic first-break picker, which uses specifically designed time windows and an iterative procedure based on the instantaneous traveltime attribute. The method is fast as it only uses a few FFT\\'s per trace. We demonstrate the effectiveness of this automatic method by applying it on real test data.

  10. Some geological and geophysical aspects in electric rock breaking

    CSIR Research Space (South Africa)

    Henry, G

    2011-08-01

    Full Text Available in mining Novel mining methods autonomous narrow reef miner (<50 cm high) CMI Carlow Road Campus Rock breaker (non-explosive; ore processor) 3D scanner ? mapping Roof sounding device Underground navigation How rock breaks ? CSIR 2011 Slide 3... Marx generator transformer From: Ilgner (2006) Single ?shot high voltage electric rock breaking (2003) ? CSIR 2011 Slide10 Inefficient Comminution by Compression (-) (+) Water Direct Comminution by Explosion (-) (+) 6 mm Screen Water...

  11. 11Li structural information from inclusive break-up measurements

    Directory of Open Access Journals (Sweden)

    Fernández-García J. P.

    2015-01-01

    Full Text Available Structure information of 11Li halo nucleus has been obtained from the inclusive break-up measurements of the 11Li+208Pb reactions at energies around the Coulomb barrier (Elab = 24.3 and 29.8 MeV. The effective break-up energy and the slope of B(E1 distribution close to the threshold have been extracted from the experimental data.

  12. Anomalous U(1) as a mediator of Supersymmetry Breaking

    CERN Document Server

    Dvali, Gia; Dvali, Gia; Pomarol, Alex

    1996-01-01

    We point out that an anomalous gauge U(1) symmetry is a natural candida= te for being the mediator and messenger of supersymmetry breaking. It facilitate= s dynamical supersymmetry breaking even in the flat limit. Soft masses are induced by both gravity and the U(1) gauge interactions giving an unusual= mass hierarchy in the sparticle spectrum which suppresses flavor violations. T= his scenario does not suffer from the Polonyi problem.

  13. Measurement of Entrained Air Bubbles and Vortices in Breaking Waves

    OpenAIRE

    大塚, 淳一; 渡部, 靖憲; Junichi, Otsuka; Yasunori, Watanabe; 北海道大学大学院工学研究科; School of Engineering, Hokkaido University

    2007-01-01

    Breaking waves produce numbers of vortices through a jet splashing process and also entrain many air bubbles, forming complicated air-water two-phase turbulent flow field in a surf zone. In this research, a simultaneous velocity measurement technique of water and bubble flows in breaking waves is developed for characterizing water-bubble interactions within vortices in a surf zone. The bubbles and neutral buoyant tracers are separately recorded by two different digital video cameras on the ba...

  14. Framework for an asymptotically safe standard model via dynamical breaking

    Science.gov (United States)

    Abel, Steven; Sannino, Francesco

    2017-09-01

    We present a consistent embedding of the matter and gauge content of the Standard Model into an underlying asymptotically safe theory that has a well-determined interacting UV fixed point in the large color/flavor limit. The scales of symmetry breaking are determined by two mass-squared parameters with the breaking of electroweak symmetry being driven radiatively. There are no other free parameters in the theory apart from gauge couplings.

  15. Fuel weight and removal costs in fuel-break construction

    Science.gov (United States)

    James L. Murphy

    1966-01-01

    Three major fuel types were sampled during fuel-break construction on the west side of the Sierra Nevada, California. Fuel weight per acre ranged from 12.2. to 420.6 tons per acre on average. Fuel-break construction removed 27.9 to 40.5 percent of teh total fuel; costs ranged from $141.29 to $148.38 per acre and $1.16 to $4.43 per ton.

  16. Lorentz symmetry breaking effects on relativistic EPR correlations

    Energy Technology Data Exchange (ETDEWEB)

    Belich, H. [Universidade Federal do Espirito Santo, Departamento de Fisica e Quimica, Vitoria, ES (Brazil); Furtado, C.; Bakke, K. [Universidade Federal da Paraiba, Departamento de Fisica, Caixa Postal 5008, Joao Pessoa, PB (Brazil)

    2015-09-15

    Lorentz symmetry breaking effects on relativistic EPR (Einstein-Podolsky-Rosen) correlations are discussed. From the modified Maxwell theory coupled to gravity, we establish a possible scenario of the Lorentz symmetry violation and write an effective metric for the Minkowski spacetime. Then we obtain the Wigner rotation angle via the Fermi-Walker transport of spinors and consider the WKB (Wentzel-Kramers-Brillouin) approximation in order to study the influence of Lorentz symmetry breaking effects on the relativistic EPR correlations. (orig.)

  17. Majorana Fermions, Supersymmetry Breaking, and Born-Infeld Theory

    CERN Document Server

    Ferrara, Sergio; Yeranyan, Armen

    2015-01-01

    This review is devoted to highlight some aspects of the relevance of Majorana fermions in rigid supersymmetry breaking in four spacetime dimensions. After introducing some basic facts on spinors, and on their symmetries and reality properties, we consider Goldstino actions describing partial breaking of rigid supersymmetry, then focussing on Born-Infeld non-linear theory, its duality symmetry, and its supersymmetric extensions, also including multi-field generalizations exhibiting doubly self-duality.

  18. Concepts of Electroweak Symmetry Breaking and Higgs Physics

    CERN Document Server

    Gomez-Bock, M; Mühlleitner, M; Spira, M; Zerwas, P M

    2008-01-01

    We present an introduction to the basic concepts of electroweak symmetry breaking and Higgs physics within the Standard Model and its supersymmetric extensions. A brief overview will also be given on alternative mechanisms of electroweak symmetry breaking. In addition to the theoretical basis, the present experimental status of Higgs physics and prospects at the Tevatron, the LHC and e+e- linear colliders are discussed.

  19. Concepts of electroweak symmetry breaking and Higgs physics

    Energy Technology Data Exchange (ETDEWEB)

    Gomez-Bock, M. [Benemerita Univ., Puebla (Mexico). Inst. de Fisica; Mondragon, M. [Universidad Nacional Autonoma de Mexico, Mexico City (Mexico). Inst. de Fisica; Muehlleitner, M. [Laboratoire d' Annecy-Le-Vieux de Physique Theorique, 74 (France)]|[CERN - European Organization for Nuclear Research, Geneva (Switzerland). Theory Div.; Spira, M. [Paul Scherrer Inst. (PSI), Villigen (Switzerland); Zerwas, P.M. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany)]|[RWTH Aachen (Germany). Inst. Theor. Physik E]|[Univ. Paris- Sud, Orsay (France). Laboratoire de Physique Theorique

    2007-12-15

    We present an introduction to the basic concepts of electroweak symmetry breaking and Higgs physics within the Standard Model and its supersymmetric extensions. A brief overview will also be given on alternative mechanisms of electroweak symmetry breaking. In addition to the theoretical basis, the present experimental status of Higgs physics and prospects at the Tevatron, the LHC and e{sup +}e{sup -} linear colliders are discussed. (orig.)

  20. Teaching medical students how to break bad news

    OpenAIRE

    Garg, A. (Abhishek); Buckman, R.; Kason, Y

    1997-01-01

    PROGRAM OBJECTIVE: To teach medical students to break bad news to patients and their families empathically and competently. SETTING: Seven teaching hospitals affiliated with the University of Toronto since 1987. PARTICIPANTS: All medical students in their third preclinical year. PROGRAM: The course presents a 6-point protocol to guide students in breaking bad news and comprises 2 half-day (3-hour) teaching sessions. Each session incorporates a video presentation, a discussion period and small...

  1. Supersymmetry breaking from superstrings and the gauge hierarchy

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard, M.K. (Lawrence Berkeley Lab., CA (USA) California Univ., Berkeley, CA (USA). Dept. of Physics)

    1990-07-11

    The gauge hierarchy problem is reviewed and a class of effective field theories obtained from superstrings is described. These are characterized by a classical symmetry, related to the space-time duality of string theory, that is responsible for the suppression of observable supersymmetry breaking effects. At the quantum level, the symmetry is broken by anomalies that provide the seed of observable supersymmetry breaking, and an acceptably large gauge hierarchy may be generated. 39 refs.

  2. Break-even zones for cable yarding by log size

    Science.gov (United States)

    Chris B. LeDoux

    1984-01-01

    The use of cable logging to extract small pieces of residue wood may result in low rates of production and a high cost per unit of wood produced. However, the logging manager can improve yarding productivity and break-even in cable residue removal operations by using the proper planning techniques. In this study, break-even zones for specific young-growth stands were...

  3. Breaking up Sedentary Behavior: Perceptions from Cancer Survivors

    Science.gov (United States)

    Paxton, Raheem J.; Anderson, Alexandra; Sakar, Sonali; Taylor, Wendell C.

    2015-01-01

    Background Limited data exist on the benefits of, barriers to, and potential strategies to break up time spent sitting in cancer survivors. Such data will be meaningful given the consequences of prolonged sitting. Objectives To conduct a mixed method research study consisting of semi-structured telephone interviews to identify recurrent themes associated with prolonged sitting in cancer survivors. Methods African American breast cancer survivors (N = 31) were recruited from a local tumor registry. Telephone interviews were conducted and group consensus processes were used to identify recurrent themes. The a priori categories were benefits, barriers, and potential strategies to breaking up prolonged periods of sitting. Results Recurrent themes contributing most to prolonged sitting were leisure time interest (45%: e.g., watching television and reading) and health challenges (27%: e.g., pain and fatigue). Most (66%) women perceived improved health as benefits to breaking up time spent sitting. Nonetheless, many (41%) survivors reported health (e.g., pain and fatigue) as the biggest challenge to breaking up time spent sitting. Engaging in light intensity activities (e.g., staying active, keep moving) was the most commonly reported strategy for breaking up prolonged sitting. Conclusions African American breast cancer survivors identified the benefits and barriers to breaking up time spent sitting as well as potential strategies to breaking up time-spent sitting. Implications for practice Clinicians are integral in promoting breaks from prolonged sitting throughout the initial phases of the cancer continuum. Successful studies will begin with early intervention in the clinical setting, following with interventions during the recovery phase. PMID:26713501

  4. Blinking and tear break-up during four visual tasks.

    Science.gov (United States)

    Himebaugh, Nikole L; Begley, Carolyn G; Bradley, Arthur; Wilkinson, Jenni A

    2009-02-01

    This study investigates the relationship between blinking, tear film break-up, and ocular symptoms for normal and dry eye subjects performing four different visual tasks. Sixteen control and sixteen dry eye subjects performed four visual tasks (looking straight ahead, watching a movie, identifying rapidly changing letters, and playing a computer game) while blink patterns and fluorescein images of the tear film were videotaped. Pre and posttesting symptom questionnaires, querying the intensity of nine symptoms of ocular irritation, were completed by all subjects. Blink rate and blink amplitude were computed from digitized videos. The percentage of tear film break-up before the blink was calculated. Dry eye subjects had a significantly higher blink rate (p = 0.017, t-test). Both groups blinked significantly less during the game and letter tasks (p break-up in normal subjects was typically inferior; whereas dry eye subjects showed more tear break-up centrally and superiorly. Real-time video recording of tear break-up and blink behavior pointed to complex interaction between the two. Dry eye subjects shifted more toward intense ocular symptoms at posttesting (p break-up during normal visual tasks may explain the increased level of ocular discomfort symptoms reported at the end of the day, particularly in dry eye patients.

  5. Effects of symmetry breaking in finite quantum systems

    Energy Technology Data Exchange (ETDEWEB)

    Birman, J.L. [Department of Physics, City College, City University of New York, New York, NY 10031 (United States); Nazmitdinov, R.G. [Departament de Fisica, Universitat de les Illes Balears, Palma de Mallorca 07122 (Spain); Bogolubov Laboratory of Theoretical Physics, Joint Institute for Nuclear Research, Dubna 141980 (Russian Federation); Yukalov, V.I., E-mail: yukalov@theor.jinr.ru [Bogolubov Laboratory of Theoretical Physics, Joint Institute for Nuclear Research, Dubna 141980 (Russian Federation)

    2013-05-15

    The review considers the peculiarities of symmetry breaking and symmetry transformations and the related physical effects in finite quantum systems. Some types of symmetry in finite systems can be broken only asymptotically. However, with a sufficiently large number of particles, crossover transitions become sharp, so that symmetry breaking happens similarly to that in macroscopic systems. This concerns, in particular, global gauge symmetry breaking, related to Bose–Einstein condensation and superconductivity, or isotropy breaking, related to the generation of quantum vortices, and the stratification in multicomponent mixtures. A special type of symmetry transformation, characteristic only for finite systems, is the change of shape symmetry. These phenomena are illustrated by the examples of several typical mesoscopic systems, such as trapped atoms, quantum dots, atomic nuclei, and metallic grains. The specific features of the review are: (i) the emphasis on the peculiarities of the symmetry breaking in finite mesoscopic systems; (ii) the analysis of common properties of physically different finite quantum systems; (iii) the manifestations of symmetry breaking in the spectra of collective excitations in finite quantum systems. The analysis of these features allows for the better understanding of the intimate relation between the type of symmetry and other physical properties of quantum systems. This also makes it possible to predict new effects by employing the analogies between finite quantum systems of different physical nature.

  6. Neurofeedback for the treatment of children and adolescents with ADHD: a randomized and controlled clinical trial using parental reports

    National Research Council Canada - National Science Library

    Duric, Nezla S; Assmus, Jørg; Gundersen, Doris; Elgen, Irene B

    2012-01-01

    ...) to treat attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. The ADHD population was selected from an outpatient clinic for Child and Adolescent Mental Health in Norway...

  7. Adolescent contraception.

    Science.gov (United States)

    Bolton, G C

    1981-09-01

    Both the medical profession and the general public are becoming more and more aware of the need for adolescent contraception and the devastating consequences of the lack of such care. It is the responsibility of family planning providers and educators to offer this type of service tailored to adolescents and their unique needs. The service must include counseling, education, provision of contraceptives, and followup medical care. To better understand adolescent contraception, it is necessary to understand adolescent sexuality, the teenage pregnancy problem, the risks of teenage pregnancy, and the unique aspects of the contraceptive methods available to teenagers. Each of these areas is reviewed. The most important developmental task of adolescence relates to sexual maturation. The child's body undergoes complex changes necessary for adult function, and the sex drive is awakened. The teenager is faced with the task of developing a sexual identity and personal values about sexual behavior. The 2 important tasks in sexual counseling of the adolescent are helping them to decide whether or not they are ready for sexual intimacy and encouraging them to assume responsibility for their sexual behavior. The consequences of adolescent sexual activity are the rise in teenage sexually transmitted diseases and the rise in teenage pregnancies. Medically, the hazards of an adolescent pregnancy include: an overall increase in incidence of infant mortality 2-3 times that of the normal population; twice as many growth retarded infants born to teen mothers; maternal mortality 60% higher than normal; a low incidence of prenatal care early in pregnancy; and 27% of pregnancies terminated by abortion. Equally important are nonmedical consequences for the teenage parent. In general, the consequences of teen parenthood are more severe for the young mother than for the young father. Teen mothers have a suicide rate 10 times that of the general population. In discussing contraception

  8. To Break or Not To Break: Sex Chromosome Hemizygosity During Meiosis in Caenorhabditis.

    Science.gov (United States)

    Van, Mike V; Larson, Braden J; Engebrecht, JoAnne

    2016-11-01

    Meiotic recombination establishes connections between homologous chromosomes to promote segregation. Hemizygous regions of sex chromosomes have no homologous chromosome to recombine with, yet must be transmitted through meiosis. An extreme case of hemizygosity exists in the genus Caenorhabditis, where males have a single X chromosome that completely lacks a homologous partner. To determine whether similar strategies have evolved to accommodate hemizygosity of the X during male meiosis in Caenorhabditis with distinct modes of sexual reproduction, we examined induction and processing of meiotic double strand breaks (DSBs) in androdioecious (hermaphrodite/male) Caenorhabditis elegans and C. briggsae, and gonochoristic (female/male) C. remanei and C. brenneri Analysis of the recombinase RAD-51 suggests more meiotic DSBs are induced in gonochoristic vs. androdioecious species. However, in late prophase in all species, chromosome pairs are restructured into bivalents around a single axis, suggesting that the holocentric nature of Caenorhabditis chromosomes dictates a single crossover per bivalent regardless of the number of DSBs induced. Interestingly, RAD-51 foci were readily observed on the X chromosome of androdioecious male germ cells, while very few were detected in gonochoristic male germ cells. As in C. elegans, the X chromosome in C. briggsae male germ cells undergoes transient pseudosynapsis and flexibility in DSB repair pathway choice. In contrast, in C. remanei and C. brenneri male germ cells, the X chromosome does not undergo pseudosynapsis and appears refractory to SPO-11-induced breaks. Together our results suggest that distinct strategies have evolved to accommodate sex chromosome hemizygosity during meiosis in closely related Caenorhabditis species. Copyright © 2016 by the Genetics Society of America.

  9. Clozapine for treatment of aggression in non-psychotic adolescents.

    Science.gov (United States)

    Kumar, Tarun; Kathpal, Archana; Demer, James

    2016-08-01

    Use of Second Generation Antipsychotics (SGAs) in children and adolescents has grown more significantly in recent years. Clozapine has shown good results for the treatment of aggression in adult population but no case has been reported about the use of clozapine for treatment of aggression in non-psychotic adolescents. We present cases of 2 adolescents in which clozapine was used primarily to treat their aggressive behavior and suicidal ideation. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. First empirical evaluation of outcomes for mentalization-based group therapy for adolescents with BPD

    DEFF Research Database (Denmark)

    Bo, Sune; Sharp, Carla; Beck, Emma

    2017-01-01

    Adolescent Borderline Personality Disorder (BPD) is a devastating disorder, and it is essential to identify and treat the disorder in its early course. A total of 34 female Danish adolescents aged 15 to 18 years with BPD and sub-threshold BPD participated in one year of structured mentalization-b...... treatment for adolescents with borderline traits....

  11. Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial

    Science.gov (United States)

    DeBar, Lynn L.; Wilson, G. Terence; Yarborough, Bobbi Jo; Burns, Beryl; Oyler, Barbara; Hildebrandt, Tom; Clarke, Gregory N.; Dickerson, John; Striegel, Ruth H.

    2013-01-01

    There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested its efficacy in a small, pilot randomized controlled trial. We present lessons…

  12. Interpersonal Theory and Music Techniques: A Case Study for a Family With a Depressed Adolescent

    Science.gov (United States)

    Hendricks, C. Bret; Bradley, Loretta J.

    2005-01-01

    Interpersonal psychotherapy (IPT-A) is a brief, time-limited therapy developed for use with adolescents diagnosed with major depression. IPT-A has been shown to be effective with adolescents in family counseling milieus. Music therapy techniques also have been successfully used to treat adolescent depression. This article provides mental health…

  13. Psychosexual development in adolescents with chronic medical illnesses.

    Science.gov (United States)

    Lock, J

    1998-01-01

    The author provides a literature review and developmental formulation, with the goal to assist clinicians working with medically ill adolescents with psychosexual issues. MEDLINE and PsychINFO database searches of English-language medical journal articles published between 1986 and 1997 for articles related to medical illness and psychosexual development in adolescence were done. The author found that little systematic research on the psychosexual implications of medical illnesses for adolescents has been undertaken, but existing studies suggest that psychosexual development is negatively affected by medical illness. A three-phase model of adolescent psychosexual development is presented, with specific psychosexual tasks associated with each phase. Impediments to progressing through adolescent psychosexual phases due to medical conditions are identified, and case examples are provided. The author concludes that clinicians working with adolescents with medical conditions should attend to the possibility of psychosexual impediments in these adolescents and use developmentally appropriate methods for assessing and treating these difficulties when they arise.

  14. A primary school active break programme (ACTI-BREAK): study protocol for a pilot cluster randomised controlled trial.

    Science.gov (United States)

    Watson, Amanda; Timperio, Anna; Brown, Helen; Hesketh, Kylie D

    2017-09-19

    Levels of overall physical activity have been shown to decline across childhood. Schools are considered ideal settings to promote physical activity as children spend a large amount of their waking hours at school. Time-efficient physical activity strategies that demonstrate a positive impact on academic-related outcomes are needed to enable physical activity to be prioritised in the school day. The ACTI-BREAK programme requires classroom teachers to integrate active breaks; 5-min bursts of moderate-intensity physical activity into their classroom routine. Active breaks have been shown to be effective in improving academic-related outcomes, a potentially appealing aspect for teachers and schools. The primary aim of this study is to assess the feasibility and potential efficacy of the ACTI-BREAK programme on children's academic achievement. Secondary aims are to explore the impact of ACTI-BREAK on children's on-task behaviour and objectively measured physical activity levels. ACTI-BREAK is a 6-week, classroom-based, physical activity intervention. This pilot trial of the programme will be evaluated using a cluster randomised controlled design. Government primary schools in metropolitan Melbourne, Australia will be invited to participate in the programme in 2017. Randomisation will occur at the school level, with the aim to recruit six schools (three intervention and three control). The ACTI-BREAK programme is theoretically grounded, and was developed with input and guidance from current primary school teachers. Teachers from the intervention schools will receive a 45-min training session and be asked to incorporate ACTI-BREAKS into their classroom routine three times per day for 6 weeks. Intervention support will be provided via assisted delivery. The primary outcomes will be children's academic achievement in mathematics and reading. Children's on-task behaviour and school-day physical activity will be assessed as secondary outcomes. Process evaluation will also be

  15. Breaking the Code on Challenging Waste - 13267

    Energy Technology Data Exchange (ETDEWEB)

    Witzeman, John; Estes, Charles [URS - CH2M Oak Ridge LLC (United States); White, Aaron [U.S. Department of Energy (United States)

    2013-07-01

    Mixed low-level wastes (MLLW) with no available path to treatment or disposal have been longstanding challenges for DOE facilities. Today, mixed wastes with no path to treatment or disposal frequently present themselves in the form of combinations of problematic matrixes, problematic EPA Hazardous Waste Codes, and security classification requirements. In order to successfully treat and disposition these challenging wastes, waste management personnel must be more inquisitive and challenge the status quo more than ever before. All aspects of the waste from how it was generated to how the waste is currently being managed must be revisited. Each fact, the basis of each decision, and each regulatory determination must be investigated and validated. Since many of the difficult waste streams were generated several years ago, it can be quite challenging to locate knowledgeable generators from the time of generation. Significant investigation is often required to obtain the needed information to evaluate legacy waste streams. Special attention must be paid to the little things that may not seem central to the issues being investigated. Solutions are sometimes found in these details. (authors)

  16. [Breaking paradigms. Intestinal microbiota transplantation: Preliminar report].

    Science.gov (United States)

    Zamudio-Tiburcio, Álvaro; Bermúdez-Ruiz, Héctor; Lezama-Guzmán, Hugo Ricardo; Guevara-Ortigoza, María Del Pilar; Islas-Solares, Elena; Sosa-López, Francisco Antonio

    2017-01-23

    In the fourth century, during the Chinese Dong Jin dynasty, the doctor Ge Hong described good results after the oral administration of a suspension prepared from human faeces in patients with severe diarrhoea or food poisoning. Faecal microbiota transplantation has been used for five years in order to treat different diseases in addition to the severe diarrhoea caused by Clostridium difficile(1). This paper aims to confirm that intestinal microbiota transplantation succeeds in reducing the negative impact of diseases such as severe diarrhoea, irritable bowel syndrome, anxiety, allergies, metabolic syndrome and others and that it is not only indicated for severe diarrhoea caused by C. difficile. This preliminary study included six patients who underwent faecal microbiota transplantation, aged 83, 76, 66, 37 and 36 years (four men and two women). An improvement in symptoms of 70% was observed. The methodology and criteria to be followed with donors are described and the results are listed in three tables. The methodology followed for the microbiota transplant is the same as that reported by other researchers for the treatment of C. difficile diarrhoea and other diseases. The discussion addresses the issues raised in other parts of the world in handling different pathologic entities, as well as genetic advances. The conclusions show encouraging results. Copyright © 2017 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  17. Repellent-Treated Clothing

    Science.gov (United States)

    EPA regulates the pesticide permethrin to pre-treat clothing. We evaluate the safety and effectiveness of such insecticide uses, by exposure scenarios and risk assessment. Read and follow the label directions for use of permethrin-treated clothing.

  18. Treated Effluent Disposal Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Treated non-hazardous and non-radioactive liquid wastes are collected and then disposed of through the systems at the Treated Effluent Disposal Facility (TEDF). More...

  19. Local Activity Principle:. the Cause of Complexity and Symmetry Breaking

    Science.gov (United States)

    Mainzer, Klaus

    2013-01-01

    The principle of local activity is precisely the missing concept to explain the emergence of complex patterns in a homogeneous medium. Leon O. Chua discovered and defined this principle in the theory of nonlinear electronic circuits in a mathematically rigorous way. The local principle can be generalized and proven at least for the class of nonlinear reaction-diffusion systems in physics, chemistry, biology and brain research. Recently, it was realized by memristors for nanoelectronic device applications in technical brains. In general, the emergence of complex patterns and structures is explained by symmetry breaking in homogeneous media. The principle of local activity is the cause of symmetry breaking in homogeneous media. We argue that the principle of local activity is really fundamental in science and can even be identified in quantum cosmology as symmetry breaking of local gauge symmetries generating the complexity of matter and forces in our universe. Finally, we consider applications in economic, financial, and social systems with the emergence of equilibrium states, symmetry breaking at critical points of phase transitions and risky acting at the edge of chaos. In any case, the driving causes of symmetry breaking and the emergence of complexity are locally active elements, cells, units, or agents.

  20. Analysis of break test of 54 cluster fuels

    Energy Technology Data Exchange (ETDEWEB)

    Matsumoto, Mitsuo; Kawamata, Nobuhiro; Kamoshida, Hiroshi

    1998-03-01

    A break test of down pipe and main steam tube of 54 cluster fuels were carried out in the Power Reactor and Nuclear Fuel Development Corporation (PNC) in fiscal 1996. The safety evaluation code for `Fugen` was investigated by analysing the break tests by RELAP 5 code. The tests were carried out by ATR safety experimental facility which was consisted of steam drum, lower header, pressure tube, inlet tube, riser, recirculation pump and non-return valve. Break is modified by breaking a rupture disk in both cases of test. Pressure, pressure difference, temperature, water level and flow rate at channel inlet were measured. The results proved the following: The safety evaluation code for `Fugen` estimated the higher temperature of cladding tube after dry out. A return model of the best evaluation for `Fugen` was confirmed to make reappear dry out and quenching phenomena of temperature behavior of cladding tube under the experimental conditions. RELAP 5 code made a reproduction of heat transfer fluid phenomena of LOCA experiment modifying break of down pipe of Fugen. The result proved that the code is also able to use for LOCA analysis of ATR system. (S.Y.)

  1. Double strand break repair functions of histone H2AX

    Energy Technology Data Exchange (ETDEWEB)

    Scully, Ralph, E-mail: rscully@bidmc.harvard.edu; Xie, Anyong

    2013-10-15

    Chromosomal double strand breaks provoke an extensive reaction in neighboring chromatin, characterized by phosphorylation of histone H2AX on serine 139 of its C-terminal tail (to form “γH2AX”). The γH2AX response contributes to the repair of double strand breaks encountered in a variety of different contexts, including those induced by ionizing radiation, physiologically programmed breaks that characterize normal immune cell development and the pathological exposure of DNA ends triggered by telomere dysfunction. γH2AX also participates in the evolutionarily conserved process of sister chromatid recombination, a homologous recombination pathway involved in the suppression of genomic instability during DNA replication and directly implicated in tumor suppression. At a biochemical level, the γH2AX response provides a compelling example of how the “histone code” is adapted to the regulation of double strand break repair. Here, we review progress in research aimed at understanding how γH2AX contributes to double strand break repair in mammalian cells.

  2. Break-induced telomere synthesis underlies alternative telomere maintenance.

    Science.gov (United States)

    Dilley, Robert L; Verma, Priyanka; Cho, Nam Woo; Winters, Harrison D; Wondisford, Anne R; Greenberg, Roger A

    2016-11-03

    Homology-directed DNA repair is essential for genome maintenance through templated DNA synthesis. Alternative lengthening of telomeres (ALT) necessitates homology-directed DNA repair to maintain telomeres in about 10-15% of human cancers. How DNA damage induces assembly and execution of a DNA replication complex (break-induced replisome) at telomeres or elsewhere in the mammalian genome is poorly understood. Here we define break-induced telomere synthesis and demonstrate that it utilizes a specialized replisome, which underlies ALT telomere maintenance. DNA double-strand breaks enact nascent telomere synthesis by long-tract unidirectional replication. Proliferating cell nuclear antigen (PCNA) loading by replication factor C (RFC) acts as the initial sensor of telomere damage to establish predominance of DNA polymerase δ (Pol δ) through its POLD3 subunit. Break-induced telomere synthesis requires the RFC-PCNA-Pol δ axis, but is independent of other canonical replisome components, ATM and ATR, or the homologous recombination protein Rad51. Thus, the inception of telomere damage recognition by the break-induced replisome orchestrates homology-directed telomere maintenance.

  3. Physical activity breaks and facilities in US secondary schools.

    Science.gov (United States)

    Hood, Nancy E; Colabianchi, Natalie; Terry-McElrath, Yvonne M; O'Malley, Patrick M; Johnston, Lloyd D

    2014-11-01

    Research on physical activity breaks and facilities (indoor and outdoor) in secondary schools is relatively limited. School administrators and students in nationally representative samples of 8th (middle school) and 10th/12th grade (high school) students were surveyed annually from 2008-2009 to 2011-2012. School administrators reported information about physical activity breaks and facilities. Students self-reported height, weight, and physical activity. The prevalence of physical activity breaks and indoor and outdoor facilities (dichotomized by median split) differed significantly by region of the country, school size, student race/ethnicity, and school socioeconomic status (SES). Breaks were associated with lower odds of overweight (adjusted odds ratio [AOR] = 0.91, 95% confidence interval [CI]: 0.83-1.00) and obesity (AOR = 0.86, 95% CI: 0.75-0.99) among middle school students. Among low-SES middle school students and schools, higher indoor facilities were associated with lower rates of overweight and obesity. Among high school students, higher indoor and outdoor facilities were associated with 19-42% higher odds of moderate-to-vigorous physical activity. Physical activity breaks and school facilities may help to address high rates of overweight/obesity and low physical activity levels among secondary students, especially lower-SES students. Students in all schools should have equal access to these resources. © 2014, American School Health Association.

  4. Authoritative Parenting, Psychosocial Maturity, and Academic Success among Adolescents.

    Science.gov (United States)

    Steinberg, Laurence; And Others

    1989-01-01

    Examined the relation between authoritative parenting and school achievement in 120 adolescents of 10-16 years. Adolescents who described their parents as treating them warmly, democratically, and firmly were more likely than their peers to develop positive attitudes toward their achievement and do well in school. (RJC)

  5. Reproductive awareness behaviour and profiles of adolescent post ...

    African Journals Online (AJOL)

    Objectives: To identify the profiles of adolescent post abortion patients, their reproductive and contraceptive knowledge and factors related to the index pregnancy. Setting: Queen Elizabeth Central Hospital, Blantyre, Malawi. Design: Cross-sectional, descriptive study. Methods: All adolescents treated for incomplete abortion, ...

  6. Psychiatric Comorbidities among Female Adolescents with Anorexia Nervosa

    Science.gov (United States)

    Salbach-Andrae, Harriet; Lenz, Klaus; Simmendinger, Nicole; Klinkowski, Nora; Lehmkuhl, Ulrike; Pfeiffer, Ernst

    2008-01-01

    This study investigated current comorbid Axis I diagnoses associated with Anorexia Nervosa (AN) in adolescents. The sample included 101 female adolescents treated at a psychiatric unit for primary DSM-IV diagnoses of AN. 73.3% of the AN patients were diagnosed as having a current comorbidity of at least one comorbid Axis I diagnosis, with no…

  7. 26 CFR 1.410(a)-8T - Year of service; break in service (temporary).

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Year of service; break in service (temporary). 1...)-8T Year of service; break in service (temporary). (a)-(b) (c) Breaks in service. (1) (2) Employees...-year break in service under a plan which provides that after not more than 2 years of service each...

  8. Teen Boys Treated for Assault Often Want Mental Health Care, Too

    Science.gov (United States)

    ... html Teen Boys Treated for Assault Often Want Mental Health Care, Too Support can help adolescents recover and ... in 10 said they needed some form of mental health treatment, including therapy or suicide counseling. More than ...

  9. Clinical evidence of the role of the cerebellum in the suppression of overt articulatory movements during reading. A study of reading in children and adolescents treated for cerebellar pilocytic astrocytoma.

    Science.gov (United States)

    Ait Khelifa-Gallois, N; Puget, S; Longaud, A; Laroussinie, F; Soria, C; Sainte-Rose, C; Dellatolas, G

    2015-04-01

    It has been suggested that the cerebellum is involved in reading acquisition and in particular in the progression from automatic grapheme-phoneme conversion to the internalization of speech required for silent reading. This idea is in line with clinical and neuroimaging data showing a cerebellar role in subvocal rehearsal for printed verbalizable material and with computational "internal models" of the cerebellum suggesting its role in inner speech (i.e. covert speech without mouthing the words). However, studies examining a possible cerebellar role in the suppression of articulatory movements during silent reading acquisition in children are lacking. Here, we report clinical evidence that the cerebellum plays a part in this transition. Reading performances were compared between a group of 17 paediatric patients treated for benign cerebellar tumours and a group of controls matched for age, gender, and parental socio-educational level. The patients scored significantly lower on all reading, but the most striking difference concerned silent reading, perfectly acquired by almost all controls, contrasting with 41 % of the patients who were unable to read any item silently. Silent reading was correlated with the Working Memory Index. The present findings converge with previous reports on an implication of the cerebellum in inner speech and in the automatization of reading. This cerebellar implication is probably not specific to reading, as it also seems to affect non-reading tasks such as counting.

  10. Modulated Tool-Path (MTP) Chip Breaking System

    Energy Technology Data Exchange (ETDEWEB)

    Graham, K. B.

    2010-04-01

    The Modulated Tool-Path (MTP) Chip Breaking System produces user-selectable chip lengths and workpiece finishes and is compatible with any material, workpiece shape, and depth of cut. The MTP chip breaking system consistently creates the desired size of chips regardless of workpiece size, shape, or material, and the machine operator does not need to make any adjustments during the machining operation. The system's programmer configures the part program that commands the machine tool to move in a specific fashion to deliver the desired part size, shape, chip length, and workpiece surface finish. The MTP chip breaking system helps manufacturers avoid the detrimental effects of continuous chips, including expensive repair costs, delivery delays, and hazards to personnel.

  11. Analysis of dam break waves; Analyse av dambruddsboelger

    Energy Technology Data Exchange (ETDEWEB)

    Midttoemme, Grethe Holm (ed.)

    2010-06-15

    The project objective was to improve knowledge and methodology for dam break wave calculations in relation to current practice and NVE's current requirements. The reason was the experience of flood in Troendelag in 2006, which indicated that NVE's policies was not good enough for small and / or erosion prone rivers. The project has shown that erosion processes can be at least as large consequences as the dam break flood, and that degree of detail with respect to terrain data and the choice of roughness is important for the results in a watercourse as Lauvsnes waterway. It is also shown that the results from the use of 2D model may differ significantly from results from the 1D model. The report is making recommendations for updating guidelines for dam break wave calculations. (AG)

  12. CNN for breaking text-based CAPTCHA with noise

    Science.gov (United States)

    Liu, Kaixuan; Zhang, Rong; Qing, Ke

    2017-07-01

    A CAPTCHA ("Completely Automated Public Turing test to tell Computers and Human Apart") system is a program that most humans can pass but current computer programs could hardly pass. As the most common type of CAPTCHAs , text-based CAPTCHA has been widely used in different websites to defense network bots. In order to breaking textbased CAPTCHA, in this paper, two trained CNN models are connected for the segmentation and classification of CAPTCHA images. Then base on these two models, we apply sliding window segmentation and voting classification methods realize an end-to-end CAPTCHA breaking system with high success rate. The experiment results show that our method is robust and effective in breaking text-based CAPTCHA with noise.

  13. Positive Disintegration as a Process of Symmetry Breaking.

    Science.gov (United States)

    Laycraft, Krystyna

    2017-04-01

    This article presents an analysis of the positive disintegration as a process of symmetry breaking. Symmetry breaking plays a major role in self-organized patterns formation and correlates directly to increasing complexity and function specialization. According to Dabrowski, a creator of the Theory of Positive Disintegration, the change from lower to higher levels of human development requires a major restructuring of an individual's psychological makeup. Each level of human development is a relatively stable and coherent configuration of emotional-cognitive patterns called developmental dynamisms. Their main function is to restructure a mental structure by breaking the symmetry of a low level and bringing differentiation and then integration to higher levels. The positive disintegration is then the process of transitions from a lower level of high symmetry and low complexity to higher levels of low symmetry and high complexity of mental structure.

  14. Estimation of LOCA break size using cascaded Fuzzy neural networks

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Geon Pil; Yoo, Kwae Hwan; Back, Ju Hyun; Na, Man Gyun [Dept. of Nuclear Engineering, Chosun University, Gwangju (Korea, Republic of)

    2017-04-15

    Operators of nuclear power plants may not be equipped with sufficient information during a loss-of-coolant accident (LOCA), which can be fatal, or they may not have sufficient time to analyze the information they do have, even if this information is adequate. It is not easy to predict the progression of LOCAs in nuclear power plants. Therefore, accurate information on the LOCA break position and size should be provided to efficiently manage the accident. In this paper, the LOCA break size is predicted using a cascaded fuzzy neural network (CFNN) model. The input data of the CFNN model are the time-integrated values of each measurement signal for an initial short-time interval after a reactor scram. The training of the CFNN model is accomplished by a hybrid method combined with a genetic algorithm and a least squares method. As a result, LOCA break size is estimated exactly by the proposed CFNN model.

  15. Application of break preclusion concept in German nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Roos, E. [Energie-Versorgung Schwaben AG, Stuttgart (Germany); Maier, V. [Bayernwerk AG, Muenchen (Germany); Nagel, G. [PraussenElektra AG, Hannover (Germany)] [and others

    1997-04-01

    The break preclusion concept is based on {open_quotes}KTA rules{close_quotes}, {open_quotes}RSK guidelines{close_quotes} and {open_quotes}Rahmenspeziflkation Basissicherheit{close_quotes}. These fundamental rules containing for example requirements on material, design, calculation, manufacturing and testing procedures are explained and the technical realisation is shown by means of examples. The proof of the quality of these piping systems can be executed by means of fracture mechanics calculations by showing that in every case the leakage monitoring system already detect cracks which are clearly smaller than the critical crack. Thus the leak before break behavior and the break preclusion concept is implicitly affirmed. In order to further diminish conservativities in the fracture mechanics procedures, specific research projects are executed which are explained in this contribution.

  16. Estimation of LOCA Break Size Using Cascaded Fuzzy Neural Networks

    Directory of Open Access Journals (Sweden)

    Geon Pil Choi

    2017-04-01

    Full Text Available Operators of nuclear power plants may not be equipped with sufficient information during a loss-of-coolant accident (LOCA, which can be fatal, or they may not have sufficient time to analyze the information they do have, even if this information is adequate. It is not easy to predict the progression of LOCAs in nuclear power plants. Therefore, accurate information on the LOCA break position and size should be provided to efficiently manage the accident. In this paper, the LOCA break size is predicted using a cascaded fuzzy neural network (CFNN model. The input data of the CFNN model are the time-integrated values of each measurement signal for an initial short-time interval after a reactor scram. The training of the CFNN model is accomplished by a hybrid method combined with a genetic algorithm and a least squares method. As a result, LOCA break size is estimated exactly by the proposed CFNN model.

  17. Perturbation treatment of symmetry breaking within random matrix theory

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, J.X. de [Max-Planck-Institut fuer Physik komplexer Systeme, Noethnitzer Strasse 38, D-01187 Dresden (Germany); Instituto de Fisica, Universidade de Sao Paulo, C.P. 66318, 05315-970 Sao Paulo, S.P. (Brazil); Hussein, M.S. [Max-Planck-Institut fuer Physik komplexer Systeme, Noethnitzer Strasse 38, D-01187 Dresden (Germany); Instituto de Fisica, Universidade de Sao Paulo, C.P. 66318, 05315-970 Sao Paulo, S.P. (Brazil)], E-mail: mhussein@mpipks-dresden.mpg.de; Pato, M.P.; Sargeant, A.J. [Instituto de Fisica, Universidade de Sao Paulo, C.P. 66318, 05315-970 Sao Paulo, S.P. (Brazil)

    2008-07-07

    We discuss the applicability, within the random matrix theory, of perturbative treatment of symmetry breaking to the experimental data on the flip symmetry breaking in quartz crystal. We found that the values of the parameter that measures this breaking are different for the spacing distribution as compared to those for the spectral rigidity. We consider both two-fold and three-fold symmetries. The latter was found to account better for the spectral rigidity than the former. Both cases, however, underestimate the experimental spectral rigidity at large L. This discrepancy can be resolved if an appropriate number of eigenfrequencies is considered to be missing in the sample. Our findings are relevant for symmetry violation studies in general.

  18. Breaking strain of neutron star crust and gravitational waves.

    Science.gov (United States)

    Horowitz, C J; Kadau, Kai

    2009-05-15

    Mountains on rapidly rotating neutron stars efficiently radiate gravitational waves. The maximum possible size of these mountains depends on the breaking strain of the neutron star crust. With multimillion ion molecular dynamics simulations of Coulomb solids representing the crust, we show that the breaking strain of pure single crystals is very large and that impurities, defects, and grain boundaries only modestly reduce the breaking strain to around 0.1. Because of the collective behavior of the ions during failure found in our simulations, the neutron star crust is likely very strong and can support mountains large enough so that their gravitational wave radiation could limit the spin periods of some stars and might be detectable in large-scale interferometers. Furthermore, our microscopic modeling of neutron star crust material can help analyze mechanisms relevant in magnetar giant flares and microflares.

  19. Nonlinear wave breaking in self-gravitating viscoelastic quantum fluid

    Energy Technology Data Exchange (ETDEWEB)

    Mitra, Aniruddha, E-mail: anibabun@gmail.com [Center for Plasma Studies, Department of Instrumentation Science, Jadavpur University, Kolkata, 700 032 (India); Roychoudhury, Rajkumar, E-mail: rajdaju@rediffmail.com [Advanced Centre for Nonlinear and Complex Phenomena, 1175 Survey Park, Kolkata 700075 (India); Department of Mathematics, Bethune College, Kolkata 700006 (India); Bhar, Radhaballav [Center for Plasma Studies, Department of Instrumentation Science, Jadavpur University, Kolkata, 700 032 (India); Khan, Manoranjan, E-mail: mkhan.ju@gmail.com [Center for Plasma Studies, Department of Instrumentation Science, Jadavpur University, Kolkata, 700 032 (India)

    2017-02-12

    The stability of a viscoelastic self-gravitating quantum fluid has been studied. Symmetry breaking instability of solitary wave has been observed through ‘viscosity modified Ostrovsky equation’ in weak gravity limit. In presence of strong gravitational field, the solitary wave breaks into shock waves. Response to a Gaussian perturbation, the system produces quasi-periodic short waves, which in terns predicts the existence of gravito-acoustic quasi-periodic short waves in lower solar corona region. Stability analysis of this dynamical system predicts gravity has the most prominent effect on the phase portraits, therefore, on the stability of the system. The non-existence of chaotic solution has also been observed at long wavelength perturbation through index value theorem. - Highlights: • In weak gravitational field, viscoelastic quantum fluid exhibits symmetry breaking instability. • Gaussian perturbation produces quasi-periodic gravito-acoustic waves into the system. • There exists no chaotic state of the system against long wavelength perturbations.

  20. Microfluidic droplet generator with controlled break-up mechanism

    KAUST Repository

    Gonzalez, David Conchouso

    2017-04-13

    Droplet generation devices and systems that parallelize droplet generation devices are provided. The droplet generation devices can include a symmetric block-and-break system and a tapered droplet generation zone. The symmetric block-and-break system can include a pair of break channels and a pair of bypass channels symmetrically arranged with respect to the dispersed-phase input channel and the output channel. The droplet generation devices can generate monodisperse droplets with a predefined volume over a range of flow rates, pressures, and fluid properties. The droplet generation devices are therefore capable of parallelization to achieve large-capacity droplet generation, e.g. greater than 1 L/hr, with small overall coefficients of variation.

  1. Introduction to symmetry-breaking phenomena in physics

    CERN Multimedia

    CERN. Geneva. Audiovisual Unit

    2001-01-01

    The notion of broken symmetries started slowly to emerge in the 19th century. The early studies of Pasteur on the parity asymmetry of life, the studies of Curie on piezoelectricity and on the symmetries of effects versus the symmetry of causes ( which clearly excluded spontaneous symmetry breaking), are important historical landmarks. However the possibility of spontaneous symmetry breaking within the usual principles of statistical mechanics, waited for the work of Peierls and Onsager. The whole theory of phase transitions and critical phenomena, as well as the construction of field theoretic models as long distance limit of yet unknown physics, relies nowadays on the concept of criticality associated to spontaneous symmetry breaking. The phenomena of Goldstone bosons, of Meissner-Higgs effects, are central to the theory of condensed matter as well as to particle physics. In cosmology as well, the various inflationary scenarios begin similarly with this same concept. The three lectures will provide a simple ...

  2. EARLY BUD-BREAK1 (EBB1) defines a conserved mechanism for control of bud-break in woody perennials.

    Science.gov (United States)

    Busov, Victor; Carneros, Elena; Yakovlev, Igor

    2016-01-01

    Bud-break is an environmentally and economically important trait in trees, shrubs and vines from temperate latitudes. Poor synchronization of bud-break timing with local climates can lead to frost injuries, susceptibility to pests and pathogens and poor crop yields in fruit trees and vines. The rapid climate changes outpace the adaptive capacities of plants to respond through natural selection. This is particularly true for trees which have long generation cycle and thus the adaptive changes are significantly delayed. Therefore, to devise appropriate breeding and conservation strategies, it is imperative to understand the molecular underpinnings that govern dormancy mechanisms. We have recently identified and characterized the poplar EARLY BUD-BREAK 1 (EBB1) gene. EBB1 is a positive regulator of bud-break and encodes a transcription factor from the AP2/ERF family. Here, using comparative and functional genomics approaches we show that EBB1 function in regulation of bud-break is likely conserved across wide range of woody perennial species with importance to forestry and agriculture.

  3. Spring break versus spring broken: predictive utility of spring break alcohol intentions and willingness at varying levels of extremity.

    Science.gov (United States)

    Litt, Dana M; Lewis, Melissa A; Patrick, Megan E; Rodriguez, Lindsey; Neighbors, Clayton; Kaysen, Debra L

    2014-02-01

    Within the domain of risk-related behavior, many times the decision to engage is not a product of premeditation or intention. The prototype willingness model was created to capture and explain the unintended element of risk behavior. The present study aimed to evaluate the importance of willingness versus intention, two important constructs within the prototype willingness model, in relation to spring break drinking behavior when assessed at both high and low extremities. College undergraduates (N = 275) completed questionnaires prior to spring break regarding their anticipated spring break activities. Willingness and intention were assessed for different levels of risk. Specifically, participants indicated the extent to which they intended to (a) get drunk and (b) drink enough to black out or pass out; and the extent to which they were willing to (a) get drunk and (b) drink enough to black out or pass out. When classes resumed following spring break, the students indicated the extent to which they actually (a) got drunk and (b) drank enough to black out or pass out. Results demonstrated that when the health-related risk was lower (i.e., getting drunk), intention was a stronger predictor of behavior than was willingness. However, as the level of risk increased (i.e., getting drunk enough to black out or pass out), willingness more strongly predicted behavior. The present study suggests that willingness and intentions differentially predict spring break alcohol-related behavior depending on the extremity of behavior in question. Implications regarding alcohol interventions are discussed.

  4. Sensitivity Analyses in Small Break LOCA with HPI-Failure: Effect of Break-Size in Secondary-Side Depressurization

    Science.gov (United States)

    Kinoshita, Ikuo; Torige, Toshihide; Yamada, Minoru

    2014-06-01

    In the case of total failure of the high pressure injection (HPI) system following small break loss of coolant accident (SBLOCA) in pressurized water reactor (PWR), the break size is so small that the primary system does not depressurize to the accumulator (ACC) injection pressure before the core is uncovered extensively. Therefore, steam generator (SG) secondary-side depressurization is necessary as an accident management in order to grant accumulator system actuation and core reflood. A thermal-hydraulic analysis using RELAP5/MOD3 was made on SBLOCA with HPI-failure for Oi Units 3/4 operated by Kansai Electoric Power Co., which are conventional 4 loop PWR plants. The effectiveness of SG secondary-side depressurization procedure was investigated for the real plant design and operational characteristics. The sensitivity analyses using RELAP5/MOD3.2 showed that the accident management was effective for a wide range of break sizes, various orientations and positions. The critical break can be 3 inch cold-leg bottom break.

  5. Perceptions of rule-breaking related to marine ecosystem health.

    Directory of Open Access Journals (Sweden)

    Matthew J Slater

    Full Text Available Finding effective solutions to manage marine resources is high on political and conservation agendas worldwide. This is made more urgent by the rate of increase in the human population and concomitant resource pressures in coastal areas. This paper links empirical socio-economic data about perceptions of marine resource health to the breaking of marine management rules, using fisheries as a case study. The relationship between perceived rule-breaking (non-compliance with regulations controlling fishing and perceived health of inshore marine environments was investigated through face-to-face interviews with 299 heads of households in three Tanzanian coastal communities in November and December 2011. Awareness of rules controlling fishing activity was high among all respondents. Fishers were able to describe more specific rules controlling fishing practices than non-fishers (t = 3.5, df = 297, p<0.01. Perceived breaking of fishing regulations was reported by nearly half of all respondents, saying "some" (32% of responses or "most" (15% of responses people break fishing rules. Ordinal regression modelling revealed a significant linkage (z= -3.44, p<0.001 in the relationship between respondents' perceptions of deteriorating marine health and their perception of increased rule-breaking. In this paper, inferences from an empirical study are used to identify and argue the potential for using perceptions of ecosystem health and level of rule-breaking as a means to guide management measures. When considering different management options (e.g. Marine Protected Areas, policy makers are advised to take account of and utilise likely egoistic or altruistic decision-making factors used by fishers to determine their marine activities.

  6. Defining Nitrogen Kinetics for Air Break in Prebreathe

    Science.gov (United States)

    Conkin, Johnny

    2009-01-01

    Actual tissue nitrogen (N2) kinetics are complex; the uptake and elimination is often approximated with a single half-time compartment in statistical descriptions of denitrogenation [prebreathe (PB)] protocols. Air breaks during PB complicate N2 kinetics. A comparison of symmetrical versus asymmetrical N2 kinetics was performed using the time to onset of hypobaric decompression sickness (DCS) as a surrogate for actual venous N2 tension. Published results of 12 tests involving 179 hypobaric exposures in altitude chambers after PB, with and without air breaks, provide the complex protocols from which to model N2 kinetics. DCS survival time for combined control and air breaks were described with an accelerated log logistic model where N2 uptake and elimination before, during, and after the air break was computed with a simple exponential function or a function that changed half-time depending on ambient N2 partial pressure. P1N2-P2 = delta P defined DCS dose for each altitude exposure, where P2 was the test altitude and P1N2 was computed N2 pressure at the beginning of the altitude exposure. The log likelihood (LL) without DCS dose (null model) was -155.6, and improved (best-fit) to -97.2 when dose was defined with a 240 min half-time for both N2 elimination and uptake during the PB. The description of DCS survival time was less precise with asymmetrical N2 kinetics, for example, LL was -98.9 with 240 min half-time elimination and 120 min half-time uptake. The statistical regression described survival time mechanistically linked to symmetrical N2 kinetics during PBs that also included air breaks. The results are data-specific, and additional data may change the conclusion. The regression is useful to compute additional PB time to compensate for an air break in PB within the narrow range of tested conditions.

  7. Distúrbios psiquiátricos, tentativas de suicídio, lesões e envenenamento em adolescentes atendidos em uma unidade de emergência, Ribeirão Preto, São Paulo, 1988-1993 Psychiatric disorders, suicide attempts, lesions and poisoning among adolescents treated in an emergency room, Ribeirão Preto, São Paulo, 1988-1993

    Directory of Open Access Journals (Sweden)

    Ana Maria Fortaleza Teixeira

    1997-09-01

    Full Text Available Trata-se de um estudo epidemiológico acerca da ocorrência de distúrbios psiquiátricos e outros relacionados, segundo o Código Internacional de Doenças, em adolescentes atendidos no setor de urgências psiquiátricas de um hospital-escola de Ribeirão Preto, São Paulo, Brasil, durante o período de 1988 a 1993. Os adolescentes representaram 23% dos atendimentos no período. No sexo feminino, predominaram os Transtornos Neuróticos (300, Suicídio e Lesões Auto-Infligidas (E950-E959 e Psicoses Esquizofrênicas (295. No sexo masculino, sobressaíram-se os Quadros Relacionados a Álcool e Drogas (291, 292, 303, 304, 305, Psicoses Esquizofrênicas (295 e Transtornos Neuróticos (300. Dentre os adolescentes, predominaram as faixas 20 a 24 anos e 15 a 19 anos, consecutivamente.An epidemiological study was conducted to determine the occurrence of psychiatric and related disorders, according to the International Classification of Diseases, among adolescents treated in an emergency room of a teaching hospital in Ribeirão Preto, São Paulo, Brazil from 1988 to 1993. Adolescents studied represented 23% of the cases treated during this period. Neurotic Disorders (300, Suicide and self-inflicted Lesions (E950-E959, and Schizophrenic Psychoses (295 predominated among females. Signs and Symptoms related to alcohol and drugs (291, 292, 303, 304, 305, Schizophrenic Psychoses (295 and Neurotic Disorders (300 predominated among males. Adolescents studied were predominantly in the 20 to 24 and 15 to 19 year range, in this order.

  8. The cost effectiveness of vancomycin for preventing infections after shoulder arthroplasty: a break-even analysis.

    Science.gov (United States)

    Hatch, M Daniel; Daniels, Stephen D; Glerum, Kimberly M; Higgins, Laurence D

    2017-03-01

    Increasing methicillin resistance and recognition of Propionibacterium acnes as a cause of infection in shoulder arthroplasty has led to the adoption of local vancomycin powder application as a more effective method to prevent expensive periprosthetic infections. However, no study has analyzed the cost effectiveness of vancomycin powder for preventing infection after shoulder replacement. Cost data for infection-related care of 16 patients treated for deep periprosthetic shoulder infection was collected from our institution for the break-even analysis. An equation was developed and applied to the data to determine how effective vancomycin powder would need to be at reducing a baseline infection rate to make prophylactic use cost effective. The efficacy of vancomycin (absolute risk reduction [ARR]) was evaluated at different unit costs, baseline infection rates, and average costs of treating infection. We determined vancomycin to be cost effective if the initial infection rate decreased by 0.04% (ARR). Using the current costs of vancomycin reported in the literature (range: $2.50/1000 mg to $44/1000 mg), we determined vancomycin to be cost effective with an ARR range of 0.01% at a cost of $2.50/1000 mg to 0.19% at $44/1000 mg. Baseline infection rate does not influence the ARR obtained at any specific cost of vancomycin or the cost of treating infection. We have derived and used a break-even equation to assess efficacy of prophylactic antibiotics during shoulder surgery. We further demonstrated the prophylactic administration of local vancomycin powder during shoulder arthroplasty to be a highly cost-effective practice. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  9. Compliance with the Legislation on Alcohol Serving and Selling and Alcohol Intoxications in Adolescents

    OpenAIRE

    van Hoof, Joris Jasper; Boeynaems, Gerben; van der Lely, Nicolaas

    2014-01-01

    Purpose: study the relation between compliance to the legal age limits for alcohol sales and alcohol intoxication in adolescents. Methods: from 2007 till 2012 we collected data on adolescents, with a positive BAC, treated in a hospital. Within the Dutch Pediatric Surveillance System (NSCK), pediatricians report adolescents and fill in a questionnaire. In 2012 the questionnaire was extended, involving questions on how and where alcohol was obtained. Results: in total 3,286 adolescents were tre...

  10. Adolescent Deaths

    Directory of Open Access Journals (Sweden)

    Birgül Tüzün

    1997-10-01

    Full Text Available This study was aimed to find out the examination of adolescent deaths included in forensic cases and the effects of behavior peculiarities of this period on the cause and origin of deaths. 564 cases aged 11-20 years autopsied at the Morgue Department of İstanbul, Turkey in 1994-96 were examined. In 534 cases, the cause of death was determined and included in the study, but 26 cases left outside of this study because the cause of death was not determined. The 76.8 percent of the 538 cases was males and 23.2 percent was females. Accidental deaths(%4l.3 occupied the majority of the adolescent deaths. Homicidal deaths(%36.2 and suicidal deaths (%17.6 were the other origins of deaths. Manner of death'was not determined in 25 cases. Unnatural deaths (%93-l were found to be the most common cause of death. Firearm deaths (%18.4 occupied the majority of all unnatural deaths. The following causes of unnatural deaths were stab and incised wounds (%14.8 and hanging (%13.6. The results demonstrated that the causes of adolescent deaths in forensic cases almost reflected the violence based behavior pecularities of this age group. Key Words: Child, Adolescent, Violence, Death.

  11. Adolescent endometriosis.

    Science.gov (United States)

    Black, Amanda Yvonne; Jamieson, Mary Anne

    2002-10-01

    Endometriosis can exist in the adolescent female. It can be a very disruptive disease and cause significant dysfunction at a time in life when self-esteem, school attendance, and school performance are critical to achievement of life goals. Approaches to diagnosis and management in the recent literature are reviewed, focusing on those that apply directly to the adolescent or indirectly, by extrapolation from work done in the adult population. Practical strategies for adolescent patient care are presented. Recent research has focused on the efficacy of current treatment modalities and management of potential adverse side effects. Possible etiologies of endometriosis have been proposed, and therapies directed at those causes are being explored. Methods of diagnosis, both invasive and noninvasive, have been studied in order to determine the most effective way of diagnosing the disease. A better understanding of the etiology of endometriosis would probably assist in determining the most suitable treatment strategies. Future work in adolescent endometriosis should focus on developing safe, minimally invasive, yet definitive options for diagnosis and treatment.

  12. Adolescent Pregnancy.

    Science.gov (United States)

    Goldstein, Philip J.

    1981-01-01

    Discusses the health risks associated with adolescent pregnancy as well as the social consequences. Results indicate that though the use of contraceptives is increasing, half the sexually active students do not use any contraceptives. Suggests that age-appropriate sex education begin early and emphasize values and self-esteem. (JAC)

  13. Providence nighttime bracing, in treatment of adolescent idiopathic scoliosis

    DEFF Research Database (Denmark)

    Simony, A.; Beuschau, Inge; Quisth, Lena

    2015-01-01

    Introduction: Since 2008 the non-surgical treatment of adolescent idiopathic scoliosis (AIS) in the southern part of Denmark, went from full-time bracing with Boston brace, to Providence night-time bracing. Methods: Since 2008, skeletally immature patients diagnosed with AIS and a primary curve......, but it seems like patients treated with Providence braces are more likely to experience back pain than healthy adolescents and surgically treated scoliosis patients....

  14. A model for chiral symmetry breaking in QCD

    Science.gov (United States)

    Govaerts, J.; Mandula, J. E.; Weyers, J.

    1984-04-01

    A recently proposed model for dynamical breaking of chiral symmetry in QCD is extended and developed for the calculation of pion and chiral symmetry breaking parameters. The pion is explicitly realized as a massless Goldstone boson and as a bound state of the constituent quarks. We compute, in the limit of exact chiral symmetry, MQ, the constituent quark mass ƒ π the pion decay coupling, , the constituent quark loop density, μπ2/ mq, the ratio of the Goldstone boson mass squared to the bare quark mass, and π, the pion electromagnetic charge radius squared.

  15. Scherk-Schwarz supersymmetry breaking in 4D

    Energy Technology Data Exchange (ETDEWEB)

    Craig, Nathaniel [Department of Physics and Astronomy, Rutgers University,136 Frelinghuysen Road, Piscataway, NJ 08854 (United States); Lou, Hou Keong [Department of Physics, Princeton University,Washington Road, Princeton, NJ 08540 (United States)

    2014-12-31

    Using the techniques of dimensional deconstruction, we present 4D models that fully reproduce the physics of 5D supersymmetric theories compactified on an S{sup 1}/ℤ{sub 2} orbifold with general Scherk-Schwarz supersymmetry breaking (SSSB) boundary conditions. In contrast to previous approaches, our deconstruction involves only soft supersymmetry breaking. Deconstruction preserves many of the attractive features of SSSB without the cumbersome architecture of a full fifth dimension, ambiguity of the ultraviolet completion, or challenges associated with stabilizing a large radius of compactification. We proceed to deconstruct various five-dimensional models featuring Scherk-Schwarz boundary conditions, including folded supersymmetry.

  16. BreakPoint Surveyor: a pipeline for structural variant visualization.

    Science.gov (United States)

    Wyczalkowski, Matthew A; Wylie, Kristine M; Cao, Song; McLellan, Michael D; Flynn, Jennifer; Huang, Mo; Ye, Kai; Fan, Xian; Chen, Ken; Wendl, Michael C; Ding, Li

    2017-10-01

    BreakPoint Surveyor (BPS) is a computational pipeline for the discovery, characterization, and visualization of complex genomic rearrangements, such as viral genome integration, in paired-end sequence data. BPS facilitates interpretation of structural variants by merging structural variant breakpoint predictions, gene exon structure, read depth, and RNA-sequencing expression into a single comprehensive figure. Source code and sample data freely available for download at https://github.com/ding-lab/BreakPointSurveyor, distributed under the GNU GPLv3 license, implemented in R, Python and BASH scripts, and supported on Unix/Linux/OS X operating systems. lding@wustl.edu. Supplementary data are available at Bioinformatics online.

  17. V3 CMS tracker layout Detector Break-up

    CERN Document Server

    Caner, Alessandra

    1996-01-01

    This note reports on the detector and channel break-up of the CMS V3 tracker layout. A compilation of alternative layouts is also tabulated to allow for cost estimates as a function of layout configurations. The information is organized in a modular fashion: for each configuration, the break-up of 25 cm ( 'one wheel') of barrel is reported. The forward detectors ( 'disks') are described individually as a function of equipped annuli. The total number of channels, the area and the bare cost of the provisional V3 layout are estimated. This note will be updated as the V3 layout evolves.

  18. Holographic Ward identities for symmetry breaking in two dimensions

    Energy Technology Data Exchange (ETDEWEB)

    Argurio, Riccardo [Physique Théorique et Mathématique and International Solvay Institutes,Université Libre de Bruxelles,C.P. 231, 1050 Brussels (Belgium); Giribet, Gaston [Martin Fisher School of Physics, Brandeis University,Waltham, Massachusetts 02453 (United States); Physics Department, University of Buenos Aires FCEN-UBA and IFIBA-CONICET,Ciudad Universitaria, Pabellón I, 1428, Buenos Aires (Argentina); Marzolla, Andrea; Naegels, Daniel [Physique Théorique et Mathématique and International Solvay Institutes,Université Libre de Bruxelles,C.P. 231, 1050 Brussels (Belgium); Sierra-Garcia, J. Anibal [Department of Particle Physics and IGFAE, University of Santiago de Compostela,E-15782 Santiago de Compostela (Spain)

    2017-04-03

    We investigate symmetry breaking in two-dimensional field theories which have a holographic gravity dual. Being at large N, the Coleman theorem does not hold and Goldstone bosons are expected. We consider the minimal setup to describe a conserved current and a charged operator, and we perform holographic renormalization in order to find the correct Ward identities describing symmetry breaking. This involves some subtleties related to the different boundary conditions that a vector can have in the three-dimensional bulk. We establish which is the correct prescription that yields, after renormalization, the same Ward identities as in higher dimensions.

  19. Supersymmetry breaking effects by analytic continuation into superspace

    CERN Document Server

    Rattazzi, Riccardo

    1999-01-01

    I consider theories where supersymmetry breaking is communicated by renormalizable interactions and generated by the vacuum expectation value of a chiral superfield X=M+ theta /sup 2/F. I show that soft terms for the observable fields can be obtained by continuing the renormalization group and the matching procedure into superspace. The superspectrum is just determined by anomalous dimensions and beta functions, with no need to further compute any Feynman diagrams. This method greatly simplifies calculations that are rather involved if performed in components. For illustration I reproduce known results for theories with gauge mediated supersymmetry breaking. I then use the method to obtain new results of phenomenological importance. (15 refs).

  20. Symmetry-Breaking Plasmonic Metasurfaces for Broadband Light Bending

    DEFF Research Database (Denmark)

    Ni, Xingjie; Emani, Naresh K.; Kildishev, Alexander V.

    2012-01-01

    We experimentally demonstrate unparalleled wave-front control in a broadband, optical wavelength range from 1.0 μm to 1.9 μm, using a thin plasmonic layer (metasurface) consisting of a nanoantenna array that breaks the symmetry along the interface.......We experimentally demonstrate unparalleled wave-front control in a broadband, optical wavelength range from 1.0 μm to 1.9 μm, using a thin plasmonic layer (metasurface) consisting of a nanoantenna array that breaks the symmetry along the interface....

  1. Bacterial Populations Related to Gerbera (Gerbera jamesonii L. Stem Break

    Directory of Open Access Journals (Sweden)

    G.M. Balestra

    2005-12-01

    Full Text Available Bacterial distribution, both external (epiphytic and internal (endophytic, on Gerbera jamesonii L. cv. Provence and its relationship to gerbera stem break and ethylene production were investigated. The greatest number of epiphytic bacteria was found at capitulum level and 20 cm below. Three genera of bacteria were identified: Acinetobacter, Bacillus and Pantoea. A silver-nitrate solution greatly reduced ethylene production in cut flowers. The use of acid fuchsin solution revealed an occlusion of the xylem vessels, probably due to bacterial cells. The bacteria Acinetobacter, Pantoea and Bacillus appeared to be involved in stem break once their populations reached 105 cfu g-1 of stem tissue.

  2. E-mail, decisional styles, and rest breaks.

    Science.gov (United States)

    Baker, James R; Phillips, James G

    2007-10-01

    E-mail is a common but problematic work application. A scale was created to measure tendencies to use e-mail to take breaks (e-breaking); and self-esteem and decisional style (vigilance, procrastination, buck-passing, hypervigilance) were used to predict the self-reported and actual e-mail behaviors of 133 participants (students and marketing employees). Individuals who were low in defensive avoidance (buck-passing) engaged in more e-mailing per week, both in time spent on e-mail and message volume. E-breakers were more likely to engage in behavioral procrastination and spent more time on personal e-mail.

  3. Margins in high temperature leak-before-break assessments

    Energy Technology Data Exchange (ETDEWEB)

    Budden, P.J.; Hooton, D.G.

    1997-04-01

    Developments in the defect assessment procedure R6 to include high-temperature mechanisms in Leak-before-Break arguments are described. In particular, the effect of creep on the time available to detect a leak and on the crack opening area, and hence leak rate, is discussed. The competing influence of these two effects is emphasized by an example. The application to Leak-before-Break of the time-dependent failure assessment diagram approach for high temperature defect assessment is then outlined. The approach is shown to be of use in assessing the erosion of margins by creep.

  4. Observations on the Partial Breaking of $N=2$ Rigid Supersymmetry

    CERN Document Server

    Andrianopoli, Laura; Ferrara, Sergio; Trigiante, Mario

    2015-01-01

    We study the partial breaking of $N=2$ rigid supersymmetry for a generic rigid special geometry of $n$ abelian vector multiplets in the presence of Fayet-Iliopoulos terms induced by the Hyper-K\\"ahler momentum map. By exhibiting the symplectic structure of the problem we give invariant conditions for the breaking to occur, which rely on a quartic invariant of the Fayet-Iliopoulos charges as well as on a modification of the $N=2$ rigid symmetry algebra by a vector central charge.

  5. Observations on the partial breaking of N=2 rigid supersymmetry

    Directory of Open Access Journals (Sweden)

    Laura Andrianopoli

    2015-05-01

    Full Text Available We study the partial breaking of N=2 rigid supersymmetry for a generic rigid special geometry of n abelian vector multiplets in the presence of Fayet–Iliopoulos terms induced by the hyper-Kähler momentum map. By exhibiting the symplectic structure of the problem we give invariant conditions for the breaking to occur, which rely on a quartic invariant of the Fayet–Iliopoulos charges as well as on a modification of the N=2 rigid symmetry algebra by a vector central charge.

  6. Interventions for treating obesity in children.

    Science.gov (United States)

    De Miguel-Etayo, Pilar; Bueno, Gloria; Garagorri, Jesús M; Moreno, Luis A

    2013-01-01

    Childhood obesity remains an important public health concern and prevention programmes should be the priority in order to decrease the prevalence of obesity. The aim of this review is to summarize the most effective types of intervention for treating obesity in children and adolescents. A number of identified strategies used to treat childhood obesity range from lifestyle approaches, pharmacotherapy to surgical intervention. Dietary treatment of obese children and adolescents should aim to ensure adequate growth and development by reducing excessive fat mass accumulation, avoiding loss of lean body mass, improving well-being and self-esteem, and preventing cyclical weight regain. Management protocols involve behaviour modifications, family support, and lifestyle changes which are difficult to put into practice and may require multidisciplinary professional teams. The cornerstone of weight loss programmes is to achieve a negative energy balance. There is evidence that dietary interventions are more effective in achieving weight loss when combined with other strategies, such as increasing physical activity levels and/or psychological interventions to promote behavioural changes. Psychological interventions have been employed in an effort to achieve long-term maintenance of behavioural change. Childhood obesity treatments should involve a combination of lifestyle changes including strategies to reduce energy intake, increase physical activity, reduce sedentary activities, facilitate family involvement and change behaviours associated with eating and physical activity. However, drug therapy in obese children must not be used as isolated treatment but as complementary to the traditional treatments of diet, physical activity and lifestyle changes. Besides, surgical procedures have been used to treat severe morbid obesity in children and adolescents when more conservative treatments have proven to be inadequate. Copyright © 2013 S. Karger AG, Basel.

  7. Symmetry breaking and un-breaking in microhydrodynamical systems: Swimming, pumping and bio-ballistics

    Science.gov (United States)

    Roper, Marcus Leigh

    This thesis describes the numerical and asymptotic analysis of symmetry breaking phenomena in three fluid dynamical systems. The first part concerns modeling of a micrometer sized swimming device, comprising a filament composed of superparamagnetic micron-sized beads and driven by an applied magnetic field. The swimming mechanics are deciphered in order to show how actuation by a spatially-homogeneous but temporally-varying torque leads to propagation of a bending wave along the filament and thence to propulsion. Absence of swimming unless the lateral symmetry of the filament is broken by tethering one end to a high drag body is explained. The model is used to determine whether, and to what extent, the micro-swimmer behaves like a flagellated eukaryotic cell. The second part concerns modeling of locomotion using a reversible stroke. Although forbidden at low Reynolds numbers, such symmetric gaits are favored by some microscopic planktonic swimmers. We analyze the constraints upon generation of propulsive force by such swimmers using a numerical model for a flapped limb. Effective locomotion is shown to be possible at arbitrarily low rates of energy expenditure, escaping a formerly postulated time-symmetry constraint, if the limb is shaped in order to exploit slow inertial-streaming eddies. Finally we consider the evolution of explosively launched ascomycete spores toward perfect projectile shapes---bodies that are designed to experience minimum drag in flight---using the variance of spore shapes between species in order to quantify the stiffness of the drag minimization constraint. A surprising observation about the persistent fore-aft symmetry of perfect projectiles, even up to Reynolds numbers great enough that the flow around the projectile is highly asymmetric, points both toward a model for spore ontogeny and to a novel linear approximation for moderate Reynolds flows.

  8. Romantic Relationship Advice from Anonymous Online Helpers: The Peer Support Adolescents Exchange

    Science.gov (United States)

    Kim, Jung-Eun; Weinstein, Emily C.; Selman, Robert L.

    2017-01-01

    This empirical study investigates adolescents' responses to peers' personal accounts of romantic relationship difficulties posted to an online forum. We analyze 440 anonymous responses to personal accounts of four romantic relationship issues: controlling partners, break-ups, trust issues, and partner cruelty. Responses were categorized, in order…

  9. Adolescent brain development, substance use, and psychotherapeutic change.

    Science.gov (United States)

    Wetherill, Reagan; Tapert, Susan F

    2013-06-01

    Adolescence is a unique developmental period characterized by major physiological, psychological, social, and brain changes, as well as an increased incidence of maladaptive, addictive behaviors. With the use of MRI techniques, researchers have been able to provide a better understanding of adolescent brain maturation and how neurodevelopment affects cognition and behavior. This review discusses adolescent brain development and its potential influence on psychotherapeutic change. We focus on cognitive-behavioral and mindfulness-based approaches for treating substance use and highlight potential brain mechanisms underlying response to psychotherapy. Finally, we discuss integrative neuroimaging and treatment studies and potential opportunities for advancing the treatment of adolescent addictive behaviors. 2013 APA, all rights reserved

  10. The role of bicultural stress and perceived context of reception in the expression of aggression and rule breaking behaviors among recent-immigrant Hispanic youth.

    Science.gov (United States)

    Forster, Myriam; Grigsby, Timothy; Soto, Daniel W; Schwartz, Seth J; Unger, Jennifer B

    2015-07-01

    Adolescent aggression and delinquency impede healthy adjustment in early adulthood and may have particularly serious long-term consequences for minority youth. Therefore, prevention research should examine these behaviors within a sociocultural framework among newer immigrant samples to determine whether, and how, adaptation to life in the US affects these behaviors. This study investigated the role of two sociocultural variables-bicultural stress and negative context of reception-on changes in aggression and rule breaking behaviors over two time points among recently immigrated Hispanic adolescents residing in Los Angeles (N = 136) and Miami-Dade (N = 142) counties. Linear stepwise regression models were used to assess the associations between predictors and behavioral outcomes. Bicultural stress and negative context of reception both had independent associations, above and beyond parental involvement and delinquent peer associations, with changes in aggressive and rule-breaking behavior during the first year of high school. These findings suggest that social, cultural, and interpersonal processes all influence deviant behaviors in recent-immigrant Hispanic populations. We discuss the implications of these finding for prevention and intervention research and practice. We also recommend that future research continue to examine the role of these factors over the course of adolescence and consider sociocultural influences when designing behavioral interventions for Hispanic immigrant populations. © The Author(s) 2014.

  11. Breaking the Silence: Helping Battered Moms and Their Children.

    Science.gov (United States)

    Texas Child Care, 2000

    2000-01-01

    Discusses issues of domestic violence to help child caregivers care for children more effectively. Considers the causes of domestic violence and its impact on children and families, and offers resources for more information as well as suggestions for helping an abused person get help. Includes lists of "Do's and don'ts for breaking the silence"…

  12. Pregnancy: A Time To Break the Cycle of Family Violence.

    Science.gov (United States)

    Pulido, Mary L.

    2001-01-01

    An education and screening program is described that teaches pregnant women about child abuse and domestic violence in an attempt to break the family cycle of abuse. Using a family centered approach, the Child Protection Center Program offers a model for social workers and medical providers to address the needs of abused children and battered…

  13. Effective photon mass by Super and Lorentz symmetry breaking

    Science.gov (United States)

    Bonetti, Luca; dos Santos Filho, Luís R.; Helayël-Neto, José A.; Spallicci, Alessandro D. A. M.

    2017-01-01

    In the context of Standard Model Extensions (SMEs), we analyse four general classes of Super Symmetry (SuSy) and Lorentz Symmetry (LoSy) breaking, leading to observable imprints at our energy scales. The photon dispersion relations show a non-Maxwellian behaviour for the CPT (Charge-Parity-Time reversal symmetry) odd and even sectors. The group velocities exhibit also a directional dependence with respect to the breaking background vector (odd CPT) or tensor (even CPT). In the former sector, the group velocity may decay following an inverse squared frequency behaviour. Thus, we extract a massive Carroll-Field-Jackiw photon term in the Lagrangian and show that the effective mass is proportional to the breaking vector and moderately dependent on the direction of observation. The breaking vector absolute value is estimated by ground measurements and leads to a photon mass upper limit of 10-19 eV or 2 ×10-55 kg, and thereby to a potentially measurable delay at low radio frequencies.

  14. The origin of a primordial genome through spontaneous symmetry breaking

    NARCIS (Netherlands)

    Takeuchi, Nobuto|info:eu-repo/dai/nl/304836966; Hogeweg, P|info:eu-repo/dai/nl/073710725; Kaneko, Kunihiko

    2017-01-01

    The heredity of a cell is provided by a small number of non-catalytic templates-The genome. How did genomes originate? Here, we demonstrate the possibility that genome-like molecules arise from symmetry breaking between complementary strands of self-replicating molecules. Our model assumes a

  15. Breaking out from our ivory (icy) towers – some thoughts

    DEFF Research Database (Denmark)

    Thomas, David

    There are many good reasons for not confining our scientific exploits to the formal and rather cosy world of academic endeavour. This talk (& discussion it hopefully evokes) will look at the concept of this “breaking out” despite the obvious general conflicts of interests & time that face us all:...

  16. Breaking the Silence Surrounding Mental Health on Campus

    Science.gov (United States)

    Roper, Larry D.

    2013-01-01

    Mentally ill students are able to participate in higher education at unprecedented rates. While colleges and universities have been responsive to the therapeutic needs, we have failed to successfully create supportive campus climates. Campus leaders are challenged to demonstrate ethical leadership that breaks the silence and confronts the stigma…

  17. Breaking wave impacts on offshore wind turbine foundations

    DEFF Research Database (Denmark)

    Bredmose, Henrik; Jacobsen, Niels Gjøl

    2010-01-01

    Extreme wave loads from breaking waves on a monopile foundation are computed within a 3D CFD model. The wave impacts are obtained by application of focused wave groups. For a fixed position of the monopile, the focus location of the wave group is varied to produce impacts with front shapes....... Extensions of the study are discussed....

  18. Climatology of the stratospheric polar vortex and planetary wave breaking

    Science.gov (United States)

    Baldwin, Mark P.; Holton, James R.

    1988-01-01

    The distribution of Ertel's potential vorticity (PV) on the 850 K isentropic surface is used to establish a climatology for the transient evolution of the planetary scale circulation in the Northern Hemisphere winter midstratosphere. PV distributions are computed from gridded NMC daily temperature and height maps for the 10 and 30 mb levels, and show that a very good approximation for 850 K PV can be derived from 10 mb heights and temperatures alone. It is assumed that reversals of the latitudinal gradient of PV, localized in longitude and latitude may be regarded as signatures of planetary wave breaking. Wave breaking identified by such signatures tends to occur mainly in the vicinity of the Aleutian anticyclone, with a secondary maximum over Europe. The area of the polar vortex, defined as the area enclosed by PV contours greater than a certain critical value, is strongly influenced by wave breaking. Erosion of the polar vortex due to transport and mixing of PV leads to a preconditioned state, when defined in terms of vortex area, that always occurs prior to major stratospheric warmings. During winters with little PV transport or mixing, the vortex area evolves rather uniformly in response to radiative forcing. During winters with major sudden warmings, the wave breaking signature as defined here first appears at low values of PV, then rapidly moves toward higher values as the vortex area is reduced and the 'surf-zone' structure becomes well defined.

  19. Wave-Breaking Turbulence in the Ocean Surface Layer

    Science.gov (United States)

    2016-06-01

    10.1175/JPO-D-15-0130.1 2016 American Meteorological Society different observations of « reported in the literature, and it also is essential to...D. Stokes , and A. H. Callaghan, 2016: The sat- uration of fluid turbulence in breaking laboratory waves and implications for whitecaps. J. Phys

  20. Effects Of The Physical Dimensions On Forces To Break Melon ...

    African Journals Online (AJOL)

    The physical dimensions of melon seeds were measured and compressed between parallel plates in a rig to determine the forces when broken. The average forces found to break the seeds were 12.54, 18.92 and 19.58 x 10-3N when the seeds were loaded breadthwise, lengthwise with tip up and lengthwise with tip down ...