WorldWideScience

Sample records for breath tests examination

  1. Breath alcohol test

    Science.gov (United States)

    Alcohol test - breath ... There are various brands of breath alcohol tests. Each one uses a different method to test the level of alcohol in the breath. The machine may be electronic or manual. One ...

  2. Gastric emptying rate in subjects with malocclusion examined by [(13) C] breath test.

    Science.gov (United States)

    Koike, S; Sujino, T; Ohmori, H; Shimazaki, K; Fukuyama, E; Kanai, T; Hibi, T; Ono, T

    2013-08-01

    Masticatory function is significantly lower in individuals with malocclusion than in those with normal occlusion. Although several studies suggest that masticatory function influences gastrointestinal digestive function, the relationship between malocclusion and gastrointestinal symptoms has not been studied extensively. We hypothesised that insufficient masticatory function would increase the functional burden of the stomach and have some influence on the gastrointestinal system. The purpose of this study was to investigate masticatory function and gastric emptying rate in subjects with malocclusion. Eleven healthy dentate female volunteers and eleven female patients with maloc-clusion underwent a (13) C-acetate breath test with a liquid meal. Maximum (13) CO2 exhalation time (Tmax ) was compared statistically between both groups. Masticatory function was assessed by colour-changeable chewing gum. In addition, the frequency scale for the symptoms of gastroeso-phageal reflux disease (FSSG) and questionnaires on food intake were given to both groups. The mean Tmax of the malocclusion group was significantly longer than that of the normal occlusion group (P = 0·007). Masticatory performance, measured by colour-changeable gum and questionnaires, was significantly lower in the malocclusion group than in the normal occlusion group (P = 0·023, P = 0·003). There was no significant difference in the FSSG results between the two groups (P = 0·262). This study suggested that there was a correlation between malocclusion and gastric emptying function in women.

  3. [Breath-analysis tests in gastroenetrological diagnosis].

    Science.gov (United States)

    Caspary, W F

    1975-12-01

    The introduction of a simple method for analysis of 14CO2 in breath allowed a more widely application of breath-tests in the diagnosis of gastroenterological diseases. During a breath-test a 14C-labelled compound is administered orally and 14CO2 is subsequently measured in breath by discontinuous samplings of 14CO2 by virtue of a trapping solution (hyamine hydroxide). Most helpful tests in gastroenterology are the 14C-glycyl-cholate breath test for detecting increased deconjugation of bile acids due to small intestinal bacterial overgrowth or bile acid malabsorption in ileal resection or Crohn's disease of the ileum, the 14C-lactose breath test in lactase deficiency, whereas the 14C-tripalmitin test seems less helpful in the diagnosis of fat malabsorption. A 14C-aminopyrine breath test may turn out to be a simple and valuable liver function test. Oral loading tests with breath analysis of H2 have shown to be helpful in the diagnosis of carbohydrate malabsorption, determination of intestinal transit time and intestinal gas production. Due to technical reasons (gas-chromatographie analysis) H2-breath analysis is still limited to research centers. Despite low radiation doses after oral administration of 14C-labelled compounds oral loading tests with H2- or 13C-analysis might be preferable in the future.

  4. Can Breath Test Detect Stomach Cancers Earlier?

    Science.gov (United States)

    ... news/fullstory_163342.html Can Breath Test Detect Stomach Cancers Earlier? New technology may also spot esophageal cancers ... the only way to diagnose esophageal cancer or stomach cancer is with endoscopy. This method is expensive, invasive ...

  5. Clinical Applications of CO2 and H2 Breath Test

    OpenAIRE

    ZHAO Si-qian; Chen, Bao-Jun; LUO Zhi-fu

    2016-01-01

    Breath test is non-invasive, high sensitivity and high specificity. In this article, CO2 breath test, H2 breath test and their clinical applications were elaborated. The main applications of CO2 breath test include helicobacter pylori test, liver function detection, gastric emptying test, insulin resistance test, pancreatic exocrine secretion test, etc. H2 breath test can be applied in the diagnosis of lactose malabsorption and detecting small intestinal bacterial overgrowth. With further res...

  6. Optoacoustic 13C-breath test analyzer

    Science.gov (United States)

    Harde, Hermann; Helmrich, Günther; Wolff, Marcus

    2010-02-01

    The composition and concentration of exhaled volatile gases reflects the physical ability of a patient. Therefore, a breath analysis allows to recognize an infectious disease in an organ or even to identify a tumor. One of the most prominent breath tests is the 13C-urea-breath test, applied to ascertain the presence of the bacterium helicobacter pylori in the stomach wall as an indication of a gastric ulcer. In this contribution we present a new optical analyzer that employs a compact and simple set-up based on photoacoustic spectroscopy. It consists of two identical photoacoustic cells containing two breath samples, one taken before and one after capturing an isotope-marked substrate, where the most common isotope 12C is replaced to a large extent by 13C. The analyzer measures simultaneously the relative CO2 isotopologue concentrations in both samples by exciting the molecules on specially selected absorption lines with a semiconductor laser operating at a wavelength of 2.744 μm. For a reliable diagnosis changes of the 13CO2 concentration of 1% in the exhaled breath have to be detected at a concentration level of this isotope in the breath of about 500 ppm.

  7. 21 CFR 862.3080 - Breath nitric oxide test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Breath nitric oxide test system. 862.3080 Section... Systems § 862.3080 Breath nitric oxide test system. (a) Identification. A breath nitric oxide test system is a device intended to measure fractional nitric oxide in human breath. Measurement of changes...

  8. 42 CFR 84.88 - Breathing bag test.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing bag test. 84.88 Section 84.88 Public... RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES Self-Contained Breathing Apparatus § 84.88 Breathing bag test. (a) Breathing bags will be tested in an air atmosphere saturated...

  9. 42 CFR 84.91 - Breathing resistance test; exhalation.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing resistance test; exhalation. 84.91...-Contained Breathing Apparatus § 84.91 Breathing resistance test; exhalation. (a) Resistance to exhalation...-circuit apparatus with a breathing machine as described in § 84.88, and the exhalation resistance...

  10. 42 CFR 84.90 - Breathing resistance test; inhalation.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing resistance test; inhalation. 84.90...-Contained Breathing Apparatus § 84.90 Breathing resistance test; inhalation. (a) Resistance to inhalation airflow will be measured in the facepiece or mouthpiece while the apparatus is operated by a...

  11. 42 CFR 84.122 - Breathing resistance test; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing resistance test; minimum requirements. 84... Masks § 84.122 Breathing resistance test; minimum requirements. (a) Resistance to airflow will be measured in the facepiece or mouthpiece of a gas mask mounted on a breathing machine both before and...

  12. 46 CFR 197.450 - Breathing gas tests.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Breathing gas tests. 197.450 Section 197.450 Shipping....450 Breathing gas tests. The diving supervisor shall insure that— (a) The output of each air... or modification. (b) Purchased supplies of breathing mixtures supplied to a diver are checked...

  13. 42 CFR 84.203 - Breathing resistance test; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing resistance test; minimum requirements. 84.203 Section 84.203 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Chemical Cartridge Respirators § 84.203 Breathing resistance test; minimum requirements. (a) Resistance...

  14. Breath testing and personal exposure--SIFT-MS detection of breath acetonitrile for exposure monitoring.

    Science.gov (United States)

    Storer, Malina; Curry, Kirsty; Squire, Marie; Kingham, Simon; Epton, Michael

    2015-05-26

    Breath testing has potential for the rapid assessment of the source and impact of exposure to air pollutants. During the development of a breath test for acetonitrile using selected ion flow tube mass spectrometry (SIFT-MS) raised acetonitrile concentrations in the breath of volunteers were observed that could not be explained by known sources of exposure. Workplace/laboratory exposure to acetonitrile was proposed since this was common to the volunteers with increased breath concentrations. SIFT-MS measurements of acetonitrile in breath and air were used to confirm that an academic chemistry laboratory was the source of exposure to acetonitrile, and quantify the changes that occurred to exhaled acetonitrile after exposure. High concentrations of acetonitrile were detected in the air of the chemistry laboratory. However, concentrations in the offices were not significantly different across the campus. There was a significant difference in the exhaled acetonitrile concentrations of people who worked in the chemistry laboratories (exposed) and those who did not (non-exposed). SIFT-MS testing of air and breath made it possible to determine that occupational exposure to acetonitrile in the chemistry laboratory was the cause of increased exhaled acetonitrile. Additionally, the sensitivity was adequate to measure the changes to exhaled amounts and found that breath concentrations increased quickly with short exposure and remained increased even after periods of non-exposure. There is potential to add acetonitrile to a suite of VOCs to investigate source and impact of poor air quality.

  15. The Influence of Age on Interaction between Breath-Holding Test and Single-Breath Carbon Dioxide Test.

    Science.gov (United States)

    Trembach, Nikita; Zabolotskikh, Igor

    2017-01-01

    Introduction. The aim of the study was to compare the breath-holding test and single-breath carbon dioxide test in evaluation of the peripheral chemoreflex sensitivity to carbon dioxide in healthy subjects of different age. Methods. The study involved 47 healthy volunteers between ages of 25 and 85 years. All participants were divided into 4 groups according to age: 25 to 44 years (n = 14), 45 to 60 years (n = 13), 60 to 75 years (n = 12), and older than 75 years (n = 8). Breath-holding test was performed in the morning before breakfast. The single-breath carbon dioxide (SB-CO2) test was performed the following day. Results. No correlation was found between age and duration of breath-holding (r = 0.13) and between age and peripheral chemoreflex sensitivity to CO2 (r = 0.07). In all age groups there were no significant differences in the mean values from the breath-holding test and peripheral chemoreflex sensitivity tests. In all groups there was a strong significant inverse correlation between breath-holding test and SB-CO2 test. Conclusion. A breath-holding test reflects the sensitivity of the peripheral chemoreflex to carbon dioxide in healthy elderly humans. Increasing age alone does not alter the peripheral ventilatory response to hypercapnia.

  16. 42 CFR 84.152 - Breathing tube test; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... Respirators § 84.152 Breathing tube test; minimum requirements. (a)(1) Type A and Type B supplied-air respirators shall employ one or two flexible breathing tubes of the nonkinking type which extend from the... employed on Type C supplied-air respirators of the continuous flow class shall meet the...

  17. Aspiration tests in aqueous foam using a breathing simulator

    Energy Technology Data Exchange (ETDEWEB)

    Archuleta, M.M.

    1995-12-01

    Non-toxic aqueous foams are being developed by Sandia National Laboratories (SNL) for the National Institute of Justice (NIJ) for use in crowd control, cell extractions, and group disturbances in the criminal justice prison systems. The potential for aspiration of aqueous foam during its use and the resulting adverse effects associated with complete immersion in aqueous foam is of major concern to the NIJ when examining the effectiveness and safety of using this technology as a Less-Than-Lethal weapon. This preliminary study was designed to evaluate the maximum quantity of foam that might be aspirated by an individual following total immersion in an SNL-developed aqueous foam. A.T.W. Reed Breathing simulator equipped with a 622 Silverman cam was used to simulate the aspiration of an ammonium laureth sulfate aqueous foam developed by SNL and generated at expansion ratios in the range of 500:1 to 1000:1. Although the natural instinct of an individual immersed in foam is to cover their nose and mouth with a hand or cloth, thus breaking the bubbles and decreasing the potential for aspiration, this study was performed to examine a worst case scenario where mouth breathing only was examined, and no attempt was made to block foam entry into the breathing port. Two breathing rates were examined: one that simulated a sedentary individual with a mean breathing rate of 6.27 breaths/minute, and one that simulated an agitated or heavily breathing individual with a mean breathing rate of 23.7 breaths/minute. The results of this study indicate that, if breathing in aqueous foam without movement, an air pocket forms around the nose and mouth within one minute of immersion.

  18. Breath hydrogen test in infants and children with blind loop syndrome.

    Science.gov (United States)

    Nose, O; Kai, H; Harada, T; Ogawa, M; Maki, I; Tajiri, H; Kanaya, S; Kimura, S; Shimizu, K; Yabuuchi, H

    1984-06-01

    Breath hydrogen production after oral lactose loading was examined in infants and children with stagnant loop syndrome, blind loop syndrome, or both. All six infants under 3 years of age had bacteriological evidence of small intestinal colonization. The characteristics of the breath hydrogen test in this syndrome are: (a) extremely high basal excretion of breath hydrogen (after overnight fasting); (b) an earlier and greater breath hydrogen value (0.293 +/- 0.201 ml/min/m2: mean +/- SD) after oral lactose administration than formed in lactose malabsorption alone (0.050 +/- 0.041 ml/min/m2); and (c) the observation of a sustained hydrogen rise over several hours. This investigation demonstrated that the breath hydrogen test is a promising and noninvasive tool for diagnosing blind (or stagnant) loop syndrome.

  19. Hydrogen and methane breath tests for evaluation of resistant carbohydrates

    DEFF Research Database (Denmark)

    Rumessen, J J

    1992-01-01

    This review considers in detail the background, principles, techniques, limitations and advantages of the hydrogen and methane breath tests. Resistant food carbohydrates, defined as dietary carbohydrates partly or totally escaping small intestinal assimilation, are fermented in the human colon...... carbohydrates. Methane breath tests may supplement the information gained from hydrogen measurements, but further evaluations are needed. The hydrogen breath technique is rapid, simple and non-invasive as well as non-radioactive. It may be carried out in a large number of intact individuals under physiological...

  20. Breathing simulator of workers for respirator performance test.

    Science.gov (United States)

    Yuasa, Hisashi; Kumita, Mikio; Honda, Takeshi; Kimura, Kazushi; Nozaki, Kosuke; Emi, Hitoshi; Otani, Yoshio

    2015-01-01

    Breathing machines are widely used to evaluate respirator performance but they are capable of generating only limited air flow patterns, such as, sine, triangular and square waves. In order to evaluate the respirator performance in practical use, it is desirable to test the respirator using the actual breathing patterns of wearers. However, it has been a difficult task for a breathing machine to generate such complicated flow patterns, since the human respiratory volume changes depending on the human activities and workload. In this study, we have developed an electromechanical breathing simulator and a respiration sampling device to record and reproduce worker's respiration. It is capable of generating various flow patterns by inputting breathing pattern signals recorded by a computer, as well as the fixed air flow patterns. The device is equipped with a self-control program to compensate the difference in inhalation and exhalation volume and the measurement errors on the breathing flow rate. The system was successfully applied to record the breathing patterns of workers engaging in welding and reproduced the breathing patterns.

  1. A 20-minute breath test for helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, B.J.; Plankey, M.W.; Hoffman, S.R.; Boyd, C.L.; Dye, K.R.; Frierson, H.F. Jr.; Guerrant, R.L.; McCallum, R.W. (Univ. of Virginia Health Sciences Center, Charlottesville (USA))

    1991-04-01

    In this study, we evaluated a simplified rapid {sup 14}C-urea breath test for the diagnosis of Helicobacter pylori. Fasting patients undergoing initial assessment for H. pylori drank 5 microCi of {sup 14}C-urea in 20 ml of water. Breath was collected at intervals for 30 min. Samples were counted in a beta-counter, and the results were expressed as counts per minute (cpm). In the same week, patients underwent endoscopy, and a blinded investigator examined biopsy samples of gastric mucosa by culture and histology for H. pylori. There were 49 H. pylori-negative (HP-) and 104 H. pylori-positive (HP+) patients in the study. HP+ patients expired a mean of 4398 cpm (SD 2468) per mmol CO{sub 2} in a sample taken 20 min after ingestion of the isotope. In contrast, HP--patients expired only 340 cpm (SD 196). If the mean +3 SD of HP- patients was used as a cutoff value, the 20-minute sample gave a sensitivity of 97% and a specificity of 100% for detecting H. pylori. The radiation exposure from this test is less than 1% of that received from an upper gastrointestinal series, and the short collection time makes it both convenient and cost effective.

  2. A Systematic Approach to Multiple Breath Nitrogen Washout Test Quality

    Science.gov (United States)

    Klingel, Michelle; Pizarro, Maria Ester; Hall, Graham L.; Ramsey, Kathryn; Foong, Rachel; Saunders, Clare; Robinson, Paul D.; Webster, Hailey; Hardaker, Kate; Kane, Mica; Ratjen, Felix

    2016-01-01

    Background Accurate estimates of multiple breath washout (MBW) outcomes require correct operation of the device, appropriate distraction of the subject to ensure they breathe in a manner representative of their relaxed tidal breathing pattern, and appropriate interpretation of the acquired data. Based on available recommendations for an acceptable MBW test, we aimed to develop a protocol to systematically evaluate MBW measurements based on these criteria. Methods 50 MBW test occasions were systematically reviewed for technical elements and whether the breathing pattern was representative of relaxed tidal breathing by an experienced MBW operator. The impact of qualitative and quantitative criteria on inter-observer agreement was assessed across eight MBW operators (n = 20 test occasions, compared using a Kappa statistic). Results Using qualitative criteria, 46/168 trials were rejected: 16.6% were technically unacceptable and 10.7% were excluded due to inappropriate breathing pattern. Reviewer agreement was good using qualitative criteria and further improved with quantitative criteria from (κ = 0.53–0.83%) to (κ 0.73–0.97%), but at the cost of exclusion of further test occasions in this retrospective data analysis. Conclusions The application of the systematic review improved inter-observer agreement but did not affect reported MBW outcomes. PMID:27304432

  3. A Systematic Approach to Multiple Breath Nitrogen Washout Test Quality.

    Directory of Open Access Journals (Sweden)

    Renee Jensen

    Full Text Available Accurate estimates of multiple breath washout (MBW outcomes require correct operation of the device, appropriate distraction of the subject to ensure they breathe in a manner representative of their relaxed tidal breathing pattern, and appropriate interpretation of the acquired data. Based on available recommendations for an acceptable MBW test, we aimed to develop a protocol to systematically evaluate MBW measurements based on these criteria.50 MBW test occasions were systematically reviewed for technical elements and whether the breathing pattern was representative of relaxed tidal breathing by an experienced MBW operator. The impact of qualitative and quantitative criteria on inter-observer agreement was assessed across eight MBW operators (n = 20 test occasions, compared using a Kappa statistic.Using qualitative criteria, 46/168 trials were rejected: 16.6% were technically unacceptable and 10.7% were excluded due to inappropriate breathing pattern. Reviewer agreement was good using qualitative criteria and further improved with quantitative criteria from (κ = 0.53-0.83% to (κ 0.73-0.97%, but at the cost of exclusion of further test occasions in this retrospective data analysis.The application of the systematic review improved inter-observer agreement but did not affect reported MBW outcomes.

  4. Data Mining Techniques Applied to Hydrogen Lactose Breath Test

    Science.gov (United States)

    Nepomuceno-Chamorro, Isabel; Pontes-Balanza, Beatriz; Hernández-Mendoza, Yoedusvany; Rodríguez-Herrera, Alfonso

    2017-01-01

    In this work, we present the results of applying data mining techniques to hydrogen breath test data. Disposal of H2 gas is of utmost relevance to maintain efficient microbial fermentation processes. Objectives Analyze a set of data of hydrogen breath tests by use of data mining tools. Identify new patterns of H2 production. Methods Hydrogen breath tests data sets as well as k-means clustering as the data mining technique to a dataset of 2571 patients. Results Six different patterns have been extracted upon analysis of the hydrogen breath test data. We have also shown the relevance of each of the samples taken throughout the test. Conclusions Analysis of the hydrogen breath test data sets using data mining techniques has identified new patterns of hydrogen generation upon lactose absorption. We can see the potential of application of data mining techniques to clinical data sets. These results offer promising data for future research on the relations between gut microbiota produced hydrogen and its link to clinical symptoms. PMID:28125620

  5. 21 CFR 862.3050 - Breath-alcohol test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Breath-alcohol test system. 862.3050 Section 862.3050 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... diagnosis of alcohol intoxication. (b) Classification. Class I....

  6. ( sup 14 C)urea breath test for diagnosis of Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Ormand, J.E.; Talley, N.J.; Carpenter, H.A.; Shorter, R.G.; Conley, C.R.; Wilson, W.R.; DiMagno, E.P.; Zinsmeister, A.R.; Phillips, S.F. (Mayo Clinic, Rochester, MN (USA))

    1990-07-01

    H. pylori is a potent urease producer, a characteristic that has been exploited in the development of the (14C)- and (13C)urea breath tests. The prevalence of H. pylori infection also is known to increase with advancing age; however, the individual patient's age has not routinely been considered when interpreting urea breath test results. The aim of this study was to validate a short, age-adjusted (14C)urea breath test for use in diagnosing H. pylori infections. Forty-one subjects (28 volunteers, 13 patients) underwent esophagogastroduodenoscopy with biopsies. Subjects were defined as being H. pylori-positive if histology or culture was positive. In addition, all subjects completed a 120-min (14C)urea breath test. A logistic regression analysis adjusting for age was used to estimate the probability of H. pylori positivity as a function of the 14C values generated. Sixteen subjects were H. pylori-positive, and 25 were H. pylori-negative. The 14C values generated between 15 and 80 min were found to be equally predictive in identifying H. pylori-positive subjects. Advancing age was associated with a higher probability of H. pylori-positivity. By taking advantage of the statistical probabilities, older patients could be accurately diagnosed with H. pylori at lower 14C values. We found that (14C)urea breath test to be both a sensitive and specific test that can be abbreviated to a 30-min examination (total test time). Moreover, our mathematical model indicates that a patient's age should be considered in order to optimize interpretation of the (14C)urea breath test, although further observations are needed to confirm this model.

  7. Ten years experience of isotopic breath test with special reference to Helicobacter pylori detection

    Energy Technology Data Exchange (ETDEWEB)

    Verhas, M.; Tricht, L.Van; Verschaeren, A.; Delmotte, E.; Martin, P

    1997-12-31

    The use of the carbon 14 urea breath test by comparison with culture for campylobacter of gastric endoscopic biopsies is studied in 91 patients. They were divided into 2 groups. The first group consisted of 53 patients examined by gastric endoscopy and carbon 14 urea breath test. In this population, gastric biopsies were taken at different regions of the stomach and duodenum. The breath test was performed within 3 hours after endoscopy. The second group consisted of 38 asymptomatic patients whom 23 were parent of children with campylobacter positive gastritis. For the whole population, neither antibiotic therapy nor bismuth medication was administrated within the 15 days before the realization of the test. Results were expressed in % of injected dose/mmole of CO{sub 2} after correction of endogenous production of CO{sub 2}. In conclusion, carbon 14 urea breath test is a reliable noninvasive test for detection and follow-up of gastritis caused by a widespread microorganism. Also, the precision of both tests, {sup 14} C-UBT and {sup 13} C-UBT, are compared simultaneously in 84 adults patients. The results were expressed as % of administered dose expired in 30 minutes. A better precision is observed with the {sup 13} C-UBT

  8. Development of Synthetic Methods of Breath Test Drug Carbon Labeled Methacetin

    Institute of Scientific and Technical Information of China (English)

    ZHAO; Si-qian; CHEN; Bao-jun; LUO; Zhi-fu

    2013-01-01

    The accurate detection of liver function has important clinical significance.Breath test,due to it’s many advantages such as noninvasive,simple as well as good accuracy when applied to liver function test,has been deeply researched and applied in clinic.There are some common breath tests to reflect hepatocyte microsome function:Aminopyrine breath

  9. Dosimetry and reproducibility of a capsule-based C-14 urea breath test

    Energy Technology Data Exchange (ETDEWEB)

    Combs, M.J.; Stubbs, J.B.; Buck, D.A. [Univ. of Virginia, Charlottesville, VA (United States)]|[Oak Ridge Inst. for Science and Education, TN (United States)] [and others

    1995-05-01

    The aims of this study were (1) to determine the excretion of the C-14 and associated radiation dose and (2) to examine the reproducibility of a commercial C-14 urea breath test for H.pylori diagnosis. Tests were performed on twenty consenting volunteers (13M, 7F, 24-48 yr). Breath samples containing 1 mmol CO{sub 2} were obtained at 0,5,10,15,20,25,30 min. and 1,2,3,4,5,6,12, 24 hrs following administration of the 37kBq C-14 urea test capsule. A 24 hr urine collection was performed with each voiding collected separately. A repeat breath test was performed 24 hr after the first. H. pylori positive (HP+) was defined as a 15 minute breath sample >=50 dpm. Total urine excretion was obtained directly. Breath excretion was modeled by estimating the area under the excretion curve and using a constant factor of 884 mmol CO{sub 2}/ hr. Urine and breath excretion data in HP+ and H. pylori-negative (HP-) volunteers were pooled and fit to a monoexponential function thus estimating the cumulative urinary excretion of unmetabolized urea. Previously reported biokinetic models of C-14 urea and bicarbonate were used to estimate radiation doses form each compound. Weighted sums were calculated for each dose estimate using each group`s excretion fraction distribution. Both HP+ and HP- volunteers excreted an average of 73% of the C-14 over the first 24 hr. HP+ excretion was evenly divided between breath (34%) and urine (38%). HP-excretion is almost solely by the urinary pathway. The maximum dose for HP= was to the red marrow (0.0033 mGy) and a maximum of 0.0054 mGy to the urinary bladder wall for HP-. There was no difference between 15 inch breath samples on the two days (t-test, p>0.6). The minimum HP+ result at 15 inch was 270 dpm and the maximum HP- result at 15 inch was 18 dpm, indicating great separation between HP+ and HP- results. This study verifies previous dose estimates using C-14 excretion data. The test is sensitive and reproducible with a low radiation dose.

  10. Mathematical analysis of [13CO2]-expiration curves from human breath tests using [1-13C]-amino acids as oral substrate

    NARCIS (Netherlands)

    Schreurs, V.V.A.M.; Krawielitzki, K.

    2003-01-01

    A [13CO2]-breath test examines the expiration of [13CO2] as function of time after oral intake of a [13C]-labelled test substrate (single dose). In clinical settings, breath test studies are often used as a simple and non-invasive tool to diagnose the activity of metabolic functions. From a nutritio

  11. 49 CFR 40.277 - Are alcohol tests other than saliva or breath permitted under these regulations?

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Are alcohol tests other than saliva or breath... Testing § 40.277 Are alcohol tests other than saliva or breath permitted under these regulations? No.... Only saliva or breath for screening tests and breath for confirmation tests using approved devices...

  12. 13C-methacetin breath test parameter S for liver diseases diagnosis

    Institute of Scientific and Technical Information of China (English)

    曾文炳; 张维成; 许士元; 杨志忠; 刘纯; 朱德平; 文启彬; 申岐祥; 王先彬

    1996-01-01

    The mechanism of 13C-methacetin breath test is set forth clearly with the analysis of pharmacokinetics mode, and the measuring method of 13C-methacetin breath test and its clinical applications in the diagnosis of liver diseases are reported in detail. On the basis of comprehensive analysis of the clinical test data, the advanced diagnostic parameter S is of important significance for the application and development of breath test.

  13. Free-breathing radial volumetric interpolated breathhold examination vs breath-hold cartesian volumetric interpolated breath-hold examination magnetic resonance imaging of the liver at 1.5T

    Institute of Scientific and Technical Information of China (English)

    Sireesha Yedururi; HyunSeon C Kang; Wei Wei; Nicolaus A Wagner-Bartak; Leonardo P Marcal; R Jason Stafford; Brandy J Willis; Janio Szklaruk

    2016-01-01

    AIM: To compare breath-hold cartesian volumetric interpolated breath-hold examination(cVIBE) and freebreathing radial VIBE(rVIBE) and determine whether rVIBE could replace cVIBE in routine liver magnetic resonance imaging(MRI).METHODS: In this prospective study, 15 consecutive patients scheduled for routine MRI of the abdomen underwent pre- and post-contrast breath-hold cVIBE imaging(19 s acquisition time) and free-breathing rVIBE imaging(111 s acquisition time) on a 1.5T Siemens scanner. Three radiologists with 2, 4, and 8 years post-fellowship experience in abdominal imaging evaluated all images. The radiologists were blinded to the sequence types, which were presented in a random order for each patient. For each sequence, the radiologists scored the cVIBE and rVIBE images for liver edge sharpness, hepatic vessel clarity, presence of artifacts, lesion conspicuity, fat saturation, and overall image quality using a five-point scale. RESULTS: Compared to rVIBE, cVIBE yielded significantly(P < 0.001) higher scores for liver edge sharpness(mean score, 3.87 vs 3.37), hepatic-vessel clarity(3.71 vs 3.18), artifacts(3.74 vs 3.06), lesion conspicuity(3.81 vs 3.2), and overall image quality(3.91 vs 3.24). cVIBE and rVIBE did not significantly differ in quality of fat saturation(4.12 vs 4.03, P = 0.17). The inter-observer variability with respect to differences between rVIBE and cVIBE scores was close to zero compared to random error and inter-patient variation. Quality of rVIBE images was rated as acceptable for all parameters. CONCLUSION: rVIBE cannot replace cVIBE in routine liver MRI. At 1.5T, free-breathing rVIBE yields acceptable, although slightly inferior image quality compared to breath-hold cVIBE.

  14. Lactose malabsorption during gastroenteritis, assessed by the hydrogen breath test.

    OpenAIRE

    Gardiner, A J; Tarlow, M J; Sutherland, I T; Sammons, H G

    1981-01-01

    Thirty-eight infants and young children with gastroenteritis were investigated for lactose malabsorption. Each of them was given an oral lactose load of either 0.5 g/kg or 2 g/kg after which breath hydrogen excretion was measured, and each was observed to see if he had clinical symptoms of lactose intolerance. Only one patient, given 2 g/kg lactose, had clinical intolerance. His breath hydrogen excretion however was negative. Three of 18 patients given 0.5 g/kg lactose had positive breath hyd...

  15. Validation of the 13C-urea breath test for use in cheetahs (Acinonyx jubatus) with Helicobacter.

    Science.gov (United States)

    Chatfield, Jenifer; Citino, Scott; Munson, Linda; Konopka, Stanley

    2004-06-01

    Historically, therapeutic monitoring for prescribed eradication treatment of Helicobacter in cheetahs (Acinonyx jubatus) with associated gastritis has been accomplished only through endoscopic biopsies. The 13C-urea breath test (UBT) can offer an alternative to repeated biopsies for therapeutic monitoring. Five male and five female cheetahs and one male Sumatran tiger (Panthera tigris) were studied. All were clinically healthy before and after this investigation. Breath samples of end-tidal expiration were taken before and after administration of a 13C-enriched urea solution through a gastroesophageal tube. Twenty-milliliter breath samples were taken at 10, 20, 30, and 40 min after administration of the urea solution. The results of the breath analysis were compared with the results of rapid urease testing, histopathologic examination, and impression smears of gastric biopsies taken at the time of the breath test. The sensitivity and specificity for the 13C-UBT in this investigation were 100%. and the positive predictive value and negative predictive value were both 100%. Although the 13C-UBT is a good noninvasive diagnostic tool for monitoring the presence of Helicobacter sp. in the gastric mucosa, endoscopy should still be used for initial diagnosis and grading of gastritis and for monitoring the progression of disease in cheetahs. The 13C-UBT is a valuable, simple, accurate, and sensitive tool for monitoring eradication of Helicobacter during therapy for clinical gastritis.

  16. Almagate interference in breath test results for the diagnosis of Helicobacter pylori infection

    Directory of Open Access Journals (Sweden)

    Carles Pons

    2014-08-01

    Full Text Available Background: Infection by Helicobacter pylori is common and affects both genders at any age. The 13C-urea breath test is a widely used test for the diagnosis of this infection. However, multiple drugs used for the treatment of Helicobacter pylori infection symptoms have interactions with this breath test that generate false negative results. This observational study was to assess the potential interaction between almagate and the breath test. Methods: Thirty subjects on almagate therapy who underwent a breath test were included. If the result was negative, almagate was withdrawn for a month and the breath test was then repeated. Results: In general, 51.9 % of assessed subjects had a negative result after the first test, and 100 % of these also had a negative result after the second test. Conclusions: It was concluded that the use of almagate does not interfere in breath test results. These results provide a drug therapy option for the treatment of symptoms associated with Helicobacter pylori infection during the diagnostic process.

  17. The Effects of Gastroesophageal Reflux Disease on Forensic Breath Alcohol Testing.

    Science.gov (United States)

    Booker, James L; Renfroe, Kathryn

    2015-11-01

    Fifteen test subjects, 10 of whom were diagnosed with gastroesophageal reflux disease (GERD), were dosed with alcohol to BACs above 0.150 g/dL. Blood and breath assays taken at 20-min intervals for 8 h after dosing demonstrated close agreement between postabsorptive BAC and BrAC values. Three subjects exhibited elevated breath alcohol concentrations up to 0.105 g/dL during the absorptive phase that were apparently due to the passage of gastric alcohol through the lower esophageal sphincter not attributable to eruction or regurgitation. The effect of gastric alcohol was not consistently proportional to the amount of unabsorbed gastric alcohol. Absorption of alcohol in the esophagus explains the nonproportionality. Breath samples contaminated by GERD-related alcohol leakage from the stomach into a breath sample were found only when there was a high concentration of alcohol in the stomach. When contaminated breath samples were encountered, they were irreproducible in magnitude.

  18. Critical appraisal of 13C breath tests for microsomal liver function: aminopyrine revisited.

    Science.gov (United States)

    Pijls, Kirsten E; de Vries, Hanne; Nikkessen, Suzan; Bast, Aalt; Wodzig, Will K W H; Koek, Ger H

    2014-04-01

    As liver diseases are a major health problem and especially the incidence of metabolic liver diseases like non-alcoholic fatty liver disease (NAFLD) is rising, the demand for non-invasive tests is growing to replace liver biopsy. Non-invasive tests such as carbon-labelled breath tests can provide a valuable contribution to the evaluation of metabolic liver function. This review aims to critically appraise the value of the (13) C-labelled microsomal breath tests for the evaluation of metabolic liver function, and to discuss the role of cytochrome P450 enzymes in the metabolism of the different probe drugs, especially of aminopyrine. Although a number of different probe drugs have been used in breath tests, the perfect drug to assess the functional metabolic capacity of the liver has not been found. Data suggest that both the (13) C(2) -aminopyrine and the (13) C-methacetin breath test can play a role in assessing the capacity of the microsomal liver function and may be useful in the follow-up of patients with chronic liver diseases. Furthermore, CYP2C19 seems to be an important enzyme in the N-demethylation of aminopyrine, and polymorphisms in this gene may influence breath test values, which should be kept in mind when performing the (13) C(2) -aminopyrine breath test in clinical practice.

  19. [Cardiopulmonary exercise testing in chronic obstructive pulmonary disease (COPD) - breath-functional characterization and disease severity assessment].

    Science.gov (United States)

    Mühle, A; Obst, A; Winkler, J; Ewert, R

    2015-09-01

    COPD is a heterogeneous disease with a wide range of clinical phenotypes and breath-functional dysfunctions. Cardiopulmonary exercise testing (CPET) allows describing all component parts of breathing and determining exercise capacity and the mechanisms of exercise limitation. From these aspects 64 COPD patient stages II, III and IV according to the conventional GOLD classification were examined by means of CPET to evaluate whether CPET can provide a better functional characterization of COPD than the standard investigation procedures in pulmonary practice.We could show that in pulmonary practice CPET is safely and effectively practicable in stable COPD patients of all GOLD stages. This method allowed a clinical and prognostic disease severity assessment of all patients, proving important differences of peak oxygen uptake in each GOLD stage, so that patients in spite of identical GOLD disease severity were to be assigned to different prognostic groups according CPET criteria. Furthermore, we found relevant differences of individual breath-functional patterns in exercise, which can neither be objectified nor be prognosticated by standard investigation procedures at rest.Therefore CPET allows, aside from an objective clinical and prognostic disease severity assessment, also a breath-functional evaluation in a subtly way in COPD patients reflecting the multidimensional background of the disease with variable dysfunctions in pulmonary ventilation, gas exchange, circulation and muscular function as well as associated cardio vascular comorbidities. The breath-functional phenotyping of the COPD patient seems to be meaningful in particular for an individualised therapy management.

  20. Carbon-14 urea breath test for the diagnosis of Campylobacter pylori associated gastritis

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, B.J.; Surveyor, I.

    1988-01-01

    Urease in the human gastric mucosa is a marker for infection with Campylobacter pylori (CP), an organism suspected of causing chronic gastritis and peptic ulceration. To detect gastric urease, we examined 32 patients who were being evaluated for possible peptic ulcer disease. Fasting patients were given 10 microCi (370 kBq) of /sup 14/C-labeled urea. Breath samples were collected in hyamine at intervals between 1 and 30 min. The amount of /sup 14/C collected at these times was expressed as: body weight X (% of administered dose of /sup 14/C in sample)/(mmol of CO/sub 2/ collected). The presence of C. pylori colonization was also determined by examination of multiple endoscopic gastric biopsy specimens. On average, patients who were proven to have C. pylori infection exhaled 20 times more labeled CO/sub 2/ than patients who were not infected. The difference between infected patients and C. pylori negative control patients was highly significant at all time points between 2 and 30 min after ingestion of the radionuclide (p less than 0.0001). The noninvasive urea breath is less expensive than endoscopic biopsy of the stomach and more accurate than serology as a means of detecting Campylobacter pylori infection. Because the test detects actual viable CP organisms, it can be used to confirm eradication of the bacterium after antibacterial therapy.

  1. sup 14 C-urea breath test for the detection of Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Veldhuyzen van Zanten, S.J.; Tytgat, K.M.; Hollingsworth, J.; Jalali, S.; Rshid, F.A.; Bowen, B.M.; Goldie, J.; Goodacre, R.L.; Riddell, R.H.; Hunt, R.H. (McMaster Univ., Hamilton, Ontario (Canada))

    1990-04-01

    The high urease activity of Helicobacter pylori can be used to detect this bacterium by noninvasive breath tests. We have developed a {sup 14}C-urea breath test which uses 5 microCi {sup 14}C with 50 mg nonradioactive urea. Breath samples are collected at baseline and every 30 min for 2 h. Our study compared the outcome of the breath test to the results of histology and culture of endoscopically obtained gastric biopsies in 84 patients. The breath test discriminated well between the 50 positive patients and the 34 patients negative for Helicobacter pylori: the calculated sensitivity was 100%, specificity 88%, positive predictive value 93%, and negative predictive value 100%. Treatment with bismuth subsalicylate and/or ampicillin resulted in lower counts of exhaled {sup 14}CO{sub 2} which correlated with histological improvement in gastritis. The {sup 14}C-urea breath test is a better gold standard for the detection of Helicobacter pylori than histology and/or culture.

  2. Potential effect of alcohol content in energy drinks on breath alcohol testing.

    Science.gov (United States)

    Lutmer, Brian; Zurfluh, Carol; Long, Christopher

    2009-04-01

    Since the advent of energy drinks in the U.S. marketplace, some defendants have claimed that positive breath alcohol test results have occurred due to the ingestion of non-alcoholic energy drinks. A variety of energy drinks were tested by gas chromatography and some 88.9% (24 of 27) were found to contain low concentrations of ethanol (5-230 mg/dL). Drinks were then consumed (24.6-32 oz) by volunteers to determine the extent of reaction that could be achieved on a portable breath-testing instrument. Eleven of 27 (40.7%) beverages gave positive results on a portable breath-testing instrument (0.006-0.015 g/210 L) when samples were taken within 1 min of the end of drinking. All tests taken by portable breath test, DataMaster, and Intox EC/IR II at least 15 min after the end of drinking resulted in alcohol-free readings (0.000 g/210 L). Affording subjects a minimum 15-min observation period prior to breath-alcohol testing eliminates the possibility that a small false-positive alcohol reading will be obtained.

  3. 42 CFR 84.20 - Examination, inspection, and testing of complete respirator assemblies; fees.

    Science.gov (United States)

    2010-10-01

    ... respirator assemblies; fees. 84.20 Section 84.20 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH... RESPIRATORY PROTECTIVE DEVICES Fees § 84.20 Examination, inspection, and testing of complete respirator... examination, inspection and testing of complete respirator assemblies: Self-contained breathing...

  4. Fructose breath hydrogen test--is it really a harmless diagnostic procedure?

    Science.gov (United States)

    Müller, P; Meier, C; Böhme, H J; Richter, T

    2003-01-01

    Usage of hydrogen breath tests has become one of the standard procedures in diagnosing chronic unspecific abdominal pain. These tests are said to be of sufficient specificity and sensitivity, are easily done, non-invasive and are more often practiced in outpatients. A 13-year-old boy is reported with chronic unspecific abdominal pain and growth retardation and so far misdiagnosed hereditary fructose intolerance (HFI), who developed life-threatening adverse effects during the fructose breath hydrogen test. It is concluded that the possibility of HFI should be excluded first by a carefully explored dietary history before the fructose breath test is performed under medical supervision. If there is any suspicion of HFI, a molecular genetic analysis should be preferred.

  5. A better state-of-mind: deep breathing reduces state anxiety and enhances test performance through regulating test cognitions in children.

    Science.gov (United States)

    Khng, Kiat Hui

    2016-09-26

    A pre-test/post-test, intervention-versus-control experimental design was used to examine the effects, mechanisms and moderators of deep breathing on state anxiety and test performance in 122 Primary 5 students. Taking deep breaths before a timed math test significantly reduced self-reported feelings of anxiety and improved test performance. There was a statistical trend towards greater effectiveness in reducing state anxiety for boys compared to girls, and in enhancing test performance for students with higher autonomic reactivity in test-like situations. The latter moderation was significant when comparing high-versus-low autonomic reactivity groups. Mediation analyses suggest that deep breathing reduces state anxiety in test-like situations, creating a better state-of-mind by enhancing the regulation of adaptive-maladaptive thoughts during the test, allowing for better performance. The quick and simple technique can be easily learnt and effectively applied by most children to immediately alleviate some of the adverse effects of test anxiety on psychological well-being and academic performance.

  6. Capsule 13C-urea breath test for the diagnosis of Helicobacter pylori infection

    Institute of Scientific and Technical Information of China (English)

    Nan-Jing Peng; Ping-I Hsu; Kwok-Hung Lai; Ren-Shyan Liu; Shui-Cheng Lee; Daw-Guey Tsay; Ching-Chu Lo; Huei-Hwa Tseng; Wen-Keui Huang; Gin-Ho Lo

    2005-01-01

    AIM: To compare the accuracy of capsule 13C-urea breath test (UBT) with conventional invasive methods for the diagnosis of Helicobacter pylori infection.METHODS: One hundred patients received CLO test,histological examination, culture and 100- or 50-mg capsule UBT for the diagnosis of Hpyloriinfection. Hpylori infection was defined as those with positive culture or positive results from both histology and CLO test.RESULTS: Both the sensitivity and specificity of the 100-mg capsule UBT (n = 50) were 100%. The sensitivity and specificity of the 50-mg capsule UBT (n = 50) were 96.4and 100%, respectively. Taken together, the accuracy of capsule UBT (n=100) was higher than that of CLO test,histology and culture (100% vs 92%, 91% and 89%,respectively; P= 0.035, 0.018 and 0.005, respectively). Our data showed that the optimal timing of sampling for 100-and 50-mg capsule UBT was 15-30 and 6-15 min, respectively.CONCLUSION: Capsule UBT has a higher accuracy compared with biopsy-based tests. It is an ideal method for the diagnosis of Hpyloriinfection.

  7. FEV manoeuvre induced changes in breath VOC compositions: an unconventional view on lung function tests

    Science.gov (United States)

    Sukul, Pritam; Schubert, Jochen K.; Oertel, Peter; Kamysek, Svend; Taunk, Khushman; Trefz, Phillip; Miekisch, Wolfram

    2016-06-01

    Breath volatile organic compound (VOC) analysis can open a non-invasive window onto pathological and metabolic processes in the body. Decades of clinical breath-gas analysis have revealed that changes in exhaled VOC concentrations are important rather than disease specific biomarkers. As physiological parameters, such as respiratory rate or cardiac output, have profound effects on exhaled VOCs, here we investigated VOC exhalation under respiratory manoeuvres. Breath VOCs were monitored by means of real-time mass-spectrometry during conventional FEV manoeuvres in 50 healthy humans. Simultaneously, we measured respiratory and hemodynamic parameters noninvasively. Tidal volume and minute ventilation increased by 292 and 171% during the manoeuvre. FEV manoeuvre induced substance specific changes in VOC concentrations. pET-CO2 and alveolar isoprene increased by 6 and 21% during maximum exhalation. Then they decreased by 18 and 37% at forced expiration mirroring cardiac output. Acetone concentrations rose by 4.5% despite increasing minute ventilation. Blood-borne furan and dimethyl-sulphide mimicked isoprene profile. Exogenous acetonitrile, sulphides, and most aliphatic and aromatic VOCs changed minimally. Reliable breath tests must avoid forced breathing. As isoprene exhalations mirrored FEV performances, endogenous VOCs might assure quality of lung function tests. Analysis of exhaled VOC concentrations can provide additional information on physiology of respiration and gas exchange.

  8. Accuracy of the {sup 14} C-urea breath test for the diagnosis of Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Gomes, Ana Thereza Britto [Bahia Univ., Salvador (Brazil). Faculdade de Medicina; Coelho, Luciano Kowalsky [Faculdade de Medicina de Blumenau, SC (Brazil); Secaf, Marie [Sao Paulo Univ., Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Hospital das Clinicas; Modena, Jose Luiz Pimenta; Troncon, Luiz Ernesto de Almeida; Oliveira, Ricardo Brandt de [Sao Paulo Univ., Ribeirao Preto, SP (Brazil). Faculdade de Medicina

    2002-05-01

    The development of simple, accurate and low-expense techniques for detection of Helicobacter pylori infection has great relevance. The objective was to determine the accuracy of a rapid {sup 14} C-urea breath test (UBT) employing a very simple device for breathed air collection. One hundred and thirty-seven adult patients who underwent upper gastrointestinal endoscopy in the Clinical Hospital. The main measurements were histology for Helicobacter pylori (HP); urease test; urea breath test (UBT). One hundred and fifteen patients were infected by HP (HP +) according to both histology and the urease test, and 22 patients were HP-negative (HP-), according to the same two tests. UBT was capable of discriminating between HP + and HP- in a way that was similar to the combination of urease test and histology. When this combination of results is taken as the 'gold standard' for HP infection, the sensitivity and specificity of UBT are both greater than 90% for a range of cut-off points and breathed air collection times. It was concluded that the rapid UBT employing a simple device for air collection has a high accuracy in determining HP infection. (author)

  9. Detection of Helicobacter pylori infection by examination of human breath odor using electronic nose Bloodhound-214ST

    Science.gov (United States)

    Shnayder, E. P.; Moshkin, M. P.; Petrovskii, D. V.; Shevela, A. I.; Babko, A. N.; Kulikov, V. G.

    2009-05-01

    Our aim was to examine the possibility of use e-nose Bloodhound-214ST to determine presence or absence of H. pylori infection using exhalation samples of patients. Breath samples were collected twice: at baseline and after oral administration of 500 mg of urea. H. pylori status of patients was confirmed by antral biopsy. Using two approaches for the data analysis we showed the possibility to distinguish H. pylori free and infected patients.

  10. Additional Value of CH₄ Measurement in a Combined (13)C/H₂ Lactose Malabsorption Breath Test: A Retrospective Analysis.

    Science.gov (United States)

    Houben, Els; De Preter, Vicky; Billen, Jaak; Van Ranst, Marc; Verbeke, Kristin

    2015-09-07

    The lactose hydrogen breath test is a commonly used, non-invasive method for the detection of lactose malabsorption and is based on an abnormal increase in breath hydrogen (H₂) excretion after an oral dose of lactose. We use a combined (13)C/H₂ lactose breath test that measures breath (13)CO₂ as a measure of lactose digestion in addition to H₂ and that has a better sensitivity and specificity than the standard test. The present retrospective study evaluated the results of 1051 (13)C/H₂ lactose breath tests to assess the impact on the diagnostic accuracy of measuring breath CH₄ in addition to H₂ and (13)CO₂. Based on the (13)C/H₂ breath test, 314 patients were diagnosed with lactase deficiency, 138 with lactose malabsorption or small bowel bacterial overgrowth (SIBO), and 599 with normal lactose digestion. Additional measurement of CH₄ further improved the accuracy of the test as 16% subjects with normal lactose digestion and no H₂-excretion were found to excrete CH₄. These subjects should have been classified as subjects with lactose malabsorption or SIBO. In conclusion, measuring CH₄-concentrations has an added value to the (13)C/H₂ breath test to identify methanogenic subjects with lactose malabsorption or SIBO.

  11. Comparison of the analytical capabilities of the BAC Datamaster and Datamaster DMT forensic breath testing devices.

    Science.gov (United States)

    Glinn, Michele; Adatsi, Felix; Curtis, Perry

    2011-11-01

    The State of Michigan uses the Datamaster as an evidential breath testing device. The newest version, the DMT, will replace current instruments in the field as they are retired from service. The Michigan State Police conducted comparison studies to test the analytical properties of the new instrument and to evaluate its response to conditions commonly cited in court defenses. The effects of mouth alcohol, objects in the mouth, and radiofrequency interference on paired samples from drinking subjects were assessed on the DMT. The effects of sample duration and chemical interferents were assessed on both instruments, using drinking subjects and wet-bath simulators, respectively. Our testing shows that Datamaster and DMT results are essentially identical; the DMT gave accurate readings as compared with measurements made using simulators containing standard ethanol solutions and that the DMT did not give falsely elevated breath alcohol results from any of the influences tested.

  12. [The clinical application of 13C-breath tests in pancreatic diseases].

    Science.gov (United States)

    Cherniavskiĭ, V V

    2014-11-01

    Maldigestion persists in most patients with chronic pancreatitis (GP). The objective lipase and amylase insufficiency diagnosis is needed to achieve an adequate clinical response to oral pancreatic enzyme substitution therapy. The novel data is presented in the article about the role of 13C-mixed triglyceride and 13C-corn starch breath tests as a tools for exocrine pancreatic insufficiency diagnosis, for evaluating fat and starch malabsorbtion in CP patients. 135 patients were included in the investigation. It has been shown, that 13C-breath tests could be useful tools in clinical practice for CP diagnosis. They are well correlate with fecal elastase-1 level, has high sensitivity and specificity for diagnosis of lipase and amylase deficiency. Tests make it possible to choose the initial pancreatic enzyme dosage and are beneficial during the treatment for pancreatic enzyme dose correction.

  13. Validation of {sup 14} C-urea breath test for diagnosis of Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Mattar, Rejane; Silva, Fernando Marcuz; Alexandrino, Ana Maria; Laudanna, Antonio Atilio [Sao Paulo Univ., SP (Brazil). Hospital das Clinicas. Dept. de Gastroenterologia]. E-mail: shiroineko@uol.com.br

    1999-02-01

    The aim of this study was to validate the {sup 14} C-urea breath test for use in diagnosis of Helicobacter pylori infection. Thirty H. pylori positive patients, based on histologic test and thirty H. pylori negative patients by histology and anti-H pylori IgG entered the study. Fasting patients drank 5 uCi of {sup 14} C-urea in 20 ml of water. Breath samples were collected at O, 5, 10, 15, 20 and 30 min. The difference of cpm values between the two groups was significant at all the time intervals, besides time 0 (p < 0.0001). At 20 min, the test gave 100% sensitivity and specificity with a cut-off value of 562 cpm. Females were higher expirers than males (p=0.005). {sup 14} C-urea breath test is highly accurate for Helicobacter pylori diagnosis. It is fast, simple and should be the non-invasive test used after treating Helicobacter pylori infection. (author)

  14. Panic disorder in a breath-holding challenge test: a simple tool for a better diagnosis

    Directory of Open Access Journals (Sweden)

    Nardi Antonio E.

    2003-01-01

    Full Text Available OBJECTIVE: Our aim was to observe if anxiety disorder patients - DSM-IV - respond in a similar way to the induction of panic attacks by a breath-holding challenge test. METHOD: We randomly selected 29 panic disorder (PD patients, 27 social anxiety disorder (SAD patients, 21 generalized anxiety disorder (GAD patients. They were induced to breath-hold for as long as possible four times with two-minute interval between them. Anxiety scales were applied before and after the test. RESULTS: A total of 44.8% (n=13 PD patients, 14.8% (n=4 SAD patients, 9.5% (n=2 GAD patients had a panic attack after the test (c²= 21.44, df= 2, p=0.001. There was no heart rate or anxiety levels difference among the groups before and after the test. CONCLUSION: In this breath-holding challenge test the panic disorder patients were more sensitive than other anxiety disorder patients.

  15. Update on diagnostic value of breath test in gastrointestinal and liver diseases

    Institute of Scientific and Technical Information of China (English)

    Imran Siddiqui; Sibtain Ahmed; Shahab Abid

    2016-01-01

    In the field of gastroenterology,breath tests(BTs) are used intermittently as diagnostic tools that allow indirect,non-invasive and relatively less cumbersome evaluation of several disorders by simply quantifying the appearance in exhaled breath of a metabolite of a specific substrate administered.The aim of this review is to have an insight into the principles,methods of analysis and performance parameters of various hydrogen,methane and carbon BTs which are available for diagnosing gastrointestinal disorders such as Helicobacter pylori infection,small intestinal bacterial overgrowth,and carbohydrate malabsorption.Evaluation of gastric emptying is routinely performed by scintigraphy which is however,difficult to perform and not suitable for children and pregnant women,this review has abridged the 13C-octanoic acid test in comparison to scintigraphy and has emphasized on its working protocol and challenges.A new development such as electronic nose test is also highlighted.Moreover we have also explored the limitations and constraints restraining the wide use of these BT.We conclude that breath testing has an enormous potential to be used as a diagnostic modality.In addition it offers distinct advantages over the traditional invasive methods commonly employed.

  16. 13CO2 breath test to measure the hydrolysis of various starch formulations in healthy subjects.

    OpenAIRE

    Hiele, M; Ghoos, Y; Rutgeerts, P; Vantrappen, G; de Buyser, K

    1990-01-01

    13CO2 starch breath test was used to study the effect of physicochemical characteristics of starch digestion. As starch is hydrolysed to glucose, which is subsequently oxidised to CO2, differences in 13CO2 excretion after ingestion of different starch products must be caused by differences in hydrolysis rate. To study the effect of the degree of chain branching, waxy starch, containing 98% amylopectin, was compared with high amylose starch, containing 30% amylopectin, and normal crystalline s...

  17. A Modified Carbon Monoxide Breath Test for Measuring Erythrocyte Lifespan in Small Animals

    Directory of Open Access Journals (Sweden)

    Yong-Jian Ma

    2016-01-01

    Full Text Available This study was to develop a CO breath test for RBC lifespan estimation of small animals. The ribavirin induced hemolysis rabbit models were placed individually in a closed rebreath cage and air samples were collected for measurement of CO concentration. RBC lifespan was calculated from accumulated CO, blood volume, and hemoglobin concentration data. RBC lifespan was determined in the same animals with the standard biotin-labeling method. RBC lifespan data obtained by the CO breath test method for control (CON, 49.0±5.9 d rabbits, rabbits given 10 mg/kg·d−1 of ribavirin (RIB10, 31.0±4.0 d, and rabbits given 20 mg/kg·d−1 of ribavirin (RIB20, 25.0±2.9 d were statistically similar (all p>0.05 to and linearly correlated (r=0.96, p<0.01 with the RBC lifespan data obtained for the same rabbits by the standard biotin-labeling method (CON, 51.0±2.7 d; RIB10, 33.0±1.3 d; and RIB20, 27.0±0.8 d. The CO breath test method takes less than 3 h to complete, whereas the standard method requires at least several weeks. In conclusion, the CO breath test method provides a simple and rapid means of estimating RBC lifespan and is feasible for use with small animal models.

  18. Test Anxiety in Written and Oral Examinations

    Science.gov (United States)

    Sparfeldt, Jorn R.; Rost, Detlef H.; Baumeister, Ulrike M.; Christ, Oliver

    2013-01-01

    The distinction of different test anxiety reactions (e.g., worry, emotionality) is well established. Recently, additional relevance has been given to school-subject-specific test anxiety factors. The present study explored a further aspect concerning the structure of test anxiety experiences, specifically oral versus written examination modes. A…

  19. Microdose 14C urea breath test for the diagnosis of Helicobacter pylori: a survey in Iranian population

    Directory of Open Access Journals (Sweden)

    Reza Dowlatabadi Bazaz

    2005-01-01

    Full Text Available The carbon -14 urea breath test (UBTis a non-invasive and simple method for the diagnosis of Helicobacter pylori infection. Attempts have been made to use lower doses of 14C-urea in the UBT in order to reduce the radiation risk of the test. The aim of this study was to assess the accuracy of a microdose (1 µCi [37 KBq] 14C-UBT in Iranian population for validation of its diagnostic accuracy against gold standard methods. Eighty and two patients were subjected to upper gastrointestinal endoscopy as well as 14C-UBT in one week. Rapid urease test and histological examinations were used as gold standard. Breath samples were collected 10, 20 and 30 minute after ingestion of 1 µCi of 14C- urea solution and their activities were measured using a scintillation counter and expressed as counts per minute (cpm and disintegration per minute (dpm. Good agreement was observed between the 14C-UBT and gold standard for samples which were collected 20 minutes after 14C-urea administration. The 14CUBT showed 100% sensitivity, 95% specificity, 95.45% positive predictive value, 100% negative predictive value and 97.50% accuracy. The results of this study showed good concordance between the 14C-UBT and invasive methods.

  20. Virginity Testing Beyond a Medical Examination.

    Science.gov (United States)

    Robatjazi, Mehri; Simbar, Masoumeh; Nahidi, Fatemeh; Gharehdaghi, Jaber; Emamhadi, Mohammadali; Vedadhir, Abou-Ali; Alavimajd, Hamid

    2015-11-18

    Apart from religious values, virginity is important in different communities because of its prominent role in reducing sexually transmitted diseases and teen pregnancies. Even though virginity testing has been proclaimed an example of violence against women by the World Health Organization, it is still conducted in many countries, including Iran. 16 in-depth, semi-structured interviews were conducted with participants aged 32 to 60 years to elucidate the perceptions and experiences of Iranian examiners of virginity testing.The perception and experience of examiners were reflected in five main themes. The result of this study indicated that virginity testing is more than a medical examination, considering the cultural factors involved and its overt and covert consequences. In Iran, testing is performed for both formal and informal reasons, and examiners view such testing with ambiguity about the accuracy and certainty of the diagnosis and uncertainty about ethics and reproductive rights. Examiners are affected by the overt and covert consequences of virginity testing, beliefs and cultural values underlying virginity testing, and informal and formal reasons for virginity testing.

  1. Nondispersive isotope-selective infrared spectroscopy: A new analytical method for {sup 13}C-urea breath tests

    Energy Technology Data Exchange (ETDEWEB)

    Braden, B.; Schaefer, F.; Caspary, W.F.; Lembcke, B. [Johann Wolfgang Goethe Univ., Frankfurt am Main (Germany)

    1996-05-01

    Currently, stable isotope techniques in breath tests using {sup 13}C-labeled substrates are limited to a few centers equipped with expensive and complex isotope spectrometry (IRMS). Although breath samples can be mailed to these centers, widespread application of {sup 13}C-breath tests would be more feasible with a cheaper and more practicable analysis system at hand. The authors therefore tested the newly developed nondispersive isotope-selective infrared spectrometer (NDIRS) with reference to IRMS in a clinical setting, comparing the results of both techniques in 538 consecutive {sup 13}C-urea breath tests performed for the detection of helicobacter pylori infection. With NDIRS five false-positive and three false-negative results were observed; that is, the sensitivity of NDIRS was 98.3%, and the specificity was 98.6%. When running this large number of breath tests in 3 days, the NDIRS proved to be a reliable, stable, and easy-to-operate analytical tool, which is well qualified for gastroenterologic application in the diagnostic routine. Both the price and the easy handling of NDIRS will facilitate the widespread use of the noninvasive stable isotope technique for {sup 13}C breath test. 22 refs., 3 figs., 1 tab.

  2. Use of naturally enriched mixed food in 13C breath tests applied in young suckling calves.

    Science.gov (United States)

    Metges, C C; Schmidt, H L; Eichinger, H

    1992-01-01

    Utilization of three milk diets including cream, casein or whey, each naturally labelled with 13C (1 mmol 13C excess) from C4 sources, by six young male calves of the Deutsche Fleckvieh breed was investigated in a Latin-square split-plot design. Each milk diet was examined under resting conditions and during a short period of physical exercise on a treadmill. Delta 13C values (/1000) in carbon dioxide in expired air were measured at intervals of about 1 h during 6.5 h after food intake. Expired air samples for CO2 isolation, subsequent isotopic analysis, measurement of CO2 production and respiratory quotient were taken at about hourly intervals and 13C recovery rates over 6.5 h were calculated. Feeding milk containing enriched milk casein, cream, or whey resulted in maximal significant 13C enrichments over background (delta 13C) in CO2 of +1, +2.4 and +2.2 /1000, and recovery rates of 3.6, 9.9 and 12.2% respectively. This comparison shows the different kinetic behaviour of the main nutrients during the oxidation in tissues. The short exercise period (5 min at 1 J/s per kg body-weight +5 min at 2 J/s per kg body-weight) did not influence the recovery rates significantly. However, after 10 min of muscular exercise there was a brief decrease in delta 13C value of expired air which disappeared within the first 5 min of rest. These experiments demonstrate for the first time the applicability of the 13C breath test with naturally enriched diets in animal nutrition research and that quantitative results may be obtained.

  3. The fate of ingested [sup 14]C-urea in the urea breath test for Helicobacter pylori infection

    Energy Technology Data Exchange (ETDEWEB)

    Munster, D.J.; Chapman, B.A.; Burt, M.J.; Dobbs, B.R.; Allardyce, R.A.; Bagshaw, P.F.; Troughton, W.D.; Cook, H.B. (Christchurch Hospital (New Zealand))

    1993-08-01

    The metabolic fate of the radioactive carbon in the [sup 14]C-urea breath test for Helicobacter pylori was investigated in 18 subjects. After ingestion of labelled urea, breath was sampled for 24 h, and urine was collected for 3 days. Subjects were designated high or low expirers on the basis of their breath counts, and this agreed well with H. pylori serologic analyses. When given 185 or 37 kBq of [sup 14]C-urea, 51% of the label was recovered from the breath of high expirers, and 7% from the breath of low expirers. The mean combined urinary and breath recovery for high expirers was 86%, and for low expirers it was 97%. It is concluded that the long-term retention of [sup 14]C from ingested [sup 14]C-urea is low. The results enable a more accurate estimation to be made of radiation exposure resulting from the [sup 14]C-urea breath test. 16 refs., 3 figs., 2 tabs.

  4. Evaluation of small intestine bacterial overgrowth in patients with functional dyspepsia through H2 breath test

    Directory of Open Access Journals (Sweden)

    Michelle Bafutto Gomes Costa

    2012-12-01

    Full Text Available CONTEXT: Functional dyspepsia is a condition in which symptoms are not related to organic underlying disease; its pathogenesis is not well known. The small intestinal bacterial overgrowth (SIBO is characterized by the increase in the number and/or type of colonic bacteria in the upper gastrointestinal tract. The hypothesis of SIBO being associated to functional dyspepsia must be considered, since the impaired motility of the gastrointestinal tract is one of the main etiologic factors involved on both pathologies. OBJECTIVE: To determine if there is SIBO in patients with functional dyspepsia. METHODS: Case-control study, evaluating 34 patients: 23 functional dyspeptic and 11 non-dyspeptic (control group. Questionnaire applied based on Rome III criteria. The patients underwent H2-lactulose breath test, considered positive when: H2 peak exceeding 20 ppm, in relation to fasting, or two peaks exceeding 10 ppm sustained until 60 minutes. RESULTS: Of the 23 dyspeptic patients, 13 (56.5% obtained positive results for SIBO trough the H2-lactulose breath test. On control group, SIBO was not observed. The association between the dyspeptic group and the control group regarding SIBO was statistically significant, with P = 0.0052. In the group of dyspeptic patients, 12 (52.2% were using proton pump inhibitor; of these 9 (75% were positive for SIBO. In the control group, none of the 11 patients used proton pump inhibitors and SIBO was not observed. The association of the dyspeptic group using proton pump inhibitor that were positive for SIBO and the control group was statistically significant, with P = 0.0011. CONCLUSION: It was found that, patients with functional dyspepsia presented SIBO, when they underwent to H2-lactulose breath test, compared to the non-dyspeptic. In addition, it was observed a higher prevalence of SIBO in dyspeptic patients that were using proton pump inhibitors, compared to control group.

  5. 14C-urea breath test in patients undergoing anti-tuberculosis therapy

    Institute of Scientific and Technical Information of China (English)

    Sayed Amir Mirbagheri; Amir Ali Sohrabpour; Mehrdad Hasibi; Babak Moghimi; Mehdi Mohamadnejad

    2005-01-01

    AIM: Urea breath test (UBT) is a non-invasive diagnostic test for detecting the presence of Helicobacter pylori(H pylori).In this study we evaluated the effect of anti-tuberculosis therapy on the results of 14C-UBT.METHODS: Patients, with the diagnosis of tuberculosis (TB) who had a positive UBT at the point of starting antiTB therapy, were included. None had a history of peptic ulcer disease or had taken antibiotics, bismuth compounds and/or PPI in the previous month, 14C-UBT was repeated at the end of the second month and the end of treatment period and one month after completion of treatment course.RESULTS: Thirty-five patients (23 males) were enrolled.14C-UBT was negative in all 35 patients (100%) at the end of the second month and remained negative in 30cases (85.7%) at the end of the treatment course. One month after completion of treatment course, UBT remained negative in 13 patients (37.1%).CONCLUSION: Our report underscores the need for caution while interpreting urea breath test results in patients undergoing anti-TB therapy. Furthermore, the combination of drugs used in this study resulted in H pylori eradication in a minority of patients.

  6. Early functional recovery for a graft after hepatic transplantation: interest of the aminopyrine-{sup 13}C breath test; Reprise precoce de fonction du greffon apres transplantation hepatique: interet du test respiratoire a l`aminopyrine-{sup 13}C

    Energy Technology Data Exchange (ETDEWEB)

    Mion, F.; Queneau, P.E.; Boillot, O.; Minaire, Y.; Delafosse, B. [Hopital Edouard-Herriot, 69 - Lyon (France); Rousseau, M. [Inbiomed, 69 - Lyon (France); Brazier, J.L. [LEACM, 69 - Lyon (France)

    1994-12-31

    {sup 13}C-aminopyrine breath tests were carried out on 8 patients, just after liver transplantation, in order to examine the recovery of the graft metabolic functions. Test results are compared to usual data from hepatic biology and histology. Quantitative measures on hepatic functional mass are obtained. The relative sensitivity of the test could allow for detection of moderate hepatic dysfunctions. 4 figs., 8 refs.

  7. Interpretation of non-invasive breath tests using 13C-labeled substrates - a preliminary report with 13C-methacetin

    Directory of Open Access Journals (Sweden)

    Lock JF

    2009-12-01

    Full Text Available Abstract Non-invasive breath tests can serve as valuable diagnostic tools in medicine as they can determine particular enzymatic and metabolic functions in vivo. However, methodological pitfalls have limited the actual clinical application of those tests till today. A major challenge of non-invasive breath tests has remained the provision of individually reliable test results. To overcome these limitations, a better understanding of breath kinetics during non-invasive breaths tests is essential. This analysis compares the breath recovery of a 13C-methacetin breath test with the actual serum kinetics of the substrate. It is shown, that breath and serum kinetics of the same test are significantly different over a period of 60 minutes. The recovery of the tracer 13CO2 in breath seems to be significantly delayed due to intermediate storage in the bicarbonate pool. This has to be taken into account for the application of non-invasive breath test protocols. Otherwise, breath tests might display bicarbonate kinetics despite the metabolic capacity of the particular target enzyme.

  8. An optimized 13C-urea breath test for the diagnosis of H pylori infection

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To validate an optimized 13C-urea breath test (13C-UBT) protocol for the diagnosis of-H pylori infection that is cost-efficient and maintains excellent diagnostic accuracy.METHODS: 70 healthy volunteers were tested with two simplified 13C-UBT protocols, with test meal (Protocol 2)and without test meal (Protocol 1). Breath samples were collected at 10, 20 and 30 min after ingestion of 50 mg 13C-urea dissolved in 10 mL of water, taken as a single swallow, followed by 200 mL of water (pH 6.0) and a circular motion around the waistline to homogenize the urea solution. Performance of both protocols was analyzed at various cut-off values. Results were validated against the European protocol.RESULTS: According to the reference protocol, 65.7% individuals were positive for H pylori infection and 34.3% were negative. There were no significant differences in the ability of both protocols to correctly identify positive and negative H pylori individuals. However, only Protocol 1 with no test meal achieved accuracy, sensitivity,specificity, positive and negative predictive values of 100%. The highest values achieved by Protocol 2 were 98.57%, 97.83%, 100%, 100% and 100%, respectively.CONCLUSION: A 10 min, 50 mg 13C-UBT with no test meal using a cut-off value of 2-2.5 is a highly accurate test for the diagnosis of H pylori infection at a reduced cost.

  9. New Zealand's breath and blood alcohol testing programs: further data analysis and forensic implications.

    Science.gov (United States)

    Stowell, A R; Gainsford, A R; Gullberg, R G

    2008-07-01

    Paired blood and breath alcohol concentrations (BAC, in g/dL, and BrAC, in g/210 L), were determined for 11,837 drivers apprehended by the New Zealand Police. For each driver, duplicate BAC measurements were made using headspace gas chromatography and duplicate BrAC measurements were made with either Intoxilyzer 5000, Seres 679T or Seres 679ENZ Ethylometre infrared analysers. The variability of differences between duplicate results is described in detail, as well as the variability of differences between the paired BrAC and BAC results. The mean delay between breath and blood sampling was 0.73 h, ranging from 0.17 to 3.1 8h. BAC values at the time of breath testing were estimated by adjusting BAC results using an assumed blood alcohol clearance rate. The paired BrAC and time-adjusted BAC results were analysed with the aim of estimating the proportion of false-positive BrAC results, using the time-adjusted BAC results as references. When BAC results were not time-adjusted, the false-positive rate (BrAC>BAC) was 31.3% but after time-adjustment using 0.019 g/dL/h as the blood alcohol clearance rate, the false-positive rate was only 2.8%. However, harmful false-positives (defined as cases where BrAC>0.1 g/210L, while BACtest results were used as the evidential results instead of the means, the harmful false-positive rate dropped to 0.04%.

  10. Food restriction normalizes chylomicron remnant metabolism in murine models of obesity as assessed by a novel stable isotope breath test.

    Science.gov (United States)

    Martins, Ian J; Tran, J M L; Redgrave, Trevor G

    2002-02-01

    Evidence is increasing that defective metabolism of postprandial remnants of triglyceride-rich lipoproteins contributes to atherogenesis. In obesity, postprandial lipemia is increased by mechanisms that are not currently established. In the present study, a recently developed (13)CO(2) breath test was used to assess the metabolism of chylomicron remnants (CR) in obese mice. Six murine obese models ob/ob, fat/fat, New Zealand Obese (NZO), db/db, gold thioglucose (GTG)-treated and agouti (A(y)) were studied. All obese mice were hyperphagic and their breath test metabolism was markedly impaired (P obese models such as db/db were diabetic, our data suggest that the defective breath test was independent of diabetes because all obese and diabetic models responded similarly to food restriction. Impaired hepatic catabolism of CR was excluded as a cause of the abnormal breath tests. In summary, the impairment (P < 0.05) in remnant metabolism as assessed by the breath test in obese mice was corrected by food restriction, associated with improvements in plasma glucose, triglyceride and cholesterol levels.

  11. Does low dose13C-urea breath test maintain a satisfactory accuracy in diagnosing Helicobacter pylori infection?

    Directory of Open Access Journals (Sweden)

    Luiz Gonzaga Vaz Coelho

    2011-06-01

    Full Text Available CONTEXT: The standard doses of 13C-urea in 13C-urea breath test is 75 mg. OBJECTIVE: To assess the diagnostic accuracy of 13C-urea breath test containing 25 mg of 13C-urea comparing with the standard doses of 75 mg in the diagnosis of Helicobacter pylori infection. METHODS: Two hundred seventy adult patients (96 males, 174 females, median age 41 years performed the standard 13C-urea breath test (75 mg 13C-urea and repeated the 13C-urea breath test using only 25 mg of 13C-urea within a 2 week interval. The test was performed using an infrared isotope analyzer. Patients were considered positive if delta over baseline was >4.0‰ at the gold standard test. RESULTS: One hundred sixty-one (59.6% patients were H. pylori negative and 109 (40.4% were positive by the gold standard test. Using receiver operating characteristic analysis we established a cut-off value of 3.4% as the best value of 25 mg 13C-urea breath test to discriminate positive and negative patients, considering the H. pylori prevalence (95% CI: 23.9-37.3 at our setting. Therefore, we obtained to 25 mg 13C-urea breath test a diagnostic accuracy of 92.9% (95% CI: 88.1-97.9, sensitivity 83.5% (95% CI: 75.4-89.3, specificity 99.4% (95% CI: 96.6-99.9, positive predictive value 98.3% (95% CI: 92.4-99.4, and negative predictive value 93.0% (95% CI: 88.6-96.1. CONCLUSIONS: Low-dose 13C-urea breath test (25 mg 13C-urea does not reach accuracy sufficient to be recommended in clinical setting where a 30% prevalence of H. pylori infection is observed. Further studies should be done to determine the diagnostic accuracy of low doses of 13C-urea in the urea breath test.

  12. Early postoperative erythromycin breath test correlates with hepatic cytochrome P4503A activity in liver transplant recipients

    DEFF Research Database (Denmark)

    Schmidt, L E; Olsen, A K; Stentoft, K;

    2001-01-01

    milligram of protein, and the activity determined by testosterone 6beta-hydroxylation ranged from 0.030 to 0.627 nmol per minute per milligram of protein. Significant correlation was demonstrated between the erythromycin breath test and both the erythromycin demethylation (Spearman correlation coefficient......: R = 0.76, R (2) = 0.57; P =.0004) and the testosterone 6beta-hydroxylation (Spearman correlation coefficient: R = 0.79, R (2) = 0.63; P =.0001) assays. The erythromycin breath test also correlated with the CYP3A protein level (Spearman correlation coefficient: R = 0.60, R (2) = 0.36; P =.01...

  13. Comparison of breath-alcohol screening test results with venous blood alcohol concentration in suspected drunken drivers.

    Science.gov (United States)

    Kriikku, Pirkko; Wilhelm, Lars; Jenckel, Stefan; Rintatalo, Janne; Hurme, Jukka; Kramer, Jan; Jones, A Wayne; Ojanperä, Ilkka

    2014-06-01

    Hand-held electronic breath-alcohol analyzers are widely used by police authorities in their efforts to detect drunken drivers and to improve road-traffic safety. Over a three month period, the results of roadside breath-alcohol tests of drivers apprehended in Finland were compared with venous blood alcohol concentration (BAC). The mean (median) time between sampling blood and breath was 0.71h (0.58h) with a range from 0 to 6h. Some hand-held instruments gave results as the concentration of alcohol in breath and were converted into BAC assuming a blood-breath alcohol ratio (BBR) of 2260. The mean venous BAC (1.82g/kg) in traffic offenders was higher than the result predicted by the hand-held breath analyzers (1.72g/kg). In 1875 roadside tests, the relationship between venous BAC (x) and BrAC (y) was defined by the regression equation y=0.18+0.85x. The coefficients show both a constant bias (y-intercept 0.18g/kg) and a proportional bias (slope=0.85). The residual standard deviation (SD), an indicator of random variation, was ±0.40g/kg. After BAC results were corrected for the time elapsed between sampling blood and breath, the y-intercept decreased to 0.10g/kg and 0.004g/kg, respectively, when low (0.1g/kg/h) and high (0.25g/kg/h) rates of alcohol elimination were used. The proportional bias of 0.85 shows that the breath-alcohol test result reads lower than the actual BAC by 15% on average. This suggests that the BBR of 2260 used for calibration should be increased by about 15% to give closer agreement between BAC and BrAC. Because of the large random variation (SD±0.40g/kg), there is considerable uncertainty if and when results from the roadside screening test are used to estimate venous BAC. The roadside breath-alcohol screening instruments worked well for the purpose of selecting drivers above the statutory limit of 0.50g/kg.

  14. Relationship between postoperative erythromycin breath test and early morbidity in liver transplant recipients

    DEFF Research Database (Denmark)

    Schmidt, Lars E; Rasmussen, Allan; Kirkegaard, Preben;

    2003-01-01

    BACKGROUND: Interindividual variability in dosage requirements of the calcineurin inhibitor immunosuppressive agents cyclosporine and tacrolimus after liver transplantation may result from differences in the CYP3A activity of the liver graft. Early postoperative erythromycin breath test (ERMBT......) is an in vivo measure of graft CYP3A activity. This study evaluates the usefulness of an early postoperative ERMBT in predicting early morbidity in liver transplant recipients. METHODS: In 26 liver transplant recipients, ERMBT was performed within 2 hr after transplantation. Main end points were the occurrence...... with low postoperative ERMBT values (0.21%+/-0.15% 14C/hr vs. 1.09%+/-0.72% 14C/hr, P=0.002). CONCLUSION: An early postoperative ERMBT may be useful in predicting the development of cyclosporine and tacrolimus nephrotoxicity, severe graft dysfunction, or even graft loss in liver transplant recipients when...

  15. 49 CFR 40.245 - What is the procedure for an alcohol screening test using a saliva ASD or a breath tube ASD?

    Science.gov (United States)

    2010-10-01

    ... test using a saliva ASD or a breath tube ASD? 40.245 Section 40.245 Transportation Office of the... Alcohol Screening Tests § 40.245 What is the procedure for an alcohol screening test using a saliva ASD or a breath tube ASD? (a) As the STT or BAT, you must take the following steps when using the...

  16. Employing components-of-variance to evaluate forensic breath test instruments.

    Science.gov (United States)

    Gullberg, Rod G

    2008-03-01

    The evaluation of breath alcohol instruments for forensic suitability generally includes the assessment of accuracy, precision, linearity, blood/breath comparisons, etc. Although relevant and important, these methods fail to evaluate other important analytical and biological components related to measurement variability. An experimental design comparing different instruments measuring replicate breath samples from several subjects is presented here. Three volunteers provided n = 10 breath samples into each of six different instruments within an 18 minute time period. Two-way analysis of variance was employed which quantified the between-instrument effect and the subject/instrument interaction. Variance contributions were also determined for the analytical and biological components. Significant between-instrument and subject/instrument interaction were observed. The biological component of total variance ranged from 56% to 98% among all subject instrument combinations. Such a design can help quantify the influence of and optimize breath sampling parameters that will reduce total measurement variability and enhance overall forensic confidence.

  17. News from the Breath Analysis Summit 2011.

    Science.gov (United States)

    Corradi, Massimo; Mutti, Antonio

    2012-06-01

    (oxygen, nitrogen, water vapour and CO(2)) in patient respiratory monitoring have served as a platform for technological growth in clinical breath-testing applications. A few exhaled breath tests have demonstrated clinical utility and are in widespread use, and several FDA-approved devices are available. These widely used exhaled breath tests include detection of blood alcohol concentration and exhaled CO(2). Other clinical applications of exhaled breath analysis include testing for H. pylori infection, lactose intolerance, heart transplant rejection and, more recently, monitoring of airway inflammation by means of exhaled NO. Examination of exhaled breath has the potential to change the existing routine approaches in human medicine. The rapidly developing new analytical and computer technologies along with novel, unorthodox ideas are prerequisites for future advances in this field. Scientists who participated in the Breath Analysis Summit 2011 were invited to submit a full length paper to the Journal of Breath Research and this issue includes eight articles which describe the different applications of breath analysis. We thank all the authors for their valuable contribution and we trust that this collection will provide useful information and an update to this rapidly evolving field, giving an example of integration among scientists who address the same topic-breath analysis-from different and complementary perspectives, from basic to clinical research.

  18. Follow up of serial urea breath test results in patients after consumption of antibiotics for non-gastric infections

    Institute of Scientific and Technical Information of China (English)

    Wai-Keung Leung; Lawrence Cheung-Tsui Hung; Carrie Ka-Li Kwok; Rupert Wing-Loong Leong; Daniel Kwok-Keung Ng; Joseph Jao-Yiu Sung

    2002-01-01

    AIM: The widespread use of antibacterial therapy hasbeen suggested to be the cause for the decline in theprevalence of Helicobacter pyloriinfection. This studyexamine the serial changes of urea breath test resultsin a group of hospitalized patients who were givenantibacterial therapy for non-gastric infections.METHODS: Thirty-five hospitalized patients who weregiven antibacterial therapy for clinical infections,predominantly chest and urinary infections, werestudied. Most (91%) patients were given singleantibiotic of either a penicillin or cephalosporin group.Serial 13C-urea breath tests were performed within 24hours of initiation of antibiotics, at one-week and atsix-week post-therapy. H. pylori infection wasdiagnosed when one or more urea breath tests waspositive.RESULTS: All 35 patients completed three serial ureabreath tests and 26 (74 %) were H. pylori-positive. Ten(38 %) H. pylori-infected patients had at least onenegative breath test results during the study period.The medium delta 13C values were significantly lowerat baseline (8.8) than at one-week (20.3) and six-week(24.5) post-treatment in H. pylori-positive individuals(P=0.022). Clearance of H. pyloriat six-week was onlyseen in one patient who had received anti-helicobactertherapy from another source.CONCLUSION: Our results suggested that one-third ofH. pylori-infected individuals had transient false-negative urea breath test results during treatment withantibacterial agent. However, clearance of H. pyloriinfection by regular antibiotic consumption is rare.

  19. Non-invasive detection of low-intestinal lactase activity in children by use of a combined (CO2)-C-13/H-2 breath test

    NARCIS (Netherlands)

    Koetse, HA; Stellaard, F; Bijleveld, CMA; Elzinga, H; Boverhof, R; van der Meer, R; Vonk, RJ; Sauer, PJJ

    1999-01-01

    Background: The aim of the study was to diagnose hypolactasia with a higher accuracy than with the traditional H-2 breath test. Methods: We used a combined C-13-lactose (CO2)-C-13/H-2 breath test, which was performed in 33 patients in whom lactase activity was measured. Results: Lactase activity was

  20. Solubility testing of actinides on breathing-zone and area air samples

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, R.L.; Jessop, B.H.; McDowell, B.L. [Radiation Safety Engineering, Inc., Chandler, AZ (United States)

    1996-02-01

    A solubility testing method for several common actinides has been developed with sufficient sensitivity to allow profiles to be determined from routine breathing zone and area air samples in the workplace. Air samples are covered with a clean filter to form a filter-sample-filter sandwich which is immersed in an extracellular lung serum simulant solution. The sample is moved to a fresh beaker of the lung fluid simulant each day for one week, and then weekly until the end of the 28 day test period. The soak solutions are wet ashed with nitric acid and hydrogen peroxide to destroy the organic components of the lung simulant solution prior to extraction of the nuclides of interest directly into an extractive scintillator for subsequent counting on a Photon-Electron Rejecting Alpha Liquid Scintillation (PERALS{reg_sign}) spectrometer. Solvent extraction methods utilizing the extractive scintillators have been developed for the isotopes of uranium, plutonium, and curium. The procedures normally produce an isotopic recovery greater than 95% and have been used to develop solubility profiles from air samples with 40 pCi or less of U{sub 3}O{sub 8}. Profiles developed for U{sub 3}O{sub 8} samples show good agreement with in vitro and in vivo tests performed by other investigators on samples from the same uranium mills.

  1. 13[C]-urea breath test as a novel point-of-care biomarker for tuberculosis treatment and diagnosis.

    Directory of Open Access Journals (Sweden)

    Mandeep S Jassal

    Full Text Available BACKGROUND: Pathogen-specific metabolic pathways may be detected by breath tests based on introduction of stable isotopically-labeled substrates and detection of labeled products in exhaled breath using portable infrared spectrometers. METHODOLOGY/PRINCIPAL FINDINGS: We tested whether mycobacterial urease activity could be utilized in such a breath test format as the basis of a novel biomarker and diagnostic for pulmonary TB. Sensitized New-Zealand White Rabbits underwent bronchoscopic infection with either Mycobacterium bovis or Mycobacterium tuberculosis. Rabbits were treated with 25 mg/kg of isoniazid (INH approximately 2 months after infection when significant cavitary lung pathology was present. [(13C] urea was instilled directly into the lungs of intubated rabbits at selected time points, exhaled air samples analyzed, and the kinetics of delta(13CO(2 formation were determined. Samples obtained prior to inoculation served as control samples for background (13CO(2 conversion in the rabbit model. (13CO(2, from metabolic conversion of [(13C]-urea by mycobacterial urease activity, was readily detectable in the exhaled breath of infected rabbits within 15 minutes of administration. Analyses showed a rapid increase in the rate of (13CO(2 formation both early in disease and prior to treatment with INH. Following INH treatment, all evaluable rabbits showed a decrease in the rate of (13CO(2 formation. CONCLUSIONS/SIGNIFICANCE: Urea breath testing may provide a useful diagnostic and biomarker assay for tuberculosis and for treatment response. Future work will test specificity for M. tuberculosis using lung-targeted dry powder inhalation formulations, combined with co-administering oral urease inhibitors together with a saturating oral dose of unlabeled urea, which would prevent the delta(13CO(2 signal from urease-positive gastrointestinal organisms.

  2. Additional Value of CH4 Measurement in a Combined 13C/H2 Lactose Malabsorption Breath Test: A Retrospective Analysis

    Directory of Open Access Journals (Sweden)

    Els Houben

    2015-09-01

    Full Text Available The lactose hydrogen breath test is a commonly used, non-invasive method for the detection of lactose malabsorption and is based on an abnormal increase in breath hydrogen (H2 excretion after an oral dose of lactose. We use a combined 13C/H2 lactose breath test that measures breath 13CO2 as a measure of lactose digestion in addition to H2 and that has a better sensitivity and specificity than the standard test. The present retrospective study evaluated the results of 1051 13C/H2 lactose breath tests to assess the impact on the diagnostic accuracy of measuring breath CH4 in addition to H2 and 13CO2. Based on the 13C/H2 breath test, 314 patients were diagnosed with lactase deficiency, 138 with lactose malabsorption or small bowel bacterial overgrowth (SIBO, and 599 with normal lactose digestion. Additional measurement of CH4 further improved the accuracy of the test as 16% subjects with normal lactose digestion and no H2-excretion were found to excrete CH4. These subjects should have been classified as subjects with lactose malabsorption or SIBO. In conclusion, measuring CH4-concentrations has an added value to the 13C/H2 breath test to identify methanogenic subjects with lactose malabsorption or SIBO.

  3. The influence of breathing type, expiration and cervical posture on the performance of the cranio-cervical flexion test in healthy subjects.

    Science.gov (United States)

    Cagnie, Barbara; Danneels, Lieven; Cools, Ann; Dickx, Nele; Cambier, Dirk

    2008-06-01

    The cranio-cervical flexion test (CCF-T) is used as a clinical evaluation tool for the deep cervical flexors (DCF). The influence of breathing type, expiration and cervical posture on the performance of the test is evaluated in asymptomatic subjects. Thirty volunteers participated in the study and were classified according to their breathing type: costo-diaphragmatic breathing type and upper costal breathing type. Sternocleidomastoid (SCM) electromyographic (EMG) activity was recorded during five incremental levels of CCF during normal breathing as well as during expiration. The cranio-vertebral angle of each subject was measured to quantify cervical posture. During normal inspiration, higher EMG activity of the SCM muscles was observed in subjects with an upper costal breathing pattern compared to costo-diaphragmatic breathing subjects. This difference was statistically significant (Pangle and the EMG activity of the SCM muscles. Performing the CCF-T during slow expiration diminishes the activity of the SCM muscles in subjects with a predominantly upper costal breathing pattern. Using a costo-diaphragmatic breathing pattern while performing the test will optimize the performance. Studies on neck pain patients are required to further clarify this issue.

  4. Validation of ten-minute single sample carbon-14 urea breath test for diagnosis of Helicobacter pylori infection

    Energy Technology Data Exchange (ETDEWEB)

    Prabakaran, K.; Fernandes, V.; McDonald, J. [Illawarra Regional Hospital, Wollongong, NSW (Australia). Depts of Nuclear Medicine and Gastroenterology

    1996-09-01

    Helicobacter pylori infection is traditionally diagnosed by endoscopy followed by gastric biopsy and histologic demonstration of organisms, rapid urease test and culture. The non-invasive carbon-14-urea breath test has been widely accepted now for the diagnosis of this bacterium. This study was aimed to establish and validate normal and abnormal values for an Australian population, for a single sample carbon-14-urea breath test at ten minutes. A dose of 185 kBq was used in order to achieve reasonable counting statistics. The derived values were validated with the results of the rapid urease test. This method has a high sensitivity, specificity and greater patient acceptance, and could be used in many clinical settings as the first modality for the diagnosis of H. pylori infection and for documenting response or cure after antibiotic therapy for eradication. 11 refs., 1 tab., 4 figs.

  5. Assessment of antibacterial effect of garlic in patients infected with Helicobacter pylori using urease breath test

    Science.gov (United States)

    Zardast, Mahmoud; Namakin, Kokab; Esmaelian Kaho, Jamil; Hashemi, Sarira Sadat

    2016-01-01

    Objective: Helicobacter pylori (H. pylori) is the most common pathogenic bacteria in the stomach. The aim of the current study was to explore the effect of oral garlic administration on bacterial urease activity inside the stomach and its contribution to the treatment of H. pylori infection. Materials and Methods: In this clinical trial, 15 patients were studied quantitatively with Urease Breath Test (UBT). The patients with gastrointestinal symptoms and a positive serum H. pylori IgG were enrolled. UBT was performed for each patient in three sessions as follows: at the beginning of the study, an initial UBT was performed based on which, the positive cases entered the study and the negative ones were excluded. Second UBT was done three days later in patients who were not receiving any treatment and were considered as the control, whereas the third UBT was performed three days after prescribing two medium-sized cloves of garlic (3 g) with their meal, twice a day (at noon and in the evening). The collected data were analyzed using ANOVA and Bonferroni tests and the significance level was set at p<0.05. Results: the mean UBT significantly differed before and after treatment with garlic cloves, being significantly lower after garlic consumption. No meaningful difference was observed in the mean UBT without garlic consumption between the first and second steps. Conclusion: Raw garlic has anti-bacterial effects against H. pylori residing in the stomach and may be prescribed along with routine drugs for the treatment of gastric H. pylori infection. PMID:27761418

  6. Validation of a simplified carbon-14-urea breath test for routine use for detecting Helicobacter pylori noninvasively

    Energy Technology Data Exchange (ETDEWEB)

    Henze, E.; Malfertheiner, P.; Clausen, M.; Burkhardt, H.; Adam, W.E. (Univ. of Ulm (West Germany))

    1990-12-01

    A carbon-14 ({sup 14}C) urea breath test for detecting Helicobacter pylori with multiple breath sampling was developed. Carbon-14-urea (110 kBq) administered orally to 18 normal subjects and to 82 patients with Helicobacter infection. The exhaled {sup 14}C-labeled CO{sub 2} was trapped at 10-min intervals for 90 min. The total {sup 14}C activity exhaled over 90 min was integrated and expressed in %activity of the total dose given. In normals, a mean of 0.59% +/- 0.24% was measured, resulting in an upper limit of normal of 1.07%. In 82 patients, a sensitivity of 90.2%, a specificity of 83.8%, and a positive predictive value of 90.2% was found. The single probes at intervals of 40-60 min correlated best with the integrated result, with r ranging from 0.986 to 0.990. The test's diagnostic accuracy did not change at all when reevaluated with the 40-, 50-, or 60-min sample data alone. Thus, the {sup 14}C-urea breath test can be applied routinely as a noninvasive, low-cost and one-sample test with high diagnostic accuracy in detecting Helicobacter pylori colonization.

  7. Breath test measurements in combination with indirect calorimetry for estimation of 13C-leucine oxidation in mink (Mustela vison)

    DEFF Research Database (Denmark)

    Tauson, Anne-Helene; Ali, Abdalla; Kanska, Katarzyna

    2000-01-01

    Gas exchange measurements by means of indirect calorimetry can be used to calculate quantitative substrate oxidation. The results represents average net oxidation values (substrate disappearance rate), but they cannot describe the dynamics of the oxidation processes. Breath test measurements...... to feeding and fasting. Twelve 1-year-old male mink (Mustela vison) were measured in each five consecutive periods by means of indirect calorimetry and simultaneous breath test. In Periods 1, 3 and 5, each lasting 3 days, the animals were fed ad libitum and Periods 2 and 4 were fasting periods, each of 48 h....... In Periods 1 and 5 all animals were fed a diet with a high quality fish meal (FISH; n=12), while in Period 3 half of the animals received the FISH diet (n=6) and the other half a diet with soy protein concentrate (SOY; n=6) as main protein source. An intraperitoneal injection of 1-13C-leucine was given...

  8. Evaluation of a simple non-invasive 13C breath test to evaluate diet effects on gastric emptying in pigs

    DEFF Research Database (Denmark)

    Jørgensen, Henry; Strathe, Anders Bjerring; Theil, Peter Kappel

    2010-01-01

    to feeding (15.5 h after the previous meal) on the day when the 5 h sample was taken. In the breath test four pregnant sows were placed in respiration chambers and the 13C marker was added in the morning meal and air samples were collected up to 18 h at the outlet from the chambers and detected on an infra...

  9. Effects of tetrahydrobiopterin and phenylalanine on in vivo human phenylalanine hydroxylase by phenylalanine breath test.

    Science.gov (United States)

    Okano, Yoshiyuki; Takatori, Kazuhiko; Kudo, Satoshi; Sakaguchi, Tomoko; Asada, Minoru; Kajiwara, Masahiro; Yamano, Tsunekazu

    2007-12-01

    BH(4) administration results in the reduction of blood phenylalanine level in patients with tetrahydrobiopterin (BH(4))-responsive phenylalanine hydroxylase (PAH) deficiency. The mechanism underlying BH(4) response remains unknown. Here, we studied the effects of BH(4) and phenylalanine on in vivo PAH activity of normal controls using the phenylalanine breath test (PBT) by converting l-[1-(13)C] phenylalanine to (13)CO(2). Phenylalanine oxidation rates were expressed as Delta(13)C ((13)CO(2)/(12+13)CO(2), per thousand) and cumulative recovery rates over 120min (CRR(120), %; total amount of (13)CO(2)/the administered dose of (13)C-phenylalanine). Under physiological conditions of blood phenylalanine, BH(4) administration reduced the Delta(13)C peak from 40.8 per thousand to 21.6 per thousand and CRR(120) from 16.9% to 10.2%. Under high blood phenylalanine conditions, administration of BH(4) increased the Delta(13)C peak from 30.7 per thousand to 46.0 per thousand, while the CRR(120) was similar between phenylalanine (19.9%) and phenylalanine+BH(4) (21.1%) groups. Corrected Delta(13)C and CRR(120) were calculated against serum phenylalanine levels to remove the effects of phenylalanine loading. After BH(4) administration, the corrected Delta(13)C peak increased from 82.7 per thousand to 112.6 per thousand, while the corrected CRR(120) was similar (47.6% and 45.6%). These results indicate that phenylalanine worked as a regulator of in vivo PAH by serving as both a substrate and an activator for the enzyme. Excessive dosages of BH(4) inhibited PAH under normal phenylalanine conditions and activated PAH under conditions of high phenylalanine. The regulation system is therefore designed to maintain phenylalanine levels in the human body. Appropriate BH(4) supplementation must be reviewed in patients with BH(4)-responsive PAH deficiency.

  10. Dual therapy for third-line Helicobacter pylori eradication and urea breath test prediction

    Institute of Scientific and Technical Information of China (English)

    Toshihiro Nishizawa; Hidekazu Suzuki; Takama Maekawa; Naohiko Harada; Tatsuya Toyokawa; Toshio Kuwai; Masanori Ohara

    2012-01-01

    We evaluated the efficacy and tolerability of a dual therapy with rabeprazole and amoxicillin (AMX) as an empiric third-line rescue therapy.In patients with failure of first-line treatment with a proton pump inhibitor (PPI)-AMX-clarithromycin regimen and second-line treatment with the PPI-AMX-metronidazole regimen,a third-line eradication regimen with mbeprazole (10 mg q.i.d.) and AMX (500 mg q.i.d.) was prescribed for 2 wk.Eradication was confirmed by the results of the 13C-urea breath test (UBT) at 12 wk after the therapy.A total of 46 patients were included; however,two were lost to followup.The eradication rates as determined by per-protocol and intention-to-treat analyses were 65.9% and 63.0%,respectively.The pretreatment UBT results in the subjects showing eradication failure; those patients showing successful eradication comprised 32.9 ± 28.8 permil and 14.8 ± 12.8 permil,respectively.The pretreatment UBT results in the subjects with eradication failure were significantly higher than those in the patients with successful eradication (P =0.019).A low pretreatment UBT result (≤ 28.5 permil) predicted the success of the eradication therapy with a positive predictive value of 81.3% and a sensitivity of 89.7%.Adverse effects were reported in 18.2% of the patients,mainly diarrhea and stomatitis.Dual therapy with rabeprazole and AMX appears to serve as a potential empirical third-line strategy for patients with low values on pretreatment UBT.

  11. A simple optical fiber interferometer based breathing sensor

    Science.gov (United States)

    Li, Xixi; Liu, Dejun; Kumar, Rahul; Ng, Wai Pang; Fu, Yong-qing; Yuan, Jinhui; Yu, Chongxiu; Wu, Yufeng; Zhou, Guorui; Farrell, Gerald; Semenova, Yuliya; Wu, Qiang

    2017-03-01

    A breathing sensor has been experimentally demonstrated based on a singlemode–multimode–singlemode (SMS) fiber structure which is attached to a thin plastic film in an oxygen mask. By detecting power variations due to the macro bending applied to the SMS section by each inhalation and exhalation process, the breath state can be monitored. The proposed sensor is capable of distinguishing different types of breathing conditions including regular and irregular breath state. The sensor can be used in a strong electric/magnetic field and radioactive testing systems such as magnetic resonance imaging (MRI) systems and computed tomography (CT) examinations where electrical sensors are restricted.

  12. Evaluation of CYP2D6 enzyme activity using a Dextromethorphan Breath Test in Women Receiving Adjuvant Tamoxifen

    Science.gov (United States)

    Safgren, Stephanie L.; Suman, Vera J.; Kosel, Matthew L.; Gilbert, Judith A; Buhrow, Sarah A.; Black, John L.; Northfelt, Donald W.; Modak, Anil S.; Rosen, David; Ingle, James N.; Ames, Matthew M.; Reid, Joel M.; Goetz, Matthew P.

    2015-01-01

    Background In tamoxifen-treated patients, breast cancer recurrence differs according to CYP2D6 genotype and endoxifen steady state concentrations (Endx Css). The 13Cdextromethorphan breath test (DM-BT), labeled with 13C at the O-CH3 moiety, measures CYP2D6 enzyme activity. We sought to examine the ability of the DM-BT to identify known CYP2D6 genotypic poor metabolizers and examine the correlation between DMBT and Endx Css. Methods DM-BT and tamoxifen pharmacokinetics were obtained at baseline (b), 3 month (3m) and 6 months (6m) following tamoxifen initiation. Potent CYP2D6 inhibitors were prohibited. The correlation between bDM-BT with CYP2D6 genotype and Endx Css was determined. The association between bDM-BT (where values ≤0.9 is an indicator of poor in vivo CYP2D6 metabolism) and Endx Css (using values ≤ 11.2 known to be associated with poorer recurrence free survival) was explored. Results 91 patients were enrolled and 77 were eligible. CYP2D6 genotype was positively correlated with b, 3m and 6m DMBT (r ranging from 0.457-0. 60 p 11.2 nM. Conclusions In patients not taking potent CYP2D6 inhibitors, DM-BT was associated with CYP2D6 genotype and 3m and 6 m Endx Css but did not provide better discrimination of Endx Css compared to CYP2D6 genotype alone. Further studies are needed to identify additional factors which alter Endx Css. PMID:25714002

  13. Breathing Problems

    Science.gov (United States)

    ... getting enough air. Sometimes you can have mild breathing problems because of a stuffy nose or intense ... panic attacks Allergies If you often have trouble breathing, it is important to find out the cause.

  14. Application of isotope-selective non-dispersive infrared spectrometry for the evaluation of the 13C-urea breath test: comparison with three concordant methods

    Directory of Open Access Journals (Sweden)

    Coelho L.G.V.

    1999-01-01

    Full Text Available The aim of this work was to compare the performance of isotope-selective non-dispersive infrared spectrometry (IRIS for the 13C-urea breath test with the combination of the 14C-urea breath test (14C-UBT, urease test and histologic examination for the diagnosis of H. pylori (HP infection. Fifty-three duodenal ulcer patients were studied. All patients were submitted to gastroscopy to detect HP by the urease test, histologic examination and 14C-UBT. To be included in the study the results of the 3 tests had to be concordant. Within one month after admission to the study the patients were submitted to IRIS with breath samples collected before and 30 min after the ingestion of 75 mg 13C-urea dissolved in 200 ml of orange juice. The samples were mailed and analyzed 11.5 (4-21 days after collection. Data were analyzed statistically by the chi-square and Mann-Whitney test and by the Spearman correlation coefficient. Twenty-six patients were HP positive and 27 negative. There was 100% agreement between the IRIS results and the HP status determined by the other three methods. Using a cutoff value of delta-over-baseline (DOB above 4.0 the IRIS showed a mean value of 19.38 (minimum = 4.2, maximum = 41.3, SD = 10.9 for HP-positive patients and a mean value of 0.88 (minimum = 0.10, maximum = 2.5, SD = 0.71 for negative patients. Using a cutoff value corresponding to 0.800% CO2/weight (kg, the 14C-UBT showed a mean value of 2.78 (minimum = 0.89, maximum = 5.22, SD = 1.18 in HP-positive patients. HP-negative patients showed a mean value of 0.37 (minimum = 0.13, maximum = 0.77, SD = 0.17. IRIS is a low-cost, easy to manage, highly sensitive and specific test for H. pylori detection. Storing and mailing the samples did not interfere with the performance of the test.

  15. Decreased chewing activity during mouth breathing.

    Science.gov (United States)

    Hsu, H-Y; Yamaguchi, K

    2012-08-01

    This study examined the effect of mouth breathing on the strength and duration of vertical effect on the posterior teeth using related functional parameters during 3 min of gum chewing in 39 nasal breathers. A CO(2) sensor was placed over the mouth to detect expiratory airflow. When no airflow was detected from the mouth throughout the recording period, the subject was considered a nasal breather and enrolled in the study. Electromyographic (EMG) activity was recorded during 3 min of gum chewing. The protocol was repeated with the nostrils occluded. The strength of the vertical effect was obtained as integrated masseter muscle EMG activity, and the duration of vertical effect was also obtained as chewing stroke count, chewing cycle variation and EMG activity duration above baseline. Baseline activity was obtained from the isotonic EMG activity during jaw movement at 1.6 Hz without making tooth contact. The duration represented the percentage of the active period above baseline relative to the 3-min chewing period. Paired t-test and repeated analysis of variance were used to compare variables between nasal and mouth breathing. The integrated EMG activity and the duration of EMG activity above baseline, chewing stroke count and chewing cycle significantly decreased during mouth breathing compared with nasal breathing (Pmouth breathing was significantly greater than nasal breathing (PMouth breathing reduces the vertical effect on the posterior teeth, which can affect the vertical position of posterior teeth negatively, leading to malocclusion.

  16. Metallo-Dielectric Multilayer Structure for Lactose Malabsorption Diagnosis through H2 Breath Test

    CERN Document Server

    Cioffi, N; De Sario, M; D'Orazio, A; Petruzzelli, V; Prudenzano, F; Scalora, M; Trevisi, S; Vincenti, M A

    2007-01-01

    A metallo-dielectric multilayer structure is proposed as a novel approach to the analysis of lactose malabsorption. When lactose intolerance occurs, the bacterial overgrowth in the intestine causes an increased spontaneous emission of H2 in the human breath. By monitoring the changes in the optical properties of a multilayer palladium-polymeric structure, one is able to detect the patient's disease and the level of lactose malabsorption with high sensitivity and rapid response.

  17. Fourier-transformed infrared breath testing after ingestion of technical alcohol.

    Science.gov (United States)

    Laakso, Olli; Haapala, Matti; Pennanen, Teemu; Kuitunen, Tapio; Himberg, Jaakko-Juhani

    2007-07-01

    The study aim was to evaluate the feasibility of a Fourier-transformed infrared (FT-IR) analyzer for out-of-laboratory use by screening the exhalations of inebriated individuals, and to determine analysis quality using common breath components and solvents. Each of the 35 inebriated participants gave an acceptable sample. Because of the metabolism of 2-propanol, the subjects exhaled high concentrations of acetone in addition to ethanol. Other volatile ingredients of technical ethanol products (methyl ethyl ketone, methyl isobutyl ketone, and 2-propanol) were also detected. The lower limits of quantification for the analyzed components ranged from 1.7 to 12 microg/L in simulated breath samples. The bias was +/-2% for ethanol and -11% for methanol. Within-day and between-day coefficients of variation were <1% for ethanol and <4% for methanol. The bias of ethanol and methanol analyses due to coexisting solvents ranged from -0.8 to +2.2% and from -5.6 to +2.9%, respectively. The FT-IR method proved suitable for use outside the laboratory and fulfilled the quality criteria for analysis of solvents in breath.

  18. Validation of low activity {sup 14}C-urea breath test in diagnosis of ``Helicobacter pylori``in humans

    Energy Technology Data Exchange (ETDEWEB)

    Bielanski, W.; Konturek, S.J.; Dobrzanka, M.J.; Plonka, M.; Sito, E.; Stachura, J. [Uniwersytet Jagiellonski, Cracow (Poland); Hoffman, S.R.; Marshall, B.J. [Tri-Med Specialtis, Charlottenville, VA (United States)

    1996-12-31

    Etiologic role for ``Helicobacter pylori`` (HP) seems to be well established in gastric pathology. The high urease activity of HP can be used to detect this bacterium by non-invasive urea breath tests (UBT). We validated the low activity version of the test in which 37 kBq {sup 14}C-urea is given orally in capsule. With the cut off value {>=} 1.66 Bq (100 DPM) as positive, UBT results correlated highly significant with combined results for invasive methods, i.e. CLO-test + Histology score. The reproducibility of the test was 100%. The results obtained for the breath test performed locally were almost identical with that read at remote laboratory. The data found for fasting and fed states of subjects agreed in 87%. When {sup 14}C-urea was confined in the mouth of both HP positive and HP negative patients UBT showed the presence of urease activity in the mouth cavity. (author). 21 refs, 2 figs, 1 tab.

  19. Accuracy of a rapid 10-minute carbon-14 urea breath test for the diagnosis of Helicobacter pylori-associated peptic ulcer disease

    Energy Technology Data Exchange (ETDEWEB)

    Kao Chiahung (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Nuclear Medicine); Wang Shyhjen (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Nuclear Medicine); Hsu Chungyuan (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Nuclear Medicine); Lin Wanyu (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Nuclear Medicine); Huang Chihkua (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Gastroenterology); Chen Granhum (Taichung Veterans General Hospital (Taiwan, Province of China). Dept. of Gastroenterology)

    1993-08-01

    Urease in the human gastric mucosa is a marker for infection with Helicobacter pylori (HP), an organism which is associated with peptic ulcer disease. To detect gastric urease, we examined 184 patients (144 males, 40 females; mean age: 49.8[+-]15.6 years) with suspected peptic ulcer disease. Fasting patients were given orally 5 [mu]Ci of carbon-14 labelled urea. For each patient only one breath sample was collected in hyamine at 10 min. The amount of [sup 14]C collected at 10 min was expressed as follows: (DPM/mmol CO[sub 2] collected)/(DPM administered)x100xbody weight (kg). The presence of HP colonization was determined by examination of multiple endoscopic prepyloric antral biopsy specimens subjected to culture or a rapid urease test. For the purpose of this study, HP-positive patients were defined as those with characteristic bacteria as indicated by a positive result of either the culture or the rapid urease test; HP-negative patients were defined as those with negative findings on both the culture and the rapid urease test. Of the 184 cases, 99 (53.8%) were positive for HP infection, and 85 (46.2%), negative. The sensitivity and specificity of the rapid 10 min [sup 14]C-urea breath test for the diagnosis of HP-associated peptic ulcer disease were evaluated by a receiver operating characteristic (ROC) curve with a variable cut-off value from 1.5 to 4.5. When a cut-off value of 1.5 was selected, the sensitivity was 100% and the specificity, 83.5%; when a cut-off value of 4.5 was selected, the sensitivity was 54.5% and the specificity, 97.6%. (orig.)

  20. Performance of Helicobacter pylori acid extract and urease enzyme-linked immunosorbent assays in relation to 14C-urea breath test.

    Science.gov (United States)

    von Wulffen, H; Gatermann, S; Windler, E; Gabbe, E; Heinrich, H C

    1993-09-01

    The 14C-urea breath test has been shown to be a reliable non-invasive method to detect the presence or absence of H. pylori infection. Alternatively, a number of techniques have been devised to detect circulating antibodies against H. pylori in serum, the most commonly used being enzyme-linked immunosorbent assays (ELISA). In the present study we compared the value of two ELISA antigen preparations, an acid glycine extract and a urease preparation, in relation to the results achieved in a 14C-urea breath test. Seventy-five gastroenterology outpatients were screened for the presence of H. pylori infection using the urea breath test. At the same time serum specimens were obtained. Thirty-seven patients had a positive breath test, i.e. they expired more than 2% of the oral 14C test dose within 60 min. Using the breath test as reference, sensitivity and specificity for the acid extract were 89.2% and 84.2% respectively, and for the urease ELISA 81.1% and 89.5%. Agreement between the two ELISAs was found in 82.7%, overall agreement between all three tests was observed in 77.3%. All three tests were found to be useful for monitoring therapy directed against H. pylori.

  1. Measurement of liver function for patients with cirrhosis by 13C-methacetin breath test compared with Child-Pugh score and routine liver function tests

    Institute of Scientific and Technical Information of China (English)

    LIU Yun-xiang; HUANG Liu-ye; WU Cheng-rong; CUI Jun

    2006-01-01

    @@ 13C-methacetin breath test was used for the evaluation of liver function, as for quantitative data could be achieved using this method, it had the characteristics of safety,quantification, and repetition and got recognition gradually through the world.1,2 We began this 13C-methacetin test to assess liver function of patients with cirrhosis from January 2002. The aim of this study was to explore the characteristic of this test for liver function evaluation and explore the correlation of this method with some clinical liver biochemical parameters and Child-Pugh score.

  2. 29 CFR 1919.30 - Examinations subsequent to unit tests.

    Science.gov (United States)

    2010-07-01

    ... Treatment; Competent Persons § 1919.30 Examinations subsequent to unit tests. (a) After satisfactory... deformation or failure. (c) For subsequent tests such parts of the gear shall be dismantled or...

  3. Lactose Malabsorption Testing in Daily Clinical Practice: A Critical Retrospective Analysis and Comparison of the Hydrogen/Methane Breath Test and Genetic Test (C/T-13910 Polymorphism Results

    Directory of Open Access Journals (Sweden)

    Dietmar Enko

    2014-01-01

    Full Text Available The aim of this study was to establish a retrospective evaluation and comparison of the hydrogen/methane (H2/CH4 breath test and genetic test (C/T−13910 polymorphism results in lactose malabsorption testing. In total 263 consecutive patients with suspected lactose malabsorption were included in this study. They underwent the H2/CH4 breath test following the ingestion of 50 g lactose and were tested for the C/T−13910 polymorphism. In total 51 patients (19.4% had a C/C−13910 genotype, indicating primary lactose malabsorption. Only 19 patients (7.2% also had a positive H2/CH4 breath test. All in all 136 patients (51.69% had a C/T−13910 and 76 patients (28.91% a T/T−13910 genotype, indicating lactase persistence. Four patients (1.5% with the C/T−13910 genotype and one patient (0.4% with the T/T−13910 genotype had a positive H2/CH4 breath test result, indicating secondary lactose malabsorption. Cohen's Kappa measuring agreement between the two methods was 0.44. Twenty patients (7.6% with a positive H2/CH4 peak within 60 minutes after lactose ingestion were classified as patients with lactose-dependent small intestinal bacterial overgrowth (SIBO. In conclusion, only moderate agreement between the breath test and the genetic test was shown. Secondary lactose malabsorption as well as preanalytical limitations of the combined H2/CH4 breath test procedure can cause discrepant results. This trial is registered with K-42-13.

  4. An analysis of the mathematics school examination test quality

    Directory of Open Access Journals (Sweden)

    Hadi Sutrisno

    2016-11-01

    Full Text Available This research aims to describe: (1 the quality of mathematics school examination test of the Junior High School for the academic year 2015/2016 in Kabupaten Bangkalan based on qualitative analysis of tests item, (2 the quality of mathematics school examination test of Junior High School for the academic year 2015/2016 in Kabupaten Bangkalan based on quantitative analysis of test items, and (3 the test equating on mathematics school examination test for the academic year of 2015/2016 of Junior High School in Kabupaten Bangkalan. A test is said to be quality if it fulfills validity, reliability, and it has good characteristic. A test is said to be equivalent to another if the test scores of one test can be exchanged with the scores of another test. The data is taken from school examination script accompanied with the answer sheets of students. Qualitative data analysis was conducted with the help of experts judgement. Quantitative data analysis was conducted with Classical Test Theory by Iteman and Item Response Theory by BilogMG. These programs are used to find out the test quality quantitatively. In order to analyze the equivalence between series of tests, item-characteristic curves were used. These curves were drawn by Geogebra. The research result shows: (1 qualitatively, the test plan quality of mathematics school examination test is quite good. Meanwhile, the school exam quality is quite good and not so good, (2 quantitatively, the school examination test quality is good, and (3 equating, based on the item-characteristic curves, the school examination tests is equal.

  5. Validity and cost comparison of "carbon urea breath test for diagnosis of H Pylori in dyspeptic patients

    Institute of Scientific and Technical Information of China (English)

    Shahid Rasool; Shahab Abid; Wasim Jafri

    2007-01-01

    AIM: To validate and compare the cost of microdose 14C urea breath test (UBT) with histology and rapid urease test for the diagnosis of H Pylori.METHODS: Ninety-four consecutive patients with dyspeptic symptoms undergoing gastroscopy were enrolled. Gastric biopsies were taken for histology and rapid urease test. UBT was performed after gastroscopy by microdose "C urea capsules. Sensitivity, specificity and accuracy of UBT were calculated and compared with histology and rapid urease test. Cost comparison of these tests was also performed.RESULTS: H pylori was diagnosed by histology and rapid urease test in 66 (70%) and 61 (65%) patients, while 14C UBT detected infection in 63 (67%). Accuracy of UBT was 93% in comparison with histology while its positive and negative predictive values were 97% and 84%, respectively. Comparison of 14C UBT with rapid urease test gives an accuracy of 96%, with positive and negative predictive values of 95% and 97%, respectively. These results were highly reproducible with a Kappa test (P value < 0.001). Cost of histology or rapid urease test with gastroscopy was 110 USD or 95 USD respectively while the cost of UBT was 15 USD.CONCLUSION: Microdose 14C UBT was comparable to histology and rapid urease test. 14C UBT is an economical, self sufficient and suitable test to diagnose active Hpylori infection in less developed countries.

  6. Fabry-Perot microcavity sensor for H2-breath-test analysis

    Science.gov (United States)

    Vincenti, Maria Antonietta; De Sario, Marco; Petruzzelli, V.; D'Orazio, Antonella; Prudenzano, Francesco; de Ceglia, Domenico; Scalora, Michael

    2007-10-01

    Leak detection of hydrogen for medical purposes, based on the monitoring of the optical response of a simple Fabry-Perot microcavity, is proposed to investigate either the occurrence of lactose intolerance, or lactose malabsorption condition. Both pathologic conditions result in bacterial overgrowth in the intestine, which causes increased spontaneous emission of H2 in the human breath. Two sensitivity figures of merit are introduced to inspect changes in the sensor response, and to relate the microcavity response to a pathologic condition, which is strictly related to a different level of exhaled hydrogen. Different sensor configurations using a metal-dielectric microcavity are reported and discussed in order to make the most of the well-known ability of palladium to spontaneously absorb hydrogen.

  7. A simplified 13C-Urea breath test (13C-UBT) in the diagnosis of Helicobacter pylori (HP) infection

    Energy Technology Data Exchange (ETDEWEB)

    Rahman, T.; Bartholomeusz, F.D. L.; Bellon, M.S.; Chatterton, B.E. [Royal Adelaide Hospital, Adelaide. SA (Australia). Department of Nuclear Medicine

    1998-06-01

    Full text: The Urea Breath Test (UBT) is an accurate, noninvasive means of assessing the presence of Helicobacter pylori in the stomach. Two tests are currently available, using 13C- and 14C-labelled urea, respectively. 13C is a nonradioactive isotope, unlike 14C, but the 13C-UBT is technically more challenging. The aim of this study was to determine the accuracy of a simplified 13C-UBT with no test meal, using the 14C-UBT as the previously validated standard. 76 studies were performed on 72 patients; 4 patients performed the test twice. 28 patients were female, 44 male. The mean age was 51.1 years (range 23-86 years). 42 patients presented for post-eradication follow up, and 30 for initial diagnosis. All subjects underwent a 14C-UBT with a 15 minute sample. The 13C-UBT was then performed without a test meal and the breath samples obtained at baseline and 20 minutes. Of the 14C-UBT studies, 27 were positive, ranging from 1372 to 10,987 DPM (Normal <1000 DPM), and 49 were negative, range 177-946 DPM. 26 of the 13C-UBT studies were positive, with a Delta value ranging from 4.29-47.89 (Normal: Delta <3.5), and 50 were negative, range -0.20-2.80. There were 1 false-positive and 2 false-negative 13-UBT studies. This yielded a sensitivity of 92.6% and specificity of 98.0% for the simplified 13C-UBT. From these results we conclude that the simplified 13C-UBT is an accurate means of detecting the presence of Helicobacter pylori within the stomach

  8. Quantification of Helicobacter pylori infection in gastritis and ulcer disease using a simple and rapid carbon-14-urea breath test

    Energy Technology Data Exchange (ETDEWEB)

    Debongnie, J.C.; Pauwels, S.; Raat, A.; de Meeus, Y.; Haot, J.; Mainguet, P. (Department of Nuclear Medicine, University of Louvain Medical School, Brussels (Belgium))

    1991-06-01

    Gastric urease was studied isotopically in 230 patients with biopsy-proven normal mucosa or chronic gastritis, including 59 patients with ulcer disease. Carbon-14-urea was given in 25 ml of water without substrate carrier or nutrient-dense meal, and breath samples were collected over a 60-min period. The amount of 14CO2 excreted at 10 min was independent of the rate of gastric emptying and was not quantitatively influenced by the buccal urease activity. The 10-min 14CO2 values discriminated well between Helicobacter pylori positive and negative patients (94% sensitivity, 89% specificity) and correlated with the number of organisms assessed by histology. The test was a good predictor of chronic gastritis (95% sensitivity and 96% specificity), and a quantitative relationship was observed between 14CO2 values and the severity and activity of the gastritis. In H. pylori positive patients, breath 14CO2 was found to be similar in patients with and without ulcer disease, suggesting that the number of bacteria is not a determining factor for the onset of ulceration.

  9. A flight test facility design for examining digital information transfer

    Science.gov (United States)

    Knox, Charles E.

    1990-01-01

    Information is given in viewgraph form on a flight test facility design for examining digital information transfer. Information is given on aircraft/ground exchange, data link research activities, data link display format, a data link flight test, and the flight test setup.

  10. Impaired gastric emptying of a solid test meal in patients with Parkinson's disease using 13C-sodium octanoate breath test.

    Science.gov (United States)

    Goetze, Oliver; Wieczorek, Joerg; Mueller, Thomas; Przuntek, Horst; Schmidt, Wolfgang E; Woitalla, Dirk

    2005-03-03

    Up to now gastric emptying in patients with Parkinson's disease was determined by radioscintigraphy. The 13C-sodium octanoate breath test (OBT) has been established for the non-invasive evaluation of gastric emptying with a solid test meal. The aim of the study was to evaluate the OBT in patients with Parkinson's disease and to investigate the prevalence of delayed gastric emptying for solids in PD and the relationship to clinical staging patterns. Twenty-two healthy subjects and 36 patients with different clinical stages of PD classified using Hoehn and Yahr (H&Y) and Unified Parkinson's Disease Rating Scale (UPDRS) were studied. Each fasting control and patient received a solid test meal (241 kcal) labelled with 100 mg of 13C-sodium octanoate. Breath samples were obtained before substrate administration and then in 15-min intervals over 4 h. The 13CO2/12CO2 ratio was determined in each breath sample as delta over baseline. Time to peak (t(peak)), gastric half emptying time (t1/2b), lag phase (t(lagb)) and gastric emptying coefficient (GEC) were calculated. Significant differences in t(peak), t1/2b, t(lagb) and GEC were found between patients and healthy volunteers (p<0.0001), with a 60% delay in gastric half emptying time in the patient group. Gastric half emptying time was different between clinical disease groups (H&Y 0-2 versus H&Y 2.5-5, p=0.001; UPDRS 0-30 versus UPDRS 61-92, p<0.05). The OBT detects a significant delay in gastric emptying of a solid test meal in patients with PD. Delayed gastric emptying for solids is associated with disease severity.

  11. The non-invasive 13C-methionine breath test detects hepatic mitochondrial dysfunction as a marker of disease activity in non-alcoholic steatohepatitis

    Directory of Open Access Journals (Sweden)

    Banasch M

    2012-06-01

    Full Text Available Abstract Introduction Mitochondrial dysfunction plays a central role in the general pathogenesis of non-alcoholic fatty liver disease (NAFLD, increasing the risk of developing steatosis and subsequent hepatocellular inflammation. We aimed to assess hepatic mitochondrial function by a non-invasive 13C-methionine breath test (MeBT in patients with histologically proven NAFLD. Methods 118 NAFLD-patients and 18 healthy controls were examined by MeBT. Liver biopsy specimens were evaluated according to the NASH scoring system. Results Higher grades of NASH activity and fibrosis were independently associated with a significant decrease in cumulative 13C-exhalation (expressed as cPDR(%. cPDR1.5h was markedly declined in patients with NASH and NASH cirrhosis compared to patients with simple steatosis or borderline diagnosis (cPDR1.5h: 3.24 ± 1.12% and 1.32 ± 0.94% vs. 6.36 ± 0.56% and 4.80 ± 0.88% respectively; p 13C-exhalation further declined in the presence of advanced fibrosis which was correlated with NASH activity (r = 0.36. The area under the ROC curve (AUROC for NASH diagnosis was estimated to be 0.87 in the total cohort and 0.83 in patients with no or mild fibrosis (F0-1. Conclusion The 13C-methionine breath test indicates mitochondrial dysfunction in non-alcoholic fatty liver disease and predicts higher stages of disease activity. It may, therefore, be a valuable diagnostic addition for longitudinal monitoring of hepatic (mitochondrial function in non-alcoholic fatty liver disease.

  12. Investigation of the association between glaucoma and Helicobacter pylori infection using the {sup 14}C-urea breath test

    Energy Technology Data Exchange (ETDEWEB)

    Tuzcu, Esra Ayhan; Aydogan, Fusun; Motor, Vicdan Koksaldi; Ilhan, Ozgur; Daglioglu, Mutlu Cihan; Coskun, Mesut; Parlakfikirer, Nihan; Keskin, Ugurcan, E-mail: drayhant@hotmail.com [Medical Faculty, Mustafa Kemal University, Hatay (Turkey)

    2015-07-01

    Purpose: to investigate the association between glaucoma and Helicobacter pylori infection by evaluating for the presence of H. pylori infection in patients with glaucoma using the 14C-urea breath test (14C-UBT). Methods: Using 14C-UBT, H. pylori infection positivity was compared between a group of patients with primary open-angle glaucoma and a control group with normal intraocular pressure and a normal optic disc or normal perimetry. Results: the 14C-UBT was positive in 18 (51.42%) out of 35 patients in the glaucoma group and in 15 (42.85%) out of 35 patients in the control group. H. pylori infection positivity rates were similar between the glaucoma and control groups (p>0.05). Conclusion: according to the 14C-UBT, there is no association between primary open-angle glaucoma and H. pylori infection. (author)

  13. A new, practical, low-dose {sup 14}C-urea breath test for the diagnosis of Helicobacter pylori infection: clinical validation and comparison with the standard method

    Energy Technology Data Exchange (ETDEWEB)

    Oeztuerk, Emel; Ilgan, Seyfettin; Arslan, Nuri; Oezgueven, Mehmet [Department of Nuclear Medicine, Guelhane Military Medical Academy and Medical School, 06018, Etlik, Ankara (Turkey); Yesilova, Zeki; Erdil, Ahmet; Dagalp, Kemal [Department of Gastroenterology, Guelhane Military Medical Academy and Medical School, Etlik, Ankara (Turkey); Celasun, Buelent [Department of Pathology, Guelhane Military Medical Academy and Medical School, Etlik, Ankara (Turkey); Ovali, Oender [Department of Internal Medicine, Guelhane Military Medical Academy and Medical School, Etlik, Ankara (Turkey); Bayhan, Hikmet [Department of Nuclear Medicine, Acbadem Hospital, Istanbul (Turkey)

    2003-11-01

    The carbon-14 urea breath test (UBT) is a reliable and non-invasive technique for the diagnosis of Helicobacter pylori (HP) infection. In this study we evaluated the diagnostic performance of a new, practical and low-dose {sup 14}C-UBT system for the diagnosis of HP and compared the results with those obtained using the standard method. Seventy-five patients (56 female, 19 male) with dyspepsia underwent {sup 14}C-UBT and endoscopy with antral biopsies for histological analysis. The rapid urease test (CLO test) was applied to 50 of these patients. After a 6-h fasting period, a 37-kBq {sup 14}C-urea capsule was swallowed for UBT. Breath samples were collected and counted using two different methods, the Heliprobe method and the standard method. In the Heliprobe method, patients exhaled into a special dry cartridge system (Heliprobe BreathCard) at 10 min. The activities of the cartridges were counted using a designated small GM counter system (Heliprobe analyser). Results were expressed both as counts per minute (HCPM) and as grade (0, not infected; 1, equivocal; 2, infected) according to the counts. In the standard method, breath samples were collected by trapping in a liquid CO{sub 2} absorber. Radioactivity was counted as disintegrations per minute (SDPM) using a liquid scintillation counter after addition of a liquid scintillation cocktail. Histological examination was used as a gold standard. Two patients were excluded from the study because of inadequate biopsy sampling. Forty-eight patients (65%) were found to be HP positive on histology. The Heliprobe method correctly classified 48 of 48 HP-positive patients and 19 of 25 HP-negative patients (sensitivity 100%, specificity 76%, PPV 88%, NPV 100%, accuracy 91%). The standard method correctly classified 48 of 48 HP-positive patients and 20 of 25 HP-negative patients (sensitivity 100%, specificity 80%, PPV 90%, NPV 100%, accuracy 93%). On the other hand, the CLO test identified 26 of 32 HP-positive and 12 of 16 HP

  14. Measurement of hepatic functional mass by means of 13C-methacetin and 13C-phenylalanine breath tests in chronic liver disease: Comparison with Child-Pugh score and serum bile acid levels

    Institute of Scientific and Technical Information of China (English)

    D. Festi; P. Portincasa; E. Roda; A. Colecchia; S. Capodicasa; L. Sandri; L. Colaiocco-Ferrante; T. Staniscia; E. Vitacolonna; A. Vestito; P. Simoni; G. Mazzella

    2005-01-01

    AIM: To evaluate and compare the clinical usefulness of 13C-phenylalanine and 13C-methacetin breath tests in quantitating functional hepatic mass in patients with chronic liver disease and to further compare these results with those of conventional tests, Child-Pugh score and serum bile acid levels.METHODS: One hundred and forty patients (50 HCV-related chronic hepatitis, 90 liver cirrhosis patients) and 40 matched healthy controls were studied. Both breath test and routine liver test, serum levels of cholic and chenodeoxycholic acid conjugates were evaluated.RESULTS: Methacetin breath test, expressed as 60 min cumulative percent of oxidation, discriminated the hepatic functional capacity not only between controls and liver disease patients, but also between different categories of chronic liver disease patients. Methacetin breath test was correlated with liver function tests and serum bile acids.Furthermore, methacetin breath test, as well as serum bile acids, were highly predictive of Child-Pugh scores. The diagnostic power of phenylalanine breath test was always less than that of methacetin breath test.CONCLUSION: Methacetin breath test represents a safe and accurate diagnostic tool in the evaluation of hepatic functional mass in chronic liver disease patients.

  15. Markers of Sleep Disordered Breathing and Diabetes Mellitus in a Multiethnic Sample of US Adults: Results from the National Health and Nutrition Examination Survey (2005–2008)

    Science.gov (United States)

    Sabanayagam, Charumathi; Teppala, Srinivas; Shankar, Anoop

    2012-01-01

    We examined gender and ethnic differences in the association between sleep disordered breathing (SDB) and diabetes among 6,522 participants aged ≥20 years from the National Health and Nutrition Examination Survey 2005–08. SDB severity was defined based on an additive summary score including sleep duration, snoring, snorting, and daytime sleepiness. We found that the summary SDB score was significantly associated with diabetes after adjusting for potential confounders in the whole population. Compared to those without any sleep disturbance, the multivariable odds ratio (OR) (95% confidence interval (CI)) of diabetes among those with ≥3 sleep disturbances was 2.04 (1.46–2.87). In sex-specific analyses, this association was significant only in women (OR (95% CI) = 3.68 (2.01–6.72)) but not in men (1.10 (0.59–2.04)), P-interaction = 0.01. However, there were no ethnic differences in this association, P-interaction = 0.7. In a nationally representative sample of US adults, SDB was independently associated with diabetes only in women, but not in men. PMID:22518133

  16. Markers of Sleep Disordered Breathing and Diabetes Mellitus in a Multiethnic Sample of US Adults: Results from the National Health and Nutrition Examination Survey (2005–2008

    Directory of Open Access Journals (Sweden)

    Charumathi Sabanayagam

    2012-01-01

    Full Text Available We examined gender and ethnic differences in the association between sleep disordered breathing (SDB and diabetes among 6,522 participants aged ≥20 years from the National Health and Nutrition Examination Survey 2005–08. SDB severity was defined based on an additive summary score including sleep duration, snoring, snorting, and daytime sleepiness. We found that the summary SDB score was significantly associated with diabetes after adjusting for potential confounders in the whole population. Compared to those without any sleep disturbance, the multivariable odds ratio (OR (95% confidence interval (CI of diabetes among those with ≥3 sleep disturbances was 2.04 (1.46–2.87. In sex-specific analyses, this association was significant only in women (OR (95% CI = 3.68 (2.01–6.72 but not in men (1.10 (0.59–2.04, P-interaction =0.01. However, there were no ethnic differences in this association, P-interaction =0.7. In a nationally representative sample of US adults, SDB was independently associated with diabetes only in women, but not in men.

  17. Estimation of Insulin Resistance in Mexican Adults by the [13C]Glucose Breath Test Corrected for Endogenous Total CO2 Production

    Directory of Open Access Journals (Sweden)

    Erika Ibarra-Pastrana

    2012-01-01

    Full Text Available Objective. To evaluate the efficacy of the [13C]glucose breath test for measuring insulin resistance in Mexican adults with different glycemic states. Research Design and Methods. Fifty-eight adults underwent a [13C]glucose breath test with simultaneous measurement of total CO2 production by indirect calorimetry, at baseline and 90 minutes after the ingestion of 15 g of dextrose and 25 mg of [13C]glucose. HOMA was used as a marker of insulin resistance. Results. We found an inverse correlation between HOMA and the breath test δ13CO2 (‰, r=-0.41 (P=0.001. After adjusting for total CO2 production, correlations between HOMA and fasting glucose were less strong but remained significant. An ROC curve was constructed using δ13CO2 (‰ and HOMA values; the cut-off point was 9.99‰ δ13CO2, corresponding to a sensitivity of 80.0 (95% CI: 51.9, 95.7 and a specificity of 67.4 (95% CI: 51.5, 80.9. Conclusions. The [13C]glucose breath test is a simple noninvasive procedure but was not sufficiently robust for an accurate diagnosis of insulin resistance. Our findings suggest that the test might be helpful in identifying individuals who are not IR, which in turn may contribute to improved diabetes prevention.

  18. Primary Test of Economic Understanding. Examiner's Manual. Revised Edition.

    Science.gov (United States)

    Iowa Univ., Iowa City. Bureau of Business and Economic Research.

    This manual for examiners administering the Primary Test of Economic Understanding (PTEU) describes the purpose, development, and validity of the test which is designed to provide a measure of students' growth and a means to assess the effectiveness of existing materials, teaching strategies, and pre-service and in-service economics education…

  19. Can the C-14 urea breath test reflect the extent and degree of ongoing helicobacter pylori infection

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Seok Tae; Sohn, Myung Hee; Lee, Seung Ok; Lee, Soo Taik; Jeong, Myung Ja [Chonbuk National Univ., Chonju (Korea, Republic of)

    2001-02-01

    The C-14 urea breath test (C-14 UBT) is the most specific noninvasive method to detect Helicobacter (H) pylori infection. We investigated if the C-14 UBT can reflect the presence and degree of H. pylori detected by gastroduodenoscopic biopsies (GBx). One hundred fifty patients (M:F=83:67,age 48.6{+-}11.2 yrs) underwent C-14 UBT, rapid urease test (CLO test) and GBx on the same day. For the C-14 UBT, a single breath sample was collected at 10 minutes after ingestion of C-14 urea (137 KBq) capsule and counting was done in a liquid scintillation counter for 1 minute, and the results were classified as positive ({>=}200 dpm), intermediate ( 50 {approx} 199 dpm) or negative ( < 50 dpm). The results of CLO tests were classified as positive or negative according to color change. The results of GBx on giemsa stain were graded 0 (normal) to 4(diffuse) according to the distribution of H. pylori by the Wyatt method. We compared C-14 UBT results with GBx grade as a gold standard. In the assessment of the presence of H. pylori infection, the C-14 UBT global performance yielded sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of 92.5%, 88.4%, 97.1%, 88.4% and 91.3%, respectively. However, the CLO test had sensitivity, specificity, PPV, NPV and accuracy of 83.2%, 81.4%, 91.8%, 81.4% and 82.7%, respectively. The quantitative values of the C-14 UBT were 45 {+-} 27 dpm in grade 0, 707 {+-}584 dpm in grade 1, 1558{+-}584 dpm in grade 2, 1851{+-}604 dpm in grade 3, and 2719 {+-} 892 dpm in grade 4. A significant correlation (r=0.848, p<0.01) was found between C-14 UBT and the grade of distribution of H. pylori infection on GBx with giemsa stain. We conclude that the C-14 UBT is a highly accurate, simple and noninvasive method for the diagnosis of ongoing H. pylori infection and reflects the degree of bacterial distribution.

  20. Validation in an animal model of the carbon 13-labeled mixed triglyceride breath test for the detection of intestinal fat malabsorption

    NARCIS (Netherlands)

    Kalivianakis, M; Elstrodt, J; Havinga, R; Kuipers, F; Stellaard, F; Sauer, PJJ; Vonk, RJ; Verkade, HJ

    1999-01-01

    Objective: To determine, in a rat model of fat malabsorption, the potency of the carbon 13-labeled mixed triglyceride (C-13-MTG) breath test as a noninvasive, patient-friendly replacement for classic fat balance studies, Study design: Comparison of the percentage of Fat absorption, detected by fat b

  1. Turnover of carbon in the {sup 13}C-urea breath test for the detection of Helicobacter pylori infection

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Vladimir E.; Andreazzi, Mariana; Cury, Caio S.; Bassetto Junior, Carlos A.Z.; Rodrigues, Maria A.M.; Ducatti, Carlos, E-mail: vladimir@ibb.unesp.br, E-mail: ducatti@ibb.unesp.br, E-mail: mariana.andreazazi@gmail.com, E-mail: caiocury@hotmail.com, E-mail: juniorbassett@hotmail.com, E-mail: mariar@fmb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil)

    2013-07-01

    To obtain a standard protocol for the application of {sup 13}C-urea breath test ({sup 13}C-UBT) analyzed by Isotope Ratio Mass Spectrometer (IRMS) to detect helicobacter pylori infection in the population is necessary to know the behavior of the turnover of {sup 13}C during the test in different individuals. The aims of this study was to find out a pattern for the turnover of the {sup 13}C in the {sup 13}C-UBT, analyzed by IRMS, in patients infected with H. pylori, in a Brazilian population, to define a protocol test application. We found that the isotopic ratio {sup 13}C/{sup 12}C in expired CO{sub 2} from patients infected with H. pylori and subjected to {sup 13}C-UBT does not follow a single pattern of behavior. However this behavior can be similar in subjects having the same maximum values following an inverse proportional relationship between the maximum value and the time of appearance in the curve. (author)

  2. Hydrogen breath test for the diagnosis of lactose intolerance, is the routine sugar load the best one?

    Institute of Scientific and Technical Information of China (English)

    Fiorenza Argnani; Mauro Di Camillo; Vanessa Marinaro; Tiziana Foglietta; Veronica Avallone; Carlo Cannella; Piero Vernia

    2008-01-01

    AIM: To evaluate the prevalence of lactose intolerance (LI) following a load of 12.5 g in patients diagnosed as high-grade malabsorbers using the hydrogen breath test (HBT)-25. METHODS: Ninety patients showing high-grade malabsorption at HBT-25 were submitted to a second HBT with a lactose load of 12.5 g. Peak hydrogen production, area under the curve of hydrogen excretion and occurrence of symptoms were recorded. RESULTS: Only 16 patients (17.77%) with positive HBT-25 proved positive at HBT-12.5. Hydrogen production was lower as compared to HBT-25 (peak value 21.55 parts per million (ppm)±29.54 SD vs 99.43 ppm±40.01 SD; P<0.001). Symptoms were present in only 13 patients. The absence of symptoms during the high-dose test has a high negative predictive value (0.84) for a negative low-dose test. The presence of symptoms during the first test was not useful for predicting a positive low-dose test (positive predictive value 0.06-0.31). CONCLUSION: Most patients with a positive HBT-25 normally absorb a lower dose of lactose and a strict lactose restriction on the basis of a "standard" HBT is, in most instances, unnecessary. Thus, the 25 g lactose tolerance test should probably be substituted by the 12.5 g test in the diagnosis of LI, and in providing dietary guidelines to patients with suspected lactose malabsorption/intolerance.

  3. Anatomy, variants, and pathologies of the superior glenohumeral ligament: Magnetic resonance imaging with three-dimensional volumetric interpolated breath-hold examination sequence and conventional magnetic resonance arthrography

    Energy Technology Data Exchange (ETDEWEB)

    Ogul, Hayri; Karaca, Leyla; Emre, Cahit; Pirimoglu, Berhan; Tuncer, Kutsi; Topai, Murat; Okur, Aylin; Kantarci, Mecit [Medical Faculty, Ataturk University, Erzurum (Turkmenistan)

    2014-08-15

    The purpose of this review was to demonstrate magnetic resonance (MR) arthrography findings of anatomy, variants, and pathologic conditions of the superior glenohumeral ligament (SGHL). This review also demonstrates the applicability of a new MR arthrography sequence in the anterosuperior portion of the glenohumeral joint. The SGHL is a very important anatomical structure in the rotator interval that is responsible for stabilizing the long head of the biceps tendon. Therefore, a torn SGHL can result in pain and instability. Observation of the SGHL is difficult when using conventional MR imaging, because the ligament may be poorly visualized. Shoulder MR arthrography is the most accurately established imaging technique for identifying pathologies of the SGHL and associated structures. The use of three dimensional (3D) volumetric interpolated breath-hold examination (VIBE) sequences produces thinner image slices and enables a higher in-plane resolution than conventional MR arthrography sequences. Therefore, shoulder MR arthrography using 3D VIBE sequences may contribute to evaluating of the smaller intraarticular structures such as the SGHL.

  4. Breath test for differential diagnosis between small intestinal bacterial overgrowth and irritable bowel disease: An observation on non-absorbable antibiotics

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To estimate the prevalence of small intestine bacterial overgrowth (SIBO) among patients with an earlier diagnosis of irritable bowel disease (IBS) in our geographical area, and to collect information on the use of locally acting non-absorbable antibiotics in the management of SIBO.METHODS: A non-interventional study was conducted in 73 consecutive patients with a symptom-based diagnosis..RESULTS: When the patients underwent a "breath test", 33 (45.2%) showed the presence of a SIBO. After treatment with rifaximin 1200 mg/d for seven days in 32 patients, 19 (59.4%) showed a negative "breath test" one week later as well as a significant reduction of symptoms, thus confirming the relationship between SIBO and many of the symptoms claimed by patients. In the other 13 patients, "breath test" remained positive,and a further cycle of treatment with ciprofloxacin 500mg/d was given for 7 additional days, resulting in a negative "breath test" in one atient only.CONCLUSION: (1) about half of the patients with a symptomatic diagnosis of IBS have actually SIBO, which is responsible for most of the symptoms attributed to IBS; (2) only a "breath test" with lactulose (or with glucose in subjects with an intolerance to lactose) can provide a differential diagnosis between IBS and SIBO,with almost identical symptoms; and (3) the use of non-absorbable antibiotics may be useful to reduce the degree of SIBO and related symptoms; it must be accompanied, however, by the correction of the wrong alimentary habits underlying SIBO.

  5. Measurement of Uncertainty for Aqueous Ethanol Wet-Bath Simulator Solutions Used with Evidential Breath Testing Instruments.

    Science.gov (United States)

    Hwang, Rong-Jen; Beltran, Jada; Rogers, Craig; Barlow, Jeremy; Razatos, Gerasimos

    2016-09-01

    Aqueous ethanol wet-bath simulator solutions are used to perform calibration adjustments, calibration checks, proficiency testing, and inspection of breath alcohol instruments. The Toxicology Bureau of the New Mexico Department of Health has conducted a study to estimate a measurement of uncertainty for the preparation and testing of these wet-bath simulator solutions. The measurand is identified as the mass concentration of ethanol (g/100 mL) determined through dual capillary column headspace gas chromatography with flame ionization detector analysis. Three groups were used in the estimation of the aqueous ethanol wet-bath simulator solutions uncertainty: GC calibration adjustment, GC analytical, and certified reference material. The standard uncertainties for these uncertainty sources were combined using the method of root-sum-squares to give uc = 0.8598%. The combined standard uncertainty was expanded to U = 1.7% to reflect a confidence level of 95% using a coverage factor of 2. This estimation applies to all aqueous ethanol wet-bath simulator solution concentrations produced by this laboratory.

  6. Testing Procedures for Closed-Circuit and Semi-Closed Circuit Underwater Breathing Apparatus

    Science.gov (United States)

    1974-01-29

    a water or mercury manometer prior to each major test. Recheck calibration at the end of the test. The flowmeters are factory calibrated and should...calibrated against a water or mercury manometer ; the thermisters against 321F. water and room temperature. c. The flowmeter and gauges normally do not need... mercury manometer ; the thermistors against 320 F water and room temperature. 3) The flowmeter and gauges normally do not need daily calibration. 4) All

  7. {sup 13}C-urea breath test analyzed with infrared isotope spectrometry for the diagnosis of Helicobacter pylori; {sup 13}C-urea-pusteproeve som dagnostisk metode ved Helicobacter pylori-infeksjon

    Energy Technology Data Exchange (ETDEWEB)

    Dahlberg, M.; Schoensby, H. [Aker Sykehus, Oslo (Norway)

    1998-10-01

    The authors have evaluated a {sup 13}C-urea breath test for the diagnosis of Helicobacter pylori infection. The {sup 13}C-test was analyzed with isotope-selective non-dispersive infrared spectrometry and compared with a {sup 14}C-urea breath test and the urease test in gastric mucosal biopsies. 46 patients were analyzed with breath tests, 23 patients were negative and 22 patients were positive with both methods. One patients was positive with {sup 14}C-method and negative with the {sup 13}C-urea breath test. 61 patients were analyzed with the {sup 13}C-urea breath test and the urease test. 30 patients were negative and 30 patients were positive with both methods, whereas one patient with a negative urease test had a positive breath test. {sup 13}C-urea breath test analyzed with isotope-selective non-dispersive infrared spectrometry is a fast, simple, non-radioactive, non-invasive, convenient and reliable method for the diagnosis of Helicobacter pylori infection. 12 refs., 2 figs., 1 tab.

  8. The biopsy of the boar testes using ultrasonographic examination

    Directory of Open Access Journals (Sweden)

    Laima Liepa

    2014-03-01

    Full Text Available The biopsy of live animal testes is an important clinical manipulation to control spermatogenesis and reproductive system pathologies. The aim was to develop a method of boar testes biopsy using a biopsy gun with ultrasound guidance and to investigate the influence of this procedure on the boar testes parenchyma and quality of ejaculate. The biopsy was carried out in six 8-month-old boars. Fourteen days prior to and 21 days after biopsy, the quality of ejaculate was examined (weight of ejaculate; concentration and motility of spermatozoa with a seven-day intervals. Ultrasound images of the testes parenchyma were recorded three times: directly before and 15 minutes after the biopsy, then 21 days after the procedure. The testes biopsies of generally anesthetized boars were performed with the biopsy gun for needle biopsy with a 12cm long, disposable 16-gauge needle 1.8mm in diameter (Vitesse through 1cm skin incision in the depth of 1.2-1.6cm of parenchyma. Fifteen minutes after the biopsy, macroscopic injures of the parenchyma of all the boar testes were not detected in the ultrasound image. Twenty one days after biopsy, the hyperechogenic line 0.1-0.2cm in diameter was seen in the testes parenchyma of six boars in the depth of 1.2-1.6cm. The biopsy of boar testes did not influence the quality of boars ejaculate. The ultrasonographic examination of boar testicles before the biopsy reduced possibilities to traumatize large blood vessels of the testes. A perfect boar testicular biopsy was easy to perform using ultrasonographic examination in the pigsty conditions.

  9. Efficacy and cost-effectiveness of the 13C-urea breath test as the primary diagnostic investigation for the detection of Helicobacter pylori infection compared to invasive and non-invasive diagnostic tests

    Directory of Open Access Journals (Sweden)

    Greiner, Wolfgang

    2009-10-01

    Full Text Available Background: Helicobacter pylori (H. pylori is one of the most common bacterial infections in humans. There is a risk factor for gastric or duodenal ulcers, gastric cancer and MALT (Mucosa Associated Lymphoid Tissue-Lymphomas. There are several invasive and non-invasive methods available for the diagnosis of H. pylori. The 13C-urea breath test is a non-invasive method recommended for monitoring H. pylori eradication therapy. However, this test is not yet used for primary assessment of H. pylori in Germany. Objectives: What are the clinical and health economic benefits of the 13C-urea breath test in the primary assessment of H. pylori compared to other invasive and non-invasive methods? Methods: A systematic literature search including a hand search was performed for studies investigating test criteria and cost-effectiveness of the 13C-urea breath test in comparison to other methods used in the primary assessment of H. pylori. Only studies that directly compared the 13C-urea breath test to other H. pylori-tests were included. For the medical part, biopsy-based tests were used as the gold standard. Results: 30 medical studies are included. Compared to the immunoglobulin G (IgG test, the sensitivity of the 13C-urea breath test is higher in twelve studies, lower in six studies and one study reports no differences. The specificity is higher in 13 studies, lower in three studies and two studies report no differences. Compared to the stool antigen test, the sensitivity of the 13C-urea breath test is higher in nine studies, lower in three studies and one study reports no difference. The specificity is higher in nine studies, lower in two studies and two studies report no differences. Compared to the urease test, the sensitivity of the 13C-urea breath test is higher in four studies, lower in three studies and four studies report no differences. The specificity is higher in five studies, lower in five studies and one study reports no difference. Compared

  10. Inter-examiner reproducibility of tests for lumbar motor control

    Directory of Open Access Journals (Sweden)

    Elkjaer Arne

    2011-05-01

    Full Text Available Abstract Background Many studies show a relation between reduced lumbar motor control (LMC and low back pain (LBP. However, test circumstances vary and during test performance, subjects may change position. In other words, the reliability - i.e. reproducibility and validity - of tests for LMC should be based on quantitative data. This has not been considered before. The aim was to analyse the reproducibility of five different quantitative tests for LMC commonly used in daily clinical practice. Methods The five tests for LMC were: repositioning (RPS, sitting forward lean (SFL, sitting knee extension (SKE, and bent knee fall out (BKFO, all measured in cm, and leg lowering (LL, measured in mm Hg. A total of 40 subjects (14 males, 26 females 25 with and 15 without LBP, with a mean age of 46.5 years (SD 14.8, were examined independently and in random order by two examiners on the same day. LBP subjects were recruited from three physiotherapy clinics with a connection to the clinic's gym or back-school. Non-LBP subjects were recruited from the clinic's staff acquaintances, and from patients without LBP. Results The means and standard deviations for each of the tests were 0.36 (0.27 cm for RPS, 1.01 (0.62 cm for SFL, 0.40 (0.29 cm for SKE, 1.07 (0.52 cm for BKFO, and 32.9 (7.1 mm Hg for LL. All five tests for LMC had reproducibility with the following ICCs: 0.90 for RPS, 0.96 for SFL, 0.96 for SKE, 0.94 for BKFO, and 0.98 for LL. Bland and Altman plots showed that most of the differences between examiners A and B were less than 0.20 cm. Conclusion These five tests for LMC displayed excellent reproducibility. However, the diagnostic accuracy of these tests needs to be addressed in larger cohorts of subjects, establishing values for the normal population. Also cut-points between subjects with and without LBP must be determined, taking into account age, level of activity, degree of impairment and participation in sports. Whether reproducibility of these

  11. Liver breath tests non-invasively predict higher stages of non-alcoholic steatohepatitis

    NARCIS (Netherlands)

    Portincasa, Piero; Grattagliano, Ignazio; Lauterburg, Bernhard H.; Palmieri, Vincenzo O.; Palasciano, Giuseppe; Stellaard, Frans

    2006-01-01

    Effectively assessing subtle hepatic metabolic functions by novel non-invasive tests might be of clinical utility in scoring NAFLD (non-alcoholic fatty liver disease) and in identifying altered metabolic pathways. The present study was conducted on 39 (20 lean and 19 obese) hypertransaminasemic pati

  12. Comparison of a monoclonal antigen stool test (Hp StAR) with the 13C-urea breath test in monitoring Helicobacter pylori eradication therapy

    Institute of Scientific and Technical Information of China (English)

    Francesco Perri; Michele Quitadamo; Rosalba Ricciardi; Ada Piepoli; Rosa Cotugno; Annamaria Gentile; Alberto Pilotto; Angelo Andriulli

    2005-01-01

    AIM: To evaluate the agreement between a mAb-based stool test (HP StAR) and the urea breath test (UBT) in monitoring (H pylori) infection after eradication therapy.METHODS: Patients with discordant results on UBT and Hp StAR underwent endoscopy with biopsies for rapid urease test, culture, and histology to confirm H pylori status.RESULTS: Among 250 patients (50±14 years), 240 (96.0%) had concordant UBT and Hp StAR tests with a significant correlation between DOB and A values (R = 0.87; P<0.0001).The remaining 10 (4.0%) patients had discordant tests (positive Hp StAR and negative UBT) with the Hp StAR inaccurate in five cases (false positive) and UBT inaccurate in the other five cases (false negative). The "maximal expected" sensitivity, specificity, +PV, -PV, +LR, and -LR were 91%, 100%, 100%, 97.4%, ∞, and 8.2 respectively,for the UBT, and 100%, 97.4%, 91%, 100%, 38.8, and 0,respectively, for the Hp StAR. Overall accuracy for both tests was 98%.CONCLUSION: Both the UBT and the Hp StAR are equally accurate in monitoring H pylori infection. Nowadays,the choice of the "best" non-invasive H pylori test in the post-treatment setting should be done not only in terms of diagnostic accuracy but also in view of cost and local facilities.

  13. {sup 14}C urea breath test kit- an evaluation of a compact, cost-effective kit for the detection of H. pylori

    Energy Technology Data Exchange (ETDEWEB)

    Bellon, M.S. [Royal Adelaide Hospital, SA (Australia). Dept of Nuclear Medicine

    1998-03-01

    Full text: Helicobacter pylori infection of the gastric mucosa causes active chronic gastritis and peptic ulceration. Carbon-14 urea breath testing has been well documented in its ability to detect the presence of H. pylori. The aims of this study were to evaluate and refine the test to substantially reduce costs and improve its simplicity, availability and accuracy. We reviewed the results of 138 patients who underwent {sup 14}C urea breath testing for the detection of H. pylori utilising a kit developed at the Royal Adelaide Hospital. Modifications to the standard technique that were assessed included the relevance of buccal cleansing, single sample v multiple sampling, use of alternative CO{sub 2} absorbers and sampling techniques. In those patients with positive biopsy results, a test sensitivity of 100% was achieved. No buccal cleansing is necessary (45% oral contamination without brushing teeth v 41% with). A single breath sample only at 15 min resulted in 100% sensitivity. Alternative (cheaper and safer) CO{sub 2} absorbers such as KOH can be used. Based on these results, modifications to this well documented test have enabled us to substantially reduce costs, improve simplicity and safety and increase accuracy and availability of the test for the detection of Helicobacter pylori.

  14. Intestinal transport and fermentation of resistant starch evaluated by the hydrogen breath test

    DEFF Research Database (Denmark)

    Olesen, M; Rumessen, J J; Gudmand-Høyer, E

    1994-01-01

    To study fermentability of different samples of resistant starch (RS), compared to one another and to lactulose, and to study the effect on gastric emptying of addition of RS to test meal. Finally to study if adaptation to RS results in a measurable change in fermentation pattern, (H2/CH4 product...... production). Sources of RS: Raw potato starch (RPS), 58% RS; corn flakes (CF), 5% RS; hylon VII high amylomaize starch, extrusion cooked and cooled (HAS) 30% RS; highly retrograded hylon VII high amylomaize starch (HRA) 89% RS.......To study fermentability of different samples of resistant starch (RS), compared to one another and to lactulose, and to study the effect on gastric emptying of addition of RS to test meal. Finally to study if adaptation to RS results in a measurable change in fermentation pattern, (H2/CH4...

  15. First-time urea breath tests performed at home by 36,629 patients

    DEFF Research Database (Denmark)

    Dahlerup, Søren; Andersen, Rikke Charlotte; Nielsen, Birgitte Sperling Wilms;

    2011-01-01

    , positive H. pylori declined over the time course of the study (women: 19.6% in 2003 to 17.6% in 2009, p H. pylori results than younger patients. CONCLUSIONS: A test......-and-treat system was possible to implement that allowed patients to perform UBTs at their homes. The results of the first-time UBTs demonstrated that approximately one of five patients who presented with dyspepsia in the clinical setting of Danish primary care was infected with H. pylori....

  16. [Language tests for the examination of nasal resonance].

    Science.gov (United States)

    Gasiorek, J; Pruszewicz, A; Obrebowski, A

    1996-01-01

    A set of 7 word tests with different number of nasal phonemes was prepared. These tests are adjusted to technical possibilities of nasal resonance examination by means of own construction apparatus. The VII-th test consisting only oral speech sounds appeared to be most important for estimating physiological nasal resonance characteristic for the Polish language and gave individual timbre of the voice. For Polish language these resonance rate is 15.2%. It is useful as reference data to evaluate patients with pathological nasal resonance. The VII-th test together with the V-th one which contain 6.3% of nasal consonants, and the VI-th with 33.3% of them were used for detailed evaluation of nasal resonance.

  17. CT examination of the scrotum and particularly of the testes

    Energy Technology Data Exchange (ETDEWEB)

    Derouet, H.; Braedel, H.U.; Ziegler, M.; Zwergel, T.; Khorsandian, C.

    1988-05-01

    CT examination of the tests was carried out in 49 patients for the investigation of testicular tumours. Hypodensity and inhomogeneity were typical of teratomas and hyperdensity and relative homogeneity of seminomas. Granulomatous orchitis and lymphomas showed the same characteristics as seminomas. Three testes in the abdomen could be localised and classified. One non-palpable primary tumour was found as well as an old partially calcified tumour, three old torsions and one lipo-sarcoma. In about 10% it was not possible to distinguish between tumour and inflammatory lesions. Compared with sonography, CT has advantages, particularly in the diagnosis of old torsion.

  18. Biokinetics and radiation dosimetry of {sup 14}C-labelled triolein, urea, glycocholic acid and xylose in man. Studies related to nuclear medicine 'breath tests' using accelerator mass spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Gunnarsson, Mikael

    2002-08-01

    {sup 14}C-labelled substances have been used in biomedical research and clinical medicine for over 50 years. Physicians and scientists however, often hesitate to use these substances in patients and volunteers because the radiation dosimetry is unclear. In this work detailed long-term biokinetic and dosimetric estimation have been carried out for four clinically used {sup 14}C-breath tests: {sup 14}C-triolein (examination of fat malabsorption), urea (detection of Helicobacter pylori infection in the stomach), glycocholic acid and xylose (examination of bacterial overgrowth in the small intestine) by using the highly sensitive accelerator mass-spectrometry (AMS) technique. The AMS technique has been used to measure low {sup 14}C concentrations in small samples of exhaled air, urine, faeces and tissue samples and has improved the base for the estimation of the absorbed dose to various organs and tissues and the effective dose to man. The high sensitivity of the AMS system has also made it possible to perform {sup 14}C breath tests on patient groups which were earlier subject for restriction (e.g. small children). In summary, our results show that for adult patients - and in the case of {sup 14}C-urea breath test also for children down to 3 years of age - the dose contributions are comparatively low, both described as organ doses and as effective doses. For adults, the latter is: {sup 14}C-glycocholic acid - 0.4 mSv/MBq, {sup 14}C-triolein - 0.3 mSv/MBq, {sup 14}C-xylose - 0.1 mSv/MBq and {sup 14}C-urea - 0.04 mSv/MBq. Thus, from a radiation protection point of view there is no reason for restrictions in using any of the {sup 14}C-labelled radiopharmaceutical included in this work in the activities normally used (0.07-0.2 MBq for a 70 kg patient)

  19. [Eosin Y-water test for sperm function examination].

    Science.gov (United States)

    Zha, Shu-wei; Lü, Nian-qing; Xu, Hao-qin

    2015-06-01

    Based on the principles of the in vitro staining technique, hypotonic swelling test, and water test, the Eosin Y-water test method was developed to simultaneously detect the integrity of the sperm head and tail and sperm membrane structure and function. As a widely used method in clinical laboratories in China, the Eosin Y-water test is methodologically characterized by three advantages. Firstly, both the sperm head and tail can be detected at the same time, which allows easy and comprehensive assessment of membrane damage in different parts of sperm. Secondly, distilled water is used instead of the usual formula solution to simplify and standardize the test by eliminating any potential effects on the water molecules through the sperm membrane due to different osmotic pressure or different sugar proportions and electrolyte solutions. Thirdly, the test takes less time and thus can be repeated before and after treatment. This article focuses on the fundamental principles and modification of the Eosin Y-water test and its application in sperm function examination and routine semen analysis for male infertility, assessment of the quality of sperm retrieved by testicular fine needle aspiration, semen cryopreservation program development, and evaluation of sperm membrane integrity after microwave radiation.

  20. Prognostic value of 13C-phenylalanine breath test on predicting survival in patients with chronic liver failure

    Institute of Scientific and Technical Information of China (English)

    I Gallardo-Wong; S Morán; G Rodríguez-Leal; B Casta(n)eda-Romero; R Mera; J Poo; M Uribe; M Dehesa

    2007-01-01

    AIM: To evaluate the prognostic value of percentage of 13C-phenylalanine oxidation (13C-PheOx) obtained by 13C-phenylalanine breath test (13C-PheBT) on the survival of patients with chronic liver failure.METHODS: The hepatic function was determined by standard liver blood tests and the percentage of 13C-PheOx in 118 chronic liver failure patients. The follow-up period was of 64 mo. Survival analysis was performed by the Kaplan-Meier method and variables that were significant (P < 0.10) in univariate analysis and subsequently introduced in a multivariate analysis according to the hazard model proposed by Cox.RESULTS: Forty-one patients died due to progressive liver failure during the follow-up period. The probability of survival at 12, 24, 36, 48 and 64 mo was 0.88, 0.78,0.66, 0.57 and 0.19, respectively. Multivariate analysis demonstrated that Child-Pugh classes, age, creatinine and the percentage of 13C-PheOx (HR 0.338, 95% CI:0.150-0.762, P = 0.009) were independent predictors of survival. When Child-Pugh classes were replaced by all the parameters of the score, only albumin, bilirubin,creatinine, age and the percentage of 13C-PheOx (HR 0.449, 95% CI: 0.206-0.979, P = 0.034) were found to be independent predictors of survival.CONCLUSION: Percentage of 13C-PheOx obtained by 13C-PheBT is a strong predictor of survival in patients with chronic liver disease.

  1. An anthropomorphic breathing phantom of the thorax for testing new motion mitigation techniques for pencil beam scanning proton therapy

    Science.gov (United States)

    Perrin, R. L.; Zakova, M.; Peroni, M.; Bernatowicz, K.; Bikis, C.; Knopf, A. K.; Safai, S.; Fernandez-Carmona, P.; Tscharner, N.; Weber, D. C.; Parkel, T. C.; Lomax, A. J.

    2017-03-01

    Motion-induced range changes and incorrectly placed dose spots strongly affect the quality of pencil-beam-scanned (PBS) proton therapy, especially in thoracic tumour sites, where density changes are large. Thus motion-mitigation techniques are necessary, which must be validated in a realistic patient-like geometry. We report on the development and characterisation of a dynamic, anthropomorphic, thorax phantom that can realistically mimic thoracic motions and anatomical features for verifications of proton and photon 4D treatments. The presented phantom is of an average thorax size, and consists of inflatable, deformable lungs surrounded by a skeleton and skin. A mobile ‘tumour’ is embedded in the lungs in which dosimetry devices (such as radiochromic films) can be inserted. Motion of the tumour and deformation of the thorax is controlled via a custom made pump system driving air into and out of the lungs. Comprehensive commissioning tests have been performed to evaluate the mechanical performance of the phantom, its visibility on CT and MR imaging and its feasibility for dosimetric validation of 4D proton treatments. The phantom performed well on both regular and irregular pre-programmed breathing curves, reaching peak-to-peak amplitudes in the tumour of  feasible with Gamma Index agreements (4%/4 mm) between film dose and planned dose  >90% in the central planes of the target. The results of this study demonstrate that this anthropomorphic thorax phantom is suitable for imaging and dosimetric studies in a thoracic geometry closely-matched to lung cancer patients under realistic motion conditions.

  2. A LABORATORY TEST FOR THE EXAMINATION OF ALACTIC RUNNING PERFORMANCE

    Directory of Open Access Journals (Sweden)

    Armin Kibele

    2005-12-01

    Full Text Available A new testing procedure is introduced to evaluate the alactic running performance in a 10s sprint task with near-maximal movement velocity. The test is performed on a motor-equipped treadmill with inverted polarity that increases mechanical resistance instead of driving the treadmill belt. As a result, a horizontal force has to be exerted against the treadmill surface in order to overcome the resistant force of the engine and to move the surface in a backward direction. For this task, subjects lean with their hands towards the front safety barrier of the treadmill railing with a slightly inclined body posture. The required skill resembles the pushing movement of bobsleigh pilots at the start of a race. Subjects are asked to overcome this mechanical resistance and to cover as much distance as possible within a time period of 10 seconds. Fifteen male students (age: 27.7 ± 4.1 years, body height: 1.82 ± 0.46 m, body mass: 78.3 ± 6.7 kg participated in a study. As the resistance force was set to 134 N, subjects ran 35.4 ± 2.6 m on the average corresponding to a mean running velocity of 3.52 ± 0.25 m·s-1. The validity of the new test was examined by statistical inference with various measures related to alactic performance including a metabolic equivalent to estimate alactic capacity (2892 ± 525 mL O2, an estimate for the oxygen debt (2662 ± 315 ml, the step test by Margaria to estimate alactic energy flow (1691 ± 171 W, and a test to measure the maximal strength in the leg extensor muscles (2304 ± 351 N. The statistical evaluation showed that the new test is in good agreement with the theoretical assumptions for alactic performance. Significant correlation coefficients were found between the test criteria and the measures for alactic capacity (r = 0.79, p < 0.01 as well as alactic power (r = 0.77, p < 0.01. The testing procedure is easy to administer and it is best suited to evaluate the alactic capacity for bobsleigh pilots as well as for

  3. Utilization of urea micro dose with {sup 14} C in breath test to detect the Helicobacter pylori; Utilizacao de micro dose de ureia com {sup 14} C no teste respiratorio para diagnosticar a presenca de Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Chausson, Yvon [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN), Belo Horizonte, MG (Brazil); Coelho, Luiz Gonzaga V.; Passos, Maria do Carmo F.; Andrade, Angela A.M.; Simal, Carlos J.R.; Paula Castro, Luiz de [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Hospital das Clinicas; Fernandes, M.L.; Yazaki, F.R. [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Estatistica

    1995-12-31

    A lower dose is used in the {sup 14} C-urea breath test to detect the Helicobacter pylori (Hp). Such dose produce trivial radiation doses. The results shown that the use of this desirable dose is possible. (author). 4 refs., 1 fig.

  4. Rapid shallow breathing

    Science.gov (United States)

    Tachypnea; Breathing - rapid and shallow; Fast shallow breathing; Respiratory rate - rapid and shallow ... Shallow, rapid breathing has many possible medical causes, including: Asthma Blood clot in an artery in the lung Choking Chronic obstructive ...

  5. Breathing difficulties - first aid

    Science.gov (United States)

    Difficulty breathing - first aid; Dyspnea - first aid; Shortness of breath - first aid ... Breathing difficulty is almost always a medical emergency. An exception is feeling slightly winded from normal activity, ...

  6. Validation of the string test for the recovery of Helicobacter pylori from gastric secretions and correlation of its results with urea breath test results, serology, and gastric pH levels.

    Science.gov (United States)

    Torres, J; Camorlinga, M; Pérez-Peréz, G; Gonzalez, G; Muñoz, O

    2001-04-01

    The efficacy of the string culture test to isolate Helicobacter pylori from gastric secretions of 28 volunteers was studied. With the urea breath test (UBT) as the "gold standard," the string culture test showed a sensitivity of 75% and a specificity of 100%. The results of string culture did not correlate with the UBT results, with serum antibody levels, or with the pH levels of gastric secretions.

  7. Biokinetics and radiation doses for carbon-14 urea in adults and children undergoing the Helicobacter pylori breath test

    Energy Technology Data Exchange (ETDEWEB)

    Leide-Svegborn, S.; Olofsson, M.; Mattsson, S.; Nosslin, B.; Pau, K. [Department of Radiation Physics, Lund University, Malmoe University Hospital, Malmoe (Sweden); Stenstroem, K.; Erlandsson, B.; Hellborg, R. [Department of Nuclear Physics, Lund University, Lund (Sweden); Nilsson, L. [Department of Clinical Physiology, Lund University, Malmoe University Hospital, Malmoe (Sweden); Johansson, L. [Department of Radiation Physics, Umeaa University, Umeaa University Hospital, Umeaa (Sweden); Skog, G. [Radiocarbon Dating Laboratory, Department of Quaternary Geology, Lund University, Lund (Sweden)

    1999-06-01

    The long-term biokinetics and dosimetry of carbon-14 were studied in nine adults and eight children undergoing carbon-14 urea breath test for Helicobacter pylori (HP) infection. The elimination of {sup 14}C via exhaled air and urine was measured with the liquid scintillation counting technique and with accelerator mass spectrometry. After the subjects had been given 110 kBq {sup 14}C-urea (children: 55 kBq) orally, samples of exhaled air were taken up to 180 days after administration and samples of urine were collected up to 40 days. Sixteen of the subjects were found to be HP-negative. In these subjects a total of 91.1%{+-}3.9% (mean of adults and children {+-} standard error of the mean) of the administered {sup 14}C activity was recovered. The majority of the administered activity, 88.3%{+-}6.2% in adults and 87.7%{+-}5.0% in children, was excreted via the urine within 72 h after administration. A smaller fraction was exhaled. In adults 4.6%{+-}0.6% of the activity was exhaled within 20 days and in children 2.6%{+-}0.3%. Uncertainties in the biokinetic results are mainly due to assumptions concerning endogenous CO{sub 2} production and urinary excretion rate and are estimated to be less than 30%. The absorbed dose to various organs and the effective dose were calculated using the ICRP model for urea and CO{sub 2}. The urinary bladder received the highest absorbed dose: in adults, 0.15{+-}0.01 mGy/MBq and in children of various ages (7-14 years), 0.14-0.36 mGy/MBq. The findings indicate that an investigation with {sup 14}C-urea gives an effective dose to adults of 2.1{+-}0.1 {mu}Sv (for 110 kBq) and to children of 0.9-2.5 {mu}Sv (for 55 kBq). From a radiation protection point of view, there is thus no reason for restrictions on even repeated screening investigations with {sup 14}C-urea in whole families, including children. (orig.) With 5 figs., 4 tabs., 32 refs.

  8. Comparison of the diagnostic performance of {sup 14}C-urea breath test according to counting method for the diagnosis of Helicobacter pylori infection

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Woo; Lim, Seok Tae; Lee, Seung Ok; Sohn, Myung Hee [Chonbuk National University Medical School, Chonju (Korea, Republic of)

    2005-02-15

    {sup 14}C-urea breath test (UBT) is a non-invasive and reliable method for the diagnosis of Helicobacter pylon, (HP) infection. In this study, we evaluated the diagnostic performance of a new and rapid {sup 14}C-UBT (Heliprobe method), which was equipped with Geiger-Muller counter and compared the results with those obtained by using the conventional method. Forty-nine patients with dyspepsia underwent gastroduodenoscopy and {sup 14}C-UBT. A 37 KBq {sup 14}C-urea capsule was administered to patients and breath samples were collected. In Heliprobe method, patients exhaled into a Heliprobe BreathCard for 10 min. And then the activities of the BreathCard were countered using Heliprobe analyzer. In the conventional method, results were countered using liquid scintillation counter. During gastroduodenoscopy, 18 of 49 patients were underwent biopsies. According to these histologic results, we evaluated the diagnostic performance of two different methods and compared them. Also we evaluated the concordant and disconcordant rates between them. In all 49 patients, concordant rate of both conventional and Heliprobe methods was 98% (48/49) and the discordant rate was 2% (1/49). thirteen of 18 patients to whom biopsies were applied, were found to be HP positive on histologic results. And both Heliprobe method and conventional method classified 13 of 13 HP-positive patients and 5 of 5 HP-negative patients correctly (sensitivity 100%, specificity 100%, accuracy 100%). The Heliprobe method demonstrated the same diagnostic performance compared with the conventional method and was a simpler and more rapid technique.

  9. Comparison of three stool antigen assays with the 13C- urea breath test for the primary diagnosis of Helicobacter pylori infection and monitoring treatment outcome.

    LENUS (Irish Health Repository)

    Hooton, Carmel

    2012-02-03

    BACKGROUND: The urea breath test (UBT) is the gold-standard non-invasive test for the detection of Helicobacter pylori infection, however, the lack of availability of the UBT due to the high cost of the test, and in particular the need for expensive analytical instrumentation, limits the usefulness of this method. Stool antigen assays may offer an alternative non-invasive method for the diagnosis of infection. OBJECTIVE: To compare the accuracy of three stool antigen assays (HpSA, IDEIA HpStAR, and ImmunoCard STAT) against the UBT for the primary diagnosis of H. pylori infection and for monitoring treatment outcome. METHODS: A total of 102 patients attending two gastroenterology day-case clinics for the investigation of dyspepsia were included. Each patient provided breath and stool samples for analysis. Patients who tested positive for H. pylori by the validated UBT were prescribed triple therapy and invited to return for repeat breath and stool sample analysis 6 weeks post-treatment. RESULTS: Of the 102 patients tested, 48 were diagnosed with H. pylori infection by the UBT. The HpSA assay interpreted 38 of these as positive (79% sensitive). Of the 54 UBT-negative patients the HpSA assay interpreted all 54 as negative (100% specific). The IDEIA HpStAR assay correctly identified 44 patients as positive (92% sensitive) and 50 as negative (92.5% specific). The ImmunoCard STAT assay interpreted 38 patients as positive (79% sensitive) and 52 as negative (96.3% specific). CONCLUSION: The findings indicate that the IDEIA HpStAR stool antigen kit is the most accurate assay of the three assays evaluated, and possibly represents a viable alternative to the UBT for the primary diagnosis of H. pylori infection and for monitoring treatment outcome.

  10. Point-of-care continuous 13C-methacetin breath test improves decision making in acute liver disease: Results of a pilot clinical trial

    Institute of Scientific and Technical Information of China (English)

    Gadi Lalazar; Tomer Adar; Yaron Ilan

    2009-01-01

    AIM: To assess the role of the 13C-methacetin breath test (MBT) in patients with acute liver disease. METHODS: Fifteen patients with severe acute liver disease from diverse etiologies were followed-up with 13C-MBT during the acute phase of their illnesses (range 3-116 d after treatment). Patients fasted for 8 h and ingested 75 mg of methacetin prior to the MBT. We compared results from standard clinical assessment, serum liver enzymes, synthetic function, and breath test scores. RESULTS: Thirteen patients recovered and two patients died. In patients that recovered, MBT parameters improved in parallel with improvements in lab results. Evidence of consistent improvement began on day 3 for MBT parameters and between days 7 and 9 for blood tests. Later convergence to normality occurred at an average of 9 d for MBT parameters and from 13 to 28 d for blood tests. In both patients that died, MBT parameters remained low despite fluctuating laboratory values. CONCLUSION: The 13C-MBT provides a rapid, noninvasive assessment of liver function in acute severe liver disease of diverse etiologies. The results of this pilot clinical trial suggest that the MBT may offer greater sensitivity than standard clinical tests for managing patients with severe acute liver disease.

  11. Post-Service Examination of PWR Baffle Bolts, Part I. Examination and Test Plan

    Energy Technology Data Exchange (ETDEWEB)

    Leonard, Keith J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Sokolov, Mikhail A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gussev, Maxim N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-04-30

    In support of extended service and current operations of the US nuclear reactor plants, the Oak Ridge National Laboratory (ORNL), through the Department of Energy (DOE), Light Water Reactor Sustainability (LWRS) Program, is coordinating with Ginna Nuclear Power Plant, The Westinghouse Electric Company, LLC, and ATI Consulting, the selective procurement of baffle bolts that were withdrawn from service in 2011 and currently stored on site at Ginna. The goal of this program is to perform detailed microstructural and mechanical property characterization of baffle former bolts following in-service exposures. This report outlines the selection criteria of the bolts and the techniques to be used in this study. The bolts available are the original alloy 347 steel fasteners used in holding the baffle plates to the baffle former structures within the lower portion of the pressurized water reactor vessel. Of the eleven possible bolts made available for this work, none were identified to have specific damage. The bolts, however, did show varying levels of breakaway torque required in their removal. The bolts available for this study varied in peak fluence (highest dose within the head of the bolt) between 9.9 and 27.8x1021 n/cm2 (E>1MeV). As no evidence for crack initiation was determined for the available bolts from preliminary visual examination, two bolts with the higher fluence values were selected for further post-irradiation examination. The two bolts showed different breakaway torque levels necessary in their removal. The information from these bolts will be integral to the LWRS program initiatives in evaluating end of life microstructure and properties. Furthermore, valuable data will be obtained that can be incorporated into model predictions of long-term irradiation behavior and compared to results obtained in high flux experimental reactor conditions. The two bolts selected for the ORNL study will be shipped to Westinghouse with bolts of

  12. Utility of the wireless motility capsule and lactulose breath testing in the evaluation of patients with Parkinson's disease who present with functional gastrointestinal symptoms

    Science.gov (United States)

    Su, Andrew; Gandhy, Rita; Barlow, Carrolee; Triadafilopoulos, George

    2017-01-01

    Background The aetiology and origin of gastrointestinal symptoms in Parkinson's disease (PD) remains poorly understood. Gastroparesis, small bowel transit delay and bacterial overgrowth may, individually or collectively, play a role. Aims In patients with PD and functional gastrointestinal symptoms, we aimed to determine the utility of the wireless motility capsule and lactulose breath tests in further defining their symptoms' aetiology. Methods In this retrospective cohort study, consecutive patients with PD and functional gastrointestinal symptoms underwent clinical assessment, as well as wireless motility capsule and lactulose breath testing using standard protocols. Results We studied 65 patients with PD and various gastrointestinal symptoms. 35% exhibited gastroparesis by the wireless motility capsule study, 20% small bowel transit delay, while 8% had combined transit abnormalities, suggestive of overlapping gastric and small bowel dysmotility. Small bowel bacterial overgrowth was seen in 34% of cases. Symptoms of abdominal pain, regurgitation, bloating, nausea, vomiting, belching and weight loss could not distinguish between patients with or without gastroparesis, although bloating was significantly more prominent (p<0.001) overall and specifically more so in patients with slow small bowel transit (p<0.01). There was no relationship between delayed small bowel transit time and bacterial overgrowth (p=0.5); PD scores and duration were not correlated with either the transit findings or small bowel bacterial overgrowth. Conclusions Functional gastrointestinal symptoms in patients with PD may reflect gastroparesis, small bowel transit delay or both, suggesting motor and/or autonomic dysfunction, and may be associated with small bowel bacterial overgrowth. The wireless motility capsule and lactulose breath testing are non-invasive and useful in the assessment of these patients.

  13. Teste de caminhada e rendimento escolar em crianças respiradoras bucais Walk test and school performance in mouth-breathing children

    Directory of Open Access Journals (Sweden)

    Ana Paula Dias Vilas Boas

    2013-04-01

    Full Text Available Nas últimas décadas, vários trabalhos sobre respiração bucal (RB têm surgido na literatura; em contrapartida, pouco se conhece sobre vários aspectos desta síndrome, incluindo gravidade, repercussões sobre o rendimento físico e escolar. OBJETIVO: Comparar o rendimento físico pelo teste de caminhada de seis minutos (TC6' e rendimento escolar de crianças e adolescentes com RB e respiradores nasais (RN. MÉTODO: Estudo de corte transversal descritivo e prospectivo em crianças RB e RN que foram submetidas ao TC6' e avaliação do rendimento escolar. RESULTADOS: Foram incluídos 156 escolares, 87 meninas (60 RN e 27 RB e 69 meninos (44 RN e 25 RB. Foram analisadas variáveis durante o TC6': frequência cardíaca (FC, frequência respiratória, saturação periférica de oxigênio, distância percorrida em seis minutos e escala de Borg modificada. Todos os valores das variáveis estudadas foram estatisticamente diferentes entre os grupos RB e RN, com exceção do rendimento escolar e FC no TC6'. CONCLUSÃO: A RB afeta o rendimento físico e não o rendimento escolar, sendo observado padrão alterado no TC6' no grupo RB. Uma vez que os RB desse estudo foram classificados como não graves outros estudos comparando as variáveis de rendimento escolar e TC6' são necessários para o melhor entendimento do processo dos desempenhos físico e escolar em crianças com RB.In recent decades, many studies on mouth breathing (MB have been published; however, little is known about many aspects of this syndrome, including severity, impact on physical and academic performances. OBJECTIVE: Compare the physical performance in a six minutes walk test (6MWT and the academic performance of MB and nasal-breathing (NB children and adolescents. METHOD: This is a descriptive, cross-sectional, and prospective study with MB and NB children submitted to the 6MWT and scholar performance assessment. RESULTS: We included 156 children, 87 girls (60 NB and 27 MB and 69

  14. SU-D-BRE-01: A Realistic Breathing Phantom of the Thorax for Testing New Motion Mitigation Techniques with Scanning Proton Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Perrin, R; Peroni, M; Bernatowicz, K; Zakova, M; Knopf, A; Safai, S [Paul Scherrer Institut, Psi-villigen, Aargau (Switzerland); Parkel, T [CSEM, Swiss Centre of Electronics and Microtechnology, Landquart, Graubunden (Switzerland)

    2014-06-01

    Purpose: A prototype breathing phantom (named LuCa) has been developed which simulates the anatomy and motion of a patient thorax.In this work, we describe the results of the first commissioning tests with LuCa. Methods: The phantom provides a close representation of the human thorax. The lungs,contained within a tissue-equivalent ribcage and skin,are made from a polymer foam,which is inflated and deflated using a custommade ventilator. A tumor is simulated using a wooden ball with cutplanes for placing GafChromic films. The ventilator,controlled with Labview software,simulates a full range of breathing motion types.Commissioning tests were performed to assess its performance using imaging (CT and radiographic) and film dosimetry as follows:i)maximum Tumor excursion at acceptable pressure ranges, ii)tumor Motion repeatability between breathing periods,iii)reproducibility between measurement days,iv)tumor-to-surface motion correlation and v)reproducibility of film positioning in phantom. Results: The phantom can generate repeatable motion patterns with sin{sup 4},sin,breath-hold (tumor amplitude repeatability <0.5mm over 10min),aswell as patient-specific motion types. Maximum excursions of the tumor are 20mm and 14mm for the large and small tumor inserts respectively. Amplitude reproducibility (Coefficient of Variation) averaged at 16% for the workable pressure range over 2 months. Good correlation between tumor and surface motion was found with R{sup 2}=0.92. Reproducibility of film positioning within the thorax was within 0.9mm, and maximum 3° error from the coronal plane. Film measurements revealed that the film repositioning error yields relative errors in the mean dose over the planned target volume (PTV) of up to 2.5% and 4.5% for films at the center and on the edge of the PTV respectively. Conclusion: Commissioning tests have shown that the LuCa phantom can produce tumor motion with excellent repeatability. However,a poorer performance in reproducibility of

  15. Evaluation of oxygen saturation by pulse-oximetry in mouth breathing patients.

    Science.gov (United States)

    Niaki, Esfandiar Akhavan; Chalipa, Javad; Taghipoor, Elahe

    2010-01-01

    Mouth breathing might not always result in hypoxia, but can contribute to it. The aim of the present study was to determine the effect of mouth breathing on hypoxia. Based on a pilot study, 323 patients with mouth breathing were selected. Assessment of mouth breathing was based on clinical examination and questionnaires filled out by patients and their companions. The patients were also examined for further oral findings that could be attributable to mouth breathing. Oxygen saturation of each case was measured by means of a pulse oximetry device. The level of 95% saturation was set as the limit, under which the patient was considered hypoxemic. Acquired data was analyzed for descriptive data and frequency and also by means of the Chi-square and Spearman's correlation coefficient tests. 34.6% of the cases had normal O2 saturation. 65.4% of cases were hypoxemic (saturation level was below 95% in 42.8% and 95% in 22.6%). Most of the mouth breathing patients were male who were also more hypoxemic. A weak inverse relationship existed between the age of the patients and Oxygen saturation. Deep palatal vaults (29.4%) and gingival hyperplasia (29.2%) were the most frequent intraoral findings. Concerning the effects of hypoxia on body systems, the use of pulse oximetry in suspected mouth breathing patients could be recommended in routine oral and dental examinations.

  16. Evaluation of Oxygen Saturation by Pulse-Oximetry in Mouth Breathing Patients

    Directory of Open Access Journals (Sweden)

    Esfandiar Akhavan Niaki

    2010-02-01

    Full Text Available Mouth breathing might not always result in hypoxia, but can contribute to it. The aim of the present study was to determine the effect of mouth breathing on hypoxia. Based on a pilot study, 323 patients with mouth breathing were selected. Assessment of mouth breathing was based on clinical examination and questionnaires filled out by patients and their companions. The patients were also examined for further oral findings that could be attributable to mouth breathing. Oxygen saturation of each case was measured by means of a pulse oximetry device. The level of 95% saturation was set as the limit, under which the patient was considered hypoxemic. Acquired data was analyzed for descriptive data and frequency and also by means of the Chi-square and Spearman’s correlation coefficient tests.  34.6% of the cases had normal O2 saturation. 65.4% of cases were hypoxemic (saturation level was below 95% in 42.8% and 95% in 22.6%. Most of the mouth breathing patients were male who were also more hypoxemic.  A weak inverse relationship existed between the age of the patients and Oxygen saturation. Deep palatal vaults (29.4% and gingival hyperplasia (29.2% were the most frequent intraoral findings. Concerning the effects of hypoxia on body systems, the use of pulse oximetry in suspected mouth breathing patients could be recommended in routine oral and dental examinations.

  17. Effects of Ergot Alkaloids on Liver Function of Piglets as Evaluated by the 13C-Methacetin and 13C-α-Ketoisocaproic Acid Breath Test

    Directory of Open Access Journals (Sweden)

    Sonja Diers

    2013-01-01

    Full Text Available Ergot alkaloids (the sum of individual ergot alkaloids are termed as total alkaloids, TA are produced by the fungus Claviceps purpurea, which infests cereal grains commonly used as feedstuffs. Ergot alkaloids potentially modulate microsomal and mitochondrial hepatic enzymes. Thus, the aim of the present experiment was to assess their effects on microsomal and mitochondrial liver function using the 13C-Methacetin (MC and 13C-α-ketoisocaproic acid (KICA breath test, respectively. Two ergot batches were mixed into piglet diets, resulting in 11 and 22 mg (Ergot 5-low and Ergot 5-high, 9 and 14 mg TA/kg (Ergot 15-low and Ergot 15-high and compared to an ergot-free control group. Feed intake and live weight gain decreased significantly with the TA content (p < 0.001. Feeding the Ergot 5-high diet tended to decrease the 60-min-cumulative 13CO2 percentage of the dose recovery (cPDR60 by 26% and 28% in the MC and KICA breath test, respectively, compared to the control group (p = 0.065. Therefore, both microsomal and mitochondrial liver function was slightly affected by ergot alkaloids.

  18. CO2呼气试验和 H2呼气试验的临床应用%Clinical Applications of CO2 and H2 Breath Test

    Institute of Scientific and Technical Information of China (English)

    赵思倩; 陈宝军; 罗志福

    2016-01-01

    呼气试验简单无创、灵敏度高、特异性较强,受到研究者的关注。本文介绍了CO2呼气试验和 H2呼气试验的临床应用。CO2呼气试验的主要应用有胃幽门螺杆菌检测、肝功能检测、胃排空检测、胰岛素抵抗检测和胰腺外分泌测定等。 H2呼气试验可用于诊断乳糖吸收不良和检测小肠细菌过度生长。随着进一步的研究,呼气试验因其高灵敏度,非侵入性,有望应用于更多疾病的诊断。%Breath test is non‐invasive ,high sensitivity and high specificity .In this arti‐cle ,CO2 breath test ,H2 breath test and their clinical applications were elaborated .The main applications of CO2 breath test include helicobacter pylori test , liver function detection ,gastric emptying test ,insulin resistance test ,pancreatic exocrine secretion test ,etc .H2 breath test can be applied in the diagnosis of lactose malabsorption and detecting small intestinal bacterial overgrow th .With further research ,the breath test is expected to be applied in more diseases diagnosis .

  19. Examining the Return on Investment of Test and Evaluation

    Science.gov (United States)

    2015-03-26

    enhance the acquisition process in an attempt to preserve the long term affordability and long term national defense strategy. v...occur later anyway, Program Managers (PMs) frequently trade off developmental testing (‘we’ll do that in operational testing ’) for near- term buying...early and avoid significant issues creeping up late in product creation. Regardless of the testing tools applied, the one successful strategy common

  20. Mobile Phones for Spain's University Entrance Examination Language Test

    Science.gov (United States)

    García Laborda, Jesús; Magal Royo, Teresa; Litzler, Mary Frances; Giménez López, José Luis

    2014-01-01

    Few tests were delivered using mobile phones a few years ago, but the flexibility and capability of these devices make them valuable tools even for high stakes testing. This paper addresses research done through the PAULEX (2007-2010) and OPENPAU (2012-2014) research projects at the Universidad Politécnica de Valencia and Universidad de Alcalá…

  1. A methodological aspect of the {sup 14}C-urea breath test used in Helicobacter pylori diagnosis; Wybrany aspekt metodologiczny testu oddechowego z mocznikiem znakowanym stosowanego w diagnostyce zakazenia Helicobacter pylori

    Energy Technology Data Exchange (ETDEWEB)

    Kopanski, Z.; Niziol, J.; Micherdzinski, J.; Wasilewska-Radwanska, M.; Cienciala, A.; Lasa, J.; Witkowska, B. [Szpital Wojskowy, Cracow (Poland)]|[Institute of Physics and Nuclear Techniques, Academy of Mining and Metallurgy, Cracow (Poland)]|[Institute of Nuclear Physics, Cracow (Poland)

    1996-12-31

    The main purpose of those investigations was optimisation of the performing time of the breath test with {sup 14}C-labelled urea which reveals Helicobacter pylori infection. It was analysed 117 species, preselected according to endoscopy and histopathology results, 56 of them have suffered from chronic gastritis and 61 from gastric ulcer disease. Using microbiology diagnosis (culture + IFP test) it was found that 86 species were H. pylori infected. This group of patients were next subject to investigations with the breath test with {sup 14}C-labelled urea. Measurements of radioactivity of breathe air have been carried out for 30 minutes. The obtained results allow us to maintain that the optimal time of duration of the test described above is 30 minutes. (author) 38 refs, 2 tabs, 1 fig

  2. von Braun Examines Bendix Mobility Test Article (MTA)

    Science.gov (United States)

    1965-01-01

    Marshall Space Flight Center (MSFC) director, Wernher von Braun, and a visitor, examine one concept of a possible Lunar Roving Vehicle (LRV) built by the Bendix Corporation. The data provided by the MTA helped in designing the LRV, developed under the direction of MSFC. The LRV was designed to allow Apollo astronauts a greater range of mobility during lunar exploration missions.

  3. Effect of etiology of mouth breathing on craniofacial morphology

    Directory of Open Access Journals (Sweden)

    Mohammadreza Majidi

    2008-07-01

    Full Text Available Introduction: Nasal septal deviation and hypertrophy of the adenoids and palatine tonsils are two common causes of nasopharyngeal obstruction and consequently mouth breathing in children. It is accepted that chronic mouth breathing influences craniofacial growth and development. The aim of this study was to evaluate the differences of craniofacial morphology in children with two different etiological factors of mouth breathing. Materials and Methods: Study design: cross sectional. The research was conducted between 2005-2007 on 47 predominantly mouth breathing patients aged 6-10 years. After otorhinolaryngologic examination, patients were divided into two groups based on the etiology of nasopharyngeal obstruction: group 1, with Adenoid hypertrophy and group 2 with nasal septal deviation. Lateral cephalometric radiographs were obtained to assess craniofacial development. Data gained were statistically evaluated by Mann-Whitney and T-student tests. Results: With respect to the inclination of the mandibular and palatal planes, anteroposterior relationship of maxilla and mandible to the cranial base, and indexes of facial height proportions, no significant differences were observed between two groups of children with mouth breathing. Only the gonial and craniocervical angle measurements were significantly larger in children with adenoid hypertrophy (P

  4. Is Hydrogen Breath Test with Lactulose Feasible for Measuring Gastrocecal Transit in Critically Ill Children? Pilot Study about Modification of the Technique

    Science.gov (United States)

    Sánchez, C.; González, R.; Solana, M. J.; Urbano, J.; Tolín, M.

    2017-01-01

    Introduction. Gastrocecal transit time (GCTT) can be measured by exhaled hydrogen after lactulose intake (lactulose-eH2 test). The objectives were to assess whether it is possible to carry out this test in critically ill children with and without mechanical ventilation (MV) and to analyze whether the results are consistent with clinical findings. Methods. Patients admitted to the Pediatric Intensive Care Unit (PICU) for more than 3 days were included. Those with gastrointestinal disease prior to admission were excluded. A modified technique to obtain eH2 from the ventilator tubes was performed. Results. Sixteen patients (37.5% boys) with a median age of 19 (5–86.5) months were included. Five patients (31.2%) were breathing spontaneously but lactulose-eH2 test could not be performed while it could be performed successfully in the 11 patients with MV. Seven patients (63.3%) did not show an eH2 peak. The other 4 showed a median time of 130 min (78.7–278.7 min) from lactulose intake to a 10 ppm eH2 peak. Children with an eH2 peak had intestinal movements earlier [6.5 (1.5–38.5) versus 44 (24–72) hours p = 0.545]. Conclusion. Although the designed adaption is useful for collecting breath samples, lactulose-eH2 test may not be useful for measuring GCTT in critically ill children. PMID:28246601

  5. 75 FR 48997 - NUREG-1946, “Inservice Testing of Pumps and Valves, and Inservice Examination and Testing of...

    Science.gov (United States)

    2010-08-12

    ... COMMISSION NUREG-1946, ``Inservice Testing of Pumps and Valves, and Inservice Examination and Testing of... Testing of Pumps and Valves, and Inservice Examination and Testing of Dynamic Restraints (Snubbers) at...-4209, 301-415-4737, or by e-mail to pdr.resource@nrc.gov . The NUREG-1946, ``Inservice Testing of...

  6. An Examination of Culture Bias in the Wonderlic Personnel Test.

    Science.gov (United States)

    Jensen, Arthur R.

    Internal evidence of cultural bias, in terms of various types of item analysis, was sought in the Wonderlic Personnel Test results in large, representative samples of whites and Negroes totalling some 1,500 subjects. Essentially, the lack of any appreciable Race X Items interaction and the high interracial similarity in rank order of item…

  7. Clinical utility of breath ammonia for evaluation of ammonia physiology in healthy and cirrhotic adults.

    Science.gov (United States)

    Spacek, Lisa A; Mudalel, Matthew; Tittel, Frank; Risby, Terence H; Solga, Steven F

    2015-12-01

    Blood ammonia is routinely used in clinical settings to assess systemic ammonia in hepatic encephalopathy and urea cycle disorders. Despite its drawbacks, blood measurement is often used as a comparator in breath studies because it is a standard clinical test. We sought to evaluate sources of measurement error and potential clinical utility of breath ammonia compared to blood ammonia. We measured breath ammonia in real time by quartz enhanced photoacoustic spectrometry and blood ammonia in 10 healthy and 10 cirrhotic participants. Each participant contributed 5 breath samples and blood for ammonia measurement within 1 h. We calculated the coefficient of variation (CV) for 5 breath ammonia values, reported medians of healthy and cirrhotic participants, and used scatterplots to display breath and blood ammonia. For healthy participants, mean age was 22 years (±4), 70% were men, and body mass index (BMI) was 27 (±5). For cirrhotic participants, mean age was 61 years (±8), 60% were men, and BMI was 31 (±7). Median blood ammonia for healthy participants was within normal range, 10 μmol L(-1) (interquartile range (IQR), 3-18) versus 46 μmol L(-1) (IQR, 23-66) for cirrhotic participants. Median breath ammonia was 379 pmol mL(-1) CO2 (IQR, 265-765) for healthy versus 350 pmol mL(-1) CO2 (IQR, 180-1013) for cirrhotic participants. CV was 17  ±  6%. There remains an important unmet need in the evaluation of systemic ammonia, and breath measurement continues to demonstrate promise to fulfill this need. Given the many differences between breath and blood ammonia measurement, we examined biological explanations for our findings in healthy and cirrhotic participants. We conclude that based upon these preliminary data breath may offer clinically important information this is not provided by blood ammonia.

  8. Breath acidification in adolescent runners exposed to atmospheric pollution: A prospective, repeated measures observational study

    Directory of Open Access Journals (Sweden)

    Van Sickle David

    2008-03-01

    Full Text Available Abstract Background Vigorous outdoors exercise during an episode of air pollution might cause airway inflammation. The purpose of this study was to examine the effects of vigorous outdoor exercise during peak smog season on breath pH, a biomarker of airway inflammation, in adolescent athletes. Methods We measured breath pH both pre- and post-exercise on ten days during peak smog season in 16 high school athletes engaged in daily long-distance running in a downwind suburb of Atlanta. The association of post-exercise breath pH with ambient ozone and particulate matter concentrations was tested with linear regression. Results We collected 144 pre-exercise and 146 post-exercise breath samples from 16 runners (mean age 14.9 years, 56% male. Median pre-exercise breath pH was 7.58 (interquartile range: 6.90 to 7.86 and did not change significantly after exercise. We observed no significant association between ambient ozone or particulate matter and post-exercise breath pH. However both pre- and post-exercise breath pH were strikingly low in these athletes when compared to a control sample of 14 relatively sedentary healthy adults and to published values of breath pH in healthy subjects. Conclusion Although we did not observe an acute effect of air pollution exposure during exercise on breath pH, breath pH was surprisingly low in this sample of otherwise healthy long-distance runners. We speculate that repetitive vigorous exercise may induce airway acidification.

  9. Microbiological examination and proficiency testing in dairy laboratories.

    Science.gov (United States)

    Teger, S G

    2001-03-01

    This paper considers the main factors in the assessment of microbiological examination of food and discusses a few points related to validation of quantitative and qualitative microbiological methods. Within the scope of accredited methods, the author defines the terms such as conform reference, equivalence of reference method, and in-house method. The paper describes evaluation of a routine method with respect to the official method based on results obtained by automatic epifluorescent microscopy using the BactoScan 8000 instrument for determination of bacteriological quality of milk and provides general guidance for the establishment of a conversion relationship between the two methods. The paper gives an overview of the quality assurance aspects involved in the application of the routine method and concludes with an example of interlaboratory proficiency study for the epifluorescent microscopic method which is regularly applied in dairy laboratories.

  10. The interest of the {sup 13}C urea breath test for the diagnostic and monitoring of chronic duodenal ulcer; Interet du test respiratoire a l`uree {sup 13}C dans le diagnostic et le suivi de l`ulcere duodenal chronique

    Energy Technology Data Exchange (ETDEWEB)

    Rousseau-Tsangaris, M. [INBIOMED, 69 - Lyon (France); Centarti, M.; Mion, F.; Minaire, Y. [Hopital Edouard-Herriot, 69 - Lyon (France); Brazier, J.L. [Faculte de Pharmacie, 69 - Lyon (France)

    1994-12-31

    Duodenal ulcer is very frequently associated with Helicobacter pylori (Hp) present in the gastric mucous membrane. Breath tests with {sup 13}C-labelled urea have been carried out for the detection of Hp; these tests could be more sensitive than gastric biopsies, because of the heterogenous distribution of the bacteria in the mucous membrane. This breath test may be used repetitively and allows for a non-intrusive monitoring of the Hp eradication after treatment. 12 refs.

  11. What Causes Bad Breath?

    Science.gov (United States)

    ... A Week of Healthy Breakfasts Shyness What Causes Bad Breath? KidsHealth > For Teens > What Causes Bad Breath? A A A en español ¿Qué es lo que provoca el mal aliento? Bad breath, or halitosis , can be a major problem, ...

  12. Comparative testing of nondestructive examination techniques for concrete structures

    Science.gov (United States)

    Clayton, Dwight A.; Smith, Cyrus M.

    2014-03-01

    A multitude of concrete-based structures are typically part of a light water reactor (LWR) plant to provide foundation, support, shielding, and containment functions. Concrete has been used in the construction of nuclear power plants (NPPs) because of three primary properties, its inexpensiveness, its structural strength, and its ability to shield radiation. Examples of concrete structures important to the safety of LWR plants include containment building, spent fuel pool, and cooling towers. Comparative testing of the various NDE concrete measurement techniques requires concrete samples with known material properties, voids, internal microstructure flaws, and reinforcement locations. These samples can be artificially created under laboratory conditions where the various properties can be controlled. Other than NPPs, there are not many applications where critical concrete structures are as thick and reinforced. Therefore, there are not many industries other than the nuclear power plant or power plant industry that are interested in performing NDE on thick and reinforced concrete structures. This leads to the lack of readily available samples of thick and heavily reinforced concrete for performing NDE evaluations, research, and training. The industry that typically performs the most NDE on concrete structures is the bridge and roadway industry. While bridge and roadway structures are thinner and less reinforced, they have a good base of NDE research to support their field NDE programs to detect, identify, and repair concrete failures. This paper will summarize the initial comparative testing of two concrete samples with an emphasis on how these techniques could perform on NPP concrete structures.

  13. Application of LaserBreath-001 for breath acetone measurement in subjects with diabetes mellitus

    Science.gov (United States)

    Wang, Zhennan; Sun, Meixiu; Chen, Zhuying; Zhao, Xiaomeng; Li, Yingxin; Wang, Chuji

    2016-11-01

    Breath acetone is a promising biomarker of diabetes mellitus. With an integrated standalone, on-site cavity ringdown breath acetone analyzer, LaserBreath-001, we tested breath samples from 23 type 1 diabetic (T1D) patients, 312 type 2 diabetic (T2D) patients, 52 healthy subjects. In the cross-sectional studies, the obtained breath acetone concentrations were higher in the diabetic subjects compared with those in the control group. No correlation between breath acetone and simultaneous BG was observed in the T1D, T2D, and healthy subjects. A moderate positive correlation between the mean individual breath acetone concentrations and the mean individual BG levels was observed in the 20 T1D patients without ketoacidosis. In a longitudinal study, the breath acetone concentrations in a T1D patient with ketoacidosis decreased significantly and remained stable during the 5-day hospitalization. The results from a relatively large number of subjects tested indicate that an elevated mean breath acetone concentration exists in diabetic patients in general. Although many physiological parameters affect breath acetone concentrations, fast (diabetic screening and management under a specifically controlled condition.

  14. Examination of an optical transmittance test for photovoltaic encapsulation materials

    Science.gov (United States)

    Miller, David C.; Bengoechea, Jaione; Bokria, Jayesh G.; Köhl, Michael; Powell, Nick E.; Smith, Michael E.; White, Michael D.; Wilson, Helen Rose; Wohlgemuth, John H.

    2013-09-01

    The optical transmittance of encapsulation materials is a key characteristic for their use in photovoltaic (PV) modules. Changes in transmittance with time in the field affect module performance, which may impact product warranties. Transmittance is important in product development, module manufacturing, and field power production (both immediate and long-term). Therefore, an international standard (IEC 62788-1-4) has recently been proposed by the Encapsulation Task-Group within the Working Group 2 (WG2) of the International Electrotechnical Commission (IEC) Technical Committee 82 (TC82) for the quantification of the optical performance of PV encapsulation materials. Existing standards, such as ASTM E903, are general and more appropriately applied to concentrated solar power than to PV. Starting from the optical transmittance measurement, the solar-weighted transmittance of photon irradiance, yellowness index (which may be used in aging studies to assess durability), and ultraviolet (UV) cut-off wavelength may all be determined using the proposed standard. The details of the proposed test are described. The results of a round-robin experiment (for five materials) conducted at seven laboratories to validate the test procedure using representative materials are also presented. For example, the Encapsulation Group actively explored the measurement requirements (wavelength range and resolution), the requirements for the spectrophotometer (including the integrating sphere and instrument accessories, such as a depolarizer), specimen requirements (choice of glass-superstrate and -substrate), and data analysis (relative to the light that may be used in the PV application). The round-robin experiment identified both intra- and inter-laboratory instrument precision and bias for five encapsulation materials (encompassing a range of transmittance and haze-formation characteristics).

  15. Examination of an optical transmittance test for photovoltaic encapsulation materials

    Energy Technology Data Exchange (ETDEWEB)

    Miller, David C.; Bengoechea, Jaione; Bokria, Jayesh G.; Köhl, Michael; Powell, Nick E.; Smith, Michael E.; White, Michael D.; Wilson, Helen Rose; Wohlgemuth, John H.; Dhere, Neelkanth G.; Wohlgemuth, John H.; Lynn, Kevin W.

    2013-09-24

    The optical transmittance of encapsulation materials is a key characteristic for their use in photovoltaic (PV) modules. Changes in transmittance with time in the field affect module performance, which may impact product warranties. Transmittance is important in product development, module manufacturing, and field power production (both immediate and long-term). Therefore, an international standard (IEC 62788-1-4) has recently been proposed by the Encapsulation Task-Group within the Working Group 2 (WG2) of the International Electrotechnical Commission (IEC) Technical Committee 82 (TC82) for the quantification of the optical performance of PV encapsulation materials. Existing standards, such as ASTM E903, are general and more appropriately applied to concentrated solar power than to PV. Starting from the optical transmittance measurement, the solar-weighted transmittance of photon irradiance, yellowness index (which may be used in aging studies to assess durability), and ultraviolet (UV) cut-off wavelength may all be determined using the proposed standard. The details of the proposed test are described. The results of a round-robin experiment (for five materials) conducted at seven laboratories to validate the test procedure using representative materials are also presented. For example, the Encapsulation Group actively explored the measurement requirements (wavelength range and resolution), the requirements for the spectrophotometer (including the integrating sphere and instrument accessories, such as a depolarizer), specimen requirements (choice of glass-superstrate and -substrate), and data analysis (relative to the light that may be used in the PV application). The round-robin experiment identified both intra- and inter-laboratory instrument precision and bias for five encapsulation materials (encompassing a range of transmittance and haze-formation characteristics).

  16. Ontogeny and nutritional status influence oxidative kinetics of nutrients and whole-animal bioenergetics in zebra finches, Taeniopygia guttata: new applications for (13)C breath testing.

    Science.gov (United States)

    McCue, Marshall D; McWilliams, Scott R; Pinshow, Berry

    2011-01-01

    Rapidly growing animals or those that are recovering from nutritional stress may use exogenous nutrients differently from well fed adults. To test this possibility, we compared the rates of exogenous nutrient oxidation among fledgling, fasted adult, and refed adult zebra finches using a technique called breath testing, where animals are fed (13)C-labeled nutrients and (13)C in the exhaled breath is collected and quantified. In order to identify the possible mechanisms responsible for differences in oxidative kinetics of ingested nutrients, we also compared body mass (m(b)), organ mass, core body temperature (T(b)), and metabolic rate (MR). We found that fasted birds had lower T(b), relative liver and intestine masses, MR, and respiratory exchange ratios (RERs) than fed adults. Adult birds recovering from nutritional stress had much lower rates of exogenous nutrient oxidation than fed birds; this difference was particularly evident for fatty acids. Differences in oxidative kinetics were correlated with reduced RER, m(b), and liver mass, suggesting that previously fasted birds were using recently assimilated nutrients to replenish exhausted fuel stores. Rapidly growing fledglings oxidized exogenous nutrients as quickly as fed adults, despite their significantly lower m(b) and T(b). We suggest that fledglings had higher mass-specific rates of exogenous nutrient oxidation because they must compensate for the relatively low conversion efficiency of feather production and other lean tissue growth, which was not taking place in the adults. Although this study demonstrates that ontogeny and nutritional status influence the way that birds oxidize exogenous nutrients, it also underscores the likelihood that environmental and endogenous factors shape how other types of animals spend the nutrients they ingest.

  17. Prevalence of Helicobacter Pylori Infection in School and Pre-School Aged Children with C-14 Urea Breath Test and the Association with Familial and Environmental Factors

    Directory of Open Access Journals (Sweden)

    Alev Çınar

    2015-06-01

    Full Text Available Objective: To investigate the prevalence of Helicobacter pylori (Hp infection in pre-school and school age children with C-14 urea breath test, and to explore its association with age and socioeconomic factors in Turkey. Methods: Hp infection status was determined by using Urea Breath Test (UBT. Patients who had previous gastric surgery, Hp eradication treatment or equivocal UBT results were excluded. A questionnaire was administered to elicit information on gender, age, ABO/Rh blood group type, presence of gastric disease in the family, domestic animal in the household, and treatment for idiopathic Iron Deficiency Anemia (IDA. Results: This retrospective study included 500 pediatric patients (179 boys, 321 girls, mean age 10.7±4.3 years of whom 62 (12.4% were aged ≤6 years and 438 (87.6% were aged 7 to 16 years. Helicobacter pylori (Hp was positive in 245 (49% cases. In the pre-school age group, 21/62 cases (34% had positive UBT while in the school age group 224/438 children (51% had positive UBT. A family history of dyspepsia and pet ownership were not associated with Hp positivity. Hp positive 76 (29.8% children were on IDA treatment but this was not statistically significant. Conclusion: The Hp infection positivity rate was 49% in the pediatric age study group. The positivity rate was significantly lower at preschool age than school age, and it increased with age. There was no association with gender, ABO/Rh blood groups, presence of domestic pets, IDA, or history of gastric disease in the family.

  18. [Quantification of the drug-metabolizing enzyme system in liver diseases: a comparison between antipyrine saliva clearance and the aminopyrine breath test].

    Science.gov (United States)

    von Mandach, U; Jost, G; Preisig, R

    1985-05-11

    The metabolic activity of the hepatic cytochrome P450 system was studied in 53 ambulatory subjects. 18 of these were cirrhotics and 23 had non-cirrhotic liver disease, documented by biopsy, serologic, ultrasound or computerized tomography findings, and characterized by quantitative liver function tests, such as galactose elimination capacity and indocyanine green fractional clearance. For comparison, 12 normal control subjects were also included. All subjects were given 10 mg/kg body weight antipyrine and saliva concentrations determined with an HPLC-method at 24 and 48 hours after dosing. Antipyrine saliva clearance (ASC) was calculated according to a two-point method (Cl1), and compared with a one-point method (Cl2) using the 24 h sample only. These subjects also underwent an aminopyrine breath test (ABT), breath samples being collected at regular intervals during 60 minutes following injection of a tracer dose of 1.5 muCi (14C-dimethylamino)antipyrine. Cl1 and Cl2 correlated strongly (r = 0.93). On the basis of smaller variations (particularly in control subjects), better definition of disease severity and convenience and time saving, Cl2 is to be preferred. Comparison of Cl2 with ABT showed that both procedures apparently quantify overlapping enzymatic activities. However, the relationship between Cl2 and ABT values, albeit highly significant (r = 0.72), suggests that only about half of the variables are subject to the same determinant. In addition, a positive intercept of the regression line extrapolated to the Cl2 axis points to quantitatively important extrahepatic breakdown of antipyrine. The results suggest that, in view of the wide variation in normal values (presumably in part influenced by exogenous pollutants), ASC only provides an approximation of hepatic metabolic activity.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. The 13C-Glucose Breath Test for Insulin Resistance Assessment in Adolescents: Comparison with Fasting and Post-Glucose Stimulus Surrogate Markers of Insulin Resistance

    Science.gov (United States)

    Maldonado-Hernández, Jorge; Martínez-Basila, Azucena; Salas-Fernández, Alejandra; Navarro-Betancourt, José R.; Piña-Aguero, Mónica I.; Bernabe-García, Mariela

    2016-01-01

    Objective: To evaluate the use of the 13C-glucose breath test (13C-GBT) for insulin resistance (IR) detection in adolescents through comparison with fasting and post-glucose stimulus surrogates. Methods: One hundred thirty-three adolescents aged between 10 and 16 years received an oral glucose load of 1.75 g per kg of body weight dissolved in 150 mL of water followed by an oral dose of 1.5 mg/kg of U-13C-Glucose, without a specific maximum dose. Blood samples were drawn at baseline and 120 minutes, while breath samples were obtained at baseline and at 30, 60, 90, 120, 150, and 180 minutes. The 13C-GBT was compared to homeostasis model assessment (HOMA) IR (≥p95 adjusted by gender and age), fasting plasma insulin (≥p90 adjusted by gender and Tanner stage), results of 2-h oral glucose tolerance test (OGTT), insulin levels (≥65 μU/mL) in order to determine the optimal cut-off point for IR diagnosis. Results: 13C-GBT data, expressed as adjusted cumulative percentage of oxidized dose (A% OD), correlated inversely with fasting and post-load IR surrogates. Sexual development alters A% OD results, therefore individuals were stratified into pubescent and post-pubescent. The optimal cut-off point for the 13C-GBT in pubescent individuals was 16.3% (sensitivity=82.8% & specificity=60.6%) and 13.0% in post-pubescents (sensitivity=87.5% & specificity=63.6%), when compared to fasting plasma insulin. Similar results were observed against HOMA and 2-h OGTT insulin. Conclusion: The 13C-GBT is a practical and non-invasive method to screen for IR in adolescents with reasonable sensitivity and specificity. PMID:27354200

  20. Lactose tolerance tests

    Science.gov (United States)

    Hydrogen breath test for lactose tolerance ... Two common methods include: Lactose tolerance blood test Hydrogen breath test The hydrogen breath test is the preferred method. It measures the amount of hydrogen ...

  1. Examining the Effects of Stereotype Threat on Test-Taking Behaviors

    Science.gov (United States)

    Scherbaum, Charles A.; Blanshetyn, Victoria; Marshall-Wolp, Elizabeth; McCue, Elizabeth; Strauss, Ross

    2011-01-01

    This study examines the relationship between stereotype threat and individual test-taking behaviors. Previous research has examined the impact of stereotype threat on test scores, but little research has examined the impact of stereotype threat on the test-taking behaviors impacting those scores. Using a pre-post experimental design, stereotype…

  2. Diagnosis of adult-type hypolactasia/lactase persistence: genotyping of single nucleotide polymorphism (SNP C/T-13910 is not consistent with breath test in Colombian Caribbean population

    Directory of Open Access Journals (Sweden)

    Evelyn Mendoza Torres

    2012-03-01

    Full Text Available CONTEXT: Genotyping of single nucleotide polymorphism (SNP C/T-13910 located upstream of the lactase gene is used to determine adult-type hypolactasia/lactase persistence in North-European Caucasian subjects. The applicability of this polymorphism has been studied by comparing it with the standard diagnostic methods in different populations. OBJECTIVE: To compare the lactose hydrogen breath test with the genetic test in a sample of the Colombian Caribbean population. METHODS: Lactose hydrogen breath test and genotyping of SNP C/T-13910 were applied to 128 healthy individuals (mean age 35 ± 1. A positive lactose hydrogen breath test was indicative of hypolactasia. Genotyping was done using polymerase chain reaction/restriction fragment length polymorphism. The kappa index was used to establish agreement between the two methods. RESULTS: Seventy-six subjects (59% were lactose-maldigesters (hypolactasia and 52 subjects (41% were lactose-digesters (lactase persistence. The frequencies of the CC, CT and TT genotypes were 80%, 20% and 0%, respectively. Genotyping had 97% sensitivity and 46% specificity. The kappa index = 0.473 indicates moderate agreement between the genotyping of SNP C/T-13910 and the lactose hydrogen breath test. CONCLUSION: The moderate agreement indicates that the genotyping of the SNP C/T-13910 is not applicable to determine adult-type hypolactasia/lactase persistence in the population participating in this study.

  3. Controlled Frequency Breathing Reduces Inspiratory Muscle Fatigue.

    Science.gov (United States)

    Burtch, Alex R; Ogle, Ben T; Sims, Patrick A; Harms, Craig A; Symons, Thorburn B; Folz, Rodney J; Zavorsky, Gerald S

    2016-08-16

    Controlled frequency breathing (CFB) is a common swim training modality involving holding one's breath for about 7 to 10 strokes before taking another breath. We sought to examine the effects of CFB training on reducing respiratory muscle fatigue. Competitive college swimmers were randomly divided into either the CFB group that breathed every 7 to 10 strokes, or a control group that breathed every 3-4 strokes. Twenty swimmers completed the study. The training intervention included 5-6 weeks (16 sessions) of 12x50-m repetitions with breathing 8-10 breaths per 50m (control group), or 2-3 breaths per 50-m (CFB group). Inspiratory muscle fatigue was defined as the decrease in maximal inspiratory mouth-pressure (MIP) between rest and 46s after a 200 yard free-style swimming race [115s (SD 7)]. Aerobic capacity, pulmonary diffusing capacity, and running economy were also measured pre and post-training. Pooled results demonstrated a 12% decrease in MIP at 46s post-race [-15 (SD 14) cm H2O, Effect size = -0.48, p training, only the CFB group prevented a decline in MIP values pre to 46 s post-race [-2 (13) cm H2O, p > 0.05]. However, swimming performance, aerobic capacity, pulmonary diffusing capacity, and running economy did not improve (p > 0.05) post-training in either group. In conclusion, CFB training appears to prevent inspiratory muscle fatigue yet no difference was found in performance outcomes.

  4. [Further examination of COPD using spirometry, respiratory function test, and impulse oscillometry].

    Science.gov (United States)

    Tanaka, Hiroshi; Fujii, Masaru; Kitada, Junya

    2011-10-01

    Spirometry is essential for diagnosis and staging of chronic obstructive pulmonary disease (COPD). Characteristic of physiological change of small airways in COPD is heterogeneous distribution of small airway narrowing, resulting in air-trapping and nonhomogeneous ventilation. FEF25-75, residual volume/total lung capacity, delta N2 in phase III slope of single breath N2 washout test, closing volume, static and dynamic compliance, and carbon monoxide diffusing capacity (transfer factor) are measured for detecting small airways disease. Impulse oscillometry is also useful for assessment of small airways disease, especially indices of frequent resonance (Fres) and frequent dependent of resistance change of R5-R20; resistance at 5 Hz minus resistance at 20 Hz. Impulse oscillometry seems to have a complemental role of spirometry in managing COPD.

  5. 76 FR 9374 - Proposed Extension of Existing Information Collection; Examinations and Testing of Electrical...

    Science.gov (United States)

    2011-02-17

    ....820 Electrical work; troubleshooting and testing; 75.821 Testing, examination and maintenance; 75.900... effectiveness of their electrical maintenance programs, to determine that the required tests and examinations... effectiveness of the coal mine operator's electrical maintenance programs. By comparing the records with...

  6. 30 CFR 77.502 - Electric equipment; examination, testing, and maintenance.

    Science.gov (United States)

    2010-07-01

    ..., testing, and maintenance. Electric equipment shall be frequently examined, tested, and properly maintained... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Electric equipment; examination, testing, and maintenance. 77.502 Section 77.502 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT...

  7. 34 CFR 98.4 - Protection of students' privacy in examination, testing, or treatment.

    Science.gov (United States)

    2010-07-01

    ... psychological examination, testing, or treatment, in which the primary purpose is to reveal information... 34 Education 1 2010-07-01 2010-07-01 false Protection of students' privacy in examination, testing... RIGHTS IN RESEARCH, EXPERIMENTAL PROGRAMS, AND TESTING § 98.4 Protection of students' privacy...

  8. Breath and string test: A diagnostic package for the identification of treatment failure and antibiotic resistance of Helicobacter pylori without the necessity of upper gastrointestinal endoscopy

    Institute of Scientific and Technical Information of China (English)

    Andreas Leodolter; Kathlen Wolle; Ulrike von Arnim; Stefan Kahl; Gerhard Treiber; Matthias P. Ebert; Ulrich Peitz; Peter Malfertheiner

    2005-01-01

    AIM: Helicobacter pylori ( H pylofi) resistance after failed eradication has a major impact on the outcome of a further treatment regimen. The aim of this study was to assess the validity of a non-invasive strategy using the 13C-urea breath test (UBT) and the gastric string test in identifying post-treatment resistance of Hpylori.METHODS: The UBT was routinely performed 4 to 6 wk after H pylorieradication therapy. Forty-two patients (24 females, 18 males, mean age 48 years) with a positive UBT were included in the study. A gastric string test using a capsule containing a 90 cm-long nylon fiber was performed.Before the capsule was swallowed, the free end of the string was taped to the cheek. After one hour in the stomach, the string was withdrawn. The distal 20 cm of the string was inoculated onto an agar plate and processed under microaerophilic conditions. Following the string test, upper gastrointestinal endoscopy was performed to obtain gastric biopsies for conventional culture.RESULTS: H pyloriwas successfully cultured from the gastric string in 34 patients (81%), but not in 5 patients due to contamination with oropharyngeal flora. Hpyloriwas cultured from the gastric biopsies obtained at endoscopy in 39 patients (93%).CONCLUSION: The UBT followed by the gastric string test in the case of treatment failure is a valid diagnostic strategy with the aim of determining the post-therapeutic antibiotic resistance of Hpyloriwith little inconvenience to the patient.Upper GI-endoscopy can be avoided in several cases by applying consequently this diagnostic package.

  9. Měření dechové frekvence z EKG signálu s ohledem na vyšetření aktivit autonomního nervového systému Measurement of breathing frequency from ECG in the examination of autonomous nervous system activities: Suggested methods and their verification

    Directory of Open Access Journals (Sweden)

    Jakub Krejčí

    2005-02-01

    pertaining to breathing frequency measurement we opted for the less frequent method of breathing frequency diagnosis originating from the assessment of changes in ECG signal parameters pursuant to changes in thoracic volume during expiration and inspiration. The principal reason for selecting this method was in the fact that in the assessment of autonomous nervous system (ANS activity the ECG signal is monitored and this can also be used for diagnosing breathing frequency. Changes in ECG signal parameters were analysed by the method of spectral analysis of heart rate frequency (BFrr, the method of spectral analysis of variability amplitudes of QRS complexes (BFqrs and time analysis of periodicity in amplitudes changes of QRS complexes (BFv in order to suggest the optimal method of measuring breathing frequency. Monitoring of the ECG signal and calculation of ECG parameters, including the mentioned analysis, were processed by the VarCor PF6 system with modified programme equipment. Statistical verification of the selected method and recommendation of the optimal method for breathing frequency measurement was carried out with the help of reference values of breathing frequency at 9 and 12 cycles/min that were via acoustic signals transmitted to the tested subjects. Characteristics of the sample set: 55 men and women aged 22.7 ± 2.4 years, measurement was done in the positions supine 1 – standing – supine 2, the total number of statistically processed sets was n = 118. Based on the statistical results where the significance of differences between average values regarding reference values were tested by t-test and furthermore, based on the calculation of values based on absolute differences between breathing frequencies, the BFqrs method was recommended since it allows for diagnosing breathing frequency in the range of 6–25 cycles/min. The designed method will be applied to the existing algorithm of the diagnostic system VarCor PF6, thereby helping to specify the

  10. CAIPIRINHA-Dixon-TWIST (CDT)-volume-interpolated breath-hold examination (VIBE) for dynamic liver imaging: Comparison of gadoterate meglumine, gadobutrol and gadoxetic acid

    Energy Technology Data Exchange (ETDEWEB)

    Budjan, Johannes, E-mail: Johannes.Budjan@umm.de [Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim—Heidelberg University, Mannheim (Germany); Ong, Melissa; Riffel, Philipp [Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim—Heidelberg University, Mannheim (Germany); Morelli, John N. [Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD (United States); Michaely, Henrik J.; Schoenberg, Stefan O.; Haneder, Stefan [Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim—Heidelberg University, Mannheim (Germany)

    2014-11-15

    Highlights: • We examined the influence of different clinically used contrast agents on the image quality of a new sequence called CDT-VIBE for dynamic MRI of the liver. • CDT-VIBE is a robust sequence for clinical routine as it provides good image quality regardless of the utilized contrast agent. • In average, more than 3 hepatic arterial dominant phases are acquired with the CDT-VIBE sequence regardless of the contrast agent. - Abstract: Purpose: CAIPIRINHA-Dixon-TWIST (CDT)-VIBE is a robust method for abdominal magnetic resonance imaging providing both high spatial and high temporal resolution. The purpose of this study was to examine the influence of different gadolinium based contrast agents (GBCA) on image quality (IQ) with CDT-VIBE. Materials and methods: In this IRB-approved, retrospective, inter-individual comparison study, 86 patients scanned at 3T were included. Within 28 s, 14 high-resolution 3D datasets were acquired using CDT-VIBE. 37 patients received 0.1 mmol/kg gadoterate meglumine, 28 patients 0.1 mmol/kg gadobutrol, and 19 patients 0.1 mL/kg gadoxetic acid. Two blinded, board-certified radiologists assessed the image quality on a 5 point scale, as well as the number of hepatic arterial dominant (HAD) phases. Results: Regardless of the GBCA utilized, CDT-VIBE resulted in good IQ in terms of best IQ achieved among all 14 datasets (gadobutrol 4.3, gadoterate meglumine 3.9, gadoxetic acid 3.7). With respect to worst IQ, the three groups showed statistically significant differences with gadobutrol receiving the highest rating (3.6) and gadoxetic acid the lowest (2.4) (gadoterate meglumine 3.0; 0.0014 < p < 0.0485). No statistically significant differences were found in the mean number of acquired HAD phases (gadobutrol 3.4, gadoterate meglumine 3.9, gadoxetic acid 3.1; 0.18 < p < 0.57). Conclusion: Different gadolinium-based contrast agents can be utilized for dynamic liver imaging with CDT-VIBE resulting in good image quality.

  11. Urease-positive bacteria in the stomach induce a false-positive reaction in a urea breath test for diagnosis of Helicobacter pylori infection.

    Science.gov (United States)

    Osaki, Takako; Mabe, Katsuhiro; Hanawa, Tomoko; Kamiya, Shigeru

    2008-07-01

    This study investigated the influence of urease-positive non-Helicobacter pylori bacteria on the results of a urea breath test (UBT) to evaluate the diagnostic utility of a UBT using film-coated [(13)C]urea tablets. The UBT was performed in 102 patients treated with a proton pump inhibitor and antibiotics for the eradication of H. pylori. Urease-producing bacteria other than H. pylori were isolated and identified from the oral cavity and stomach. In 4/102 patients, the UBT gave false-positive results. These false-positive results were found to be caused by the presence of urease-positive bacteria in the oral cavity and stomach. Five bacterial species with urease activity (Proteus mirabilis, Citrobacter freundii, Klebsiella pneumoniae, Enterobacter cloacae and Staphylococcus aureus) were subsequently isolated from the oral cavity and/or stomach. As there was no correlation between the in vitro urease activity of urease-positive non-H. pylori bacteria and the UBT value, and all of the patients with a false-positive UBT result were suffering from atrophic gastritis, it is possible that the false-positive results in the UBT were a result of colonization of urease-positive bacteria and gastric hypochlorhydric conditions. Thus, for the diagnosis of H. pylori infection using a UBT, the influence of stomach bacteria must be considered when interpreting the results.

  12. Cost effectiveness analysis of population-based serology screening and 13C-Urea breath test for Helicobacter pylori to prevent gastric cancer: A markov model

    Institute of Scientific and Technical Information of China (English)

    Feng Xie; Nan Luo; Hin-Peng Lee

    2008-01-01

    AIM: To compare the costs and effectiveness of no screening and no eradication therapy, the populationbased Hdlicobacter pylori (H pylori) serology screening with eradication therapy and 13C-Urea breath test (UBT)with eradication therapy.METHODS: A tarkov model simulation was carried out in all 237900 Chinese males with age between 35 and 44 from the perspective of the public healthcare provider in Singapore. The main outcome measures were the costs, number of gastric cancer cases prevented, life years saved, and quality-adjusted life years (QALYs)gained from screening age to death. The uncertainty surrounding the cost-effectiveness ratio was addressed by one-way sensitivity analyses.RESULTS: Compared to no screening, the incremental cost-effectiveness ratio (ICER) was $16166 per life year saved or $13571 per QALY gained for the serology screening, and $38792 per life year saved and $32525 per QALY gained for the UBT. The ICER was $477079 per life year saved or $390337 per QALY gained for the UBT compared to the serology screening. The costeffectiveness of serology screening over the UBT was robust to most parameters in the model.CONCLUSION: The population-based serology screening for H pylori was more cost-effective than the UBT in prevention of gastric cancer in Singapore Chinese males.

  13. Pre-treatment urea breath test results predict the efficacy of Helicobacter pylori eradication therapy in patients with active duodenal ulcers

    Institute of Scientific and Technical Information of China (English)

    Yung-Chih Lai; Jyh-Chin Yang; Shih-Hung Huang

    2004-01-01

    AIM: To evaluate the association of pre-treatment 13C-urea breath test (UBT) results with H pyloridensity and efficacy of eradication therapy in patients with active duodenal ulcers.METHODS: One hundred and seventeen consecutive outpatients with active duodenal ulcer and H pyloriinfection were recruited. H pylori density was histologically graded according to the Sydney system. Each patient received lansoprazole (30 mg b.i.d.), clarithromycin (500 mg b.i.d.) and amoxicillin (1 g b.i.d.) for 1 week. According to pre-treatment UBT values, patients were allocated into low (<16%o),intermediate (16-35%o), and high (>35%o) UBT groups.RESULTS: A significant correlation was found between pre-treatment UBT results andHpyloridensity (P<0.001).H pylorieradication rates were 94.9%, 94.4% and 81.6%in the low, intermediate and high UBT groups, respectively (per protocol analysis, P=0.11). When patients were assigned into two groups (UBT results ≤35%o and >35%o),the eradication rates were 94.7% and 81.6%, respectively (P=0.04).CONCLUSION: The intragastric bacterial load of H pylori can be evaluated by UBT, and high pre-treatment UBT results can predict an adverse outcome of eradication therapy.

  14. From breathing to respiration.

    Science.gov (United States)

    Fitting, Jean-William

    2015-01-01

    The purpose of breathing remained an enigma for a long time. The Hippocratic school described breathing patterns but did not associate breathing with the lungs. Empedocles and Plato postulated that breathing was linked to the passage of air through pores of the skin. This was refuted by Aristotle who believed that the role of breathing was to cool the heart. In Alexandria, breakthroughs were accomplished in the anatomy and physiology of the respiratory system. Later, Galen proposed an accurate description of the respiratory muscles and the mechanics of breathing. However, his heart-lung model was hampered by the traditional view of two non-communicating vascular systems - veins and arteries. After a period of stagnation in the Middle Ages, knowledge progressed with the discovery of pulmonary circulation. The comprehension of the purpose of breathing progressed by steps thanks to Boyle and Mayow among others, and culminated with the contribution of Priestley and the discovery of oxygen by Lavoisier. Only then was breathing recognized as fulfilling the purpose of respiration, or gas exchange. A century later, a controversy emerged concerning the active or passive transfer of oxygen from alveoli to the blood. August and Marie Krogh settled the dispute, showing that passive diffusion was sufficient to meet the oxygen needs.

  15. 30 CFR 75.512 - Electric equipment; examination, testing and maintenance.

    Science.gov (United States)

    2010-07-01

    ...-General § 75.512 Electric equipment; examination, testing and maintenance. All electric equipment shall be... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Electric equipment; examination, testing and maintenance. 75.512 Section 75.512 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT...

  16. A Java program to test homogeneity of samples and examine sampling completeness

    OpenAIRE

    WenJun Zhang

    2011-01-01

    A Java program to test the homogeneity of samples and examine sampling completeness was presented in this study. The program was based on the model of Coleman et al. (1982) for random placement hypothesis and the algorithm of Zhang et al. (1999). The program was used to test samples' homogeneity and examine sampling completeness for four arthropod sampling data sets.

  17. Predicting Examination Performance Using an Expanded Integrated Hierarchical Model of Test Emotions and Achievement Goals

    Science.gov (United States)

    Putwain, Dave; Deveney, Carolyn

    2009-01-01

    The aim of this study was to examine an expanded integrative hierarchical model of test emotions and achievement goal orientations in predicting the examination performance of undergraduate students. Achievement goals were theorised as mediating the relationship between test emotions and performance. 120 undergraduate students completed…

  18. 30 CFR 77.900-2 - Testing, examination, and maintenance of circuit breakers; record.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; record. 77.900-2 Section 77.900-2 Mineral Resources MINE SAFETY AND HEALTH... § 77.900-2 Testing, examination, and maintenance of circuit breakers; record. The operator shall maintain a written record of each test, examination, repair or adjustment of all circuit...

  19. Evaluation of Computer Based Testing in lieu of Regular Examinations in Computer Literacy

    Science.gov (United States)

    Murayama, Koichi

    Because computer based testing (CBT) has many advantages compared with the conventional paper and pencil testing (PPT) examination method, CBT has begun to be used in various situations in Japan, such as in qualifying examinations and in the TOEFL. This paper describes the usefulness and the problems of CBT applied to a regular college examination. The regular computer literacy examinations for first year students were held using CBT, and the results were analyzed. Responses to a questionnaire indicated many students accepted CBT with no unpleasantness and considered CBT a positive factor, improving their motivation to study. CBT also decreased the work of faculty in terms of marking tests and reducing data.

  20. [Stahl, Leibniz, Hoffmann and breathing].

    Science.gov (United States)

    Carvallo, Sarah

    2006-01-01

    At the beginning of the XVIII th century, Wilhelm Gottfried Leibniz and Friedrich Hoffmann criticize Georg Ernst Stahl's medical theory. They differenciate between unsound and true reasonings. Namely, they validate Stahl's definition of breath but extracting it from its animist basis and placing it in an epistemology obeying to the principle of sufficient reason and to the mechanical model. The stahlian discovery consists in understanding breath as a calorific ventilation against the ancient conception; the iatromechanists recognize its accuracy, but they try then to transpose it to a mechanical model of ventilation. Using it in a different epistemological context implies that they analyze the idea of discovery "true" in its contents, but "wrong" in its hypothesis. It impels to examine the epistemology of medical knowledge, as science and therapeutics, and in its links with the other scientific theories. Thus, if Leibniz as philosopher and Hoffmann as doctor consider Stahl's animism so important, it is because its discoveries question the fundamental principles of medicine.

  1. Fast-starting for a breath: Air breathing in Hoplosternum littorale

    DEFF Research Database (Denmark)

    Domenici, Paolo; Norin, Tommy; Bushnell, Peter G.

    by the fall of a prey item on the water surface, and in tapping motions of goldfish, a behaviour that was interpreted to be food-related. Little is known about C-starts being used outside the context of escaping or feeding. Here, we test the hypothesis that air-breathing fish may use C-starts when gulping air...... at the surface. Air breathing is a common behaviour in many fish species when exposed to hypoxia, although certain species perform air-breathing in normoxia to fill their swim bladders for buoyancy control and/or sound transduction. Hoplosternum littorale is an air-breathing freshwater catfish found in South......, with those of mechanically-triggered C-start escape responses. Our results show that these two behaviours overlap considerably in their kinematics (turning rates and distance covered), suggesting that air breathing in this species is performed using escapelike C-start motions. This demonstrates that C...

  2. Acute effects of deep breathing for a short duration (2-10 minutes) on pulmonary functions in healthy young volunteers.

    Science.gov (United States)

    Sivakumar, G; Prabhu, Krishnamoorthi; Baliga, Rekha; Pai, M Kirtana; Manjunatha, S

    2011-01-01

    Breathing is the most vital function for maintenance of life. Slow and deep breathing is an integral part of Pranayama and it reduces dead space ventilation and renews air throughout the lungs. The reported beneficial effects of deep breathing as a part of either long term or short term practice of Pranayama are well documented. However our knowledge about the effects of a few minutes' of deep breathing on human ventilatory parameters is poor. In the present study, we examined the relationship between exposure to short duration of deep breathing and performance on pulmonary function tests before and after the deep breathing. The study was conducted in a homogenous group of 12 volunteers containing 4 females and 8 males who were well trained in pulmonary function testing (PFT) before the start of the study. The volunteers performed deep breathing (DB) exercise for 2, 5 and 10 minutes at the rate of 6 breaths per minute under guidance, and the duration of DB exercise for that day was randomly selected for each group. PFT was done before and after the DB exercise. There was a significant (P vital capacity (VC) after 2 and 5 minutes' DB exercise and a consistent improvement in tidal volume (TV) and minute ventilation (MV) after the DB exercise in all the three groups, though it wasn't statistically significant. There was a significant (P vital capacity (FVC) after 2 minutes' of DB exercise and a consistent increase in all the three groups in forced inspiratory vital capacity (FIVC) and peak inspiratory flow rate (PIFR), though this increase was not statistically significant. This shows that deep breathing exercise, even for a few minutes' duration is beneficial for the lung functions.

  3. An Examination of Some Language Proficiency Tests from a Communicative Viewpoint.

    Science.gov (United States)

    Bachman, Lyle F.

    A theoretical framework that distinguishes the knowledge, or competence, aspect of language proficiency from the skills aspect is outlined, and the factors in the language testing situation that affect performance on language tests are examined. The model is intended for use in assessing the construct validity of tests of language proficiency and…

  4. The Fear Factor: Students' Experiences of Test Anxiety when Taking A-Level Examinations

    Science.gov (United States)

    Chamberlain, Suzanne; Daly, Anthony Leslie; Spalding, Victoria

    2011-01-01

    This paper presents the findings of a pilot study that explored students' experiences of test anxiety when taking A-level examinations. Four focus groups were convened with a sample of 19 participants in the south of England to explore the triggers of test anxiety and the perceived need for interventions to assist high test-anxious students cope…

  5. An introduction to the psychophysiology of breathing.

    Science.gov (United States)

    Ley, R

    1994-06-01

    Breathing can be viewed as an independent variable which affects emotion, cognition, and behavior as well as a dependent variable which reflects changes in emotion, cognition, and behavior. This bidirectional interaction is basic to an appreciation of the significance of breathing in terms of its relevance in research and application. The underlying premise of the present article is that since breathing is a behavior that is under voluntary as well as reflexive control, it can be modified according to the principles of both instrumental training (operant conditioning) and Pavlovian (classical) conditioning. The implications of this premise are relevant to theory, diagnosis, and treatment of stress and anxiety-related disorders (e.g., panic disorder, phobias, test anxiety, occupational strain, and related psychosomatic disorders), and to basic and applied research in the psychophysiology of breathing.

  6. Impact of a standardized test package on exit examination scores and NCLEX-RN outcomes.

    Science.gov (United States)

    Homard, Catherine M

    2013-03-01

    The purpose of this ex post facto correlational study was to compare exit examination scores and NCLEX-RN(®) pass rates of baccalaureate nursing students who differed in level of participation in a standardized test package. Three cohort groups emerged as a standardized test package was introduced: (a) students who did not participate in a standardized test package; (b) students with two semesters of a standardized test package; and (c) students with four semesters of a standardized test package. Benner's novice-to-expert theory framed the study in the belief that students best acquire knowledge and skills through practice and reflection. Students participating in four semesters of a standardized test package demonstrated higher exit examination scores and NCLEX-RN pass rates compared with students who did not participate in this package. This study's results could inform nurse educators about strategies to facilitate nursing student success on exit examinations and the NCLEX-RN.

  7. Take a Deep Breath

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Everyone involved in Beijing’s Olympic Games held their breath last week, not because of the city’s famously polluted air , but in anticipation of the results of an experiment that could help to clean it up.

  8. Minimizing Shortness of Breath

    Science.gov (United States)

    ... is also placed on proper use of the abdominal muscles to better control episodes of shortness of breath, ... Treatment & Programs Health Insights Doctors & Departments Research & Science Education & Training Make a Donation Make an Appointment Contact ...

  9. Breathing difficulty - lying down

    Science.gov (United States)

    ... short of breath. Considerations This is a common complaint in people with some types of heart or ... ADAM Health Solutions. About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to RSS Follow ...

  10. Using collaborative two-stage examinations to address test anxiety in a large enrollment gateway course.

    Science.gov (United States)

    Fournier, Kimberly A; Couret, Jannelle; Ramsay, Jason B; Caulkins, Joshua L

    2017-01-30

    Large enrollment foundational courses are perceived as "high stakes" because of their potential to act as barriers for progression to the next course or admittance to a program. The nature of gateway courses makes them ideal settings to explore the relationship between anxiety, pedagogical interventions, and student performance. Here, two-stage collaborative examinations were implemented to improve test-taking skills and address widespread test anxiety in an introductory human anatomy course. Test anxiety data were collected (using the Motivated Strategies for Learning Questionnaire) before the first examination and last examination. Most students experienced decreased test anxiety over the course of the semester; however, some students may have experienced performance limiting conditions due to test anxiety at the end of the semester based on academic ability in the course (in "C" students when compared to "A" students: P test anxiety were not significantly associated with the group portion of the examinations. Patterns of changes in test anxiety over the course of the semester underscore a complex interaction between test anxiety, student background, and student performance. Results suggest that pathways for test anxiety in "high stakes" courses may be separate from the mechanisms responsible for the benefits of collaborative testing. Anat Sci Educ. © 2017 American Association of Anatomists.

  11. Re-examining repeated testing and teacher effects in a remedial mathematics course.

    Science.gov (United States)

    Martinez, J G; Martinez, N C

    1992-11-01

    This study examined the impact of repeated testing and teachers' effects on student achievement in a remedial mathematics course. A 2 x 2 completely randomised factorial design was used, with final examination performance the dependent variable and testing attempts and the teacher factor the independent variables. The study found no main effects for teacher but a main effect for testing attempts and a teacher-factor/testing-attempt interaction. Post hoc findings qualified a direct interpretation of the main effect. The implications for further research and application are discussed, giving special attention to teacher effects, the needs of remedial mathematics instruction, and the claims of mastery-learning pedagogies.

  12. Inter-examiner reproducibility of clinical tests and criteria to identify subacromial impingement syndrome

    DEFF Research Database (Denmark)

    Vind, Mikkel; Bogh, Søren Bie; Larsen, Camilla Marie;

    2011-01-01

    Abstract Introduction A specific algorithm has been proposed for classifying impingement related shoulder pain in athletes with overhead activity. Data on the inter-examiner reproducibility of the suggested clinical tests and criteria and their mutual dependencies for identifying subacromial...

  13. Applying 3D measurements and computer matching algorithms to two firearm examination proficiency tests.

    Science.gov (United States)

    Ott, Daniel; Thompson, Robert; Song, Junfeng

    2017-02-01

    In order for a crime laboratory to assess a firearms examiner's training, skills, experience, and aptitude, it is necessary for the examiner to participate in proficiency testing. As computer algorithms for comparisons of pattern evidence become more prevalent, it is of interest to test algorithm performance as well, using these same proficiency examinations. This article demonstrates the use of the Congruent Matching Cell (CMC) algorithm to compare 3D topography measurements of breech face impressions and firing pin impressions from a previously distributed firearms proficiency test. In addition, the algorithm is used to analyze the distribution of many comparisons from a collection of cartridge cases used to construct another recent set of proficiency tests. These results are provided along with visualizations that help to relate the features used in optical comparisons by examiners to the features used by computer comparison algorithms.

  14. The International Test Commission Guidelines on the Security of Tests, Examinations, and Other Assessments

    Science.gov (United States)

    International Journal of Testing, 2016

    2016-01-01

    The amount and severity of security threats have increased considerably over the past two decades, calling into question the validity of assessments administered around the world. These threats have increased for a number of reasons, including the popular use of computerized and online technologies for test administration and the use of almost…

  15. The Importance of Test Validity: An Examination of Measurement Invariance across Subgroups on a Reading Test

    Science.gov (United States)

    Rawls, Anita Michelle Wilson

    2009-01-01

    The study discussed the importance of test validity, often established when making decisions that may affect a student's future. The decisions made by policymakers and educators must not adversely affect any particular subgroups of students (i.e., year of administration, gender, ethnicity, level English proficiency, socioeconomic status, and…

  16. VALIDATION OF 14C-UREA BREATH TEST FOR DIAGNOSIS OF Helicobacter pylori Validação do teste expiratório com 14C-uréia para o diagnóstico do Helicobacter pylori

    Directory of Open Access Journals (Sweden)

    Rejane MATTAR

    1999-01-01

    Full Text Available The aim of this study was to validate the 14C-urea breath test for use in diagnosis of Helicobacter pylori infection. Thirty H. pylori positive patients, based on histologic test and thirty H. pylori negative patients by histology and anti-H. pylori IgG entered the study. Fasting patients drank 5 uCi of 14C-urea in 20 ml of water. Breath samples were collected at 0, 5, 10, 15, 20 and 30 min. The difference of cpm values between the two groups was significant at all the time intervals, besides time 0 (pO teste expiratório com 14C-uréia diagnostica infecção pelo Helicobacter pylori no estômago. A urease, produzida por esta bactéria, quebra a 14C-uréia, resultando em HCO3- e NH4+, sendo expirado 14CO2 pelos pulmões e quantificado, então, por contador Beta. O objetivo do nosso estudo foi validar o teste expiratório com 14C-uréia, determinando o tempo ideal de coleta da amostra e o valor de corte. Foi definido o tempo de 20 min para coleta do exame após a ingestão de 5 uCi de 14C-uréia com valor de corte de 562 cpm. A sensibilidade e a especificidade do teste foram de 100% aos 20 min. As diferenças de contagens entre os grupos Helicobacter pylori negativos e Helicobacter pylori positivos foram estatisticamente significativas (p<0,0001. As pacientes do sexo feminino, aos 20 min apresentaram contagens superiores às dos pacientes do sexo masculino (p=0,005. É preciso verificar se as mulheres têm maior densidade bacteriana, ou se é pelo fato dos homens expirarem mais CO2, diluindo a amostra. O teste expiratório com 14C-uréia é método diagnóstico não invasivo, muito sensível, específico e barato.

  17. Results of metallographical diagnostic examination of Navy half-watt thermoelectric converters degraded by accelerated tests

    Science.gov (United States)

    Rosell, F. E., Jr.; Rouklove, P. G.

    1977-01-01

    To verify the 15-year reliability of the Navy half-watt radioisotope thermoelectric generator (RTG), bismuth-telluride thermoelectric converters were submitted to testing at high temperatures which accelerated the degradation and caused failure of the converters. Metallographic diagnostic examination of failed units verified failure mechanisms. Results of diagnostic examinations are presented.

  18. 30 CFR 77.800-2 - Testing, examination, and maintenance of circuit breakers; record.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; record. 77.800-2 Section 77.800-2 Mineral Resources MINE SAFETY AND HEALTH..., examination, and maintenance of circuit breakers; record. The operator shall maintain a written record of each test, examination, repair, or adjustment of all circuit breakers protecting high-voltage circuits....

  19. Investigation of Metabolism of Exogenous Glucose at the Early Stage and Onset of Diabetes Mellitus in Otsuka Long-Evans Tokushima Fatty Rats Using [1, 2, 3-13C]Glucose Breath Tests.

    Science.gov (United States)

    Kawagoe, Naoyuki; Kano, Osamu; Kijima, Sho; Tanaka, Hideki; Takayanagi, Masaaki; Urita, Yoshihisa

    2016-01-01

    This study aimed to evaluate changes in glucose metabolism at the early stage and onset of diabetes in Otsuka Long-Evans Tokushima Fatty (OLETF) rats. Specifically, after the oral administration of [1, 2, 3-13C]glucose, the levels of exhaled 13CO2, which most likely originated from pyruvate decarboxylation and tricarboxylic acid, were measured. Eight OLETF rats and eight control rats (Long-Evans Tokushima Otsuka [LETO]) were administered 13C-glucose. Three types of 13C-glucose breath tests were performed thrice in each period at 2-week intervals. [3-13C]glucose results in a 13C isotope at position 1 in the pyruvate molecule, which provides 13CO2. The 13C at carbons 1 and 2 of glucose is converted to 13C at carbons 2 and 1 of acetate, respectively, which produce 13CO2. Based on metabolic differences of the labeled sites, glucose metabolism was evaluated using the results of three breath tests. The increase in 13CO2 excretion in OLETF rats was delayed in all three breath tests compared to that in control rats, suggesting that OLETF rats had a lower glucose metabolism than control rats. In addition, overall glucose metabolism increased with age in both groups. The utilization of [2-13C]glucose was suppressed in OLETF rats at 6-12 weeks of age, but they showed higher [3-13C]glucose oxidation than control rats at 22-25 weeks of age. In the [1-13C]glucose breath test, no significant differences in the area under the curve until 180 minutes (AUC180) were observed between OLETF and LETO rats of any age. Glucose metabolism kinetics were different between the age groups and two groups of rats; however, these differences were not significant based on the overall AUC180 of [1-13C]glucose. We conclude that breath 13CO2 excretion is reduced in OLETF rats at the primary stage of prediabetes, indicating differences in glucose oxidation kinetics between OLETF and LETO rats.

  20. An Examination of Reliability and Validity Claims of a Foreign Language Proficiency Test

    Science.gov (United States)

    Mircea-Pines, Walter J.

    2009-01-01

    This dissertation study examined the reliability and validity claims of a modified version of the Spanish Modern Language Association Foreign Language Proficiency Test for Teachers and Advanced Students administered at George Mason University (GMU). The study used the 1999 computerized GMU version that was administered to 277 test-takers via…

  1. Test-retest, inter-assessor and intra-assessor reliability of the modified Touwen examination

    NARCIS (Netherlands)

    Peters, Lieke H. J.; Maathuis, Karel G. B.; Kouw, Eva; Hamming, Marjolein; Hadders-Algra, Mijna

    2008-01-01

    Interest in the Touwen examination (1979) for the assessment of minor neurological dysfunction (MND) is growing. However, information on psychometric properties of this assessment is scarce. Therefore the present study aimed at assessing the test's test-retest, inter- and intra-assessor reliability.

  2. Do Cognitive Distortions Mediate the Test Anxiety-Examination Performance Relationship?

    Science.gov (United States)

    Putwain, David William; Connors, Liz; Symes, Wendy

    2010-01-01

    The aim of this study was to follow up exploratory research suggesting that the inverse relationship between test anxiety and examination performance was mediated by cognitive distortions such as catastrophising. Self-report data for measures of test anxiety and cognitive distortions were collected from students in their final year of compulsory…

  3. 30 CFR 77.900-1 - Testing, examination, and maintenance of circuit breakers; procedures.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; procedures. 77.900-1 Section 77.900-1 Mineral Resources MINE SAFETY AND HEALTH... § 77.900-1 Testing, examination, and maintenance of circuit breakers; procedures. Circuit breakers... qualified as provided in § 77.103. In performing such tests, the circuit breaker auxiliaries or...

  4. Automatic Recognition of Breathing Route During Sleep Using Snoring Sounds

    Science.gov (United States)

    Mikami, Tsuyoshi; Kojima, Yohichiro

    This letter classifies snoring sounds into three breathing routes (oral, nasal, and oronasal) with discriminant analysis of the power spectra and k-nearest neighbor method. It is necessary to recognize breathing route during snoring, because oral snoring is a typical symptom of sleep apnea but we cannot know our own breathing and snoring condition during sleep. As a result, about 98.8% classification rate is obtained by using leave-one-out test for performance evaluation.

  5. Fiber content of diet affects exhaled breath volatiles in fasting and postprandial state in a pilot crossover study.

    Science.gov (United States)

    Raninen, Kaisa J; Lappi, Jenni E; Mukkala, Maria L; Tuomainen, Tomi-Pekka; Mykkänen, Hannu M; Poutanen, Kaisa S; Raatikainen, Olavi J

    2016-06-01

    Our pilot study examined the potential of exhaled breath analysis in studying the metabolic effects of dietary fiber (DF). We hypothesized that a high-fiber diet (HFD) containing whole grain rye changes volatile organic compound (VOC) levels in exhaled breath and that consuming a single meal affects these levels. Seven healthy men followed a week-long low-fiber diet (17 g/d) and HFD (44 g/d) in a randomized crossover design. A test meal containing 50 g of the available carbohydrates from wheat bread was served as breakfast after each week. Alveolar exhaled breath samples were analyzed at fasting state and 30, 60, and 120 minutes after this meal parallel to plasma glucose, insulin, and serum lipids. We used solid-phase microextraction and gas chromatography-mass spectrometry for detecting changes in 15 VOCs. These VOCs were acetone, ethanol, 1-propanol, 2-propanol, 1-butanol, acetic acid, propionic acid, butyric acid, valeric acid, isovaleric acid, 2-methylbutyric acid, hexanoic acid, acetoin, diacetyl, and phenol. Exhaled breath 2-methylbutyric acid in the fasting state and 1-propanol at 120 minutes decreased (P = .091 for both) after an HFD. Ingestion of the test meal increased ethanol, 1-propanol, acetoin, propionic acid, and butyric acid levels while reducing acetone, 1-butanol, diacetyl, and phenol levels. Both DF diet content and having a single meal affected breathVOCs. Exploring exhaled breath further could help to develop tools for monitoring the metabolic effects of DF.

  6. Results of Uranium Dioxide-Tungsten Irradiation Test and Post-Test Examination

    Science.gov (United States)

    Collins, J. F.; Debogdan, C. E.; Diianni, D. C.

    1973-01-01

    A uranium dioxide (UO2) fueled capsule was fabricated and irradiated in the NASA Plum Brook Reactor Facility. The capsule consisted of two bulk UO2 specimens clad with chemically vapor deposited tungsten (CVD W) 0.762 and 0.1016 cm (0.030-and 0.040-in.) thick, respectively. The second specimen with 0.1016-cm (0.040-in.) thick cladding was irradiated at temperature for 2607 hours, corresponding to an average burnup of 1.516 x 10 to the 20th power fissions/cu cm. Postirradiation examination showed distortion in the bottom end cap, failure of the weld joint, and fracture of the central vent tube. Diametral growth was 1.3 percent. No evidence of gross interaction between CVD tungsten or arc-cast tungsten cladding and the UO2 fuel was observed. Some of the fission gases passed from the fuel cavity to the gas surrounding the fuel specimen via the vent tube and possibly the end-cap weld failure. Whether the UO2 loss rates through the vent tube were within acceptable limits could not be determined in view of the end-cap weld failure.

  7. Symptoms of sleep disordered breathing and risk of cancer

    DEFF Research Database (Denmark)

    Christensen, Anne Sofie; Clark, Alice Jessie; Salo, Paula;

    2013-01-01

    Sleep disordered breathing (SDB) has been associated with oxidative stress, inflammation, and altered hormonal levels, all of which could affect the risk of cancer. The aim of the study is to examine if symptoms of SDB including snoring, breathing cessations, and daytime sleepiness affect...

  8. Effect of slow deep breathing (6 breaths/min) on pulmonary function in healthy volunteers

    OpenAIRE

    Shravya Keerthi G, Hari Krishna Bandi, Suresh M, Mallikarjuna Reddy

    2013-01-01

    We designed this study to test the hypothesis that whether 10 minutes of slow deep breathing have any effect on pulmonary function in healthy volunteers. The main objective was to study the immediate effect of slow deep breathing on Forced vital capacity (FVC), Forced expiratory volume in the first second (FEV1), Forced expiratory volume percent (FEV1/FVC%), Peak expiratory flow rate (PEFR), Forced expiratory flow 25-75%(FEF25-75%), Maximum voluntary ventilation (MVV), Slow vital capacity (SV...

  9. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults

    OpenAIRE

    2013-01-01

    Copyright © 2013 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Background: Dysfunctional breathing/hyperventilation syndrome (DB/HVS) is a respiratory disorder, psychologically or physiologically based, involving breathing too deeply and/or too rapidly (hyperventilation) or erratic breathing interspersed with breath-holding or sighing (DB). DB/HVS can result in significant patient morbidity and an array of symptoms including breathlessness, chest tightness, dizziness, tre...

  10. Post-test examinations of Li-Al/FeS/sub x/ secondary cells

    Energy Technology Data Exchange (ETDEWEB)

    Battles, J E; Mrazek, F C; Otto, N C

    1980-12-01

    Post-test examinations were conducted to determine failure mechanisms, electrode morphologies, and in-cell corrosion of cell components, and to recommend appropriate design changes for improved cell performance and reliability. The reactive electrode materials required the design and construction of a special metallographic glovebox facility. Combinations of macro- and microscopic examinations determined that electrical short circuits were the predominant causes of cell failure. The major short circuit mechanism was extrusion of active material from one electrode and its subsequent contact with the opposing electrode (opposite polarity). Other mechanisms for short circuits included metallic deposits across separators, metallic deposits across the feedthrough insulator (electrolyte leakage and corrosion), equipment malfunctions, cell assembly difficulties, etc. Post-test examinations confirmed that the short circuits were of mechanical origin; appropriate design changes were, therefore, recommended. Extensive microscopic examinations were conducted on both negative and positive electrodes to determine the morphology. Agglomeration of Li-Al was observed in the negative electrodes of most multiplate cells. Examinations showed that the sulfides in the positive electrode remained as discrete particles in an electrolyte matrix. Also discussed are the results of post-test examinations to determine the following: lithium gradients in the negative electrodes, electrode expansion, materials distribution, copper deposition within electrode separators of FeS cells, Li/sub 2/S deposits within electrode separators of FeS/sub 2/ cells, and the in-cell corrosion of current collector materials in positive and negative electrodes. 50 figures, 7 tables.

  11. Introduction to an open source internet-based testing program for medical student examinations.

    Science.gov (United States)

    Lee, Yoon-Hwan

    2009-12-20

    The author developed a freely available open source internet-based testing program for medical examination. PHP and Java script were used as the programming language and postgreSQL as the database management system on an Apache web server and Linux operating system. The system approach was that a super user inputs the items, each school administrator inputs the examinees' information, and examinees access the system. The examinee's score is displayed immediately after examination with item analysis. The set-up of the system beginning with installation is described. This may help medical professors to easily adopt an internet-based testing system for medical education.

  12. Testing osteopathic medical school graduates for licensure: is COMLEX-USA the most appropriate examination?

    Science.gov (United States)

    Graneto, J

    2001-01-01

    Osteopathic and allopathic physicians receive authority to practice medicine through the licensing boards of the states in which they practice. Each state has the responsibility to operate a licensing board for physicians and other medical professionals. These boards choose which examinations are acceptable to establish that a physician is licensable to practice medicine. The National Board of Osteopathic Medical Examiners (NBOME) administers the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). To determine the views of the educational leaders of the osteopathic profession regarding licensure testing, a survey was mailed to leaders in the profession. Of the 799 surveys mailed, 341 (43%) were returned. Respondents were asked 19 questions, using a Likert scale to record responses (strongly disagree, 1; strongly agree, 5). Eighty-eight percent of respondents believed that osteopathic medicine is a distinct profession. Seventy percent of respondents felt that COMLEX-USA is the standard for testing osteopathic trainees, while 70% believed trainees should continue to be tested by a unique process. According to 72% of the respondents, the NBOME, through its testing procedures, continues to be the organization best suited to test the knowledge of osteopathic students and graduates. These results indicate that among the practicing leadership of the osteopathic profession, overwhelming support exists for the profession to retain the ability and the right to examine its own trainees from within.

  13. In vivo proton MRS of normal pancreas metabolites during breath-holding and free-breathing

    Energy Technology Data Exchange (ETDEWEB)

    Su, T.-H. [Department of Radiology, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing (China); Jin, E.-H., E-mail: erhujin1@hotmail.com [Department of Radiology, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing (China); Shen, H. [GE China Company Ltd, Healthcare, General Electric Company, Beijing (China); Zhang, Y.; He, W. [Department of Radiology, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing (China)

    2012-07-15

    Aim: To characterize normal pancreas metabolites using in vivo proton magnetic resonance spectroscopy ({sup 1}H MRS) at 3 T under conditions of breath-holding and free-breathing. Materials and methods: The pancreases of 32 healthy volunteers were examined using {sup 1}H MRS during breath-holding and free-breathing acquisitions in a single-voxel point-resolved selective spectroscopy sequence (PRESS) technique using a 3 T MRI system. Resonances were compared between paired spectra of the two breathing modes. Furthermore, correlations between lipid (Lip) content and age, body-mass index (BMI), as well as choline (Cho) peak visibility of the normal pancreas were analysed during breath-holding. Results: Twenty-nine pairs of spectra were successfully obtained showing three major resonances, Lip, Cho, cholesterol and the unsaturated parts of the olefinic region of fatty acids (Chol + Unsat). Breath-hold spectra were generally better, with higher signal-to-noise ratios (SNR; Z=-2.646, p = 0.008) and Cho peak visible status (Z=-2.449, p = 0.014). Correlations were significant between spectra acquired by the two breathing modes, especially for Lip height, Lip area, and the area of other peaks at 1.9-4.1 ppm. However, the Lip resonance was significantly different between the spectra of the two breathing modes (p < 0.05). In the breath-holding spectra, there were significant positive correlations between Lip peak height, area, and age (r = 0.491 and 0.521, p = 0.007 and 0.004), but not between Lip peak area and BMI. There was no statistical difference in Cho resonances between males and females. The Lip peak height and area were significantly higher in the Cho peak invisible group than in the Cho peak visible group (t = 2.661 and 2.353, p = 0.030 and 0.043). Conclusion: In vivo{sup 1}H MRS of the normal pancreas at 3 T is technically feasible and can characterize several metabolites. {sup 1}H MRS during breath-holding acquisition is superior to that during free-breathing

  14. Test performance of language-handicapped children with familiar and unfamiliar examiners.

    Science.gov (United States)

    Fuchs, D; Fuchs, L S; Garwick, D R; Featherstone, N

    1983-05-01

    The importance of examiner familiarity to children's performance on tasks requiring high or low levels of symbolic mediation was investigated. Thirty-four handicapped preschool children were examined within a repeated measures crossover design, once by one of two familiar classroom teachers and once by one of four strange teachers. Subjects performed significantly better with familiar than with unfamiliar examiners on high symbolic mediation tasks; no such differential performance was obtained on low symbolic mediation items. Findings are related to current efforts to identify procedural and situational variables in assessment, uncontrolled by present standard test administrations, that may preclude children's optimal performance.

  15. Lung cancer biomarkers in exhaled breath.

    Science.gov (United States)

    Amann, Anton; Corradi, Massimo; Mazzone, Peter; Mutti, Antonio

    2011-03-01

    Lung cancer is the leading cause of cancer-related mortality worldwide. Methods for early detection of lung cancer, such as computerized tomography scanning technology, often discover a large number of small lung nodules, posing a new problem to radiologists and chest physicians. The vast majority of these nodules will be benign, but there is currently no easy way to determine which nodules represent very early lung cancer. Adjuvant testing with PET imaging and nonsurgical biopsies has a low yield for these small indeterminate nodules, carries potential morbidity and is costly. Indeed, purely morphological criteria seem to be insufficient for distinguishing lung cancer from benign nodules at early stages with sufficient confidence, therefore false positives undergoing surgical resection frequently occur. A molecular approach to the diagnosis of lung cancer through the analysis of exhaled breath could greatly improve the specificity of imaging procedures. A biomarker-driven approach to signs or symptoms possibly due to lung cancer would represent a complementary tool aimed at ruling out (with known error probability) rather than diagnosing lung cancer. Volatile and nonvolatile components of the breath are being studied as biomarkers of lung cancer. Breath testing is noninvasive and potentially inexpensive. There is promise that an accurate lung cancer breath biomarker, capable of being applied clinically, will be developed in the near future. In this article, we summarize some of the rationale for breath biomarker development, review the published literature in this field and provide thoughts regarding future directions.

  16. The Dental Hygiene Aptitude Tests and the American College Testing Program Tests as Predictors of Scores on the National Board Dental Hygiene Examination.

    Science.gov (United States)

    Longenbecker, Sueann; Wood, Peter H.

    1984-01-01

    Scores from the National Board Dental Hygiene Examination (NBDHE) served as the criterion variable in a comparison of the predictive validity of the Dental Hygiene Aptitude Tests (DHAT) and the ACT Assessment tests. The DHAT-Science and Verbal tests combined to produce the highest multiple correlation with NBDHE scores. (Author/DWH)

  17. Development of the Basic Core Test Items of National Nurse's License Examination

    Directory of Open Access Journals (Sweden)

    Cho Ja Kim

    2004-01-01

    Full Text Available The purpose of this study is to develop a classification framework for the test elements of the National Registered Nurse's License Examination and to divide the test items into standard and basic core on the basis of the RN's job descriptions. And the adequa to proportion of the basic core test items is going to be identified. Method and results: In order to develop the classification framework of the National Registered Nurse's License Examination, RN's job descriptions, nursing standards, and the specific learning objectives of nursing courses were reviewed. And a survey was used to identify which entity would be appropriate for a reference to the basic core test items. 146 of professors from schools of nursing and members of each division of Korean Academic Society of Nursing(KASN were participated in the survey. The study showed the 98% of respondents agreed to use RN's job descriptions in selecting the basic core test items and 30% for the basic core test would be appropriate. And the contents, the selection criteria, and the proportion of the basic core test items were developed by the members of this research, the members of the National RN's License Examination subcommittee, and the presidents of each division of KASN. The total of 1990 standard test items were selected among 3524 items, that 3 out of 7 members in the research team agreed to choose. Duplicated items in the standard items were deleted. 205 items out of the 1990 standard items were selected as the basic core test items. And 14 items were added in Medical Laws and Ethics which leads the total of 219 basic core test items. ln conclusion, the 99 items, 30% of total current examination items were chosen as the final basic core test items using the delphimethod. Further studies are needed to validate the current National License Examination for RN on the basis of the 99 basic core test items.

  18. Test blueprints for psychiatry residency in-training written examinations in Riyadh, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Gaffas EM

    2012-05-01

    Full Text Available Eisha M Gaffas,1 Reginald P Sequeira,2 Riyadh A Al Namla,1 Khalid S Al-Harbi31Al-Amal Complex for Mental Health, Riyadh, Kingdom of Saudi Arabia; 2College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain; 3King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Kingdom of Saudi ArabiaBackground: The postgraduate training program in psychiatry in Saudi Arabia, which was established in 1997, is a 4-year residency program. Written exams comprising of multiple choice questions (MCQs are used as a summative assessment of residents in order to determine their eligibility for promotion from one year to the next. Test blueprints are not used in preparing examinations.Objective: To develop test blueprints for the written examinations used in the psychiatry residency program.Methods: Based on the guidelines of four professional bodies, documentary analysis was used to develop global and detailed test blueprints for each year of the residency program. An expert panel participated during piloting and final modification of the test blueprints. Their opinion about the content, weightage for each content domain, and proportion of test items to be sampled in each cognitive category as defined by modified Bloom's taxonomy were elicited.Results: Eight global and detailed test blueprints, two for each year of the psychiatry residency program, were developed. The global test blueprints were reviewed by experts and piloted. Six experts participated in the final modification of test blueprints. Based on expert consensus, the content, total weightage for each content domain, and proportion of test items to be included in each cognitive category were determined for each global test blueprint. Experts also suggested progressively decreasing the weightage for recall test items and increasing problem solving test items in examinations, from year 1 to year 4 of the psychiatry residence program.Conclusion: A systematic

  19. MIN {sup 14}C UBT: A combination of gastric basal transit and {sup 14}C-urea breath test for the detection of helicobacter pylori infection in human beings

    Energy Technology Data Exchange (ETDEWEB)

    Zubillaga, M.; Oliveri, P.; Calcagno, M.L.; Goldman, C.; Caro, R.; Mitta, A.; Degrossi, O.; Boccio, J

    1997-08-01

    The purpose of this work is to demonstrate that the {sup 14}C-urea breath test (UBT) performed at different times combined with the study of the gastric basal transit, which evaluates the intragastric displacement of a labeled solution under fasting conditions, has the advantage of being representative of the whole stomach surface and constitutes a non-aggressive test for the detection of H. pylori. This test, which has been called MIN {sup 14}C UBT, is a modification of the conventional {sup 14}C UBT in which low volumes of a solution of {sup 14}C-urea together with {sup 99m}Tc-sulfur colloid are administered. The {sup 99m}Tc-sulfur colloid is not absorbed in the gastrointestinal tract and has the great advantage of allowing the 'visualization' of the transit of the {sup 14}C-urea within the gastrointestinal tract. This modification allows the simultaneous determination of the production of the {sup 14}CO{sub 2} and the place where this process occurs. The results show that there is a good correlation between the images obtained and the breath samples collected. We found that this test has a sensitivity of 98% and a specificity of 96% for H. pylori detection.

  20. Breath hydrogen analysis in patients with ileoanal pouch anastomosis

    DEFF Research Database (Denmark)

    Bruun, E; Meyer, J N; Rumessen, J J;

    1995-01-01

    The possible influence on functional outcomes of hydrogen production in the ileoanal pouch after restorative proctocolectomy was investigated by means of lactulose H2 breath tests. Eight of 15 patients had significant increases in breath hydrogen after 10 g lactulose. One patient declined to part...

  1. Reliability of physical examination tests for the diagnosis of knee disorders: Evidence from a systematic review.

    Science.gov (United States)

    Décary, Simon; Ouellet, Philippe; Vendittoli, Pascal-André; Desmeules, François

    2016-12-01

    Clinicians often rely on physical examination tests to guide them in the diagnostic process of knee disorders. However, reliability of these tests is often overlooked and may influence the consistency of results and overall diagnostic validity. Therefore, the objective of this study was to systematically review evidence on the reliability of physical examination tests for the diagnosis of knee disorders. A structured literature search was conducted in databases up to January 2016. Included studies needed to report reliability measures of at least one physical test for any knee disorder. Methodological quality was evaluated using the QAREL checklist. A qualitative synthesis of the evidence was performed. Thirty-three studies were included with a mean QAREL score of 5.5 ± 0.5. Based on low to moderate quality evidence, the Thessaly test for meniscal injuries reached moderate inter-rater reliability (k = 0.54). Based on moderate to excellent quality evidence, the Lachman for anterior cruciate ligament injuries reached moderate to excellent inter-rater reliability (k = 0.42 to 0.81). Based on low to moderate quality evidence, the Tibiofemoral Crepitus, Joint Line and Patellofemoral Pain/Tenderness, Bony Enlargement and Joint Pain on Movement tests for knee osteoarthritis reached fair to excellent inter-rater reliability (k = 0.29 to 0.93). Based on low to moderate quality evidence, the Lateral Glide, Lateral Tilt, Lateral Pull and Quality of Movement tests for patellofemoral pain reached moderate to good inter-rater reliability (k = 0.49 to 0.73). Many physical tests appear to reach good inter-rater reliability, but this is based on low-quality and conflicting evidence. High-quality research is required to evaluate the reliability of knee physical examination tests.

  2. Boundary oscillations at Geotail: Windsock, breathing, and wrenching

    Science.gov (United States)

    Shodhan, S.; Siscoe, G. L.; Frank, L. A.; Ackerson, K. L.; Paterson, W. R.

    1996-02-01

    On March 18-19, 1993, when Geotail was beyond 150 RE down the tail, for about 30 hours it frequently transited between magnetosheath-like plasma and lobe-like plasma. The transitions take the form of smooth variation by about a factor of 10 in both density and speed. Some of the transitions are distinctly asymmetric with a fast rise to sheath-like values and a slow decline to lobe-like values. We have suggested that these transitional regions are the plasma mantle, but this raises the question of why the mantle crossed Geotail many times in 30 hours. Three possible causes are flapping of the tail in response to solar wind flow changes (the windsock mechanism), intrinsic expansions and contractions of the tail boundary, perhaps in response to substorm phases (the breathing mechanism), and an IMF-squeezed elliptical tail cross section changing its orientation to follow the IMF (the wrenching mechanism). We test these possibilities here by examining simultaneous solar wind velocity and magnetic field data from IMP 8. For the cases studied, both the windsock and the breathing mechanisms appear to contribute to the motions that cause the transitions, whereas the wrenching mechanism seems less effective. Breathing dominates on a timescale of tens of minutes, and windsock dominates on a scale of hours. Since the windsock mechanism is unavoidable, the important finding here is that the breathing mechanism appears also to operate. We use the windsock variation to estimate the thickness of the mantle at Geotail's position and find that the density drops by a factor of 10 in 9 RE. We model the mantle as a one-dimensional slow-mode expansion fan and use the model to predict the change in plasma parameters that occurs from the outer edge of the mantle to its inner edge. A comparison of the predicted profile with the observed profile shows that the model simulates the observed changes reasonably well.

  3. The Air We Breathe

    Science.gov (United States)

    Davila, Dina

    2010-01-01

    Topics discussed include NASA mission to pioneer the future in space exploration, scientific discovery and aeronautics research; the role of Earth's atmosphere, atmospheric gases, layers of the Earth's atmosphere, ozone layer, air pollution, effects of air pollution on people, the Greenhouse Effect, and breathing on the International Space Station.

  4. The Breath of Chemistry

    DEFF Research Database (Denmark)

    Josephsen, Jens

    The present preliminary text is a short thematic presentation in biological inorganic chemistry meant to illustrate general and inorganic (especially coordination) chemistry in biochemistry. The emphasis is on molecular models to explain features of the complicated mechanisms essential to breathing...

  5. Breathing Like a Fish

    Science.gov (United States)

    Katsioloudis, Petros J.

    2010-01-01

    Being able to dive and breathe underwater has been a challenge for thousands of years. In 1980, Fuji Systems of Tokyo developed a series of prototype gills for divers as a way of demonstrating just how good its membranes are. Even though gill technology has not yet reached the point where recipients can efficiently use implants to dive underwater,…

  6. The Reliability of Results from National Tests, Public Examinations, and Vocational Qualifications in England

    Science.gov (United States)

    He, Qingping; Opposs, Dennis

    2012-01-01

    National tests, public examinations, and vocational qualifications in England are used for a variety of purposes, including the certification of individual learners in different subject areas and the accountability of individual professionals and institutions. However, there has been ongoing debate about the reliability and validity of their…

  7. 30 CFR 75.900-4 - Testing, examination, and maintenance of circuit breakers; record.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; record. 75.900-4 Section 75.900-4 Mineral Resources MINE SAFETY AND HEALTH... maintenance of circuit breakers; record. The operator of any coal mine shall maintain a written record of each test, examination, repair, or adjustment of all circuit breakers protecting low- and...

  8. 30 CFR 75.800-4 - Testing, examination, and maintenance of circuit breakers; record.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; record. 75.800-4 Section 75.800-4 Mineral Resources MINE SAFETY AND HEALTH... Underground High-Voltage Distribution § 75.800-4 Testing, examination, and maintenance of circuit breakers... adjustment of all circuit breakers protecting high-voltage circuits which enter any underground area of...

  9. 30 CFR 75.800-3 - Testing, examination and maintenance of circuit breakers; procedures.

    Science.gov (United States)

    2010-07-01

    ... High-Voltage Distribution § 75.800-3 Testing, examination and maintenance of circuit breakers; procedures. (a) Circuit breakers and their auxiliary devices protecting underground high-voltage circuits... shall include visual observation of all components of the circuit breaker and its auxiliary devices,...

  10. 42 CFR 84.1102 - Examination, inspection and testing of complete respirator assemblies; fees.

    Science.gov (United States)

    2010-10-01

    ... respirator assemblies; fees. 84.1102 Section 84.1102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF... Efficiency Respirators and Combination Gas Masks § 84.1102 Examination, inspection and testing of complete respirator assemblies; fees. The following fees shall be charged by the Institute for the...

  11. Examining Mathematics Teacher Content Knowledge Using Policy, State Certification Tests and Transcripts

    Science.gov (United States)

    Harrell, Pamela Esprivalo; Eddy, Colleen McLean

    2011-01-01

    This study examined mathematics teacher content knowledge in terms of policy maker recommendations, college coursework and teacher certification mathematics test scores. Transcript analysis indicated poor alignment of national policy maker recommendations for mathematics teachers and college degrees in mathematics. Teacher certification test…

  12. Exhaled nitric oxide in healthy young children during tidal breathing through a facemask

    DEFF Research Database (Denmark)

    Daniel, Peter F; Klug, Bent; Valerius, Niels H

    2007-01-01

    The aim of this study was to establish reference values and to examine day-to-day and within-day variations of exhaled nitric oxide (eNO) during tidal breathing in healthy children using a newly described method. Exhaled NO was measured on-line and off-line during tidal breathing through a facemask...... tidal breathing in young children....

  13. The transition of the national certification examination from paper and pencil to computer adaptive testing.

    Science.gov (United States)

    Zaglaniczny, K L

    1996-02-01

    The Council on Certification of Nurse Anesthetists (CCNA) has been exploring computerized adaptive testing (CAT) for the national certification examination (NCE) over the past several years. CCNA representatives have consulted with experts in testing and with individuals from professional associations who use CAT for certification or licensure testing. This article will provide an overview of CAT and discuss how the CCNA plans to implement CAT for the NCE beginning April 8, 1996. A future article that explains the theoretical concepts of CAT will be published in the April 1996 AANA Journal. It is important to note that the NCE will not be a new test, the current content outline and item bank will remain the same. It is only the method of test administration that is changed--from paper and pencil to CAT. Each candidate will answer questions and take a test that is individualized to his or her ability or competence level and meets the specifications of the test outline. All candidates must achieve the same passing score. The implementation of CAT for the NCE will be advantageous for the candidates and provide a more efficient competency assessment. The last paper and pencil examination was administered on December 9, 1995. The transition is a significant event in nurse anesthesia history, just as nurse anesthesia was the first advanced practice nursing specialty to implement the certification credential, the CCNA will be the first to introduce CAT.

  14. Relationship between Musical Characteristics and Temporal Breathing Pattern in Piano Performance

    OpenAIRE

    Yutaka Sakaguchi; Eriko Aiba

    2016-01-01

    Although there is growing evidence that breathing is modulated by various motor and cognitive activities, the nature of breathing in musical performance has been little explored. The present study examined the temporal breath pattern in piano performance, aiming to elucidate how breath timing is related to musical organization/events and performance. In the experiments, the respiration of 15 professional and amateur pianists, playing 10 music excerpts in total (from four-octave C major scale,...

  15. Factors associated with medical student test anxiety in objective structured clinical examinations: a preliminary study

    Science.gov (United States)

    2016-01-01

    Objectives To investigate attributes of medical students associated with their test anxiety on Objective Structured Clinical Examinations (OSCEs). Methods A cross-sectional study using a self-administered questionnaire was conducted of all Year 3 and 4 students at a private medical school in South Korea in 2014. This 53-item questionnaire consisted of factors pertaining to test anxiety on the OSCE identified from a review of relevant literature, which included students’ motivational beliefs and achievement emotions, perceived values of the OSCE, and attitude and orientation towards patients. Participants’ test anxiety levels were measured using the Korean Achievement Emotions Questionnaire. Participants rated their responses using a five-point Likert-type scale. Univariate analysis was performed to examine relationships between the variables. Results A total of 94 students completed the questionnaire (a 93% response rate). No differences in the participants’ test anxiety scores were observed across genders, entry-levels, or years in medical school. Participants’ test anxiety on the OSCE showed moderate association with their class-related achievement emotions (i.e., anxiety and boredom), where r = 0.46 and 0.32, p OSCE (r = -0.21, p OSCE. These findings have implications for developing effective educational interventions for helping students cope with such a stress by enhancing our understanding of the various factors that influence their test anxiety in OSCEs. PMID:28035056

  16. Breath biomarkers and non-alcoholic fatty liver disease: preliminary observations.

    Science.gov (United States)

    Solga, S F; Alkhuraishe, A; Cope, K; Tabesh, A; Clark, J M; Torbenson, M; Schwartz, P; Magnuson, T; Diehl, A M; Risby, T H

    2006-01-01

    Breath biomarkers have the potential to offer information that is similar to conventional clinical tests or they are entirely unique. Preliminary data support the use of breath biomarkers in the study of liver disease, in particular non-alcoholic fatty liver disease (NAFLD). It was evaluated whether breath ethanol, ethane, sulfur compounds and acetone would be associated with hepatic histopathology amongst morbidly obese patients presenting for bariatric surgery. Breath samples were collected during a preoperative visit and compared with liver biopsies obtained during the surgery. A Student's two-tailed t-test was used to compare differences between the two groups. Linear regression was used to analyse associations between the concentrations of breath molecules and independent predictor variables. It was found that breath ethanol, ethane and acetone can be useful biomarkers in patients with NAFLD. In particular, breath ethanol can be associated with hepatic steatosis, and breath acetone can be associated with non-alcoholic steatohepatitis.

  17. Breathing Better with a COPD Diagnosis

    Science.gov (United States)

    Now that you kNow it’s CoPD, here’s how to breathe better. You have taken the important step of being aware of your symptoms, and seeing your doctor ... care provider for testing and a diagnosis. While COPD (Chronic Obstructive Pulmonary Disease) is a serious lung ...

  18. Upper limb kinematic differences between breathing and non-breathing conditions in front crawl sprint swimming.

    Science.gov (United States)

    McCabe, Carla B; Sanders, Ross H; Psycharakis, Stelios G

    2015-11-26

    The purpose of this study was to determine whether the breathing action in front crawl (FC) sprint swimming affects the ipsilateral upper limb kinematics relative to a non-breathing stroke cycle (SC). Ten male competitive swimmers performed two 25m FC sprints: one breathing to their preferred side (Br) and one not breathing (NBr). Both swim trials were performed through a 6.75m(3) calibrated space and recorded by six gen-locked JVC KY32 CCD cameras. A paired t-test was used to assess statistical differences between the trials, with a confidence level of pswim performance is compromised by the inclusion of taking a breath in sprint FC swimming. It was proposed that swimmers aim to orient their ipsilateral shoulder into a stronger position by stretching and rolling the shoulders more in the entry phase whilst preparing to take a breath. Swimmers should focus on lengthening the push phase by extending the elbow more and not accelerating the hand too quickly upwards when preparing to inhale.

  19. Standard full-scale chamber test conditions for examination of mineral wool products

    Energy Technology Data Exchange (ETDEWEB)

    Juhl, H.D. [Glasuld, Vamdrup (Denmark); Husemoen, T. [Rockwool International A/S, Hedehusene (Denmark); Lindqvist, H. [Gullfiber AB, Billisholm (Sweden); Nordh, I. [Partek Insulation AB, Skoevde (Sweden); Trappmann, J. [Gruenzweig und Hartmann AG, Ladenburg (Germany)

    1998-09-01

    Eurima, the European Insulation Manufacturers` Association, has carried through a project on standardisation of a full-scale chamber method for regulation purposes by simulation of building site fibre emission from mineral wool products during installation. For some years five Eurima member companies have worked with individual full-scale chamber measurements, using different chamber sizes and installation procedures. Due to different test conditions, the previous test results obtained are not comparable and thus form an unreliable basis for determination of a standard method. The chamber size and several other parameters seem to influence the fibre concentration. During the project in question all relevant parameters, which are considered to have a measurable impact on the fibre concentration, have been examined, and suitable standard test conditions have been defined according to the test results. (orig.)

  20. Examining the Accuracy of Astrophysical Disk Simulations with a Generalized Hydrodynamical Test Problem

    Science.gov (United States)

    Raskin, Cody; Owen, J. Michael

    2016-11-01

    We discuss a generalization of the classic Keplerian disk test problem allowing for both pressure and rotational support, as a method of testing astrophysical codes incorporating both gravitation and hydrodynamics. We argue for the inclusion of pressure in rotating disk simulations on the grounds that realistic, astrophysical disks exhibit non-negligible pressure support. We then apply this test problem to examine the performance of various smoothed particle hydrodynamics (SPH) methods incorporating a number of improvements proposed over the years to address problems noted in modeling the classical gravitation-only Keplerian disk. We also apply this test to a newly developed extension of SPH based on reproducing kernels called CRKSPH. Counterintuitively, we find that pressure support worsens the performance of traditional SPH on this problem, causing unphysical collapse away from the steady-state disk solution even more rapidly than the purely gravitational problem, whereas CRKSPH greatly reduces this error.

  1. Examining the Accuracy of Astrophysical Disk Simulations With a Generalized Hydrodynamical Test Problem

    CERN Document Server

    Raskin, Cody

    2016-01-01

    We discuss a generalization of the classic Keplerian disk test problem allowing for both pressure and rotational support, as a method of testing astrophysical codes incorporating both gravitation and hydrodynamics. We argue for the inclusion of pressure in rotating disk simulations on the grounds that realistic, astrophysical disks exhibit non-negligible pressure support. We then apply this test problem to examine the performance of various smoothed particle hydrodynamics (SPH) methods incorporating a number of improvements proposed over the years to help SPH better address problems noted in modeling the classical gravitation only Keplerian disk. We also apply this test to a newly developed extension of SPH based on reproducing kernels called CRKSPH. Counterintuitively, we find that pressure support worsens the performance of traditional SPH on this problem, causing unphysical collapse away from the steady-state disk solution even more rapidly than the purely gravitational problem, whereas CRKSPH greatly redu...

  2. Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study

    Directory of Open Access Journals (Sweden)

    Suzanne L. Strom

    2015-11-01

    Full Text Available Introduction: Traditional Advanced Cardiac Life Support (ACLS courses are evaluated using written multiple-choice tests. High-fidelity simulation is a widely used adjunct to didactic content, and has been used in many specialties as a training resource as well as an evaluative tool. There are no data to our knowledge that compare simulation examination scores with written test scores for ACLS courses. Objective: To compare and correlate a novel high-fidelity simulation-based evaluation with traditional written testing for senior medical students in an ACLS course. Methods: We performed a prospective cohort study to determine the correlation between simulationbased evaluation and traditional written testing in a medical school simulation center. Students were tested on a standard acute coronary syndrome/ventricular fibrillation cardiac arrest scenario. Our primary outcome measure was correlation of exam results for 19 volunteer fourth-year medical students after a 32-hour ACLS-based Resuscitation Boot Camp course. Our secondary outcome was comparison of simulation-based vs. written outcome scores. Results: The composite average score on the written evaluation was substantially higher (93.6% than the simulation performance score (81.3%, absolute difference 12.3%, 95% CI [10.6-14.0%], p<0.00005. We found a statistically significant moderate correlation between simulation scenario test performance and traditional written testing (Pearson r=0.48, p=0.04, validating the new evaluation method. Conclusion: Simulation-based ACLS evaluation methods correlate with traditional written testing and demonstrate resuscitation knowledge and skills. Simulation may be a more discriminating and challenging testing method, as students scored higher on written evaluation methods compared to simulation.

  3. [Information Concerning Mean Test Scores for the Graduate Management Admission Test (GMAT), Graduate Record Examinations (GRE), Law School Admission Test (LSAT), Preliminary Scholastic Aptitude Test (PSAT), and Scholastic Aptitude Test (SAT) for the National Commission on Excellence in Education.

    Science.gov (United States)

    Solomon, Robert J.

    Data are provided to the National Commission on Excellence in Education on the Graduate Management Admission Test (GMAT), Graduate Record Examinations (GRE), Law School Admission Test (LSAT), Preliminary Scholastic Aptitude Test (PSAT), and Scholastic Aptitude Test (SAT). Statistics are provided on the following: yearly GMAT mean scores 1965-1966…

  4. [Prevalence of mouth breathing in children from an elementary school].

    Science.gov (United States)

    Felcar, Josiane Marques; Bueno, Izabele Rafael; Massan, Ana Carolina Silva; Torezan, Roberta Pereira; Cardoso, Jefferson Rosa

    2010-03-01

    The objective of this article is to identify the prevalence of mouth breathing in children from an elementary school. 496 questionnaires were answered by 1st and 4th grade children's parents or sponsors in order to identify mouth-breathing. There were questions about habits, sleeping, behavior, eating, personal care and breathing. Mann-Whitney and the Chi-square tests were used to compare the variables between mouth-breathing and nose-breathing among the groups. To measure the exposure effect of the explanatory variables on mouth breathing, the test of logistic regression was used and its magnitude was calculated through Odds Ratio. The statistical significance was set at 5%, and the rate of returned questionnaires was 84.5%. The prevalence of the mouthbreathing over this population was 56.8%. The average age was 7 years old (6-9). There was no significant statistical difference between genders, considering 49.1% male and 50.9% female. The final model of logistic regression identified the variables dribble, sleeps well (negative association) and snores as factors that predict the occurrence of the mouth-breathing. The prevalence of mouthbreathing was similar to related in the literature. The variables dribble, sleeps well (negative association) and snores may be factors that predict the occurrence of mouth-breathing.

  5. Effect of mouth breathing on masticatory muscle activity during chewing food.

    Science.gov (United States)

    Ikenaga, N; Yamaguchi, K; Daimon, S

    2013-06-01

    The aim of this study was to examine the effect of mouth breathing on masticatory muscle activity during chewing food. Masseter muscle activity during chewing of a rice ball was recorded in 45 adult volunteers (three women), identified as nose breathers. Surface electrodes were placed on the skin according to the orientation of the masseter muscle to record the activity of this muscle while the subjects chewed the food until swallowing. Each activity was recorded twice, once with nose breathing and once with mouth breathing induced by nasal obstruction. The integrated and mean electromyography values for mouth breathing were significantly lower than the values for nose breathing (P mouth breathing compared with nose breathing (P mouth breathing decreases chewing activity and reduces the vertical effect upon the posterior teeth.

  6. Evaluating mepindolol in a test model of examination anxiety in students.

    Science.gov (United States)

    Krope, P; Kohrs, A; Ott, H; Wagner, W; Fichte, K

    1982-03-01

    The effect of a single dose of beta-blocker (5 or 10 mg mepindolol) during a written examination was investigated in two double-blind studies (N : 49 and 55 students, respectively). The question was whether the beta-blocker would in comparison to placebo diminish examination anxiety and improve the performance of highly complex tasks, while leaving the performance of less complex tasks unchanged. A reduction in examination anxiety after beta-blocker intake could not be demonstrated with a multi-level test model (which included the parameters self-rated anxiety, motor behaviour, task performance and physiology), although pulse rates were lowered significantly. An improvement in performance could not be observed, while - by the same token - the performance was not impaired by the beta-blocker. A hypothesis according to which a beta-blocker has an anxiolytic effect and improves performance, dependent on the level of habitual examination anxiety, was tested post hoc, but could not be confirmed. Ten of the subjects treated with 10 mg mepindolol, complained of different side effects, including dizziness, fatigue and headache.

  7. Breath Figures Formation

    OpenAIRE

    Guadarrama-Cetina, J.; González-Viñas, W

    2013-01-01

    We present experimental observations of Breath Figures (BF) which are formed by the dew of water when it condenses on a cold surface. The experiments were done in specific conditions and configurations of temperature, surfaces and mixes in controlled concentration of miscibles and immiscibles substances like the salt saturated solution, alcohol and silicon oil (C_6H_18O_2Si). The hydrophobic surfaces used on those observations are thin glasses coated with ITO (Indium Tin Oxide), 3M ECG-1700 w...

  8. Learn More Breathe Better

    Centers for Disease Control (CDC) Podcasts

    2011-11-16

    Chronic obstructive pulmonary disease (COPD) is a serious lung disease that makes breathing very difficult and can affect your quality of life. Learn the causes of COPD and what you can do to prevent it.  Created: 11/16/2011 by National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health (NCCDPHP, DACH).   Date Released: 11/16/2011.

  9. A fully integrated standalone portable cavity ringdown breath acetone analyzer

    Science.gov (United States)

    Sun, Meixiu; Jiang, Chenyu; Gong, Zhiyong; Zhao, Xiaomeng; Chen, Zhuying; Wang, Zhennan; Kang, Meiling; Li, Yingxin; Wang, Chuji

    2015-09-01

    Breath analysis is a promising new technique for nonintrusive disease diagnosis and metabolic status monitoring. One challenging issue in using a breath biomarker for potential particular disease screening is to find a quantitative relationship between the concentration of the breath biomarker and clinical diagnostic parameters of the specific disease. In order to address this issue, we need a new instrument that is capable of conducting real-time, online breath analysis with high data throughput, so that a large scale of clinical test (more subjects) can be achieved in a short period of time. In this work, we report a fully integrated, standalone, portable analyzer based on the cavity ringdown spectroscopy technique for near-real time, online breath acetone measurements. The performance of the portable analyzer in measurements of breath acetone was interrogated and validated by using the certificated gas chromatography-mass spectrometry. The results show that this new analyzer is useful for reliable online (online introduction of a breath sample without pre-treatment) breath acetone analysis with high sensitivity (57 ppb) and high data throughput (one data per second). Subsequently, the validated breath analyzer was employed for acetone measurements in 119 human subjects under various situations. The instrument design, packaging, specifications, and future improvements were also described. From an optical ringdown cavity operated by the lab-set electronics reported previously to this fully integrated standalone new instrument, we have enabled a new scientific tool suited for large scales of breath acetone analysis and created an instrument platform that can even be adopted for study of other breath biomarkers by using different lasers and ringdown mirrors covering corresponding spectral fingerprints.

  10. Effect of dietary fiber on carbohydrate absorption in humans with 13C-breath test%13C呼气试验评价膳食纤维对人体碳水化合物吸收的影响

    Institute of Scientific and Technical Information of China (English)

    江旻; 王洪允; 李宁; 胡蓓; 江骥

    2012-01-01

    目的 采用13C呼气试验和血糖测定的方法评价非水溶性膳食纤维对健康成年人碳水化合物吸收的影响,比较其敏感度.方法 入选10例中国健康成年受试者,随机分成2组.采用开放、双周期、交叉试验设计,在每个试验周期,受试者分别服用无膳食纤维或高膳食纤维试验餐,采集空腹和餐后系列时间点血样和呼气样本,测定血糖和13CO2丰度.两个周期间隔1d的清洗期.结果 高膳食纤维组的餐后血糖峰值低于无膳食纤维组,达峰时间延迟,但差异无统计学意义(P>0.05);餐后0~3 h血糖曲线下面积在两组间差异无统计学意义(P>0.05);13C呼气试验结果与血糖代谢动态变化趋势一致,但13C丰度变化曲线清晰显示膳食纤维对人体对碳水化合物吸收的作用(高纤维膳食组650.35 delta.min,无纤维膳食组723.31 delta.min).结论 与血糖测定相比,13C呼气试验能够更加灵敏地反映膳食纤维对人体碳水化合物吸收的影响.%Objective To investigate the effect of non-soluble dietary fiber on the absorption of carbohydrate with 13C-breath test and serum glucose, and compare the sensitivity of the two methods. Methods In this open-label, two-period and crossover study, 10 healthy Chinese adult volunteers were enrolled and randomized into 2 groups. On each study period, the subjects received fiber-free or high-fiber test meals. Serial blood and breath samples were collected pre- and post-meal. Serum glucose and 13C abundances were measured. Results Compared with the dietary fiber free group, the peak values of postprandial serum glucose was slightly lower in the high dietary fiber group and the peak time was delayed, but there was no statistical significance (P > 0.05); area under curve 0~3 h in the two groups was not statistically different (P > 0.05). Metabolic kinetics observed in the 13C-breath test was similar to that of the serum glucose, but the effect of dietary fiber on

  11. Influence of condensation temperature on selected exhaled breath parameters

    Directory of Open Access Journals (Sweden)

    Manini Paola

    2005-09-01

    Full Text Available Abstract Background The effects of changes in cooling temperature on biomarker levels in exhaled breath condensate have been little investigated. The aim of the study was to test the effect of condensation temperature on the parameters of exhaled breath condensate and the levels of selected biomarkers. Methods Exhaled breath condensate was collected from 24 healthy subjects at temperatures of -10, -5, 0 and +5 C degrees. Selected parameters (condensed volume and conductivity and biomarkers (hydrogen peroxide, malondialdehyde were measured. Results There was a progressive increase in hydrogen peroxide and malondialdehyde concentrations, and condensate conductivity as the cooling temperature increased; total condensate volume increased as the cooling temperature decreased. Conclusion The cooling temperature of exhaled breath condensate collection influenced selected biomarkers and potential normalizing factors (particularly conductivity in different ways ex vivo. The temperature of exhaled breath condensate collection should be controlled and reported.

  12. TFTR D&D Project: Final Examination and Testing of the TFTR TF-Coils

    Energy Technology Data Exchange (ETDEWEB)

    Irving J. Zatz

    2003-01-31

    In operation for nearly 15 years, TFTR (Tokamak Fusion Test Reactor) was not only a fusion science milestone, but a milestone of achievement in engineering as well. The TFTR D&D (Decommissioning and Decontamination) program provided a rare opportunity to examine machine components that had been exposed to a unique performance environment of greater than 100,000 mechanical and thermal load cycles. In particular, the possible examination of the TFTR toroidal-field (TF) coils, which met, then exceeded, the 5.2 Tesla magnetic field machine specification, could supply the answers to many questions that have been asked and debated since the coils were originally designed and built. A test program conducted in parallel with the D&D effort was the chance to look inside and examine, in detail, the TFTR TF coils for the first time since they were delivered encased to PPPL (Princeton Plasma Physics Laboratory). The results from such a program would provide data and insight that would not only be nefit PPPL and the fusion community, but the broader scientific community as well.

  13. Examination of a Size-Change Test for Photovoltaic Encapsulation Materials (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D. C.; Ji, L.; Kelly, G.; Gu, X.; Nickel, N.; Norum, P.; Shioda, T.; Tamizhmani, G.; Wohlgemuth, J. H.

    2012-08-01

    We examine a proposed test standard that can be used to evaluate the maximum representative change in linear dimensions of sheet encapsulation products for photovoltaic modules (resulting from their thermal processing). The proposed protocol is part of a series of material-level tests being developed within Working Group 2 of the Technical Committee 82 of the International Electrotechnical Commission. The characterization tests are being developed to aid module design (by identifying the essential characteristics that should be communicated on a datasheet), quality control (via internal material acceptance and process control), and failure analysis. Discovery and interlaboratory experiments were used to select particular parameters for the size-change test. The choice of a sand substrate and aluminum carrier is explored relative to other options. The temperature uniformity of +/- 5C for the substrate was confirmed using thermography. Considerations related to the heating device (hot-plate or oven) are explored. The time duration of 5 minutes was identified from the time-series photographic characterization of material specimens (EVA, ionomer, PVB, TPO, and TPU). The test procedure was revised to account for observed effects of size and edges. The interlaboratory study identified typical size-change characteristics, and also verified the absolute reproducibility of +/- 5% between laboratories.

  14. Examination of a Size-Change Test for Photovoltaic Encapsulation Materials: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D. C.; Wohlgemuth, J. H.; Gu, X.; Ji, L.; Kelly, G.; Gu, X.; Nickel, N.; Norum, P.; Shioda, T.; Tamizhmani, G.

    2012-08-01

    We examine a proposed test standard that can be used to evaluate the maximum representative change in linear dimensions of sheet encapsulation products for photovoltaic modules (resulting from their thermal processing). The proposed protocol is part of a series of material-level tests being developed within Working Group 2 of the Technical Committee 82 of the International Electrotechnical Commission. The characterization tests are being developed to aid module design (by identifying the essential characteristics that should be communicated on a datasheet), quality control (via internal material acceptance and process control), and failure analysis. Discovery and interlaboratory experiments were used to select particular parameters for the size-change test. The choice of a sand substrate and aluminum carrier is explored relative to other options. The temperature uniformity of +/- 5C for the substrate was confirmed using thermography. Considerations related to the heating device (hot-plate or oven) are explored. The time duration of 5 minutes was identified from the time-series photographic characterization of material specimens (EVA, ionomer, PVB, TPO, and TPU). The test procedure was revised to account for observed effects of size and edges. The interlaboratory study identified typical size-change characteristics, and also verified the absolute reproducibility of +/- 5% between laboratories.

  15. Addenbrooke's cognitive examination test for brief cognitive assessment of adolescents suffering from migraine with aura.

    Science.gov (United States)

    Petrusic, Igor; Pavlovski, Vera; Savkovic, Zorica; Vucinic, Dragana; Filipovic, Branislav; Jancic, Jasna

    2017-03-01

    The aim of this study was to assess the role of the Addenbrooke's cognitive examination test (ACE-R) in the evaluation of cognitive status in migraineurs interictally. A total of 44 adolescent patients and 44 healthy controls, matched by age and gender, have undergone ACE-R testing. Migraineurs were additionally questioned about migraine aura features and presence of higher cortical dysfunctions (HCD) during an aura. According to the questionnaire results, patients were subsequently divided into HCD and Non-HCD group. ACE-R scores of migraine patients were significantly lower than in healthy controls (93.68 ± 3.64 vs 96.91 ± 2.49; t = 4.852, p aura. Also, our study has revealed that the ACE-R test is an easily administered test for brief assessment of cognitive status in migraineurs. Future perspectives could be further evaluation of ACE-R test in larger sample size and the impact of migraine with aura on cognitive function in adolescents.

  16. The Seasonal KPSS Test: Examining Possible Applications with Monthly Data and Additional Deterministic Terms

    Directory of Open Access Journals (Sweden)

    Ghassen El Montasser

    2015-05-01

    Full Text Available The literature has been notably less definitive in distinguishing between finite sample studies of seasonal stationarity than in seasonal unit root tests. Although the use of seasonal stationarity and unit root tests is advised to determine correctly the most appropriate form of the trend in a seasonal time series, such a use is rarely noted in the relevant studies on this topic. Recently, the seasonal KPSS test, with a null hypothesis of no seasonal unit roots, and based on quarterly data, has been introduced in the literature. The asymptotic theory of the seasonal KPSS test depends on whether data have been filtered by a preliminary regression. More specifically, one may proceed to extracting deterministic components, such as the mean and trend, from the data before testing. In this paper, we examine the effects of de-trending on the properties of the seasonal KPSS test in finite samples. A sketch of the test’s limit theory is subsequently provided. Moreover, a Monte Carlo study is conducted to analyze the behavior of the test for a monthly time series. The focus on this time-frequency is significant because, as we mentioned above, it was introduced for quarterly data. Overall, the results indicated that the seasonal KPSS test preserved its good size and power properties. Furthermore, our results corroborate those reported elsewhere in the literature for conventional stationarity tests. These subsequent results assumed that the nonparametric corrections of residual variances may lead to better in-sample properties of the seasonal KPSS test. Next, the seasonal KPSS test is applied to a monthly series of the United States (US consumer price index. We were able to identify a number of seasonal unit roots in this time series. [1] [1]    Table 1 in this paper is copyrighted and initially published by JMASM in 2012, Volume 11, Issue 1, pp. 69–77, ISSN: 1538–9472, JMASM Inc., PO Box 48023, Oak Park, MI 48237, USA, ea@jmasm.com.

  17. Examination of a Rotorcraft Noise Prediction Method and Comparison to Flight Test Data

    Science.gov (United States)

    Boyd, D. Douglas, Jr.; Greenwood, Eric; Watts, Michael E.; Lopes, Leonard V.

    2017-01-01

    With a view that rotorcraft noise should be included in the preliminary design process, a relatively fast noise prediction method is examined in this paper. A comprehensive rotorcraft analysis is combined with a noise prediction method to compute several noise metrics of interest. These predictions are compared to flight test data. Results show that inclusion of only the main rotor noise will produce results that severely underpredict integrated metrics of interest. Inclusion of the tail rotor frequency content is essential for accurately predicting these integrated noise metrics.

  18. [Mycological examination and the taste disorder test for the tongues of diabetes mellitus patients].

    Science.gov (United States)

    Katoh, Takuro

    2008-12-01

    The mycological examination by the cotton swab method and the taste disorder test using the filter-paper method were taken for the tongues of diabetes mellitus (DM) patients. Candida albicans was isolated from 29 out of 81 patients. The mean serum HbA1c level of patients with C. albicans was significantly higher than that of patients without it. DM patients demonstrated significantly higher incidences of taste disorders than healthy controls, but there was no relationship between C. albicans of the tongue and taste disorders. The taste disorders tended to occur in the DM patients who had nerve complications. The results suggested the taste disorder test using the filter-paper methods contributes to easy detection of the nerve complications in DM patients.

  19. Relevance of the test content of the Korean Nursing Licensing Examination to nursing job

    Directory of Open Access Journals (Sweden)

    In Sook Park

    2016-06-01

    Full Text Available Purpose: This study aimed at identifying if there is a relevance of content of the Korean Nursing Licensing Examination (KNLE revised in 2014 to nursing job. It will be able to provide the validity of revised content of the KNLE. Methods: From October 13 to November 13, 2015, print version of 8 duties with 49-tasks, 155-job item questionnaires were distributed to 1,305 hospital nurses and 202 nursing faculties in Korea. Results were treated by descriptive statistics and comparison analysis. There were responses from 946 nurses or professors (72.5%. Results: The relevance of test content of KNLE to nursing job was shown to be valid with over 3 points out of 4 point Likert scale in all items: from 3.23 at lowest to 3.64 at top. Conclusion: Above results showed that the revised version of KNLE in 2014 was valid to test the nursing students’ knowledge for job performance.

  20. Breathing pattern, thoracoabdominal motion and muscular activity during three breathing exercises

    Directory of Open Access Journals (Sweden)

    G.M. Tomich

    2007-10-01

    Full Text Available The objective of the present study was to evaluate breathing pattern, thoracoabdominal motion and muscular activity during three breathing exercises: diaphragmatic breathing (DB, flow-oriented (Triflo II incentive spirometry and volume-oriented (Voldyne incentive spirometry. Seventeen healthy subjects (12 females, 5 males aged 23 ± 5 years (mean ± SD were studied. Calibrated respiratory inductive plethysmography was used to measure the following variables during rest (baseline and breathing exercises: tidal volume (Vt, respiratory frequency (f, rib cage contribution to Vt (RC/Vt, inspiratory duty cycle (Ti/Ttot, and phase angle (PhAng. Sternocleidomastoid muscle activity was assessed by surface electromyography. Statistical analysis was performed by ANOVA and Tukey or Friedman and Wilcoxon tests, with the level of significance set at P < 0.05. Comparisons between baseline and breathing exercise periods showed a significant increase of Vt and PhAng during all exercises, a significant decrease of f during DB and Voldyne, a significant increase of Ti/Ttot during Voldyne, and no significant difference in RC/Vt. Comparisons among exercises revealed higher f and sternocleidomastoid activity during Triflo II (P < 0.05 with respect to DB and Voldyne, without a significant difference in Vt, Ti/Ttot, PhAng, or RC/Vt. Exercises changed the breathing pattern and increased PhAng, a variable of thoracoabdominal asynchrony, compared to baseline. The only difference between DB and Voldyne was a significant increase of Ti/Ttot compared to baseline. Triflo II was associated with higher f values and electromyographic activity of the sternocleidomastoid. In conclusion, DB and Voldyne showed similar results while Triflo II showed disadvantages compared to the other breathing exercises.

  1. Quantitative Analysis of Periodic Breathing and Very Long Apnea in Preterm Infants

    Science.gov (United States)

    Mohr, Mary A.

    Electronic signals from bedside monitors in University of Virginia's Neonatal Intensive Care Unit (NICU) are routinely collected and stored. The overall goal of our research is predictive monitoring: we seek patterns in signals that give early warning of impending pathology. This work focuses on apnea (pauses in regular respiration), and on periodic breathing (regular cycles of breathing and apnea). Our examination of apnea events revealed a disturbing number of cases in which the cessation of breathing lasted at least 60 seconds. These observations were validated, clinical correlations of these events were identified, and a theory was developed that partially explains how they occur. Periodic breathing in neonates is a normal developmental phenomenon. It arises when there is instability in the respiratory control system. A mathematical model of periodic breathing was developed to analyze the stability of the control system in infants. Periodic breathing has long been thought to be benign, however, exaggerated durations of periodic breathing may be an indicator of pathology. Characterization of periodic breathing has previously been limited to short monitoring times in small numbers of infants. An automated system for measurement and characterization of periodic breathing was developed and applied to 5 years of data from the NICU. The amount of periodic breathing that infants had was found to increase with gestational age (up to 32 weeks). Also, times of excessive periodic breathing were recorded and clinical correlations were sought. A significant increase in periodic breathing in the 24 hours before diagnosis of necrotizing enterocolitis was found.

  2. Coordination-related changes in the rhythms of breathing and walking in humans.

    Science.gov (United States)

    Rassler, B; Kohl, J

    2000-07-01

    Coordination of the respiratory rhythm with the rhythm of limb movements has often been observed during rhythmical exercise (e.g. in locomotion). It is usually associated with changes in the respiratory time course, but not in the locomotor rhythm. Therefore, we hypothesised that in walking, the extent of coordination-related changes (CRC) in respiratory parameters would increase with closer coordination. With respect to the controversially discussed question of a possible energetic advantage due to coordination, we devoted particular interest to the CRC in oxygen uptake (VO2). In addition, we investigated the incidence and the extent of CRC in the stepping rhythm. We examined 18 volunteers walking on a treadmill at three different workload levels, which were adjusted by altering either the velocity or slope of the treadmill. Each walking test was carried out twice, once with spontaneous breathing and once with breathing paced by a step-related acoustic signal to enhance the coordination between breathing and walking. No correlation was found between the CRC in the analysed parameters and the degree of coordination. However, the extent of CRC of ventilation and VO2 decreased with increasing workload. With the transition to coordination, increases and decreases of VO2 occurred about equally often. From this we conclude that energetic economisation in walking, as reflected by a reduction in VO2, is rather a side-effect of coordination, and is probably due to a more precise regulation of the breathing pattern. The economisation was more pronounced at higher work loads than at lower work loads. Our results revealed that coordination is also associated with changes in the stepping rate, which occurred more frequently when the variability of breathing was restricted by acoustic pacing of the breathing rhythm. This finding suggests that the choice of walking rhythm is not completely free, but can be influenced by the breathing rhythm. CRC in the walking rhythm might

  3. Cross-Cultural Examination of Test Anxiety among US and Singapore Students on the Test Anxiety Scale for Elementary Students (TAS-E)

    Science.gov (United States)

    Lowe, Patricia A.; Ang, Rebecca P.

    2012-01-01

    In the present study, the similarity of the factor structure of the Test Anxiety Scale for Elementary Students (TAS-E) and cultural and gender differences in test anxiety were examined in a sample of 1322 US and Singapore elementary students. The similarity of the factor structure of the TAS-E, a measure of test anxiety, was examined to determine…

  4. 42 CFR 84.81 - Compressed breathing gas and liquefied breathing gas containers; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Compressed breathing gas and liquefied breathing... APPROVAL OF RESPIRATORY PROTECTIVE DEVICES Self-Contained Breathing Apparatus § 84.81 Compressed breathing gas and liquefied breathing gas containers; minimum requirements. (a) Compressed breathing gas...

  5. Structure Form and Testing of Mine Breathing and Discharge Fluid Ex component%矿用呼吸和排液Ex元件结构形式与试验

    Institute of Scientific and Technical Information of China (English)

    周伟锋

    2012-01-01

    Combined with the requirements of GB3836.2 -2010, explosion - proof flame arrester principle, structure form, materials used and installation means of mine breathing and discharge fuluid Ex components are introduced. Requirements and methods of flam- proof enclosure type test of its pressure capacity test, thermal test, not - transmission explosion test of interna lignition and other tests are analyzed. At the same time, a few notes in the process of designing, applying and testing process are discussed.%结合GB3836.2—2010的要求,对矿用呼吸和排液Ex元件的防爆阻火原理、结构形式、使用材料与安装方式进行了介绍,对其的承受压力能力试验、热试验、内部点燃不传爆试验等防爆型式试验的要求与方法进行了分析,同时对设计、使用、试验过程中的几个注意事项进行了探讨。

  6. Examination of a Junction-Box Adhesion Test for Use in Photovoltaic Module Qualification (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D. C.; Wohlgemuth, J. H.

    2012-08-01

    Engineering robust adhesion of the junction-box (j-box) is a hurdle typically encountered by photovoltaic (PV) module manufacturers during product development. There are historical incidences of adverse effects (e.g., fires) caused when the j-box/adhesive/module system has failed in the field. The addition of a weight to the j-box during the 'damp heat' IEC qualification test is proposed to verify the basic robustness of its adhesion system. The details of the proposed test will be described, in addition to the preliminary results obtained using representative materials and components. The described discovery experiments examine moisture-cured silicone, foam tape, and hot-melt adhesives used in conjunction with PET or glass module 'substrates.' To be able to interpret the results, a set of material-level characterizations was performed, including thermogravimetric analysis, differential scanning calorimetry, and dynamic mechanical analysis. PV j-boxes were adhered to a substrate, loaded with a prescribed weight, and then placed inside an environmental chamber (at 85C, 85% relative humidity). Some systems did not remain attached through the discovery experiments. Observed failure modes include delamination (at the j-box/adhesive or adhesive/substrate interface) and phase change/creep. The results are discussed in the context of the application requirements, in addition to the plan for the formal experiment supporting the proposed modification to the qualification test.

  7. Examination of a Junction-Box Adhesion Test for Use in Photovoltaic Module Qualification: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D. C.; Wohlgemuth, J. H.

    2012-08-01

    Engineering robust adhesion of the junction-box (j-box) is a hurdle typically encountered by photovoltaic (PV) module manufacturers during product development. There are historical incidences of adverse effects (e.g., fires) caused when the j-box/adhesive/module system has failed in the field. The addition of a weight to the j-box during the 'damp heat' IEC qualification test is proposed to verify the basic robustness of its adhesion system. The details of the proposed test will be described, in addition to the preliminary results obtained using representative materials and components. The described discovery experiments examine moisture-cured silicone, foam tape, and hot-melt adhesives used in conjunction with PET or glass module 'substrates.' To be able to interpret the results, a set of material-level characterizations was performed, including thermogravimetric analysis, differential scanning calorimetry, and dynamic mechanical analysis. PV j-boxes were adhered to a substrate, loaded with a prescribed weight, and then placed inside an environmental chamber (at 85C, 85% relative humidity). Some systems did not remain attached through the discovery experiments. Observed failure modes include delamination (at the j-box/adhesive or adhesive/substrate interface) and phase change/creep. The results are discussed in the context of the application requirements, in addition to the plan for the formal experiment supporting the proposed modification to the qualification test.

  8. Fast-starting for a breath: Air breathing in Hoplosternum littorale

    DEFF Research Database (Denmark)

    Steffensen, John Fleng

    2012-01-01

    overlap considerably in their kinematics (turning rates and distance covered), suggesting that air breathing in this species is performed using escapelike C-start motions. This demonstrates that C-starts in fish do not need external stimulation and can be spontaneous behaviours used outside the context...... to be food-related. Little is known about C-starts being used outside the context of escaping or feeding. Here, we test the hypothesis that air-breathing fish may use C-starts when gulping air at the surface. Air breathing is a common behaviour in many fish species when exposed to hypoxia, although certain...... of Denmark, Denmark), John F. Steffensen (University of Copenhagen, Denmark), Morten Svendsen (Technical University of Denmark, Denmark) and Augusto Abe (Unlversidade Estadual Paulista, Brazil) Fast starts are brief accelerations commonly observed in fish within the context of predator-prey interactions...

  9. Evaluation of the Effectiveness of Pursed-Lip Breathing Education in Copd Patients

    Directory of Open Access Journals (Sweden)

    A Hajibagheri

    2006-07-01

    Full Text Available Introduction: Breathing rehabilitation techniques are designed to reduce symptoms, decrease disability, increase participation in physical and social activities, and improve the overall quality of life for individuals with chronic respiratory disease. However, the role of these techniques remains unclear. This study examined the effects of pursed-lip breathing (PLB education on the respiratory function, arterial blood gases and day to day life in patients with COPD. Methods: A before-after quasi-experimental research was conducted on 40 patients with COPD at Shahid Beheshti Hospital in Kashan. Spirogram and ABG were tested before and after three-months of PLB exercise and a questionnaire (AQ20 was used to assess day to day activities. Wilcoxon matched- pairs signed-rank and descriptive tests were used for statistical analysis of collected data. Results: The study showed that after three months breathing exercise, O2 saturation was significantly increased (P=0.002. Although there was an increase in PaO2 , it was not significant. In addition, a decrease in PaCO2 (P=0.014 and the respiration rate (P < 0.000 was observed. The level of activities of daily living was also increased (P < 0.000. Forced expired volume second one (FEV1% and forced vital capacity (FVC did not change. Conclusion: We conclude that pursed-lip breathing education can improve lung function, arterial blood gas levels and also the levels of day to day activities. Therefore, breathing exercises education should be a part of physiotherapy programs in COPD patients until improvement in the quality of their life.

  10. Tongue Scrapers Only Slightly Reduce Bad Breath

    Science.gov (United States)

    ... your desktop! more... Tongue Scrapers Only Slightly Reduce Bad Breath Article Chapters Tongue Scrapers Only Slightly Reduce ... oral cavity. Reviewed: January 2012 Related Articles: Halitosis (Bad Breath) Do You Have Traveler's Breath? Does a ...

  11. Teste respiratório da 13C-metacetina na doença hepática crônica pelo vírus C 13C-methacetin breath test in hepatitis C chronic liver disease

    Directory of Open Access Journals (Sweden)

    Ana Cláudia Oliveira

    2006-03-01

    óticos (19,2 ± 7,1% para cirróticos compensados e 14,7 ± 4,0% para os cirróticos descompensados que nos grupos controle (29,9 ± 4,5% e com hepatite crônica (27,8 ± 6,1%. A melhor acurácia no diagnóstico de cirrose entre os portadores de hepatite crônica C foi encontrada para o teste respiratório da 13C-metacetina 120 min com 81% de sensibilidade e 77% de especificidade. CONCLUSÃO: O teste respiratório da 13C-metacetina se correlaciona com alterações estruturais encontradas na hepatite crônica pelo vírus C e o percentual de recuperação de 13CO2 aos 120 minutos é um sensível parâmetro para identificar a presença de cirrose nesses pacientes.BACKGROUND: The 13C-methacetin breath test is a non-invasive method to evaluate hepatic microssomal function that allows a quantitative assessment of the functional hepatic mass. AIM: To evaluate the clinical usefulness of the 13C-methacetin breath test in patients with hepatitis C chronic liver disease. PATIENTS AND METHODS: Seventy eight patients with chronic hepatitis C and 13 matched healthy controls were studied. HCV patients were classified as having chronic hepatitis (n = 51, cirrhosis (n = 27, being seven with decompensated disease (presence of ascite, jaundice and/or encephalopathy. HbsAg/HIV co-infected patients, chronic alcohol drinker, having other chronic diseases and those using drugs that could interfere with hepatic cytochrome P450, were excluded. The disease stage and activity in biopsy fragments were determined according the Brazilian Society of Hepatology criteria. Breath test was performed with 75 mg of 13C-methacetin, and the 13CO2 in the expired air was measured through a nondispersive infra red spectrometry. The delta over baseline, and the cumulative recovery of 13CO2 at 40 (13C-methacetin breath test 40 min and 120 minutes (13C-methacetin breath test 120 min were calculated. RESULTS: 13C-methacetin breath test parameters correlate only with hepatic staging but not with necroinflammatory

  12. Breath in the technoscientific imaginary.

    Science.gov (United States)

    Rose, Arthur

    2016-12-01

    Breath has a realist function in most artistic media. It serves to remind the reader, the viewer or the spectator of the exigencies of the body. In science fiction (SF) literature and films, breath is often a plot device for human encounters with otherness, either with alien peoples, who may not breathe oxygen, or environments, where there may not be oxygen to breathe. But while there is a technoscientific quality to breath in SF, especially in its attention to physiological systems, concentrating on the technoscientific threatens to occlude other, more affective aspects raised by the literature. In order to supplement the tendency to read SF as a succession of technoscientific accounts of bodily experience, this paper recalls how SF texts draw attention to the affective, non-scientific qualities of breath, both as a metonym for life and as a metaphor for anticipation. Through an engagement with diverse examples from SF literature and films, this article considers the tension between technoscientific and affective responses to breath in order to demonstrate breath's co-determinacy in SF's blending of scientific and artistic discourses.

  13. BREATHE to Understand©

    Science.gov (United States)

    Swisa, Maxine

    2015-01-01

    BREATHE is an acronym for Breathe, Reflect, Empathize, Accept, Thank, Hearten, Engage. The addition of Understand allows for a holistic approach to living a healthy and balanced life both inside and outside the classroom. This paper took form as a result of my personal, spiritual journey, as well as my teaching practice. I noticed that the…

  14. Introduction and Administration of the Clinical Skill Test of the Medical Licensing Examination, Republic of Korea (2009

    Directory of Open Access Journals (Sweden)

    Kun Sang Kim

    2010-12-01

    Full Text Available The first trial of the clinical skill test as part of the Korean Medical Licensing Examination was done from September 23 to December 1, 2009, in the clinical skill test center located in the National Health Personnel Licensing Examination Board (NHPLEB building, Seoul. Korea is the first country to introduce the clinical skill test as part of the medical licensing examination in Asia. It is a report on the introduction and administration of the test. The NHPLEB launched researches on the validity of introducing the clinical skill test and on the best implementation methods in 2000. Since 2006, lists of subjects of test items for the clinical skill test has been developed. The test consisted of two types of evaluation, i.e., a clinical performance examination (CPX with a standardized patient (SP and objective structured clinical examination (OSCE. The proctor (medical faculty member and SP rate the examinees??proficiency for the OSCE and CPX respectively. Out of 3,456 applicants, 3,289 examinees (95.2% passed the test. Out of 167 examinees who failed the clinical skill test, 142 passed the written test. This means that the clinical skill test showed characteristics independent from the written test. This successful implementation of the clinical skill test is going to improve the medical graduates??performance of clinical skills.

  15. FMWC Radar for Breath Detection

    DEFF Research Database (Denmark)

    Suhr, Lau Frejstrup; Tafur Monroy, Idelfonso; Vegas Olmos, Juan José

    We report on the experimental demonstration of an FMCW radar operating in the 25.7 - 26.6 GHz range with a repetition rate of 500 sweeps per second. The radar is able to track the breathing rate of an adult human from a distance of 1 meter. The experiments have utilized a 50 second recording window...... to accurately track the breathing rate. The radar utilizes a saw tooth modulation format and a low latency receiver. A breath tracking radar is useful both in medical scenarios, diagnosing disorders such as sleep apnea, and for home use where the user can monitor its health. Breathing is a central part of every...... radar chip which, through the use of a simple modulation scheme, is able to measure the breathing rate of an adult human from a distance. A high frequency output makes sure that the radar cannot penetrate solid obstacles which is a wanted feature in private homes where people therefore cannot measure...

  16. An examination of gender-moderated test bias on the Levenson Self-Report Psychopathy Scale.

    Science.gov (United States)

    Marion, Brandee E; Sellbom, Martin

    2011-05-01

    In this investigation, we examined the validity of Levenson's Self-Report Psychopathy Scale (LSRP; Levenson, Kiehl, & Fitzpatrick, 1995) in a sample of undergraduate students (n = 403). Utilizing a step-down hierarchical multiple regression procedure (e.g., Arbisi, Ben-Porath, & McNulty, 2002), we used LSRP scores to predict psychopathic personality traits to determine the presence of gender-moderated test bias. Results indicate similar correlational magnitudes for men and women. However, systematic over- and underprediction of scores (i.e., differential intercepts) was found for external criteria measuring key affective (i.e., low empathy) and behavioral (i.e., aggression, antisocial behavior) components of the psychopathic personality, although these effects were generally small.

  17. Advances in exhaled breath condensate collection and testing standardization%呼出气冷凝液收集和检测的研究进展

    Institute of Scientific and Technical Information of China (English)

    张宏天; 陈建荣

    2015-01-01

    呼吸道内衬液中含有大量挥发性和非挥发性的物质,这些物质的变化可反映氧化损伤和 炎症反应等呼吸道内环境的变化,从而用于检测疾病的变化.呼出气冷凝液(EBC)是一种检测呼吸道生化成分的最新技术,又称为生化肺功能.因其具有安全、无创、收集简单、可多次重复等优点而受到广泛关注.本文对EBC的组成成分和来源、稀释度及标准化、收集及标准化、测量及标准化、EBC中标志物等研究进展进行综述.%Airway lining fluid contains large amounts of volatile and non-volatile substances.The changes of these substances can reflect changes including inflammation and oxidative damage in the environment of the respiratory tract,so as to detect changes in the disease.Exhaled breath condensate (EBC) is a new technology to detect biochemical components in airway,also known as biochemical lung function.Because of its safe,non-invasive,simple to collect and can be repeated,EBC has draw wide attention.In this paper,EBC's composition and origin,dilution and standardization,collection and standardization,measurement and standardization,biomarkers in EBC were reviewed.

  18. How and When Do Insects Rely on Endogenous Protein and Lipid Resources during Lethal Bouts of Starvation? A New Application for 13C-Breath testing.

    Directory of Open Access Journals (Sweden)

    Marshall D McCue

    Full Text Available Most of our understanding about the physiology of fasting and starvation comes from studies of vertebrates; however, for ethical reasons, studies that monitor vertebrates through the lethal endpoint are scant. Insects are convenient models to characterize the comparative strategies used to cope with starvation because they have diverse life histories and have evolved under the omnipresent challenge of food limitation. Moreover, we can study the physiology of starvation through its natural endpoint. In this study we raised populations of five species of insects (adult grasshoppers, crickets, cockroaches, and larval beetles and moths on diets labeled with either 13C-palmitic acid or 13C-leucine to isotopically enrich the lipids or the proteins in their bodies, respectively. The insects were allowed to become postabsorptive and then starved. We periodically measured the δ13C of the exhaled breath to characterize how each species adjusted their reliance on endogenous lipids and proteins as energy sources. We found that starving insects employ a wide range of strategies for regulating lipid and protein oxidation. All of the insects except for the beetle larvae were capable of sharply reducing reliance on protein oxidation; however, this protein sparing strategy was usually unsustainable during the entire starvation period. All insects increased their reliance on lipid oxidation, but while some species (grasshoppers, cockroaches, and beetle larvae were still relying extensively on lipids at the time of death, other species (crickets and moth larvae allowed rates of lipid oxidation to return to prestarvation levels. Although lipids and proteins are critical metabolic fuels for both vertebrates and insects, insects apparently exhibit a much wider range of strategies for rationing these limited resources during starvation.

  19. How and When Do Insects Rely on Endogenous Protein and Lipid Resources during Lethal Bouts of Starvation? A New Application for 13C-Breath testing.

    Science.gov (United States)

    McCue, Marshall D; Guzman, R Marena; Passement, Celeste A; Davidowitz, Goggy

    2015-01-01

    Most of our understanding about the physiology of fasting and starvation comes from studies of vertebrates; however, for ethical reasons, studies that monitor vertebrates through the lethal endpoint are scant. Insects are convenient models to characterize the comparative strategies used to cope with starvation because they have diverse life histories and have evolved under the omnipresent challenge of food limitation. Moreover, we can study the physiology of starvation through its natural endpoint. In this study we raised populations of five species of insects (adult grasshoppers, crickets, cockroaches, and larval beetles and moths) on diets labeled with either 13C-palmitic acid or 13C-leucine to isotopically enrich the lipids or the proteins in their bodies, respectively. The insects were allowed to become postabsorptive and then starved. We periodically measured the δ13C of the exhaled breath to characterize how each species adjusted their reliance on endogenous lipids and proteins as energy sources. We found that starving insects employ a wide range of strategies for regulating lipid and protein oxidation. All of the insects except for the beetle larvae were capable of sharply reducing reliance on protein oxidation; however, this protein sparing strategy was usually unsustainable during the entire starvation period. All insects increased their reliance on lipid oxidation, but while some species (grasshoppers, cockroaches, and beetle larvae) were still relying extensively on lipids at the time of death, other species (crickets and moth larvae) allowed rates of lipid oxidation to return to prestarvation levels. Although lipids and proteins are critical metabolic fuels for both vertebrates and insects, insects apparently exhibit a much wider range of strategies for rationing these limited resources during starvation.

  20. The clinical examination of neck pain patients: the validity of a group of tests.

    Science.gov (United States)

    De Hertogh, Willem J; Vaes, Peter H; Vijverman, Veerle; De Cordt, Ann; Duquet, William

    2007-02-01

    We evaluated whether a blinded observer could identify the neck pain patients in a sample of 42 subjects consisting of neck pain patients and asymptomatic controls.The allocation of subjects to either the control or patient group was based on the scoring of a VAS scale for pain intensity, a Bournemouth Questionnaire (BQ), a manual examination of the rotation of C0-2-7 (rated for Range Of Motion, end feel, onset of pain), an adapted Spurling test and Cervical Range Of Motion (CROM) measurements.The VAS and BQ resulted in a high % of correct allocations (>/= 77.5%) and a high specificity (90.9%). The Manual Examination Procedures (MEPs) have similar results especially when clustered. The combination of the VAS score, BQ and MEPs resulted in a sensitivity and specificity of 100% and 86.4%, respectively. Except for the flexion movement all CROM allocation percentages are around 50%, indicating a lesser diagnostic value.Our findings reinforce the validity of MEPs. Clustering pain measurements, BQ and MEPs provides the highest diagnostic value to identify neck pain patients or necks in need of treatment.

  1. Post-examination interpretation of objective test data: monitoring and improving the quality of high-stakes examinations: AMEE Guide No. 66.

    Science.gov (United States)

    Tavakol, Mohsen; Dennick, Reg

    2012-01-01

    The purpose of this Guide is to provide both logical and empirical evidence for medical teachers to improve their objective tests by appropriate interpretation of post-examination analysis. This requires a description and explanation of some basic statistical and psychometric concepts derived from both Classical Test Theory (CTT) and Item Response Theory (IRT) such as: descriptive statistics, explanatory and confirmatory factor analysis, Generalisability Theory and Rasch modelling. CTT is concerned with the overall reliability of a test whereas IRT can be used to identify the behaviour of individual test items and how they interact with individual student abilities. We have provided the reader with practical examples clarifying the use of these frameworks in test development and for research purposes.

  2. Student Testing: Current Extent and Expenditures, with Cost Estimates for a National Examination. Report to Congressional Requesters.

    Science.gov (United States)

    General Accounting Office, Washington, DC. Program Evaluation and Methodology Div.

    As the country began to debate the proposition that the United States adopt a national examination system, it became apparent that information was needed about the present extent and cost of testing, as well as the estimated cost of a national examination system. In the fall of 1991, the General Accounting Office (GAO) surveyed testing officials…

  3. [Examination of dynamic body balance using the body tracking test in cases of vestibular neuronitis].

    Science.gov (United States)

    Yoshida, Tomoe; Yamamoto, Masahiko; Nomura, Toshiyuki; Ohwada, Satoko; Takazawa, Rio; Ikemiyagi, Yoshihiro; Shigeta, Fuyuko

    2008-09-01

    Body Tracking Test (BTT) is a testing method of the dynamic body balance function wherein movement of the center of gravity in accordance with a moving visual target stimulus is examined to evaluate the tracking function of the body. The objects were the patients who were diagnosed as having vestibular neuronitis at the Department of Otolaryngology in Toho University medical center Sakura hospital, and were undergoing hospital treatment. Lateral BTT was performed in 31 subjects, and antero-posterior (A-P) BTT in 45 subjects. Although gaze nystagmus was noted, inspection was enforced when a standing position posture was possible. In lateral BTT, the average (cm/second) horizontal direction body sway speed was compared, however, no clear lateral difference was noted. In the antero-posterior (A-P) BTT, it inquired using the direction body sway average center displacement (cm) of X. Deviation was seen by the affected side in stabilometry. Deviation was seen by the unaffected side in the antero-posterior (A-P) BTT. This phenomenon differs from the deviation pattern until now and is considered to involve participation of the higher centers.

  4. Examination of daytime sleepiness and cognitive performance testing in patients with primary insomnia.

    Directory of Open Access Journals (Sweden)

    Hong Liu

    Full Text Available While individuals with insomnia consistently complain of cognitive impairment, previous studies on the effect of insomnia on objective measures of cognitive function have obtained ambiguous results. The relationship between daytime sleepiness and cognitive manifestations in insomnia patients is not clear.Thirty-six primary insomnia patients (PIPs and 26 good sleep controls (GSCs with age and gender matched manner were included in the study. Participants underwent an overnight polysomnography followed by a multiple sleep latency test (MSLT and an examination of the attention network test (ANT. ANT reflected three attentional networks including alerting, orienting and executive control. According to whether accompanied with excessive daytime sleepiness (EDS, the insomnia group were subdivided into PIPs with EDS (n = 12, score on MSLT<10 min and PIPs without EDS (n = 24, score on MSLT≥10 min.PIPs only performed worse on executive control function than GSCs in ANT. PIPs with EDS had longer overall reaction time (RT related to PIPs without EDS. Further analyses with Pearson correlation analysis showed a significant negative correlation between the overall RT and MSLT latency in insomniacs (r = -0.444, p<0.01, whereas no such correlation was found in controls.Results suggest that PIPs do show executive control function deficits compared with GSCs. Daytime sleepiness in terms of MSLT latency was associated with poor cognitive manifestations in patients with insomnia.

  5. Experimental setup and analytical methods for the non-invasive determination of volatile organic compounds, formaldehyde and NO{sub x} in exhaled human breath

    Energy Technology Data Exchange (ETDEWEB)

    Riess, Ulrich; Tegtbur, Uwe [Hannover Medical School, Sports Physiology and Sports Medicine, Carl-Neuberg-Str. 1, 30625 Hannover (Germany); Fauck, Christian; Fuhrmann, Frank; Markewitz, Doreen [Fraunhofer WKI, Department of Material Analysis and Indoor Chemistry, Bienroder Weg 54 E, 38108 Braunschweig (Germany); Salthammer, Tunga, E-mail: tunga.salthammer@wki.fraunhofer.de [Fraunhofer WKI, Department of Material Analysis and Indoor Chemistry, Bienroder Weg 54 E, 38108 Braunschweig (Germany)

    2010-06-11

    Different analytical devices were tested and evaluated for their suitability of breath gas analysis by examining the physiological parameters and chemical substances in the exhaled breath of ten healthy probands during light cycling in dependence of methanol-rich nutrition. The probands exercised under normal breathing conditions on a bicycle ergometer. Breath air was exhaled into a glass cylinder and collected under steady-state conditions. Non-invasively measured parameters were pulse rate, breath frequency, temperature, relative humidity, NO{sub x}, total volatile organic compounds (TVOC{sub PAS}), carbon dioxide (CO{sub 2}), formaldehyde, methanol, acetaldehyde, acetone, isoprene and volatile organic compounds (VOCs). Methanol rich food and beverages strongly influenced the concentration of methanol and other organic substances in human breath. On the other hand, nutrition and smoking had no clear effect on the physical conditions of the probands. The proton transfer reaction mass spectrometry (PTR-MS) method was found to be very suitable for the analysis of breath gas but the m/z 31, if assigned to formaldehyde, is sensitive to interferences. The time vs. concentration curves of nitric oxide showed sudden peaks up to 120 ppb in most of the measurements. In one case a strong interference of the NO{sub x} signal was observed. The time resolved analysis of exhaled breath gas is of high capability and significance for different applications if reliable analytical techniques are used. Some compounds like nitric oxide (NO), methanol, different VOCs as well as sum parameters like TVOC{sub PAS} are especially suitable as markers. Formaldehyde, which is rapidly metabolized in the human body, could be measured reliably as a trace component by the acetylacetone (acac) method but not by PTR-MS.

  6. Response of Hepatoma 9618a and Normal Liver to Host Carbogen and Carbon Monoxide Breathing

    Directory of Open Access Journals (Sweden)

    Simon P. Robinson

    1999-12-01

    Full Text Available The effects of hyperoxia (induced by host carbogen 95% oxygen/5% carbon dioxide breathing. and hypoxia (induced by host carbon monoxide CO at 660 ppm. breathing were compared by using noninvasive magnetic resonance (MR methods to gain simultaneous information on blood flow/oxygenation and the bioenergetic status of rat Morris H9618a hepatomas. Both carbogen and CO breathing induced a 1.5- to 2-fold increase in signal intensity in blood oxygenation level dependent (BOLD MR images. This was due to a decrease in deoxyhemoglobin (deoxyHb, which acts as an endogenous contrast agent, caused either by formation of oxyhemoglobin in the case of carbogen breathing, or carboxyhemoglobin with CO breathing. The results were confirmed by observation of similar changes in deoxyHb in arterial blood samples examined ex vivo after carbogen or CO breathing. There was no change in nucleoside triphosphates (NTP/PI in either tumor or liver after CO breathing, whereas NTP/Pl increased twofold in the hepatoma (but not in the liver after carbogen breathing. No changes in tumor intracellular pH were seen after either treatment, whereas extracellular pH became more alkaline after CO breathing and more acid after carbogen breathing, respectively. This tumor type and the liver are unaffected by CO breathing at 660 ppm, which implies an adequate oxygen supply.

  7. Ethylene and ammonia traces measurements from the patients' breath with renal failure via LPAS method

    Science.gov (United States)

    Popa, C.; Dutu, D. C. A.; Cernat, R.; Matei, C.; Bratu, A. M.; Banita, S.; Dumitras, D. C.

    2011-11-01

    The application of laser photoacoustic spectroscopy (LPAS) for fast and precise measurements of breath biomarkers has opened up new promises for monitoring and diagnostics in recent years, especially because breath test is a non-invasive method, safe, rapid and acceptable to patients. Our study involved assessment of breath ethylene and breath ammonia levels in patients with renal failure receiving haemodialysis (HD) treatment. Breath samples from healthy subjects and from patients with renal failure were collected using chemically inert aluminized bags and were subsequently analyzed using the LPAS technique. We have found out that the composition of exhaled breath in patients with renal failure contains not only ethylene, but also ammonia and gives valuable information for determining efficacy and endpoint of HD. Analysis of ethylene and ammonia traces from the human breath may provide insight into severity of oxidative stress and metabolic disturbances and may ensure optimal therapy and prevention of pathology at patients on continuous HD.

  8. Post-examination interpretation of objective test data: monitoring and improving the quality of high-stakes examinations--a commentary on two AMEE Guides.

    Science.gov (United States)

    Tavakol, Mohsen; Dennick, Reg

    2012-01-01

    As great emphasis is rightly placed upon the importance of assessment to judge the quality of our future healthcare professionals, it is appropriate not only to choose the most appropriate assessment method, but to continually monitor the quality of the tests themselves, in a hope that we may continually improve the process. This article stresses the importance of quality control mechanisms in the exam cycle and briefly outlines some of the key psychometric concepts including reliability measures, factor analysis, generalisability theory and item response theory. The importance of such analyses for the standard setting procedures is emphasised. This article also accompanies two new AMEE Guides in Medical Education (Tavakol M, Dennick R. Post-examination Analysis of Objective Tests: AMEE Guide No. 54 and Tavakol M, Dennick R. 2012. Post examination analysis of objective test data: Monitoring and improving the quality of high stakes examinations: AMEE Guide No. 66) which provide the reader with practical examples of analysis and interpretation, in order to help develop valid and reliable tests.

  9. Atypical streptococcal infection of gingiva associated with chronic mouth breathing.

    Science.gov (United States)

    Haytac, M Cenk; Oz, I Attila

    2007-01-01

    Streptococcal infections of oral tissues are mainly seen in young children who experience a variety of upper respiratory tract infections. The disease is characterized by fever, lymphadenopathy, and ulcers on the gingiva, lips, and tonsils. This case report presents an atypical streptococcal infection of the gingiva in an 18-year-old man. The patient was referred to the periodontology department complaining of a 2-month history of gingival enlargement. He had persistent fever (39.5 degrees C) and general malaise for 2 weeks. Intraoral examination revealed extremely inflamed and enlarged gingiva with spontaneous bleeding and suppuration. Based on the otolaryngologic consultation and the hematologic, immunologic, and microbiologic tests, the final diagnosis was an atypical streptococcal gingivitis with chronic adenoid-related mouth breathing and oral hygiene neglect as contributing factors. Treatment consisted of a broad-spectrum antibiotic regimen, supragingival and subgingival debridement, adenoidectomy, and scaling and root planing. A good response to nonsurgical therapy was achieved despite poor patient compliance, and no recurrence of gingival enlargement was observed after 1 year. Streptococcal gingivitis should be included in the differential diagnosis of suppurative gingival enlargements. Furthermore, chronic mouth breathing may initiate and/or contribute to this disease.

  10. Craniofacial changes and symptoms of sleep-disordered breathing in healthy children

    Directory of Open Access Journals (Sweden)

    Maria Christina Thomé Pacheco

    2015-06-01

    Full Text Available INTRODUCTION: The main cause of mouth breathing and sleep-disordered breathing (SDB in childhood is associated with upper airway narrowing to varying degrees. OBJECTIVE: The aim of this study was to assess the prevalence of morphological and functional craniofacial changes and the main clinical symptoms of SDB in healthy children. METHODS: A cross-sectional observational study was conducted. A sample comprising 687 healthy schoolchildren, aged 7-12 years old and attending public schools, was assessed by medical history, clinical medical and dental examination, and respiratory tests. The self-perceived quality of life of mouth breathing children was obtained by a validated questionnaire. RESULTS: Out of the total sample, 520 children were nose breathers (NB while 167 (24.3% were mouth breathers (MB; 32.5% had severe hypertrophy of the palatine tonsils, 18% had a Mallampati score of III or IV, 26.1% had excessive overjet and 17.7% had anterior open bite malocclusion. Among the MB, 53.9% had atresic palate, 35.9% had lip incompetence, 33.5% reported sleepiness during the day, 32.2% often sneezed, 32.2% had a stuffy nose, 19.6% snored, and 9.4% reported having the feeling to stop breathing while asleep. However, the self-perception of their quality of life was considered good. CONCLUSION: High prevalence of facial changes as well as signs and symptoms of mouth breathing were found among health children, requiring early diagnosis and treatment to reduce the risk of SDB.

  11. Nuclear Technology. Course 32: Nondestructive Examination (NDE) II. Module 32-3, Fundamentals of Magnetic Particle Testing.

    Science.gov (United States)

    Groseclose, Richard

    This third in a series of six modules for a course titled Nondestructive Examination (NDE) Techniques II explains the principles of magnets and magnetic fields and how they are applied in magnetic particle testing, describes the theory and methods of magnetizing test specimens, describes the test equipment used, discusses the principles and…

  12. Tests, Quizzes, and Self-Assessments : How to Construct a High-Quality Examination

    OpenAIRE

    2016-01-01

    OBJECTIVE: The purposes of this article are to highlight aspects of tests that increase or decrease their effectiveness and to provide guidelines for constructing high-quality tests in radiology. CONCLUSION: Many radiologists help construct tests for a variety of purposes. Only well-constructed tests can provide reliable and valuable information about the test taker.

  13. Examining Innovative Divertor and Main Chamber Options for a National Divertor Test Tokamak

    Science.gov (United States)

    Labombard, B.; Umansky, M.; Brunner, D.; Kuang, A. Q.; Marmar, E.; Wallace, G.; Whyte, D.; Wukitch, S.

    2016-10-01

    The US fusion community has identified a compelling need for a National Divertor Test Tokamak. The 2015 Community Planning Workshop on PMI called for a national working group to develop options. Important elements of a NDTT, adopted from the ADX concept, include the ability to explore long-leg divertor `solutions for power exhaust and particle control' (Priority Research Direction B) and to employ inside-launch RF actuators combined with double-null topologies as `plasma solution for main chamber wall components, including tools for controllable sustained operation' (PRD-C). Here we examine new information on these ideas. The projected performance of super-X and X-point target long-leg divertors is looking very promising; a stable fully-detached divertor condition handling an order-of-magnitude increase in power handling over conventional divertors may be possible. New experiments on Alcator C-Mod are addressing issues of high-field side versus low-field side heat flux sharing in double-null topologies and the screening of impurities that might originate from RF actuators placed in the high-field side - both with favorable results. Supported by USDoE Awards DE-FC02-99ER54512 and DE-AC52-07NA27344.

  14. International consensus on the most useful physical examination tests used by physiotherapists for patients with headache

    DEFF Research Database (Denmark)

    Luedtke, K; Boissonnault, W; Caspersen, Nina

    2016-01-01

    considered clinically useful: manual joint palpation, the cranio-cervical flexion test, the cervical flexion-rotation test, active range of cervical movement, head forward position, trigger point palpation, muscle tests of the shoulder girdle, passive physiological intervertebral movements, reproduction...

  15. The A-Test: a symptom validity indicator embedded within a mental status examination for Social Security Disability.

    Science.gov (United States)

    Chafetz, Michael D

    2012-01-01

    During the Psychological Consultative Examination (PCE) for Social Security Disability evaluations, there is a need for symptom validity measures to validate the findings for claims of disability (Chafetz, 2010 ). The "A" Random Letter Test of Auditory Vigilance (A-Test) is a simple auditory continuous performance test utilized as part of a comprehensive mental status examination (Strub & Black, 1993 ). The present study validates the use of the A-Test as a symptom validity measure easily administered as part of the PCE for Social Security Disability evaluations. This study shows that the A-Test is well correlated with other symptom validity measures, discriminates multiple symptom validity failure from nonmultiple failure, and has good classification accuracy statistics in two different studies of these claimants. The A-Test can thus easily be used as a symptom validity measure in professional psychological examinations of Social Security claimants without additional cost or much added time to the evaluation.

  16. Visualizing Breath using Digital Holography

    Science.gov (United States)

    Hobson, P. R.; Reid, I. D.; Wilton, J. B.

    2013-02-01

    Artist Jayne Wilton and physicists Peter Hobson and Ivan Reid of Brunel University are collaborating at Brunel University on a project which aims to use a range of techniques to make visible the normally invisible dynamics of the breath and the verbal and non-verbal communication it facilitates. The breath is a source of a wide range of chemical, auditory and physical exchanges with the direct environment. Digital Holography is being investigated to enable a visually stimulating articulation of the physical trajectory of the breath as it leaves the mouth. Initial findings of this research are presented. Real time digital hologram replay allows the audience to move through holographs of breath-born particles.

  17. Tests, Quizzes, and Self-Assessments : How to Construct a High-Quality Examination

    NARCIS (Netherlands)

    van der Gijp, Anouk; Ravesloot, CJ; Ten Cate, Olle Th J; van Schaik, JPJ; Webb, Emily M; Naeger, David M

    2016-01-01

    OBJECTIVE: The purposes of this article are to highlight aspects of tests that increase or decrease their effectiveness and to provide guidelines for constructing high-quality tests in radiology. CONCLUSION: Many radiologists help construct tests for a variety of purposes. Only well-constructed test

  18. Using Testlet Response Theory to Examine Local Dependence in C-Tests

    Science.gov (United States)

    Eckes, Thomas; Baghaei, Purya

    2015-01-01

    C-tests are gap-filling tests widely used to assess general language proficiency for purposes of placement, screening, or provision of feedback to language learners. C-tests consist of several short texts in which parts of words are missing. We addressed the issue of local dependence in C-tests using an explicit modeling approach based on testlet…

  19. Study on parameters of L-[1-13C]phenylalanine breath test for quantitative assessment of liver function in healthy subjects and patients with hepatitis B virus-related liver disease

    Institute of Scientific and Technical Information of China (English)

    YAN Wei-Li; LIN Xiang-Tong; JIANG Yi-Bin; SUN Su; SUN Da-Yu

    2005-01-01

    The aims of this study are to investigate the feasibility and validity of the L-[1-13C] phenylalanine breath test (13C-PheBT) which has been used to measure hepatocyte functional capacity in hepatitis B virus-related liver disease patients and to propose validity parameters of the test in 12 healthy volunteer, 8 chronic hepatitis and 26 liver cirrhotic patients. 100mg/body nonradiative L-[1-13C] phenylalanine (13C-Phe) was administered orally to all subjects.Breath samples were taken before and different intervals within 360 min after administration. The 13CO2/12CO2 enrichment was assessed by isotope ratio mass spectrometer. The parameter percentage 13C excretion rate 13CER, (%13C dose/h) all peaked within 10-30 min after oral 13C-Phe application. The parameters such as maximum value of 13C excretion rate, 13CERmax (% 13C dose/h) (controls: 18.0±3.3; Child A: 11.0±3.8; Child B: 5.0±0.5; Child C:3.6±1.2), 13C excretion rate at 30min, 13CER30 (% dose/h) (controls: 11.9±2.1; Child A: 8.1±0.4; Child B: 6.1±0.9;Child C: 3.2±1.2), 13C cumulative excretion of first 60 min, 13Ccum60 (% 13C dose) (controls: 9.3±1.4; Child A: 6.6±0.7;Child B: 4.1±0.3; Child C: 2.6±0.9) and half time of 13C excretion rate, T1/2 (minutes) (controls: 40.4±4.4; chronic hepatitis: 53.4±4.4; Child A: 59.8±4.5;Child B: 102.0±17.3;Child C: 212.1±87.9) were effective indexes which could be employed to stage hepatocyte impairment and liver functional reserve of advanced HBV-related cirrhotic patients (i.e. healthy subjects, Child A, B, C);T1/2 was also useful for distinguishing mild HBV-related liver injure.

  20. High-pitch coronary CT angiography in dual-source CT during free breathing vs. breath holding in patients with low heart rates

    Energy Technology Data Exchange (ETDEWEB)

    Bischoff, Bernhard, E-mail: bernhard.bischoff@med.uni-muenchen.de [Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich (Germany); DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich (Germany); Meinel, Felix G. [Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich (Germany); DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich (Germany); Del Prete, Alessandra [Department of Radiology Magrassi-Lanzara, Second University of Naples, Naples (Italy); Reiser, Maximilian F.; Becker, Hans-Christoph [Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich (Germany); DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich (Germany)

    2013-12-01

    Background: Coronary CT angiography (CCTA) is usually performed during breath holding to reduce motion artifacts caused by respiration. However, some patients are not able to follow the breathing commands adequately due to deafness, hearing impairment, agitation or pulmonary diseases. The aim of this study was to evaluate the potential of high-pitch CCTA in free breathing patients when compared to breath holding patients. Methods: In this study we evaluated 40 patients (20 free breathing and 20 breath holding patients) with a heart rate of 60 bpm or below referred for CCTA who were examined on a 2nd generation dual-source CT system. Image quality of each coronary artery segment was rated using a 4-point grading scale (1: non diagnostic–4: excellent). Results: Mean heart rate during image acquisition was 52 ±5 bpm in both groups. There was no significant difference in mean image quality, slightly favoring image acquisition during breath holding (mean image quality score 3.76 ± 0.32 in breath holding patients vs. 3.61 ± 0.45 in free breathing patients; p = 0.411). Due to a smaller amount of injected contrast medium, there was a trend for signal intensity to be slightly lower in free breathing patients, but this was not statistically significant (435 ± 123 HU vs. 473 ± 117 HU; p = 0.648). Conclusion: In patients with a low heart rate who are not able to hold their breath adequately, CCTA can also be acquired during free breathing without substantial loss of image quality when using a high pitch scan mode in 2nd generation dual-source CT.

  1. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined...

  2. 21 CFR 800.20 - Patient examination gloves and surgeons' gloves; sample plans and test method for leakage defects...

    Science.gov (United States)

    2010-04-01

    ... in the health care context, have caused the Food and Drug Administration (FDA) to look more closely... infectious diseases. The Centers for Disease Control (CDC) recommend that health care workers wear medical... examination and by a water leak test method, using 1,000 milliliters (ml) of water. (i) Units examined....

  3. Breath alcohol, multisensor arrays, and electronic noses

    Science.gov (United States)

    Paulsson, Nils; Winquist, Fredrik

    1997-01-01

    The concept behind a volatile compound mapper, or electronic nose, is to use the combination of multiple gas sensors and pattern recognition techniques to detect and quantify substances in gas mixtures. There are several different kinds of sensors which have been developed during recent years of which the base techniques are conducting polymers, piezo electrical crystals and solid state devices. In this work we have used a combination of gas sensitive field effect devices and semiconducting metal oxides. The most useful pattern recognition routine was found to be ANNs, which is a mathematical approximation of the human neural network. The aim of this work is to evaluate the possibility of using electronic noses in field instruments to detect drugs, arson residues, explosives etc. As a test application we have chosen breath alcohol measurements. There are several reasons for this. Breath samples are a quite complex mixture contains between 200 and 300 substances at trace levels. The alcohol level is low but still possible to handle. There are needs for replacing large and heavy mobile instruments with smaller devices. Current instrumentation is rather sensitive to interfering substances. The work so far has dealt with sampling, how to introduce ethanol and other substances in the breath, correlation measurements between the electronic nose and headspace GC, and how to evaluate the sensor signals.

  4. 毛细支气管炎患儿单次潮气肺功能测定的临床意义%Clinical significance of single tidal breathing testing in bronchiolitis

    Institute of Scientific and Technical Information of China (English)

    李睿; 王吉安; 许家增; 杨慧敏

    2014-01-01

    目的:探讨毛细支气管炎患儿测定单次潮气肺功能的临床意义。方法检测和比较住院且<1岁的756例初次喘息毛细支气管炎患儿和115例支气管肺炎患儿的单次潮气肺功能。部分达峰时间比≤第20百分位和≥第80百分位的毛细支气管炎患儿出院1年后电话随访其喘息情况。结果毛细支气管炎患儿与支气管肺炎患儿比较,达峰时间比,达峰容积比,吸气时间,吸呼比,呼出25%、50%潮气容积时的呼气流速的差异有统计学意义(P均<0.05)。达峰时间比≤第20百分位的毛细支气管炎患儿1年内再喘息的比例为37.5%;达峰时间比≥第80百分位的毛细支气管炎患儿1年内再喘息比例为11.3%,两组差异有统计学意义(P<0.05)。结论单次潮气肺功能测定提示,阻塞程度较重的毛细支气管炎患儿再次喘息的可能性较大。%Objective To study clinical signiifcance of single tidal breathing testing in bronchiolitis. Methods Infants with bronchiolitis at ifrst wheezing (bronchiolitis group, n=756), and 115 infants with bronchopneumonia (bronchopneumonia group) hospitalized were enrolled. Tidal breathing parameters were analyzed in two groups. Bronchiolitis group was divided according to percentiles of the fraction of exhaled time at peak tidal expiratory lfow to total expiratory time (TPTEF/TE). The episodes of recurrent wheezing of infants below the 20th or above the 80th percentile of TPTEF/TE were followed up by phone calls within 1 year after discharge from the hospital. Results There were signiifcant differences in TPTEF/TE, VPEF/VE, Ti, Ti/Te, TEF75 and TEF50 between bronchiolitis group and bronchopneumonia group. The recurrent wheezing rate of infants with bronchiolitis below the 20th percentile of TPTEF/TE was signiifcantly higher than that above the 80th percentile of TPTEF/TE (37.5%vs 11.3%). Conclusions There is the greater possibility of recurrent wheezing in the infants with the

  5. Increased oxygen load in the prefrontal cortex from mouth breathing: a vector-based near-infrared spectroscopy study.

    Science.gov (United States)

    Sano, Masahiro; Sano, Sayaka; Oka, Noriyuki; Yoshino, Kayoko; Kato, Toshinori

    2013-12-01

    Individuals who habitually breathe through the mouth are more likely than nasal breathers to have sleep disorders and attention deficit hyperactive disorder. We hypothesized that brain hemodynamic responses in the prefrontal cortex might be different for mouth and nasal breathing. To test this hypothesis, we measured changes in oxyhemoglobin and deoxyhemoglobin in the prefrontal cortex during mouth breathing and nasal breathing in healthy adults (n=9) using vector-based near-infrared spectroscopy. The angle k, calculated from changes in oxyhemoglobin and deoxyhemoglobin and indicating the degree of oxygen exchange, was significantly higher during mouth breathing (PMouth breathing also caused a significant increase in deoxyhemoglobin, but oxyhemoglobin did not increase. This difference in oxygen load in the brain arising from different breathing routes can be evaluated quantitatively using vector-based near-infrared spectroscopy. Phase responses could help to provide an earlier and more reliable diagnosis of a patient's habitual breathing route than a patient interview.

  6. The effects of slow breathing on affective responses to pain stimuli: an experimental study.

    Science.gov (United States)

    Zautra, Alex J; Fasman, Robert; Davis, Mary C; Craig, Arthur D Bud

    2010-04-01

    This study examined whether breathing rate affected self-reported pain and emotion following thermal pain stimuli in women with fibromyalgia syndrome (FM: n=27) or age-matched healthy control women (HC: n=25). FM and HC were exposed to low and moderate thermal pain pulses during paced breathing at their normal rate and one-half their normal rate. Thermal pain pulses were presented in four blocks of four trials. Each block included exposure to both mild and moderate pain trials, and periods of both normal and slow paced breathing. Pain intensity and unpleasantness were recorded immediately following each pain trial, and positive and negative affect were assessed at the end of each block of trials. Compared to normal breathing, slow breathing reduced ratings of pain intensity and unpleasantness, particularly for moderately versus mildly painful thermal stimuli. The effects of slow breathing on pain ratings were less reliable for FM patients than for HCs. Slow versus normal breathing decreased negative affect ratings following thermal pain pulses for both groups, and increased positive affect reports, but only for healthy controls with high trait negative affect. Participants who reported higher levels of trait positive affect prior to the experiment showed greater decreases in negative affect as a result of slow versus normal breathing. These experimental findings provide support for prior reports on the benefits of yogic breathing and mindful Zen meditation for pain and depressed affect. However, chronic pain patients may require more guidance to obtain therapeutic benefit from reduced breathing rates.

  7. Breast Self-Examination and the Older Woman: Field Testing an Educational Approach.

    Science.gov (United States)

    Baker, Judith A.

    1989-01-01

    Compared effectiveness of theoretically based educational strategy with standard breast self-examination educational strategy. Found that women in experimental group (N=68) were significantly more likely to perform breast self-examination appropriately three months following instruction than were women in standard treatment group (N=66) after…

  8. Standardization of exhaled breath condensate (EBC) collection using a feedback regulated breathing pattern

    Science.gov (United States)

    Collection of exhaled breath condensate (EBC) fluid by cooling of expired breath is a potentially valuable approach for the detection of biomarkers associated with disease or exposure to xenobiotics. EBC is generally collected using unregulated breathing patterns, perceived to el...

  9. Experiments on the Microenvironment and Breathing of a Person in Isothermal and Stratified Surroundings

    DEFF Research Database (Denmark)

    Nielsen, Peter V.; Jensen, Rasmus Lund; Litewnicki, Michal;

    2009-01-01

    This study investigates the characteristics of human exhalation. Experiments are performed on a breathing thermal manikin in a test room. The manikin is heated, and an artificial lung is used to generate varying air flows with specific flow rates and temperatures for breathing. Smoke visualisation...... is used to show the formation, movement and disappearance of the exhalation jets from both nose and mouth. The exhalation of breathing without ventilation in the room, and with stratified surroundings (displacement ventilation) is analysed....

  10. Postirradiation examination of recycle test elements from the Peach Bottom Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Tiegs, T.N.; Long, E.L. Jr.

    1978-12-01

    The Recycle Test Elements were a series of tests of High-Temperature Gas-Cooled Reactor fuels irradiated in Core 2 of the Peach Bottom Unit 1 Reactor. They tested a wide variety of fissile and fertile fuel types of prime interest when the tests were designed. The fuel types included UO/sub 2/, UC/sub 2/, (2Th,U)O/sub 2/, (4Th,U)O/sub 2/, ThC/sub 2/, and ThO/sub 2/. The mixed thorium--uranium oxides and the pure thorium oxide were tested as Biso-coated particles only, while the others were tested as both Biso- and Triso-coated particles. The Biso coatings on the fissile kernels contained the fission products inadequately but on the fertile kernels they did so acceptably. The results from accelerated and real-time tests on the particle types agreed well.

  11. Time in Computerized Tests: A Multitrait, Multimethod Investigation of General-Knowledge and Mathematical-Reasoning On-Line Examinations.

    Science.gov (United States)

    Rafaeli, Sheizaf; Tractinsky, Noam

    1991-01-01

    Discussion of time-related measures in computerized ability tests focuses on a study of college students that used two intelligence test item types to develop a multitrait, multimethod assessment of response time measures. Convergent and discriminant validation are discussed, correlations between response time and accuracy are examined, and…

  12. Nuclear Technology. Course 32: Nondestructive Examination (NDE) Techniques II. Module 32-4, Operation of Magnetic Particle Test Equipment.

    Science.gov (United States)

    Groseclose, Richard

    This fourth in a series of six modules for a course titled Nondestructive Examination (NDE) Techniques II describes the specific technique variables and options which are available to the test technician, provides instructions for selecting and operating the appropriate test equipment, describes physical criteria for detectable discontinuities,…

  13. Prevalence of the absence of palmaris longus muscle assessed by a new examination test (Hiz-Ediz Test in the population residing in the area of Van, Turkey

    Directory of Open Access Journals (Sweden)

    Metin Erden

    2011-09-01

    Full Text Available Objectives: The primary goal of this trial was to show the compatibility between a new test technique (Hiz-Ediz test for detection of palmaris longus muscle (PLM agenesis, which we recently developed, and the former tests, the Schaeffer and Mishra’s second tests.Materials and methods: One thousand cases were enrolled in this trial. Schaeffer’s test, Mishra’s second test and Hiz-Ediz tests were applied to all cases. Examinations were performed to determine differences between genders and both hands. Consistency between all three tests was investigated.Results: In the Hiz-Ediz test, PLM agenesis was determined in 15.1%. No significant difference was found between the rates of unilateral and bilateral tendon agenesis determined by three tests (p>0.05. When the consistency of the three tests was evaluated using the kappa test, full consistency was determined between Mishra’s second and the Hiz-Ediz test; however, full consistency was not determined between the Schaffer’s and the other two tests. But, no statistical difference was found between the three tests.Conclusion: Our results indicate that the prevalence of PLM agenesis is consistent with the available data. The Hiz-Ediz test can be applied easily and safely to determine and to visualize the PLM agenesis, when compared to the Mishra’s second test and the Schaeffer’s test. J Clin Exp Invest 2011; 2 (3: 254-259.

  14. The "In-Training Examination" of the American Board of Pediatrics: does it test for "new" or "old" information?

    Science.gov (United States)

    Hoffer, F A; Oski, F A

    1979-07-01

    The American Board of Pediatrics In-Training Examination or "Pre-Test" is not in widespread use as a means of evaluating the cognitive knowledge and problem-solving skills of hourse officers. The examination is modeled after the certifying examination of the American Board of Pediatrics. The 1977 Pre-Test was analyzed in an attempt to determine whether awareness of recent medical knowledge was required to pass this examination. The 7th through 10th editions of the Nelson Textbook of Pediatrics were used as a reference source. These editions represent information that is from 5 to at least 20 years of age. Analysis of the 190 items revealed that the correct answer was known for 148 or 78% of the questions at least 20 years ago. These results suggest that the Pre-Test, and presumably the American Board of Pediatrics certifying exam, measures the candidates' knowledge of long-standing core information.

  15. Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults

    OpenAIRE

    Yong, Min-Sik; Lee, Hae-Yong; Lee, Yun-Seob

    2017-01-01

    [Purpose] The present study investigated effects of diaphragm breathing exercise and feedback breathing exercise on respiratory function. [Subjects and Methods] Thirty-one subjects were randomly assigned to two groups; the feedback breathing exercise group and the maneuver-diaphragm exercise group. The feedback breathing exercise group was asked to breathe with feedback breathing device, and the maneuver-diaphragm exercise group was asked to perform diaphragm respiration. Respiratory function...

  16. Post irradiation examination of HANARO nucler mini-element fuel (metallographic and density test)

    Energy Technology Data Exchange (ETDEWEB)

    Yoo, Byung Ok; Hong, K. P.; Park, D. G.; Choo, Y. S.; Baik, S. J.; Kim, K. H.; Kim, H. C.; Jung, Y. H

    2001-05-01

    The post irradiation examination of a HANARO mini-element nuclear fuel, KH96C-004, was done in June 6, 2000. The purpose of this project is to evaluate the in-core performance and reliability of mini-element nuclear fuel for HANARO developed by the project ''The Nuclear Fuel Material Development of Research Reactor''. And, in order to examine the performance of mini-element nuclear fuel in normal output condition, the post irradiation examination of a nuclear fuel bundle composed by 6 mini nuclear fuel rods and 12 dummy fuel rods was performed. Based on these examination results, the safety and reliability of HANARO fuel and the basic data on the design of HANARO nuclear fuel can be ensured and obtained,.

  17. Zertifikat Deutsch als Fremdsprache and the Oral Proficiency Interview: A Comparison of Test Scores and Examinations.

    Science.gov (United States)

    Lalande, John F.; Schweckendiek, Jurgen

    1986-01-01

    Investigates what correlations might exist between an individual's score on the Zertifikat Deutsch als Fremdsprache and on the Oral Proficiency Interview. The tests themselves are briefly described. Results indicate that the two tests appear to correlate well in their evaluation of speaking skills. (SED)

  18. Communicative Language Testing (CLT): Reflections on the "Issues Revisited" from the Perspective of an Examinations Board

    Science.gov (United States)

    Wall, Dianne; Taylor, Cathy

    2014-01-01

    In this article we first summarise the main points raised by Morrow (1979) in the publication that formed the core of the Communicative Language Testing discussions at the original Language Testing Forum (1980). We take into consideration issues raised by the 1980 Forum participants when appropriate. We apply Morrow's ideas and issues…

  19. Computerized training in breast self-examination: a test in a community health center.

    Science.gov (United States)

    Reis, Janet; Trockel, Mickey; King, Tyreasa; Remmert, David

    2004-01-01

    Fifty-eight women recruited from a community health center completed either a brief interactive multimedia training program on breast self-examination using a breast model and computer guided feedback on accuracy of lump detection or read a National Cancer Institute pamphlet on breast self-examination and breast lumps. Women using the computer program as compared to the pamphlet group reported a higher sense of self-efficacy for being able to perform a breast self-examination immediately after their educational session and 1 month later. However, the increase in self-efficacy for the computer group diminished over 4 weeks, underscoring the importance of an environment that reminds and reinforces learning for women about the performance of regular breast self-examination. The increase in sense of self-efficacy to perform breast self-examination with roughly 20 minutes of computer-based training and the partial maintenance of that self-efficacy 30 days later suggests the utility of incorporating short, focused interventions in busy primary healthcare settings.

  20. [Analysis with the Combur-Test--special aspects in forensic trace examination].

    Science.gov (United States)

    Laberke, Patrick J; Hausmann, Roland; Wiprächtiger, Nadine; Briellmann, Thomas; Balitzki, Beate

    2012-01-01

    The Combur Test is a ready-made and easy-to-use pretest for blood. It is based on the oxidation of tetramethylbenzidine (TMB), which is catalysed by haemoglobin and its derivatives. Despite its high sensitivity, there are many known substances which are responsible for false positive and false negative test results. On the basis of experiments of our own, case reports and the pertinent literature special aspects of the application of the Combur Test in the forensic routine case work are discussed.

  1. An Experimental Study of Human Exhalation during Breathing and Coughing in a Mixing Ventilated Room

    DEFF Research Database (Denmark)

    Liu, Li; Lia, Yuguo; Nielsen, Peter V.;

    2009-01-01

    This study investigates the characteristics of human exhalation during breathing and coughing. Experiments employing one breathing thermal manikin are conducted in a full-scale test room with a mixing ventilation system. Two artificial lungs are used to generate discontinuous airflows with specific...... flow rates and temperatures for breathing and coughing, respectively. Smoke visualizations are conducted to show the formation, movement and vanishing of the exhalation jets from nose and mouth separately. The transient velocity distribution generated by breathing and coughing in different places...

  2. Field test of radioactive high efficiency filter and filter exchange techniques of fuel cycle examination facility

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Yong Hwa; Lee, Hyung Kwon; Chun, Young Bum; Park, Dae Gyu; Ahn, Sang Bok; Chu, Yong Sun; Kim, Eun Ka

    1997-12-01

    The development of high efficiency filter was started to protect human beings from the contamination of radioactive particles, toxic gases and bacillus, and its gradual performance increment led to the fabrication of Ultra Low Penetration Air Filter (ULPA) today. The application field of ULPA has been spread not only to the air conditioning of nuclear power facilities, semiconductor industries, life science, optics, medical care and general facilities but also to the core of ultra-precision facilities. Periodic performance test on the filters is essential to extend its life-time through effective maintenance. Especially, the bank test on HEPA filter of nuclear facilities handling radioactive materials is required for environmental safety. Nowadays, the bank test technology has been reached to the utilization of a minimized portable detecting instruments and the evaluation techniques can provide high confidence in the area of particle distribution and leakage test efficiency. (author). 16 refs., 13 tabs., 14 figs.

  3. The examination of the heart rate regulation in healthy people with the stochastic tests methods

    Directory of Open Access Journals (Sweden)

    Aksana Kotava

    2013-09-01

    Full Text Available Background: The determination of relations between the complexity of the cardiovascular system regulation and the com-plexity of the test signal is not a fully solved problem. The elimination of this uncertainty can be done using stochastic test signals and power value which changes are random. Aim of research: To compare the reaction of cardio - vascular system during the deterministic and random loads. Material and methods:In the research,h two types of physical loads were used: the traditional bicycle ergometer test with stepwise increasing load and 3 minutes steps duration and test with a stochastic pseudonormal load values distribution and 30 seconds steps duration. Results: It is established that the average load required to achieve a submaximal heart rate was 509 W for the traditional and 445 W for the stochastic test, respectively. The time of obtained submaximal heart rate during stepwise-increasing load was 7 min., whereas during the stochastic load significantly less - 5min. The results show that the limit of efficiency of the cardio-vascular system during stochastic load test is achieved faster than during deterministic load test. Conclusions: Stress tests using random loads can be useful for the athletes training. Supposedly, the use of stochastic loads must be effective during rehabilitation of patients with cardiovascular diseases, for instance the increasing of the physical load time in each stage can be used in order to reach steady state. Also, the proposed study confirms the perspectives of non-linear and stochastic methods in the diagnosis of the cardiovascular system diseases.

  4. Smart Home Test Bed: Examining How Smart Homes Interact with the Power Grid

    Energy Technology Data Exchange (ETDEWEB)

    2016-11-01

    This fact sheet highlights the Smart Home Test Bed capability at the Energy Systems Integration Facility. The National Renewable Energy Laboratory (NREL) is working on one of the new frontiers of smart home research: finding ways for smart home technologies and systems to enhance grid operations in the presence of distributed, clean energy technologies such as photovoltaics (PV). To help advance this research, NREL has developed a controllable, flexible, and fully integrated Smart Home Test Bed.

  5. Examining item-position effects in large-scale assessment using the Linear Logistic Test Model

    Directory of Open Access Journals (Sweden)

    CHRISTINE HOHENSINN

    2008-09-01

    Full Text Available When administering large-scale assessments, item-position effects are of particular importance because the applied test designs very often contain several test booklets with the same items presented at different test positions. Establishing such position effects would be most critical; it would mean that the estimated item parameters do not depend exclusively on the items’ difficulties due to content but also on their presentation positions. As a consequence, item calibration would be biased. By means of the linear logistic test model (LLTM, item-position effects can be tested. In this paper, the results of a simulation study demonstrating how LLTM is indeed able to detect certain position effects in the framework of a large-scale assessment are presented first. Second, empirical item-position effects of a specific large-scale competence assessment in mathematics (4th grade students are analyzed using the LLTM. The results indicate that a small fatigue effect seems to take place. The most important consequence of the given paper is that it is advisable to try pertinent simulation studies before an analysis of empirical data takes place; the reason is, that for the given example, the suggested Likelihood-Ratio test neither holds the nominal type-I-risk, nor qualifies as “robust”, and furthermore occasionally shows very low power.

  6. Sleep-disordered breathing and mortality: a prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Naresh M Punjabi

    2009-08-01

    Full Text Available BACKGROUND: Sleep-disordered breathing is a common condition associated with adverse health outcomes including hypertension and cardiovascular disease. The overall objective of this study was to determine whether sleep-disordered breathing and its sequelae of intermittent hypoxemia and recurrent arousals are associated with mortality in a community sample of adults aged 40 years or older. METHODS AND FINDINGS: We prospectively examined whether sleep-disordered breathing was associated with an increased risk of death from any cause in 6,441 men and women participating in the Sleep Heart Health Study. Sleep-disordered breathing was assessed with the apnea-hypopnea index (AHI based on an in-home polysomnogram. Survival analysis and proportional hazards regression models were used to calculate hazard ratios for mortality after adjusting for age, sex, race, smoking status, body mass index, and prevalent medical conditions. The average follow-up period for the cohort was 8.2 y during which 1,047 participants (587 men and 460 women died. Compared to those without sleep-disordered breathing (AHI: or=30.0 events/h sleep-disordered breathing were 0.93 (95% CI: 0.80-1.08, 1.17 (95% CI: 0.97-1.42, and 1.46 (95% CI: 1.14-1.86, respectively. Stratified analyses by sex and age showed that the increased risk of death associated with severe sleep-disordered breathing was statistically significant in men aged 40-70 y (hazard ratio: 2.09; 95% CI: 1.31-3.33. Measures of sleep-related intermittent hypoxemia, but not sleep fragmentation, were independently associated with all-cause mortality. Coronary artery disease-related mortality associated with sleep-disordered breathing showed a pattern of association similar to all-cause mortality. CONCLUSIONS: Sleep-disordered breathing is associated with all-cause mortality and specifically that due to coronary artery disease, particularly in men aged 40-70 y with severe sleep-disordered breathing. Please see later in the

  7. Diagnosis of Helicobacter pylori infection; Culture, microscopy of biopsy smears, and the rapid urease test compared with the sup 14 C-urea breath test. Diagnostikk av Helicobacter pylori-infeksjon; Urease hurtigtest, mikroskopi av utstryk, og dyrking av ventrikkelbiopsi sammenlignet med sup 14 C-urea-pusteproeven

    Energy Technology Data Exchange (ETDEWEB)

    Nysaeter, G.; Berstad, K.; Weberg, R.; Berstad, A.; Hardardottir, H. (Haukeland Hospital, Bergen (Norway))

    1992-08-01

    By employing the {sup 14}C-urea breath test as the reference methods the authors determined the specificity and sensitivity of three bioptic methods for diagnosis of Helicobacter pylori infection in 103 subjects. All biopsy specimens were obtained from the gastric antrum. For culture the specificity was 100%. Its applicability was reduced, however, by a low sensitivity (73.8%) and a delay of several days before the final result was available. Microscopy of Loeffler-stained biopsy smears yielded a specificity of 100% and a sensitivity of 92.9%, but the method was regarded time-consuming. The rapid urease test yielded a specificity of 98.4% and a sensitivity of 85.7%. Being quick, simple and inexpensive, the rapid urease test is well suited for routine use in gastroscopy. 17 refs., 4 tabs.

  8. Examining the Effect of Computer-Based Passage Presentation on Reading Test Performance

    Science.gov (United States)

    Higgins, Jennifer; Russell, Michael; Hoffmann, Thomas

    2005-01-01

    To examine the impact of transitioning 4th grade reading comprehension assessments to the computer, 219 fourth graders were randomly assigned to take a one-hour reading comprehension assessment on paper, on a computer using scrolling text to navigate through passages, or on a computer using paging text to navigate through passages. This study…

  9. 30 CFR 77.800-1 - Testing, examination, and maintenance of circuit breakers; procedures.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; procedures. 77.800-1 Section 77.800-1 Mineral Resources MINE SAFETY AND HEALTH..., examination, and maintenance of circuit breakers; procedures. (a) Circuit breakers and their auxiliary devices... circuit breaker and its auxiliary devices, and such repairs or adjustments as are indicated by such...

  10. System of Optoelectronic Sensors for Breath Analysis

    Directory of Open Access Journals (Sweden)

    Mikołajczyk Janusz

    2016-09-01

    Full Text Available The paper describes an integrated laser absorption system as a potential tool for breath analysis for clinical diagnostics, online therapy monitoring and metabolic disorder control. The sensors operate basing on cavity enhanced spectroscopy and multi-pass spectroscopy supported by wavelength modulation spectroscopy. The aspects concerning selection of operational spectral range and minimization of interference are also discussed. Tests results of the constructed devices collected with reference samples of biomarkers are also presented. The obtained data provide an opportunity to analyse applicability of optoelectronic sensors in medical screening.

  11. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects

    Directory of Open Access Journals (Sweden)

    Karina M. Cancelliero-Gaiad

    2014-08-01

    Full Text Available BACKGROUND: Diaphragmatic breathing (DB is widely used in pulmonary rehabilitation (PR of patients with chronic obstructive pulmonary disease (COPD, however it has been little studied in the scientific literature. The Pilates breathing (PB method has also been used in the rehabilitation area and has been little studied in the scientific literature and in COPD. OBJECTIVES: To compare ventilatory parameters during DB and PB in COPD patients and healthy adults. METHOD: Fifteen COPD patients (COPD group and fifteen healthy patients (healthy group performed three types of respiration: natural breathing (NB, DB, and PB, with the respiratory pattern being analyzed by respiratory inductive plethysmography. The parameters of time, volume, and thoracoabdominal coordination were evaluated. After the Shapiro-Wilk normality test, ANOVA was applied followed by Tukey's test (intragroup analysis and Student's t-test (intergroup analysis; p<0.05. RESULTS: DB promoted increase in respiratory volumes, times, and SpO2 as well as decrease in respiratory rate in both groups. PB increased respiratory volumes in healthy group, with no additional benefits of respiratory pattern in the COPD group. With respect to thoracoabdominal coordination, both groups presented higher asynchrony during DB, with a greater increase in the healthy group. CONCLUSIONS: DB showed positive effects such as increase in lung volumes, respiratory motion, and SpO2 and reduction in respiratory rate. Although there were no changes in volume and time measurements during PB in COPD, this breathing pattern increased volumes in the healthy subjects and increased oxygenation in both groups. In this context, the acute benefits of DB are emphasized as a supporting treatment in respiratory rehabilitation programs.

  12. Electromagnetic inductance plethysmography is well suited to measure tidal breathing in infants

    Science.gov (United States)

    Eriksen, Morten; Olsen, Merete S.; Markestad, Trond; Halvorsen, Thomas

    2016-01-01

    Reliable, accurate and noninvasive methods for measuring lung function in infants are desirable. Electromagnetic inductance plethysmography has been used to perform infant spirometry and VoluSense Pediatrics (VSP) (VoluSense, Bergen, Norway) represents an updated version of this technique. We aimed to examine its accuracy compared to a validated system measuring airflow via a facemask using an ultrasonic flowmeter. We tested 30 infants with postmenstrual ages between 36 to 43 weeks and weights from 2.3 to 4.8 kg, applying both methods simultaneously and applying VSP alone. Agreement between the methods was calculated using Bland–Altman analyses and we also estimated the effect of applying the mask. Mean differences for all breathing parameters were within ±5.5% and limits of agreement between the two methods were acceptable, except perhaps for peak tidal expiratory flow (PTEF). Application of the facemask significantly increased tidal volume, minute ventilation, PTEF, the ratio of inspiratory to expiratory time and the ratio of expiratory flow at 50% of expired volume to PTEF. VSP accurately measured tidal breathing parameters and seems well suited for tidal breathing measurements in infants under treatment with equipment that precludes the use of a facemask. PMID:28053968

  13. Taking a deep breath

    Directory of Open Access Journals (Sweden)

    Carlos Renato Zacharias

    2012-12-01

    be paid to language revision and reference citation. Together with its authors and readers, IJHDR contributes to the development of a kind of knowledge close to the borders of science. Therefore, to establish a valid scientific background, the articles must be clearly written, and based on sound assumptions. High-visibility for articles is a fundamental aspect desired by all authors. As an open and free access journal, IJHDR meets that condition, and we are planning to make our influence and visibility even wider. Inclusion in the major databases has paramount importance in the academic milieu, however, it should be considered as a consequence, rather than a goal. In 2013, IJHDR will chair a collaborative project with several research institutions aiming to deliver information everywhere, increasing the visibility of the published articles. Thus, now it is the time to take a deep breath, relax, and prepare you for the forthcoming work! See you in 2013!

  14. A critical examination of the USMLE II: does a study month improve test performance?

    Science.gov (United States)

    Compton; Henderson; Schwartz; Wyte

    2000-10-01

    Students often are encouraged to elect a study month prior to taking the USMLE II. OBJECTIVE: To determine if a study month prior to the September USMLE II improves student test performance. METHODS: Student clerkship sequence was prospectively recorded for each senior at a large midwestern medical school during the 1998-99 academic year, and USMLE I and II scores were obtained. USMLE II scores were compared between students who elected a study month prior to the September testing date versus those who elected clerkships, while controlling for USMLE I test scores using multiple linear regression. RESULTS: Complete data were obtained for 167 senior year medical students. 124 (74.3%) students took the September USMLE II after electing a study month, and 43 (25.7%) students took the September USMLE II after electing clerkships. The mean score for those who elected a study month before the USMLE II test was higher than those electing clerkships (210.56 +/- 17.12 vs 208.65 +/- 20.83). However, after controlling for USMLE I scores (r(2) = 0.53; p USMLE II was not associated with an increase in student performance (r(2) USMLE II test performance, and suggest that rotations may be equally beneficial.

  15. Increased Prevalence of Sleep-Disordered Breathing in Adults

    Science.gov (United States)

    Peppard, Paul E.; Young, Terry; Barnet, Jodi H.; Palta, Mari; Hagen, Erika W.; Hla, Khin Mae

    2013-01-01

    Sleep-disordered breathing is a common disorder with a range of harmful sequelae. Obesity is a strong causal factor for sleep-disordered breathing, and because of the ongoing obesity epidemic, previous estimates of sleep-disordered breathing prevalence require updating. We estimated the prevalence of sleep-disordered breathing in the United States for the periods of 1988–1994 and 2007–2010 using data from the Wisconsin Sleep Cohort Study, an ongoing community-based study that was established in 1988 with participants randomly selected from an employed population of Wisconsin adults. A total of 1,520 participants who were 30–70 years of age had baseline polysomnography studies to assess the presence of sleep-disordered breathing. Participants were invited for repeat studies at 4-year intervals. The prevalence of sleep-disordered breathing was modeled as a function of age, sex, and body mass index, and estimates were extrapolated to US body mass index distributions estimated using data from the National Health and Nutrition Examination Survey. The current prevalence estimates of moderate to severe sleep-disordered breathing (apnea-hypopnea index, measured as events/hour, ≥15) are 10% (95% confidence interval (CI): 7, 12) among 30–49-year-old men; 17% (95% CI: 15, 21) among 50–70-year-old men; 3% (95% CI: 2, 4) among 30–49-year-old women; and 9% (95% CI: 7, 11) among 50–70 year-old women. These estimated prevalence rates represent substantial increases over the last 2 decades (relative increases of between 14% and 55% depending on the subgroup). PMID:23589584

  16. Distributed Leadership and High-Stakes Testing: Examining the Relationship between Distributed Leadership and LEAP Scores

    Science.gov (United States)

    Boudreaux, Wilbert

    2011-01-01

    Educational stakeholders are aware that school administration has become an incredibly intricate dynamic that is too complex for principals to handle alone. Test-driven accountability has made the already daunting task of school administration even more challenging. Distributed leadership presents an opportunity to explore increased leadership…

  17. HIV testing during the Canadian immigration medical examination: a national survey of designated medical practitioners.

    Science.gov (United States)

    Tran, Jennifer M; Li, Alan; Owino, Maureen; English, Ken; Mascarenhas, Lyndon; Tan, Darrell H S

    2014-01-01

    HIV testing is mandatory for individuals wishing to immigrate to Canada. Since the Designated Medical Practitioners (DMPs) who perform these tests may have varying experience in HIV and time constraints in their clinical practices, there may be variability in the quality of pre- and posttest counseling provided. We surveyed DMPs regarding HIV testing, counseling, and immigration inadmissibility. A 16-item survey was mailed to all DMPs across Canada (N = 203). The survey inquired about DMP characteristics, knowledge of HIV, attitudes and practices regarding inadmissibility and counseling, and interest in continuing medical education. There were a total of 83 respondents (41%). Participants frequently rated their knowledge of HIV diagnostics, cultural competency, and HIV/AIDS service organizations as "fair" (40%, 43%, and 44%, respectively). About 25%, 46%, and 11% of the respondents agreed/strongly agreed with the statements "HIV infected individuals pose a danger to public health and safety," "HIV-positive immigrants cause excessive demand on the healthcare system," and "HIV seropositivity is a reasonable ground for denial into Canada," respectively. Language was cited as a barrier to counseling, which focused on transmission risks (46% discussed this as "always" or "often") more than coping and social support (37%). There was a high level of interest (47%) in continuing medical education in this area. There are areas for improvement regarding DMPs' knowledge, attitudes, and practices about HIV infection, counseling, and immigration criteria. Continuing medical education and support for DMPs to facilitate practice changes could benefit newcomers who test positive through the immigration process.

  18. Validation of the Danish Addenbrooke's Cognitive Examination as a screening test in a memory clinic

    DEFF Research Database (Denmark)

    Stokholm, Jette; Vogel, Asmus; Johannsen, Peter

    2009-01-01

    of this study was to evaluate the Danish version of ACE as a screening test for early dementia in an outpatient memory clinic. Further, we wanted to investigate the ability of the ACE to discriminate patients with early Alzheimer's disease (AD) from patients with depression. METHOD: 78 patients with mild AD...

  19. 30 CFR 75.900-3 - Testing, examination, and maintenance of circuit breakers; procedures.

    Science.gov (United States)

    2010-07-01

    ... circuit breakers; procedures. 75.900-3 Section 75.900-3 Mineral Resources MINE SAFETY AND HEALTH... maintenance of circuit breakers; procedures. Circuit breakers protecting low- and medium-voltage alternating... such tests, actuating any of the circuit breaker auxiliaries or control circuits in any manner...

  20. Testing for viral penetration of non-latex surgical and examination gloves: a comparison of three methods.

    Science.gov (United States)

    O'Connell, K P; El-Masri, M; Broyles, J B; Korniewicz, D M

    2004-04-01

    Currently, there are no international standards based on microbiological methodology for testing the ability of medical examination or surgical gloves to prevent the passage of viruses. Three protocols for the direct examination of the viral barrier properties of non-latex gloves were compared with 1080 gloves (270 gloves from each of two surgical brands and two medical examination brands). In two of the methods, gloves were filled with and suspended in a nutrient broth solution, and bacteriophage phiX174 was placed either inside or outside the glove, while the entire test vessel was agitated. Gloves tested using the third method were filled with a suspension of bacteriophage and allowed to rest in a vessel containing nutrient broth. Gloves were tested directly from the manufacturer's packaging, or after being punctured intentionally or subjected to a stress protocol. The passage of bacteriophage was detected with plaque assays. Significant differences in failure rates between glove brands were apparent only among gloves that had been subjected to the stress protocol. Overall, the two methods in which bacteriophage were placed inside the gloves provided more sensitivity than the method in which bacteriophage was spiked into broth outside the gloves. Thus the placement of bacteriophage inside test gloves (or the use of pressure across the glove barrier during testing), and the use of a standardised stress protocol, will improve significantly the ability of a glove test protocol to determine the relative quality of the barrier offered by medical examination and surgical gloves. Further research is needed to provide test methods that can incorporate reproducibly both the use of bacteriophage and simulated glove use in an industrial quality control setting.

  1. An efficient and reproducible method for measuring hydrogen peroxide in exhaled breath condensate.

    NARCIS (Netherlands)

    Beurden, W.J.C van; Harff, G.A.; Dekhuijzen, P.N.R.; Bosch, M.J. van den; Creemers, J.P.H.M.; Smeenk, F.J.M.W.

    2002-01-01

    We investigated the sensitivity and reproducibility of a test procedure for measuring hydrogen peroxide (H202) in exhaled breath condensate and the effect of storage of the condensate on the H2O2 concentration, and compared the results to previous studies.Twenty stable COPD patients breathed into ou

  2. Imposed work of breathing during high-frequency oscillatory ventilation : a bench study

    NARCIS (Netherlands)

    van Heerde, Marc; van Genderingen, Huib R.; Leenhoven, Tom; Roubik, Karel; Ploetz, Frans B.; Markhorst, Dick G.

    2006-01-01

    Introduction The ventilator and the endotracheal tube impose additional workload in mechanically ventilated patients breathing spontaneously. The total work of breathing (WOB) includes elastic and resistive work. In a bench test we assessed the imposed WOB using 3100 A/3100 B SensorMedics high-frequ

  3. Bacterial contamination of anesthesia machines’ internal breathing-circuit-systems

    Science.gov (United States)

    Spertini, Verena; Borsoi, Livia; Berger, Jutta; Blacky, Alexander; Dieb-Elschahawi, Magda; Assadian, Ojan

    2011-01-01

    Background: Bacterial contamination of anesthesia breathing machines and their potential hazard for pulmonary infection and cross-infection among anesthetized patients has been an infection control issue since the 1950s. Disposable equipment and bacterial filters have been introduced to minimize this risk. However, the machines’ internal breathing-circuit-system has been considered to be free of micro-organisms without providing adequate data supporting this view. The aim of the study was to investigate if any micro-organisms can be yielded from used internal machines’ breathing-circuit-system. Based on such results objective reprocessing intervals could be defined. Methods: The internal parts of 40 anesthesia machines’ breathing-circuit-system were investigated. Chi-square test and logistic regression analysis were performed. An on-site process observation of the re-processing sequence was conducted. Results: Bacterial growth was found in 17 of 40 machines (43%). No significant difference was ascertained between the contamination and the processing intervals. The most common contaminants retrieved were coagulase negative Staphylococci, aerobe spore forming bacteria and Micrococcus species. In one breathing-circuit-system, Escherichia coli, and in one further Staphylococcus aureus were yielded. Conclusion: Considering the availability of bacterial filters installed on the outlet of the breathing-circuit-systems, the type of bacteria retrieved and the on-site process observation, we conclude that the contamination found is best explained by a lack of adherence to hygienic measures during and after re-processing of the internal breathing-circuit-system. These results support an extension of the re-processing interval of the anesthesia apparatus longer than the manufacturer’s recommendation of one week. However, the importance of adherence to standard hygienic measures during re-processing needs to be emphasized. PMID:22242095

  4. Examination of thermally polluted water for free living amoebae and testing for their possible pathogenic properties

    Energy Technology Data Exchange (ETDEWEB)

    Janitschke, K.; Lichy, S.; Westphal, C.

    1982-05-01

    Water and mud samples were collected from canals and rivers which were adjacent to outlets discharging warm water of 3 power plants in Berlin. Downstream samples from 1 bathing resort were also collected. Free living amoebae were isolated from 138 water and 69 mud samples. From these respectively 156 and 73 strains could be cultured and were administered intranasally to mice for pathogenicity tests. Two Acanthamoeba strains from water and 7 from mud could be reisolated from mouse brain and or lungs, although no pathological disorders could be observed. Five Naegleria strains were negative in mouse inoculation tests. Four Acanthamoeba strains which were positive in mice were cultured at + 45 degrees C; no cytopathogenic effects were observed in tissue cultures. Acanthamoeba infective for mice could also be isolated from samples at low water temperatures. Further investigations have to show, whether changes in virulence of amoebic strains are of significance and therefore for epidemiology and pathogenicity in man.

  5. Analysis on the Validity of the English Test Paper of College Entrance Examination

    Institute of Scientific and Technical Information of China (English)

    于宝宽

    2010-01-01

    Based on the advanced theories of foreign experts and some specific examples of domestic testing paper and through the analysis of the advantages and disadvantages and washback effect of multiple-choice questions,the author concludes that the negative side of the multiple-choice question outweighs the positive side and it produces a extreme negative washback on English teaching and learning,and it is of low validity.

  6. Submicrometer tomographic resolution examined using a micro-fabricated test object

    OpenAIRE

    Mizutani, Ryuta; Takeuchi, Akihisa; Osamura, R. Yoshiyuki; Takekoshi, Susumu; Uesugi, Kentaro; Suzuki, Yoshio

    2016-01-01

    To estimate the spatial resolution of microtomographs, a test object on the submicrometer scale was prepared by focused ion beam milling and subjected to microtomographic analysis. Since human tissues are composed of cells and extracellular matrices with micrometer and submicrometer structures, it is important to investigate the three-dimensional spatial resolution of microtomographs used to visualize microstructures of human tissues. The resolutions along the direction within the tomographic...

  7. Submarines, Spacecraft, and Exhaled Breath

    Science.gov (United States)

    The International Association of Breath Research (IABR) meetings are an eclectic gathering of researchers in the medical, environmental and instrumentation fields; our focus is on human health as assessed by the measurement and interpretation of trace chemicals in human exhaled b...

  8. Quantum spin liquid in a breathing kagome lattice

    Science.gov (United States)

    Schaffer, Robert; Huh, Yejin; Hwang, Kyusung; Kim, Yong Baek

    2017-02-01

    Motivated by recent experiments on the vanadium oxyfluoride material DQVOF, we examine possible spin liquid phases on a breathing kagome lattice of S =1 /2 spins. By performing a projective symmetry group analysis, we determine the possible phases for both fermionic and bosonic Z2 spin liquids on this lattice, and establish the correspondence between the two. The nature of the ground state of the Heisenberg model on the isotropic kagome lattice is a hotly debated topic, with both Z2 and U(1) spin liquids argued to be plausible ground states. Using variational Monte Carlo techniques, we show that a gapped Z2 spin liquid emerges as the clear ground state in the presence of this breathing anisotropy. Our results suggest that the breathing anisotropy helps to stabilize this spin liquid ground state, which may aid us in understanding the results of experiments and help to direct future numerical studies on these systems.

  9. Testicular Self-Examination: A Test of the Health Belief Model and the Theory of Planned Behaviour

    Science.gov (United States)

    McClenahan, Carol; Shevlin, Mark; Adamson, Gary; Bennett, Cara; O'Neill, Brenda

    2007-01-01

    The aim of this study was to test the utility and efficiency of the theory of planned behaviour (TPB) and the health belief model (HBM) in predicting testicular self-examination (TSE) behaviour. A questionnaire was administered to an opportunistic sample of 195 undergraduates aged 18-39 years. Structural equation modelling indicated that, on the…

  10. Predicting Pre-Service Classroom Teachers' Civil Servant Recruitment Examination's Educational Sciences Test Scores Using Artificial Neural Networks

    Science.gov (United States)

    Demir, Metin

    2015-01-01

    This study predicts the number of correct answers given by pre-service classroom teachers in Civil Servant Recruitment Examination's (CSRE) educational sciences test based on their high school grade point averages, university entrance scores, and grades (mid-term and final exams) from their undergraduate educational courses. This study was…

  11. An Examination of Rater Performance on a Local Oral English Proficiency Test: A Mixed-Methods Approach

    Science.gov (United States)

    Yan, Xun

    2014-01-01

    This paper reports on a mixed-methods approach to evaluate rater performance on a local oral English proficiency test. Three types of reliability estimates were reported to examine rater performance from different perspectives. Quantitative results were also triangulated with qualitative rater comments to arrive at a more representative picture of…

  12. The Efficacy of ATI Predictive Testing and Remediation on National Certification and Licensure Examination-Registered Nurse Pass Rates

    Science.gov (United States)

    Winter, Alexandra Selman

    2013-01-01

    This project study sought to evaluate the effects of implementing quarterly predictive testing and remediation on National Certification and Licensure Examination-Registered Nurse (NCLEX-RN) pass rates of an associate's degree nursing program at a small Midwestern community college. The college's pass rate on the NCLEX-RN has been below both the…

  13. Probabilistic Approaches to Examining Linguistic Features of Test Items and Their Effect on the Performance of English Language Learners

    Science.gov (United States)

    Solano-Flores, Guillermo

    2014-01-01

    This article addresses validity and fairness in the testing of English language learners (ELLs)--students in the United States who are developing English as a second language. It discusses limitations of current approaches to examining the linguistic features of items and their effect on the performance of ELL students. The article submits that…

  14. Examining the Stability of the 7-Item Social Physique Anxiety Scale Using a Test-Retest Method

    Science.gov (United States)

    Scott, Lisa A.; Burke, Kevin L.; Joyner, A. Barry; Brand, Jennifer S.

    2004-01-01

    This study examined the stability of the 7-item Social Physique Anxiety Scale (SPAS-7) using a test-retest method. Collegiate, undergraduate (N = 201) students completed two administrations of the SPAS-7, with a 14-day separation between the administrations. The scale was administered either at the beginning or end of the physical activity class.…

  15. Breath-holding and its breakpoint.

    Science.gov (United States)

    Parkes, M J

    2006-01-01

    This article reviews the basic properties of breath-holding in humans and the possible causes of the breath at breakpoint. The simplest objective measure of breath-holding is its duration, but even this is highly variable. Breath-holding is a voluntary act, but normal subjects appear unable to breath-hold to unconsciousness. A powerful involuntary mechanism normally overrides voluntary breath-holding and causes the breath that defines the breakpoint. The occurrence of the breakpoint breath does not appear to be caused solely by a mechanism involving lung or chest shrinkage, partial pressures of blood gases or the carotid arterial chemoreceptors. This is despite the well-known properties of breath-hold duration being prolonged by large lung inflations, hyperoxia and hypocapnia and being shortened by the converse manoeuvres and by increased metabolic rate. Breath-holding has, however, two much less well-known but important properties. First, the central respiratory rhythm appears to continue throughout breath-holding. Humans cannot therefore stop their central respiratory rhythm voluntarily. Instead, they merely suppress expression of their central respiratory rhythm and voluntarily 'hold' the chest at a chosen volume, possibly assisted by some tonic diaphragm activity. Second, breath-hold duration is prolonged by bilateral paralysis of the phrenic or vagus nerves. Possibly the contribution to the breakpoint from stimulation of diaphragm muscle chemoreceptors is greater than has previously been considered. At present there is no simple explanation for the breakpoint that encompasses all these properties.

  16. 口臭患者14C呼气试验检测的结果分析%Analysis of 14C-Urea Breath Test in Patients with Halitosis

    Institute of Scientific and Technical Information of China (English)

    陈建中; 张旭峰; 张斌; 李黎; 童妙春; 陈驰

    2012-01-01

    Objective To explore the relationship between halitosis and the infection of helicobacter pylori (HP). Methods The results of l4C-urea breath test of 59 normal people, 50 patients with halitosis only and 56 patients infected by both halitosis and digestive diseases were analyzed. Results It showed that the 14C content and HP positive rate in group infected by both halitosis and digestive diseases were much higher than that of halitosis only group and normal people group (P <0.05). Conclusion The infection of Helicobacter pylori is an important factor but not only factor of halitosis.%目的 探讨口臭与幽门螺旋杆菌及其它因素的关系.方法 对59名正常组、50例单纯口臭组患者、56例口臭伴消化道疾病组患者14C 呼气试验的结果进行分析.结果 分析结果表明,口臭伴消化道疾病组14C呼气试验含量明显高于单纯口臭组和正常组(P<0.05),阳性率也明显高于单纯口臭组和正常组(P<0.05).结论 幽门螺旋杆菌感染是口臭的重要原因,但不是唯一原因.

  17. Analysis of human breath with micro extraction techniques and continuous monitoring of carbon dioxide concentration.

    Science.gov (United States)

    Ma, Wei; Liu, Xinyu; Pawliszyn, Janusz

    2006-08-01

    The detection of volatile organic compounds (VOCs) in human breath can be useful for the clinical routine diagnosis of several diseases in a non-invasive manner. Traditional methods of breath analysis have some major technical problems and limitations. Membrane extraction with a sorbent interface (MESI), however, has many advantages over current methods, including good selectivity and sensitivity, and is well suited for breath analysis. The aim of this project was to develop a simple and reproducible sampling device and method based on the MESI system for breath analysis. The feasibility and validity of the MESI system was tested with real human breath samples. Internal standard calibration methods were used for the quantitative analysis of various breath samples. Calibration curves for some main components (target analytes such as acetone and pentane) were determined in the research. The optimized stripping-side and feeding-side gas velocities were determined. The use of breath CO2 as an internal standard for the analysis of breath VOCs is an effective method to solve the difficulties associated with variations in the target analyte concentrations in a sample, which are attributed to mass losses and different breathing patterns of different subjects. In this study, the concentration of breath acetone was successfully expressed normalized to CO2 as in the alveolar air. Breath acetone of healthy males and females profiled at different times of the day was plotted using the MESI system, and results were consistent with the literature. This technique can be used for monitoring breath acetone concentrations of diabetic patients and for applications with other biomarker monitoring.

  18. Changes in breathing while listening to read speech: the effect of reader and speech mode.

    Science.gov (United States)

    Rochet-Capellan, Amélie; Fuchs, Susanne

    2013-01-01

    The current paper extends previous work on breathing during speech perception and provides supplementary material regarding the hypothesis that adaptation of breathing during perception "could be a basis for understanding and imitating actions performed by other people" (Paccalin and Jeannerod, 2000). The experiments were designed to test how the differences in reader breathing due to speaker-specific characteristics, or differences induced by changes in loudness level or speech rate influence the listener breathing. Two readers (a male and a female) were pre-recorded while reading short texts with normal and then loud speech (both readers) or slow speech (female only). These recordings were then played back to 48 female listeners. The movements of the rib cage and abdomen were analyzed for both the readers and the listeners. Breathing profiles were characterized by the movement expansion due to inhalation and the duration of the breathing cycle. We found that both loudness and speech rate affected each reader's breathing in different ways. Listener breathing was different when listening to the male or the female reader and to the different speech modes. However, differences in listener breathing were not systematically in the same direction as reader differences. The breathing of listeners was strongly sensitive to the order of presentation of speech mode and displayed some adaptation in the time course of the experiment in some conditions. In contrast to specific alignments of breathing previously observed in face-to-face dialog, no clear evidence for a listener-reader alignment in breathing was found in this purely auditory speech perception task. The results and methods are relevant to the question of the involvement of physiological adaptations in speech perception and to the basic mechanisms of listener-speaker coupling.

  19. Neural mechanisms underlying breathing complexity.

    Directory of Open Access Journals (Sweden)

    Agathe Hess

    Full Text Available Breathing is maintained and controlled by a network of automatic neurons in the brainstem that generate respiratory rhythm and receive regulatory inputs. Breathing complexity therefore arises from respiratory central pattern generators modulated by peripheral and supra-spinal inputs. Very little is known on the brainstem neural substrates underlying breathing complexity in humans. We used both experimental and theoretical approaches to decipher these mechanisms in healthy humans and patients with chronic obstructive pulmonary disease (COPD. COPD is the most frequent chronic lung disease in the general population mainly due to tobacco smoke. In patients, airflow obstruction associated with hyperinflation and respiratory muscles weakness are key factors contributing to load-capacity imbalance and hence increased respiratory drive. Unexpectedly, we found that the patients breathed with a higher level of complexity during inspiration and expiration than controls. Using functional magnetic resonance imaging (fMRI, we scanned the brain of the participants to analyze the activity of two small regions involved in respiratory rhythmogenesis, the rostral ventro-lateral (VL medulla (pre-Bötzinger complex and the caudal VL pons (parafacial group. fMRI revealed in controls higher activity of the VL medulla suggesting active inspiration, while in patients higher activity of the VL pons suggesting active expiration. COPD patients reactivate the parafacial to sustain ventilation. These findings may be involved in the onset of respiratory failure when the neural network becomes overwhelmed by respiratory overload We show that central neural activity correlates with airflow complexity in healthy subjects and COPD patients, at rest and during inspiratory loading. We finally used a theoretical approach of respiratory rhythmogenesis that reproduces the kernel activity of neurons involved in the automatic breathing. The model reveals how a chaotic activity in

  20. Twins eye study in Tasmania (TEST): rationale and methodology to recruit and examine twins.

    Science.gov (United States)

    Mackey, David A; Mackinnon, Jane R; Brown, Shayne A; Kearns, Lisa S; Ruddle, Jonathan B; Sanfilippo, Paul G; Sun, Cong; Hammond, Christopher J; Young, Terri L; Martin, Nicholas G; Hewitt, Alex W

    2009-10-01

    Visual impairment is a leading cause of morbidity and poor quality of life in our community. Unravelling the mechanisms underpinning important blinding diseases could allow preventative or curative steps to be implemented. Twin siblings provide a unique opportunity in biology to discover genes associated with numerous eye diseases and ocular biometry. Twins are particularly useful for quantitative trait analysis through genome-wide association and linkage studies. Although many studies involving twins rely on twin registries, we present our approach to the Twins Eye Study in Tasmania to provide insight into possible recruitment strategies, expected participation rates and potential examination strategies that can be considered by other researchers for similar studies. Five separate avenues for cohort recruitment were adopted: (1) piggy-backing existing studies where twins had been recruited, (2) utilizing the national twin registry, (3) word-of-mouth and local media publicity, (4) directly approaching schools, and finally (5) collaborating with other research groups studying twins.

  1. MICROSTRUCTURAL EXAMINATION AND DEUTERIUM PERMEATION TESTING OF ADVANCED COATINGS FOR TRITIUM SERVICE

    Energy Technology Data Exchange (ETDEWEB)

    Korinko, P.

    2004-01-24

    A plant directed research and development task to develop and study new, improved, and low cost tritium permeation barriers was initiated in FY02. The project was intended to determine the permeation rate and permeation reduction factor of substrate materials and coated materials. The samples were characterized for microstructural and microchemical consistency. Permeation tests were also run. The sample geometry and sample sealing method selected for the coatings posed significant schedule and technical challenges. Diffusivity were consistent with published values but permeation data exhibited an unexpected sample to sample variation. The effort has lead to an improved sample design that will be used to support a Process Development task.

  2. Effect of Level and Downhill Running on Breathing Efficiency

    Directory of Open Access Journals (Sweden)

    Matthew D. Cook

    2015-01-01

    Full Text Available Ventilatory equivalents for oxygen and carbon dioxide are physiological measures of breathing efficiency, and are known to be affected by the intensity and mode of exercise. We examined the effect of level running (gradient 0% and muscle-damaging downhill running (−12%, matched for oxygen uptake, on the ventilatory equivalents for oxygen ( and carbon dioxide (. Nine men (27 ± 9 years, 179 ± 7 cm, 75 ± 12 kg, : 52.0 ± 7.7 mL·kg−1·min−1 completed two 40-min running bouts (5 × 8-min with 2-min inter-bout rest, one level and one downhill. Running intensity was matched at 60% of maximal metabolic equivalent. Maximal isometric force of m.quadriceps femoris was measured before and after the running bouts. Data was analyzed with 2-way ANOVA or paired samples t-tests. Running speed (downhill: 13.5 ± 3.2, level: 9.6 ± 2.2 km·h−1 and isometric force deficits (downhill: 17.2 ± 7.6%, level: 2.0 ± 6.9% were higher for downhill running. Running bouts for level and downhill gradients had , heart rates and respiratory exchange ratio values that were not different indicating matched intensity and metabolic demands. During downhill running, the , (downhill: 29.7 ± 3.3, level: 27.2 ± 1.6 and  (downhill: 33.3 ± 2.7, level: 30.4 ± 1.9 were 7.1% and 8.3% higher (p < 0.05 than level running. In conclusion, breathing efficiency appears lower during downhill running (i.e., muscle-damaging exercise compared to level running at a similar moderate intensity.

  3. Breath analysis: clinical research to the end-user market.

    Science.gov (United States)

    Smith, T

    2011-09-01

    Breath research is now well established and is solving some of the applications in the area of identifying volatiles for medical diagnosis. This paper looks at how this research has been taken to an end-user market. It is not intended to be an indepth study of the science but simply to draw attention to the role of the commercial link between the researcher and end-user. This market is not only in research but exists in hospitals, clinics, sports medicine and even homecare. The link between research and the end-user market is a vital one to avoid breath analysis being the tool of researchers only. The ubiquitous use of breath analysis depends upon it. This is a review of some of the success stories in commercializing the important breath analysis research that has been conducted over the last few decades. In order to make breath analysis the new blood test, products that have end-user appeal need to be developed and routes to market established.

  4. Waldorf Education: Breathing Creativity

    Science.gov (United States)

    Nordlund, Carrie

    2013-01-01

    After 10 years of teaching art in public schools, Carrie Nordlund arrived at a state of query that set in motion her search for alternative approaches to learning. As she was feeling stifled in a seemingly sterile education institution with its overdependence on and pedagogy aimed at standardized tests, she came across a reference to Waldorf…

  5. Examination of an Optical Transmittance Test for Photovoltaic Encapsulation Materials: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D. C.; Bengoechea, J.; Bokria, J. G.; Kohl, M.; Powell, N. E.; Smith, M. E.; White, M. D.; Wilson, H. R.; Wohlgemuth, J. H.

    2013-09-01

    The optical transmittance of encapsulation materials is a key characteristic for their use in photovoltaic (PV) modules. Changes in transmittance with time in the field affect module performance, which may impact product warranties. Transmittance is important in product development, module manufacturing, and field power production (both immediate and long-term). Therefore, an international standard (IEC 62788-1-4) has recently been proposed by the Encapsulation Task-Group within the Working Group 2 (WG2) of the International Electrotechnical Commission (IEC) Technical Committee 82 (TC82) for the quantification of the optical performance of PV encapsulation materials. Existing standards, such as ASTM E903, are general and more appropriately applied to concentrated solar power than to PV. Starting from the optical transmittance measurement, the solar-weighted transmittance of photon irradiance, yellowness index (which may be used in aging studies to assess durability), and ultraviolet (UV) cut-off wavelength may all be determined using the proposed standard. The details of the proposed test are described. The results of a round-robin experiment (for five materials) conducted at seven laboratories to validate the test procedure using representative materials are also presented. For example, the Encapsulation Group actively explored the measurement requirements (wavelength range and resolution), the requirements for the spectrophotometer (including the integrating sphere and instrument accessories, such as a depolarizer), specimen requirements (choice of glass-superstrate and -substrate), and data analysis (relative to the light that may be used in the PV application). The round-robin experiment identified both intra- and inter-laboratory instrument precision and bias for five encapsulation materials (encompassing a range of transmittance and haze-formation characteristics).

  6. New tests of the distal speech rate effect: examining cross-linguistic generalization.

    Science.gov (United States)

    Dilley, Laura C; Morrill, Tuuli H; Banzina, Elina

    2013-01-01

    Recent findings [Dilley and Pitt, 2010. Psych. Science. 21, 1664-1670] have shown that manipulating context speech rate in English can cause entire syllables to disappear or appear perceptually. The current studies tested two rate-based explanations of this phenomenon while attempting to replicate and extend these findings to another language, Russian. In Experiment 1, native Russian speakers listened to Russian sentences which had been subjected to rate manipulations and performed a lexical report task. Experiment 2 investigated speech rate effects in cross-language speech perception; non-native speakers of Russian of both high and low proficiency were tested on the same Russian sentences as in Experiment 1. They decided between two lexical interpretations of a critical portion of the sentence, where one choice contained more phonological material than the other (e.g., /str'na/ "side" vs. /str'na/ "country"). In both experiments, with native and non-native speakers of Russian, context speech rate and the relative duration of the critical sentence portion were found to influence the amount of phonological material perceived. The results support the generalized rate normalization hypothesis, according to which the content perceived in a spectrally ambiguous stretch of speech depends on the duration of that content relative to the surrounding speech, while showing that the findings of Dilley and Pitt (2010) extend to a variety of morphosyntactic contexts and a new language, Russian. Findings indicate that relative timing cues across an utterance can be critical to accurate lexical perception by both native and non-native speakers.

  7. New tests of the distal speech rate effect: Examining cross-linguistic generalization

    Directory of Open Access Journals (Sweden)

    Laura eDilley

    2013-12-01

    Full Text Available Recent findings [Dilley and Pitt, 2010. Psych. Science. 21, 1664-1670] have shown that manipulating context speech rate in English can cause entire syllables to disappear or appear perceptually. The current studies tested two rate-based explanations of this phenomenon while attempting to replicate and extend these findings to another language, Russian. In Experiment 1, native Russian speakers listened to Russian sentences which had been subjected to rate manipulations and performed a lexical report task. Experiment 2 investigated speech rate effects in cross-language speech perception; non-native speakers of Russian of both high and low proficiency were tested on the same Russian sentences as in Experiment 1. They decided between two lexical interpretations of a critical portion of the sentence, where one choice contained more phonological material than the other (e.g., /stərʌ'na/ side vs. /strʌ'na/ country. In both experiments, with native and non-native speakers of Russian, context speech rate and the relative duration of the critical sentence portion were found to influence the amount of phonological material perceived. The results support the generalized rate normalization hypothesis, according to which the content perceived in a spectrally ambiguous stretch of speech depends on the duration of that content relative to the surrounding speech, while showing that the findings of Dilley and Pitt (2010 extend to a variety of morphosyntactic contexts and a new language, Russian. Findings indicate that relative timing cues across an utterance can be critical to accurate lexical perception by both native and non-native speakers.

  8. Examination of an Optical Transmittance Test for Photovoltaic Encapsulation Materials (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D.; Bengoechea, J.; Bokria, J.; Kohl, M.; Powell, N. E.; Smith, M. E.; White, M. D.; Wilson, H. R.; Wohlgemuth, J. H.

    2013-09-01

    The optical transmittance of encapsulation materials is a key characteristic for their use in photovoltaic (PV) modules. Changes in transmittance with time in the field affect module performance, which may impact product warranties. Transmittance is important in product development, module manufacturing, and field power production (both immediate and long-term). Therefore, an international standard (IEC 62788-1-4) has recently been proposed by the Encapsulation Task-Group within the Working Group 2 (WG2) of the International Electrotechnical Commission (IEC) Technical Committee 82 (TC82) for the quantification of the optical performance of PV encapsulation materials. Existing standards, such as ASTM E903, are general and more appropriately applied to concentrated solar power than to PV. Starting from the optical transmittance measurement, the solar-weighted transmittance of photon irradiance, yellowness index (which may be used in aging studies to assess durability), and ultraviolet (UV) cut-off wavelength may all be determined using the proposed standard. The details of the proposed test are described. The results of a round-robin experiment (for five materials) conducted at seven laboratories to validate the test procedure using representative materials are also presented. For example, the Encapsulation Group actively explored the measurement requirements (wavelength range and resolution), the requirements for the spectrophotometer (including the integrating sphere and instrument accessories, such as a depolarizer), specimen requirements (choice of glass-superstrate and -substrate), and data analysis (relative to the light that may be used in the PV application). The round-robin experiment identified both intra- and inter-laboratory instrument precision and bias for five encapsulation materials (encompassing a range of transmittance and haze-formation characteristics).

  9. Predicting TAS (UC3/UW3 examination success by means of psychological tests- a follow-up study (II

    Directory of Open Access Journals (Sweden)

    Atmananda Sharma

    1960-04-01

    Full Text Available In a preliminary follow-up study of the classification project standard scores made by 118 sailors of UC3/UW3 specialist course of TAS Branch on five psychological tests of mental ability viz., PGIT, VGIT, MCT, MAT and MASYT were correlated between themselves and also with the percentage of marks scored(Obtained score/Maximum marks X 100in the TAS(UC3/UW3examination which acted as the criterion in this study. PGIT, VGIT and MCT were found to the best predictor. Regression coefficients of test scores on the criterion were calculated by the Aitken's method. It was found by analysis of variance that the addition of two tests to PGIT did raise the multiple correlation significantly but other three tests did not raise it significantly. It was concluded that for better prediction of TAS (UC3/UW3 examination success not only should the composition of the test battery be suitably modified by bringing in purer test of differential primary mental abilities but due account must also be taken of personality factors-industriousness, interest etc.,-together with previous service records and assessments by the divisional officer and the school attainments.

  10. Measuring premorbid IQ in traumatic brain injury: an examination of the validity of the Wechsler Test of Adult Reading (WTAR).

    Science.gov (United States)

    Green, Robin E A; Melo, Brenda; Christensen, Bruce; Ngo, Le-Anh; Monette, Georges; Bradbury, Cheryl

    2008-02-01

    Estimation of premorbid IQ in traumatic brain injury (TBI) is clinically and scientifically valuable because it permits the quantification of the cognitive impact of injury. This is achieved by comparing performances on tests of current ability to estimates of premorbid IQ, thereby enabling current capacity to be interpreted in light of preinjury ability. However, the validity of premorbid IQ tests that are commonly used for TBI has been questioned. In the present study, we examined the psychometric properties of a recently developed test, the Wechsler Test of Adult Reading (WTAR), which has yet to be examined for TBI. The cognitive performance of a group of 24 patients recovering from TBI (with a mean Glasgow Coma Scale score in the severely impaired range) was measured at 2 and 5 months postinjury. On both occasions, patients were administered three tests that have been used to measure premorbid IQ (the WTAR and the Vocabulary and Matrix Reasoning subtests of the Wechsler Adult Intelligence Scale 3rd Edition, WAIS-III) and three tests of current ability (Symbol Digit Modalities Test-Oral and Similarities and Block Design subtests of the WAIS-III). We found that performance significantly improved on tests of current cognitive ability, confirming recovery. In contrast, stable performance was observed on the WTAR from Assessment 1 (M = 34.25/50) to Assessment 2 (M = 34.21/50; r = .970, p tests are indicated (i.e., in patients for whom English is spoken and read fluently), these results endorse the use of the WTAR for patients with TBI.

  11. Submicrometer tomographic resolution examined using a micro-fabricated test object

    CERN Document Server

    Mizutani, Ryuta; Osamura, R Yoshiyuki; Takekoshi, Susumu; Uesugi, Kentaro; Suzuki, Yoshio

    2016-01-01

    To estimate the spatial resolution of microtomographs, a test object on the submicrometer scale was prepared by focused ion beam milling and subjected to microtomographic analysis. Since human tissues are composed of cells and extracellular matrices with micrometer and submicrometer structures, it is important to investigate the three-dimensional spatial resolution of microtomographs used to visualize microstructures of human tissues. The resolutions along the direction within the tomographic slice plane (in-plane resolution) and perpendicular to it (through-plane resolution) were determined from the modulation transfer function of square-wave patterns. The in-plane resolution was estimated to be 1.2 um from the modulation transfer function of the non-zoom image. In contrast, the zoom image gave the in-plane resolution of 0.8 um. This in-plane resolution is comparable to the through-plane resolution, which was estimated to be 0.8 um. Although the two-dimensional radiographs were taken with the pixel width of ...

  12. Effects of high-frequency yoga breathing called kapalabhati compared with breath awareness on the degree of optical illusion perceived.

    Science.gov (United States)

    Telles, Shirley; Maharana, Kanchan; Balrana, Budhi; Balkrishna, Acharya

    2011-06-01

    Prior research has shown that methods of meditation, breath control, and different kinds of yoga breathing affect attention and visual perception, including decreasing the size of certain optical illusions. Evaluating relationships sheds light on the perceptual and cognitive changes induced by yoga and related methods, and the locus of the effects. In the present study, the degree of optical illusion was assessed using Müller-Lyer stimuli before and immediately after two different kinds of practice, a high frequency yoga breathing called kapalabhati, and breath awareness. A nonyoga, control session tested for practice effects. Thirty participants (with group M age = 26.9 yr., SD = 5.7) practiced the two techniques for 18 min. on two separate days. The control group had 15 nonyoga practitioners assessed before and after 18 min. in which they did not perform any specific activity but were seated and relaxed. After both kapalabhati and breath awareness there was a significant decrease in the degree of optical illusion. The possibility that this was due to a practice or repetition effect was ruled out when 15 nonyoga practitioners showed no change in the degree of illusion when retested after 18 min. The changes were interpreted as due to changes in perception related to the way the stimuli were judged.

  13. Weld examination on tube test specimen using TOFD; Untersuchungen mit TOFD an geschweissten Laengsnahtproben

    Energy Technology Data Exchange (ETDEWEB)

    Brekow, G.; Erhard, A. [Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin (Germany). Labor fuer Ultraschallverfahren

    2000-07-01

    In contrast to the pulse echo technique, which is based on the sound field reflection at the flaw surface, the Time of Flight Diffraction (TOFD) technique uses the diffraction of the sound field at the flaw tips. For this purpose two angle beam probes for longitudinal waves are used in a pitch and catch arrangement. The transducers are positioned at both sides of the welding seam and are moved parallel to it during the measurement. The diffraction at the flaw tips causes different time of flight values with respect to the upper and lower flaw tip. Time dependent signals are stored in a series of A-scan pictures, which can finally be represented in a B-picture, which has to be interpreted. As investigations show there are additional useful information concerning defect size which can be given by TOFD, but pulse echo techniques with additional radiographic testing cannot be substituted by TOFD. (orig.) [German] Im Gegensatz zur Impuls-Echo-Technik, die im Wesentlichen auf der Reflexion am Fehler basiert, wird bei der Time-Of-Flight Diffraction Technique (TOFD-Technik) die Beugung der Schallwellen am Fehler zum Nachweis genutzt. Zwei Winkelpruefkoepfe fuer Longitudinalwellen sind in V-Durchschallung angeordnet. Die Pruefkoepfe befinden sich jeweils auf einer Seite der Schweissnaht und werden bei der Messung parallel zur Schweissnaht verschoben. Das ausgesandte Schallbuendel trifft auf Fehlerraender, an denen gebeugte Wellenanteile entstehen, die je nach Entstehungsort mit unterschiedlichen Schallaufzeiten empfangen, in hochfrequenten A-Bildern abgespeichert und fuer die Auswertung in B-Bildern dargestellt werden. Die Untersuchungen zeigen, dass die TOFD-Technik Beitraege zur Fehlergroessenabschaetzung liefert, aber keinesfalls die Impuls-Echo-Technik mit nachgeschalteter Roentgenpruefung ersetzen kann. (orig.)

  14. Direct-to-consumer advertising of predictive genetic tests: a health belief model based examination of consumer response.

    Science.gov (United States)

    Rollins, Brent L; Ramakrishnan, Shravanan; Perri, Matthew

    2014-01-01

    Direct-to-consumer (DTC) advertising of predictive genetic tests (PGTs) has added a new dimension to health advertising. This study used an online survey based on the health belief model framework to examine and more fully understand consumers' responses and behavioral intentions in response to a PGT DTC advertisement. Overall, consumers reported moderate intentions to talk with their doctor and seek more information about PGTs after advertisement exposure, though consumers did not seem ready to take the advertised test or engage in active information search. Those who perceived greater threat from the disease, however, had significantly greater behavioral intentions and information search behavior.

  15. Effects of diaphragm breathing exercise and feedback breathing exercise on pulmonary function in healthy adults.

    Science.gov (United States)

    Yong, Min-Sik; Lee, Hae-Yong; Lee, Yun-Seob

    2017-01-01

    [Purpose] The present study investigated effects of diaphragm breathing exercise and feedback breathing exercise on respiratory function. [Subjects and Methods] Thirty-one subjects were randomly assigned to two groups; the feedback breathing exercise group and the maneuver-diaphragm exercise group. The feedback breathing exercise group was asked to breathe with feedback breathing device, and the maneuver-diaphragm exercise group was asked to perform diaphragm respiration. Respiratory function was evaluated when a subject sat on a chair comfortably. [Results] There was a significant difference in the functional vital capacity and slow vital capacity before and after all breathing exercises. There was a significant between-group difference in functional vital capacity. However, no between-group difference was found in slow vital capacity. [Conclusion] Diaphragm breathing exercise and feedback breathing exercise can affect respiratory function.

  16. Breathing Modes in Dusty Plasma

    Institute of Scientific and Technical Information of China (English)

    王晓钢; 王爽; 潘秋惠; 刘悦; 贺明峰

    2003-01-01

    Acoustic breathing modes of dusty plasmas have been investigated in a cylindricalsystem with an axial symmetry. The linear wave solution and a "dispersion" relation were derived.It was found that in an infinite area, the mode is reduced to a "classical" dust acoustic wave inthe region away from the center. If the dusty plasma is confined in a finite region, however, thebreathing (or heart-beating) behavior would be found as observed in many experiments.

  17. Does pre-ordering tests enhance the value of the periodic examination? Study Design - Process implementation with retrospective chart review

    Directory of Open Access Journals (Sweden)

    Stroebel Robert J

    2011-09-01

    Full Text Available Abstract Background To evaluate the value of a pre-ordering process for the pro-active scheduling and completion of appropriate preventive and chronic disease monitoring tests prior to a periodic health examination (PHE. Methods A standardized template was developed and used by our nursing staff to identify and schedule appropriate tests prior to the patients PHE. Chart reviews were completed on all 602 PHE visits for a 3-month interval in a primary care setting. A patient satisfaction survey was administered to a convenience sample of the PHE patients. Results Of all the patients with tests pre-ordered, 87.8% completed the tests. All providers in the division used the process, but some evolved from one template to another over time. Most patients (61% preferred to get their tests done prior to their PHE appointment. Many of our patients had abnormal test results. With this process, patients were able to benefit from face-to-face discussion of these results directly with their provider. Conclusions A pre-order process was successfully implemented to improve the value of the PHE visit in an internal medicine primary care practice using a standardized approach that allowed for provider autonomy. The process was accepted by patients and providers and resulted in improved office efficiency through reduced message handling. Completion of routine tests before the PHE office visit can help facilitate face-to-face discussions about abnormal results and subsequent management that otherwise may only occur by telephone.

  18. Running and Breathing in Mammals

    Science.gov (United States)

    Bramble, Dennis M.; Carrier, David R.

    1983-01-01

    Mechanical constraints appear to require that locomotion and breathing be synchronized in running mammals. Phase locking of limb and respiratory frequency has now been recorded during treadmill running in jackrabbits and during locomotion on solid ground in dogs, horses, and humans. Quadrupedal species normally synchronize the locomotor and respiratory cycles at a constant ratio of 1:1 (strides per breath) in both the trot and gallop. Human runners differ from quadrupeds in that while running they employ several phase-locked patterns (4:1, 3:1, 2:1, 1:1, 5:2, and 3:2), although a 2:1 coupling ratio appears to be favored. Even though the evolution of bipedal gait has reduced the mechanical constraints on respiration in man, thereby permitting greater flexibility in breathing pattern, it has seemingly not eliminated the need for the synchronization of respiration and body motion during sustained running. Flying birds have independently achieved phase-locked locomotor and respiratory cycles. This hints that strict locomotor-respiratory coupling may be a vital factor in the sustained aerobic exercise of endothermic vertebrates, especially those in which the stresses of locomotion tend to deform the thoracic complex.

  19. EXAMINATION OF THE RELATION BETWEEN SCHOOL OF PHYSICAL EDUCATION AND SPORT STUDENTS' APPROACH TO LEARNING AND STUDYING AND TEST ANXIETY

    Directory of Open Access Journals (Sweden)

    Ender

    2014-04-01

    Full Text Available In this study, the aim of this study was to examine the relation between school of physical education and sport students' approach to learning and studying and test anxiety. Students in departments of physical education and sport teacher (n=103, coaching education (n=155 and sport management (n=110 at Mugla Sıtkı Koçman University participated in the study (n=368. 145 of participant were female, 223 of them were male. Test Anxiety Inventory (TAI, developed by Speilberger (1980 and adapted to Turkish by Öner and Albayrak-Kaymak (1993 (cited in Erözkan, 2004, was used to identify students' test anxiety levels. Approaches to Learning and Studying Inventory (ALSI, developed by Hounsell, Entwistle, Anderson et al. (2002 and adapted to Turkish by Topyaka, Yaka and Öğretmen (2011, was used to identify students' approaches to learning and studying. ALSI consists of 18 items with 5 Likert. TAI consists of 20 items with 4 likert. One-Way ANOVA and Independent T-Test in SPSS 16.0 were used to analyze the collected data. Confirmatory Factor Analysis (CFA was used to find out whether used inventories were suitable for the sample. When the differences about approaches to learning and studying between departments were examined, while no significant difference was found in surface and deep approaches, significant difference was found in strategic approaches. No significant difference was found between grades. Significant gender differences were found in emotionality, worry and total test anxiety. Positive correlation was found between surface approach and emotionality, worry and total test anxiety. Consequently, it was found that students who adopt surface approach have high-test anxiety, because it was found that while adopting surface approach, students could have high-level of emotionality and worry. It is important to create learning environment that discourage students to adopt surface approach.

  20. Fast-starting after a breath: air-breathing motions are kinematically similar to escape responses in the catfish Hoplosternum littorale

    DEFF Research Database (Denmark)

    Domenici, Paolo; Norin, Tommy; Bushnell, Peter G.;

    2015-01-01

    acceleration away from the stimulus. Recently, similar C-starts have been recorded in fish aiming at a prey. Little is known about C-starts outside the context of predator–prey interactions, though recent work has shown that escape response can also be induced by high temperature. Here, we test the hypothesis...... that air-breathing fish may use C-starts in the context of gulping air at the surface. Hoplosternum littorale is an air-breathing freshwater catfish found in South America. Field video observations reveal that their air-breathing behaviour consists of air-gulping at the surface, followed by a fast turn...

  1. Examining the measurement equivalence of the Conditional Reasoning Test for Aggression across U.S. and Croatian samples

    Directory of Open Access Journals (Sweden)

    Zvonimir Galić

    2014-06-01

    Full Text Available The Conditional Reasoning Test for Aggression (CRT-A; James et al., 2005 is based on the ideas that aggressive individuals use motive-based cognitive biases to see their behavior as reasonable and that those biases can be measured with specially designed inductive reasoning tasks. The test has shown promising psychometric characteristics for U. S. samples but has not been validated in other cultural contexts. In our study, we examined whether the items from the CRT-A were invariant across culture by testing whether these items displayed differential item functioning (DIF across Croatian (N=530 and U.S. (N=1479 samples. The Lord's Chi Square (Lord, 1980, the Raju UA index (Raju, 1988, the Mantel-Haenszel procedure (Mantel & Haenszel, 1959, and the logistic regression procedures (Swaminathan & Rogers, 1990 revealed that DIF was pervasive. Although an implicit measure of personality, the CRT-A seems susceptible to differential item functioning in another culture.

  2. Variability in the blood/breath alcohol ratio and implications for evidentiary purposes.

    Science.gov (United States)

    Jaffe, Dena H; Siman-Tov, Maya; Gopher, Asher; Peleg, Kobi

    2013-09-01

    The breath analyzer is an indispensable tool for identifying alcohol levels among drivers. While numerous studies have shown high correlations between blood and breath alcohol concentrations, most are limited by the study design. This study seeks to assess this relationship by minimizing potential measurement bias, document time from alcohol consumption to testing, and adjusting for potential confounders. A blinded study was performed using conditions closely resembling those in the field. The Draeger 7110 MKIII IL breath analyzer was used to assess breath alcohol concentrations (BrAC). Participants were 61 healthy volunteers aged 21-37 years with body mass index ≤30 and no history of alcoholism. A total of 242 valid blood/breath tests were performed in four test sets. The study results showed a high correlation coefficient between BrAC and blood alcohol concentration (BAC) levels (r = 0.983) with high sensitivity (97%) and specificity (93%). This strong association between the breath analyzer and BAC persisted even after adjustment for various stages of alcohol absorption. These results illustrate the high diagnostic sensitivity of the breath analyzer in field-tested conditions.

  3. Guidelines proposal for clinical recognition of mouth breathing children

    Directory of Open Access Journals (Sweden)

    Maria Christina Thomé Pacheco

    2015-08-01

    Full Text Available INTRODUCTION: Mouth breathing (MB is an etiological factor for sleep-disordered breathing (SDB during childhood. The habit of breathing through the mouth may be perpetuated even after airway clearance. Both habit and obstruction may cause facial muscle imbalance and craniofacial changes.OBJECTIVE: The aim of this paper is to propose and test guidelines for clinical recognition of MB and some predisposing factors for SDB in children.METHODS: Semi-structured interviews were conducted with 110 orthodontists regarding their procedures for clinical evaluation of MB and their knowledge about SDB during childhood. Thereafter, based on their answers, guidelines were developed and tested in 687 children aged between 6 and 12 years old and attending elementary schools.RESULTS: There was no standardization for clinical recognition of MB among orthodontists. The most common procedures performed were inefficient to recognize differences between MB by habit or obstruction.CONCLUSIONS: The guidelines proposed herein facilitate clinical recognition of MB, help clinicians to differentiate between habit and obstruction, suggest the most appropriate treatment for each case, and avoid maintenance of mouth breathing patterns during adulthood.

  4. Breathing Air Purification for Hyperbaric Purposes, Part II

    Directory of Open Access Journals (Sweden)

    Woźniak Arkadiusz

    2015-03-01

    Full Text Available Determining the efficiency of breathing air purification for hyperbaric purposes with the use of filtration systems is of a crucial importance. However, when the Polish Navy took samples of breathing air from their own filtration plant for quality purposes, these were found to not meet the required standard. The identification of this problem imposed the need to undertake actions aimed at the elimination of the identified disruptions in the process of breathing air production, with the objective of assuring its proper quality. This study presents the results of the initial tests on the air supply sources utilised by the Polish Navy, which were carried out for the purpose of setting a proper direction of future works and implementing corrective measures in order to optimise the breathing air production process. The obtained test results will be used in a subsequent publication devoted to the assessment of the level of efficiency of air purification with the use of a multifaceted approach consisting in the utilisation of various types of air supply sources and different configurations of purification systems.

  5. Reprint of "Breathing and sense of self: visuo-respiratory conflicts alter body self-consciousness".

    Science.gov (United States)

    Adler, Dan; Herbelin, Bruno; Similowski, Thomas; Blanke, Olaf

    2014-12-01

    Bodily self-consciousness depends on the processing of interoceptive and exteroceptive signals. It can be disrupted by inducing signal conflicts. Breathing, at the crossroad between interoception and exteroception, should contribute to bodily self-consciousness. We induced visuo-respiratory conflicts in 17 subjects presented with a virtual body or a parallelepidedal object flashing synchronously or asynchronously with their breathing. A questionnaire detected illusory changes in bodily self-consciousness and breathing agency (the feeling of sensing one's breathing command). Changes in self-location were tested by measuring reaction time during mental ball drop (MBD). Synchronous illumination changed the perceived location of breathing (body: p=0.008 vs. asynchronous; object: p=0.013). It resulted in a significant change in breathing agency, but no changes in self-identification. This was corroborated by prolonged MBD reaction time (body: +0.045s, 95%CI [0.013; 0.08], p=0.007). We conclude that breathing modulates bodily self-consciousness. We also conclude that one can induce the irruption of unattended breathing into consciousness without modifying respiratory mechanics or gas exchange.

  6. Breathing and sense of self: visuo-respiratory conflicts alter body self-consciousness.

    Science.gov (United States)

    Adler, Dan; Herbelin, Bruno; Similowski, Thomas; Blanke, Olaf

    2014-11-01

    Bodily self-consciousness depends on the processing of interoceptive and exteroceptive signals. It can be disrupted by inducing signal conflicts. Breathing, at the crossroad between interoception and exteroception, should contribute to bodily self-consciousness. We induced visuo-respiratory conflicts in 17 subjects presented with a virtual body or a parallelepidedal object flashing synchronously or asynchronously with their breathing. A questionnaire detected illusory changes in bodily self-consciousness and breathing agency (the feeling of sensing one's breathing command). Changes in self-location were tested by measuring reaction time during mental ball drop (MBD). Synchronous illumination changed the perceived location of breathing (body: p=0.008 vs. asynchronous; object: p=0.013). It resulted in a significant change in breathing agency, but no changes in self-identification. This was corroborated by prolonged MBD reaction time (body: +0.045s, 95%CI [0.013; 0.08], p=0.007). We conclude that breathing modulates bodily self-consciousness. We also conclude that one can induce the irruption of unattended breathing into consciousness without modifying respiratory mechanics or gas exchange.

  7. Study of the Human Breathing Flow Profile in a Room with three Different Ventilation Strategies

    DEFF Research Database (Denmark)

    Olmedo, Ines; Nielsen, Peter V.; de Adana, Manuel Ruiz;

    2010-01-01

    This study investigates the characteristics of human exhalation through the mouth with three different ventilation strategies: displacement ventilation, mixing ventilation and without ventilation. Experiments were conducted with one breathing thermal manikin in a full scale test room where the ex...

  8. Study of the Human Breathing Flow Profile with Three Different Ventilation Strategies

    DEFF Research Database (Denmark)

    Nielsen, Peter V.; Cortes, Ines Olmedo; Ruiz de Adana, Manuel

    2011-01-01

    This study investigates the characteristics of human exhalation through the mouth with three different ventilation strategies: displacement ventilation, mixing ventilation and without ventilation. Experiments were conducted with one breathing thermal manikin in a full scale test room where the ex...

  9. Using the Comprehensive Nursing Achievement Test as a Predictor of Success on the National Council Licensure Examination. Learning Theory and Applications Seminar.

    Science.gov (United States)

    Balint, Marilyn

    A study examined the feasibility of using the Comprehensive Nursing Achievement Test as a predictor of nursing students' eventual success on the National Council Licensure Examination (NCLEX-RN). The predictive validity of other factors, such as age, college entrance test scores, and grades in second-year nursing courses, was also examined.…

  10. Association between breastfeeding and breathing pattern in children: a sectional study

    Directory of Open Access Journals (Sweden)

    Teresinha S.P. Lopes

    2014-07-01

    Full Text Available OBJECTIVE: to determine the prevalence of mouth breathing and to associate the history of breastfeeding with breathing patterns in children. METHODS: this was an observational study with 252 children of both genders, aged 30 to 48 months, who participated in a dental care program for mothers and newborns. As an instrument of data collection, a semi-structured questionnaire was administered to the children's mothers assessing the form and duration of breastfeeding and the oral habits of non-nutritive sucking. To determine the breathing patterns that the children had developed, medical history and clinical examination were used. Statistical analysis was conducted to examine the effects of exposure on the primary outcome (mouth breathing, and the prevalence ratio was calculated with a 95% confidence interval. RESULTS: of the total sample, 43.1% of the children were mouth breathers, 48.4% had been breastfed exclusively until six months of age or more, and 27.4% had non-nutritive sucking habits. Statistically significant associations were found for bottle-feeding (p < 0.001 and oral habits of non-nutritive sucking (p = 0.009, with an increased likelihood of children exhibiting a predominantly oral breathing pattern. A statistically significant association was also observed between a longer duration of exclusive breastfeeding and a nasal breathing pattern presented by children. CONCLUSION: an increased duration of exclusive breastfeeding lowers the chances of children exhibiting a predominantly oral breathing pattern.

  11. French women's breast self-examination practices with time after undergoing BRCA1/2 genetic testing.

    Science.gov (United States)

    Maheu, C; Apostolidis, T; Petri-Cal, A; Mouret-Fourme, E; Gauthier-Villars, M; Lasset, C; Berthet, P; Fricker, J-P; Caron, O; Luporsi, E; Gladieff, L; Noguès, C; Julian-Reynier, C

    2012-06-01

    To assess the impact of BRCA1/2 genetic test results on cancer-free women's breast-self-examination (BSE) practices and to prospectively determine their influence on psychological functioning. A prospective longitudinal study on French women's BSE practices and frequencies in BRCA1/2 carriers (N = 217) and non-carriers (N = 313) 1 and 2 years following disclosure of the test results, along with psychological factors predicting BSE practices. Before disclosure, BSE was practised by 47.2% of the women, and increased to 57.3% 1 year later. No change in the women's practices was noted between 12 and 24 months after the test. Carriers and non-carriers practicing regularly BSE at baseline were, respectively 8 to 6 times more likely to be practising BSE regularly at 12 months after being tested. Among the carriers, having fewer depressive symptoms at baseline and believing in the ability of BSE to detect breast cancer were found to be the most decisive factors associated with BSE practices 1 year after disclosure, following adjustment for BSE baseline practices. Among the non-carriers, believing in the ability of BSE to detect breast cancer, greater post-test anxiety, and a higher perceived risk of breast cancer were found to be predictors of post-test BSE practices after adjusting for BSE baseline practices. In France, where performing BSE is neither mandatory nor recommended, an increase in BSE practices was found to occur after disclosure of women's genetic test results, regardless of their carrier status.

  12. Cardiovascular and Respiratory Effect of Yogic Slow Breathing in the Yoga Beginner: What Is the Best Approach?

    Directory of Open Access Journals (Sweden)

    Heather Mason

    2013-01-01

    Full Text Available Slow breathing increases cardiac-vagal baroreflex sensitivity (BRS, improves oxygen saturation, lowers blood pressure, and reduces anxiety. Within the yoga tradition slow breathing is often paired with a contraction of the glottis muscles. This resistance breath “ujjayi” is performed at various rates and ratios of inspiration/expiration. To test whether ujjayi had additional positive effects to slow breathing, we compared BRS and ventilatory control under different breathing patterns (equal/unequal inspiration/expiration at 6 breath/min, with/without ujjayi, in 17 yoga-naive young healthy participants. BRS increased with slow breathing techniques with or without expiratory ujjayi ( or higher except with inspiratory + expiratory ujjayi. The maximal increase in BRS and decrease in blood pressure were found in slow breathing with equal inspiration and expiration. This corresponded with a significant improvement in oxygen saturation without increase in heart rate and ventilation. Ujjayi showed similar increase in oxygen saturation but slightly lesser improvement in baroreflex sensitivity with no change in blood pressure. The slow breathing with equal inspiration and expiration seems the best technique for improving baroreflex sensitivity in yoga-naive subjects. The effects of ujjayi seems dependent on increased intrathoracic pressure that requires greater effort than normal slow breathing.

  13. Breathing adapted radiotherapy: final clinic results of the program for the support to costly innovating techniques (Stic) of 2003; La radiotherapie asservie a la respiration: resultats cliniques finaux du programme de Soutien aux techniques innovantes couteuses (Stic) de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Giraud, P. [Universite Paris Descartes, 75 - Paris (France); Hopital europeen Georges-Pompidou, 75 - Paris (France); Giraud, P.; Morvan, E.; Djadi-Prat, J.; Rosenwald, J.C. [Institut Curie, 75 - Paris (France); Carrere, M.O. [GATE UMR CNRS 5824, 69 - Lyon (France); Centre Leon-Berard, 69 - Lyon (France)

    2010-10-15

    The authors report the comparison, from a clinic point of view, between breathing adapted conformational radiotherapy (BART) and conventional conformational radiotherapy, in the case of lung and breast cancers. The assessment comprised a clinic examination, a thoracic radiography, breathing functional tests, a thoracic scanography at different moments (3, 6, 12, 18 and 24 months), and dosimetric criteria for tumour target volumes and the different thoracic organs at risk. Data have been collected among more than six hundred patients. Breathing adapted techniques allow acute and late toxicity to be reduced, notably for the lung, heart and oesophagus during a lung irradiation. They are less interesting for mammary irradiation, but could be important for a radiotherapy of the left breast. Short communication

  14. Relationship between Musical Characteristics and Temporal Breathing Pattern in Piano Performance

    Science.gov (United States)

    Sakaguchi, Yutaka; Aiba, Eriko

    2016-01-01

    Although there is growing evidence that breathing is modulated by various motor and cognitive activities, the nature of breathing in musical performance has been little explored. The present study examined the temporal breath pattern in piano performance, aiming to elucidate how breath timing is related to musical organization/events and performance. In the experiments, the respiration of 15 professional and amateur pianists, playing 10 music excerpts in total (from four-octave C major scale, Hanon's exercise, J. S. Bach's Invention, Mozart's Sonatas, and Debussy's Clair de lune), was monitored by capnography. The relationship between breathing and musical characteristics was analyzed. Five major results were obtained. (1) Mean breath interval was shortened for excerpts in faster tempi. (2) Fluctuation of breath intervals was reduced for the pieces for finger exercise and those in faster tempi. Pianists showing large within-trial fluctuation also exhibited large inter-excerpt difference. (3) Inter-trial consistency of the breath patterns depended on the excerpts. Consistency was generally reduced for the excerpts that could be performed mechanically (i.e., pieces for finger exercise), but interestingly, one third of the participant showed consistent patterns for the simple scale, correlated with the ascending/descending sequences. (4) Pianists tended to exhale just after the music onsets, inhale at the rests, and inhibit inhale during the slur parts. There was correlation between breathing pattern and two-voice polyphonic structure for several participants. (5) Respiratory patterns were notably different among the pianists. Every pianist showed his or her own characteristic features commonly for various musical works. These findings suggest that breathing in piano performance depends not only on musical parameters and organization written in the score but also some pianist-dependent factors which might be ingrained to individual pianists. PMID:27516736

  15. Relationship between Musical Characteristics and Temporal Breathing Pattern in Piano Performance.

    Science.gov (United States)

    Sakaguchi, Yutaka; Aiba, Eriko

    2016-01-01

    Although there is growing evidence that breathing is modulated by various motor and cognitive activities, the nature of breathing in musical performance has been little explored. The present study examined the temporal breath pattern in piano performance, aiming to elucidate how breath timing is related to musical organization/events and performance. In the experiments, the respiration of 15 professional and amateur pianists, playing 10 music excerpts in total (from four-octave C major scale, Hanon's exercise, J. S. Bach's Invention, Mozart's Sonatas, and Debussy's Clair de lune), was monitored by capnography. The relationship between breathing and musical characteristics was analyzed. Five major results were obtained. (1) Mean breath interval was shortened for excerpts in faster tempi. (2) Fluctuation of breath intervals was reduced for the pieces for finger exercise and those in faster tempi. Pianists showing large within-trial fluctuation also exhibited large inter-excerpt difference. (3) Inter-trial consistency of the breath patterns depended on the excerpts. Consistency was generally reduced for the excerpts that could be performed mechanically (i.e., pieces for finger exercise), but interestingly, one third of the participant showed consistent patterns for the simple scale, correlated with the ascending/descending sequences. (4) Pianists tended to exhale just after the music onsets, inhale at the rests, and inhibit inhale during the slur parts. There was correlation between breathing pattern and two-voice polyphonic structure for several participants. (5) Respiratory patterns were notably different among the pianists. Every pianist showed his or her own characteristic features commonly for various musical works. These findings suggest that breathing in piano performance depends not only on musical parameters and organization written in the score but also some pianist-dependent factors which might be ingrained to individual pianists.

  16. Sleep disordered breathing in pregnancy

    Directory of Open Access Journals (Sweden)

    Bilgay Izci Balserak

    2015-12-01

    Sleep disordered breathing (SDB is very common during pregnancy, and is most likely explained by hormonal, physiological and physical changes. Maternal obesity, one of the major risk factors for SDB, together with physiological changes in pregnancy may predispose women to develop SDB. SDB has been associated with poor maternal and fetal outcomes. Thus, early identification, diagnosis and treatment of SDB are important in pregnancy. This article reviews the pregnancy-related changes affecting the severity of SDB, the epidemiology and the risk factors of SDB in pregnancy, the association of SDB with adverse pregnancy outcomes, and screening and management options specific for this population.

  17. 42 CFR 84.79 - Breathing gas; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing gas; minimum requirements. 84.79 Section...-Contained Breathing Apparatus § 84.79 Breathing gas; minimum requirements. (a) Breathing gas used to supply... respiratory tract irritating compounds. (c) Compressed, gaseous breathing air shall meet the...

  18. 42 CFR 84.72 - Breathing tubes; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing tubes; minimum requirements. 84.72...-Contained Breathing Apparatus § 84.72 Breathing tubes; minimum requirements. Flexible breathing tubes used in conjunction with breathing apparatus shall be designed and constructed to prevent: (a)...

  19. 42 CFR 84.85 - Breathing bags; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Breathing bags; minimum requirements. 84.85 Section...-Contained Breathing Apparatus § 84.85 Breathing bags; minimum requirements. (a) Breathing bags shall have.... (b) Breathing bags shall be constructed of materials which are flexible and resistant to...

  20. Impact of breathing on the thermal plume above a human body

    DEFF Research Database (Denmark)

    Zukowska, Daria; Melikov, Arsen Krikor; Popiolek, Zbigniew;

    2011-01-01

    The characteristics of the thermal plume above a human body should be well-defined in order to properly design the indoor environment and allow correct simulation of the indoor conditions by CFD or experimentally. The objective of the presented study was to investigate the influence of breathing....... A thermal manikin with female body shape equipped with an artificial lung was used to simulate the dry heat loss and breathing process of a sitting occupant. Three cases were examined: non-breathing, exhalation through nose, and exhalation through mouth. Measurements of the air temperature and speed...

  1. [Nasal breath recovery and rhinoplasty in cleft lip and palate patient with unilateral choanal atresia].

    Science.gov (United States)

    Chkadua, T Z; Ivanova, M D; Daminov, R O; Brusova, L A; Savvateeva, D M

    2016-01-01

    The paper presents the analysis of clinical case of endoscopic nasal breath restoration and elimination of the secondary cleft lip nasal deformity in 27 years old patient with unilateral choanal atresia and secondary nasal deformity after rhinocheiloplasty. Preoperative examination revealed the absence of nasal breathing on collateral side due to complete bone choanal atresia. Surgical treatment included endoscopic choanal repair, elimination of the secondary nasal deformity, septoplasty, conchotomy and lateroposition of the inferior conchae. The treatment resulted in nasal breath restoration and elimination of nasal deformity. Long-term follow-up at 1 and 12 months post-operatively proved stable positive aesthetic and functional results.

  2. Breath markers of oxidative stress in patients with unstable angina.

    Science.gov (United States)

    Phillips, Michael; Cataneo, Renee N; Greenberg, Joel; Grodman, Richard; Salazar, Manuel

    2003-01-01

    Cardiac chest pain is accompanied by oxidative stress, which generates alkanes and other volatile organic compounds (VOCs). These VOCs are excreted in the breath and could potentially provide a rational diagnostic marker of disease. The breath methylated alkane contour (BMAC), a 3-dimensional surface plot of C4-C20 alkanes and monomethylated alkanes, provides a comprehensive set of markers of oxidative stress. In this pilot study, we compared BMACs in patients with unstable angina pectoris and in healthy volunteers. Breath VOCs were analyzed in 30 patients with unstable angina confirmed by coronary angiography and in 38 age-matched healthy volunteers with no known history of heart disease (mean age +/- SD, 62.7 +/- 12.3 years and 62.5 +/- 10.0, not significant). BMACs in both groups were compared to identify the combination of VOCs that provided the best discrimination between the 2 groups. Forward stepwise entry discriminant analysis selected 8 VOCs to construct a predictive model that correctly classified unstable angina patients with sensitivity of 90% (27 of 30) and specificity of 73.7% (28 of 38). On cross-validation, sensitivity was 83.3% (25 of 30) and specificity was 71.1% (27 of 38). We conclude that the breath test distinguished between patients with unstable angina and healthy control subjects.

  3. Breath isoprene concentrations in persons undergoing general anesthesia and in healthy volunteers.

    Science.gov (United States)

    Hornuss, Cyrill; Zagler, Armin; Dolch, Michael E; Wiepcke, Dirk; Praun, Siegfried; Boulesteix, Anne-Laure; Weis, Florian; Apfel, Christian C; Schelling, Gustav

    2012-12-01

    Human breath contains an abundance of volatile organic compounds (VOCs). Analysis of breath VOC may be used for diagnosis of various diseases or for on-line monitoring in anesthesia and intensive care. However, VOC concentrations largely depend on the breath sampling method and have a large inter-individual variability. For the development of breath tests, the influence of breath sampling methods and study subject characteristics on VOC concentrations has to be known. Therefore, we investigated the VOC isoprene in 62 study subjects during anesthesia and 16 spontaneously breathing healthy volunteers to determine (a) the influence of artificial and spontaneous ventilation and (b) the influence of study subject characteristics on breath isoprene concentrations. We used ion molecule reaction mass spectrometry for high-resolution breath-by-breath analysis of isoprene. We found that persons during anesthesia had significantly increased inspiratory and end-expiratory isoprene breath concentrations. Measured isoprene concentrations (median [first quartile-third quartile]) were in the anesthesia group: 54 [40-79] ppb (inspiratory) and 224 [171-309] ppb (end-expiratory), volunteer group: 14 [11-17] ppb (inspiratory) and 174 [124-202] ppb (end-expiratory). Higher end-tidal CO(2) concentrations in ventilated subjects were associated with higher expiratory isoprene levels. Furthermore, inspiratory and end-expiratory isoprene concentrations were correlated during anesthesia (r = 0.603, p < 0.001). Multivariate analysis showed that men had significantly higher end-expiratory isoprene concentrations than women. Rebreathing of isoprene from the anesthesia machine possibly accounts for the observed increase in isoprene in the anesthesia group.

  4. TEST PLAN AND PROCEDURE FOR THE EXAMINATION OF TANK 241-AY-101 MULTI-PROBE CORROSION MONITORING SYSTEM

    Energy Technology Data Exchange (ETDEWEB)

    WYRWAS RB; PAGE JS; COOKE GS

    2012-04-19

    This test plan describes the methods to be used in the forensic examination of the Multi-probe Corrosion Monitoring System (MPCMS) installed in the double-shell tank 241-AY-101 (AY-101). The probe was designed by Applied Research and Engineering Sciences (ARES) Corporation. The probe contains four sections, each of which can be removed from the tank independently (H-14-107634, AY-101 MPCMS Removable Probe Assembly) and one fixed center assembly. Each removable section contains three types of passive corrosion coupons: bar coupons, round coupons, and stressed C-rings (H-14-l07635, AY-101 MPCMS Details). Photographs and weights of each coupon were recorded and reported on drawing H-14-107634 and in RPP-RPT-40629, 241-AY-101 MPCMS C-Ring Coupon Photographs. The coupons will be the subject of the forensic analyses. The purpose of this examination will be to document the nature and extent of corrosion of the 29 coupons. This documentation will consist of photographs and photomicrographs of the C-rings and round coupons, as well as the weights of the bar and round coupons during corrosion removal. The total weight loss of the cleaned coupons will be used in conjunction with the surface area of each to calculate corrosion rates in mils per year. The bar coupons were presumably placed to investigate the liquid-air-interface. An analysis of the waste level heights in the waste tank will be investigated as part of this examination.

  5. Breath acetone monitoring by portable Si:WO{sub 3} gas sensors

    Energy Technology Data Exchange (ETDEWEB)

    Righettoni, Marco; Tricoli, Antonio; Gass, Samuel [Particle Technology Laboratory, Department of Mechanical and Process Engineering ETH Zurich, CH-8092 Zurich (Switzerland); Schmid, Alex; Amann, Anton [Univ.-Clinic for Anesthesia, Innsbruck Medical University, A-6020 Innsbruck (Austria); Breath Research Institute of the Austrian Academy of Sciences, A-6850 Dornbirn (Austria); Pratsinis, Sotiris E., E-mail: sotiris.pratsinis@ptl.mavt.ethz.ch [Particle Technology Laboratory, Department of Mechanical and Process Engineering ETH Zurich, CH-8092 Zurich (Switzerland)

    2012-08-13

    Highlights: Black-Right-Pointing-Pointer Portable sensors were developed and tested for monitoring acetone in the human breath. Black-Right-Pointing-Pointer Acetone concentrations down to 20 ppb were measured with short response times (<30 s). Black-Right-Pointing-Pointer The present sensors were highly selective to acetone over ethanol and water. Black-Right-Pointing-Pointer Sensors were applied to human breath: good agreement with highly sensitive PTR-MS. Black-Right-Pointing-Pointer Tests with people at rest and during physical activity showed the sensor robustness. - Abstract: Breath analysis has the potential for early stage detection and monitoring of illnesses to drastically reduce the corresponding medical diagnostic costs and improve the quality of life of patients suffering from chronic illnesses. In particular, the detection of acetone in the human breath is promising for non-invasive diagnosis and painless monitoring of diabetes (no finger pricking). Here, a portable acetone sensor consisting of flame-deposited and in situ annealed, Si-doped epsilon-WO{sub 3} nanostructured films was developed. The chamber volume was miniaturized while reaction-limited and transport-limited gas flow rates were identified and sensing temperatures were optimized resulting in a low detection limit of acetone ({approx}20 ppb) with short response (10-15 s) and recovery times (35-70 s). Furthermore, the sensor signal (response) was robust against variations of the exhaled breath flow rate facilitating application of these sensors at realistic relative humidities (80-90%) as in the human breath. The acetone content in the breath of test persons was monitored continuously and compared to that of state-of-the-art proton transfer reaction mass spectrometry (PTR-MS). Such portable devices can accurately track breath acetone concentration to become an alternative to more elaborate breath analysis techniques.

  6. Protective supplied breathing air garment

    Science.gov (United States)

    Childers, Edward L.; von Hortenau, Erik F.

    1984-07-10

    A breathing air garment for isolating a wearer from hostile environments containing toxins or irritants includes a suit and a separate head protective enclosure or hood engaging a suit collar in sealing attachment. The hood and suit collar are cylindrically shaped and dimensioned to enable the wearer to withdraw his hands from the suit sleeves to perform manual tasks within the hood interior. Breathing air is supplied from an external air line with an air delivery hose attached to the hood interior. The hose feeds air into an annular halo-like fiber-filled plenum having spaced discharge orifices attached to the hood top wall. A plurality of air exhaust/check valves located at the suit extremities cooperate with the hood air delivery system to provide a cooling flow of circulating air from the hood throughout the suit interior. A suit entry seal provided on the suit rear torso panel permits access into the suit and is sealed with an adhesive sealing flap.

  7. Practice and Problems in Language Testing 5. Non-Classical Test Theory; Final Examinations in Secondary Schools. Papers Presented at the International Language Testing Symposium (5th, Arnhem, Netherlands, March 25-26, 1982).

    Science.gov (United States)

    van Weeren, J., Ed.

    Presented in this symposium reader are nine papers, four of which deal with the theory and impact of the Rasch model on language testing and five of which discuss final examinations in secondary schools in both general and specific terms. The papers are: "Introduction to Rasch Measurement: Some Implications for Language Testing" (J. J.…

  8. Submarines, spacecraft and exhaled breath.

    Science.gov (United States)

    Pleil, Joachim D; Hansel, Armin

    2012-03-01

    Foreword The International Association of Breath Research (IABR) meetings are an eclectic gathering of researchers in the medical, environmental and instrumentation fields; our focus is on human health as assessed by the measurement and interpretation of trace chemicals in human exhaled breath. What may have escaped our notice is a complementary field of research that explores the creation and maintenance of artificial atmospheres practised by the submarine air monitoring and air purification (SAMAP) community. SAMAP is comprised of manufacturers, researchers and medical professionals dealing with the engineering and instrumentation to support human life in submarines and spacecraft (including shuttlecraft and manned rockets, high-altitude aircraft, and the International Space Station (ISS)). Here, the immediate concerns are short-term survival and long-term health in fairly confined environments where one cannot simply 'open the window' for fresh air. As such, one of the main concerns is air monitoring and the main sources of contamination are CO(2) and other constituents of human exhaled breath. Since the inaugural meeting in 1994 in Adelaide, Australia, SAMAP meetings have been held every two or three years alternating between the North American and European continents. The meetings are organized by Dr Wally Mazurek (a member of IABR) of the Defense Systems Technology Organization (DSTO) of Australia, and individual meetings are co-hosted by the navies of the countries in which they are held. An overriding focus at SAMAP is life support (oxygen availability and carbon dioxide removal). Certainly, other air constituents are also important; for example, the closed environment of a submarine or the ISS can build up contaminants from consumer products, cooking, refrigeration, accidental fires, propulsion and atmosphere maintenance. However, the most immediate concern is sustaining human metabolism: removing exhaled CO(2) and replacing metabolized O(2). Another

  9. The effect of body temperature on the dynamic respiratory system compliance-breathing frequency relationship in the rat.

    Science.gov (United States)

    Rubini, Alessandro; Bosco, Gerardo

    2013-06-01

    The mechanical inhomogeneity of the respiratory system is frequently investigated by measuring the frequency dependence of dynamic compliance, but no data are currently available describing the effects of body temperature variations. The aim of the present report was to study those effects in vivo. Peak airway pressure was measured during positive pressure ventilation in eight anesthetized rats while breathing frequency (but not tidal volume) was altered. Dynamic compliance was calculated as the tidal volume/peak airway pressure, and measurements were taken in basal conditions (mean rectal temperature 37.3 °C) as well as after total body warming (mean rectal temperature 39.7 °C). Due to parenchymal mechanical inhomogeneity and stress relaxation-linked effects, the normal rat respiratory system exhibited frequency dependence of dynamic lung compliance. Even moderate body temperature increments significantly reduced the decrements in dynamic compliance linked to breathing rate increments. The results were analyzed using Student's and Wilcoxon's tests, which yielded the same results (p temperature variations are known to influence respiratory mechanics. The frequency dependence of dynamic compliance was found, in the experiments described, to be temperature-dependent as temperature variations affected parenchymal mechanical inhomogeneity and stress relaxation. These results suggest that body temperature variations should be taken into consideration when the dynamic compliance-breathing frequency relationship is being examined during clinical assessment of inhomogeneity of lung parenchyma in patients.

  10. Atrial distension, arterial pulsation, and vasopressin release during negative pressure breathing in humans

    DEFF Research Database (Denmark)

    Pump, B; Damgaard, M; Gabrielsen, A;

    2001-01-01

    During an antiorthostatic posture change, left atrial (LA) diameter and arterial pulse pressure (PP) increase, and plasma arginine vasopressin (AVP) is suppressed. By comparing the effects of a 15-min posture change from seated to supine with those of 15-min seated negative pressure breathing...... in eight healthy males, we tested the hypothesis that with similar increases in LA diameter, suppression of AVP release is dependent on the degree of increase in PP. LA diameter increased similarly during the posture change and negative pressure breathing (-9 to -24 mmHg) from between 30 and 31 +/- 1 to 34...... +/- 1 mm (P breathing from 36 +/- 3 to 42 +/- 3 mmHg (P

  11. Schistosomiasis japonica in Barrio San Antonio, Basey, Samar in the Philippines: II. Quantitative fecal examination and circumoval precipitin tests.

    Science.gov (United States)

    Yogore, M G; Lewert, R M; Blas, B L

    1978-09-01

    An improved quantitative stool examination technique (MFCT) and two variations in the performance of the circumoval precipitin test, one using whole serum (SCOPT) and the other employing the eluate from finger prick blood dried on filter paper (FPCOPT), were evaluated in a field study to detect infection with S. japonicum among residents of an endemic barrio in Samar. The sensitivity of SCOPT was above 90%, that of MFCT was between 80 to 90%, while that of FPCOPT was only about 50%. Intensity of infection as judged by fecal egg excretion and duration of infection as indicated by age were shown to be determinants of serum reactivity (and hence sensitivity of the two serodiagnostic tests). The relative insensitivity of FPCOPT observed in this work, also evident in some published data of previous workers, puts to doubt the wisdom of using this technique as the procedure of choice in epidemiologic surveys in the Philippines as currently favored in that country. Atypical positive reactions in circumoval precipitin tests using whole serum were detected which may make the differentiation of relatively recent from old infections possible.

  12. An Examination of Sources of Variability Across the Consonant-Nucleus-Consonant Test in Cochlear Implant Listeners

    Directory of Open Access Journals (Sweden)

    Julie Arenberg Bierer

    2016-04-01

    Full Text Available The 10 consonant-nucleus-consonant (CNC word lists are considered the gold standard in the testing of cochlear implant (CI users. However, variance in scores across lists could degrade the sensitivity and reliability of them to identify deficits in speech perception. This study examined the relationship between variability in performance among lists and the lexical characteristics of the words. Data are from 28 adult CI users. Each subject was tested on all 10 CNC word lists. Data were analyzed in terms of lexical characteristics, lexical frequency, neighborhood density, bi-, and tri-phonemic probabilities. To determine whether individual performance variability across lists can be reduced, the standard set of 10 phonetically balanced 50-word lists was redistributed into a new set of lists using two sampling strategies: (a balancing with respect to word lexical frequency or (b selecting words with equal probability. The mean performance on the CNC lists varied from 53.1% to 62.4% correct. The average difference between the highest and lowest scores within individuals across the lists was 20.9% (from 12% to 28%. Lexical frequency and bi-phonemic probabilities were correlated with word recognition performance. The range of scores was not significantly reduced for all individuals when responses were simulated with 1,000 sets of redistributed lists, using both types of sampling methods. These results indicate that resampling of words does not affect the test–retest reliability and diagnostic value of the CNC word test.

  13. 42 CFR 84.141 - Breathing gas; minimum requirements.

    Science.gov (United States)

    2010-10-01

    ... Respirators § 84.141 Breathing gas; minimum requirements. (a) Breathing gas used to supply supplied-air respirators shall be respirable breathing air and contain no less than 19.5 volume-percent of oxygen....

  14. How Does a Hopping Kangaroo Breathe?

    Science.gov (United States)

    Giuliodori, Mauricio J.; Lujan, Heidi L.; Janbaih, Hussein; DiCarlo, Stephen E.

    2010-01-01

    We developed a model to demonstrate how a hopping kangaroo breathes. Interestingly, a kangaroo uses less energy to breathe while hopping than while standing still. This occurs, in part, because rather than using muscle power to move air into and out of the lungs, air is pulled into (inspiration) and pushed out of (expiration) the lungs as the…

  15. Relationships between hippocampal activity and breathing patterns

    DEFF Research Database (Denmark)

    Harper, R M; Poe, G R; Rector, D M;

    1998-01-01

    Single cell discharge, EEG activity, and optical changes accompanying alterations in breathing patterns, as well as the knowledge that respiratory musculature is heavily involved in movement and other behavioral acts, implicate hippocampal regions in some aspects of breathing control. The control...

  16. Speech-language pathology findings in patients with mouth breathing: multidisciplinary diagnosis according to etiology.

    Science.gov (United States)

    Junqueira, Patrícia; Marchesan, Irene Queiroz; de Oliveira, Luciana Regina; Ciccone, Emílio; Haddad, Leonardo; Rizzo, Maria Cândida

    2010-11-01

    The purpose of this study was to identify and compare the results of the findings from speech-language pathology evaluations for orofacial function including tongue and lip rest postures, tonus, articulation and speech, voice and language, chewing, and deglutition in children who had a history of mouth breathing. The diagnoses for mouth breathing included: allergic rhinitis, adenoidal hypertrophy, allergic rhinitis with adenoidal hypertrophy; and/or functional mouth breathing. This study was conducted with on 414 subjects of both genders, from 2 to 16-years old. A team consisting of 3 speech-language pathologists, 1 pediatrician, 1 allergist, and 1 otolaryngologist, evaluated the patients. Multidisciplinary clinical examinations were carried out (complete blood counting, X-rays, nasofibroscopy, audiometry). The two most commonly found etiologies were allergic rhinitis, followed by functional mouth breathing. Of the 414 patients in the study, 346 received a speech-language pathology evaluation. The most prevalent finding in this group of 346 subjects was the presence of orofacial myofunctional disorders. The most frequently orofacial myofunctional disorder identified in these subjects who also presented mouth breathing included: habitual open lips rest posture, low and forward tongue rest posture and lack of adequate muscle tone. There were also no statistically significant relationships identified between etiology and speech-language diagnosis. Therefore, the specific type of etiology of mouth breathing does not appear to contribute to the presence, type, or number of speech-language findings which may result from mouth breathing behavior.

  17. The assessment of the breath hold and the free breath methods about the blood flow evaluation by using phase contrast MRI

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seong Ho [Dept. of Radiology, Konkuk Medical center, Seoul (Korea, Republic of)

    2016-06-15

    Measurement of cardiac blood flow using the magnetic resonance imaging has been limited due to breathing and involuntary movements of the heart. The present study attempted to improve the accuracy of cardiac blood flow testing through phase contrast magnetic resonance imaging by presenting the adequate breathing method and imaging variables by comparing the measurement values of cardiac blood flow. Each was evaluated by comparing the breath hold retrospective 1NEX and non breath hold retrospective 1-3NEX in the ascending aorta and descending aorta. As a result, the average blood flow amount/ velocity of the breath hold retrosepctive 1NEX method in the ascending aorta were 96.17±19.12 ml/sec, 17.04±4.12 cm/sec respectively, which demonstrates a statistically significant difference(p<0.05) with the non-breath hold retrospective method 1NEX of 72.31±13.27 ml and 12.32±3.85. On the other hand, the average 2NEX blood flow and mean flow velocity is 101.90±24.09, 16.84±4.32, 3NEX 103.06±25.49, 16.88±4.19 did not show statistically significant differences(p>0.05).The average blood flow amount/ velocity of the breath hold retrospective 1NEX method in the descending aorta were 76.68±19.72 ml/s, and 22.23±4.8, which did not demonstrate a significant difference in comparison to non-breath hold retrospective method 1-3 NEX. Therefore, the non breath hold retrospective method does not significantly differ in terms of cardiac blood flow in comparison with the breath hold retrospective method in accordance with the increase of NEX, so pediatric patients or patients who are not able to breathe well must have the diagnostic value of their cardiac blood flow tests improved.

  18. Pulse pressure variation to predict fluid responsiveness in spontaneously breathing patients: tidal vs. forced inspiratory breathing.

    Science.gov (United States)

    Hong, D M; Lee, J M; Seo, J H; Min, J J; Jeon, Y; Bahk, J H

    2014-07-01

    We evaluated whether pulse pressure variation can predict fluid responsiveness in spontaneously breathing patients. Fifty-nine elective thoracic surgical patients were studied before induction of general anaesthesia. After volume expansion with hydroxyethyl starch 6 ml.kg(-1) , patients were defined as responders by a ≥ 15% increase in the cardiac index. Haemodynamic variables were measured before and after volume expansion and pulse pressure variations were calculated during tidal breathing and during forced inspiratory breathing. Median (IQR [range]) pulse pressure variation during forced inspiratory breathing was significantly higher in responders (n = 29) than in non-responders (n = 30) before volume expansion (18.2 (IQR 14.7-18.2 [9.3-31.3])% vs. 10.1 (IQR 8.3-12.6 [4.8-21.1])%, respectively, p breathing could predict fluid responsiveness (area under the curve 0.910, p breathing can be used to guide fluid management in spontaneously breathing patients.

  19. Discriminating between Nasal and Mouth Breathing

    CERN Document Server

    Curran, Kevin; Coyle, Damian

    2010-01-01

    The recommendation to change breathing patterns from the mouth to the nose can have a significantly positive impact upon the general well being of the individual. We classify nasal and mouth breathing by using an acoustic sensor and intelligent signal processing techniques. The overall purpose is to investigate the possibility of identifying the differences in patterns between nasal and mouth breathing in order to integrate this information into a decision support system which will form the basis of a patient monitoring and motivational feedback system to recommend the change from mouth to nasal breathing. Our findings show that the breath pattern can be discriminated in certain places of the body both by visual spectrum analysis and with a Back Propagation neural network classifier. The sound file recoded from the sensor placed on the hollow in the neck shows the most promising accuracy which is as high as 90%.

  20. Abortion--the breath of life.

    Science.gov (United States)

    Joling, R J

    1974-01-01

    A scholarly review of medical-legal and biblical authority on the su bject of abortion supports abortion as a woman's right when it is performed before the fetus has had its "breath of life." Based on biblical evidence, a person becomes a living being when the soul, the "breath of life" is breathed into it. Without the "breath of life" no person exists. A fetus less than 28 weeks old is incapable of breathing alone; thus an aborted fetus that age is not truly a living human being capable of surviving independently of its mother's womb. Legal aspects include supreme, local and state court decisions defining abortion. It is ultimately expected that each person will determine what approach to take towards the abortion question. Abortion is still a personal problem regardless of supreme court decisions or ecclesiastical determinants. Religion and moral concepts should be the guiding conscience involved in the question of abortion.

  1. Rapid eye movement sleep in breath holders.

    Science.gov (United States)

    Kohyama, J; Hasegawa, T; Shimohira, M; Fukumizu, M; Iwakawa, Y

    2000-07-01

    One-night polysomnography was performed on seven subjects suffering from breath-holding spells, including one whose death was suggested to be a consequence of a breath-holding spell. The fatal case showed no rapid eye movements (REMs) during REM sleep, although he exhibited REMs during wakefulness. The average numbers of both REMs and bursts of REMs in REM sleep in the other six breath holders were significantly lower than those in age-matched controls. The breath holders showed no airway obstruction, desaturation, or sleep fragmentation. Since the rapid ocular activity in REM sleep is generated in the brain stem, we hypothesized that a functional brainstem disturbance is involved in the occurrence of breath-holding spells.

  2. Enhanced non-eupneic breathing following hypoxic, hypercapnic or hypoxic-hypercapnic gas challenges in conscious mice.

    Science.gov (United States)

    Getsy, Paulina M; Davis, Jesse; Coffee, Gregory A; May, Walter J; Palmer, Lisa A; Strohl, Kingman P; Lewis, Stephen J

    2014-12-01

    C57BL6 mice display non-eupneic breathing and spontaneous apneas during wakefulness and sleep as well as markedly disordered breathing following cessation of a hypoxic challenge. We examined whether (1) C57BL6 mice display marked non-eupneic breathing following hypercapnic or hypoxic-hypercapnic challenges, and (2) compared the post-hypoxia changes in non-eupneic breathing of C57BL6 mice to those of B6AF1 (57BL6 dam × A/J sire) and Swiss-Webster mice, which display different ventilatory responses than C57BL6 mice. C57BL6 mice displayed marked increases in respiratory frequency and non-eupneic breathing upon return to room-air after hypoxic (10% O2, 90% N2), hypercapnic (5% CO2, 21% O2 and 74% N2) and hypoxic-hypercapnic (10% O2, 5% CO2 and 85% N2) challenges. B6AF1 mice displayed less tachypnea and reduced non-eupneic breathing post-hypoxia, whereas Swiss-Webster mice displayed robust tachypnea with minimal increases in non-eupneic breathing post-hypoxia. These studies demonstrate that non-eupneic breathing increases after physiologically-relevant hypoxic-hypercapnic challenge in C57BL6 mice and suggest that further studies with these and B6AF1 and Swiss-Webster mice will help define the genetics of non-eupneic breathing.

  3. Treatment of Chronic Breath-Holding in an Adult with Severe Mental Retardation: A Clinical Case Study

    Science.gov (United States)

    Reed, Derek D.; Martens, Brian K.

    2008-01-01

    We describe a clinical case study surrounding the behavioral assessment and operant treatment of, an adult with severe mental retardation who engaged in chronic breath-holding. In this clinical case, previous neurological and medical testing had ruled out biological bases for the individual's breath-holding. A functional behavioral assessment…

  4. Risk Factors for Possible Dementia Using the Hopkins Verbal Learning Test and the Mini-Mental State Examination in Shanghai

    Directory of Open Access Journals (Sweden)

    Xin Xu

    2015-11-01

    Full Text Available Using a combination of the Hopkins Verbal Learning Test (HVLT and the Mini-Mental State Examination (MMSE, we investigated the prevalence of possible dementia (DEM in community-dwelling elderly in Shanghai. Subsequently, we investigated significant risk factors for DEM and generated a DEM self-checklist for early DEM detection and case management. We found that among a total of 521 participants using a HVLT cut-off score of <19 and a MMSE cut-off score of <24, a total of 69 DEM cases were identified. Risk factors, such as advanced age (≥68 years, low education (no or primary level, self-reported history of hypertension, and self-reported subjective memory complaints (SMC were significantly predictive of DEM. The presence of ≥3 out of four of the above mentioned risk factors can effectively discriminate DEM cases from non-DEM subjects.

  5. Post-irradiation examinations and high-temperature tests on undoped large-grain UO2 discs

    Science.gov (United States)

    Noirot, J.; Pontillon, Y.; Yagnik, S.; Turnbull, J. A.

    2015-07-01

    Within the Nuclear Fuel Industry Research (NFIR) programme, several fuel variants -in the form of thin circular discs - were irradiated in the Halden Boiling Water Reactor (HBWR) at burn-ups up to ∼100 GWd/tHM. The design of the fuel assembly was similar to that used in other HBWR programmes: the assembly contained several rods with fuel discs sandwiched between Mo discs, which limited temperature differences within each fuel disc. One such variant was made of large-grain UO2 discs (3D grain size = ∼45 μm) which were subjected to three burn-ups: 42, 72 and 96 GWd/tHM. Detailed characterizations of some of these irradiated large-grain UO2 discs were performed in the CEA Cadarache LECA-STAR hot laboratory. The techniques used included electron probe microanalysis (EPMA), scanning electron microscopy (SEM) and secondary ion mass spectrometry (SIMS). Comparisons were then carried out with more standard grain size UO2 discs irradiated under the same conditions. Examination of the high burn-up large-grain UO2 discs revealed the limited formation of a high burn-up structure (HBS) when compared with the standard-grain UO2 discs at similar burn-up. High burn-up discs were submitted to temperature transients up to 1200 °C in the heating test device called Merarg at a relatively low temperature ramp rate (0.2 °C/s). In addition to the total gas release during these tests, the release peaks throughout the temperature ramp were monitored. Tests at 1600 °C were also conducted on the 42 GWd/tHM discs. The fuels were then characterized with the same microanalysis techniques as those used before the tests, to investigate the effects of these tests on the fuel's microstructure and on the fission gas behaviour. This paper outlines the high resistance of this fuel to gas precipitation at high temperature and to HBS formation at high burn-up. It also shows the similarity of the positions, within the grains, where HBS forms at high burn-up and where bubbles appear during the low

  6. Putting theory to the test: examining family context, caregiver motivation, and conflict in the Family Check-Up model.

    Science.gov (United States)

    Fosco, Gregory M; Van Ryzin, Mark; Stormshak, Elizabeth A; Dishion, Thomas J

    2014-05-01

    This study examined contextual factors (caregiver depression, family resources, ethnicity, and initial levels of youth problem behavior) related to the effectiveness of the Family Check-Up (FCU) and evaluated family processes as a mediator of FCU intervention response and adolescent antisocial behavior. We followed a sample of 180 ethnically diverse youths of families who engaged in the FCU intervention. Family data were collected as part of the FCU assessment, and youth data were collected over 4 years, from sixth through ninth grade. Findings indicated that caregiver depression and minority status predicted greater caregiver motivation to change. In turn, caregiver motivation was the only direct predictor of FCU intervention response during a 1-year period. Growth in family conflict from sixth through eighth grade mediated the link between FCU response and ninth-grade antisocial behavior. This study explicitly tested core aspects of the FCU intervention model and demonstrated that caregiver motivation is a central factor that underlies family response to the FCU. The study also provided support for continued examination of family process mechanisms that account for enduring effects of the FCU and other family-centered interventions.

  7. An irradiation test of heat-resistant ceramic composite materials. Interim report on post-irradiation examinations of the first preliminary irradiation test: 97M-13A

    Energy Technology Data Exchange (ETDEWEB)

    Baba, Shin-ichi; Takahashi, Tsuneo; Ishihara, Masahiro; Hayashi, Kimio; Sozawa, Shizuo; Saito, Takashi [Japan Atomic Energy Research Inst., Oarai, Ibaraki (Japan). Oarai Research Establishment; Suzuki, Yoshio [Nuclear Engineering, Co. Ltd., Osaka (Japan); Saito, Tamotsu; Sekino, Hajime [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    2001-03-01

    The Japan Atomic Energy Research Institute (JAERI) has been carrying out the research on radiation damage mechanism of heat-resistant ceramic composite materials, as one of the subjects of the innovative basic research on high temperature engineering using the High Temperature Engineering Test Reactor (HTTR). A series of preliminary irradiation tests is being made using the Japan Materials Testing Reactor (JMTR). The present report describes results of post-irradiation examinations (PIE) so far on specimens irradiated in the first capsule, designated 97M-13A, to fast neutron fluences of 1.2-1.8x10{sup 24} m{sup -2} (E>1 MeV) at temperatures of 573, 673 and 843 K. In the PIE, measurements were made on (1) dimensional changes, (2) thermal expansions, (3) X-ray parameters and (4) {gamma}-ray spectra. The results for the carbon/carbon and SiC/SiC composites were similar to those in existing literatures. The temperature monitor effect was observed both for SiC fiber- and particle-reinforced SiC composites as in the case of monolithic SiC. Namely, the curve of the coefficient of thermal expansion (CTE) of these specimens showed a rapid drop above a temperature around the irradiation temperature +100 K in the first ramp (ramp rate: 10 K/min), while in the second ramp the CTE curves were almost the same as those of un-irradiated SiC specimens. (author)

  8. A randomized clinical trial of salivary substitute as an adjunct to scaling and root planing for management of periodontal inflammation in mouth breathing patients.

    Science.gov (United States)

    Bhatia, Anu; Sharma, Rajinder K; Tewari, Shikha; Narula, Satish C

    2015-09-01

    We investigated the outcome of conventional periodontal treatment in mouth breathing patients with chronic periodontitis, and compared the efficacy of applying salivary substitute to the anterior sextants as an adjunct to conventional treatment in such patients. In this randomized, investigator-blind, clinical study involving parallel groups, 40 mouth breathing patients were divided into two groups: a control group (CG, n = 20) comprising patients who received scaling and root planing (SRP), and a test group (TG, n = 20) who received salivary substitute as an adjunct to SRP for treatment of chronic periodontitis. The patients were followed up at various time intervals, and improvement of the gingival index (GI) was examined as the primary outcome. Student's t-test, repeated-measures ANOVA and Mann-Whitney U test were applied for statistical analysis. Although periodontal parameters were improved in both groups after 8 weeks of follow-up, the test group showed better improvement in terms of GI and percentage bleeding on probing. Within the limits of this study, our results suggest that the use of salivary substitute has a beneficial adjunctive effect for improvement of periodontal parameters in mouth breathing patients with chronic periodontitis.

  9. Evaluation of tracheal cuff pressure variation in spontaneously breathing patients

    OpenAIRE

    Plotnikow, Gustavo A; Roux, Nicolas; Feld, Viviana; Gogniat, Emiliano; Villalba, Dario; Ribero, Noelia Vairo; Sartore, Marisa; Bosso, Mauro; Quiroga, Corina; Leiva, Valeria; Scrigna, Mariana; Puchulu, Facundo; Distéfano, Eduardo; Scapellato, Jose Luis; Intile, Dante

    2013-01-01

    Background: Most of the studies referring cuff tubes’ issues were conducted on intubated patients. Not much is known about the cuff pressure performance in chronically tracheostomized patients disconnected from mechanical ventilation. Objective: To evaluate cuff pressure (CP) variation in tracheostomized, spontaneously breathing patients in a weaning rehabilitation center. Materials and Methods: Experimental setup to test instruments in vitro, in which the gauge (TRACOE) performance at differ...

  10. Time Breath of Psychological Theories

    DEFF Research Database (Denmark)

    Tateo, Luca; Valsiner, Jaan

    2015-01-01

    Psychology as a self-aspiring, ambitious, developmental science faces the crucial limit of time—both theoretically and practically. The issue of time in constructing psychology’s theories is a major unresolved metatheoretical task. This raises several questions about generalization of knowledge......: which is the time length of breath of psychological theories? Which is the temporal dimension of psychological processes? In this article we discuss the role of different axiomatic assumptions about time in the construction of psychological theories. How could different theories include a concept...... of time—or fail to do that? How can they generalize with respect to time? The different conceptions of time often remain implicit, while shaping the concepts used in understanding psychological processes. Any preconception about time in human development will foster the generalizability of theory, as well...

  11. Comparison of impedance and inductance ventilation sensors on adults during breathing, motion, and simulated airway obstruction.

    Science.gov (United States)

    Cohen, K P; Ladd, W M; Beams, D M; Sheers, W S; Radwin, R G; Tompkins, W J; Webster, J G

    1997-07-01

    The goal of this study was to compare the relative performance of two noninvasive ventilation sensing technologies on adults during artifacts. We recorded changes in transthoracic impedance and cross-sectional area of the abdomen (abd) and rib cage (rc) using impedance pneumography (IP) and respiratory inductance plethysmography (RIP) on ten adult subjects during natural breathing, motion artifact, simulated airway obstruction, yawning, snoring, apnea, and coughing. We used a pneumotachometer to measure air flow and tidal volume as the standard. We calibrated all sensors during natural breathing, and performed measurements during all maneuvers without changing the calibration parameters. No sensor provided the most-accurate measure of tidal volume for all maneuvers. Overall, the combination of inductance sensors [RIP(sum)] calibrated during an isovolume maneuver had a bias (weighted mean difference) as low or lower than all individual sensors and all combinations of sensors. The IP(rc) sensor had a bias as low or lower than any individual sensor. The cross-correlation coefficient between sensors was high during natural breathing, but decreased during artifacts. The cross correlation between sensor pairs was lower during artifacts without breathing than it was during maneuvers with breathing for four different sensor combinations. We tested a simple breath-detection algorithm on all sensors and found that RIP(sum) resulted in the fewest number of false breath detections, with sensitivity of 90.8% and positive predictivity of 93.6%.

  12. How does breathing frequency affect the performance of an N95 filtering facepiece respirator and a surgical mask against surrogates of viral particles?

    Science.gov (United States)

    He, Xinjian; Reponen, Tiina; McKay, Roy; Grinshpun, Sergey A

    2014-01-01

    Breathing frequency (breaths/min) differs among individuals and levels of physical activity. Particles enter respirators through two principle penetration pathways: faceseal leakage and filter penetration. However, it is unknown how breathing frequency affects the overall performance of N95 filtering facepiece respirators (FFRs) and surgical masks (SMs) against viral particles, as well as other health-relevant submicrometer particles. A FFR and SM were tested on a breathing manikin at four mean inspiratory flows (MIFs) (15, 30, 55, and 85 L/min) and five breathing frequencies (10, 15, 20, 25, and 30 breaths/min). Filter penetration (Pfilter) and total inward leakage (TIL) were determined for the tested respiratory protection devices against sodium chloride (NaCl) aerosol particles in the size range of 20 to 500 nm. "Faceseal leakage-to-filter" (FLTF) penetration ratios were calculated. Both MIF and breathing frequency showed significant effects (p breathing frequency increased TIL for the N95 FFR whereas no clear trends were observed for the SM. Increasing MIF increased Pfilter and decreased TIL resulting in decreasing FLTF ratio. Most of FLTF ratios were >1, suggesting that the faceseal leakage was the primary particle penetration pathway at various breathing frequencies. Breathing frequency is another factor (besides MIF) that can significantly affect the performance of N95 FFRs, with higher breathing frequencies increasing TIL. No consistent trend of increase or decrease of TIL with either MIF or breathing frequency was observed for the tested SM. To potentially extend these findings beyond the manikin/breathing system used, future studies are needed to fully understand the mechanism causing the breathing frequency effect on the performance of respiratory protection devices on human subjects.

  13. Task demands modulate decision and eye movement responses in the chimeric face test: examining the right hemisphere processing account

    Directory of Open Access Journals (Sweden)

    Jason eCoronel

    2014-03-01

    Full Text Available A large and growing body of work, conducted in both brain-intact and brain-damaged populations, has used the free viewing chimeric face test as a measure of hemispheric dominance for the extraction of emotional information from faces. These studies generally show that normal right-handed individuals tend to perceive chimeric faces as more emotional if the emotional expression is presented on the half of the face to the viewer’s left (left hemiface. However, the mechanisms underlying this lateralized bias remain unclear. Here, we examine the extent to which this bias is driven by right hemisphere processing advantages versus default scanning biases in a unique way -- by changing task demands. In particular, we compare the original task with one in which right-hemisphere-biased processing cannot provide a decision advantage. Our behavioral and eye-movement data are inconsistent with the predictions of a default scanning bias account and support the idea that the left hemiface bias found in the chimeric face test is largely due to strategic use of right hemisphere processing mechanisms.

  14. Analytical electron microscopy examination of solid reaction products in long-term test of SRL 200 waste glasses

    Energy Technology Data Exchange (ETDEWEB)

    Buck, E.C.; Fortner, J.A.; Bates, J.K.; Feng, X.; Dietz, N.L.; Bradley, C.R.; Tani, B.S.

    1993-12-31

    Alteration phases, found on the leached surfaces and present as colloids in the leachates of 200-based frit (fully active and simulated) nuclear waste glass, reacted under static test conditions, at a surface area to leachate volume ratio of 20,000 m{sup {minus}1} for 15 days to 728 days, have been examined by analytical electron microscopy. The compositions of the secondary phases were determined using x-ray energy dispersive spectroscopy and electron energy loss spectroscopy, and structural analysis was accomplished by electron diffraction. Long-term samples of simulated glass, which had undergone an acceleration of reaction after 182 days, possessed a number of silicate secondary phases, including; smectite (iron silicate and potassium iron alumina-silicate, weeksite (uranium silicate), zeolite (calcium potassium alumino-silicate), tobermorite (calcium silicate), and a pure silica phase. However, uranium silicates and smectite have also been observed in tests, which have not undergone the acceleration of reaction, in both the leachate and leached layer, suggesting that these phases are not responsible for the acceleration of reaction.

  15. Breathing Maneuvers as a Vasoactive Stimulus for Detecting Inducible Myocardial Ischemia – An Experimental Cardiovascular Magnetic Resonance Study

    Science.gov (United States)

    Fischer, Kady; Guensch, Dominik P; Shie, Nancy; Lebel, Julie; Friedrich, Matthias G

    2016-01-01

    Background Breathing maneuvers can elicit a similar vascular response as vasodilatory agents like adenosine; yet, their potential diagnostic utility in the presence of coronary artery stenosis is unknown. The objective of the study is to investigate if breathing maneuvers can non-invasively detect inducible ischemia in an experimental animal model when the myocardium is imaged with oxygenation-sensitive cardiovascular magnetic resonance (OS-CMR). Methods and Findings In 11 anesthetised swine with experimentally induced significant stenosis (fractional flow reserve coronary artery (LAD) and 9 control animals, OS-CMR at 3T was performed during two different breathing maneuvers, a long breath-hold; and a combined maneuver of 60s of hyperventilation followed by a long breath-hold. The resulting change of myocardial oxygenation was compared to the invasive measurements of coronary blood flow, blood gases, and oxygen extraction. In control animals, all breathing maneuvers could significantly alter coronary blood flow as hyperventilation decreased coronary blood flow by 34±23%. A long breath-hold alone led to an increase of 97±88%, while the increase was 346±327% (pcoronary blood flow response was attenuated after both hyperventilation and the following breath-hold. This was matched by the observed oxygenation response as breath-holds following hyperventilation consistently yielded a significant difference in the signal of the MRI images between the perfusion territory of the stenosis LAD and remote myocardium. There was no difference between the coronary territories during the other breathing maneuvers or in the control group at any point. Conclusion In an experimental animal model, the response to a combined breathing maneuver of hyperventilation with subsequent breath-holding is blunted in myocardium subject to significant coronary artery stenosis. This maneuver may allow for detecting severe coronary artery stenosis and have a significant clinical potential as a

  16. High-throughput cognitive assessment using BrainTest.org: examining cognitive control in a family cohort.

    Science.gov (United States)

    Sabb, Fred W; Hellemann, Gerhard; Lau, Deanna; Vanderlan, Jessica R; Cohen, Heather J; Bilder, Robert M; McCracken, James T

    2013-09-01

    Introduction Understanding the relationship between brain and complex latent behavioral constructs like cognitive control will require an inordinate amount of data. Internet-based methods can rapidly and efficiently refine behavioral measures in very large samples that are needed for genetics and behavioral research. Cognitive control is a multifactorial latent construct that is considered to be an endophenotype in numerous neuropsychiatric disorders, including attention deficit/hyperactivity disorder (ADHD). While previous studies have demonstrated high correlations between Web- and lab-based scores, skepticism remains for its broad implementation. Methods Here, we promote a different approach by characterizing a completely Web-recruited and tested community family sample on measures of cognitive control. We examine the prevalence of attention deficit symptoms in an online community sample of adolescents, demonstrate familial correlations in cognitive control measures, and use construct validation techniques to validate our high-throughput assessment approach. Results A total of 1214 participants performed Web-based tests of cognitive control with over 200 parent-child pairs analyzed as part of the primary study aims. The data show a wide range of "subclinical" symptomatology in a web community sample of adolescents that supports a dimensional view of attention and also provide preliminary narrow-sense heritability estimates for commonly used working memory and response inhibition tests. Conclusions Finally, we show strong face and construct validity for these measures of cognitive control that generally exceeds the evidence required of new lab-based measures. We discuss these results and how broad implementation of this platform may allow us to uncover important brain-behavior relationships quickly and efficiently.

  17. Resonant breathing biofeedback training for stress reduction among manufacturing operators.

    Science.gov (United States)

    Sutarto, Auditya Purwandini; Wahab, Muhammad Nubli Abdul; Zin, Nora Mat

    2012-01-01

    The aim of this study was to examine the effect of resonant breathing biofeedback training for reducing stress among manufacturing operators. Resonant breathing biofeedback works by teaching people to recognize their involuntary heart rate variability and to control patterns of this physiological response. Thirty-six female operators from an electronic manufacturing factory were randomly assigned as the experimental group (n = 19) and the control group (n = 17). The participants of the intervention received 5 weekly sessions of biofeedback training. Physiological stress profiles and self-perceived depression, anxiety, and stress scale (DASS) were assessed at pre- and post-intervention. Results indicated that depression, anxiety, and stress significantly decreased after the training in the experimental group; they were supported by a significant increase in physiological measures. Overall, these results support the potential application of resonant biofeedback training to reduce negative emotional symptoms among industrial workers.

  18. Coherent radial-breathing-like phonons in graphene nanoribbons

    Science.gov (United States)

    Sanders, G. D.; Nugraha, A. R. T.; Saito, R.; Stanton, C. J.

    2012-05-01

    We have developed a microscopic theory for the generation and detection of coherent phonons in armchair and zigzag graphene nanoribbons using an extended tight-binding model for the electronic states and a valence force field model for the phonons. The coherent phonon amplitudes satisfy a driven oscillator equation with the driving term depending on photoexcited carrier density. We examine the coherent phonon radial-breathing-like mode amplitudes as a function of excitation energies and nanoribbon types. For photoexcitation near the optical absorption edge the coherent phonon driving term for the radial-breathing-like mode is much larger for zigzag nanoribbons where transitions between localized edge states provide the dominant contribution to the coherent phonon driving term. Using an effective mass theory, we explain how the armchair nanoribbon width changes in response to laser excitation.

  19. Linearity of electrical impedance tomography during maximum effort breathing and forced expiration maneuvers.

    Science.gov (United States)

    Ngo, Chuong; Leonhardt, Steffen; Zhang, Tony; Lüken, Markus; Misgeld, Berno; Vollmer, Thomas; Tenbrock, Klaus; Lehmann, Sylvia

    2017-01-01

    Electrical impedance tomography (EIT) provides global and regional information about ventilation by means of relative changes in electrical impedance measured with electrodes placed around the thorax. In combination with lung function tests, e.g. spirometry and body plethysmography, regional information about lung ventilation can be achieved. Impedance changes strictly correlate with lung volume during tidal breathing and mechanical ventilation. Initial studies presumed a correlation also during forced expiration maneuvers. To quantify the validity of this correlation in extreme lung volume changes during forced breathing, a measurement system was set up and applied on seven lung-healthy volunteers. Simultaneous measurements of changes in lung volume using EIT imaging and pneumotachography were obtained with different breathing patterns. Data was divided into a synchronizing phase (spontaneous breathing) and a test phase (maximum effort breathing and forced maneuvers). The EIT impedance changes correlate strictly with spirometric data during slow breathing with increasing and maximum effort ([Formula: see text]) and during forced expiration maneuvers ([Formula: see text]). Strong correlations in spirometric volume parameters [Formula: see text] ([Formula: see text]), [Formula: see text]/FVC ([Formula: see text]), and flow parameters PEF, [Formula: see text], [Formula: see text], [Formula: see text] ([Formula: see text]) were observed. According to the linearity during forced expiration maneuvers, EIT can be used during pulmonary function testing in combination with spirometry for visualisation of regional lung ventilation.

  20. Breath Hydrogen as a Biomarker for Glucose Malabsorption after Roux-en-Y Gastric Bypass Surgery

    Directory of Open Access Journals (Sweden)

    Iman Andalib

    2015-01-01

    Full Text Available Objective. Abdominal symptoms are common after bariatric surgery, and these individuals commonly have upper gut bacterial overgrowth, a known cause of malabsorption. Breath hydrogen determination after oral glucose is a safe and inexpensive test for malabsorption. This study is designed to investigate breath hydrogen levels after oral glucose in symptomatic individuals who had undergone Roux-en-Y gastric bypass surgery. Methods. This is a retrospective study of individuals (n=63; 60 females; 3 males; mean age 49 years who had gastric bypass surgery and then glucose breath testing to evaluate abdominal symptoms. Results. Among 63 postoperative individuals, 51 (81% had a late rise (≥45 minutes in breath hydrogen or methane, supporting glucose malabsorption; 46 (90% of these 51 subjects also had an early rise (≤30 minutes in breath hydrogen or methane supporting upper gut bacterial overgrowth. Glucose malabsorption was more frequent in subjects with upper gut bacterial overgrowth compared to subjects with no evidence for bacterial overgrowth (P<0.001. Conclusion. These data support the presence of intestinal glucose malabsorption associated with upper gut bacterial overgrowth in individuals with abdominal symptoms after gastric bypass surgery. Breath hydrogen testing after oral glucose should be considered to evaluate potential malabsorption in symptomatic, postoperative individuals.

  1. An Ultrasonic Contactless Sensor for Breathing Monitoring

    Directory of Open Access Journals (Sweden)

    Philippe Arlotto

    2014-08-01

    Full Text Available The monitoring of human breathing activity during a long period has multiple fundamental applications in medicine. In breathing sleep disorders such as apnea, the diagnosis is based on events during which the person stops breathing for several periods during sleep. In polysomnography, the standard for sleep disordered breathing analysis, chest movement and airflow are used to monitor the respiratory activity. However, this method has serious drawbacks. Indeed, as the subject should sleep overnight in a laboratory and because of sensors being in direct contact with him, artifacts modifying sleep quality are often observed. This work investigates an analysis of the viability of an ultrasonic device to quantify the breathing activity, without contact and without any perception by the subject. Based on a low power ultrasonic active source and transducer, the device measures the frequency shift produced by the velocity difference between the exhaled air flow and the ambient environment, i.e., the Doppler effect. After acquisition and digitization, a specific signal processing is applied to separate the effects of breath from those due to subject movements from the Doppler signal. The distance between the source and the sensor, about 50 cm, and the use of ultrasound frequency well above audible frequencies, 40 kHz, allow monitoring the breathing activity without any perception by the subject, and therefore without any modification of the sleep quality which is very important for sleep disorders diagnostic applications. This work is patented (patent pending 2013-7-31 number FR.13/57569.

  2. An ultrasonic contactless sensor for breathing monitoring.

    Science.gov (United States)

    Arlotto, Philippe; Grimaldi, Michel; Naeck, Roomila; Ginoux, Jean-Marc

    2014-08-20

    The monitoring of human breathing activity during a long period has multiple fundamental applications in medicine. In breathing sleep disorders such as apnea, the diagnosis is based on events during which the person stops breathing for several periods during sleep. In polysomnography, the standard for sleep disordered breathing analysis, chest movement and airflow are used to monitor the respiratory activity. However, this method has serious drawbacks. Indeed, as the subject should sleep overnight in a laboratory and because of sensors being in direct contact with him, artifacts modifying sleep quality are often observed. This work investigates an analysis of the viability of an ultrasonic device to quantify the breathing activity, without contact and without any perception by the subject. Based on a low power ultrasonic active source and transducer, the device measures the frequency shift produced by the velocity difference between the exhaled air flow and the ambient environment, i.e., the Doppler effect. After acquisition and digitization, a specific signal processing is applied to separate the effects of breath from those due to subject movements from the Doppler signal. The distance between the source and the sensor, about 50 cm, and the use of ultrasound frequency well above audible frequencies, 40 kHz, allow monitoring the breathing activity without any perception by the subject, and therefore without any modification of the sleep quality which is very important for sleep disorders diagnostic applications. This work is patented (patent pending 2013-7-31 number FR.13/57569).

  3. Breathing and sleep at high altitude.

    Science.gov (United States)

    Ainslie, Philip N; Lucas, Samuel J E; Burgess, Keith R

    2013-09-15

    We provide an updated review on the current understanding of breathing and sleep at high altitude in humans. We conclude that: (1) progressive changes in pH initiated by the respiratory alkalosis do not underlie early (48 h), complex cellular and neurochemical re-organization occurs both in the peripheral chemoreceptors as well as within the central nervous system. The latter is likely influenced by central acid-base changes secondary to the extent of the initial respiratory responses to initial exposure to high altitude; (3) sleep at high altitude is disturbed by various factors, but principally by periodic breathing; (4) the extent of periodic breathing during sleep at altitude intensifies with duration and severity of exposure; (5) complex interactions between hypoxic-induced enhancement in peripheral and central chemoreflexes and cerebral blood flow--leading to higher loop gain and breathing instability--underpin this development of periodic breathing during sleep; (6) because periodic breathing may elevate rather than reduce mean SaO2 during sleep, this may represent an adaptive rather than maladaptive response; (7) although oral acetazolamide is an effective means to reduce periodic breathing by 50-80%, recent studies using positive airway pressure devices to increase dead space, hyponotics and theophylline are emerging but appear less practical and effective compared to acetazolamide. Finally, we suggest avenues for future research, and discuss implications for understanding sleep pathology.

  4. Glass bottle sampling solid phase microextraction gas chromatography mass spectrometry for breath analysis of drug metabolites.

    Science.gov (United States)

    Lu, Yan; Niu, Wenqi; Zou, Xue; Shen, Chengyin; Xia, Lei; Huang, Chaoqun; Wang, Hongzhi; Jiang, Haihe; Chu, Yannan

    2017-03-23

    Breath analysis is a non-invasive approach which may be applied to disease diagnosis and pharmacokinetic study. In the case of offline analysis, the exhaled gas needs to be collected and the sampling bag is often used as the storage vessel. However, the sampling bag usually releases some extra compounds, which may interfere with the result of the breath test. In this study, a novel breath sampling glass bottle was developed with a syringe needle sampling port for solid phase microextraction (SPME). Such a glass bottle scarcely liberates compounds and can be used to collect exhaled gas for ensuing analysis by gas chromatography-mass spectrometry (GC-MS). The glass bottle sampling SPME-GC-MS analysis was carried out to investigate the breath metabolites of myrtol, a multicompound drug normally used in the treatment of bronchitis and sinusitis. Four compounds, α-pinene, 2,3-dehydro-1,8-cineole, d-limonene and 1,8-cineole were found in the exhaled breath of all eight volunteers who had taken the myrtol. While for other ten subjects who had not used the myrtol, these compounds were undetectable. In the SPME-GC-MS analysis of the headspace of myrtol, three compounds were detected including α-pinene, d-limonene and 1,8-cineole. Comparing the results of breath and headspace analysis, it indicates that 2,3-dehydro-1,8-cineole in the breath is the metabolite of 1,8-cineole. It is the first time that this metabolite was identified in human breath. The study demonstrates that the glass bottle sampling SPME-GC-MS method is applicable to exhaled gas analysis including breath metabolites investigation of drugs like myrtol.

  5. Slow breathing and hypoxic challenge: cardiorespiratory consequences and their central neural substrates.

    Science.gov (United States)

    Critchley, Hugo D; Nicotra, Alessia; Chiesa, Patrizia A; Nagai, Yoko; Gray, Marcus A; Minati, Ludovico; Bernardi, Luciano

    2015-01-01

    Controlled slow breathing (at 6/min, a rate frequently adopted during yoga practice) can benefit cardiovascular function, including responses to hypoxia. We tested the neural substrates of cardiorespiratory control in humans during volitional controlled breathing and hypoxic challenge using functional magnetic resonance imaging (fMRI). Twenty healthy volunteers were scanned during paced (slow and normal rate) breathing and during spontaneous breathing of normoxic and hypoxic (13% inspired O2) air. Cardiovascular and respiratory measures were acquired concurrently, including beat-to-beat blood pressure from a subset of participants (N = 7). Slow breathing was associated with increased tidal ventilatory volume. Induced hypoxia raised heart rate and suppressed heart rate variability. Within the brain, slow breathing activated dorsal pons, periaqueductal grey matter, cerebellum, hypothalamus, thalamus and lateral and anterior insular cortices. Blocks of hypoxia activated mid pons, bilateral amygdalae, anterior insular and occipitotemporal cortices. Interaction between slow breathing and hypoxia was expressed in ventral striatal and frontal polar activity. Across conditions, within brainstem, dorsal medullary and pontine activity correlated with tidal volume and inversely with heart rate. Activity in rostroventral medulla correlated with beat-to-beat blood pressure and heart rate variability. Widespread insula and striatal activity tracked decreases in heart rate, while subregions of insular cortex correlated with momentary increases in tidal volume. Our findings define slow breathing effects on central and cardiovascular responses to hypoxic challenge. They highlight the recruitment of discrete brainstem nuclei to cardiorespiratory control, and the engagement of corticostriatal circuitry in support of physiological responses that accompany breathing regulation during hypoxic challenge.

  6. Clinical comparison of Colgate Total Advanced Fresh vs a commercially available fluoride breath-freshening toothpaste in reducing breath odor overnight: a multiple-use study.

    Science.gov (United States)

    Niles, Hollandra P; Hunter, Catherine M; Vazquez, Joe; Williams, Malcolm I; Cummins, Diane

    2003-09-01

    The objective of this randomized, crossover study was to compare the effectiveness of Colgate Total Advanced Fresh toothpaste to a commercially available breath-freshening dentifrice containing fluoride for its ability to reduce volatile sulfur compounds (VSC) responsible for breath odor overnight. The study followed a two-treatment, two-period crossover design. Subjects were given a test product, along with a soft-bristled toothbrush, and instructed to brush their teeth for 1 minute, twice daily (once in the morning and the evening) using the assigned dentifrice for 7 consecutive days. After their evening brushing on the seventh day, subjects reported to the testing facility without oral hygiene, eating, or drinking for the overnight evaluation. After a washout period, subjects repeated the same regimen, now using the other test product. The levels of breath VSC were evaluated instrumentally using a gas chromatograph equipped with a flame photometric detector.

  7. Test of Integrated Professional Skills: Objective Structured Clinical Examination/Simulation Hybrid Assessment of Obstetrics-Gynecology Residents' Skill Integration

    Science.gov (United States)

    Winkel, Abigail Ford; Gillespie, Colleen; Hiruma, Marissa T.; Goepfert, Alice R.; Zabar, Sondra; Szyld, Demian

    2014-01-01

    Background Assessment of obstetrics-gynecology residents' ability to integrate clinical judgment, interpersonal skills, and technical ability in a uniform fashion is required to document achievement of benchmarks of competency. An observed structured clinical examination that incorporates simulation and bench models uses direct observation of performance to generate formative feedback and standardized evaluation. Methods The Test of Integrated Professional Skills (TIPS) is a 5-station performance-based assessment that uses standardized patients and complex scenarios involving ultrasonography, procedural skills, and evidence-based medicine. Standardized patients and faculty rated residents by using behaviorally anchored checklists. Mean scores reflecting performance in TIPS were compared across competency domains and by developmental level (using analysis of variance) and then compared to standard faculty clinical evaluations (using Spearman ρ). Participating faculty and residents were also asked to evaluate the usefulness of the TIPS. Results Twenty-four residents participated in the TIPS. Checklist items used to assess competency were sufficiently reliable, with Cronbach α estimates from 0.69 to 0.82. Performance improved with level of training, with wide variation in performance. Standard faculty evaluations did not correlate with TIPS performance. Several residents who were rated as average or above average by faculty performed poorly on the TIPS (> 1 SD below the mean). Both faculty and residents found the TIPS format useful, providing meaningful evaluation and opportunity for feedback. Conclusions A simulation-based observed structured clinical examination facilitates observation of a range of skills, including competencies that are difficult to observe and measure in a standardized way. Debriefing with faculty provides an important interface for identification of performance gaps and individualization of learning plans. PMID:24701321

  8. Breath sound changes associated with malpositioned endotracheal tubes.

    Science.gov (United States)

    Mansy, H A; O'Connor, C J; Balk, R A; Sandler, R H

    2005-03-01

    Endotracheal tubes (ETTs) are used to establish airway access in patients with ventilatory failure and during general anaesthesia. Tube malpositioning can compromise respiratory function and can be associated with increased morbidity and mortality. Clinical assessment of ETT position normally involves chest auscultation, which is highly skill-dependent and can be misleading. The objective of this pilot study was to investigate breath sound changes associated with ETT malpositioning. Breath sounds were acquired in six human subjects over each hemithorax and over the epigastrium for tracheal, bronchial and oesophageal intubations. When the ETT was in the oesophagus, the acoustic energy ratio between epigastrium and chest surface increased in all subjects (p sounds may be useful for assessment of ETT positioning. More studies are needed to test the feasibility of this approach further.

  9. 46 CFR 197.456 - Breathing supply hoses.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Breathing supply hoses. 197.456 Section 197.456 Shipping....456 Breathing supply hoses. (a) The diving supervisor shall insure that— (1) Each breathing supply....5 times its maximum working pressure; (2) Each breathing supply hose assembly, prior to being...

  10. Underwater breathing: the mechanics of plastron respiration

    Science.gov (United States)

    Flynn, M. R.; Bush, John W. M.

    The rough, hairy surfaces of many insects and spiders serve to render them water-repellent; consequently, when submerged, many are able to survive by virtue of a thin air layer trapped along their exteriors. The diffusion of dissolved oxygen from the ambient water may allow this layer to function as a respiratory bubble or , and so enable certain species to remain underwater indefinitely. Maintenance of the plastron requires that the curvature pressure balance the pressure difference between the plastron and ambient. Moreover, viable plastrons must be of sufficient area to accommodate the interfacial exchange of O2 and CO2 necessary to meet metabolic demands. By coupling the bubble mechanics, surface and gas-phase chemistry, we enumerate criteria for plastron viability and thereby deduce the range of environmental conditions and dive depths over which plastron breathers can survive. The influence of an external flow on plastron breathing is also examined. Dynamic pressure may become significant for respiration in fast-flowing, shallow and well-aerated streams. Moreover, flow effects are generally significant because they sharpen chemical gradients and so enhance mass transfer across the plastron interface. Modelling this process provides a rationale for the ventilation movements documented in the biology literature, whereby arthropods enhance plastron respiration by flapping their limbs or antennae. Biomimetic implications of our results are discussed.

  11. Breathing exercises for adults with asthma.

    Science.gov (United States)

    2015-11-01

    Asthma is a common long-term condition that remains poorly controlled in many people despite the availability of pharmacological interventions, evidence-based treatment guidelines and care pathways.(1) There is considerable public interest in the use of non-pharmacological approaches for the treatment of asthma.(2) A survey of people with asthma reported that many have used complementary and alternative medicine, often without the knowledge of their clinical team.(3) Such interventions include breathing techniques, herbal products, homeopathy and acupuncture. The role of breathing exercises within the management of asthma has been controversial, partly because early claims of effectiveness were exaggerated.(4) UK national guidance and international guidelines on the management of asthma have included the option of breathing exercise programmes as an adjuvant to pharmacological treatment.(5,6) Here we discuss the types of breathing exercises used and review the evidence for their effectiveness.

  12. Fast and Accurate Exhaled Breath Ammonia Measurement

    OpenAIRE

    Solga, Steven F; Mudalel, Matthew L; Spacek, Lisa A.; Risby, Terence H.

    2014-01-01

    This exhaled breath ammonia method uses a fast and highly sensitive spectroscopic method known as quartz enhanced photoacoustic spectroscopy (QEPAS) that uses a quantum cascade based laser. The monitor is coupled to a sampler that measures mouth pressure and carbon dioxide. The system is temperature controlled and specifically designed to address the reactivity of this compound. The sampler provides immediate feedback to the subject and the technician on the quality of the breath effort. Toge...

  13. Evaluation of small intestine bacterial overgrowth in patients with functional dyspepsia through H2 breath test Avaliação de supercrescimento bacteriano no intestino delgado em pacientes com dispepsia funcional, utilizando o teste de H2 no ar expirado

    Directory of Open Access Journals (Sweden)

    Michelle Bafutto Gomes Costa

    2012-12-01

    Full Text Available CONTEXT: Functional dyspepsia is a condition in which symptoms are not related to organic underlying disease; its pathogenesis is not well known. The small intestinal bacterial overgrowth (SIBO is characterized by the increase in the number and/or type of colonic bacteria in the upper gastrointestinal tract. The hypothesis of SIBO being associated to functional dyspepsia must be considered, since the impaired motility of the gastrointestinal tract is one of the main etiologic factors involved on both pathologies. OBJECTIVE: To determine if there is SIBO in patients with functional dyspepsia. METHODS: Case-control study, evaluating 34 patients: 23 functional dyspeptic and 11 non-dyspeptic (control group. Questionnaire applied based on Rome III criteria. The patients underwent H2-lactulose breath test, considered positive when: H2 peak exceeding 20 ppm, in relation to fasting, or two peaks exceeding 10 ppm sustained until 60 minutes. RESULTS: Of the 23 dyspeptic patients, 13 (56.5% obtained positive results for SIBO trough the H2-lactulose breath test. On control group, SIBO was not observed. The association between the dyspeptic group and the control group regarding SIBO was statistically significant, with P = 0.0052. In the group of dyspeptic patients, 12 (52.2% were using proton pump inhibitor; of these 9 (75% were positive for SIBO. In the control group, none of the 11 patients used proton pump inhibitors and SIBO was not observed. The association of the dyspeptic group using proton pump inhibitor that were positive for SIBO and the control group was statistically significant, with P = 0.0011. CONCLUSION: It was found that, patients with functional dyspepsia presented SIBO, when they underwent to H2-lactulose breath test, compared to the non-dyspeptic. In addition, it was observed a higher prevalence of SIBO in dyspeptic patients that were using proton pump inhibitors, compared to control group.CONTEXTO: A dispepsia funcional é uma afec

  14. Clinical and Laboratory Findings of Patients with Breath Holding Spells

    Directory of Open Access Journals (Sweden)

    Özlem Özdemir

    2009-09-01

    Full Text Available Aim: The aim of this prospective study was to evaluate the clinical characteristics; physical findings, cardiological, hematological and neurological problems; treatment approaches; and the prognosis of children with breath holding spells.Materials and Method: Seventhy patients were included in this study. All patients were evaluated with detailed history and physical examination. Complete blood count, serum iron and iron binding capacity were studied; cardiological (telecardiography, electrocardiography, if necessary echocardiography and event recorder and neurological investigations (electroencephalography were done during the admission. Patients with iron deficiency anemia and iron deficiency were treated with ferrous sulphate orally. In patients with normal hematological values, no medication was used. After a two-month treatment period patients underwent control hematological evaluation. Frequency of the spells, age of disappearance of spells (defined as 6 months without spells, disappearance ratios between the three groups were compared. Results: The percentage of cyanotic, palloric and mixt type of breath holding spells of 70 patients included in the study were 67.1, 14.3 and 18.6, respectively. It was determined that psychogenic factors played a role in 77.1% of our patients. There were iron deficiency anemia in 39 (55.7%, iron deficiency in 12 (17.2% and normal hematological parameters in 19 (27.1% of 70 patients. The QTc values were normal in all of them. EEG’s were normal in 56 (80%, dysrhythmic in 11 (15.7% and pathologic in (4.3%. There was a positive family history of breath holding spells in 44.3% of those with breath holding spells. Conclusion: We determined that there was a correlation between the iron levels and the frequency of spells. The lower the iron levels the higher the frequency of spells. There was a dramatic decrease of 92% in spells with low doses of iron supplementation especially in the anemic group. (Journal of

  15. Task and Ability Analysis as a Basis for Examining Content and Construct Comparability in Two EFL Proficiency Test Batteries.

    Science.gov (United States)

    Bachman, Lyle F.; And Others

    1988-01-01

    An exploratory analysis comparing two test batteries for English-as-a-Foreign-Language reading comprehension used a single framework of communicative language ability and test method facets to investigate construct validity. The framework's use in the content analysis of communicative language tests, and for the comparison of content across tests,…

  16. Examining Testlet Effects in the TestDaF Listening Section: A Testlet Response Theory Modeling Approach

    Science.gov (United States)

    Eckes, Thomas

    2014-01-01

    Testlets are subsets of test items that are based on the same stimulus and are administered together. Tests that contain testlets are in widespread use in language testing, but they also share a fundamental problem: Items within a testlet are locally dependent with possibly adverse consequences for test score interpretation and use. Building on…

  17. Swimming in air-breathing fishes.

    Science.gov (United States)

    Lefevre, S; Domenici, P; McKenzie, D J

    2014-03-01

    Fishes with bimodal respiration differ in the extent of their reliance on air breathing to support aerobic metabolism, which is reflected in their lifestyles and ecologies. Many freshwater species undertake seasonal and reproductive migrations that presumably involve sustained aerobic exercise. In the six species studied to date, aerobic exercise in swim flumes stimulated air-breathing behaviour, and there is evidence that surfacing frequency and oxygen uptake from air show an exponential increase with increasing swimming speed. In some species, this was associated with an increase in the proportion of aerobic metabolism met by aerial respiration, while in others the proportion remained relatively constant. The ecological significance of anaerobic swimming activities, such as sprinting and fast-start manoeuvres during predator-prey interactions, has been little studied in air-breathing fishes. Some species practise air breathing during recovery itself, while others prefer to increase aquatic respiration, possibly to promote branchial ion exchange to restore acid-base balance, and to remain quiescent and avoid being visible to predators. Overall, the diversity of air-breathing fishes is reflected in their swimming physiology as well, and further research is needed to increase the understanding of the differences and the mechanisms through which air breathing is controlled and used during exercise.

  18. Examination of the 1970 National Bureau of Standards Underground Corrosion Test Welded Stainless STeel Coupons from Site D

    Energy Technology Data Exchange (ETDEWEB)

    L. R. Zirker; M. K. Adler Flitton; T. S. Yoder; T. L. Trowbridge

    2008-01-01

    A 1970 study initiated by the National Bureau of Standards (NBS), now known as the National Institute of Standards and Technology (NIST), buried over 6000 corrosion coupons or specimens of stainless steel Types 201, 202, 301, 304, 316, 409, 410, 430, and 434. The coupons were configured as sheet metal plates, coated plates, cross-welded plates, U-bend samples, sandwiched materials, and welded tubes. All coupons were of various heat-treatments and cold worked conditions and were buried at six distinctive soil-type sites throughout the United States. The NBS scientists dug five sets of two trenches at each of the six sites. In each pair of trenches, they buried duplicate sets of stainless steel coupons. The NBS study was designed to retrieve coupons after one year, two years, four years, eight years, and x years in the soil. During the first eight years of the study, four of five planned removals were completed. After the fourth retrieval, the NBS study was abandoned, and the fifth and final set of specimens remained undisturbed for over 33 years. In 2003, an interdisciplinary research team of industrial, university, and national laboratory investigators were funded under the United States Department of Energy’s Environmental Management Science Program (EMSP; Project Number 86803) to extract part of the remaining set of coupons at one of the test sites, characterize the stainless steel underground corrosion rates, and examine the fate and transport of metal ions into the soil. Extraction of one trench at one of the test sites occurred in April 2004. This report details only the characterization of corrosion found on the 14 welded coupons–two cross welded plates, six U-bends, and six welded tubes–that were retrieved from Site D, located near Wildwood, NJ. The welded coupons included Type 301, 304, 316, and 409 stainless steels. After 33 years in the soil, corrosion on the coupons varied according to alloy. This report discusses the stress corrosion cracking and

  19. Sleep disordered breathing in facioscapulohumeral muscular dystrophy.

    Science.gov (United States)

    Della Marca, Giacomo; Frusciante, Roberto; Dittoni, Serena; Vollono, Catello; Buccarella, Cristina; Iannaccone, Elisabetta; Rossi, Monica; Scarano, Emanuele; Pirronti, Tommaso; Cianfoni, Alessandro; Mazza, Salvatore; Tonali, Pietro A; Ricci, Enzo

    2009-10-15

    Facioscapulohumeral muscular dystrophy (FSHD) is one of the most frequent forms of muscular dystrophy. The aims of this study were: 1) to evaluate the prevalence of sleep disordered breathing (SDB) in patients with FSHD; 2) to define the sleep-related respiratory patterns in FSHD patients with SDB; and 3) to find the clinical predictors of SDB. Fifty-one consecutive FSHD patients were enrolled, 23 women, mean age 45.7+/-12.3 years (range: 26-72). The diagnosis of FSHD was confirmed by genetic tests. All patients underwent medical and neurological evaluations, subjective evaluation of sleep and full-night laboratory-based polysomnography. Twenty patients presented SDB: 13 presented obstructive apneas, four presented REM related oxygen desaturations and three showed a mixed pattern. Three patients needed positive airways pressure. SDB was not related to the severity of the disease. Body mass index, neck circumference and daytime sleepiness did not allow prediction of SDB. In conclusion, the results suggest a high prevalence of SDB in patients with FSHD. The presence of SDB does not depend on the clinical severity of the disease. SDB is often asymptomatic, and no clinical or physical measure can reliably predict its occurrence. A screening of SDB should be included in the clinical assessment of FSHD.

  20. Development of an Exhaled Breath Monitoring System with Semiconductive Gas Sensors, a Gas Condenser Unit, and Gas Chromatograph Columns

    Directory of Open Access Journals (Sweden)

    Toshio Itoh

    2016-11-01

    Full Text Available Various volatile organic compounds (VOCs in breath exhaled by patients with lung cancer, healthy controls, and patients with lung cancer who underwent surgery for resection of cancer were analyzed by gas condenser-equipped gas chromatography-mass spectrometry (GC/MS for development of an exhaled breath monitoring prototype system involving metal oxide gas sensors, a gas condenser, and gas chromatography columns. The gas condenser-GC/MS analysis identified concentrations of 56 VOCs in the breath exhaled by the test population of 136 volunteers (107 patients with lung cancer and 29 controls, and selected four target VOCs, nonanal, acetoin, acetic acid, and propanoic acid, for use with the condenser, GC, and sensor-type prototype system. The prototype system analyzed exhaled breath samples from 101 volunteers (74 patients with lung cancer and 27 controls. The prototype system exhibited a level of performance similar to that of the gas condenser-GC/MS system for breath analysis.

  1. Development of an Exhaled Breath Monitoring System with Semiconductive Gas Sensors, a Gas Condenser Unit, and Gas Chromatograph Columns.

    Science.gov (United States)

    Itoh, Toshio; Miwa, Toshio; Tsuruta, Akihiro; Akamatsu, Takafumi; Izu, Noriya; Shin, Woosuck; Park, Jangchul; Hida, Toyoaki; Eda, Takeshi; Setoguchi, Yasuhiro

    2016-11-10

    Various volatile organic compounds (VOCs) in breath exhaled by patients with lung cancer, healthy controls, and patients with lung cancer who underwent surgery for resection of cancer were analyzed by gas condenser-equipped gas chromatography-mass spectrometry (GC/MS) for development of an exhaled breath monitoring prototype system involving metal oxide gas sensors, a gas condenser, and gas chromatography columns. The gas condenser-GC/MS analysis identified concentrations of 56 VOCs in the breath exhaled by the test population of 136 volunteers (107 patients with lung cancer and 29 controls), and selected four target VOCs, nonanal, acetoin, acetic acid, and propanoic acid, for use with the condenser, GC, and sensor-type prototype system. The prototype system analyzed exhaled breath samples from 101 volunteers (74 patients with lung cancer and 27 controls). The prototype system exhibited a level of performance similar to that of the gas condenser-GC/MS system for breath analysis.

  2. Lung Function Measurement with Multiple-Breath-Helium Washout System

    CERN Document Server

    Wang, Jau-Yi; Owers-Bradley, John; Mellor, Chris

    2011-01-01

    Multiple-breath-washout (MBW) measurements are regarded as a sensitive technique which can reflect the ventilation inhomogeneity of respiratory airways. Typically nitrogen is used as the tracer gas and is washed out by pure oxygen in multi-breath-nitrogen (MBNW) washout tests. In this work, instead of using nitrogen, helium is used as the tracer gas and a multiple-helium-breath-washout (MBHW) system has been developed for the lung function study. A commercial quartz tuning fork with a resonance frequency of 32768 Hz has been used for detecting the change of the respiratory gas density. The resonance frequency of the tuning fork decreases linearly with increasing density of the surrounding gas. Knowing the CO2 concentration from the infrared carbon dioxide detector, the helium concentration can be determined. Results from 12 volunteers (3 mild asthmatics, 2 smokers, 1 with asthma history, 1 with COPD history, 5 normal) have shown that mild asthmatics have higher ventilation inhomogeneity in either conducting o...

  3. Viability of Construct Validity of the Speaking Modules of International Language Examinations (IELTS vs. TOEFL iBT): Evidence from Iranian Test-Takers

    Science.gov (United States)

    Zahedi, Keivan; Shamsaee, Saeedeh

    2012-01-01

    The aim of the present research is to examine the viability of the construct validity of the speaking modules of two internationally recognized language proficiency examinations, namely IELTS and TOEFL iBT. High-stake standardized tests play a crucial and decisive role in determining the future academic life of many people. Overall obtained scores…

  4. INFLUENCE OF MUSIC THERAPY AND BREATHING EXERCISES ON ANXIETY IN POST-OPERATIVE CARDIAC DISEASED INDIVIDUALS

    Directory of Open Access Journals (Sweden)

    C. Janardan

    2016-02-01

    Full Text Available Background: Asian Indians have a higher operative and overall increased mortality following coronary bypass surgery. They also have higher rates of post operative complications and repeat surgeries. Apart from physiological complications like post-operative pain, atelectasis, deep vein thrombosis, the psychological disorders are like anxiety and stress also predominantly play a major role in the morbidity of the post-surgical conditions. The aim of study is to know the influence of music therapy and breathing exercises on post-surgical cardiac diseased individuals. To evaluate the influence of music therapy and breathing exercises on physiological parameters(BP,HR,RR in post surgical cardiac diseased individuals by using electro cardio monitor and state-trait anxiety scale. Methods: Subjects were randomly divided into two groups. Experimental group, where the subjects received music therapy and breathing exercises. Control group, where the subjects received breathing exercises. All the participants were assessed with STAI scale and physiological parameters like blood pressure, heart rate and respiration rate for both groups before and after the treatment. Paired sample t-test was used to compare the STAI scale and physiological parameters within the groups. Result: Results showed a significant improvement in both the groups but, more improvement was seen in experimental group compared to control group. Conclusion: Results suggested that music therapy and breathing exercises influences more effective than breathing exercises alone.

  5. Detection of response to command using voluntary control of breathing in disorders of consciousness

    Science.gov (United States)

    Charland-Verville, Vanessa; Lesenfants, Damien; Sela, Lee; Noirhomme, Quentin; Ziegler, Erik; Chatelle, Camille; Plotkin, Anton; Sobel, Noam; Laureys, Steven

    2014-01-01

    Background: Detecting signs of consciousness in patients in a vegetative state/unresponsive wakefulness syndrome (UWS/VS) or minimally conscious state (MCS) is known to be very challenging. Plotkin et al. (2010) recently showed the possibility of using a breathing-controlled communication device in patients with locked in syndrome. We here aim to test a breathing-based “sniff controller” that could be used as an alternative diagnostic tool to evaluate response to command in severely brain damaged patients with chronic disorders of consciousness (DOC). Methods: Twenty-five DOC patients were included. Patients’ resting breathing-amplitude was measured during a 5 min resting condition. Next, they were instructed to end the presentation of a music sequence by sniffing vigorously. An automated detection of changes in breathing amplitude (i.e., >1.5 SD of resting) ended the music and hence provided positive feedback to the patient. Results: None of the 11 UWS/VS patients showed a sniff-based response to command. One out of 14 patients with MCS was able to willfully modulate his breathing pattern to answer the command on 16/19 trials (accuracy 84%). Interestingly, this patient failed to show any other motor response to command. Discussion: We here illustrate the possible interest of using breathing-dependent response to command in the detection of residual cognition in patients with DOC after severe brain injury. PMID:25566035

  6. "Frustrated" or "Surprised?" An Examination of the Perspectives of Spanish Teacher Candidates regarding the Praxis II Subject-Matter Tests

    Science.gov (United States)

    Moser, Kelly

    2012-01-01

    Researchers (Sandarg & Schomber, 2009; Wilkerson, Schomber, & Sandarg, 2004) have urged the profession to develop a new subject-matter licensure test to reflect the best practices in the foreign language classroom. In October 2010, the Praxis II: World Language Test joined the Praxis Series. Given that this standards-driven test differs…

  7. Blinded Validation of Breath Biomarkers of Lung Cancer, a Potential Ancillary to Chest CT Screening.

    Directory of Open Access Journals (Sweden)

    Michael Phillips

    Full Text Available Breath volatile organic compounds (VOCs have been reported as biomarkers of lung cancer, but it is not known if biomarkers identified in one group can identify disease in a separate independent cohort. Also, it is not known if combining breath biomarkers with chest CT has the potential to improve the sensitivity and specificity of lung cancer screening.Model-building phase (unblinded: Breath VOCs were analyzed with gas chromatography mass spectrometry in 82 asymptomatic smokers having screening chest CT, 84 symptomatic high-risk subjects with a tissue diagnosis, 100 without a tissue diagnosis, and 35 healthy subjects. Multiple Monte Carlo simulations identified breath VOC mass ions with greater than random diagnostic accuracy for lung cancer, and these were combined in a multivariate predictive algorithm. Model-testing phase (blinded validation: We analyzed breath VOCs in an independent cohort of similar subjects (n = 70, 51, 75 and 19 respectively. The algorithm predicted discriminant function (DF values in blinded replicate breath VOC samples analyzed independently at two laboratories (A and B. Outcome modeling: We modeled the expected effects of combining breath biomarkers with chest CT on the sensitivity and specificity of lung cancer screening.Unblinded model-building phase. The algorithm identified lung cancer with sensitivity 74.0%, specificity 70.7% and C-statistic 0.78. Blinded model-testing phase: The algorithm identified lung cancer at Laboratory A with sensitivity 68.0%, specificity 68.4%, C-statistic 0.71; and at Laboratory B with sensitivity 70.1%, specificity 68.0%, C-statistic 0.70, with linear correlation between replicates (r = 0.88. In a projected outcome model, breath biomarkers increased the sensitivity, specificity, and positive and negative predictive values of chest CT for lung cancer when the tests were combined in series or parallel.Breath VOC mass ion biomarkers identified lung cancer in a separate independent cohort

  8. Achievement Testing with the Wechsler Quicktest: An Examination of Its Psychometric Properties and Applied Utility with a Greek-Cypriot Sample

    Science.gov (United States)

    Vrachimi-Souroulla, Andry; Panayiotou, Georgia; Kokkinos, Constantinos M.; Lamprianou, Iasonas

    2011-01-01

    The study aimed to field-test a Greek version of the Wechsler Quicktest and to examine its psychometric properties. The Quicktest was individually administered to 208 students, aged 5-14 years, along with a reading test. Based on the Rasch analysis, data for the Quicktest subtests showed acceptable fit to the model. Also, correlations were found…

  9. Role of CO2 responsiveness and breathing efficiency in determining exercise capacity of patients with chronic airway obstruction.

    Science.gov (United States)

    Chonan, T; Hida, W; Kikuchi, Y; Shindoh, C; Takishima, T

    1988-12-01

    We examined the role of CO2 responsiveness and breathing efficiency in limiting exercise capacity in 15 patients with chronic airway obstruction (FEV1 = 0.88 +/- 0.25 L, mean +/- SD). Responses of minute ventilation and P0.1 (mouth pressure 0.1 s after the onset of occluded inspiration) to hypercapnia (delta VE/delta PCO2, delta P0.1/delta PCO2) were measured by rebreathing, and the ratio of the two (delta VE/delta P0.1) was defined as an index of breathing efficiency during hyperventilation. Exercise capacity was measured as symptom-limited, maximal oxygen consumption (VO2max/BW) in an incremental treadmill test and also as the 12-min walking distance (TMD). All patients discontinued the treadmill test because of dyspnea, and the exercise capacity correlated with the degree of airway obstruction, although there was a wide variability among patients with comparable FEV1. There were no significant correlations between the responses to CO2 and exercise capacity. However, there was a significant correlation between delta VE/delta P0.1 and VO2max/BW (r = 0.87, p less than 0.001) or TMD (r = 0.78, p less than 0.001), and these correlations remained significant even when the relational effects of FEV1 were taken out. These results support the hypothesis that airway obstruction and breathing efficiency are important, but that CO2 responsiveness is not a major factor in determining the exercise capacity of patients with chronic airway obstruction.

  10. Ecological sounds affect breath duration more than artificial sounds.

    Science.gov (United States)

    Murgia, Mauro; Santoro, Ilaria; Tamburini, Giorgia; Prpic, Valter; Sors, Fabrizio; Galmonte, Alessandra; Agostini, Tiziano

    2016-01-01

    Previous research has demonstrated that auditory rhythms affect both movement and physiological functions. We hypothesized that the ecological sounds of human breathing can affect breathing more than artificial sounds of breathing, varying in tones for inspiration and expiration. To address this question, we monitored the breath duration of participants exposed to three conditions: (a) ecological sounds of breathing, (b) artificial sounds of breathing having equal temporal features as the ecological sounds, (c) no sounds (control). We found that participants' breath duration variability was reduced in the ecological sound condition, more than in the artificial sound condition. We suggest that ecological sounds captured the timing of breathing better than artificial sounds, guiding as a consequence participants' breathing. We interpreted our results according to the Theory of Event Coding, providing further support to its validity, and suggesting its possible extension in the domain of physiological functions which are both consciously and unconsciously controlled.

  11. Cheyne-Stokes respiration: hypoxia plus a deep breath that interrupts hypoxic drive, initiating cyclic breathing.

    Science.gov (United States)

    Guntheroth, Warren G

    2011-11-01

    hypoxic drive, and the cycle of C-SR continues until the next large breath. This novel theory, that a pulse of oxygen interrupts hypoxic drive to cause the initiating apnea of C-SR, is compatible with the known causes of C-SR: onset of sleep, mild hypoxia with congestive heart failure, and neurologic disorders. It is also compatible with factors known to abolish C-SR: waking, oxygen supplementation, and drugs that increase alertness such as caffeine. Testing of the hypothesis would require beat by beat recording of respiration, and arterial oxygen with a response time fast enough to demonstrate the rapid suppression of hypoxic drive. Alternatively, using a different theoretical approach such as limit-cycle oscillators instead of control theory.

  12. Psychometric properties of teacher-made science tests used in national examinations for middle-grade students in Benin (West Africa): A longitudinal study

    Science.gov (United States)

    Gado, Issaou

    The purpose of this study was to determine the psychometric properties (item difficulty, item discrimination, internal consistency reliability, content validity and construct validity) of teacher-made science tests used in national examinations for Middle Grade students in Benin (West Africa) for three consecutive years. The study also described the assessment methods used in science classrooms. Research data were collected from two sources: first, a survey questionnaire administered to 250 secondary school teachers purposively selected; second, a total of 630 graded physical science copies for three consecutive years of national examinations randomly selected from the Service of Examination and Testing data sources. Descriptive statistics were used to analyze the survey questionnaire. Factor analysis was used to explore construct validity of the measurements. Classical test theory methods were used to explore item difficulty, item discrimination, and reliability of examination scores. Generalizability theory provided estimate of variance components and proportions of total variance accounted for by sources of error related to persons, items, and person-by-item interaction. The result of this study shows that teacher-made tests used in large scale high-stakes examination for three consecutive years are highly reliable and have a satisfactory level of difficulty and discrimination. However, even though the items of teacher-made tests are associated with the objectives of the national curriculum standards, the proportion of objectives tested in national examinations and the number of items across three consecutive years show a non uniform and inconsistent distribution of items across years, content domains, and within the fields of chemistry and physics. Therefore, teacher-made tests used in national examinations for three consecutive years lack content validity. Discussion of the results and suggestions about constructing exam items with high validity are provided.

  13. Gene-based multiple regression association testing for combined examination of common and low frequency variants in quantitative trait analysis

    Directory of Open Access Journals (Sweden)

    Yun Joo eYoo

    2013-11-01

    Full Text Available Multi-marker methods for genetic association analysis can be performed for common and low frequency SNPs to improve power. Regression models are an intuitive way to formulate multi-marker tests. In previous studies we evaluated regression-based multi-marker tests for common SNPs, and through identification of bins consisting of correlated SNPs, developed a multi-bin linear combination (MLC test that is a compromise between a 1df linear combination test and a multi-df global test. Bins of SNPs in high linkage disequilibrium (LD are identified, and a linear combination of individual SNP statistics is constructed within each bin. Then association with the phenotype is represented by an overall statistic with df as many or few as the number of bins. In this report we evaluate multi-marker tests for SNPs that occur at low frequencies. There are many linear and quadratic multi-marker tests that are suitable for common or low frequency variant analysis. We compared the performance of the MLC tests with various linear and quadratic statistics in joint or marginal regressions. For these comparisons, we performed a simulation study of genotypes and quantitative traits for 85 genes with many low frequency SNPs based on HapMap Phase III. We compared the tests using 1 set of all SNPs in a gene, 2 set of common SNPs in a gene (MAF≥5%, 3 set of low frequency SNPs (1%≤MAF

  14. Sudarshan kriya yoga: Breathing for health

    Directory of Open Access Journals (Sweden)

    Sameer A Zope

    2013-01-01

    Full Text Available Breathing techniques are regularly recommended for relaxation, stress management, control of psychophysiological states, and to improve organ function. Yogic breathing, defined as a manipulation of breath movement, has been shown to positively affect immune function, autonomic nervous system imbalances, and psychological or stress-related disorders. The aim of this study was to assess and provide a comprehensive review of the physiological mechanisms, the mind-body connection, and the benefits of Sudarshan Kriya Yoga (SKY in a wide range of clinical conditions. Various online databases searched were Medline, Psychinfo, EMBASE, and Google Scholar. All the results were carefully screened and articles on SKY were selected. The references from these articles were checked to find any other potentially relevant articles. SKY, a unique yogic breathing practice, involves several types of cyclical breathing patterns, ranging from slow and calming to rapid and stimulating. There is mounting evidence to suggest that SKY can be a beneficial, low-risk, low-cost adjunct to the treatment of stress, anxiety, post-traumatic stress disorder, depression, stress-related medical illnesses, substance abuse, and rehabilitation of criminal offenders.

  15. Pulse Ejection Presentation System Synchronized with Breathing

    Science.gov (United States)

    Kadowaki, Ami; Sato, Junta; Ohtsu, Kaori; Bannai, Yuichi; Okada, Kenichi

    Trials on transmission of olfactory information together with audio/visual information are currently being conducted in the field of multimedia. However, continuous emission of scents in high concentration creates problems of human adaptation and remnant odors in air. To overcome such problems we developed an olfactory display in conjunction with Canon Inc. This display has high emission control in the ink-jet so that it can provide stable pulse emission of scents. Humans catch a scent when they breathe in and inhale smell molecules in air. Therefore, it is important that the timing of scent presentation is synchronized with human breathing. We also developed a breath sensor which detects human inspiration. In this study, we combined the olfactory display with the breath sensor to make a pulse ejection presentation system synchronized the breath. The experimental evaluation showed that the system had more than 90 percent of detection rate. Another evaluation was held at KEIO TECHNO-MALL 2007. From questionnaire results of the participants, we found that the system made the user feel continuous sense of smell avoiding adaptation. It is expected that our system enables olfactory information to be synchronized with audio/visual information in arbitrary duration at any time.

  16. Varying levels of difficulty index of skills-test items randomly selected by examinees on the Korean emergency medical technician licensing examination

    Directory of Open Access Journals (Sweden)

    Bongyeun Koh

    2016-01-01

    Full Text Available Purpose: The goal of this study was to characterize the difficulty index of the items in the skills test components of the class I and II Korean emergency medical technician licensing examination (KEMTLE, which requires examinees to select items randomly. Methods: The results of 1,309 class I KEMTLE examinations and 1,801 class II KEMTLE examinations in 2013 were subjected to analysis. Items from the basic and advanced skills test sections of the KEMTLE were compared to determine whether some were significantly more difficult than others. Results: In the class I KEMTLE, all 4 of the items on the basic skills test showed significant variation in difficulty index (P<0.01, as well as 4 of the 5 items on the advanced skills test (P<0.05. In the class II KEMTLE, 4 of the 5 items on the basic skills test showed significantly different difficulty index (P<0.01, as well as all 3 of the advanced skills test items (P<0.01. Conclusion: In the skills test components of the class I and II KEMTLE, the procedure in which examinees randomly select questions should be revised to require examinees to respond to a set of fixed items in order to improve the reliability of the national licensing examination.

  17. 呼气试验在胃肠道疾病中的临床应用及价值%Clinical application and significance of breath test in the treatment of gastric and intestinal diseases

    Institute of Scientific and Technical Information of China (English)

    辛桂霞; 丁金秀

    2009-01-01

    早在1784年,Antoine Laurent Lavoisier发现动物和人类能通过呼气排出CO:,首次证明食物能在体内“燃烧”,从此开始了现代意义的呼气试验。20世纪中叶,出现了标记化合物的呼气试验用于消化系疾病的诊断;1961年,Nelsen首次建立了呼气氢试验(breath hydrogen test,BHT),1984年起在我国开展应用,近年来因试验仪器的改进,如微量氢气测定仪的问世,使该试验的临床应用得到进一步发展。由于该方法简便、准确、无创、迅速,现已广泛用于胃肠疾病的诊断;至20世纪80年代末,UBT诊断幽门螺杆菌的巨大成功引起众多学者对呼气试验的重视。本文将近年来有关呼气试验在胃肠病诊断中的应用文献作一综述。

  18. Technologies for Clinical Diagnosis Using Expired Human Breath Analysis

    Directory of Open Access Journals (Sweden)

    Thalakkotur Lazar Mathew

    2015-02-01

    Full Text Available This review elucidates the technologies in the field of exhaled breath analysis. Exhaled breath gas analysis offers an inexpensive, noninvasive and rapid method for detecting a large number of compounds under various conditions for health and disease states. There are various techniques to analyze some exhaled breath gases, including spectrometry, gas chromatography and spectroscopy. This review places emphasis on some of the critical biomarkers present in exhaled human breath, and its related effects. Additionally, various medical monitoring techniques used for breath analysis have been discussed. It also includes the current scenario of breath analysis with nanotechnology-oriented techniques

  19. Decompression sickness following breath-hold diving.

    Science.gov (United States)

    Schipke, J D; Gams, E; Kallweit, Oliver

    2006-01-01

    Despite convincing evidence of a relationship between breath-hold diving and decompression sickness (DCS), the causal connection is only slowly being accepted. Only the more recent textbooks have acknowledged the risks of repetitive breath-hold diving. We compare four groups of breath-hold divers: (1) Japanese and Korean amas and other divers from the Pacific area, (2) instructors at naval training facilities, (3) spear fishers, and (4) free-dive athletes. While the number of amas is likely decreasing, and Scandinavian Navy training facilities recorded only a few accidents, the number of spear fishers suffering accidents is on the rise, in particular during championships or using scooters. Finally, national and international associations (e.g., International Association of Free Drives [IAFD] or Association Internationale pour Le Developpment De L'Apnee [AIDA]) promote free-diving championships including deep diving categories such as constant weight, variable weight, and no limit. A number of free-diving athletes, training for or participating in competitions, are increasingly accident prone as the world record is presently set at a depth of 171 m. This review presents data found after searching Medline and ISI Web of Science and using appropriate Internet search engines (e.g., Google). We report some 90 cases in which DCS occurred after repetitive breath-hold dives. Even today, the risk of suffering from DCS after repetitive breath-hold diving is often not acknowledged. We strongly suggest that breath-hold divers and their advisors and physicians be made aware of the possibility of DCS and of the appropriate therapeutic measures to be taken when DCS is suspected. Because the risk of suffering from DCS increases depending on depth, bottom time, rate of ascent, and duration of surface intervals, some approaches to assess the risks are presented. Regrettably, none of these approaches is widely accepted. We propose therefore the development of easily manageable

  20. Electrospray ionization of volatiles in breath

    Science.gov (United States)

    Martínez-Lozano, P.; de La Mora, J. Fernández

    2007-08-01

    Recent work by Zenobi and colleagues [H. Chen, A. Wortmann, W. Zhang, R. Zenobi, Angew. Chem. Int. Ed. 46 (2007) 580] reports that human breath charged by contact with an electrospray (ES) cloud yields many mass peaks of species such as urea, glucose, and other ions, some with molecular weights above 1000 Da. All these species are presumed to be involatile, and to originate from breath aerosols by so-called extractive electrospray ionization EESI [H. Chen, A. Venter, R.G. Cooks, Chem. Commun. (2006) 2042]. However, prior work by Fenn and colleagues [C.M. Whitehouse, F. Levin, C.K. Meng, J.B. Fenn, Proceedings of the 34th ASMS Conference on Mass Spectrometry and Allied Topics, Denver, 1986 p. 507; S. Fuerstenau, P. Kiselev, J.B. Fenn, Proceedings of the 47th ASMS Conference on Mass Spectrometry, 1999, Dallas, TX, 1999] and by Hill and colleagues [C. Wu, W.F. Siems, H.H. Hill Jr., Anal. Chem. 72 (2000) 396] have reported the ability of electrospray drops to ionize a variety of low vapor pressure substances directly from the gas phase, without an apparent need for the vapor to be brought into the charging ES in aerosol form. The Ph.D. Thesis of Martínez-Lozano [P. Martínez-Lozano Sinués, Ph.D. Thesis, Department of Thermal and Fluid Engineering, University Carlos III of Madrid; April 5, 2006 (in Spanish); http://hdl.handle.net/10016/655] had also previously argued that the numerous human breath species observed via a similar ES ionization approach were in fact ionized directly from the vapor. Here, we observe that passage of the breath stream through a submicron filter does not eliminate the majority of the breath vapors seen in the absence of the filter. We conclude that direct vapor charging is the leading mechanism in breath ionization by electrospray drops, though aerosol ionization may also play a role.