WorldWideScience

Sample records for carney complex case

  1. Carney Complex

    Science.gov (United States)

    ... of Carney complex are Cushing’s syndrome and multiple thyroid nodules (tumors). Cushing’s syndrome features a combination of weight gain, ... with Carney complex include adrenocortical carcinoma , pituitary gland tumors , thyroid , colorectal , liver and pancreatic cancers . Ovarian cancer in ...

  2. Genetics Home Reference: Carney complex

    Science.gov (United States)

    ... Understand Genetics Home Health Conditions Carney complex Carney complex Enable Javascript to view the expand/collapse boxes. Print All Open All Close All Description Carney complex is a disorder characterized by an increased risk ...

  3. Carney complex (CNC

    Directory of Open Access Journals (Sweden)

    Bertherat Jérôme

    2006-06-01

    Full Text Available Abstract The Carney complex (CNC is a dominantly inherited syndrome characterized by spotty skin pigmentation, endocrine overactivity and myxomas. Skin pigmentation anomalies include lentigines and blue naevi. The most common endocrine gland manifestations are acromegaly, thyroid and testicular tumors, and adrenocorticotropic hormone (ACTH-independent Cushing's syndrome due to primary pigmented nodular adrenocortical disease (PPNAD. PPNAD, a rare cause of Cushing's syndrome, is due to primary bilateral adrenal defect that can be also observed in some patients without other CNC manifestations or familial history of the disease. Myxomas can be observed in the heart, skin and breast. Cardiac myxomas can develop in any cardiac chamber and may be multiple. One of the putative CNC genes located on 17q22-24, (PRKAR1A, has been identified to encode the regulatory subunit (R1A of protein kinase A. Heterozygous inactivating mutations of PRKAR1A were reported initially in 45 to 65 % of CNC index cases, and may be present in about 80 % of the CNC families presenting mainly with Cushing's syndrome. PRKAR1A is a key component of the cAMP signaling pathway that has been implicated in endocrine tumorigenesis and could, at least partly, function as a tumor suppressor gene. Genetic analysis should be proposed to all CNC index cases. Patients with CNC or with a genetic predisposition to CNC should have regular screening for manifestations of the disease. Clinical work-up for all the manifestations of CNC should be performed at least once a year in all patients and should start in infancy. Cardiac myxomas require surgical removal. Treatment of the other manifestations of CNC should be discussed and may include follow-up, surgery, or medical treatment depending on the location of the tumor, its size, the existence of clinical signs of tumor mass or hormonal excess, and the suspicion of malignancy. Bilateral adrenalectomy is the most common treatment for Cushing

  4. Novel PRKAR1A gene mutations in Carney Complex

    OpenAIRE

    Pan, Lorraine; PENG Lan; Jean-Gilles, J; Zhang, Ximin; Wieczorek, Rosemary; Jain, Shilpa; Levine, Vicki; Osman, Iman; Prieto, Victor G.; Lee, Peng

    2010-01-01

    Carney complex is a syndrome that may include cardiac and mucocutaneous myxomas, spotting skin pigmentation, and endocrine lesions. Many patients with Carney complex have been shown to have a stop codon mutation in the PRKAR1A gene in the 17q22-24 region. Here we present the case of a 57 year-old man with multiple skin lesions and cardiac myxomas. Histology of the skin lesions showed lentigenous melanocytic hyperplasia and cutaneous myxomas, confirming the diagnosis of Carney complex. Lesiona...

  5. Carney complex: Clinical and genetic 2010 update.

    Science.gov (United States)

    Vezzosi, D; Vignaux, O; Dupin, N; Bertherat, J

    2010-12-01

    First described in the mid 1980s, Carney complex is a rare dominantly heritable multiple endocrine neoplasia syndrome that affects endocrine glands as the adrenal cortex, the pituitary and the thyroid. It is associated with many other nonendocrine tumors, including cardiac myxomas, testicular tumors, melanotic schwannoma, breast myxomatosis, and abnormal pigmentation or myxomas of the skin. The Carney complex gene 1 was identified 10 years ago as the regulatory subunit 1A of protein kinase A (PRKAR1A) located at 17q22-24. An inactivating heterozygous germ line mutation of PRKAR1A is observed in about two-thirds of Carney complex patients. This last decade many progresses have been done in the knowledge of this rare disease and its genetics. This review outlines the current state of this knowledge on Carney complex. PMID:20850710

  6. Cryoglobulinemic vasculitis preceding diagnosis of Carney Complex

    DEFF Research Database (Denmark)

    Glerup, Mia; Stausbøl-Grøn, Brian; Heuck, Carsten;

    2014-01-01

    Carney complex (CNC) is a disorder characterized by skin pigmentary abnormalities and benign cardiac, endocrine, skin and neuronal tumors. We present a previously healthy 12-year-old boy with recurrent pain and swelling of the feet. One year later he presented with stiffness of the fingers...

  7. Growth hormone and risk for cardiac tumors in Carney complex.

    Science.gov (United States)

    Bandettini, W Patricia; Karageorgiadis, Alexander S; Sinaii, Ninet; Rosing, Douglas R; Sachdev, Vandana; Schernthaner-Reiter, Marie Helene; Gourgari, Evgenia; Papadakis, Georgios Z; Keil, Meg F; Lyssikatos, Charalampos; Carney, J Aidan; Arai, Andrew E; Lodish, Maya; Stratakis, Constantine A

    2016-09-01

    Carney complex (CNC) is a multiple neoplasia syndrome that is caused mostly by PRKAR1A mutations. Cardiac myxomas are the leading cause of mortality in CNC patients who, in addition, often develop growth hormone (GH) excess. We studied patients with CNC, who were observed for over a period of 20 years (1995-2015) for the development of both GH excess and cardiac myxomas. GH secretion was evaluated by standard testing; dedicated cardiovascular imaging was used to detect cardiac abnormalities. Four excised cardiac myxomas were tested for the expression of insulin-like growth factor-1 (IGF-1). A total of 99 CNC patients (97 with a PRKAR1A mutation) were included in the study with a mean age of 25.8 ± 16.6 years at presentation. Over an observed mean follow-up of 25.8 years, 60% of patients with GH excess (n = 46) developed a cardiac myxoma compared with only 36% of those without GH excess (n = 54) (P = 0.016). Overall, patients with GH excess were also more likely to have a tumor vs those with normal GH secretion (OR: 2.78, 95% CI: 1.23-6.29; P = 0.014). IGF-1 mRNA and protein were higher in CNC myxomas than in normal heart tissue. We conclude that the development of cardiac myxomas in CNC may be associated with increased GH secretion, in a manner analogous to the association between fibrous dysplasia and GH excess in McCune-Albright syndrome, a condition similar to CNC. We speculate that treatment of GH excess in patients with CNC may reduce the likelihood of cardiac myxoma formation and/or recurrence of this tumor. PMID:27535175

  8. The complex of myxomas, spotty skin pigmentation and endocrine overactivity (Carney complex): imaging findings with clinical and pathological correlation

    OpenAIRE

    Courcoutsakis, Nikos A.; Tatsi, Christina; Patronas, Nicholas J.; Lee, Chiy-Chia Richard; Prassopoulos, Panos K.; Stratakis, Constantine A.

    2013-01-01

    The complex of myxomas, spotty skin pigmentation and endocrine overactivity, or Carney complex (CNC), is a familial multiple endocrine neoplasia and lentiginosis syndrome. CNC is inherited in an autosomal dominant manner and is genetically heterogeneous. Its features overlap those of McCune-Albright syndrome and other multiple endocrine neoplasia (MEN) syndromes. Spotty skin pigmentation is the major clinical manifestation of the syndrome, followed by multicentric heart myxomas, which occur a...

  9. An unusual case of Carney triad with high level catecholamine-secreting but no existence of extra-adrenal paraganglioma

    Institute of Scientific and Technical Information of China (English)

    QIAO Gui-bin; FANG Yi; ZENG Wei-sheng; PENG Li-jun; HUANG Wen-jie

    2010-01-01

    @@ In 1977, Carney originally described the association of gastric epithelioid leiomyosarcoma, pulmonary chondroma and extra-adrenal paraganglioma, and this unusual syndrome was subsequently called "Carney triad".

  10. The complex of myxomas, spotty skin pigmentation and endocrine overactivity (Carney complex): imaging findings with clinical and pathological correlation.

    Science.gov (United States)

    Courcoutsakis, Nikos A; Tatsi, Christina; Patronas, Nicholas J; Lee, Chiy-Chia Richard; Prassopoulos, Panos K; Stratakis, Constantine A

    2013-02-01

    The complex of myxomas, spotty skin pigmentation and endocrine overactivity, or Carney complex (CNC), is a familial multiple endocrine neoplasia and lentiginosis syndrome. CNC is inherited in an autosomal dominant manner and is genetically heterogeneous. Its features overlap those of McCune-Albright syndrome and other multiple endocrine neoplasia (MEN) syndromes. Spotty skin pigmentation is the major clinical manifestation of the syndrome, followed by multicentric heart myxomas, which occur at a young age and are the lethal component of the disease. Myxomas may also occur on the skin (eyelid, external ear canal and nipple) and the breast. Breast myxomas, when present, are multiple and bilateral among female CNC patients, an entity which is also described as "breast-myxomatosis" and is a characteristic feature of the syndrome. Affected CNC patients often have tumours of two or more endocrine glands, including primary pigmented nodular adrenocortical disease (PPNAD), an adrenocorticotropin hormone (ACTH)-independent cause of Cushing's syndrome, growth hormone (GH)-secreting and prolactin (PRL)-secreting pituitary adenomas, thyroid adenomas or carcinomas, testicular neoplasms (large-cell calcifying Sertoli cell tumours [LCCSCT]) and ovarian lesions (cysts and cancinomas). Additional infrequent but characteristic manifestations of CNC are psammomatous melanotic schwannomas (PMS), breast ductal adenomas (DAs) with tubular features, and osteochondromyxomas or "Carney bone tumour". Teaching Points • Almost 60 % of the known CNC kindreds have a germline inactivating mutations in the PRKAR1A gene. • Spotty skin pigmentation is the major clinical manifestation of CNC, followed by heart myxomas. • Indicative imaging signs of PPNAD are contour abnormality and hypodense spots within the gland. • Two breast tumours may present in CNC: myxoid fibroadenomas (breast myxomatosis) and ductal adenomas. • Additional findings of CNC are psammomatous melanotic schwannomas

  11. Use of mouse models to understand the molecular basis of tissue-specific tumorigenesis in the Carney complex.

    Science.gov (United States)

    Kirschner, L S

    2009-07-01

    Carney complex (CNC) is an autosomal dominant, multiple endocrine neoplasia syndrome comprised of spotty skin pigmentation, myxomatosis, endocrine tumours and schwannomas. The majority of cases are due to inactivating mutations in PRKAR1A, the gene encoding the type 1A regulatory subunit of the 3',5'-cyclic adenosine monophosphate (cAMP)-dependent protein kinase, PKA (protein kinase A). In order to understand the molecular basis for tumorigenesis associated with PRKAR1A mutations, we have developed conventional and conditional Prkar1a knockout (KO) mice as well as primary cell culture models corresponding to these genetic manipulations. At the biochemical level, removal of Prkar1a from cells causes enhanced PKA activity, the same effect which has been observed in tumours isolated from CNC patients. Mice heterozygous for Prkar1a mutations (the exact genetic model for CNC patients) are born at expected frequencies and are tumour prone, developing neoplasms in cAMP-responsive cell types such as Schwann cells, osteoblasts and thyrocytes. In order to understand the basis of tissue-specific tumour formation, we have created tissue-specific KOs of the gene from three different tissues: the neural crest (Schwann cells), the pituitary gland and the heart. In the neural crest and the pituitary, ablation of Prkar1a leads to excess proliferation and tumorigenesis, whereas the same manipulation in developing cardiomyocytes leads to reduced proliferation and embryonic demise. The KO hearts also exhibit myxomatous changes suggesting a connection between PKA activation and myxomagenesis, although the nature of this relationship has not yet been determined. This work confirms the role of Prkar1a as a tissue-specific tumour suppressor, and ongoing work is focused on identifying the key downstream signalling targets affected by dysregulation of PKA. PMID:19522826

  12. A mouse model for the Carney complex tumor syndrome develops neoplasia in cyclic AMP-responsive tissues.

    Science.gov (United States)

    Kirschner, Lawrence S; Kusewitt, Donna F; Matyakhina, Ludmila; Towns, William H; Carney, J Aidan; Westphal, Heiner; Stratakis, Constantine A

    2005-06-01

    Carney complex is an autosomal dominant neoplasia syndrome characterized by spotty skin pigmentation, myxomatosis, endocrine tumors, and schwannomas. This condition may be caused by inactivating mutations in PRKAR1A, the gene encoding the type 1A regulatory subunit of protein kinase A. To better understand the mechanism by which PRKAR1A mutations cause disease, we have developed conventional and conditional null alleles for Prkar1a in the mouse. Prkar1a(+/-) mice developed nonpigmented schwannomas and fibro-osseous bone lesions beginning at approximately 6 months of age. Although genotype-specific cardiac and adrenal lesions were not seen, benign and malignant thyroid neoplasias were observed in older mice. This spectrum of tumors overlaps that seen in Carney complex patients, confirming the validity of this mouse model. Genetic analysis indicated that allelic loss occurred in a subset of tumor cells, suggesting that complete loss of Prkar1a plays a key role in tumorigenesis. Similarly, tissue-specific ablation of Prkar1a from a subset of facial neural crest cells caused the formation of schwannomas with divergent differentiation. These observations confirm the identity of PRKAR1A as a tumor suppressor gene with specific importance to cyclic AMP-responsive tissues and suggest that these mice may be valuable tools not only for understanding endocrine tumorigenesis but also for understanding inherited predispositions for schwannoma formation. PMID:15930266

  13. Defects of the Carney complex gene (PRKAR1A) in odontogenic tumors.

    Science.gov (United States)

    Sousa, Sílvia F; Gomez, Ricardo S; Diniz, Marina G; Bernardes, Vanessa F; Soares, Flávia F C; Brito, João Artur R; Liu, Sophie; Pontes, Hélder Antônio R; Stratakis, Constantine A; Gomes, Carolina C

    2015-06-01

    The surgical treatment of some odontogenic tumors often leads to tooth and maxillary bone loss as well as to facial deformity. Therefore, the identification of genes involved in the pathogenesis of odontogenic tumors may result in alternative molecular therapies. The PRKAR1A gene displays a loss of protein expression as well as somatic mutations in odontogenic myxomas, an odontogenic ectomesenchymal neoplasm. We used a combination of quantitative RT-PCR (qRT-PCR), immunohistochemistry, loss of heterozygosity (LOH) analysis, and direct sequencing of all PRKAR1A exons to assess if this gene is altered in mixed odontogenic tumors. Thirteen tumors were included in the study: six ameloblastic fibromas, four ameloblastic fibro-odontomas, one ameloblastic fibrodentinoma, and two ameloblastic fibrosarcomas. The epithelial components of the tumors were separated from the mesenchymal by laser microdissection in most of the cases. We also searched for odontogenic pathology in Prkar1a(+) (/) (-) mice. PRKAR1A mRNA/protein expression was decreased in the benign mixed odontogenic tumors in association with LOH at markers around the PRKAR1A gene. We also detected a missense and two synonymous mutations along with two 5'-UTR and four intronic mutations in mixed odontogenic tumors. Prkar1a(+) (/) (-) mice did not show evidence of odontogenic tumor formation, which indicates that additional genes may be involved in the pathogenesis of such tumors, at least in rodents. We conclude that the PRKAR1A gene and its locus are altered in mixed odontogenic tumors. PRKAR1A expression is decreased in a subset of tumors but not in all, and Prkar1a(+) (/) (-) mice do not show abnormalities, which indicates that additional genes play a role in this tumor's pathogenesis. PMID:25870248

  14. Defects of the Carney complex's gene (PRKAR1A) in odontogenic tumors

    Science.gov (United States)

    Sousa, Sílvia F; Gomez, Ricardo S; Diniz, Marina G; Bernardes, Vanessa F; Soares, Flávia FC; Brito, João Artur R; Liu, Sophie; Pontes, Hélder Antônio R; Stratakis, Constantine A; Gomes, Carolina C

    2015-01-01

    The surgical treatment of some odontogenic tumors often leads to tooth and maxillary bone loss as well as facial deformity. Therefore, the identification of genes involved in their pathogenesis may result in alternative molecular therapies. The PRKAR1A gene shows loss of protein expression, as well as somatic mutations in odontogenic myxomas, an odontogenic ectomesenchymal neoplasm. We used a combination of qRT-PCR, immunohistochemistry, LOH analysis and direct sequencing of all PRKAR1A exons to assess if this gene is altered in mixed odontogenic tumors. Thirteen tumors were included, being six ameloblastic fibromas, four ameloblastic fibro-odontomas, one ameloblastic fibrodentinoma and two ameloblastic fibrosarcomas. The epithelial component of the tumors was separated from the mesenchymal by laser microdissection in most of the cases. We also searched for odontogenic pathology in Prkar1a+/− mice. PRKAR1A mRNA/protein expression was decreased in the benign mixed odontogenic tumors in association with LOH at markers around PRKAR1A gene. We also detected a missense and two synonymous mutations, besides two 5’-UTR and four intronic mutations in the mixed odontogenic tumors. Prkar1a+/− mice did not show evidence of odontogenic tumor formation, suggesting that additional genes may be involved in their pathogenesis, at least in rodents. We conclude that the PRKAR1A gene and its locus are altered in mixed odontogenic tumors. PRKAR1A's expression is decreased in a subset of tumors but not in all, and Prkar1a+/− mice do not show abnormalities, suggesting that additional genes play a role in this tumor's pathogenesis. PMID:25870248

  15. A Simple Complex Case: Restoration of Circadian Cortisol Activity

    Directory of Open Access Journals (Sweden)

    Ragini C Bhake

    2015-08-01

    Full Text Available A 38-year-old librarian with confirmed Carney complex (PRKAR1a mutation was referred for further evaluation of ACTH-independent Cushing's syndrome. Previously, she was known to have schwannoma (excised, adenomyoepithelioma and normal annual echocardiograms. Over three years prior to current presentation, she had become aware of coarse hair on her chin and abdomen, as well as centripetal weight gain. She had noticed subtle but definite reduction in her girdle muscle strength. She had acquired some mood changes atypical of her personality, and had developed an interrupted sleep pattern. To our knowledge, this is the first published report of circadian RU486 therapy for PPNAD in a patient with Carney complex. It may have been possible to restore low levels surrounding the midnight hours using other agents, but the side-effect profile and lack of significantly elevated levels of cortisol made them less favorable options.

  16. A Simple Complex Case: Restoration of Circadian Cortisol Activity

    OpenAIRE

    Ragini C Bhake; Lightman, Stafford L

    2015-01-01

    A 38-year-old librarian with confirmed Carney complex (PRKAR1a mutation) was referred for further evaluation of ACTH-independent Cushing's syndrome. Previously, she was known to have schwannoma (excised), adenomyoepithelioma and normal annual echocardiograms. Over three years prior to current presentation, she had become aware of coarse hair on her chin and abdomen, as well as centripetal weight gain. She had noticed subtle but definite reduction in her girdle muscle strength. She had acquire...

  17. Mabel Carney at Teachers College: From Home Missionary to White Ally

    Science.gov (United States)

    Weiler, Kathleen

    2005-01-01

    This article discusses the career of Mabel Carney, head of the Department of Rural Education at Teachers College from 1918 to 1941. Carney was deeply involved with African American and African education, traveling to Africa and the American South, teaching courses on "Negro education", and working closely with both African and African American…

  18. The triad of paragangliomas, gastric stromal tumours and pulmonary chondromas (Carney triad), and the dyad of paragangliomas and gastric stromal sarcomas (Carney–Stratakis syndrome): molecular genetics and clinical implications

    OpenAIRE

    Stratakis, C A; Carney, J.A.

    2009-01-01

    Carney triad (CT) describes the association of paragangliomas (PGLs) with gastrointestinal stromal tumours (GISTs) and pulmonary chondromas (PCH). A number of other lesions have been described in the condition including pheochromocytomas, oesophageal leiomyomas and adrenocortical adenomas; CT is a novel form of multiple endocrine neoplasia (MEN), a genetic condition with a female predilection. Inactivating mutations of the mitochondrial complex II succinate dehydrogenase (SDH) enzyme subunits...

  19. Tuberous sclerosis complex: a case report

    Directory of Open Access Journals (Sweden)

    Harris Poolakundan

    2015-10-01

    Full Text Available Tuberous Sclerosis Complex is an autosomal dominant phakomatosis. This neurocutaneous disorder usually presents with seizures, facial angiofibroma and mental retardation (Vogt's triad. Here we report a case where a 25 year old gentleman presented with recurrent seizures, and was diagnosed to have tuberous sclerosis complex. [Int J Res Med Sci 2015; 3(10.000: 2844-2846

  20. Infected Complex Odontoma: A Case Report

    Directory of Open Access Journals (Sweden)

    Shanthala Damodar

    2015-06-01

    Full Text Available Odontoma represent a hamartomatous malformation. They are usually asymptomatic and are diagnosed on routine radiological examination. Infection of an odontome is very uncommon. Few cases of infected odontoma are reported in the literature. We report a special case of infected complex odontoma and perforation of the cheeks with a tooth impacted upon along with computed tomographic (CT image. Thus, making the present case unusual. [Cukurova Med J 2015; 40(2.000: 379-383

  1. Tuberous sclerosis complex: A case report

    Science.gov (United States)

    Sarkar, Soumyabrata; Khaitan, Tanya; Sinha, Rupam; Kabiraj, Arpita

    2016-01-01

    Tuberous sclerosis complex is an unusual autosomal dominant neurocutaneous syndrome characterized by the development of benign tumors affecting different body systems affecting the brain, skin, retina, and viscera. It is characterized by cutaneous changes, neurologic conditions, and the formation of hamartomas in multiple organs leading to morbidity and mortality. The most common oral manifestations are fibromas, gingival hyperplasia, and enamel hypoplasia. The management of these patients is often multidisciplinary involving specialists from various fields. Here, we present a case report of a 26-old-year male patient with characteristic clinical, radiological, and histological features of tuberous sclerosis complex.

  2. Complex and Compound Odontoma: Case Series

    OpenAIRE

    ÜNGÖR, Dr. Dt. Cem; KILIÇ, Dt. İbrahim

    2013-01-01

    Odontomas are considered as developmental anomalies resulting from the growth of completely differentiated epithelial and mesenchymal cells that give rise to ameloblasts and odontoblasts. The exact etiology of odontomes is still not known. Most odontomes are asymptomatic and are discovered during routine radiographic investigations. Odontomas are the most common odontogenic tumours. In this report, 5 odontoma cases ( 2 complex, 3 compaund) and their treatments was presented.

  3. [Complex odontoma with dentigerous cyst: a case report].

    Science.gov (United States)

    Qizhang, Xu; Hongliang, Zhang; Xiaoyu, Wang; Zhanji, Wang; Qianqian, Xu; Qiong, Ma

    2014-12-01

    Complex odontoma is a relatively rare dental dysplasia. In particular, a complex odontoma with dentigerous cyst is seldom observed. A case of complex odontoma with dentigerous cyst is reported in this paper. PMID:25665433

  4. Complex problem solving: a case for complex cognition?

    OpenAIRE

    Funke, Joachim

    2010-01-01

    Complex problem solving (CPS) emerged in the last 30 years in Europe as a new part of the psychology of thinking and problem solving. This paper introduces into the field and provides a personal view. Also, related concepts like macrocognition or operative intelligence will be explained in this context. Two examples for the assessment of CPS, Tailorshop and MicroDYN, are presented to illustrate the concept by means of their measurement devices. Also, the relation of complex cognition and emot...

  5. CASE STUDY OF KRESGE FOUNDATION OFFICE COMPLEX

    OpenAIRE

    Goins, John

    2011-01-01

    Most building performance evaluations only describe whether a building meets certain criteria. In contrast, this report describes the performance of the Kresge Foundation Complex (Complex) in relation to industry‐standard design and operations performance criteria while examining the appropriateness of these criteria for the Complex and similar high‐performance buildings. More specifically, this study examines the Complex's performance in 20 areas. It also highlights potential flaws in human ...

  6. Case study of Kresge Foundation office complex.

    OpenAIRE

    Goins, John

    2011-01-01

    Most building performance evaluations only describe whether a building meets certain criteria. In contrast, this report describes the performance of the Kresge Foundation Complex (Complex) in relation to industry‐standard design and operations performance criteria while examining the appropriateness of these criteria for the Complex and similar high‐performance buildings. More specifically, this study examines the Complex's performance in 20 areas. It also highlights potential flaws in human ...

  7. BILATERAL OSSIFIED STYLOHYOID COMPLEX: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Sarada Devi S

    2015-11-01

    Full Text Available : Mineralisation of all components of stylohyoid complex or chain, a 2nd branchial arch derivative is frequently reported. But bilateral occurrence of continuous bands of ossified tissue involving stylohyoid complex, are less commonly encountered. An adult skull specimen presented abnormally long osseous bands extending from base of skull in place of styloid process. On left side a band of 6.5cm long x1cm wide and 0.3cm in thickness, and on right side an irregularly rounded elongated structure of 7.5cm length were noticed. Lower end of the left process was fused to hyoid bone. Either abnormally long styloid process or this type of ossified stylohyoid complex may be a causative factor for severe pharyngeal pain, dysphagia, may be a cause for occasional swelling in submandibular region or may be associated with Eagle syndrome. Due to its close proximity to tonsillar bed, if elongated it may be felt during tonsillectomy in tonsillar fossa. In this backdrop reports of this type may be of interest to clinicians.

  8. Unusually large erupted complex odontoma: A rare case report.

    Science.gov (United States)

    Bagewadi, Shivanand B; Kukreja, Rahul; Suma, Gundareddy N; Yadav, Bhawna; Sharma, Havi

    2015-03-01

    Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible. PMID:25793183

  9. Unusually large erupted complex odontoma: A rare case report

    Energy Technology Data Exchange (ETDEWEB)

    Bagewadi, Shivanand B.; Kukreja, Rahul; Suma, Gundareddy N.; Yadav, Bhawn; Sharma, Havi [Dept. of Oral Medicine and Radiology, ITS Centre for Dental Studies and Research, Murad Nagar (India)

    2015-03-15

    Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible.

  10. Unusually large erupted complex odontoma: A rare case report

    International Nuclear Information System (INIS)

    Odontomas are nonaggressive, hamartomatous developmental malformations composed of mature tooth substances and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Among them, complex odontomas are relatively rare tumors. They are usually asymptomatic in nature. Occasionally, these tumors become large, causing bone expansion followed by facial asymmetry. Odontoma eruptions are uncommon, and thus far, very few cases of erupted complex odontomas have been reported in the literature. Here, we report the case of an unusually large, painless, complex odontoma located in the right posterior mandible.

  11. Sporadic cases are the norm for complex disease

    OpenAIRE

    Yang, Jian; Visscher, Peter M; Wray, Naomi R.

    2009-01-01

    The results of genome-wide association studies have revealed that most human complex diseases (for example, cancer, diabetes and psychiatric disorders) are affected by a large number of variants, each of which explains a small increase in disease risk, suggesting a pattern of polygenic inheritance. At the same time, it has been argued that most complex diseases are genetically heterogeneous because many sporadic cases are observed, as well as cases with a family history. In this study, under ...

  12. Complexity Thinking and Methodology: The Potential of "Complex Case Study" for Educational Research

    Science.gov (United States)

    Hetherington, Lindsay

    2013-01-01

    Complexity theories have in common perspectives that challenge linear methodologies and views of causality. In educational research, relatively little has been written explicitly exploring their implications for educational research methodology in general and case study in particular. In this paper, I offer a rationale for case study as a research…

  13. Complex odontoma associated to a primary maxillary canine: case report

    Directory of Open Access Journals (Sweden)

    Estela Maris LOSSO

    2009-06-01

    Full Text Available Introduction: Odontomas are malformations of the dental tissues and may interfere with the eruption of the associated tooth. The early diagnosis, followed by a proper treatment at the right time, will result in a favorable prognosis and a desirable occlusion development. Complex odontomas associated to primary teeth are rare. Case report and conclusion: This article describes a case of a complex odontoma in a four-year-old girl that prevented eruption of the left primary canine. The treatment choice was enucleation of the odontoma and the maintenance of the left primary canine.In this case, complete removal of the complex odontoma was successfully conducted, since after one year of follow-up the primary maxillary canine restarted its eruption process.

  14. Weakly bound systems in the case of complex potentials

    International Nuclear Information System (INIS)

    We consider weakly bound two-body systems. We study the behavior of the ground state mean square radius as the binding energy tends to zero in the case of complex potentials. We show that the asymptotic law, obtained with real potentials, is modified by the occurrence of a finite width in the case of finite-range potentials. The case of the PT-symmetric potentials is also discussed. We complete our study with few remarks concerning the same problem for three weakly bound particles. (author)

  15. Neurofibroma and lipoma in association with giant congenital melanocytic nevus coexisting in one nodule: a case report.

    Science.gov (United States)

    Shang, Zhiwei; Dai, Tao; Ren, Yongqiang

    2015-01-01

    Giant congenital melanocytic nevi (GCMN) are rare conditions that defined as melanocytic lesion recognized at birth, which will reach a diameter larger than 20 cm, and they occur in about 1 per 500,000 newborns. Despite its rarity, they may associate with severe abnormalities like spina bifida occulta, meningocele, club foot and hypertrophy or atrophy of deeper structures of a limb, Carney complex, premature aging syndromes, neurofibroma, vitiligo, lipoma and dysplasia of bilateral hip impact on the patient. In this case, we report a 3-years-old male child presenting a GCMN with large, blackish, and thick nevus covering over the entire neck, back, and lower to the waist level. We highlight the importance of proper histopathological examination of the biopsy taken from the single huge nodule which revealed features of both neurofibroma and lipoma coexisting. The objective of this paper is to report a rare case with the clinical and pathologic findings. PMID:26379904

  16. Complex transmission in a literate music tradition: a case study

    OpenAIRE

    De, Groot, N.

    2008-01-01

    How is it possible to arrive at musical sound from a written document? Is it possible by reading only? Usually a clear distinction is made between oral and written traditions in music. However, written music traditions cannot work by transmission through writing alone. Oral transmission is always part of it. In this article the complexity of transmission in a written music tradition is sounded out, using a case from late twentieth-century ‘new music’ as a starting point. Apart from written an...

  17. Genetic predisposition to peripheral nerve neoplasia: Diagnostic criteria and pathogenesis of neurofibromatoses, Carney complex, and related syndromes

    OpenAIRE

    Rodriguez, Fausto J.; Stratakis, Constantine A.; Evans, D Gareth

    2011-01-01

    Neoplasms of the peripheral nerve sheath represent essential clinical manifestations of the syndromes known as the neurofibromatoses. Although involvement of multiple organ systems, including skin, central nervous system and skeleton, may also be conspicuous, peripheral nerve neoplasia is often the most important and frequent cause of morbidity in these patients. Clinical characteristics of neurofibromatosis type 1 (NF1) and neurofibromatosis type 2 (NF2) have been extensively described and s...

  18. Limb body wall complex or body stalk complex or cyllosomas: a case report

    Directory of Open Access Journals (Sweden)

    S. Saritha

    2013-04-01

    Full Text Available Limb body wall complex (LBWC is also called Body stalk complex and Cyllosomas. We present this rare congenital malformation complex highlighting the importance of early sonographic imaging findings in LBWC along with differentiation from other anterior abdominal wall defects. Limb body wall complex / Body stalk anomaly refers to a rare complicated polymalformative fetal malformation syndrome of uncertain etiology and results in head, heart, lung, diaphragm, kidney or gonadal abnormalities. LBWC was first described by Van Allen et al; in (1987. The two of the three following anomalies must be present to establish the diagnosis: 1. Exencephaly / Encephalocele with facial clefts, 2. Thoraco-Abdominoschisis / ventral body wall defects and 3. Limb defects. LBWC arises as a result of early amnion disruptions or error in embryonic development. If all components of the syndrome are present, the condition is lethal. LBWC is invariably fatal and incompatible with life. No case of postnatal survival is reported so far. Serum alpha-fetoprotein measurement and ultrasonography examination is the key to the prenatal diagnosis and followed by medical termination of pregnancy. It presents two distinct phenotypes described by Russo et al (1993 and later Cusi et al in (1996, according to the foetoplacental relationships: 1. Placento-cranial and 2.Placento-abdominal types. Among the 168 live births at S.V.S. Medical College & hospital Mahabubnagar (INDIA during the period of 2010-2011 we came across an aborted female fetus. It was weighing 1800gms, 30 weeks of gestation diagnosed by antenatal ultrasonography as ventral body wall defect. It was associated with ompholocele, severe scoliosis and limb defects. Its confirmation of the diagnosis of Limb body wall complex with Placento-abdominal type was done by postmortem fetography. [Int J Res Med Sci 2013; 1(2.000: 132-137

  19. Adult congenital cardiopathy: percutaneous treatment of a complex case

    International Nuclear Information System (INIS)

    Adult congenital cardiopathy is a clinical entity difficult to treat and diagnose. Since 1982 endovascular therapy changed its approach radically (1) and in the last years the design of new appliances and better balloon catheters facilitated the implementation of therapy to a greater number of patients (2). It is the election treatment for entities such as pulmonary valve stenosis (3), atrial septal defect (4) and persistent ductus arteriosus. We present the case of complex adult congenital cardiopathy that consisted of wide atrial septal defect,pulmonary valve stenosis with severe repercussion on the right ventricle, persistent PDA with severe calcification and pulmonary arterial hypertension and systemic essential arterial hypertension that were successfully treated through interventionist endovascular therapy in the Hospital Militar Central, in Bogota.

  20. Understanding Complex Human Ecosystems: The Case of Ecotourism on Bonaire

    Directory of Open Access Journals (Sweden)

    Thomas Abel

    2003-12-01

    Full Text Available It is suggested that ecotourism development on the island of Bonaire can be productively understood as a perturbation of a complex human ecosystem. Inputs associated with ecotourism have fueled transformations of the island ecology and sociocultural system. The results of this study indicate that Bonaire's social and economic hierarchy is approaching a new, stable systems state following a 50-yr transition begun by government and industry that stabilized with the appearance of ecotourism development and population growth. Ecotourism can be understood to have "filled in" the middle of the production hierarchy of Bonaire. Interpreted from this perspective, population growth has completed the transformation by expanding into production niches at smaller scales in the production hierarchy. Both a consequence and a cause, ecotourism has transformed the island's social structure and demography. The theory and methods applied in this case study of interdisciplinary research in the field of human ecosystems are also presented.

  1. Improving the Effectiveness of Professional Education: Learning Managerial Accounting via a Complex Case.

    Science.gov (United States)

    Carter, Melissa; And Others

    To give students more experience with real situations, many professional schools use case studies in their courses. Creating complex cases, case experiences that immerse students in complex problems, rather than mere case studies that require armchair analysis should help students gain better and more integrated knowledge. Designing, implementing,…

  2. Complexity of case mix in a regional allergy service

    Directory of Open Access Journals (Sweden)

    Kaminski Edward R

    2012-02-01

    Full Text Available Abstract Background Currently in the United Kingdom (UK, there is a mismatch between limited financial resources and the large proportion of patients with suspected allergies actually being referred to specialist allergy clinics. To better understand the case mix of patients being referred, we audited referrals to a regional allergy service over an 8 year period. The main source of data was consultant letters to General Practitioners (GP summarising the diagnosis of patients, archived from January 2002 to September 2009. Letters were reviewed, extracting the clinic date, doctor seen, gender, date of birth, postcode, GP, and diagnoses. Diagnoses were classified into seven groups and illustrative cases for each group noted. Findings Data from 2,028 new referrals with suspected allergy were analysed. The largest group of patients (43% were diagnosed with a type I hypersensitivity. The other diagnostic groups were chronic idiopathic (spontaneous urticaria (35%, suspected type I hypersensitivity but no allergen identified (8%, idiopathic (spontaneous angioedema (8%, physical urticaria (2.5%, non-allergic symptoms (1.6%, type IV hypersensitivity (0.8% and ACE inhibitor sensitivity (0.5%. Two thirds of patients seen were female with a higher percentage of female patients in the non type-I hypersensitivity group (71% than the type 1 hypersensitivity (66% (χ2 = 5.1, 1df, p = 0.024. The type 1 hypersensitivity patients were younger than other patients (38 Vs 46 years, t = -10.8, p Conclusions This study highlights the complexity of specialist allergy practice and the large proportion of patients referred with non-type I hypersensitivities, chronic idiopathic (spontaneous urticaria being by far the largest group. Such information is critical to inform commissioning decisions, define referral pathways and in primary care education.

  3. Complex organizations: the case of the Brazilian nuclear sector

    International Nuclear Information System (INIS)

    The resumption of the Brazilian Nuclear Program (BNP), in the proposed size and after 20 years of paralysis, requires profound changes in the current organizational modeling of the national nuclear industry. The effectiveness of any process of organizational change is limited to three factors. The theoretical bottleneck happens when you do not know enough about a phenomenon in order to effect the desired changes. The resource bottleneck occurs when knowledge may be available to change people's behavior but the funds necessary for implementation may be lacking. The organizational bottleneck emerges when there are knowledge and resources to solve a problem, but may not able to organize the resources in order to carry out the problem-solving effort. In the case of resumption of BNP seems clear that there is the knowledge of what is needed to make policy and the intention to allocate the necessary resources. But the question is the following: the current organizational model of the Brazilian nuclear sector is consistent with the goals laid down in the scenario of resumption of BNP? That is, is there organizational ability to leverage a program of the size proposed for the nuclear area? Find answers to these questions is crucial, because the organizational model of the Brazilian nuclear sector consists of elements involving a complex interorganizational system. Thus, this article is to examine the appropriateness of the current organizational modeling of the Brazilian nuclear sector to current demands of society. As a result, the article aims to propose recommendations for a remodeling of the nuclear sector, taking into account the current national and international scenarios of nuclear energy. (author)

  4. Complex organizations: the case of the Brazilian nuclear sector

    Energy Technology Data Exchange (ETDEWEB)

    Xavier, Roberto Salles [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil). Coordenacao-Geral de Planejamento e Avaliacao], e-mail: xavier@cnen.gov.br

    2009-07-01

    The resumption of the Brazilian Nuclear Program (BNP), in the proposed size and after 20 years of paralysis, requires profound changes in the current organizational modeling of the national nuclear industry. The effectiveness of any process of organizational change is limited to three factors. The theoretical bottleneck happens when you do not know enough about a phenomenon in order to effect the desired changes. The resource bottleneck occurs when knowledge may be available to change people's behavior but the funds necessary for implementation may be lacking. The organizational bottleneck emerges when there are knowledge and resources to solve a problem, but may not able to organize the resources in order to carry out the problem-solving effort. In the case of resumption of BNP seems clear that there is the knowledge of what is needed to make policy and the intention to allocate the necessary resources. But the question is the following: the current organizational model of the Brazilian nuclear sector is consistent with the goals laid down in the scenario of resumption of BNP? That is, is there organizational ability to leverage a program of the size proposed for the nuclear area? Find answers to these questions is crucial, because the organizational model of the Brazilian nuclear sector consists of elements involving a complex interorganizational system. Thus, this article is to examine the appropriateness of the current organizational modeling of the Brazilian nuclear sector to current demands of society. As a result, the article aims to propose recommendations for a remodeling of the nuclear sector, taking into account the current national and international scenarios of nuclear energy. (author)

  5. A Case Report for a Complex Denture Case on a Special Care Patient with Osteogenesis Imperfecta.

    Science.gov (United States)

    Sawyer, Colin; Drysdale, David

    2015-05-01

    This case report presents a patient with Dentogenesis Imperfecta (DI) associated with Osteogenesis Imperfecta (OI) and its subsequent dental manifestations. The patient in this report (see Figure 1) has spent his life living with his disability type III OI (also known as brittle bone disease) and its degenerative affects. The patient is independent and enjoys his social life but felt his existing dentures were having an adverse effect on the quality of his life. The patient attended Dorset County Hospitals Special Care Dentistry and on clinical examination it was noted the patient was partially dentate with a class III malocclusion and brownish discoloration of the remaining teeth caused by enamel hypoplasia. Treatment for this patient would entail making a maxillary complete denture and a mandibular partial chrome denture, normally quite simple tasks but due to the DI and its dental manifestations, the treatment would be complicated. This case demonstrates how a complex case treated by a collaborative dental team using their different skills and knowledge can lead to a successful and rewarding treatment for both patient and team. PMID:26556263

  6. Four Neonatal Complex Ovarian Cyst Cases with Uncommon Complications

    OpenAIRE

    Alkım Öden Akman; Nazile Ertürk; Sibel Altınbaş

    2015-01-01

    With the wide common use of ultrasound, ovarian cysts of the fetus and neonate are more often detected. A case series of four infant with uncommon complications of antenatal ovarian cysts were presented. In the first case; autoamputated ovarian tissue was determined and disappeared during the follow up. The second and third case went under surgery. Histopathological results were reported as a torsional autoamputated hemorrhagic necrotic tuba-ovarian cyst. Abdominal ascites was ...

  7. Complex phonic tic and disinhibition in Tourette syndrome: case report

    Directory of Open Access Journals (Sweden)

    Maia Débora Palmini

    2001-01-01

    Full Text Available Tourette syndrome (TS is a neuropsychiatric disorder characterized by a combination of multiple motor tics and at least one phonic tic. TS patients often have associated behavioral abnormalities such as obsessive compulsive disorder, attention deficit and hyperactive disorder. Coprolalia, defined as emission of obscenities or swearing, is one type of complex vocal tic, present in 8% to 26% of patients. The pathophysiology of coprolalia and other complex phonic tics remains ill-defined. We report a patient whose complex phonic tic was characterized by repetitively saying "breast cancer" on seeing the son of aunt who suffered from this condition. The patient was unable to suppress the tic and did not meet criteria for obsessive compulsive disorder. The phenomenology herein described supports the theory that complex phonic tics result from disinhibition of the loop connecting the basal ganglia with the limbic cortex.

  8. A practical approach to language complexity: a Wikipedia case study.

    Directory of Open Access Journals (Sweden)

    Taha Yasseri

    Full Text Available In this paper we present statistical analysis of English texts from Wikipedia. We try to address the issue of language complexity empirically by comparing the simple English Wikipedia (Simple to comparable samples of the main English Wikipedia (Main. Simple is supposed to use a more simplified language with a limited vocabulary, and editors are explicitly requested to follow this guideline, yet in practice the vocabulary richness of both samples are at the same level. Detailed analysis of longer units (n-grams of words and part of speech tags shows that the language of Simple is less complex than that of Main primarily due to the use of shorter sentences, as opposed to drastically simplified syntax or vocabulary. Comparing the two language varieties by the Gunning readability index supports this conclusion. We also report on the topical dependence of language complexity, that is, that the language is more advanced in conceptual articles compared to person-based (biographical and object-based articles. Finally, we investigate the relation between conflict and language complexity by analyzing the content of the talk pages associated to controversial and peacefully developing articles, concluding that controversy has the effect of reducing language complexity.

  9. Microcanonical Simulation of Complex Actions The Wess Zumino Witten Case

    CERN Document Server

    Baaquie, Belal E; Baaquie, Belal E.

    2000-01-01

    We present the main results of our microcanonical simulation of the Wess Zumino Witten action functional. This action, being highly non-trivial and capable of exhibiting many different phase transitions, is chosen to be representative of general complex actions. We verify the applicability of microcanonical simulation by successfully obtaining two of the many critical points of the Wess Zumino Witten action. The microcanonical algorithm has the additional advantage of exhibiting critical behaviour for a small $8\\times 8$ lattice. We also briefly discuss the subtleties that, in general, arise in simulating a complex action. Our algorithm for complex actions can be extended to the study of D-branes in the Wess Zumino Witten action.

  10. Noise problems in coal mining complex- a case discussion

    International Nuclear Information System (INIS)

    Noise monitoring study was conducted at Moonidih mining complex of Jharia coal-field. The study included monitoring and analysis of ambient as well as workplace noise levels. An attempt has been made to critically analyse the noise situation through octave band analysis, thereby identifying alarming noise frequencies for each noise generating equipment having Leq level more than 90 dBA. A noise model has also been developed to draw noise contours of the entire mining complex. Based on these studies, suitable control measures have been suggested. (author). 6 refs., 3 figs

  11. Case report of Plasmodium falciparum malaria presenting as wide complex tachycardia

    Institute of Scientific and Technical Information of China (English)

    Sunil Kumar; Diwan SK; Mahajan SN; Shilpa Bawankule; Chetan Mahure

    2011-01-01

    Malaria caused by Plasmodium falciparum is a multisystem disorder and may have diversity of clinical presentations. We are presenting a case report of patients of falciparum malaria who presented to us with palpitation and fever. On electrocardiogram he had wide complex tachycardia. This case reiterates the need to think of malaria in any case with symptoms of fever with chills, even with various unusual presentations like palpitation due to wide complex tachycardia, especially in endemic country like India.

  12. Change Management and Complexity: The Case for Narrative Action Research

    Science.gov (United States)

    Boxelaar, Lucia; Paine, Mark; Beilin, Ruth

    2007-01-01

    Post-modern theorists have challenged the totalizing and unifying ambitions of change management practices. This paper explores how a narrative action research approach may be used to combine our modernist commitment to facilitate change and collaboration in the land management context with a post-modern sensitivity to complexity and difference.…

  13. Data Mining and Complex Problems: Case Study in Composite Materials

    Science.gov (United States)

    Rabelo, Luis; Marin, Mario

    2009-01-01

    Data mining is defined as the discovery of useful, possibly unexpected, patterns and relationships in data using statistical and non-statistical techniques in order to develop schemes for decision and policy making. Data mining can be used to discover the sources and causes of problems in complex systems. In addition, data mining can support simulation strategies by finding the different constants and parameters to be used in the development of simulation models. This paper introduces a framework for data mining and its application to complex problems. To further explain some of the concepts outlined in this paper, the potential application to the NASA Shuttle Reinforced Carbon-Carbon structures and genetic programming is used as an illustration.

  14. Complexity of case mix in a regional allergy service

    OpenAIRE

    Kaminski Edward R; Bethune Claire A; Jones Ray B

    2012-01-01

    Abstract Background Currently in the United Kingdom (UK), there is a mismatch between limited financial resources and the large proportion of patients with suspected allergies actually being referred to specialist allergy clinics. To better understand the case mix of patients being referred, we audited referrals to a regional allergy service over an 8 year period. The main source of data was consultant letters to General Practitioners (GP) summarising the diagnosis of patients, archived from ...

  15. Media framing of complex issues: The case of endangered languages.

    Science.gov (United States)

    Rivenburgh, Nancy K

    2013-08-01

    This study investigates how media frame a global trend that is complex in nature, emergent in terms of scientific understanding, and has public policy implications: the rapid disappearance of languages. It analyzes how English-language media from 15 western, industrialized countries frame the causes and implications of endangered languages over 35 years (1971-2006) - a time period notable for growing, interdisciplinary concerns over the potential negative impacts of losing the world's linguistic diversity. The results reveal a media discourse characterized by three complementary frames that are sympathetic to the plight of endangered languages, but that present the problem, its cause, and societal implications in a logical structure that would promote public complacency. PMID:23885053

  16. Case for Deploying Complex Systems Utilizing Commodity Components

    Science.gov (United States)

    Bryant, Barry S.; Pitts, R. Lee

    2003-01-01

    When the International Space Station (ISS) finally reached an operational state, many of the Payload Operations and Integration Facility (POIF) hardware components were reaching end of life, COTS product costs were soaring, and the ISS budget was becoming severely constrained. However, most requirement development was complete. In addition, the ISS program is a fully functioning program with at least fifteen years of operational life remaining. Therefore it is critical that any upgrades, refurbishments, or enhancements be accomplished in realtime with minimal disruptions to service. For these and other reasons, it was necessary to ensure the viability of the POIF. Due to the to the breadth of capability of the POIF (a NASA ground station), it is believed that the lessons to be learned by other complex systems are applicable and any solutions garnered by the POIF are applicable to other complex systems as well. With that in mind, a number of new approaches have been investigated to increase the portability of the POIF and reduce the cost of refurbishment, operations, and maintenance. These new approaches were directed at the Total Cost of Ownership (TCO); not only the refurbishment but also current operational difficulties, licensing, and anticipation of the next refurbishment. Our basic premise is that technology had evolved dramatically since the concept of the POIF ground system and we should leverage our experience on this new technological landscape. Fortunately, Moore's law and market forces have changed the landscape considerably. These changes are manifest in five (5) ways that are particularly relevant to POIF: 1. Complex Instruction Set Computing (CISC) processors have advanced to unprecedented levels of compute capacity with a dramatic cost break, 2. Linux has become a major operating system supported by most vendors on a broad range of platforms, 3. Windows(TradeMark) based desktops are pervasive in the office environment, 4. Stable and affordable

  17. Lessons Learned from Designing a Comprehensive Case- Based Reasoning (CBR) Tool for Support of Complex Thinking

    OpenAIRE

    Richmond, Doug

    2007-01-01

    This research study focused on learning lessons from the experience of designing a comprehensive case-based reasoning (CBR) tool for support of complex thinking skills. Theorists have historically identified, analyzed, and classified different thinking processes and skills. Thinking skills have been increasingly emphasized in national standards, state testing, curricula, teaching and learning resources, and research agendas. Complex thinking is the core of higher-order thinking. Complex think...

  18. Rehabilitation in a complex case of topographical disorientation.

    Science.gov (United States)

    Bouwmeester, Lies; van de Wege, Anja; Haaxma, Rob; Snoek, Jos W

    2015-01-01

    This paper describes the rehabilitation process of a patient with severe topographical disorientation. The study demonstrates the sustained effects of a tailor-made, meticulous rehabilitation programme based on the gradual development of compensatory strategies. The patient (RB) had a memory impairment specific to environmental landmarks. He was able to recognise objects in his environment, but was unable to identify any salient object as a landmark and was also unable to derive any directional information from a chosen landmark. As such, his topographical disorientation syndrome was complex in that he had elements of both landmark agnosia and a heading disorientation, as described by Aguirre and D'Esposito (1999). Because of this dual damage to the exocentric framework, the tools and methods used in RB's rehabilitation programme were all based on his intact egocentric frame of reference. Remarkable training effects were found for routes he used frequently. After years of training he could walk these routes without the aid of the written information he had used previously, which can be interpreted as a form of implicit learning. In the 12 years we followed this patient some transfer occurred, as the patient was ultimately able to identify his own landmarks. However, RB remains dependent on other people to construct new routes for him on the basis of these landmarks. PMID:24885419

  19. [Causation in the court: the complex case of malignant mesothelioma].

    Science.gov (United States)

    Lageard, Giovanni

    2011-01-01

    established some very clear legal principles of law. Essentially, when ascertaining the causation, a judge should verify whether or not there is a sufficiently well established scientific law covering the question and whether such a law is universal or probabilistic. Should the latter be the case, then it is necessary to establish if the accelerating effect has been determined in the case in question, on the basis of the factual acquisitions. We must now wait for the concrete application of these principles by juridical bodies. PMID:22073682

  20. Transforming Industrial Complexes to Innovative Clusters? A Korean Case Study

    Directory of Open Access Journals (Sweden)

    Sang-Chul Park

    2012-01-01

    Full Text Available Global economic environment based on globalization processes caused a severe competition between the nations, and these nations launched various strategic approaches to increase their market shares in the global markets. The economic globalization process stimulates changes of technology environment that is not favor for the technology advanced nations to transfer their strategic technology areas toward developing and newly industrialized nations. Moreover, due to the change of external economic and technological environment national development strategies in all nations are also changing. In order to generate economic growth and gain a better position in severe competition between nations, the advanced nations have already established strong national and regional innovation systems The nations participating in the globalization processes actively tend to close free trade agreements (FTA in order to intensify the movement of their production factors across the national borders as quick as possible. This new trend has cognized the importance of regions and regional competitiveness that are based on regional industries. In line with the new trend of global economies, building innovative local clusters has become one of the core strategies to develop the nations further. This frame shift has affected South Korea to a high extent because the nation cannot develop further without inventing its own core technology that costs a vast capital as well as takes a long time. This paper examines an attempt to restructure existing industrial complexes, turning them into innovative clusters at regional and local level. This contribution also tries to identify the tasks and strategies necessary to build locally embedded innovative clusters and how to best analyze these.

  1. Tríada de Carney incompleta e hipertensión arterial en una mujer joven Incomplete Carney’s triad and arterial hypertension in a young woman

    Directory of Open Access Journals (Sweden)

    Alberto Allievi

    2006-02-01

    Full Text Available Se presenta una el caso de paciente joven, con tríada de Carney incompleta que cursa hipertensión arterial de dos años de evolución y anemia ferropénica grave por pérdida crónica de sangre por tubo digestivo, con tumores gástricos múltiples y paraganglioma pararrenal. No presenta aún desarrollo de condromas pulmonares visibles por tomografía axial computada. En nuestra paciente el paraganglioma no resultó funcionante. Resaltamos que la presencia de tumores gástricos múltiples en un adulto joven debe sugerir la posibilidad de tumores estromales (GIST, cuyo diagnóstico por biopsia endoscópica es difícil debido a su localización profunda, situada en las capas musculares de la pared gástrica. Asimismo queremos remarcar la importancia de las técnicas de marcación descriptas para el diagnóstico preciso. El seguimiento debe ser constante dado el pronóstico incierto de estos tumores. Los condromas pulmonares pueden aparecer años después de la resección del GIST y ser confundidos con metástasis del GIST.The case of young woman with arterial hypertension diagnosed two years before, is here presented; she had a ferropenic anemia caused by digestive loss of blood. Multiple gastric tumors and pararenal non functioning paraganglioma were found. No chondromas were detected. An incomplete Carney’s Triad was diagnosed. We remark that multiple gastric tumors in a young adult suggest the possibility of gastrointestinal stromal tumors (GIST Endoscopic biopsy frequently is not effective because these tumors are deep placed in the muscular gastric layers. The importance of specific techniques for a positive diagnosis are emphasized. Continuous follow up is needed because these tumors have uncertain prognosis. Lung chondromas may appear years later after the GIST was removed and might be confused with GIST metastases.

  2. Unique Variant Complex Chromosome Translocation in Myeloid Leukemia: Report of a Case and Literature Review

    Directory of Open Access Journals (Sweden)

    Abolfazl Movafagh

    2012-04-01

    Full Text Available Background: According to the literature, there are a number of chronic and acute myeloid leukemias with unique, complex chromosome translocations. This study aims to conduct a brief review of the incidence of complex chromosome translocations in myeloid leukemia and reports a case of myeloid leukemia with complex chromosome translocations.Methods: We conducted a web-based search for all peer review articles published on the subject of complex chromosome tranlsocations in chronic and acute myeloid leukemia in MEDLINE, PubMed and Mitelman (http://cgapanci.nih.gov/chromosomes/Mitelman databases in addition to other pertinent web references. In addition, we performed conventional cytogenetic studies of 24- to 72-h cultures on bonemarrow/peripheral blood cells obtained from the current case. Cells were finally treated by the giemsa-trypsin-giemsa banding technique.Results: The result of this case revealed an abnormal karyotype that had a novel complex translocation which involved chromosomes 2, 5, 9, and 22. We performed karyotyping after the initiation of chemotherapy. Karyotyping results showed a complex karyotype 46,XX,t(9;22;2;5.Conclusion: This study discusses a case of chronic myeloid leukemia with complex chromosome translocations and may provide novel information regarding these translocations in leukemias.

  3. Peripheral ameloblastic fibro-odontoma or peripheral developing complex odontoma: report of a case

    DEFF Research Database (Denmark)

    Reibel, Jesper; Grønbæk, Anni Birgitte; Poulsen, Sven

    2011-01-01

    BACKGROUND. Peripheral (extraosseous) odontogenic tumors are rare. CASE REPORT. This report describes a case which illustrates the clinical and histopathological features of a lesion in an 8-year-old, healthy Caucasian girl that on purely morphological grounds would seem to be an ameloblastic fibro-odontoma......, but may represent a case of a peripheral developing complex odontoma. CONCLUSION. Conservative surgical enucleation of the lesion was followed by unbcomplicated healing and no recurrence was seen....

  4. Case Report: Gollop-Wolfgang Complex in a 5 month old baby

    OpenAIRE

    Ihtesham A Qureshi; Gudepu, Rohit Kumar; Chava, Ravikanth; Emmani, Sravya; Asghar, Syed Husain; Mohtashim A. Qureshi; Arlappa, Nimmathota; Bastepe, Murat; He, Qing; Philip, Nicole; Robertson, Stephen; qureshi, aatif

    2015-01-01

    Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular age...

  5. Large Complex Odontome of Maxilla: Report of a case and Literature Review

    Directory of Open Access Journals (Sweden)

    Geeta Singh

    2015-01-01

    Full Text Available The pathologic al c onditions in which odontogenic differentiation is fully expressed are the odontomas. Odontomas are consi­ dered as hamartomas/developmental anomaly rather than a true neo plasm. These tumors are composed of enamel, dentin, cemen­tum and pulp tissue. They are basically classified into two types, compound and complex. Most compound odontoma are found in the anterior maxilla whereas complex odontomas are commonly found in posterior mandible. We present a rare case of complex odontome in anterior maxilla treated in our center.

  6. 22q11 Deletion Syndrome and Multiple Complex Developmental Disorder: a case report

    NARCIS (Netherlands)

    V. Scandurra; M.R. Scordo; R. Canitano; E.I. de Bruin

    2013-01-01

    22q11.2 Deletion Syndrome (22q11 DS) is a multisystemic condition that may also include neuropsychiatric disorders. We present a case of a 15-year-old boy that was evaluated for social difficulties, and anxiety with the above genetic abnormality. Clinical features were rather complex as different ne

  7. Imaging studies in a 17-year-old boy with tuberous sclerosis complex- a case report

    International Nuclear Information System (INIS)

    Background: Tuberous sclerosis complex is e genetic disorder characterized by lesions affecting the brain, skin, eyes and internal organs - kidneys, heart, liver and lungs. Case Report: The case of a 17-year-old boy with delayed proper diagnosis of tuberous sclerosis complex and multiple lesions in brain, lungs, heart and kidneys has been described. Conclusions: The authors would like to underline the very rare incidence of sclerosis tuberous complex and the need for periodic follow-up imaging of central nervous system, chest (with thorough evaluation of heart and lungs), and abdominal cavity. Moreover, the authors would like to underline a significant delay in a process of reaching a final diagnosis of the disease

  8. Primary pigmented nodular adrenocortical disease presenting with a unilateral adrenocortical nodule treated with bilateral laparoscopic adrenalectomy: a case report

    Directory of Open Access Journals (Sweden)

    Kaltsas Gregory

    2010-07-01

    Full Text Available Abstract Introduction Primary pigmented nodular adrenocortical disease is a rare cause of adrenocorticotropic hormone-independent Cushing's syndrome. We report an uncommon primary pigmented nodular adrenocortical disease case presenting with a unilateral adrenocortical nodule and provide a brief overview of the existing literature. Case presentation A 27-year-old Caucasian woman was admitted to our Department with adrenocorticotropic hormone-independent Cushing's syndrome. Its cause was initially considered a left adrenocortical adenoma based on computer tomography imaging. The patient underwent left laparoscopic adrenalectomy and histological examination revealed pigmented micronodular adrenal hyperplasia. Evaluation for the presence of Carney complex was negative. Six months later recurrence of hypercortisolism was documented and a right laparoscopic adrenalectomy was performed further establishing the diagnosis of primary pigmented nodular adrenocortical disease. After a nine-year follow-up there is no evidence of residual disease. Conclusions Even though primary pigmented nodular adrenocortical disease is a rare cause of Cushing's syndrome, it should be included in the differential diagnosis of adrenocorticotropic hormone-independent Cushing's syndrome, especially because adrenal imaging can be misleading mimicking other adrenocortical diseases. Bilateral laparoscopic adrenalectomy is the preferred treatment in these subjects.

  9. Complexity, signal detection, and the application of ergonomics: reflections on a healthcare case study.

    Science.gov (United States)

    Dekker, Sidney

    2012-05-01

    Complexity is a defining characteristic of healthcare, and ergonomic interventions in clinical practice need to take into account aspects vital for the success or failure of new technology. The introduction of new monitoring technology, for example, creates many ripple effects through clinical relationships and agents' cross-adaptations. This paper uses the signal detection paradigm to account for a case in which multiple clinical decision makers, across power hierarchies and gender gaps, manipulate each others' sensitivities to evidence and decision criteria. These are possible to analyze and predict with an applied ergonomics that is sensitive to the social complexities of the workplace, including power, gender, hierarchy and fuzzy system boundaries. PMID:21813110

  10. Case-Based Reasoning Topological Complexity Calculation of Design for Components

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Directly calculating the topological and geometric complexity from the STEP (standard for the exchange of product model data, ISO 10303) file is a huge task. So, a case-based reasoning approach is presented, which is based on the similarity between the new component and the old one, to calculate the topological and geometric complexity of new components. In order to index, retrieve in historical component database, a new way of component representation is brought forth. And then an algorithm is given to extract topological graph from its STEP files. A mathematical model, which describes how to compare the similarity, is discussed. Finally, an example is given to show the result.

  11. Mixed modality treatment planning of accelerated partial breast irradiation: to improve complex dosimetry cases

    International Nuclear Information System (INIS)

    Although 3D-conformal accelerated partial breast irradiation (APBI) is widely used, several questions still remain such as what are the optimal treatment planning modalities. Indeed, some patients may have an unfavorable anatomy and/or inadequate dosimetric constraints could be fulfilled ('complex cases'). In such cases, we wondered which treatment planning modality could be applied to achieve 3D-conformal APBI (2 mini-tangents and an 'en face' electron field or non-coplanar photon multiple fields; or a mixed technique combining non-coplanar photon multiple fields with an 'en face' electron beam). From October 2007 to March 2010, 55 patients with pT1N0 breast cancer were enrolled in a phase II APBI trial. Among them, 7 patients were excluded as they were considered as 'complex cases'. A dosimetric comparison was performed according to the 3 APBI modalities mentioned above and assessed: planning treatment volume (PTV) coverage, PTV/whole breast ratio, lung and heart distance within irradiated field and exposure of organs at risk (OAR). Adequate PTV coverage was obtained with the 3 different treatment planning. Regarding OAR exposure, the 'mixed technique' seemed to reduce the volume of non-target breast tissue in 4 cases compared to the other techniques (in only 1 case), with the mean V50% at 44.9% (range, 13.4 - 56.9%) for the mixed modality compared to 51.1% (range, 22.4 - 63.4%) and 51.8% (range, 23.1 - 59.5%) for the reference and non-coplanar techniques, respectively. The same trend was observed for heart exposure. The mixed technique showed a promising trend of reducing the volume of non-target breast tissue and heart exposure doses in APBI 'complex cases'

  12. Circle of Willis variation in a complex stroke presentation: a case report

    Directory of Open Access Journals (Sweden)

    Young Carolyn A

    2006-03-01

    Full Text Available Abstract Background The impact of circle of Willis anatomical variation upon the presentation of stroke is probably underrecognised. Case presentation A 63-year-old right-handed woman developed a left hemiparesis and right leg weakness sequentially following a road traffic accident (RTA. Despite initial concern about the possibility of cervical spinal cord injury, the final diagnosis was bilateral artery-to-artery embolic cerebral infarction with dominant right internal carotid artery. Conclusion The case illustrates the complex presentation of stroke as a pseudo-cervical cord lesion and the impact of circle of Willis anatomical variation upon the expression of large vessel cerebrovascular disease.

  13. Xanthogranulomatous Pyelonephritis Can Simulate a Complex Cyst: Case Description and Review of Literature

    Directory of Open Access Journals (Sweden)

    Salvatore Butticè

    2014-05-01

    Full Text Available Xanthogranulomatous pyelonephritis is a rare and peculiar form of chronic pyelonephritis and is generally associated with renal lithiasis. Its incidence is higher in females. The peculiarity of this disease is that it requires a differential diagnosis, because it can often simulate dramatic pathologic conditions. In fact, in the literature are also described cases in association with squamous cell carcinoma of the kidney The radiologic clinical findings simulate renal masses, sometimes in association with caval thrombus. We describe a case of xanthogranulomatous pyelonephritis with radiologic aspects of a complex cyst of Bosniak class III in a man 40-year old.

  14. Complexity

    CERN Document Server

    Gershenson, Carlos

    2011-01-01

    The term complexity derives etymologically from the Latin plexus, which means interwoven. Intuitively, this implies that something complex is composed by elements that are difficult to separate. This difficulty arises from the relevant interactions that take place between components. This lack of separability is at odds with the classical scientific method - which has been used since the times of Galileo, Newton, Descartes, and Laplace - and has also influenced philosophy and engineering. In recent decades, the scientific study of complexity and complex systems has proposed a paradigm shift in science and philosophy, proposing novel methods that take into account relevant interactions.

  15. Surgical treatment of extensive complex odontoma in the mandible by corticotomy. A case report.

    Science.gov (United States)

    Nogueira, A S; Gonçales, E S; Gonçales, A G B; Thiegui-Neto, V; Nogueira, C B P; Nogueira, A; Medeiros, R

    2013-09-01

    Odontomas represent the most prevalent odontogenic tumors in the jaw. The treatment of choice is surgical removal, usually performed by conventional techniques involving ostectomies to expose the tumor. In this paper, the authors describe, through the report of a case of complex odontoma located in the mandibular angle, a more conservative surgical technique called corticotomy, in which the bone removed for access to the tumor (buccal cortical) is repositioned and fixed by titanium plates of 1.5 mm. PMID:24126599

  16. The Stryker Mobile Gun System a case study on managing complexity

    OpenAIRE

    Christian Ayers

    2009-01-01

    Approved for public release, distribution unlimited This case study analyzes how the Stryker Mobile Gun System (MGS) program managed complexity. The MGS is one of the ten variants of the Stryker series of vehicles that equip the Army's Stryker Brigade Combat Teams. These brigades were created by the Army Chief of Staff from 1999-2003, General Eric Shinseki, to provide the Army with a highly deployable medium-force capability. Initially intended as a variant that required limited develo...

  17. Complex Evaluation of Light Sources in Case of Electric Power Cost Increase

    OpenAIRE

    Y. N. Kolesnik; A. V. Ivaneychik

    2008-01-01

    The paper gives complex evaluation of efficiency of incandescent lamps, luminescent and light-emitting-diode (LED) light sources in case of electric power price increase. On the basis of experimental table lamp electric power indices of light-emitting-diode (LED) light sources with equivalent luminous flux have been determined. Dependences of main indices of economic efficiency of various light sources on their operational regimes have been obtained and rate of influence on these indices of e...

  18. Complex Regional Pain Syndrome (CRPS Type II After Carpal Tunnel Release Surgery: Case Report

    Directory of Open Access Journals (Sweden)

    Hakan Tunç

    2010-08-01

    Full Text Available Summary Complex regional pain syndrome is a chronic syndrome characterised with dystrophic changes and neurovascular disordes of bone and skin of extremities. The most common etiological factors are trauma, ischemic heart disease, cerebral lesions, servical region disorders, infections, and surgical treatments. Carpal tunnel syndrome is the most common compressive neuropaty of the upper extremity. There are various surgical and conservative alternatives in the treatment of carpal tunnel syndrome. Complex regional pain syndrome has been reported as a complication of surgical carpal tunnel release in 2-5% of patients. In this case report clinical characteristics and rehabilitation outcomes of a patient with complex regional pain syndrome after carpal tunnel release surgery is presented. (Osteoporoz Dünyasından 2010;16:41-3

  19. Disaster preparedness in a complex urban system: the case of Kathmandu Valley, Nepal.

    Science.gov (United States)

    Carpenter, Samuel; Grünewald, François

    2016-07-01

    The city is a growing centre of humanitarian concern. Yet, aid agencies, governments and donors are only beginning to comprehend the scale and, importantly, the complexity of the humanitarian challenge in urban areas. Using the case study of the Kathmandu Valley, Nepal, this paper examines the analytical utility of recent research on complex urban systems in strengthening scholarly understanding of urban disaster risk management, and outlines its operational relevance to disaster preparedness. Drawing on a literature review and 26 interviews with actors from across the Government of Nepal, the International Red Cross and Red Crescent Movement, non-governmental organisations, United Nations agencies, and at-risk communities, the study argues that complexity can be seen as a defining feature of urban systems and the risks that confront them. To manage risk in these systems effectively, preparedness efforts must be based on adaptive and agile approaches, incorporating the use of network analysis, partnerships, and new technologies. PMID:26578230

  20. An unusual case of congenital melanocytic nevus presenting as neurocutaneous melanoma coexisting with Tuberous Sclerosis complex: A case report

    Directory of Open Access Journals (Sweden)

    Thacker Purujit J

    2011-07-01

    Full Text Available Abstract Introduction Congenital melanocytic nevi are among the several known risk factors for the development of melanoma. Neurocutaneous melanosis is a rare, congenital, non-hereditary disorder characterized by the presence of multiple and/or giant congenital melanocytic nevi. It is a rare condition, with fewer than 200 cases reported in the literature. Its association with tuberous sclerosis complex, a form of the neurocutaneous syndrome, is an unusual finding which, to the best of our knowledge, has not been documented in the English literature so far. Herein we present the first case documenting such an association in a 16-year-old post-pubertal Indian girl. Case presentation In this report, we describe the case of a 16-year-old Indian girl who presented to our hospital with swelling on the scalp which had progressed from the hairline to just above the left brow, causing mechanical ptosis. She was born with a black-pigmented triangular patch covered with hair over the scalp which had increased in size over a period of eight years after birth. An X-ray of her skull and ultrasonography revealed soft tissue swelling in the left temporofrontoparietal region. Magnetic resonance imaging of her brain showed the presence of 8.99 cm × 2.26 cm abnormal signal intensity involving the scalp, a few small tubers with cortical dysplasia in the left frontoparietal region with asymmetric dilatation, and the presence of calcified subependymal nodules within the left lateral ventricle. These findings were suggestive of tuberous sclerosis. A histopathological examination of the swelling was suggestive of congenital melanocytic nevi. The patient underwent surgery. Excision of the tumor with primary skin grafting was done, with the graft being taken from the medial aspect of the right thigh. Conclusion This case warrants further research to provide concrete evidence of an association of neurocutaneous melanoma with tuberous sclerosis complex. Research should be

  1. MPO-ANCA associated crescentic glomerulonephritis with numerous immune complexes: case report

    Directory of Open Access Journals (Sweden)

    Morizane Ryuji

    2012-06-01

    Full Text Available Abstract Background Antineutrophil cytoplasmic antibody (ANCA-associated crescentic glomerulonephritis (CGN is a major cause of rapidly progressive glomerulonephritis (RPGN. ANCA-associated CGN is generally classified into pauci-immune RPGN, in which there are few or no immune complexes. Case Presentation A 78-year-old man presented with RPGN after a 7-year course of chronic proteinuria and hematuria with stable renal function. A blood examination showed a high titer of myeloperoxidase (MPO-ANCA. A renal biopsy showed crescentic glomerulonephritis with abundant subepithelial, intramenbranous and subendothelial deposits by electron microscopy, leading to the diagnosis of ANCA-associated CGN superimposed on type 3 membranoproliferative glomerulonephritis (MPGN. Conclusions This case is unique in that type 3 MPGN and MPO-ANCA-associated CGN coexisted, and no similar case has been reported to date. Because ANCA-associated CGN has a predilection for elderly individuals and primary type 3 MPGN is rarely seen in this age group, coincidental existence appears less likely. This case may confer valuable information regarding the link between immune complex and ANCA-associated CGN.

  2. A Rare Cause of Prepubertal Gynecomastia: Sertoli Cell Tumor

    Directory of Open Access Journals (Sweden)

    Fatma Dursun

    2015-01-01

    Full Text Available Prepubertal gynecomastia due to testis tumors is a very rare condition. Nearly 5% of the patients with testicular mass present with gynecomastia. Sertoli cell tumors are sporadic in 60% of the reported cases, while the remaining is a component of multiple neoplasia syndromes such as Peutz-Jeghers syndrome and Carney complex. We present a 4-year-old boy with gynecomastia due to Sertoli cell tumor with no evidence of Peutz-Jeghers syndrome or Carney complex.

  3. A Rare Cause of Prepubertal Gynecomastia: Sertoli Cell Tumor

    Science.gov (United States)

    Dursun, Fatma; Su Dur, Şeyma Meliha; Şahin, Ceyhan; Kırmızıbekmez, Heves; Karabulut, Murat Hakan; Yörük, Asım

    2015-01-01

    Prepubertal gynecomastia due to testis tumors is a very rare condition. Nearly 5% of the patients with testicular mass present with gynecomastia. Sertoli cell tumors are sporadic in 60% of the reported cases, while the remaining is a component of multiple neoplasia syndromes such as Peutz-Jeghers syndrome and Carney complex. We present a 4-year-old boy with gynecomastia due to Sertoli cell tumor with no evidence of Peutz-Jeghers syndrome or Carney complex. PMID:26366315

  4. A Rare Cause of Prepubertal Gynecomastia: Sertoli Cell Tumor

    OpenAIRE

    Fatma Dursun; Şeyma Meliha Su Dur; Ceyhan Şahin; Heves Kırmızıbekmez; Murat Hakan Karabulut; Asım Yörük

    2015-01-01

    Prepubertal gynecomastia due to testis tumors is a very rare condition. Nearly 5% of the patients with testicular mass present with gynecomastia. Sertoli cell tumors are sporadic in 60% of the reported cases, while the remaining is a component of multiple neoplasia syndromes such as Peutz-Jeghers syndrome and Carney complex. We present a 4-year-old boy with gynecomastia due to Sertoli cell tumor with no evidence of Peutz-Jeghers syndrome or Carney complex.

  5. A case for Sandia investment in complex adaptive systems science and technology.

    Energy Technology Data Exchange (ETDEWEB)

    Colbaugh, Richard; Tsao, Jeffrey Yeenien; Johnson, Curtis Martin; Backus, George A.; Brown, Theresa Jean; Jones, Katherine A.

    2012-05-01

    This white paper makes a case for Sandia National Laboratories investments in complex adaptive systems science and technology (S&T) -- investments that could enable higher-value-added and more-robustly-engineered solutions to challenges of importance to Sandia's national security mission and to the nation. Complex adaptive systems are ubiquitous in Sandia's national security mission areas. We often ignore the adaptive complexity of these systems by narrowing our 'aperture of concern' to systems or subsystems with a limited range of function exposed to a limited range of environments over limited periods of time. But by widening our aperture of concern we could increase our impact considerably. To do so, the science and technology of complex adaptive systems must mature considerably. Despite an explosion of interest outside of Sandia, however, that science and technology is still in its youth. What has been missing is contact with real (rather than model) systems and real domain-area detail. With its center-of-gravity as an engineering laboratory, Sandia's has made considerable progress applying existing science and technology to real complex adaptive systems. It has focused much less, however, on advancing the science and technology itself. But its close contact with real systems and real domain-area detail represents a powerful strength with which to help complex adaptive systems science and technology mature. Sandia is thus both a prime beneficiary of, as well as potentially a prime contributor to, complex adaptive systems science and technology. Building a productive program in complex adaptive systems science and technology at Sandia will not be trivial, but a credible path can be envisioned: in the short run, continue to apply existing science and technology to real domain-area complex adaptive systems; in the medium run, jump-start the creation of new science and technology capability through Sandia's Laboratory Directed Research

  6. Organic complexation of radionuclides in cement pore water: a case study

    International Nuclear Information System (INIS)

    The influence of the organic ligands EDTA (ethylenediaminetetraacetate), NTA (nitrilotriacetate), citrate and oxalate on the speciation of Cs, Sr, Ra, Ni, Pd, Tc, Sn, Zr, Th, U, Np, Pu, Am and Cm in cement pore waters is studied by means of chemical equilibria. Emphasis is laid on the development of a complete and consistent thermodynamic data base for the high pH range beyond pH 11. Missing data are estimated using free-energy relationships derived from a large number of experimentally determined stability constants compiled from the literature. In case where a sound estimation of stability constants is not possible due to the scarcity of quantitative information, at least upper limits are assessed for the stability of all possibly important species. Chemical equilibria were computed within the range of pH 11 to 13 and a range of Ca concentrations from 0.001 to 0.1 mol-1 (M). ETDA complexes predominate only in the case of Ni. In all other cases, the competition of Ca-organic or metal-hydroxo complexes successfully prevent any significant influence of EDTA, NTA, citrate or oxalate on the speciation of these radionuclides. (author) 10 figs., 9 refs

  7. Case Report: Gollop-Wolfgang Complex in a 5 month old baby.

    Science.gov (United States)

    Qureshi, Ihtesham A; Gudepu, Rohit Kumar; Chava, Ravikanth; Emmani, Sravya; Asghar, Syed Husain; Qureshi, Mohtashim A; Arlappa, Nimmathota

    2014-01-01

    Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular agenesis and caudal (Sacrococcygeal) agenesis. The etiology of GWC in this 5 month old male baby could possibly be attributed to spontaneous gene mutation. The clinical, radiographic findings and the unusual presentation are presented in detail. PMID:26064472

  8. Viability and resilience of complex systems concepts, methods and case studies from ecology and society

    CERN Document Server

    Deffuant, Guillaume

    2011-01-01

    One common characteristic of a complex system is its ability to withstand major disturbances and the capacity to rebuild itself. Understanding how such systems demonstrate resilience by absorbing or recovering from major external perturbations requires both quantitative foundations and a multidisciplinary view of the topic. This book demonstrates how new methods can be used to identify the actions favouring the recovery from perturbations on a variety of examples including the dynamics of bacterial biofilms, grassland savannahs, language competition and Internet social networking sites. The reader is taken through an introduction to the idea of resilience and viability and shown the mathematical basis of the techniques used to analyse systems. The idea of individual or agent-based modelling of complex systems is introduced and related to analytically tractable approximations of such models. A set of case studies illustrates the use of the techniques in real applications, and the final section describes how on...

  9. Transmission power in some particular cases of bi- or tri-dimensional complex systems

    Directory of Open Access Journals (Sweden)

    Eustache Megnigbeto

    2014-01-01

    Full Text Available In a complex system, mutual information measures the information common to the variables involved. In more than two dimensions, it indicates the level of synergy between variables or the level of self-organization or how central coordinated the system is. Mutual information has a lower and an upper bound that vary according to the system′s configuration. In this paper, we analyse the complex system of the Triple Helix of university-industry-government relationships from the information theory point of view. We find out general characteristics of bi- and tri-dimensional configurations where mutual information reaches its bounds; we compute efficiency, unused capacity and transmission power for such systems as well as for some particular cases.

  10. Epilepsy surgery for tuberous sclerosis complex: a case report and literature review

    Institute of Scientific and Technical Information of China (English)

    ZHAO Guo-guang; SHAN Yong-zhi; DU Jian-xin; LING Feng

    2008-01-01

    @@ Tuberous sclerosis complex (TSC) is a multisystem genetic disorder with variable phenotypic expression.Epilepsy is the most common neurological complication and up to 80%-90% of the individuals with TSC suffer from epilepsy at some point in their lifetime.Developmental delay, intellectual impairment, autism,behavioral problems, and neuropsychiatric disorders occur commonly in individuals with TSC and may be associated with poorly controlled epilepsy.1 In this paper we reported a case report of TSC, focusing on the patient's clinical symptom, surgical aspects and neuropathology through a comprehensive analysis.

  11. Primary pulmonary mucinous cystadenocarcinoma presenting as a complex bronchocele: a case report

    Directory of Open Access Journals (Sweden)

    Raza Syed Arsalan

    2009-08-01

    Full Text Available Abstract Introduction Primary pulmonary mucinous cystadenocarcinoma is a rare variety of lung cancer. It is characterized pathologically by copious mucin production predominantly in the extracellular space. This tumour has a remarkably favorable prognosis. Case presentation We present imaging and histopathological findings of primary pulmonary mucinous cystadenocarcinoma presenting as a complex bronchocele in a 67-year-old Caucasian woman. Conclusion Diagnosis of pulmonary mucinous cystadenocarcinoma should be considered in patients presenting with bronchocele that has suspicious imaging features, because the results of fine needle aspiration cytology and bronchoscopy are frequently inconclusive in these tumours. Positive emission tomography has an important role in helping to identify these tumours.

  12. Complex regional pain syndrome with associated chest wall dystonia: a case report

    Directory of Open Access Journals (Sweden)

    Schwartzman Robert J

    2011-09-01

    Full Text Available Abstract Patients with complex regional pain syndrome (CRPS often suffer from an array of associated movement disorders, including dystonia of an affected limb. We present a case of a patient with long standing CRPS after a brachial plexus injury, who after displaying several features of the movement disorder previously, developed painful dystonia of chest wall musculature. Detailed neurologic examination found palpable sustained contractions of the pectoral and intercostal muscles in addition to surface allodynia. Needle electromyography of the intercostal and paraspinal muscles supported the diagnosis of dystonia. In addition, pulmonary function testing showed both restrictive and obstructive features in the absence of a clear cardiopulmonary etiology. Treatment was initiated with intrathecal baclofen and the patient had symptomatic relief and improvement of dystonia. This case illustrates a novel form of the movement disorder associated with CRPS with response to intrathecal baclofen treatment.

  13. SUPERFICIAL ANGIOMYXOMA OF THE NECK WITHOUT ASSOCIATED CARNEY’S COMPLEX: A RARE CASE REPORT

    Directory of Open Access Journals (Sweden)

    Suiyibangbe

    2015-05-01

    Full Text Available Superficial angiomyxomas are rare benign soft tissue tumour usually solitary and predominantly involving the dermis and subcutis. We report a case of 21 year s old male who presented with a history of swelling on the left upper anterolateral aspect of neck, measuring 3x2cm with irregular surface, non - tender, mobile and firm in consistency, fixed to the skin but not to the underlying structured. No lymph node was palpable. There was no evidence of any of the components of Carney’s complex at the time of presentation. Provisional diagnosis was made as Pleomorphic adenoma by FNAC. Wide local surgical excision was done. Histopathology examination revealed to be super ficial angiomyxoma. Here, we present a case of superficial angiomyxoma with a review to its rarity and difficulty in diagnosing and distinguishing from other soft tissue tumour of the skin.

  14. Prenatally diagnosed de novo complex chromosome rearrangements: Two new cases and review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz, C.; Grubs, R.E.; Jewett, T. [and others

    1994-09-01

    Complex chromosome rearrangements (CCR) are rare structural rearrangements involving at least three chromosomes with three or more breakpoints. Although there have been numerous reports of individuals with CCR, most have been ascertained through the presence of multiple congenital anomalies, recurrent pregnancy loss, or infertility. Few cases have been ascertained prenatally. We present two new cases of prenatally ascertained CCR. In the first case, an amniocentesis revealed an apparently balanced de novo rearrangement in which chromosomes 5, 6 and 11 were involved in a three-way translocation: 46,XY,t(6;5)(5;11)(q23;p14.3;q15;p13). The pregnancy was unevenful. Recently, at the age of 9 months, a physical and developmental evaluation were normal but, height, weight, and head circumference were below the 5th percentile. In the second case an amniocentesis revealed an unbalanced de novo rearrangement involving separate translocations and an interstitial deletion: 46,XY,del(6)(q25.3q27),t(3;8)(p13;q21.3),t(6;18)(p11.2;q11.2). A meconium plug was present at birth and at 6 months of age surgery for Hirschsprung`s disease was required. Currently, at 10 months of age, the patient has hypotonia and developmental delay. The paucity of information regarding prenatally diagnosed CCR poses a problem in counseling families. Of the four prenatally diagnosed balanced de novo CCR cases, three had abnormal outcomes. In a review of the literature, approximately 70% of the postnatally ascertained balanced de novo CCR cases were associated with congenital anomalies, growth retardation and/or mental retardation. More information regarding the outcome of prenatally ascertained balanced de novo CCR is required for accurate risk assessment.

  15. Idealized tropical cyclone simulations of intermediate complexity: A test case for AGCMs

    Directory of Open Access Journals (Sweden)

    Kevin Reed

    2012-04-01

    Full Text Available The paper introduces a moist, deterministic test case of intermediate complexity for Atmospheric General Circulation Models (AGCMs. We suggest pairing an AGCM dynamical core with simple physical parameterizations to test the evolution of a single, idealized, initially weak vortex into a tropical cyclone. The initial conditions are based on an initial vortex seed that is in gradient-wind and hydrostatic balance. The suggested ``simple-physics'' package consists of parameterizations of bulk aerodynamic surface fluxes for moisture, sensible heat and momentum, boundary layer diffusion, and large-scale condensation. Such a configuration includes the important driving mechanisms for tropical cyclones, and leads to a rapid intensification of the initial vortex over a forecast period of ten days. The simple-physics test paradigm is not limited to tropical cyclones, and can be universally applied to other flow fields. The physical parameterizations are described in detail to foster model intercomparisons.The characteristics of the intermediate-complexity test case are demonstrated with the help of four hydrostatic dynamical cores that are part of the Community Atmosphere Model version 5 (CAM 5 developed at the National Center for Atmospheric Research (NCAR. In particular, these are the Finite-Volume, Spectral Element, and spectral transform Eulerian and semi-Lagrangian dynamical cores that are coupled to the simple-physics suite. The simulations show that despite the simplicity of the physics forcings the models develop the tropical cyclone at horizontal grid spacings of about 55 km and finer. The simple-physics simulations reveal essential differences in the storm's structure and strength due to the choice of the dynamical core. Similar differences are also seen in complex full-physics aqua-planet experiments with CAM 5 which serve as a motivator for this work. The results suggest that differences in complex full-physics simulations can be, at least

  16. Addressing the Complexities of Big Data Analytics in Healthcare: The Diabetes Screening Case

    Directory of Open Access Journals (Sweden)

    Daswin De Silva

    2015-09-01

    Full Text Available The healthcare industry generates a high throughput of medical, clinical and omics data of varying complexity and features. Clinical decision-support is gaining widespread attention as medical institutions and governing bodies turn towards better management of this data for effective and efficient healthcare delivery and quality assured outcomes. Amass of data across all stages, from disease diagnosis to palliative care, is further indication of the opportunities and challenges to effective data management, analysis, prediction and optimization techniques as parts of knowledge management in clinical environments. Big Data analytics (BDA presents the potential to advance this industry with reforms in clinical decision-support and translational research. However, adoption of big data analytics has been slow due to complexities posed by the nature of healthcare data. The success of these systems is hard to predict, so further research is needed to provide a robust framework to ensure investment in BDA is justified. In this paper we investigate these complexities from the perspective of updated Information Systems (IS participation theory. We present a case study on a large diabetes screening project to integrate, converge and derive expedient insights from such an accumulation of data and make recommendations for a successful BDA implementation grounded in a participatory framework and the specificities of big data in healthcare context.

  17. An Orchestrating Evaluation of Complex Educational Technologies: a Case Study of a CSCL System

    Directory of Open Access Journals (Sweden)

    Luis P. Prieto

    2014-06-01

    Full Text Available As digital technologies permeate every aspect of our lives, the complexity of the educational settings, and of the technological support we use within them, unceasingly rises. This increased complexity, along with the need for educational practitioners to apply such technologies within multi-constraint authentic settings, has given rise to the notion of technology-enhanced learning practice as “orchestration of learning”. However, at the same time, the complexity involved in evaluating the benefits of such educational technologies has also increased, prompting questions about the way evaluators can cope with the different places, technologies, informants and issues involved in their evaluation activity. By proposing the notion of “orchestrating evaluation”, this paper tries to reconcile the often disparate “front office accounts” of research publications and the “shop floor practice” of evaluation of educational technology, through the case study of evaluating a system to help teachers in coordinating computer-supported collaborative learning (CSCL scenarios. We reuse an internationally-evaluated conceptual framework of “orchestration aspects” (design, management, adaptation, pragmatism, etc. to structure the case‟s narrative, showing how the original evaluation questions and methods were modulated in the face of the multiple (authentic evaluation setting constraints.

  18. Mobile education in autopsy conferences of pathology: presentation of complex cases

    Directory of Open Access Journals (Sweden)

    Kayser Klaus

    2006-11-01

    Full Text Available Abstract Background MeduMobile was a project to develop and evaluate learning scenarios for medical students and teachers by use of video communication and notebooks. Its core part was assigned to various medical routines, conferences or meetings such as doctor-patient bedside conversation. These were filmed by video teams and broadcasted live via the WLAN of the Charité campus to course participating students. One type of the learning arrangements was the autopsy conference as an on-call scenario. Materials and methods The MeduMobile project consisted of two main compartments: the regular seminar event which took place every week or month, and the on-call event. For an on-call event the students were informed two hours before the lesson's start. A mobile video team organised the video conference via a specific MeduMobile seminar system. This software offered the students to log. The MeduMobile seminar system is based on the Windows operating system and realises an extended video communication via WLAN. Thirteen access points were implemented at the Charité Campus Virchow Klinikum and Campus Mitte. A questionnaire was developed to investigate in the response and learning effect of the mobile seminar system. Results During the MeduMobile project 42 video conferences with (cumulative 145 participating students took place. Four autopsy conferences could be organised as on-call scenarios within this project. A prospective, not randomised follow-up study was included 25 students of the 1st – 6th clinical semester. According to the answers, professional reasoning, professional performance, sustainability, and the complexity were broadly accepted by the students. Discussion In principle, the MeduMobile realised an interdisciplinary case presentation using video conference and web page. The evaluation indicates a high acception of such complex case presentation with multidisciplinary settings. The use of the notebooks in mobile learning enables an

  19. Complex papillary hyperplasia of the endometrium: an uncommon case report with cytopathological features and diagnostic implications.

    Science.gov (United States)

    Rekhi, Bharat; Menon, Santosh; Maheshwari, Amita

    2015-02-01

    Papillary proliferations of the endometrium, without atypia have been uncommonly documented, including on cytology specimens. Herein, we present an uncommon case of a 55-year-old obese lady, on antihypertensive medications, who presented with history of irregular perimenopausal bleeding. A year ago, she was diagnosed with simple cystic hyperplasia on dilation and curettage specimen. Presently, she underwent endometrial aspiration. Cytology smears were prepared from the collected tissue specimen that was further submitted for histopathological analysis. Although the smears were initially diagnosed as negative for malignancy, the tissue sections were reported as a uterine papillary serous carcinoma (UPSC). Review of the smears revealed prominent overlapping clusters and papillary arrangements of relatively banal endometrial cells exhibiting focal metaplasia. Histopathology sections confirmed diagnosis of complex papillary hyperplasia (CPH). Immunohistochemical (IHC) stains reinforced this impression with diffuse estrogen receptor positivity, low Ki-67/MIB1, and lack of diffuse p53 immunostaining. Subsequent hysterectomy, at the time of intraoperative consultation showed a small residual focus of CPH, restricted to endometrium with intramural leiomyomas and adenomyosis. This case is presented to highlight the fact that despite lack of significant atypia, cytological features like overlapping, clustering, and papillary formations are indicators of papillary lesions of the endometrium, including CPH, especially in postmenopausal women. On histopathology, in spite of conspicuous papillary formations, lack of significant nuclear pleomorphism, and tumor invasion are helpful features in avoiding an overdiagnosis of UPSC in such cases. IHC stains are supportive. Correct identification has significant therapeutic implications. PMID:24825243

  20. LIMB BODY WALL COMPLEX IN TWO HETEROZYGOTIC TWINS: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    G. Giannotti

    2012-08-01

    Full Text Available Introdution. Limb-Body Wall Complex (LBWC is a congenital defect which includes at least two of the following characteristics: abdominal and/or thoracic body wall defects, exencephaly or encephalocoele with or without craniofacial defects (56% and spinal defects associated with marked vertebral or sacral defects (95%. Case Report. We present a case report of an infant with LBWC, borned by diamniotic twin pregnancy. A prenatal ultrasound reported an healthy fetus and a fetus with multiple malformations. At birth we found a big abdominal wall defect, absence of scrotal sac and testicles, asymmetric chest and no major deformities in craniofacial region. At 2 hours of life, we removed the amniotic sac, we put the stomach and the spleen in the abdominal cavity, which is virtual, and positioned a spring-loaded silo. At 15th day of life we had complete reduction of the intestinal loops and liver and we closed the wall defect with a prosthesis and a cryopreserved skin. The general conditions of the patient, very severe since birth, became progressively worse and he died in the 21st day of life. Discussion. Once the diagnosis is done the physician should offer the parents a therapeutic abortion, and above all, in case they want to carry the pregnancy to term, we need to prepare them to the severity of the malformation and the high probability of death.

  1. Average-Case Separation in Proof Complexity: Short Propositional Refutations for Random 3CNF Formulas

    CERN Document Server

    Müller, Sebastian

    2011-01-01

    Separating different propositional proof systems---that is, demonstrating that one proof system cannot efficiently simulate another proof system---is one of the main goals of proof complexity. Nevertheless, all known separation results between non-abstract proof systems are for specific families of hard tautologies: for what we know, in the average case all (non-abstract) propositional proof systems are no stronger than resolution. In this paper we show that this is not the case by demonstrating polynomial-size propositional refutations whose lines are $TC^0$ formulas (i.e., $TC^0$-Frege proofs) for random 3CNF formulas with $ n $ variables and $ \\Omega(n^{1.4}) $ clauses. By known lower bounds on resolution refutations, this implies an exponential separation of $TC^0$-Frege from resolution in the average case. The idea is based on demonstrating efficient propositional correctness proofs of the random 3CNF unsatisfiability witnesses given by Feige, Kim and Ofek [FOCS'06]. Since the soundness of these witnesse...

  2. Complex pattern of colon cancer recurrence including a kidney metastasis: A case report

    Institute of Scientific and Technical Information of China (English)

    Helfried Waleczek; Moritz N Wente; Jürgen Kozianka

    2005-01-01

    We report a case of a 77-year-old female with a local recurrence of cancer after right hemicolectomy which infiltrated the pancreatic head affording pancreatoduodenectomy, who developed 3 years later recurrent tumor masses localized in the mesentery of the jejunum and in the lower pole of the left kidney. Partial nephrectomy and a segment resection of the small bowel were performed. Histological examination of both specimens revealed a necrotic metastasis of the primary carcinoma of the colon. Although intraluminal implantation of colon cancer cells in the renal pelvic mucosa from ureteric metastasis has been described, metastasis of a colorectal cancer in the kidney parenchyma is extremely rare and can be treated in an organ preserving manner. A complex pattern of colon cancer recurrence with unusual and rare sites of metastasis is reported.

  3. Using virtual humans and computer animations to learn complex motor skills: a case study in karate

    Directory of Open Access Journals (Sweden)

    Spanlang Bernhard

    2011-12-01

    Full Text Available Learning motor skills is a complex task involving a lot of cognitive issues. One of the main issues consists in retrieving the relevant information from the learning environment. In a traditional learning situation, a teacher gives oral explanations and performs actions to provide the learner with visual examples. Using virtual reality (VR as a tool for learning motor tasks is promising. However, it raises questions about the type of information this kind of environments can offer. In this paper, we propose to analyze the impact of virtual humans on the perception of the learners. As a case study, we propose to apply this research problem to karate gestures. The results of this study show no significant difference on the after training performance of learners confronted to three different learning environments (traditional group, video and VR.

  4. Dental Treatment Considerations for Children with Complex Medical Histories: A Case of Townes-Brock Syndrome.

    Science.gov (United States)

    Elkaiali, Lujayn; Ratliff, Katelin; Oueis, Hassan

    2016-01-01

    It is common for oral health and dental care to be considered a lesser priority for children with complex medical histories than other aspects of their health care. Often, these patients are at a high risk for caries and infection due to poor oral health practices at home, special or restricted diets, and no early establishment of a dental home for routine dental care. Unfortunately, many of these patients present to their first dental visits with caries and require aggressive treatment, such as extractions instead of pulp therapy, or crowns instead of fillings, due to their high caries risk and the difficulty in safely managing them medically during treatment. A unique example of this occurred at the Children's Hospital of Michigan, where a patient with Townes-Brock syndrome (TBS) presented to the dental clinic with advanced caries. TBS is a rare autosomal dominant disorder characterized by major findings such as anomalies of the external ear, imperforate anus, renal malformations, and malformations of the hand. Like many medically complex cases, dental anomalies are not a direct consequence of TBS; however, due to the necessity of high calorie and high sugar feeding supplementation, many of these patients are at high risk for advanced dental caries. Due to this high caries risk, a more aggressive treatment plan is necessary to minimize the risk of recurrent decay and infection. It is critical to stress that even if the disease, syndrome, etc., of a patient does not have inherent dental consequences, it is imperative for regular dental care to be part of the comprehensive treatment plan for these patients. This includes the establishment of a dental home at a young age and proper oral health education of the patient's caregivers and their physicians. In the case of the patient with TBS, recommendations for daily brushing, especially after high sugar feedings was stressed, as well as the reduction of any other sweets within the diet. PMID:26882646

  5. Design for Reliability of Complex System: Case Study of Horizontal Drilling Equipment with Limited Failure Data

    Directory of Open Access Journals (Sweden)

    Morteza Soleimani

    2014-01-01

    Full Text Available Reliability is an important phase in durable system designs, specifically in the early phase of the product development. In this paper, a new methodology is proposed for complex systems’ design for reliability. Specific test and field failure data scarcity is evaluated here as a challenge to implement design for reliability of a new product. In the developed approach, modeling and simulation of the system are accomplished by using reliability block diagram (RBD method. The generic data are corrected to account for the design and environment effects on the application. The integral methodology evaluates reliability of the system and assesses the importance of each component. In addition, the availability of the system was evaluated using Monte Carlo simulation. Available design alternatives with different components are analyzed for reliability optimization. Evaluating reliability of complex systems in competitive design attempts is one of the applications of this method. The advantage of this method is that it is applicable in early design phase where there is only limited failure data available. As a case study, horizontal drilling equipment is used for assessment of the proposed method. Benchmarking of the results with a system with more available failure and maintenance data verifies the effectiveness and performance quality of presented method.

  6. Rapid spread of complex change: a case study in inpatient palliative care

    Directory of Open Access Journals (Sweden)

    Filipski Marta I

    2009-12-01

    Full Text Available Abstract Background Based on positive findings from a randomized controlled trial, Kaiser Permanente's national executive leadership group set an expectation that all Kaiser Permanente and partner hospitals would implement a consultative model of interdisciplinary, inpatient-based palliative care (IPC. Within one year, the number of IPC consultations program-wide increased almost tenfold from baseline, and the number of teams nearly doubled. We report here results from a qualitative evaluation of the IPC initiative after a year of implementation; our purpose was to understand factors supporting or impeding the rapid and consistent spread of a complex program. Methods Quality improvement study using a case study design and qualitative analysis of in-depth semi-structured interviews with 36 national, regional, and local leaders. Results Compelling evidence of impacts on patient satisfaction and quality of care generated 'pull' among adopters, expressed as a remarkably high degree of conviction about the value of the model. Broad leadership agreement gave rise to sponsorship and support that permeated the organization. A robust social network promoted knowledge exchange and built on an existing network with a strong interest in palliative care. Resource constraints, pre-existing programs of a different model, and ambiguous accountability for implementation impeded spread. Conclusions A complex, hospital-based, interdisciplinary intervention in a large health care organization spread rapidly due to a synergy between organizational 'push' strategies and grassroots-level pull. The combination of push and pull may be especially important when the organizational context or the practice to be spread is complex.

  7. Tuberous sclerosis complex: Imaging characteristics in 11 cases and review of the literature.

    Science.gov (United States)

    Hu, Shan; Hu, Dao-Yu; Zhu, Wen-Zhen; Wang, Liang; Wang, Zi

    2016-08-01

    Tuberous sclerosis complex (TSC) is an uncommon multiorgan disorder that may present many and different manifestations on imaging. Radiology plays an important role in diagnosis and management, and can substantially improve the clinical outcome of TSC. Therefore, a comprehensive understanding of this disease is essential for the radiologist. The manifestations of TSC on computer tomography (CT) and magnetic resonance (MR) images were analyzed. Eleven patients with a clinical diagnosis of TSC were retrospectively reviewed. Central nervous system lesions included subependymal nodules (SENs) (11/11), subependymal giant cell astrocytomas (SEGAs) (2/11), cortical and subcortical tuber lesions (5/11), and white matter lesions (4/11). Of the 6 patients with abdominal scans, there were 6 cases of renal angiomyolipomas (AMLs), and one case of hepatic AMLs. Of the 4 patients undergoing chest CT, lung lymhangioleiomyomatosis (LAM) (2/4), and multiple small sclerotic bone lesions (2/4) were observed. Different modalities show different sensitivity to the lesion. Analysis of images should be integrated with patients' history in order to diagnose TSC. PMID:27465340

  8. Exstrophy-Epispadias Complex in a Newborn: Case Report and Review of the Literature.

    Science.gov (United States)

    Valerio, Enrico; Vanzo, Valentina; Zaramella, Patrizia; Salvadori, Sabrina; Castagnetti, Marco; Baraldi, Eugenio

    2015-10-01

    Aim The aim of this report is to present a brief review of the current literature on the management of EEC. Case Report A term male neonate presented at birth with classic bladder exstrophy, a variant of the exstrophy-epispadias complex (EEC). The defect was covered with sterile silicon gauzes and waterproof dressing; at 72 hours of life, primary closure without osteotomy of bladder, pelvis, and abdominal wall was successfully performed. Discussion EEC incidence is approximately 2.15 per 1,00,000 live births; several urological, musculocutaneous, spinal, orthopedic, gastrointestinal, and gynecological anomalies may be associated to EEC. Initial medical management includes use of occlusive dressings to prevent air contact and dehydration of the open bladder template. Umbilical catheters should not be positioned. Surgical repair stages include initial closure of the bladder and abdominal wall with or without osteotomy, followed by epispadias repair at 6 to 12 months, and bladder neck repair around 5 years of life. Those who fail to attain continence eventually undergo bladder augmentation and placement of a catheterizable conduit. Conclusion Modern-staged repair of EEC guarantees socially acceptable urinary continence in up to 80% of cases; sexual function can be an issue in the long term, but overall quality of life can be good. PMID:26495181

  9. Exstrophy–Epispadias Complex in a Newborn: Case Report and Review of the Literature

    Science.gov (United States)

    Valerio, Enrico; Vanzo, Valentina; Zaramella, Patrizia; Salvadori, Sabrina; Castagnetti, Marco; Baraldi, Eugenio

    2015-01-01

    Aim The aim of this report is to present a brief review of the current literature on the management of EEC. Case Report A term male neonate presented at birth with classic bladder exstrophy, a variant of the exstrophy-epispadias complex (EEC). The defect was covered with sterile silicon gauzes and waterproof dressing; at 72 hours of life, primary closure without osteotomy of bladder, pelvis, and abdominal wall was successfully performed. Discussion EEC incidence is approximately 2.15 per 1,00,000 live births; several urological, musculocutaneous, spinal, orthopedic, gastrointestinal, and gynecological anomalies may be associated to EEC. Initial medical management includes use of occlusive dressings to prevent air contact and dehydration of the open bladder template. Umbilical catheters should not be positioned. Surgical repair stages include initial closure of the bladder and abdominal wall with or without osteotomy, followed by epispadias repair at 6 to 12 months, and bladder neck repair around 5 years of life. Those who fail to attain continence eventually undergo bladder augmentation and placement of a catheterizable conduit. Conclusion Modern-staged repair of EEC guarantees socially acceptable urinary continence in up to 80% of cases; sexual function can be an issue in the long term, but overall quality of life can be good. PMID:26495181

  10. A New Method for Controlling Billet Temperature During Isothermal Die Forging of a Complex Superalloy Casing

    Science.gov (United States)

    Lin, Y. C.; Wu, Xian-Yang

    2015-09-01

    Isothermal die forging is one of near net-shape metal-forming technologies. Strict control of billet temperature during isothermal die forging is a guarantee for the excellent properties of final product. In this study, a new method is proposed to accurately control the billet temperature of complex superalloy casing, based on the finite element simulation and response surface methodology (RSM). The proposed method is accomplished by the following two steps. Firstly, the thermal compensation process is designed and optimized to overcome the inevitable heat loss of dies during hot forging. i.e., the layout and opening time of heaters assembled on die sleeves are optimized. Then, the effects of forging speed (the pressing velocity of hydraulic machine) and its changing time on the maximum billet temperature are discussed. Furthermore, the optimized forging speed and its changing time are obtained by RSM. Comparisons between the optimized and conventional die forging processes indicate that the proposed method can effectively control the billet temperature within the optimal forming temperature range. So, the optimized die forging processes can guarantee the high volume fraction of dynamic recrystallization, and restrict the rapid growth of grains in the forged superalloy casing.

  11. Macrodactyly in tuberous sclerosis complex: Case report and review of the literature.

    Science.gov (United States)

    Soeiro E Sá, Mariana; Moldovan, Oana; Sousa, Ana Berta

    2016-07-01

    Macrodactyly in the context of tuberous sclerosis complex (TSC) is a known but rare manifestation. We report the case of a boy diagnosed with TSC at 2 years and 4 months of age, presenting with bilateral macrodactyly of the first three fingers of both hands, with underlying radiographic changes, in whom molecular analysis identified a frameshift mutation on the TSC1 gene (encoding hamartin), leading to a premature stop codon. We reviewed the literature for reported cases of TSC patients with the same manifestation. In four of 14 patients, including ours, macrodactyly caused some type of joint limitation or flexion deformity, thus contradicting the established idea that this is a finding without clinical significance. Our patient is, to our knowledge, the first reported to have clear bilateral involvement. We briefly discuss the underlying mechanism for this phenomenon, which has yet to be fully elucidated, although somatic mosaicism for loss of heterozygosity at TSC loci is a plausible explanation. © 2016 Wiley Periodicals, Inc. PMID:27112935

  12. Complex partial non-convulsive status epilepticus masquerading as hepatic encephalopathy: a case report

    Directory of Open Access Journals (Sweden)

    Badshah Maaz B

    2012-12-01

    Full Text Available Abstract Introduction Hepatic encephalopathy is usually suspected in patients who are cirrhotic with neuropsychiatric manifestations. We present a case of suspected hepatic encephalopathy that did not respond to standard empiric therapy and was eventually diagnosed as non-convulsive status epilepticus of complex partial type. Our patient responded dramatically to anti-convulsive therapy. Case presentation We report the case of a 45-year-old African-American man with hepatitis C virus cirrhosis and human immunodeficiency virus who presented to our facility with a one-day history of confusion and a variable mental status. Our patient’s vital signs were stable and all his electrolytes were within normal range. A clinical diagnosis of hepatic encephalopathy was made and our patient was started on empiric therapy with lactulose and rifaximin. Our patient did not respond to therapy. After five days of treatment, alternative diagnoses were sought and a neurology consult was requested. An electroencephalogram was eventually performed which showed seizure activity in the right parietal lobe. A diagnosis of non-convulsive status epilepticus was made and our patient was started on oral levetiracetam. On day two of therapy, our patient was alert and oriented. He continues to do well on follow-up approximately one year after discharge. Conclusions Non-convulsive status epilepticus should be considered in the differential diagnosis of patients with suspected hepatic encephalopathy who do not respond to empirical treatment. Further studies are needed to investigate the incidence of this entity in patients with persistent hepatic encephalopathy.

  13. Mirror therapy in patients with causalgia (complex regional pain syndrome type II) following peripheral nerve injury: Two cases

    OpenAIRE

    Selles, Ruud; Schreuders, Ton; Stam, Henk

    2008-01-01

    textabstractObjective: To describe the use of mirror therapy in 2 patients with complex regional pain syndrome type II following traumatic nerve injury. Design: Two case reports. Subjects: Two patients with complex regional pain syndrome type II. Methods: Two patients received mirror therapy with the painful hand hidden behind the mirror while the non-painful hand was positioned so that, from the perspective of the patient, the reflection of this hand was "superimposed" on the painful hand. P...

  14. The Limb-Abdominal Wall Complex Defects, a form of Amniotic Band Sydrome: A Rare Case Report

    OpenAIRE

    Das, Sudhanshu Ku.; Maharana, Sidharth Sankar; Subudhi, Monalisa; Rao, P. V. Subha

    2013-01-01

    The limb-body wall complex defects a form of amniotic band syndrome which consists of a polymal formation with a thoracic and /or an abdominal-schisis, eventration of the internal organ and anomalies of the extremities. We are presenting a case of a limb-body wall complex defect with the phenotype of a placenta-abdominal attachment, anomalies of the abdominal wall defect, absence of the right lower limb and genitourinary defects.

  15. The Limb-Abdominal Wall Complex Defects, a form of Amniotic Band Sydrome: A Rare Case Report.

    Science.gov (United States)

    Das, Sudhanshu Ku; Maharana, Sidharth Sankar; Subudhi, Monalisa; Rao, P V Subha

    2013-03-01

    The limb-body wall complex defects a form of amniotic band syndrome which consists of a polymal formation with a thoracic and /or an abdominal-schisis, eventration of the internal organ and anomalies of the extremities. We are presenting a case of a limb-body wall complex defect with the phenotype of a placenta-abdominal attachment, anomalies of the abdominal wall defect, absence of the right lower limb and genitourinary defects. PMID:23634417

  16. Complex Variant of Philadelphia Translocation Involving Chromosomes 9, 12, and 22 in a Case with Chronic Myeloid Leukaemia

    Directory of Open Access Journals (Sweden)

    F. Malvestiti

    2014-01-01

    Full Text Available Chronic myeloid leukemia (CML is a hematopoietic stem cell disorder included in the broader diagnostic category of myeloproliferative neoplasms, associated with fusion by BCR gene at chromosome 22q11 to ABL1 gene at chromosome 9q34 with the formation of the Philadelphia (Ph chromosome. In 2–10% of CML cases, the fusion gene arises in connection with a variant translocation, involving chromosomes 9, 22, and one or more different chromosomes; consequently, the Ph chromosome could be masked within a complex chromosome rearrangement. In cases with variant Ph translocation a deletion on der(9 may be more frequently observed than in cases with the classical one. Herein we describe a novel case of CML with complex variant Ph translocation involving chromosomes 9, 12, and 22. We present the hematologic response and cytogenetic response after Imatinib treatment. We also speculated the mechanism which had originated the chromosome rearrangement.

  17. MRI, CT, US and ERCP in the evaluation of bile duct hamartomas (von Meyenburg complex): a case report

    Energy Technology Data Exchange (ETDEWEB)

    Wohlgemuth, W.A.; Boettger, J.; Bohndorf, K. [Klinik fuer Diagnostische Radiologie und Neuroradiologie, Zentralklinikum Augsburg (Germany)

    1998-12-01

    A case of multiple bile duct hamartomas (von Meyenburg complex) of the liver accompanied by exudative and in part necrotizing pancreatitis is presented. Magnetic resonance imaging (fat suppressed, T2-weighted images with prolonged echo time) could exclude diffuse tumor infiltration of the liver, which had not been possible with CT, sonography, or ERCP. To our knowledge, no comparable case has been reported. (orig.) With 6 figs., 16 refs.

  18. Niche divergence builds the case for ecological speciation in skinks of the Plestiodon skiltonianus species complex

    Science.gov (United States)

    Wogan, Guinevere O.U.; Richmond, Jonathan Q.

    2015-01-01

    Adaptation to different thermal environments has the potential to cause evolutionary changes that are sufficient to drive ecological speciation. Here, we examine whether climate-based niche divergence in lizards of the Plestiodon skiltonianus species complex is consistent with the outcomes of such a process. Previous work on this group shows that a mechanical sexual barrier has evolved between species that differ mainly in body size and that the barrier may be a by-product of selection for increased body size in lineages that have invaded xeric environments; however, baseline information on niche divergence among members of the group is lacking. We quantified the climatic niche using mechanistic physiological and correlative niche models and then estimated niche differences among species using ordination techniques and tests of niche overlap and equivalency. Our results show that the thermal niches of size-divergent, reproductively isolated morphospecies are significantly differentiated and that precipitation may have been as important as temperature in causing increased shifts in body size in xeric habitats. While these findings alone do not demonstrate thermal adaptation or identify the cause of speciation, their integration with earlier genetic and behavioral studies provides a useful test of phenotype–environment associations that further support the case for ecological speciation in these lizards.

  19. Complex Odontoma: A Case Report with Micro-Computed Tomography Findings

    Science.gov (United States)

    Santos, L. A. N.; Roque-Torres, G. D.; Oliveira, V. F.; Freitas, D. Q.

    2016-01-01

    Odontomas are the most common benign tumors of odontogenic origin. They are normally diagnosed on routine radiographs, due to the absence of symptoms. Histopathologic evaluation confirms the diagnosis especially in cases of complex odontoma, which may be confused during radiographic examination with an osteoma or other highly calcified bone lesions. The micro-CT is a new technology that enables three-dimensional analysis with better spatial resolution compared with cone beam computed tomography. Another great advantage of this technology is that the sample does not need special preparation or destruction in the sectioned area as in histopathologic evaluation. An odontoma with CBCT and microtomography images is presented in a 26-year-old man. It was first observed on panoramic radiographs and then by CBCT. The lesion and the impacted third molar were surgically excised using a modified Neumann approach. After removal, it was evaluated by histopathology and microtomography to confirm the diagnostic hypothesis. According to the results, micro-CT enabled the assessment of the sample similar to histopathology, without destruction of the sample. With further development, micro-CT could be a powerful diagnostic tool in future research. PMID:27293913

  20. Complex Odontoma: A Case Report with Micro-Computed Tomography Findings

    Directory of Open Access Journals (Sweden)

    L. A. N. Santos

    2016-01-01

    Full Text Available Odontomas are the most common benign tumors of odontogenic origin. They are normally diagnosed on routine radiographs, due to the absence of symptoms. Histopathologic evaluation confirms the diagnosis especially in cases of complex odontoma, which may be confused during radiographic examination with an osteoma or other highly calcified bone lesions. The micro-CT is a new technology that enables three-dimensional analysis with better spatial resolution compared with cone beam computed tomography. Another great advantage of this technology is that the sample does not need special preparation or destruction in the sectioned area as in histopathologic evaluation. An odontoma with CBCT and microtomography images is presented in a 26-year-old man. It was first observed on panoramic radiographs and then by CBCT. The lesion and the impacted third molar were surgically excised using a modified Neumann approach. After removal, it was evaluated by histopathology and microtomography to confirm the diagnostic hypothesis. According to the results, micro-CT enabled the assessment of the sample similar to histopathology, without destruction of the sample. With further development, micro-CT could be a powerful diagnostic tool in future research.

  1. Complex right hemisphere developmental venous anomaly associated with multiple facial hemangiomas. Case report.

    Science.gov (United States)

    Aagaard, B D; Song, J K; Eskridge, J M; Mayberg, M R

    1999-04-01

    Complex developmental venous anomalies (DVAs) represent variations of normal cerebral venous drainage and consist of dilation of the superficial and/or deep venous system. These rare anomalies can occur unilaterally or bilaterally, supratentorially or infratentorially, focally or they can affect the entire hemisphere. Some DVAs are associated with cervicofacial venous malformations or facial lymphatic malformations. Anomalies of this type are generally clinically silent, and cerebral dysfunction is usually absent. Symptoms, when they occur, are most commonly headache or mild seizure disorders. The angiographic findings are striking, with well-formed but enlarged transcerebral medullary and deep and/or superficial cortical veins. Opacification of these venous structures occurs within the same time frame as a normal angiographic venous phase. The authors report the case of a 33-year-old man in whom a large inoperable arteriovenous malformation had been previously diagnosed and who presented with seizures. Repeated magnetic resonance imaging and angiography demonstrated abnormally dilated transcerebral, superficial, and deep venous structures involving the entire right hemisphere with no identifiable nidus. Additionally, multiple bilateral benign facial hemangiomas were present in this patient. It is important to recognize this rare venous appearance as a developmental variant and not mistake it for an arteriovenous malformation or a partially thrombosed vein of Galen malformation. Because these venous anomalies are extreme variants of the normal venous system, hemorrhage rarely, if ever, occurs and the patient can be reassured that no interventional or surgical therapy is necessary or warranted. PMID:10193623

  2. Spindle cell carcinoma of the breast as complex cystic lesion:a case report

    Institute of Scientific and Technical Information of China (English)

    Masahiro Kitada; Satoshi Hayashi; Yoshinari Matsuda; Kei Ishibashi; Keisuke Oikawa; Naoyuki Miyokawa

    2014-01-01

    Spindle cell carcinoma of the breast is a rare tumor. hTis tumor can proliferate rapidly and cause cystic changes because of internal tissue necrosis. We evaluated a 54-year-old woman with right breast lump. Mammography showed a category four mass with a diameter of 2.5 cm. Ultrasonography (US) revealed a complex cystic lesion, and ifne-needle aspiration (FNA) cytology demonstrated bloody fluid and malignant cells. Partial breast resection and sentinel lymph node biopsy were performed. Immunohistology revealed spindle cells with positive results for cytokeratin (AE1/AE3) and vimentin, partially positive results for s-100, and negative results for desmin and α-actin. The pathological stage was IIA, and biochemical characterization showed that the tumor was triple negative. Six courses of FEC-100 chemotherapy (5-fluorouracil 500 mg/m2, epirubicin 100 mg/m2, and cyclophosphamide 500 mg/m2) were administered. Radiotherapy was performed. hTis case is discussed with reference to the literature.

  3. A Wide Spectrum of Axial Mesodermal Dysplasia Complex With Rhombencephalic Anomaly: A Case Report

    Science.gov (United States)

    Kim, Kang-Won; Seo, Jeoung-Hwan; Ko, Myoung-Hwan; Won, Yu-Hui

    2016-01-01

    Axial mesodermal dysplasia complex (AMDC) arises in variable combinations of craniocaudal anomalies such as musculoskeletal deformities, neuroschisis, or rhombencephalic developmental disorders. To the best of our knowledge, the co-existence of AMDC with associated musculoskeletal anomalies, medullary neuroschisis with mirror movements, and cranial nerve anomalies has not yet been reported. Here, we report the case of a 4-year-old boy whose clinical features were suggestive of Goldenhar syndrome and Poland syndrome with Sprengel deformity. Moreover, he showed mirror movements in his hands suspected of rhombencephalic malformation, and infranuclear-type facial nerve palsy of the left side of his face, the opposite side to the facial anomalies of Goldenhar syndrome. After conducting radiological studies, he was diagnosed with medullary neuroschisis without pontine malformations and Klippel-Feil syndrome with rib anomalies. Based on these findings, we propose that clinical AMDC can be accompanied by a wide variety of musculoskeletal defects and variable degrees of central nervous system malformations. Therefore, in addition to detailed physical and neurological examinations, imaging studies should be considered in AMDC. PMID:26949683

  4. Risk Determination, Prioritization, and Classifying in Construction Project Case Study: Gharb Tehran Commercial-Administrative Complex

    Directory of Open Access Journals (Sweden)

    Azadeh Sohrabinejad

    2015-01-01

    Full Text Available Construction projects play an important role in infrastructure projects in developing countries. According to type, size, and complexity of the project, the number and importance of each risk could be different and many projects cannot reach the project goals due to exposure to multiple risks. Many papers have been published on the subject of risk management in construction projects; unfortunately most of them have not been implemented in practical conditions. The aim of this study is to identify and prioritize risks in construction projects. The classical approach used probability and impact for risk assessment, but these criteria do not sufficiently address all aspects of projects risks and there might be a relationship between different criteria. This study proposes the hierarchical dependencies between criteria. A case study of construction project is presented to illustrate performance and usage of the proposed model. Utilizing library studies and interview with experts, managers, and specialists, decision criteria were identified through brain storming. Risks were categorized by the experts into eleven risks. Important risks were evaluated based on the fuzzy ANP, fuzzy DEMATEL, and fuzzy TOPSIS methods. The proposed model is more suitable than the traditional decision-making methods in prioritizing risk concerning cost, time, and quality.

  5. Complex Childhood Trauma and School Responses: A Case Study of the Impact of Professional Development in One Elementary School

    Science.gov (United States)

    VanderWegen, Terrie A.

    2013-01-01

    The purpose of this qualitative case study was to examine one public elementary school in Spokane, Washington that has received significant complex trauma professional development training provided by Washington State University Area Health Education Center (WSU-AHEC). The study explored teachers', specialists', and the principal's perceptions of…

  6. Negotiating between Restrictive Language Policies and Complex Teaching Conditions: A Case Study of Arizona's Teachers of English Learners

    Science.gov (United States)

    Mackinney, Erin; Rios-Aguilar, Cecilia

    2012-01-01

    This article examines how Arizona's teachers of English learners negotiate between restrictive language policies and complex teaching conditions. This case study explores how middle school teachers in an urban school district make sense of the 4-hour English language development block, Arizona's recent English-only policy. Findings indicate that…

  7. Case Study: Hidden Complexity of Medicines Use: Information Provided by a Person with Intellectual Disability and Diabetes to a Pharmacist

    Science.gov (United States)

    Flood, Bernadette; Henman, Martin C.

    2015-01-01

    People with intellectual disabilities may be "invisible" to pharmacists. They are a complex group of patients many of whom have diabetes. Pharmacists may have little experience of the challenges faced by this high risk group of patients who may be prescribed high risk medications. This case report details information supplied by Pat, a…

  8. From survey to high definition representations of a continuous architectonical space. The case study of the Pomposa Abbey complex

    Directory of Open Access Journals (Sweden)

    Anna Maria Manferdini

    2015-01-01

    Full Text Available The aim of this paper is to show the main results about high resolution 3D digital survey and representations of Santa Maria di Pomposa complex.The project has been developed in order to compare different methodologies, evaluating their effectiveness in the survey and representation of a huge architectural complex. This digitizationcampaign was planned for reproducing different multi-scalar representations, analyzing the digital replica of the site from different points of view and for different communication purposes. The paper presents some exemplifications of graphic representations extracted from a complex and multi-scalar 3D digital model. The adopted approach and the methodology has been developed and tested on field about a specific case study, but it can be extended to other examples which will present similar characteristics in critical and potential terms, common in several Cultural Heritage case studies.

  9. Understanding the lithosphere in complex tectonic scenarios by integrating geophysical data: The Pyrenees case study

    Science.gov (United States)

    Campanyà, Joan; Fullea, Javier; Ledo, Juanjo; Queralt, Pilar; Marcuello, Alex; Liesa, Montserrat; Muñoz, Josep Anton

    2016-04-01

    Tectonic processes dominate the development of the outermost layer of the Earth over a timescale of millions of years. The locations where these processes take place provide a great opportunity for Earth scientists to study and understand the dynamics and properties of the lithosphere. The Pyrenees are a particular case of continental collision formed as a result of the collision between the Iberian and European plates, which caused the subduction of the Iberian lower crust below the European crust. Large amounts of geophysical data have been acquired in the area providing spectacular images of lithospheric subduction beneath the Western and Central Pyrenees, confirming the occurrence of this generally well-understood process. The Eastern Pyrenees, however, are a most puzzling part of the orogen and the geodynamical evolution of this area cannot be understood without the influence of the Neogene Mediterranean rifting, following the continental collision. The complexity of this area and the controversy of the geophysical results set in debate concepts well recognized in the other parts of the Pyrenees such as the subduction of the Iberian lower crust and the depth of the lithosphere-asthenosphere boundary. The aims of this study are to characterise major tectonic and geophysical variations along the Pyrenean mountain range at a lithospheric-scale and constrain the causes of the observed lateral variations. A preliminary model of the lithospheric configuration and dynamics, based on magnetotelluric geophysical results, has been developed and constrained using independent and available geophysical, geological and geochemical data. Computational petrology methods, using Litmod, were used for integrated modelling of all data.

  10. Managing the growing complexity in information system implementation projects - Case study of Maximo asset management system

    OpenAIRE

    Holmborg, Markus

    2013-01-01

    Objectives of the Study The main objective in this study is to answer to the two main research questions: what factors cause complexity in Maximo asset management system implementation projects, and how the complexity in Maximo implementation projects can be effectively managed. The purpose of this study is also to give an overview of enterprise asset management field and the Maximo asset management system. In the empirical part it is also briefly discussed how the complexity varies betwe...

  11. Co-managing complex social-ecological systems in Tanzania : the case of Lake Jipe wetland

    OpenAIRE

    Mahonge, C.P.I.

    2010-01-01

    It has been conventional among co-management scientists to view social-ecological systems and actors and institutions found in these systems monolithically. Such a view is simplistic and conceals the complex nature of social-ecological systems and associated institutions and actors. In essence, a social-ecological system is a complex system comprised of multiple, diverse and dynamic social-ecological units, players and rules. This thesis entitled Co-managing complex social-ecological systems ...

  12. The complexities of anti-doping violations: a case study of sanctioned cases in all performance levels of USA cycling

    OpenAIRE

    Henning, April D; Dimeo, Paul

    2014-01-01

    The use of banned substances and techniques in sport is regulated by anti-doping rules co-ordinated by the World Anti-Doping Agency. The purposes of these rules are to protect the health of the athlete, the level playing field and what WADA refers to as the spirit of sport. In this article, we review the known cases of sanctions in USA cycling since 2001. We show that the diversity of cases expands upon the simplistic, one-dimensional understanding of doping as risky and cheating. Contrary to...

  13. An Interdisciplinary Approach to the Diagnosis and Management of a Complex Case of Postencephalitic Behavioral Disorder.

    Science.gov (United States)

    Fialkov, M. Jerome; And Others

    1983-01-01

    The diagnosis and treatment of a 13-year-old female who manifested postencephalitic behavioral syndrome 9 years after an acute measles infection are described, along with the history of the case. The case illustrates that an interdisciplinary approach using a single-case experimental design can be clinically effective. (SEW)

  14. The Role of Spatial Organization in Social Interaction of Residents of Residential Complexes (Case Study: Two Residential Complexes in Shiraz, Iran

    Directory of Open Access Journals (Sweden)

    Malihe Taghipour

    2015-05-01

    Full Text Available This study addresses the relationship between spatial organization of residential complexes and social interaction in these complexes. Environmental organization studies revealed certain sub-branches of this problem including readability, accessibility, permeability, flexibility, visual elements and domain. For the purpose of this study, two residential complexes with different organizations were selected in Shiraz. The survey method was used to analytically test the research hypotheses regarding the effective factors in environmental and interaction organization. The final results were obtained in the form of a case study through a combined approach basically relying on the correlation and regression analysis methods. The index assessment questionnaire was analyzed via the SPSS for investigating the studied residential complexes. The results showed that there was a 0.84 correlation between environmental organization and social interaction. Since the correlation level of significance was below 0.01, there is a strong correlation between these factors. The difference between interactions in these two organizational systems was assessed through the t-test which indicated a significant difference between these social interactions. Regarding the indexes used for environmental organization, the regression analysis showed that the Visual Elements Index with an effectivity coefficient of 0.29 was the strongest and the Readability Index with an effectivity coefficient of 0.21 was the least effective index in predicting this factor. The regression analysis also showed that of the six effective indexes on organization, only three (that is, availability, permeability and domain (territory with respective effectivity coefficients of 0.43, 0.28 and 0.26, respectively played a role in creating social interaction in the studied complexes. Due to the suitable fitting of the model, these results can be generalized to the whole society.

  15. Leading and Managing in Complexity: The Case of South African Deans

    Science.gov (United States)

    Seale, Oliver; Cross, Michael

    2016-01-01

    In recent years, deanship in universities has become more complex and challenging. Deans in South African universities take up their positions without appropriate training and prior executive experience, and with no clear understanding of the ambiguity and complexity of their roles. This paper calls for appropriate leadership development…

  16. Dynamic Development of Complexity and Accuracy: A Case Study in Second Language Academic Writing

    Science.gov (United States)

    Rosmawati

    2014-01-01

    This paper reports on the development of complexity and accuracy in English as a Second Language (ESL) academic writing. Although research into complexity and accuracy development in second language (L2) writing has been well established, few studies have assumed the multidimensionality of these two constructs (Norris & Ortega, 2009) or…

  17. A Case Study on the Application of a Structured Experimental Method for Optimal Parameter Design of a Complex Control System

    Science.gov (United States)

    Torres-Pomales, Wilfredo

    2015-01-01

    This report documents a case study on the application of Reliability Engineering techniques to achieve an optimal balance between performance and robustness by tuning the functional parameters of a complex non-linear control system. For complex systems with intricate and non-linear patterns of interaction between system components, analytical derivation of a mathematical model of system performance and robustness in terms of functional parameters may not be feasible or cost-effective. The demonstrated approach is simple, structured, effective, repeatable, and cost and time efficient. This general approach is suitable for a wide range of systems.

  18. Complex decongestive physical therapy and low-level laser therapy for the treatment of pediatric congenital lymphedema: a case report

    OpenAIRE

    Hwang, Woon Taek; Chung, Sin Ho; Lee, Ju Sang

    2015-01-01

    [Purpose] We report the case of a pediatric patient with congenital lymphedema treated with complex decongestive physical therapy and low-level laser therapy. [Subjects and Methods] The patient was a 2 year-old girl who had lymphedema in the left upper limb since birth. Complex decongestive physical therapy and low-level laser therapy were administered for 7 sessions. [Results] The circumferences of the middle of the forearm, elbow joint, wrist, and hand of the left upper limb decreased 0.5, ...

  19. A rare case of acute myeloid leukemia-M6 in a 2-year-old child with complex karyotype

    Directory of Open Access Journals (Sweden)

    Prakas Kumar Mandal

    2015-01-01

    Full Text Available Acute erythroid leukemia is a very rare entity in children. Here is a case of erythroleukemia with complex cytogenetics in a child aged 2 years. On immunophenotyping, CD45 versus side scatter (SSC demonstrated blast population (29% with intermediate SSC and moderate CD45 expression. The myeloid nature of blast population was confirmed by moderate expression of cytoplasmic myeloperoxidase, CD117, CD13 and CD33. Another population of cells (28% with low to intermediate SSC and negative CD45 expression revealed dim expression of CD235a (64% indicating lysis resistant abnormal erythroid progenitors. Conventional cytogenetic analysis by G-banding revealed complex cytogenetics.

  20. Money, case complexity, and wait lists: perspectives on problems and solutions at children's mental health centers in Ontario.

    Science.gov (United States)

    Reid, Graham J; Brown, Judith Belle

    2008-07-01

    Senior managers of children's mental health centers across Ontario, Canada were interviewed regarding the challenges and solutions of access and delivery of care. The central challenges--funding, case complexity, waitlists, staffing, and system integration--revealed a complex interplay between the policies and financing of children's mental health services and the provision of clinical services at the agency level and within the community. The desire for integration and collaboration was countered by competition for funding and service demands. A need for policies that allow for local solutions while providing leadership for sustained improvements in the ease and timeliness of access to care and effective clinical services emerged. PMID:18512157

  1. Time Series Analysis OF SAR Image Fractal Maps: The Somma-Vesuvio Volcanic Complex Case Study

    Science.gov (United States)

    Pepe, Antonio; De Luca, Claudio; Di Martino, Gerardo; Iodice, Antonio; Manzo, Mariarosaria; Pepe, Susi; Riccio, Daniele; Ruello, Giuseppe; Sansosti, Eugenio; Zinno, Ivana

    2016-04-01

    The fractal dimension is a significant geophysical parameter describing natural surfaces representing the distribution of the roughness over different spatial scale; in case of volcanic structures, it has been related to the specific nature of materials and to the effects of active geodynamic processes. In this work, we present the analysis of the temporal behavior of the fractal dimension estimates generated from multi-pass SAR images relevant to the Somma-Vesuvio volcanic complex (South Italy). To this aim, we consider a Cosmo-SkyMed data-set of 42 stripmap images acquired from ascending orbits between October 2009 and December 2012. Starting from these images, we generate a three-dimensional stack composed by the corresponding fractal maps (ordered according to the acquisition dates), after a proper co-registration. The time-series of the pixel-by-pixel estimated fractal dimension values show that, over invariant natural areas, the fractal dimension values do not reveal significant changes; on the contrary, over urban areas, it correctly assumes values outside the natural surfaces fractality range and show strong fluctuations. As a final result of our analysis, we generate a fractal map that includes only the areas where the fractal dimension is considered reliable and stable (i.e., whose standard deviation computed over the time series is reasonably small). The so-obtained fractal dimension map is then used to identify areas that are homogeneous from a fractal viewpoint. Indeed, the analysis of this map reveals the presence of two distinctive landscape units corresponding to the Mt. Vesuvio and Gran Cono. The comparison with the (simplified) geological map clearly shows the presence in these two areas of volcanic products of different age. The presented fractal dimension map analysis demonstrates the ability to get a figure about the evolution degree of the monitored volcanic edifice and can be profitably extended in the future to other volcanic systems with

  2. Making System Dynamics Cool II: New Hot Teaching and Testing Cases of Increasing Complexity

    OpenAIRE

    Pruyt, E.

    2010-01-01

    This follow-up paper presents several actual cases for testing and teaching System Dynamics. The cases were developed between April 2009 and January 2010 for the Introductory System Dynamics courses at Delft University of Technology in the Netherlands. They can be used for teaching and testing introductory System Dynamics courses at university level as well as for self study. The cases included here range from easy/short to difficult/long.

  3. A case of complex odontoma in a horse - clinical signs, radiography, ultrasonography and computer tomography

    International Nuclear Information System (INIS)

    The clinical signs, diagnosis and pathology of an adult horse with a complex odontoma are described. Computer tomography was shown to be a new diagnostic technique with outstanding potential in the investigation of diseases of the equine head

  4. Environmental management on the basis of Complex Regional Indicators Concept: case of the Murmansk region

    Science.gov (United States)

    Kozlov, A.; Gutman, S.; Zaychenko, I.; Rytova, E.; Nijinskaya, P.

    2015-09-01

    The article presents an approach to sustainable environmental development of the Murmansk region of the Russian Federation based on the complex regional indicators as a transformation of a balance scorecard method. The peculiarities of Murmansk region connected with sustainable environmental development are described. The complex regional indicators approach allows to elaborate the general concept of complex regional development taking into consideration economic and non-economic factors with the focus on environmental aspects, accumulated environmental damage in particular. General strategic chart of sustainable environmental development of the Murmansk region worked out on the basis of complex regional indicators concept is composed. The key target indicators of sustainable ecological development of the Murmansk region are presented for the following strategic chart components: regional finance; society and market; industry and entrepreneurship; training, development and innovations. These charts are to be integrated with international environmental monitoring systems.

  5. Complexity-based learning and teaching: a case study in higher education

    OpenAIRE

    Fabricatore, Carlo; López, Ximena

    2014-01-01

    This paper presents a learning and teaching strategy based on complexity science and explores its impacts on a higher education game design course. The strategy aimed at generating conditions fostering individual and collective learning in educational complex adaptive systems, and led the design of the course through an iterative and adaptive process informed by evidence emerging from course dynamics. The data collected indicate that collaboration was initially challenging for students, but c...

  6. Complexity as a cost driver in international call center management - Case: The Lufthansa Service Center Network

    OpenAIRE

    Heimo, Taina

    2010-01-01

    Objectives of the Study The purpose of this study was to examine the phenomenon of complexity and its effect on the cost of providing call center services. Furthermore, the goal was to analyze how call center management can influence these costs. The research is positioned in the field of call center management, while complexity – defined in this study as the variety of services, and the characteristics of and requirements set for the service delivery – formed the starting point and motiv...

  7. Complexity of Supply Chains : A Case Study of Purchasing Activities and Relationships

    OpenAIRE

    Hanebrant, Magnus; Kinderbäck, Emil

    2013-01-01

    Executive Summary In the complex world of today with customers as well as suppliers scattered around the world the inevitable outcome is complexity. Going back to the early days of industrialism companies to a large extent owned the whole chain from supplies to sales of the final products. An example is Ford, the company controlled almost the entire chain, they even established their own rubber plantation. During the last decades companies have switched to a more intense focus on their core c...

  8. The complexities in system building strategies — The case of personalized cancer medicines in England

    NARCIS (Netherlands)

    Kukk, P.; Moors, E.H.M.; Hekkert, M.P.

    2015-01-01

    Abstract Novel technologies often face difficulties in market uptake, especially when they differ significantly from already established technologies. In some cases, like personalized medicine, new technologies are composed of a number of parallel emerging technologies – in our case therapeutics and

  9. Prediction in complex systems: The case of the international trade network

    Science.gov (United States)

    Vidmer, Alexandre; Zeng, An; Medo, Matúš; Zhang, Yi-Cheng

    2015-10-01

    Predicting the future evolution of complex systems is one of the main challenges in complexity science. Based on a current snapshot of a network, link prediction algorithms aim to predict its future evolution. We apply here link prediction algorithms to data on the international trade between countries. This data can be represented as a complex network where links connect countries with the products that they export. Link prediction techniques based on heat and mass diffusion processes are employed to obtain predictions for products exported in the future. These baseline predictions are improved using a recent metric of country fitness and product similarity. The overall best results are achieved with a newly developed metric of product similarity which takes advantage of causality in the network evolution.

  10. Prediction in complex systems: the case of the international trade network

    CERN Document Server

    Vidmer, Alexandre; Medo, Matúš; Zhang, Yi-Cheng

    2015-01-01

    Predicting the future evolution of complex systems is one of the main challenges in complexity science. Based on a current snapshot of a network, link prediction algorithms aim to predict its future evolution. We apply here link prediction algorithms to data on the international trade between countries. This data can be represented as a complex network where links connect countries with the products that they export. Link prediction techniques based on heat and mass diffusion processes are employed to obtain predictions for products exported in the future. These baseline predictions are improved using a recent metric of country fitness and product similarity. The overall best results are achieved with a newly developed metric of product similarity which takes advantage of causality in the network evolution.

  11. “Having It All”: Cognitive Polyphasia as Preserving a Complex Reality: The Israeli Case

    Directory of Open Access Journals (Sweden)

    Frilling, D

    2012-04-01

    Full Text Available The purpose of this paper is to clarify the concept of Cognitive Polyphasia as it relates to other terms of Social Representation theory as well as 'Cognitive Dissonance'. It will be demonstrated through two different sets of Cognitive Polyphasia presented as they appear in the symbolic world of Israeli Jewish parents whose sons were doing their mandatory military service in the Israel Defence Force’s combat units. It will be shown that 'Cognitive Polyphasia' is preserving a situation of "having it all" that stresses the complexity of the situation as well as the difficulty in choice making. It might also indicate the complexity of actually experiencing coping with change. Even though the two different examples demonstrated were situated and used in two different and specific social settings they share a lot in common. The paper concludes by suggesting that Cognitive Polyphasia might be common sense's tool for coping with the dynamic complex world.

  12. Engineering hierarchical complex systems: an agent-based approach. The case of flexible manufacturing systems

    CERN Document Server

    Morvan, Gildas; Soyez, Jean-Baptiste; Merzouki, Rochdi; 10.1007/978-3-642-27449-7_4

    2012-01-01

    This article introduces a formal model to specify, model and validate hierarchical complex systems described at different levels of analysis. It relies on concepts that have been developed in the multi-agent-based simulation (MABS) literature: level, influence and reaction. One application of such model is the specification of hierarchical complex systems, in which decisional capacities are dynamically adapted at each level with respect to the emergences/constraints paradigm. In the conclusion, we discuss the main perspective of this work: the definition of a generic meta-model for holonic multi-agent systems (HMAS).

  13. Complex time distributions from isomers in cascade: A case in 176Lu

    International Nuclear Information System (INIS)

    Presented are equations describing the time evolution in a cascade of nuclear levels (isomers) and the resulting complex delayed-coincidence time distributions. Formulae are derived which connect nth moments of such complex time distributions and the level lifetimes involved. The deconvolution method is applied to a time distribution (obtained with germanium detector) and isomeric levels in cascade. Determined are the following half-lives in 176Lu: T1/2(658.4 keV) = 6.3(4) ns and T1/2(722.9 keV) = 3.0(7) ns. (orig.)

  14. A rare case of chronic traumatic diaphragmatic hernia requiring complex abdominal wall reconstruction

    OpenAIRE

    Andrea Pakula; Amber Jones; Javed Syed; Ruby Skinner

    2015-01-01

    Introduction: Traumatic diaphragmatic hernia is a rare and often under recognized complication of penetrating and blunt trauma. These injuries are often missed or there is a delay in diagnosis which can lead to enlargement of the defect and the development of abdominal or respiratory symptoms. Presentation of case: We report a case of an otherwise healthy 37 year old male who was involved in a motor vehicle accident at age twelve. He presented 25 years later with vague lower abdominal symp...

  15. Manifestation of Chaos in Real Complex Systems: Case of Parkinson's Disease

    CERN Document Server

    Yulmetyev, R M; Hänggi, P; Yulmetyev, Renat M.; Demin, Sergey A.; H\\"{a}nggi, Peter

    2006-01-01

    In this chapter we present a new approach to the study of manifestations of chaos in real complex system. Recently we have achieved the following result. In real complex systems the informational measure of chaotic chatacter (IMC) can serve as a reliable quantitative estimation of the state of a complex system and help to estimate the deviation of this state from its normal condition. As the IMC we suggest the statistical spectrum of the non-Markovity parameter (NMP) and its frequency behavior. Our preliminary studies of real complex systems in cardiology, neurophysiology and seismology have shown that the NMP has diverse frequency dependence. It testifies to the competition between Markovian and non-Markovian, random and regular processes and makes a crossover from one relaxation scenario to the other possible. On this basis we can formulate the new concept in the study of the manifestation of chaoticity. We suggest the statistical theory of discrete non-Markov stochastic processes to calculate the NMP and t...

  16. Holocene glacier variability: three case studies using an intermediate-complexity climate model

    NARCIS (Netherlands)

    Weber, S.L.; Oerlemans, J.

    2003-01-01

    Synthetic glacier length records are generated for the Holocene epoch using a process-based glacier model coupled to the intermediate-complexity climate model ECBilt. The glacier model consists of a massbalance component and an ice-flow component. The climate model is forced by the insolation change

  17. Evolution of multi-enzyme complexes: the case of tryptophan synthase.

    Science.gov (United States)

    Leopoldseder, Sonja; Hettwer, Stefan; Sterner, Reinhard

    2006-11-28

    The prototypical tryptophan synthase is a stable heterotetrameric alpha-betabeta-alpha complex. The constituting TrpA and TrpB1 subunits, which are encoded by neighboring genes in the trp operon, activate each other in a bi-directional manner. Recently, a novel class of TrpB2 proteins has been identified, whose members contain additional amino acids that might sterically prevent complex formation with TrpA. To test this hypothesis, we characterized the TrpA and TrpB proteins from Sulfolobus solfataricus. This hyperthermophilic archaeon does not contain a TrpB1 protein but instead contains two TrpB2 homologues that are encoded within (TrpB2i) and outside (TrpB2o) the trp operon. We find that TrpB2i and TrpA form a weak and transient complex during catalysis, with a uni-directional activation of TrpA by TrpB2i. In contrast, TrpB2o and TrpA do not form a detectable complex. These results suggest a model for the evolution of the tryptophan synthase in which TrpB2o, TrpB2i, and TrpB1 reflect the stepwise increase of TrpB affinity for TrpA and the refinement of functional subunit interaction, concomitant with the co-localization of the encoding genes in the trp operon. PMID:17115706

  18. Tuberous sclerosis complex complicated with extraventricular cystic giant cell astrocytoma: case report

    Institute of Scientific and Technical Information of China (English)

    CHEN Xu-zhu; DAI Jian-ping

    2007-01-01

    @@ Tuberous sclerosis complex (TSC) is one of the most commonly identified neurocutaneous disorders with a prevalence of 1/6000 to 1/9000 in general population1,2 In the patients with TSC, 10%-15% have subependymal giant cell astrocytoma (SGCA) .3

  19. APLASIA CUTIS CONGENITAL WITH AMNIOTIC BAND DISRUPTION COMPLEX: A RARE CASE REPORT

    Directory of Open Access Journals (Sweden)

    Pradipprava

    2015-09-01

    Full Text Available Aplasia cutis congenita (ACC is congenital absence of skin, most commonly affecting scalp. Etiology is multifactorial like intrauterine infection, teratogens, vascular causes, genetic syndromes etc. We here represent an infant with ACC involving extremities and associated with amniotic band disruption complex. He was treated conservatively and discharged.

  20. The inter-Korean economic cooperation: the case of Kaesong Industrial Complex

    Directory of Open Access Journals (Sweden)

    Ángel Licona Michel

    2012-06-01

    Full Text Available The inter-Korean economic cooperation materialized with the development of Kaesong Industrial Complex shows that the governments of South Korea and North Korea despite having unstable political relations need to agree to enhance trade and increase productivity of industries seeking thereby to have more competitive economies to detonate the creation of more infrastructure.

  1. The inter-Korean economic cooperation: the case of Kaesong Industrial Complex

    OpenAIRE

    Ángel Licona Michel; Cintli Ayesa Cárdenas Barajas

    2012-01-01

    The inter-Korean economic cooperation materialized with the development of Kaesong Industrial Complex shows that the governments of South Korea and North Korea despite having unstable political relations need to agree to enhance trade and increase productivity of industries seeking thereby to have more competitive economies to detonate the creation of more infrastructure.

  2. Colloids formation versus complexation in radionuclides natural organic matter interaction studies: the case of Boom clay

    International Nuclear Information System (INIS)

    Full text of publication follows: Complexation of radionuclides (RN) by Natural Organic Matter (NOM) present in the host rock may pose a negative impact on the safety of a radioactive waste repository. This is because the formed complexes may increase the solubility, decrease the sorption, and thus enhance the mobility of RN. For Boom Clay, the reference host formation in Belgium for methodological research, and the one with probably the most abundant NOM content among the studied sites in the world, such a negative impact has not been demonstrated. This paper illustrates that Boom Clay NOM plays only a negligible role in RN complexation, based on data produced by the EC project TRANCOM-II. Classic approaches use a conditional stability constant (CSC) to measure the extent of interaction between RN and NOM. Such approaches borrow the theories from aquatic chemistry and model NOM as a complexing ligand. At neutral to alkaline pH, the condition relevant for most of disposal sites, side reactions such as hydrolysis and carbonate complexation interfere with the formation of RN-NOM complexes so that a CSC is highly conditional. Most of the published CSC values are very large implying high stabilities of formed RN-NOM complexes. A large value of a CSC predicts an increase in solubility and, if the formed RN-NOM complex is not sorbed, a decrease in sorption. Such predictions should be tested, before applied in safety assessments, by solubility and sorption experiments under relevant disposal conditions. Solubilities of laboratory prepared, amorphous tetravalent uranium and thorium phases were determined under geochemical conditions of Boom Clay with varying concentrations of NOM, mainly humic acid. Experimental results showed that Boom Clay NOM did not have an observable impact on the solubility of U(IV) and Th. For both actinides, however, NOM facilitated the formation of U/Th bearing colloids resulting in an apparent increase of U(IV) and Th concentration 3 orders of

  3. A possibility to identify the vehicle driver through complex forensic and criminalistic expertise--case report.

    Science.gov (United States)

    Păduraru, G; Knieling, A; Scripcaru, C; Iliescu, Diana Bulgaru

    2014-01-01

    Traffic accidents can have more or less dramatic consequences that involve penal and civil responsibility with amplitude extending over long periods of time. In many cases, substitution of the driver with the passenger in order to avoid criminal responsibility is often remarked. The substitution takes place with the passenger's agreement or, in cases with dramatic consequences (coma or death), without his/her consent. These situations are encountered in civil cases regarding insurance fraud. In addition to forensic medical expertise, to aid the experts, mathematical modeling and computer simulation of the dynamics of vehicle passengers is a tool that completes the criminal expertise of traffic accidents. This paper presents the method of identification of the person driving the vehicle based on the computer simulation of vehicle occupants' dynamics. PMID:25581977

  4. Intelligent data analysis based on the complex network theory methods: a case study

    CERN Document Server

    Mryglod, O

    2010-01-01

    The development of modern information technologies permits to collect and to analyze huge amounts of statistical data in different spheres of life. The main problem is not to only to collect but to process all relevant information. The purpose of our work is to show the example of intelligent data analysis in such complex and non-formalized field as science. Using the statistical data about scientific periodical it is possible to perform its comprehensive analysis and to solve different practical problems. The combination of various approaches including the statistical analysis, methods of the complex network theory and different techniques that can be used for the concept mapping permits to perform an intelligent data analysis in order to obtain underlying patterns and hidden connections. Results of such analysis can be used for particular practical problems like information retrieval within journal.

  5. Generalized friendship paradox in complex networks: The case of scientific collaboration

    Science.gov (United States)

    Eom, Young-Ho; Jo, Hang-Hyun

    2014-04-01

    The friendship paradox states that your friends have on average more friends than you have. Does the paradox ``hold'' for other individual characteristics like income or happiness? To address this question, we generalize the friendship paradox for arbitrary node characteristics in complex networks. By analyzing two coauthorship networks of Physical Review journals and Google Scholar profiles, we find that the generalized friendship paradox (GFP) holds at the individual and network levels for various characteristics, including the number of coauthors, the number of citations, and the number of publications. The origin of the GFP is shown to be rooted in positive correlations between degree and characteristics. As a fruitful application of the GFP, we suggest effective and efficient sampling methods for identifying high characteristic nodes in large-scale networks. Our study on the GFP can shed lights on understanding the interplay between network structure and node characteristics in complex networks.

  6. Complex networks for data-driven medicine: the case of Class III dentoskeletal disharmony

    International Nuclear Information System (INIS)

    In the last decade, the availability of innovative algorithms derived from complexity theory has inspired the development of highly detailed models in various fields, including physics, biology, ecology, economy, and medicine. Due to the availability of novel and ever more sophisticated diagnostic procedures, all biomedical disciplines face the problem of using the increasing amount of information concerning each patient to improve diagnosis and prevention. In particular, in the discipline of orthodontics the current diagnostic approach based on clinical and radiographic data is problematic due to the complexity of craniofacial features and to the numerous interacting co-dependent skeletal and dentoalveolar components. In this study, we demonstrate the capability of computational methods such as network analysis and module detection to extract organizing principles in 70 patients with excessive mandibular skeletal protrusion with underbite, a condition known in orthodontics as Class III malocclusion. Our results could possibly constitute a template framework for organising the increasing amount of medical data available for patients’ diagnosis. (paper)

  7. The complex chemistry of outflow cavity walls exposed: the case of low-mass protostars

    CERN Document Server

    Drozdovskaya, Maria N; Visser, Ruud; Harsono, Daniel; van Dishoeck, Ewine F

    2015-01-01

    Complex organic molecules are ubiquitous companions of young low-mass protostars. Recent observations suggest that their emission stems, not only from the traditional hot corino, but also from offset positions. In this work, 2D physicochemical modelling of an envelope-cavity system is carried out. Wavelength-dependent radiative transfer calculations are performed and a comprehensive gas-grain chemical network is used to simulate the physical and chemical structure. The morphology of the system delineates three distinct regions: the cavity wall layer with time-dependent and species-variant enhancements; a torus rich in complex organic ices, but not reflected in gas-phase abundances; and the remaining outer envelope abundant in simpler solid and gaseous molecules. Strongly irradiated regions, such as the cavity wall layer, are subject to frequent photodissociation in the solid phase. Subsequent recombination of the photoproducts leads to frequent reactive desorption, causing gas-phase enhancements of several or...

  8. Complex social behaviour can select for variability in visual features: a case study in Polistes wasps.

    OpenAIRE

    Tibbetts, Elizabeth A

    2004-01-01

    The ability to recognize individuals is common in animals; however, we know little about why the phenotypic variability necessary for individual recognition has evolved in some animals but not others. One possibility is that natural selection favours variability in some social contexts but not in others. Polistes fuscatus wasps have variable facial and abdominal markings used for individual recognition within their complex societies. Here, I explore whether social behaviour can select for var...

  9. Complexity in microbial metabolic processes in soil nitrogen modeling: a case for model averaging

    OpenAIRE

    Ajami, Newsha K.; Gu, Chuanhui

    2010-01-01

    Model uncertainty is rarely considered in the field of biogeochemical modeling. The standard biogeochemical modeling approach is to proceed based on one selected model with the “right” complexity level based on data availability. However, other plausible models can result in dissimilar answer to the scientific question in hand using the same set of data. Relying on a single model can lead to underestimation of uncertainty associated with the results and therefore lead to unreliable conclusion...

  10. Defining Urban Complex Problems with Fuzzy Analysis: The Case of Söke Settlement in Turkey

    OpenAIRE

    Kozaman, Senem; Sengezer, Betul; Altinok, Emrah

    2011-01-01

    This article aims to follow the application of fuzzy approach in the analysis of urban complex problems; classifying urban problems according to different criteria. It proposes a methodology to combine different dimensions of quality of life, with the economic (income, employment), social (education) physical (health and infrastructure) indicators into Quality of Life Index (QLI) by applying Totally Fuzzy Analysis (TFA). The objective of the present work is to identify, based on survey data o...

  11. Uses of Complex Thinking in Higher Education Adaptive Leadership Practice: A Multiple-Case Study

    OpenAIRE

    Yeyinmen, Karen Coskren

    2016-01-01

    Research and theories of leadership development link the capacity for complex thinking to effectiveness at leading adaptive change. However, few empirical studies examine how this link operates in natural work settings, or explore its implications for practicing the kinds of leadership being called for in higher education today. In this study, I address this gap using post-positivist, ethnographic methods to examine how three higher education leaders, who are publicly recognized as effective ...

  12. Presence of voltage-gated potassium channel complex antibody in a case of genetic prion disease

    OpenAIRE

    Jammoul, Adham; Lederman, Richard J; Tavee, Jinny; Li, Yuebing

    2014-01-01

    Voltage-gated potassium channel (VGKC) complex antibody-mediated encephalitis is a recently recognised entity which has been reported to mimic the clinical presentation of Creutzfeldt-Jakob disease (CJD). Testing for the presence of this neuronal surface autoantibody in patients presenting with subacute encephalopathy is therefore crucial as it may both revoke the bleak diagnosis of prion disease and allow institution of potentially life-saving immunotherapy. Tempering this optimistic view is...

  13. Spontaneous Partitioning of Californium from Curium: Curious Cases from the Crystallization of Curium Coordination Complexes

    Energy Technology Data Exchange (ETDEWEB)

    Cary, Samantha K.; Silver, Mark A.; Liu, Guokui; Wang, Jamie C.; Bogart, Justin A.; Stritzinger, Jared T.; Arico, Alexandra A.; Hanson, Kenneth; Schelter, Eric J.; Albrecht-Schmitt, Thomas E.

    2015-12-07

    The reaction of 248CmCl3 with excess 2,6-pyridinedicarboxylic acid (DPA) under mild solvothermal conditions results in crystallization of the tris-chelate complex Cm(HDPA)3·H2O. Approximately half of the curium remains in solution at the end of this process, and evaporation of the mother liquor results in crystallization of the bis-chelate complex [Cm(HDPA)- (H2DPA)(H2O)2Cl]Cl·2H2O. 248Cm is the daughter of the α decay of 252Cf and is extracted in high purity from this parent. However, trace amounts of 249,250,251Cf are still present in all samples of 248Cm. During the crystallization of Cm(HDPA)3·H2O and [Cm(HDPA)(H2DPA)(H2O)2Cl]Cl·2H2O, californium(III) spontaneously separates itself from the curium complexes and is found doped within crystals of DPA in the form of Cf(HDPA)3. These results add to the growing body of evidence that the chemistry of californium is fundamentally different from that of earlier actinides.

  14. Collaboration, communication and categorical complexity: A case study in collaboratory evaluation

    DEFF Research Database (Denmark)

    Cleal, B.R.; Andersen, H.H.K.; Albrechtsen, H.

    2004-01-01

    This article presents findings from an empirical evaluation of a collaboratory supporting film research. Few collaboratories have been formally evaluated. The article makes a case for looking at wider work-based contexts users engage in. Focussing on key features of the prototype system, it is...... diverse approaches to scientific practice....

  15. A case of horseshoe lung and complex congenital heart disease in a term newborn

    Energy Technology Data Exchange (ETDEWEB)

    Jeewa, Aamir [British Columbia Children' s Hospital and University of British Columbia, Department of Pediatrics, Division of Cardiology, Vancouver (Canada); Culham, J.A.G. [British Columbia Children' s Hospital, Department of Radiology, Vancouver (Canada); Human, Derek G. [British Columbia Children' s Hospital and University of British Columbia, Department of Pediatrics, Division of Cardiology, Vancouver (Canada); B.C. Children' s Hospital, Children' s Heart Centre, Vancouver (Canada)

    2010-02-15

    We describe and illustrate a rare association of hypoplastic left heart syndrome, absent hilar left pulmonary artery, and an unusual bronchopulmonary malformation. This case highlights the utility of combination imaging of echocardiography and CT angiography in diagnosing a cyanotic newborn with a chest radiograph that is suspicious for lung hypoplasia. (orig.)

  16. Two cases of Axenfeld-Rieger syndrome, report of the complex pathology and treatment

    NARCIS (Netherlands)

    C.A. Bender; M.J. Koudstaal; J.F.A. van Elswijk; C. Prahl; E.B. Wolvius

    2014-01-01

    The purpose of this case report is to report the orthodontic surgical treatment and subsequent dental rehabilitation in two patients with Axenfeld-Rieger syndrome. Axenfeld-Rieger syndrome is a rare autosomal dominant condition characterized by ocular, dental, craniofacial, and periumbilical abnorma

  17. Containing Pedagogical Complexity through the Assignment of Photography: Two Case Presentations

    Science.gov (United States)

    Garrett, H. James; Matthews, Sara

    2014-01-01

    This article investigates the use of photography as a narrative approach to learning in the context of postsecondary education. Two cases are presented: a social studies methods course in a teacher education program in the South of the United States; and a senior undergraduate seminar on global violence at a university in southern Ontario, Canada.…

  18. Concept of Complex Environmental Monitoring Network - Vardzia Rock Cut City Case Study

    Science.gov (United States)

    Elashvili, Mikheil; Vacheishvili, Nikoloz; Margottini, Claudio; Basilaia, Giorgi; Chkhaidze, Davit; Kvavadze, Davit; Spizzichino, Daniele; Boscagli, Franceso; Kirkitadze, Giorgi; Adikashvili, Luka; Navrozashvili, Levan

    2016-04-01

    Vardzia represents an unique cultural heritage monument - rock cut city, which unites architectural monument and Natural-Geological complex. Such monuments are particularly vulnerable and their restoration and conservation requires complex approach. It is curved in various layers of volcanic tuffs and covers several hectares of area, with chronologically different segments of construction. This monument, as many similar monuments worldwide, is subjected to slow but permanent process of destruction, expressed in following factors: surface weathering of rock, active tectonics (aseismic displacement along the active faults and earthquakes), interaction between lithologically different rock layers, existence of major cracks and associated complex block structure, surface rainwater runoff and infiltrated ground water, temperature variations, etc. During its lifetime, Vardzia was heavily damaged by Historical Earthquake of 1283 and only partly restored afterwards. The technological progress together with the increased knowledge about ongoing environmental processes, established the common understanding that the complex monitoring of the environment represents the essential component for resolving such a principal issues, as: Proper management and prevention of natural disasters; Modeling of environmental processes, their short and long term prognosis; Monitoring of macro and micro climate; Safe functioning and preservation of important constructions. Research Center of Cultural Heritage and Environment of Ilia State University in cooperation with Experts from ISPRA, with the funding from the State agency of Cultural Heritage, has developed a concept of Vardzia complex monitoring network. Concept of the network includes: monitoring local meteorological conditions (meteorological station), monitoring microclimate in caves (temperature and humidity in the air and rock), monitoring microtremors and ambient seismic noise in Vardzia (local strong motion network), monitoring

  19. Application of information and complexity theories to public opinion polls. The case of Greece (2004-2007)

    CERN Document Server

    Panos, C P

    2007-01-01

    A general methodology to study public opinion inspired from information and complexity theories is outlined. It is based on probabilistic data extracted from opinion polls. It gives a quantitative information-theoretic explanation of high job approval of Greek Prime Minister Mr. Constantinos Karamanlis (2004-2007), while the same time series of polls conducted by the company Metron Analysis showed that his party New Democracy (abbr. ND) was slightly higher than the opposition party of PASOK -party leader Mr. George Papandreou. It is seen that the same mathematical model applies to the case of the popularity of President Clinton between January 1998 and February 1999, according to a previous study, although the present work extends the investigation to concepts as complexity and Fisher information, quantifying the organization of public opinion data.

  20. PROCESSING A COMPLEX ARCHITECTURAL SAMPLING WITH MESHLAB: THE CASE OF PIAZZA DELLA SIGNORIA

    Directory of Open Access Journals (Sweden)

    M. Callieri

    2012-09-01

    Full Text Available The paper presents a recent 3D scanning project performed with long range scanning technology showing how a complex sampled dataset can be processed with the features available in MeshLab, an open source tool. MeshLab is an open source mesh processing system. It is a portable and extensible system aimed to help the processing of the typical not-so-small unstructured models that arise in 3D scanning, providing a set of tools for editing, cleaning, processing, inspecting, rendering and converting meshes. The MeshLab system started in late 2005 as a part of a university course, and considerably evolved since then thanks to the effort of the Visual Computing Lab and of the support of several funded EC projects. MeshLab gained so far an excellent visibility and distribution, with several thousands downloads every month, and a continuous evolution. The aim of this scanning campaign was to sample the façades of the buildings located in Piazza della Signoria (Florence, Italy. This digital 3D model was required, in the framework of a Regional Project, as a basic background model to present a complex set of images using a virtual navigation metaphor (following the PhotoSynth approach. Processing of complex dataset, such as the ones produced by long range scanners, often requires specialized, difficult to use and costly software packages. We show in the paper how it is possible to process this kind of data inside an open source tool, thanks to the many new features recently introduced in MeshLab for the management of large sets of sampled point.

  1. Magnetically Regulated Star Formation in Three Dimensions: The Case of the Taurus Molecular Cloud Complex

    Science.gov (United States)

    Nakamura, Fumitaka; Li, Zhi-Yun

    2008-11-01

    We carry out three-dimensional MHD simulations of star formation in turbulent, magnetized clouds, including ambipolar diffusion and feedback from protostellar outflows. The calculations focus on relatively diffuse clouds threaded by a strong magnetic field capable of resisting severe tangling by turbulent motions and retarding global gravitational contraction in the cross field direction. They are motivated by observations of the Taurus molecular cloud complex (and, to a lesser extent, Pipe Nebula), which shows an ordered large-scale magnetic field, as well as elongated condensations that are generally perpendicular to the large-scale field. We find that stars form in earnest in such clouds when enough material has settled gravitationally along the field lines that the mass-to-flux ratios of the condensations approach the critical value. Only a small fraction (of order 1% or less) of the nearly magnetically critical, condensed material is turned into stars per local free-fall time, however. The slow star formation takes place in condensations that are moderately supersonic; it is regulated primarily by magnetic fields, rather than turbulence. The quiescent condensations are surrounded by diffuse halos that are much more turbulent, as observed in the Taurus complex. Strong support for magnetic regulation of star formation in this complex comes from the extremely slow conversion of the already condensed, relatively quiescent C18O gas into stars, at a rate 2 orders of magnitude below the maximum, free-fall value. We analyze the properties of dense cores, including their mass spectrum, which resembles the stellar initial mass function.

  2. Predicting complex quantitative traits with Bayesian neural networks: a case study with Jersey cows and wheat

    Directory of Open Access Journals (Sweden)

    Okut Hayrettin

    2011-10-01

    Full Text Available Abstract Background In the study of associations between genomic data and complex phenotypes there may be relationships that are not amenable to parametric statistical modeling. Such associations have been investigated mainly using single-marker and Bayesian linear regression models that differ in their distributions, but that assume additive inheritance while ignoring interactions and non-linearity. When interactions have been included in the model, their effects have entered linearly. There is a growing interest in non-parametric methods for predicting quantitative traits based on reproducing kernel Hilbert spaces regressions on markers and radial basis functions. Artificial neural networks (ANN provide an alternative, because these act as universal approximators of complex functions and can capture non-linear relationships between predictors and responses, with the interplay among variables learned adaptively. ANNs are interesting candidates for analysis of traits affected by cryptic forms of gene action. Results We investigated various Bayesian ANN architectures using for predicting phenotypes in two data sets consisting of milk production in Jersey cows and yield of inbred lines of wheat. For the Jerseys, predictor variables were derived from pedigree and molecular marker (35,798 single nucleotide polymorphisms, SNPS information on 297 individually cows. The wheat data represented 599 lines, each genotyped with 1,279 markers. The ability of predicting fat, milk and protein yield was low when using pedigrees, but it was better when SNPs were employed, irrespective of the ANN trained. Predictive ability was even better in wheat because the trait was a mean, as opposed to an individual phenotype in cows. Non-linear neural networks outperformed a linear model in predictive ability in both data sets, but more clearly in wheat. Conclusion Results suggest that neural networks may be useful for predicting complex traits using high

  3. Endeavor research into evolving paradigms around ophiolites: the case of the oceanic igneous complexes of Costa Rica

    International Nuclear Information System (INIS)

    , like Santa Elena Peninsula, Tortugal, Herradura and Quepos, the picture on these oceanic complexes are more or less clear. In the case of Osa-Golfito-Burica area, more studies are necessary. In general, the detailed field mapping is a powerful tool in combination with the modern techniques. The similarity in age, petrology, geochemistry and tectonic context for other oceanic complexes in Guatemala, Antilles and the northern part of South America, is more than a coincidence, they have a similar evolution. Therefore, a multidisciplinary study of the chrono- and bio-stratigraphic relations, together with modern petrology, geochemical and micropaleontology approach is necessary to provide a solid base for a robust plate tectonic reconstruction and geologic history. (author)

  4. Operative Management of OSAS in a Complex Case of Proteus Syndrome

    Directory of Open Access Journals (Sweden)

    Elena Cantone

    2015-01-01

    Full Text Available Obstructive sleep apnea syndrome (OSAS is a common disorder in childhood with high prevalence in syndromic subjects with craniofacial malformations. Proteus Syndrome (PS is a rare hamartoneoplastic disorder associated with disproportionate and asymmetric overgrowth of body parts and hypertrophy or malformation of lymphatic tissues, such as palatine tonsils. We report a case of a 12-year-old boy diagnosed with Proteus Syndrome (PS and suffering from OSAS due to asymmetric palatine tonsillar hypertrophy, treated with partial resection of left tonsil. To avoid the risk of a general anesthesia and remove only the obstructive portion of the palatine tonsil bipolar radiofrequency-induced thermotherapy (RFITT under local anesthesia was performed. Recovery of the obstructive respiratory disease was obtained. To our knowledge, this is the first case reported in the literature of partial tonsillar resection performed in a patient with PS suffering from OSAS under local anesthesia.

  5. [Pelvic limb damage control following a complex foot injury. Case report].

    Science.gov (United States)

    Velázquez-Vélez, D; Durán-Martínez, N; Peñafort-García, J A; Romero-Peña, A

    2015-01-01

    More than 20% of the tarsometatarsal joint injuries (Lisfranc injuries) occur during motor vehicle accidents. This kind of trauma is infrequent and in 50% of cases closed reduction is used. A 18 year-old male patient sustained a high-energy trauma resulting in a Gustilo and Anderson III B open Lisfranc fracture dislocation of the left foot. Surgical debridement, open reduction and internal fixation, and immediate skin coverage were performed. The secondary complication rate may decrease with stringent treatment adherence and proper care of severe orthopedic injuries. Treatment of the latter, including bone and soft tissue injuries (skin, subcutaneous tissue, fascias, musculotendinous junctions, ligaments, periosteum, and neurovascular structures) should follow a multidisciplinary protocol: extensive debridement of nonviable tissue, eradication of infections, and tissue reconstruction or coverage. Thus, any orthopedic surgeon should possess basic knowledge of this protocol. Proper management, using the right technique in each case, and the right timing of treatment are of the utmost importance. PMID:27218253

  6. A complex geometry simulation for heat transfer calculations: the Greek Research Reactor case

    International Nuclear Information System (INIS)

    The thermal hydraulic analysis of a thermally interacting heated channel bundle of complex geometry is presented. The bundle is completely or partially immersed into the cooling medium. Forced or natural convection can be allowed through each channel. Heat is transferred by conduction, convection and radiation. The analytical tool used is the ThEAP-I code, a transient three dimensional heat transfer computer code which is under development in NRC 'Democritos'. Results are presented for the 5 MW open pool Greek Research Reactor (GGR-1). (Auth.)

  7. Complex networks and public funding: the case of the 2007-2013 Italian program

    CERN Document Server

    Nicotri, Stefano; Amoroso, Nicola; Garuccio, Elena; Bellotti, Roberto

    2015-01-01

    In this paper we apply techniques of complex network analysis to data sources representing public funding programs and discuss the importance of the considered indicators for program evaluation. Starting from the Open Data repository of the 2007-2013 Italian Program Programma Operativo Nazionale 'Ricerca e Competitivit\\`a' (PON R&C), we build a set of data models and perform network analysis over them. We discuss the obtained experimental results outlining interesting new perspectives that emerge from the application of the proposed methods to the socio-economical evaluation of funded programs.

  8. Complex Analysis of 700-Year-Old Skeletal Remains found in an Unusual Grave: Case Report

    Czech Academy of Sciences Publication Activity Database

    Vaněk, D.; Brzobohatá, Hana; Šilerová, M.; Horák, Z.; Nývltová Fišáková, Miriam; Vašinová Galiová, M.; Zedníková Malá, P.; Urbanová, V.; Dobisíková, M.; Beran, M.; Brestovanský, P.

    2015-01-01

    Roč. 2, č. 5 (2015). ISSN 2332-0915 R&D Projects: GA ČR GB14-36938G Grant ostatní: GA MŠk(CZ) ED1.1.00/02.0068 Institutional support: RVO:67985912 ; RVO:68081758 Keywords : mass spectrometry * genealogical * physical anomalies * anthropological Subject RIV: AC - Archeology, Anthropology, Ethnology http://www.omicsonline.org/open-access/complex-analysis-of-700yearold-skeletal-remains-found-in-an-unusualgravecase-report-2332-0915-1000138.pdf

  9. No evidence for a genetic blueprint: The case of the "complex" mammalian photoreceptor

    Directory of Open Access Journals (Sweden)

    G Kumaramanickavel

    2015-01-01

    Full Text Available Despite the intensity of the search for genes causing inherited retinal degenerations over the past 3 decades, of the approximately 200 disease genes identified to date, all appear to be ordinary housekeeping genes specifying proteins playing basic structural and functional roles in the mature photoreceptor cells. No genes or genetic elements have been identified which can be construed as having a specific morphogenic role, directing the development of the cytoarchitecture of any particular retinal cell. The evidence suggests that the cytoarchitecture of the retinal photoreceptors, although enormously complex, arises from the self-organization of the cells constituents without any regulation or direction from an external genetic blueprint.

  10. Extended Tower Number Field Sieve : A New Complexity for the Medium Prime Case

    OpenAIRE

    Kim, Taechan; Barbulescu, Razvan

    2016-01-01

    International audience We introduce a new variant of the number field sieve algorithm for discrete logarithms in Fpn called exTNFS. The most important modification is done in the polynomial selection step, which determines the cost of the whole algorithm: if one knows how to select good polynomi-als to tackle discrete logs in Fpκ , exTNFS allows to use this method when tackling Fpηκ whenever gcd(η, κ) = 1. This simple fact has consequences on the asymptotic complexity of NFS in the medium ...

  11. Distress propagation in complex networks: the case of non-linear DebtRank

    OpenAIRE

    Bardoscia, Marco; Caccioli, Fabio; Perotti, Juan Ignacio; Vivaldo, Gianna; Caldarelli, Guido

    2015-01-01

    We consider a dynamical model of distress propagation on complex networks, which we apply to the study of financial contagion in networks of banks connected to each other by direct exposures. The model that we consider is an extension of the DebtRank algorithm, recently introduced in the literature. The mechanics of distress propagation is very simple: When a bank suffers a loss, distress propagates to its creditors, who in turn suffer losses, and so on. The original DebtRank assumes that los...

  12. Anesthetic management for separation of thoracopagus twins with complex congenital heart disease: a case report

    OpenAIRE

    Seo, Misook; Chung, In-Sun; Karm, Myong-Hwan; Oh, Ji Mi; Shin, Won-Jung

    2015-01-01

    Although thoracopagus twins joined at the upper chest are the most common type of conjoined twins, the separation surgery in these cases has a higher mortality rate. Here, we describe an anesthetic management approach for the separation of thoracopagus conjoined twins sharing parts of a congenitally defective heart and liver. We emphasize the importance of vigilant intraoperative hemodynamic monitoring for early detection of unexpected events. Specifically, real-time continuous monitoring of ...

  13. Causes of Borehole Failure in Complex Basement Terrains: ABUAD Case Study, Southwestern Nigeria

    OpenAIRE

    1 Ogundana, A.K , 2 Aladesanmi A. O., 3 Okunade A., 4Olutomilola O.O

    2015-01-01

    A preliminary assessment of primary causes of borehole failure has being conducted using Afe Babalola University as a case study. A total of fourteen boreholes (namely borehole 1-14) were studied, vertical electrical soundings, depth sounding, flushing and pump testing were conducted on each of the boreholes to establish their status at the time of the study and possible evaluation of the groundwater potential of the wells. Four out of the fourteen boreholes (borehole 1-4) are pro...

  14. A case of black hairy tongue responding to oral nystatin and vitamin B complex treatment

    Directory of Open Access Journals (Sweden)

    Ömer Kutlu

    2015-12-01

    Full Text Available Black hairy tongue, also known as lingua villosa nigra, is characterized by desquamation defects on the dorsal side of the tongue with reactive hypertrophy of the filiform papillae. Although the etiology of the disease is unknown, conditions such as smoking, alcohol and candidal infection are accused. In this study, a case of black hairy tongue which is considered to occur due to poor oral hygiene and candidal infection is presented.

  15. Management of Complex Industrial Supplier Relations - a Case of Customer Attractiveness

    DEFF Research Database (Denmark)

    Ellegaard, Chris

    relationship management is proposed – the concept of Customer Attractiveness. Customer Attractiveness is founded on the revised understanding of the supplier relationship management task and focuses on influencing suppliers by being an attractive customer, hereby motivating the necessary commitment to long...... supplier relationships of the company Danfoss Drives, an alternative understanding of the supplier relationship management task is proposed. The case study methodology forms the basis for the applied research design. The alternative understanding sees the management task as one of influencing suppliers...

  16. ORTHODONTIC-PROSTHETIC APPROACH IN THE TREATMENT OF COMPLEX CLINICAL CASES.

    OpenAIRE

    Desislava Konstantinova; Hristina Arnautska

    2014-01-01

    Modern dentistry demands an interdisciplinary approach in solving severe clinical cases. For a successful prosthetic treatment a number of prior manipulations are required. Rehabilitation of the oral cavity includes professional oral hygiene, repeated treatments of poorly filled root canals and removal of persistent teeth and roots. However, to achieve better conditions for prosthesis, special methods before the procedures are preferred. These methods include the more invasive periodontics an...

  17. Educational models: A case study into transferability of pedagogical structure in a complex learning object

    OpenAIRE

    Poortman, Sybilla; Sloep, Peter

    2006-01-01

    research report The Dutch six-part series Leerobjecten in de praktijk (Learning objects in practice) is about six divergent and difficult problems that occur frequently in working with learning objects. Based on research into existing practice, guidelines are offered to policy makers, educational technology consultants, teachers, educational designers and developers of digital learning materials who are struggling with these problems in higher education. Educational models describes a case...

  18. High resolution seismic imaging of complex structures: a case study of the South China Sea data

    Science.gov (United States)

    Zhang, Hao; Wang, Jun; Fu, Geping

    2016-03-01

    Seismic imaging is an effective way for marine geophysical investigation. Different types of imaging schemes, such as pre-stack time migration (PSTM) and pre-stack depth migration (PSDM), are often used to reveal subsurface structures. Theoretically, the PSDM method, which better honors the wave field propagation, can produce more accurate subsurface images compared with PSTM. However, it is challenging for PSDM to obtain a proper velocity model. In the South China Sea basin, the presence of complex structures such as carbonate pinnacles makes velocity model building more difficult due to the complex geometry and strong velocity variation. We have developed a seismic processing work flow which aims to circumvent these difficulties and can improve the PSDM velocity model via iterative updating. In order to improve the data quality and obtain optimal results, a proper pre-processing is required. In this workflow, we use the full waveform inversion to update the velocity model, followed by the application of the tomography inversion. In this way, a geologically plausible velocity model for PSDM is obtained. Afterwards, we use the Q-tomography approach to estimate the Earth quality factor (Q), which numerically quantifies the earth absorption and attenuation effect. Finally we use a de-absorption pre-stack depth migration scheme to compensate for the Earth absorption and attenuation effect in the process of imaging. The amplitudes are balanced and a high quality subsurface image is obtained.

  19. Multiscale Enaction Model (MEM: The Case of Complexity and Context-Sensitivity in Vision

    Directory of Open Access Journals (Sweden)

    Éric eLAURENT

    2014-12-01

    Full Text Available I review the data on human visual perception that reveal the critical role played by non-visual contextual factors influencing visual activity. The global perspective that progressively emerges reveals that vision is sensitive to multiple couplings with other systems whose nature and levels of abstraction in science are highly variable. Contrary to some views where vision is immersed in modular hard-wired modules, rather independent from higher-level or other non-cognitive processes, converging data gathered in this article suggest that visual perception can be theorized in the larger context of biological, physical, and social systems with which it is coupled, and through which it is enacted. Therefore, any attempt to model complexity and multiscale couplings, or to develop a complex synthesis in the fields of mind, brain, and behavior, shall involve a systematic empirical study of both connectedness between systems or subsystems, and the embodied, multiscale and flexible teleology of subsystems. The conceptual model (MEM that is introduced in this paper finally relates empirical evidence gathered from psychology to biocomputational data concerning the human brain. Both psychological and biocomputational descriptions of MEM are proposed in order to help fill in the gap between scales of scientific analysis and to provide an account for both the autopoiesis-driven search for information, and emerging perception.

  20. Multiscale Enaction Model (MEM): the case of complexity and “context-sensitivity” in vision

    Science.gov (United States)

    Laurent, Éric

    2014-01-01

    I review the data on human visual perception that reveal the critical role played by non-visual contextual factors influencing visual activity. The global perspective that progressively emerges reveals that vision is sensitive to multiple couplings with other systems whose nature and levels of abstraction in science are highly variable. Contrary to some views where vision is immersed in modular hard-wired modules, rather independent from higher-level or other non-cognitive processes, converging data gathered in this article suggest that visual perception can be theorized in the larger context of biological, physical, and social systems with which it is coupled, and through which it is enacted. Therefore, any attempt to model complexity and multiscale couplings, or to develop a complex synthesis in the fields of mind, brain, and behavior, shall involve a systematic empirical study of both connectedness between systems or subsystems, and the embodied, multiscale and flexible teleology of subsystems. The conceptual model (Multiscale Enaction Model [MEM]) that is introduced in this paper finally relates empirical evidence gathered from psychology to biocomputational data concerning the human brain. Both psychological and biocomputational descriptions of MEM are proposed in order to help fill in the gap between scales of scientific analysis and to provide an account for both the autopoiesis-driven search for information, and emerging perception. PMID:25566115

  1. Multiscale Enaction Model (MEM): the case of complexity and "context-sensitivity" in vision.

    Science.gov (United States)

    Laurent, Éric

    2014-01-01

    I review the data on human visual perception that reveal the critical role played by non-visual contextual factors influencing visual activity. The global perspective that progressively emerges reveals that vision is sensitive to multiple couplings with other systems whose nature and levels of abstraction in science are highly variable. Contrary to some views where vision is immersed in modular hard-wired modules, rather independent from higher-level or other non-cognitive processes, converging data gathered in this article suggest that visual perception can be theorized in the larger context of biological, physical, and social systems with which it is coupled, and through which it is enacted. Therefore, any attempt to model complexity and multiscale couplings, or to develop a complex synthesis in the fields of mind, brain, and behavior, shall involve a systematic empirical study of both connectedness between systems or subsystems, and the embodied, multiscale and flexible teleology of subsystems. The conceptual model (Multiscale Enaction Model [MEM]) that is introduced in this paper finally relates empirical evidence gathered from psychology to biocomputational data concerning the human brain. Both psychological and biocomputational descriptions of MEM are proposed in order to help fill in the gap between scales of scientific analysis and to provide an account for both the autopoiesis-driven search for information, and emerging perception. PMID:25566115

  2. Complexity management for heterogeneous computer clusters in case of the ALICE High Level Trigger cluster

    International Nuclear Information System (INIS)

    Heterogeneous computer farms are used for processing data in the ALICE HLT. A high complexity of managing a heterogeneous environment is the result of the increasing number of hardware and software releases and the resulting number of needed management resources for their management. For system management using the SysMES framework two object-oriented and Common Information Model based models have been developed: One of them describes the cluster environment whereas the other one describes the resources used for managing the former, e.g. monitors and rules. The next step for handling the mentioned complexity was the definition of relationships between those two models e.g. between an object which describes a CPU and another one describing a monitor object controlling the CPU's temperature. Our implementation provides a Java API used internally by the SysMES server to access the models in order to identify pairs (device, management resource) and to deploy the resources to their target devices. A relational database was chosen as a back-end, due to the requirements of our management system like transactionality and data integrity. For its integration with the object-oriented model and API a specifically designed object-relational mapping formalism has been developed.

  3. Aquifer characteristics and its modeling around an industrial complex, Tuticorin, Tamil Nadu, India: A case study

    Indian Academy of Sciences (India)

    N C Mondal; V S Singh; R Rangarajan

    2009-06-01

    Anthropogenic pollution of shallow groundwater resources due to industrial activities is becoming a cause of concern in the east coastal belt of the state of Tamil Nadu,India.Integrated hydrogeological,geophysical and tracer studies were carried out in the coastal region encompassing an industrial complex.The objective has been to gain knowledge of aquifer characteristics,ascertaining groundwater movement and its flow direction,which would in turn reveal the possibility of contamination of groundwater regime and its better management.The results of multi-parameters and model study indicate that the velocity of groundwater flow ranges from 0.013 m/d to 0.22 m/d in and around the industrial complex in upstream western part of the catchment and 0.026 m/d to 0.054 m/d in the downstream eastern part,near the coast.These parameters are vital for the development of groundwater management scheme.

  4. Proteins with complex architecture as potential targets for drug design: a case study of Mycobacterium tuberculosis.

    Directory of Open Access Journals (Sweden)

    Bálint Mészáros

    2011-07-01

    Full Text Available Lengthy co-evolution of Homo sapiens and Mycobacterium tuberculosis, the main causative agent of tuberculosis, resulted in a dramatically successful pathogen species that presents considerable challenge for modern medicine. The continuous and ever increasing appearance of multi-drug resistant mycobacteria necessitates the identification of novel drug targets and drugs with new mechanisms of action. However, further insights are needed to establish automated protocols for target selection based on the available complete genome sequences. In the present study, we perform complete proteome level comparisons between M. tuberculosis, mycobacteria, other prokaryotes and available eukaryotes based on protein domains, local sequence similarities and protein disorder. We show that the enrichment of certain domains in the genome can indicate an important function specific to M. tuberculosis. We identified two families, termed pkn and PE/PPE that stand out in this respect. The common property of these two protein families is a complex domain organization that combines species-specific regions, commonly occurring domains and disordered segments. Besides highlighting promising novel drug target candidates in M. tuberculosis, the presented analysis can also be viewed as a general protocol to identify proteins involved in species-specific functions in a given organism. We conclude that target selection protocols should be extended to include proteins with complex domain architectures instead of focusing on sequentially unique and essential proteins only.

  5. Multiple dimensions of transitions in complex socio-ecological systems - A case from China

    Science.gov (United States)

    Liu, Wei; Yang, Wu; Vina, Andres; Schröter, Dagmar; Liu, Jianguo

    2013-04-01

    Transitions in complex socio-ecological systems are intermediate phases between two successive and more stable periods or states and involve various societal, ecological, and biophysical changes that are often non-linear and inter-related. Understanding transitions is challenging but important for managing socio-ecological systems for achieving environmental sustainability and improving human well-being. Long-term and intensive research is warranted to disclose common patterns and mechanisms of socio-ecological transitions and to develop ideas and methods for studying and planning sustainable transitions. Based on a long-term research on human-nature relationships in Wolong Nature Reserve in China, we studied multiple concurrent social, economic, and ecological transitions during the last 15 years. As a UNESCO biosphere reserve, Wolong lies within a global biodiversity hotspot and a World Heritage site. It contains the largest populations of the world-famous endangered giant pandas and several thousand other animal and plant species. Like most nature reserves in China and many other developing countries, Wolong is also home to many local residents who undertake a variety of activities that involve interaction with ecosystem. For the majority of the 20th century, local people in Wolong lived under poverty line in a closed subsistence-based agricultural economy. Their demands on for wood (as fuel and raw materials) from the natural forests were high and resulted in severe deforestation, habitat degradation, and landslides. Since late 1990s, a series of major economic (e.g., tourism development) and environmental (e.g., payment for ecosystem services programs) policies have been implemented in the reserve as adaptive strategies to cope with poverty and ecological degradation. Within a decade, we have observed major transitions in land use (i.e., from extractive use to non-consumptive use), economic structure (i.e., from a subsistence-based agricultural economy to an

  6. Stream computing for biomedical signal processing: A QRS complex detection case-study.

    Science.gov (United States)

    Murphy, B M; O'Driscoll, C; Boylan, G B; Lightbody, G; Marnane, W P

    2015-08-01

    Recent developments in "Big Data" have brought significant gains in the ability to process large amounts of data on commodity server hardware. Stream computing is a relatively new paradigm in this area, addressing the need to process data in real time with very low latency. While this approach has been developed for dealing with large scale data from the world of business, security and finance, there is a natural overlap with clinical needs for physiological signal processing. In this work we present a case study of streams processing applied to a typical physiological signal processing problem: QRS detection from ECG data. PMID:26737641

  7. Anesthetic management for separation of thoracopagus twins with complex congenital heart disease: a case report.

    Science.gov (United States)

    Seo, Misook; Chung, In-Sun; Karm, Myong-Hwan; Oh, Ji Mi; Shin, Won-Jung

    2015-06-01

    Although thoracopagus twins joined at the upper chest are the most common type of conjoined twins, the separation surgery in these cases has a higher mortality rate. Here, we describe an anesthetic management approach for the separation of thoracopagus conjoined twins sharing parts of a congenitally defective heart and liver. We emphasize the importance of vigilant intraoperative hemodynamic monitoring for early detection of unexpected events. Specifically, real-time continuous monitoring of cerebral oximetry using near-infrared spectroscopy allowed us to promptly detect cardiac arrest and hemodynamic deterioration. PMID:26045935

  8. Improved worst-case and liely accident definition in complex facilities for 40 CFR 68 compliance

    International Nuclear Information System (INIS)

    Many DOE facilities potentially subject to compliance with offsite consequence criteria under the 40 CFR 68 Risk Management Program house significant inventories of toxic and flammable chemicals. The accident progression event tree methodology is suggested as a useful technical basis to define Worst-Case and Alternative Release Scenarios in facilities performing operations beyond simple storage and/or having several barriers between the chemical hazard and the environment. For multiple chemical release scenarios, a chemical mixture methodology should be applied to conservatively define concentration isopleths. In some instances, the region requiring emergency response planning is larger under this approach than if chemicals are treated individually

  9. [Diagnosis and treatment for 2 cases of tuberous sclerosis complex with pulmonary lymphangioleiomyomatosis].

    Science.gov (United States)

    Zong, Dandan; Liu, Caihong; Shi, Zhihui; Zhou, Li; Peng, Yating; Ouyang, Ruoyun

    2016-07-01

    To improve the diagnosis and treatment for tuberous sclerosis complex (TSC) with pulmonary lymphangioleiomyomatosis, a retrospective analysis was performed based on the clinical data of 2 patients with such disease. Both of them have typical thin-walled cystic lesion throughout the lung field, renal angioleiomyolipoma, and various degrees of skin lesions. Central nervous system is involved in one patient. Lesions in the lung and kidney in one patient were improved significantly after 5 months of rapamycin treatment. The clinical phenotypes were diverse in TSC patients. The CT imaging showed typical characteristics when the lung was invaded by the tumor. When a patient was diagnosed as pulmonary lymphangioleiomyomatosis, we should pay attention to the clinical screening of TSC. Rapamycin is an effective and safe treatment for this disease. PMID:27592585

  10. Integrated optimal allocation model for complex adaptive system of water resources management (II): Case study

    Science.gov (United States)

    Zhou, Yanlai; Guo, Shenglian; Xu, Chong-Yu; Liu, Dedi; Chen, Lu; Wang, Dong

    2015-12-01

    Climate change, rapid economic development and increase of the human population are considered as the major triggers of increasing challenges for water resources management. This proposed integrated optimal allocation model (IOAM) for complex adaptive system of water resources management is applied in Dongjiang River basin located in the Guangdong Province of China. The IOAM is calibrated and validated under baseline period 2010 year and future period 2011-2030 year, respectively. The simulation results indicate that the proposed model can make a trade-off between demand and supply for sustainable development of society, economy, ecology and environment and achieve adaptive management of water resources allocation. The optimal scheme derived by multi-objective evaluation is recommended for decision-makers in order to maximize the comprehensive benefits of water resources management.

  11. Self-avoiding walk on fractal complex networks: Exactly solvable cases

    Science.gov (United States)

    Hotta, Yoshihito

    2014-11-01

    We study the self-avoiding walk on complex fractal networks called the (u ,v ) -flower by mapping it to the N -vector model in a generating function formalism. First, we analytically calculate the critical exponent ν and the connective constant by a renormalization-group analysis in arbitrary fractal dimensions. We find that the exponent ν is equal to the displacement exponent, which describes the speed of diffusion in terms of the shortest distance. Second, by obtaining an exact solution for the (u ,u ) -flower, we provide an example which supports the conjecture that the universality class of the self-avoiding walk on graphs is not determined only by the fractal dimension.

  12. Rhinophyma in tuberous sclerosis complex: case report with brief review of literature

    Directory of Open Access Journals (Sweden)

    Friedrich, Reinhard E.

    2014-11-01

    Full Text Available Tuberous sclerosis or tuberous sclerosis complex (TSC is an autosomal dominant inherited disease characterized by the triad epilepsy, hamartomas (angiofibroma and reduced intellectual capacity. Phenotype can vary considerably. Almost all patients with TSC have at least one characteristic dermatologic feature. Facial angiofibroma can cause severe disfigurement. It may involve the cheeks, perioral region and nose, resulting in thick layers of nodular and pustular skin. Aesthetic surgery of the face comprises an individually adapted ablation of the affected skin regions in order to improve physical appearance. Reports on the subject of surgery for nasal angiofibroma confirm the homogenous transformation of the connective tissues by this hamartoma. Hitherto there is only one report in the literature describing the typical epithelial alterations of the nasal skin compatible with a rhinophyma and adjacent angiofibroma. Here we report the successful electrosurgical treatment of a patient with TSC and extensive sebaceous glands giving rise to a rhinophyma in close association with angiofibroma.

  13. Magnetically Regulated Star Formation in 3D: The Case of Taurus Molecular Cloud Complex

    CERN Document Server

    Nakamura, Fumitaka

    2008-01-01

    We carry out three-dimensional MHD simulations of star formation in turbulent, magnetized clouds, including ambipolar diffusion and feedback from protostellar outflows. The calculations focus on relatively diffuse clouds threaded by a strong magnetic field capable of resisting severe tangling by turbulent motions and retarding global gravitational contraction in the cross-field direction. They are motivated by observations of the Taurus molecular cloud complex (and, to a lesser extent, Pipe Nebula), which shows an ordered large-scale magnetic field, as well as elongated condensations that are generally perpendicular to the large-scale field. We find that stars form in earnest in such clouds when enough material has settled gravitationally along the field lines that the mass-to-flux ratios of the condensations approach the critical value. Only a small fraction (of order 1% or less) of the nearly magnetically-critical, condensed material is turned into stars per local free-fall time, however. The slow star form...

  14. The complexity of maladaptation strategies to disasters: The case of Muzarabani, Zimbabwe

    Directory of Open Access Journals (Sweden)

    Siduduziwe Ncube-Phiri

    2014-03-01

    Full Text Available Over the past decade disasters have increased both in complexity and multiplicity, worseningthe plight of vulnerable communities the world over. Many communities have devised copingmechanisms to mitigate the impact, but communities such as Muzarabani in Zimbabweremain susceptible to disasters. This article seeks to analyse whether the coping measuresapplied make the communities safe from or vulnerable to disasters. Information was obtainedthrough interviews, questionnaires and observations from four villages in Chadereka in theMuzarabani district. The results of this study indicated that households, government andnon-governmental organisations have come up with different mitigation strategies, suchas growing crops along river beds, livestock production, raised granaries and doorsteps,flood evacuation shelters and other emergency services. Research revealed that althoughviable, some of the strategies increased the community’s vulnerability. This article thereforerecommends sustainable utilisation of resources, and collaborative efforts to address the rootcauses, dynamic pressures and unsafe conditions in order to reduce the vulnerability of poorcommunities to natural disasters.

  15. 3D Inversion of complex resistivity data: Case study on Mineral Exploration Site.

    Science.gov (United States)

    Son, Jeong-Sul; Kim, Jung-ho; Park, Sam-gyu; Park, My-Kyung

    2016-04-01

    Complex resistivity (CR) method is a frequency domain induced polarization (IP) method. It is also known as Spectral IP (SIP) method, if wider frequencies are used in data acquisition and interpretation. Although it takes more times than conventional time domain IP method, its data quality is more stable because its data acquisition which measures amplitude and phase is done when the source current is being injected. Our research group has been studying the modeling and inversion algorithms of complex resistivity (CR) method since several years ago and recently applied developed algorithms to various real field application. Due to tough terrain in our country, Profile survey and 2D interpretation were generally used. But to get more precise interpretation, three dimensional modeling and inversion algorithm is required. We developed three dimensional inversion algorithm for this purpose. In the inversion, we adopt the method of adaptive lagraingian multiplier which is automatically set based on the size of error misfit and model regularization norm. It was applied on the real data acquired for mineral exploration sites. CR data was acquired with the Zeta system, manufactured by Zonge Co. In the inversion, only the lower frequency data is used considering its quality and developed 3D inversion algorithm was applied to the acquired data set. Its results were compared to those of time domain IP data conducted at the same site. Resistivity image sections of CR and conventional resistivity method were almost identical. Phase anomalies were well matched with chargeability anomalies and the mining history of the test site. Each anomalies were well discriminated in 3D interpretation than those of 2D. From those experiments, we know that CR method was very effective for the mineral exploration.

  16. Complex karyotype in a case of cutaneous lymphangiosarcoma associated with chronic lymphedema of the lower limb.

    Science.gov (United States)

    Marando, Alessandro; Bernasconi, Barbara; Sabatino, Daniele; Militti, Lucia; Capella, Carlo

    2014-12-01

    Lymphangiosarcoma is a rare malignant neoplasm of endothelial cells. The term is used to describe an angiosarcoma associated with chronic lymphedema. The skin of the head and neck region is the most common site of origin. Rather few cytogenetic studies on lymphangiosarcoma are reported in the literature. We here describe a case of an 87-year-old woman, with a history of recurring lymphangitis and with an ulcerated nodular lesion of the leg. The histological diagnosis was a malignant neoplasm of vascular origin, with the morphological and immunohistochemical features of a lymphangiosarcoma. A series of antibodies (CD31, CD34, vimentin, podoplanin and HHV-8), conventional and molecular cytogenetic and Spectral Karyotyping (SKY-FISH) analyses were used to study this case. The immunohistochemical evaluation revealed that the neoplasm was positive for vimentin, CD31, CD34 and podoplanin and negative for HHV-8. The proliferation rate (Ki-67) was about 70%. Karyotype was defined using conventional cytogenetic and SKY-FISH. In addition, high-level of amplification was observed with MYC split signal probe. The morphological and immunohistochemical evaluations supported the diagnosis of lymphangiosarcoma. Moreover, the cytogenetic and molecular findings contributed towards accurately defining the karyotypic aberrations of this rare sarcoma. PMID:24947410

  17. Nonadiabatic dynamics of floppy hydrogen bonded complexes: the case of the ionized ammonia dimer.

    Science.gov (United States)

    Chalabala, Jan; Slavíček, Petr

    2016-07-27

    In the case of the ammonia dimer, we address the following questions: how ultrafast ionization dynamics is controlled by hydrogen bonding and whether we can control the products via selective ionization of a specific electron. We use quantum chemical calculations and ab initio non-adiabatic molecular dynamics simulations to model the femtosecond dynamics of the ammonia dimer upon ionization. The role of nuclear quantum effects and thermal fluctuations in predicting the structure of the dimer is emphasized; it is shown that the minimum energy and vibrationally averaged structures are rather different. The ground state structure subsequently controls the ionization dynamics. We describe reaction pathways, electronic population transfers and reaction yields with respect to ionization from different molecular orbitals. The simulations showed that the ionized ammonia dimer is highly unstable and its decay rate is primarily driven by the position of the electron hole. In the case of ground state ionization (i.e. the HOMO electron is ionized), the decay is likely to be preceded by a proton transfer (PT) channel yielding NH4(+) and NH2˙ fragments. The PT is less intense and slower compared with the ionized water dimer. After ionizing deeper lying electrons, mainly NH3(+)˙ and NH3 fragments are formed. Overall, our results show that the ionization dynamics of the ammonia and water dimers differ due to the nature of the hydrogen bond in these systems. PMID:27402376

  18. Complex alpine extrication: case report of mountain and speleological rescue cooperation.

    Science.gov (United States)

    Sette, Piersandro; Carlini, Mauro; Berti, Damiano; Rucci, Igor; Marchiori, Francesco; Toffali, Fausto; Schonsberg, Alberto; Ricci, Giorgio; Tardivo, Stefano

    2015-06-01

    Mountain sporting activities are an increasingly popular practice that exposes mountaineers to a high risk of adverse events. This report describes a unique case of recovery in an austere environment that involved explosives. In June 2012, a 52-year-old man ascended a cliff tower in the Eastern Alps, Italy. A landslide occurred, and a boulder crushed the climber against a large stone located farther down the cliff, causing compression of the lower limbs and the pelvis with consequent severe musculoskeletal trauma. The National Alpine and Cave Rescue Unit (NACRU) arrived and proceeded with stabilization of the injured climber, which took 6 hours and involved a difficult extrication supported by the Cave Rescue division of NACRU. Unfortunately, during transport to the trauma center of Borgo Trento, Verona, the patient exhibited signs of progressive traumatic shock because of crush syndrome, hypovolemia, and acidosis, which led to cardiac arrest and death. Based on an extensive literature review, this report was determined to be the only one of a mountain rescue using explosives for the extrication of a victim in the Northeast Italian Alps. This case describes how a rescue in austere environments can represent a high-risk situation, and it shows how improvisation and cooperation between rescue teams are crucial for a successful recovery. PMID:25747541

  19. Critical analysis of the data on complexation of lanthanides and actinides by natural organic matter: particular case of humic substances

    International Nuclear Information System (INIS)

    This document proposes a critical analysis of the models that describe the actinides and lanthanides complexation by natural organic matter in general and by humic substances in particular. In order to better delimit the particular properties of these substances the most influent physical and chemical properties on complexation are recalled as a preamble. Models as well as data that has been used are reviewed, compiled, and eventually compared to independent data in order to identify (i) their application domain, (ii) the possible simplifications which permit to obtain operational models, (iii) the conditions in which simplifications cannot be ascertained yet, and (iv) the data or fields of knowledge which are still too uncertain. A comparison between the different models is proposed in order to adapt parameters from one model to another minimising the experimental acquisitions, or at least to focus on missing data. Usually, data on the complexation of free ions Mz+ are reliable; as soon as hydrolysis, or competition with another ligand in general, in at stake data are much less reliable. Predictions from models are much more uncertain: formation of mixed complexes with hydroxide or carbonate anions is not univocal whatever the modelling strategy. Hints for transfer functions between models which are believed to be incompatible could be explored in order to justify necessary simplifications for using operational modelling. Influence on the solubility of oxides could be quantified, but it is difficult to clearly separate it from colloidal particles stabilisation. The account of the competition between cations by the models has also been tested. In view of the small number of available experimental data there still lie some uncertainties especially for the media that are close to neutrality and in the case of competition with magnesium, but overall in the case of the competition with aluminium and iron. The influence of redox activity of humic substances is also

  20. Emergent nested systems a theory of understanding and influencing complex systems as well as case studies in urban systems

    CERN Document Server

    Walloth, Christian

    2016-01-01

    This book presents a theory as well as methods to understand and to purposively influence complex systems. It suggests a theory of complex systems as nested systems, i. e. systems that enclose other systems and that are simultaneously enclosed by even other systems. According to the theory presented, each enclosing system emerges through time from the generative activities of the systems they enclose. Systems are nested and often emerge unplanned, and every system of high dynamics is enclosed by a system of slower dynamics. An understanding of systems with faster dynamics, which are always guided by systems of slower dynamics, opens up not only new ways to understanding systems, but also to effectively influence them. The aim and subject of this book is to lay out these thoughts and explain their relevance to the purposive development of complex systems, which are exemplified in case studies from an urban system. The interested reader, who is not required to be familiar with system-theoretical concepts or wit...

  1. The Design Features of Complex Vessels of Malyshev Neolithic Culture of Lower Priamurye (case study: Malyshevo 1 Settlement

    Directory of Open Access Journals (Sweden)

    Inga V. Filatova

    2015-03-01

    Full Text Available According to the author’s opinion, the solution for cultural genesis issues can be tackled through the analysis of structural peculiarities of hollow bodies of vessels of different ceramic complexes. The ceramics of the Malyshev Culture of the Lower Amur is no exception. The article traces the evolution of researchers’ views in regard to Neolithic culture in inner periodization of the region as well as cultural relevance of early complex ceramics by a well known Soviet archeologist academic A.P. Okladnykov – stage of Lower Amur Neolithic culture. Case study: visualization of ceramic collection of one-layer Neolithic settlement Malyshevo-1 (“At the craftsmen”. Here we identify two vessel groups, which differ through their morphological and decorative features. On the ground of technological assessments of manufacturing techniques by I. G. Glushkov (1996, including methodological developments by A. A. Bobrinsky (1978, the program of hollow body design is researched. The manufacturing techniques are identified (methods of fixing, build-up, straps oiling, types of molding, filling program, cutting and bottom fixing. The mixed programs of hollow body vessels are identified and locations of two pottery traditions are found. A competitive analysis for identifying the peculiarities of Malyshev ceramics and Neolithic materials of the Lower Amur and bordering seaside territories. There are similarities are drawn out between ceramic complexes of Osipov culture of early Neolithic (Lower Amur and Rudninsky culture (Rudninsky type, Sergeev type of early Neolithic (seaside territories.

  2. Photochemical behavior of antibiotics impacted by complexation effects of concomitant metals: a case for ciprofloxacin and Cu(II).

    Science.gov (United States)

    Wei, Xiaoxuan; Chen, Jingwen; Xie, Qing; Zhang, Siyu; Li, Yingjie; Zhang, Yifei; Xie, Hongbin

    2015-07-01

    Many water bodies, especially those adjacent to aquaculture and livestock breeding areas, are contaminated by both antibiotics and transition metals. However, the effects of the interaction between antibiotics and transition metals on the environmental behavior and the ecotoxicology of antibiotics are largely unknown. We hypothesized that antibiotics may coordinately bind with metal ions, and this complexation may affect the environmental photochemical behavior of antibiotics. We took ciprofloxacin (CIP) and Cu(ii) as a case, and employed simulated sunlight experiments and density functional theory calculations to investigate the underlying reaction mechanisms. The results showed that monovalent cationic ciprofloxacin (H2CIP(+)) that is predominant in the normal pH range (6-9) of surface waters can chelate with hydrated Cu(ii) to form [Cu(H2CIP)(H2O)4](3+). Compared with H2CIP(+), [Cu(H2CIP)(H2O)4](3+) has different molecular orbitals, and atomic charge distribution. As a result, [Cu(H2CIP)(H2O)4](3+) showed dissimilar light absorption properties, slower direct photolytic rates, lower (1)O2 generation ability and weaker reactivity towards (1)O2. Due to the Cu(ii) complexation, the apparent photodegradation of H2CIP(+) was inhibited, and the photolytic pathways and product distribution were altered. This study implies that for an accurate ecological risk assessment of antibiotics under transition metal co-contamination conditions, the effects of metal complexation should be considered. PMID:26114263

  3. Complex 3D Blood Flow Pathways in Two Cases of Aorta to Right Heart Fistulae: a 4D Flow MRI study

    OpenAIRE

    Thakrar, Darshit; Popescu, Andrada; Gupta, Suraj; de Freitas, Andrew; Russell, Hyde; Carr, James; Markl, Michael

    2013-01-01

    We present an analysis of 3D blood flow in two cases of Sinus of Valsalva to right heart fistulae based on 4D flow MRI. Despite similar underlying pathology, 3D visualization revealed intricate differences in flow patterns connecting the systemic and pulmonary circulation. The cases illustrates the potential of 4D flow MRI to complement the evaluation of complex structural heart disease by assessing complex flow dynamics and providing quantitative information of flow ratios and flow rates.

  4. Planning evaluation of radiotherapy for complex lung cancer cases using helical tomotherapy

    Science.gov (United States)

    Kron, Tomas; Grigorov, Grigor; Yu, Edward; Yartsev, Slav; Chen, Jeff Z.; Wong, Eugene; Rodrigues, George; Trenka, Kris; Coad, Terry; Bauman, Glenn; Van Dyk, Jake

    2004-08-01

    Lung cancer treatment is one of the most challenging fields in radiotherapy. The aim of the present study was to investigate what role helical tomotherapy (HT), a novel approach to the delivery of highly conformal dose distributions using intensity-modulated radiation fan beams, can play in difficult cases with large target volumes typical for many of these patients. Tomotherapy plans were developed for 15 patients with stage III inoperable non-small-cell lung cancer. While not necessarily clinically indicated, elective nodal irradiation was included for all cases to create the most challenging scenarios with large target volumes. A 2 cm margin was used around the gross tumour volume (GTV) to generate primary planning target volume (PTV2) and 1 cm margin around elective nodes for secondary planning target volume (PTV1) resulting in PTV1 volumes larger than 1000 cm3 in 13 of the 15 patients. Tomotherapy plans were created using an inverse treatment planning system (TomoTherapy Inc.) based on superposition/convolution dose calculation for a fan beam thickness of 25 mm and a pitch factor between 0.3 and 0.8. For comparison, plans were created using an intensity-modulated radiation therapy (IMRT) approach planned on a commercial treatment planning system (TheraplanPlus, Nucletron). Tomotherapy delivery times for the large target volumes were estimated to be between 4 and 19 min. Using a prescribed dose of 60 Gy to PTV2 and 46 Gy to PTV1, the mean lung dose was 23.8 ± 4.6 Gy. A 'dose quality factor' was introduced to correlate the plan outcome with patient specific parameters. A good correlation was found between the quality of the HT plans and the IMRT plans with HT being slightly better in most cases. The overlap between lung and PTV was found to be a good indicator of plan quality for HT. The mean lung dose was found to increase by approximately 0.9 Gy per percent overlap volume. Helical tomotherapy planning resulted in highly conformal dose distributions. It

  5. Analysis of complex seepage problems with the disposal of uranium tailings: selected case studies

    International Nuclear Information System (INIS)

    Evaluations of seepage effects from existing uranium tailings impoundments, as well as those planned for the future operations, form the subject matter of this paper. The method of evaluation is not restricted to uranium tailings alone, but may be applied to the disposal of other kinds of tailings and slurry wastes as well. The application of an integrated program involving field measurements, laboratory measurements, and mathematical modeling is reported. The paper deals with saturated and unsaturated fluid flows in subsurface media as well as with the associated geochemical interactions. The influence of impoundment liners, native soil, and rock types, as well as groundwater are discussed. Selected case studies of applications are reported and discussed

  6. Complex fixed implant-supported restoration in a site compromised by periodontitis: a case report.

    Science.gov (United States)

    Happe, Arndt; Kunz, Andreas

    2016-01-01

    Periodontal disease presents a big challenge for clinicians placing dental implants. Besides the implant treatment, additional surgical procedures such as grafting or sinus floor elevation are often necessary to achieve a satisfactory result. Patient compliance is also important for achieving long-term treatment success. In the case presented here, digital planning and computer-aided surgery facilitated placement of the implants and fabrication of the prosthetic superstructures. The patient then wore INTERNAT IONAL metal-based provisional fixed partial dentures (FPDs) for about a year, while her compliance and oral hygiene were evaluated. During this period, the occlusal relations remained stable and the good condition of the hard and soft tissue was maintained. In the maxilla, the final restoration incorporated custom zirconia abutments and a zirconia framework fabricated using CAD/CAM technology. Titanium abutments and a cast non-precious metal framework were fabricated for the mandible. PMID:27092346

  7. [Complex metabolic disorders revealing a gastric ulcer of the bulb. A case report].

    Science.gov (United States)

    Neffati, F; Hellara, I; Jelizi, M A; Bahri, J; Douki, W; Amor, A Ben; Najjar, M F

    2009-01-01

    We report the case of a 54-year-old man, without particular pathological antecedents admitted to the emergency of the university hospital of Monastir, for right renal colic. Radiography of the urinary tract without preparation and renal echography showed bilateral renal lithiasis and a right ureteral lithiasis. The interrogation revealed concept of vomiting after which the patient felt relieved. The biological assessment objectified an hypochloremic metabolic alcalosis, an increase in the anion gap, a severe impaired renal function of obstructive origin and an hypokaliemia. The presence of the lithiasis did not explain on its own the metabolic disorders of this patient. The other investigations showed that initial pathology was an evolutionary bulb ulcer into pre-stenosis justifying treatment by omeprazole and explaining the biological disorders. PMID:19654086

  8. Management of Complex Knee Deformities in Asian Population: Our Experience of 11 Cases

    Directory of Open Access Journals (Sweden)

    Syed Shahid Noor

    2015-01-01

    Total Knee Arthroplasty (TKA is a life changing procedure for such patients. Great improvements in quality of life and outcome measure scores have been observed in patients undergone TKA. Our patients are challenging further as compared to western population because they present late for consultation when the disease and deformity is advanced. Their expectations are high, as they wish to resume their ground base activities such as kneeling for prayers. Furthermore with financial constraints present with most of the patients, one has to be careful in choosing the type of implant and keep in consideration other alternative available options. This case series encompasses our experience of TKA on patients with variety of challenging deformities, their short term outcome and a review of the literature.

  9. IS A SPOROPHILA LINEOLA/BOUVRONIDES/RESTRICTA (AVES: EMBERIZIDAE COMPLEX A SPECIES RING CASE?: ATHEORICALAPPROACH

    Directory of Open Access Journals (Sweden)

    Marín-Espinoza, Gedio

    2010-07-01

    Full Text Available Despite that no ring species have yet been convincingly demonstrated in the western hemisphere, Sporophila lineola/bouvronides/restricta complex may provide a plausible theoretical model in South America. There are at present three distinct forms, with varying proportions of sedentary and partially migratory “races”: S. lineola (L, S. bouvronides (B and S. restricta (R. Two characters are most obviously subject to variation: the extent (or absence of white on the crown, and the amount (or absence of dark mottling or barring on the white underparts. L and B populations occur sympatrically and seasonally, with one of them breeding (B and the other non-breeding (L and possessing subtly different song patterns. Interestingly, R is a stable “race” confined to the northwestern corner of South America (i.e., NE Colombia. In addition, there is a highly variable population exhibiting a combination of characters (hybrids? reported between breeding areas B (e.g., Venezuela and breeding areas L (e.g., SE Brazil. Moreover, the total extent of the breeding range of the L population is nearly unknown; similarly, where B populations spend the non-breeding season is not yet known. Likewise, we don't know if R populations migrate. If so, it may represent an incipient ring species pattern. Indeed, our hypothesis is consistent with southern american biogeographical history, involving isolation mechanisms. In the first phase, an ancestral species was split into two populations (due to andean uplift, one to the north (R and the other to the east; secondarily, Pliocene times would have subdivided L (subequatorial breeding and B (supraequatorial breeding. With the advent of pleistocenic and holocenic regressions and climatic fluctuations, the successive secondary contacts permitted L and B interconnections, involving both ethological (e.g., the cromo-vocalic gradual differentiation and seasonal isolating mechanisms (e.g., “turnover” of circannual rhythms

  10. Causes of Borehole Failure in Complex Basement Terrains: ABUAD Case Study, Southwestern Nigeria

    Directory of Open Access Journals (Sweden)

    1 Ogundana, A.K , 2 Aladesanmi A. O., 3 Okunade A., 4Olutomilola O.O

    2015-10-01

    Full Text Available A preliminary assessment of primary causes of borehole failure has being conducted using Afe Babalola University as a case study. A total of fourteen boreholes (namely borehole 1-14 were studied, vertical electrical soundings, depth sounding, flushing and pump testing were conducted on each of the boreholes to establish their status at the time of the study and possible evaluation of the groundwater potential of the wells. Four out of the fourteen boreholes (borehole 1-4 are productive and in-use, while the remaining ten (borehole 5-14 are out-of-use and abandoned for various. The productive holes were able to support continuous flow of water for over 3 hours without drop in volume of water flow. Seven of the holes (boreholes 5, 6, 8, 9, 11, 12 & 14 failed and were abandoned because of low yield (could not flow beyond 5 minutes, while the remaining three (boreholes 7, 10 & 13 failed and were abandoned due to wrong location and improper completion, caving/formation problems, and wrong installation/completion respectively. Proper well completion is essential in areas prone to caving and other formation related problems. Air drilling should be avoided in areas with thick and loose overburden. Right mixture of drilling mud should be applied to secure the hole wall while flushing should be continuous throughout drilling in such formation. Casing should be done immediately and such holes should be lined and grouted. Timers should be installed on low yield wells and regulated/programmed for 5 or 10 minutes flow depending on the recharge rate. Pump rating for installation should be strictly based on well recharge rate. Productive wells should be properly maintained and monitored for optimal performance.

  11. A possible new syndrome with growth-hormone secreting pituitary adenoma, colonic polyposis, lipomatosis, lentigines and renal carcinoma in association with familial testicular germ cell malignancy: A case report

    Directory of Open Access Journals (Sweden)

    Mai Phuong L

    2007-03-01

    Full Text Available Abstract Background Germ-cell testicular cancer has not been definitively linked to any known hereditary cancer susceptibility disorder. Familial testicular cancer in the presence of other findings in affected and unaffected family members might indicate a previously-unidentified hereditary cancer syndrome. Case presentation The patient was diagnosed with a left testicular seminoma at age 28, and treated with left orchiectomy followed by adjuvant cobalt radiation. His family history is significant for testicular seminoma in his son, bladder cancer in his sister, and lipomatosis in his father. His evaluation as part of an etiologic study of familial testicular cancer revealed multiple colon polyps (adenomatous, hyperplastic, and hamartomatous first found in his 50 s, multiple lipomas, multiple hyperpigmented skin lesions, left kidney cancer diagnosed at age 64, and a growth-hormone producing pituitary adenoma with associated acromegaly diagnosed at age 64. The patient underwent genetic testing for Cowden syndrome (PTEN gene, Carney complex (PRKAR1A gene, and multiple endocrine neoplasia syndrome type 1 (MEN1 gene; no deleterious mutations were identified. Discussion The constellation of benign and malignant neoplasms in the context of this patient's familial testicular cancer raised the possibility that these might be manifestations of a known hereditary susceptibility cancer syndrome; however, genetic testing for the three syndromes that were most likely to explain these findings did not show any mutation. Alternatively, this family's phenotype might represent a novel neoplasm susceptibility disorder. This possibility cannot be evaluated definitively on the basis of a single case report; additional observations and studies are necessary to investigate this hypothesis further.

  12. Lumbar Sympathetic Block with Botulinum Toxin Type B for Complex Regional Pain Syndrome: A Case Study.

    Science.gov (United States)

    Choi, Eunjoo; Cho, Chan Woo; Kim, Hye Young; Lee, Pyung Bok; Nahm, Francis Sahngun

    2015-01-01

    Lumbar sympathetic block (LSB) is an effective method for relief of sympathetically mediated pain in the lower extremities. To prolong the sympathetic blockade, sympathetic destruction with alcohol or radiofrequency has been used. The pre-ganglionic sympathetic nerves are cholinergic, and botulinum toxin (BTX) has been found to inhibit the release of acetylcholine at the cholinergic nerve terminals. Moreover, BTX type B (BTX-B) is more convenient to use than BTX type A. Based on these findings, we performed LSB on the 2 patients with complex regional pain syndrome (CRPS) in the lower extremity. Levobupivacaine 0.25% 5 mL mixed with BTX-B 5,000 IU was given under fluoroscopic guidance. Two months after LSB with BTX-B, pain intensity and the Leeds assessment of neuropathic symptoms and signs (LANSS) score were significantly reduced. Allodynia and coldness disappeared and skin color came back to normal. In conclusion, BTX-B can produce an efficacious and durable sympathetic blocking effect on patients with CRPS. PMID:26431145

  13. Safety culture of complex risky systems: the Nuclear Engineering Institute case study

    International Nuclear Information System (INIS)

    Analysis of industrial accidents have demonstrated that safe and reliable operation of complex industrial processes that use risky technology and/or hazard material depends not only on technical factors but on human and organizational factors as well. After the Chernobyl nuclear accident in 1986, the International Atomic Energy Agency established the safety culture concept and started a safety culture enhancement program within nuclear organizations worldwide. The Nuclear Engineering Institute, IEN, is a research and technological development unit of the Brazilian Nuclear Energy Commission, CNEN, characterized as a nuclear and radioactive installation where processes presenting risks to operators and to the environment are executed. In 1999, IEN started a management change program, aiming to achieve excellence of performance, based on the Model of Excellence of the National Quality Award. IEN's safety culture project is based on IAEA methodology and has been incorporated to the organizational management process. This work presents IEN's safety culture project; the results obtained on the initial safety culture assessment and the following project actions. (author)

  14. Analysis of twenty pediatric cases of tuberous sclerosis complex: Are we doing enough?

    Directory of Open Access Journals (Sweden)

    Jyoti Nath

    2015-01-01

    Full Text Available Background: Tuberous sclerosis complex (TSC is a neuro-cutaneous disease characterized by hamartoma formation in various organs particularly the skin, brain, eye, kidney, heart and lungs. Patients usually have multisystem involvement and thus present to different medical specialties with varied complaints while the true nature of the disease and the hidden manifestations may remain unattended. A im: To assess the frequency and characteristics of various cutaneous and systemic manifestations in TSC and the total impact on different system in a cohort of pediatric patients. Methods: The study included 20 patients fulfilling the diagnostic criteria for TSC from dermatology, pediatrics, and neurology department. Detailed history, examination, and investigations such as chest X-ray, electrocardiography (ECG, ultrasonography (USG abdomen, echocardiography, fundoscopy, computed tomography (CT scan of brain and abdomen were done. Results: Dermatological manifestations included ash leaf macules, angiofibromas, shagreen patch, and fibrous plaque. Systemic findings observed were subependymal calcified nodules, subependymal giant cell astrocytoma, cortical tubers, renal cysts, angiomyolipomas, lung cyst, retinal hamartomas, mental deficits and epilepsy. Limitations: Wechsler′s Intelligence Scale for Children would have been more appropriate for assessing the intelligence. Dental check-up was not done in our group of patients. Conclusion: Our study highlights the wide variety of cutaneous and systemic manifestations of TSC. The study emphasizes the need for comprehensive multidisciplinary treatment and periodic follow-up which are necessary for appropriate management of this multisystem disorder. Counseling regarding education and rehabilitation of the patients and genetic counseling of parents are important.

  15. Matching a surface complexation model with ab initio molecular dynamics: montmorillonite case

    International Nuclear Information System (INIS)

    Speciation modelling of sorption on mineral-water interfaces is performed with help of surface complexation models (SCM), suitable for diluted suspensions that seem to reach adsorption equilibrium within laboratory times. Electrostatic SCMs need several input parameters even for a relatively simple oxide mineral surface. Moreover, the electrolyte ion adsorption constants in triple layer (TL) or basic Stern (BS) models depend on the inner layer capacitance density Cl, but clear physical understanding of this parameter is missing so far. SCMs can fit acidimetric or metal titration data well at quite different combinations of input parameters, and this fact casts doubt on any interpretation of fitted parameter values in terms of microscopic physicochemical mechanisms. The problem is even deeper in SCMs for clay minerals like montmorillonite having at least two surface types: the edges exposing different (aluminol and silanol) functional groups, and the basal siloxane planes with permanent charge and ion exchange. A feasible way to overcome the caveat of SCMs is seen nowadays in relying on crystallographic data and ab initio calculations to restrict the EDL setup, species stoichiometries, and input parameter values when constructing the adsorption model. The aim of this contribution is to discuss how recent advances in sample surface characterization an d in quantum-chemistry calculations for pyrophyllite can help in putting together a multi-site-surface electrostatic SCM for montmorillonite implemented in GEM approach. The quality of macroscopic model fits is checked against the titration data. (authors)

  16. Is the NIMBY syndrome real and remediable? A case of complex decision-making

    International Nuclear Information System (INIS)

    What is commonly termed the NIMBY syndrome is a complex psychological process. It is related to risk perception and anticipation; utility value judgment; and the approach-avoidance stimulus formation and the reward-punishment learning. The first section of the present paper briefly discusses these psychological aspects of the NIMBY reactions. The second section of this paper deals with the issues associated with risk perception and communication. Importance of factors relevant to risk-benefit trade-off is discussed. On the basis of both the theoretical model of communication and the result obtained from a number of empirical research, salient factors affecting the effectiveness of risk communication will be discussed. The last section presents a rational model of entire risk communication process. It is concluded that public acceptance of the siting of nuclear power plants is susceptible to a number of socio-psychological factors. Four most important factors in the risk communication process are the source (the sender), the message, the destination (the receiver) and the channel, which affect the effectiveness of communication. Dominant socio-political values, such as an equal opportunity to participate in decision-making, the openness and transparency of information, also seems to influence the process of enhancing public acceptance of nuclear energy. (author)

  17. Uncertainties and Complexities of the Geological Model in Slope Stability: a Case Study of Sabzkuh Tunnel

    Directory of Open Access Journals (Sweden)

    Abbas Eftekhari

    2014-06-01

    Full Text Available Slope stability analysis is a geotechnical engineering problem characterized by many sources ofuncertainty. In slope stability computations, some of these sources are encountered, such as geologicaldetails missed in the exploration program, estimation of soil properties that are difficult to quantifyand many other relevant factors. Therefore, accurate reproduction of the spatial variability in the fieldcould be essential to decrease uncertainty. The Sabzkuh-Choghakhor water conveyance tunnel iscurrently under construction using the NATM and TBM tunnelling methods in the Zagros Mountainsin south-western Iran. In the slope stability assessment of the Sabzkuh tunnel portal, despite adequategeotechnical investigations, field studies have not been performed with appropriate accuracy. Alandslide and collapse has occurred in a part of the portal due to tunnel excavation. In this paper, theimportance of having a precise and predetermined schedule for selecting site location, monitoring,complexities of the geological model, uncertainty and its effects on the stability of the trench wereinvestigated and the necessity of comprehensive slope management was emphasized.

  18. Complex Mixture-Associated Hormesis and Toxicity: The Case of Leather Tanning Industry

    Science.gov (United States)

    Pagano, Giovanni; Castello, Giuseppe; Gallo, Marialuisa; Borriello, Ilaria; Guida, Marco

    2008-01-01

    A series of studies investigated the toxicities of tannery-derived complex mixtures, i.e. vegetable tannin (VT) from Acacia sp. or phenol-based synthetic tannin (ST), and waste-water from tannin-based vs. chromium-based tanneries. Toxicity was evaluated by multiple bioassays including developmental defects and loss of fertilization rate in sea urchin embryos and sperm (Paracentrotus lividus and Sphaerechinus granularis), and algal growth inhibition (Dunaliella tertiolecta and Selenastrum capricornutum). Both VT and ST water extracts resulted in hormetic effects at concentrations ranging 0.1 to 0.3%, and toxicity at levels ≥1%, both in sea urchin embryo and sperm, and in algal growth bioassays. When comparing tannin-based tannery wastewater (TTW) vs. chromium-based tannery effluent (CTE), a hormesis to toxicity trend was observed for TTW both in terms of developmental and fertilization toxicity in sea urchins, and in algal growth inhibition, with hormetic effects at 0.1 to 0.2% TTW, and toxicity at TTW levels ≥1%. Unlike TTW, CTE showed a monotonic toxicity increase from the lowest tested level (0.1%) and CTE toxicity at higher levels was significantly more severe than TTW-induced toxicity. The results support the view that leather production utilizing tannins might be regarded as a more environmentally friendly procedure than chromium-based tanning process. PMID:19088903

  19. Search strategy in a complex and dynamic environment (the Indian Ocean case)

    Science.gov (United States)

    Loire, Sophie; Arbabi, Hassan; Clary, Patrick; Ivic, Stefan; Crnjaric-Zic, Nelida; Macesic, Senka; Crnkovic, Bojan; Mezic, Igor; UCSB Team; Rijeka Team

    2014-11-01

    The disappearance of Malaysia Airlines Flight 370 (MH370) in the early morning hours of 8 March 2014 has exposed the disconcerting lack of efficient methods for identifying where to look and how to look for missing objects in a complex and dynamic environment. The search area for plane debris is a remote part of the Indian Ocean. Searches, of the lawnmower type, have been unsuccessful so far. Lagrangian kinematics of mesoscale features are visible in hypergraph maps of the Indian Ocean surface currents. Without a precise knowledge of the crash site, these maps give an estimate of the time evolution of any initial distribution of plane debris and permits the design of a search strategy. The Dynamic Spectral Multiscale Coverage search algorithm is modified to search a spatial distribution of targets that is evolving with time following the dynamic of ocean surface currents. Trajectories are generated for multiple search agents such that their spatial coverage converges to the target distribution. Central to this DSMC algorithm is a metric for the ergodicity.

  20. Complex band structure eigenvalue method adapted to Floquet systems: topological superconducting wires as a case study

    International Nuclear Information System (INIS)

    For systems that can be modeled as a single-particle lattice extended along a privileged direction, such as, for example, quantum wires, the so-called eigenvalue method provides full information about the propagating and evanescent modes as a function of energy. This complex band structure method can be applied either to lattices consisting of an infinite succession of interconnected layers described by the same local Hamiltonian or to superlattices: systems in which the spatial periodicity involves more than one layer. Here, for time-dependent systems subject to a periodic driving, we present an adapted version of the superlattice scheme capable of obtaining the Floquet states and the Floquet quasienergy spectrum. Within this scheme the time periodicity is treated as existing along a spatial dimension added to the original system. The solutions at a single energy for the enlarged artificial system provide the solutions of the original Floquet problem. The method is suited for arbitrary periodic excitations, including strong and anharmonic drivings. We illustrate the capabilities of the methods for both time-independent and time-dependent systems by discussing: (a) topological superconductors in multimode quantum wires with spin–orbit interaction and (b) microwave driven quantum dots in contact with a topological superconductor. (paper)

  1. Environmental Radioactivity : a case study in HHP granitic region of Tusham ring complex Haryana, India

    Science.gov (United States)

    Bajwa B., S.; Singh, H.; Singh, J.; Singh, S.; Sonikawade R., G.

    2010-05-01

    The paper presents the results of investigations of radon levels in the soil-gas, groundwater and indoor-air in the dwellings of the high heat producing (HHP)-granitic region of Tusham ring complex, Bhiwani District, Haryana. Radon release from soil and groundwater was found to be comparatively higher than the values observed in the nearby non-HHP/non-granitic regions of Punjab. The soil-gas and the groundwater radon concentration of HHP region of Tusham ring conmplex varies from 42.8±0.7 - 71.5±3.2 kBq m-3 with an average value of 61 kBq m-3, and 17.4±1.3 - 49.7±1.7 Bq l-1 with an average of 26.2 Bq l-1respectively, whereas in non-granitic/non-HHP regions the average value 31.5 (16.3±0.8-44.1±1.8) kBq m-3 and 7.9 (4.7±0.7-14.0±1.2) Bql-1 respectively have been observed. Indoor radon concentration in around 155 traditional dwellings in a wide range of villages situated in this HHP region has also been measured using the SSNTDs (LR-115) for two continuous years. Indoor radon levels in these dwellings in these dwellings have been found to be varying from 109 ± 80 to 1006 ± 55 Bq m-3 whereas the annual average radon values vary from 60 ±37 to 235 ±55 Bq m-3 for the dwellings of the villages studied in a non-HHP region of Amritsar District, Punjab. A positive correlation has been observed between the soil-gas and indoor radon levels particularly in the periphery of the exposed HHP rock formations, which may likely be the result of the imfluence of imbeded and exposed HHP granitic rocks and thus the active-soil formations. In the present study, uranium concentration and radon exhalation rate in the wide range of soil/rock samples collected from this region, known to be composed of acid volcanics & associated HHP granites have been estimated. For comparative analysis, the soil samples from some districts of Punjab have also been analyzed for uranium estimation and radon exhalation rate. The ‘ CAN ' technique using plastic track detector LR-115 type-II has

  2. Connectivity among sinkholes and complex networks: The case of Ring of Cenotes in northwest Yucatan, Mexico

    Science.gov (United States)

    Gomez-Nicolas, Mariana; Rebolledo-Vieyra, Mario; Huerta-Quintanilla, Rodrigo; Canto-Lugo, Efrain

    2014-05-01

    A 180-km-diameter semicircular alignment of abundant karst sinkholes (locally known as cenotes) in northwestern Yucatán, México, coincides approximately with a concentric ring of the buried Chicxulub structure, a circular feature manifested in Cretaceous and older rocks, that has been identified as the product of the impact of a meteorite. The secondary permeability generated by the fracturing and faulting of the sedimentary sequence in the Chicxulub impact, has favored the karstification process and hence the development of genuine underground rivers that carry water from the continent to the sea. The study of the structure and morphology of the crater has allowed researchers to understand the key role of the crater in the Yucatán hydrogeology. It is generally accepted that the Ring of Cenotes, produced by the gravitational deformation of the Tertiary sedimentary sequence within the crater, controls the groundwater in northern Yucatán. However, today there is not solid evidence about the connectivity among cenotes, which is important because if established, public policies could be designed to manage sanitary infrastructure, septic control, regulation of agricultural and industrial activities and the protection of water that has not been compromised by anthropogenic pollution. All these directly affect more than half a million people whose main source of drinking water lies in the aquifer. In this contribution we investigated a set of 16 cenotes located in the vicinity of a gravimetric anomaly of Chicxulub crater ring, using complex networks to model the interconnectivity among them. Data from a geoelectrical tomography survey, collected with SuperSting R1/IP equipment, with multi-electrodes (72 electrodes), in a dipole-dipole configuration was used as input of our model. Since the total number of cenotes on the ring structure amounts to about 2000, the application of graph theoretic algorithms and Monte Carlo simulation to efficiently investigate network

  3. Biomonitoring of complex occupational exposures to carcinogens: The case of sewage workers in Paris

    International Nuclear Information System (INIS)

    Sewage workers provide an essential service in the protection of public and environmental health. However, they are exposed to varied mixtures of chemicals; some are known or suspected to be genotoxics or carcinogens. Thus, trying to relate adverse outcomes to single toxicant is inappropriate. We aim to investigate if sewage workers are at increased carcinogenic risk as evaluated by biomarkers of exposure and early biological effects. This cross sectional study will compare exposed sewage workers to non-exposed office workers. Both are voluntaries from Paris municipality, males, aged (20–60) years, non-smokers since at least six months, with no history of chronic or recent illness, and have similar socioeconomic status. After at least 3 days of consecutive work, blood sample and a 24-hour urine will be collected. A caffeine test will be performed, by administering coffee and collecting urines three hours after. Subjects will fill in self-administered questionnaires; one covering the professional and lifestyle habits while the a second one is alimentary. The blood sample will be used to assess DNA adducts in peripheral lymphocytes. The 24-hour urine to assess urinary 8-oxo-7, 8-dihydro-2'-deoxy-Guanosine (8-oxo-dG), and the in vitro genotoxicity tests (comet and micronucleus) using HeLa S3 or HepG2 cells. In parallel, occupational air sampling will be conducted for some Polycyclic Aromatic Hydrocarbons and Volatile Organic Compounds. A weekly sampling chronology at the offices of occupational medicine in Paris city during the regular medical visits will be followed. This protocol has been accepted by the French Est III Ethical Comitee with the number 2007-A00685-48. Biomarkers of exposure and of early biological effects may help overcome the limitations of environmental exposure assessment in very complex occupational or environmental settings

  4. New Deep Dermal ADM Incorporates Well in Case Series of Complex Breast Reconstruction Patients.

    Science.gov (United States)

    Wilson, Henry Benjamin

    2015-05-01

    Breast cancer patients with significant comorbidities present reconstructive challenges due to a predictably high complication rate. During expander-based breast reconstruction, human acellular dermal matrix (ADM) is often used to prevent pectoralis muscle retraction, facilitate early expansion, and improve cosmetic outcome. Device infection and chronic seroma have been correlated to the addition of the graft by some large database reports but not others. This study describes the first reported experience with a new deep dermal ADM, FlexHD® Pliable™ (MTF, Edison, NJ). Sixteen breasts in 10 consecutive patients identified retrospectively and followed prospectively had immediate expander-based breast reconstruction utilizing the new ADM. Patient comorbidities were catalogued, complications were recorded, and overall reconstructive success was assessed. At implant exchange, the ADM was examined for tissue ingrowth and biopsied for histologic examination. All 16 breasts had successful reconstructions. Two breasts (12.5%) developed device infection, requiring removal and later replacement of the expander. One breast (6.7%) developed chronic seroma, also requiring expander removal and later replacement. All the complicated patients had significant comorbidities, including obesity in all 3. At expander removal, the FlexHD Pliable showed near-complete visual tissue incorporation in 14 of 16 breasts (88%). This case series demonstrates significant reconstructive success in challenging patients utilizing a novel ADM. Visual and histologic assessment of tissue ingrowth into the graft suggests the high rate of complication may be due to patient comorbidities rather than addition of ADM. Additional experience is needed to confirm and the study is ongoing. PMID:26020380

  5. BAC-FISH assays delineate complex chromosomal rearrangements in a case of post-Chernobyl childhood thyroid cancer.

    Directory of Open Access Journals (Sweden)

    Horst F Zitzelsberger

    2009-12-01

    Full Text Available Structural chromosome aberrations are known hallmarks of many solid tumors. In the papillary form of thyroid cancer (PTC, for example, activation of the receptor tyrosine kinase (RTK genes, RET and neurotrophic tyrosine kinase receptor type I (NTRK1 by intra- and interchromosomal rearrangements has been suggested as a cause of the disease. However, many phenotypically similar tumors do not carry an activated RET or NTRK-1 gene or express abnormal ret or NTRK-1 transcripts. Thus, we hypothesize that other cellular RTK-type genes are aberrantly expressed in these tumors. Using fluorescence in situ hybridization-based methods, we are studying karyotype changes in a relatively rare subgroup of PTCs, i.e., tumors that arose in children following the 1986 nuclear accident in Chernobyl, Ukraine. Here, we report our technical developments and progress in deciphering complex chromosome aberrations in case S48TK, an aggressively growing PTC cell line, which shows an unusual high number of unbalanced translocations.

  6. BAC-FISH assays delineate complex chromosomal rearrangements in a case of post-Chernobyl childhood thyroid cancer

    Energy Technology Data Exchange (ETDEWEB)

    Kwan, Johnson; Baumgartner, Adolf; Lu, Chun-Mei; Wang, Mei; Weier, Jingly F.; Zitzelsberger, Horst F.; Weier, Heinz-Ulrich G.

    2009-03-09

    Structural chromosome aberrations are known hallmarks of many solid tumors. In the papillary form of thyroid cancer (PTC), for example, activation of the receptor tyrosine kinase (RTK) genes, RET and neurotrophic tyrosine kinase receptor type I (NTRK1) by intra- and interchromosomal rearrangements has been suggested as a cause of the disease. However, many phenotypically similar tumors do not carry an activated RET or NTRK-1 gene or express abnormal ret or NTRK-1 transcripts. Thus, we hypothesize that other cellular RTK-type genes are aberrantly expressed in these tumors. Using fluorescence in situ hybridization-based methods, we are studying karyotype changes in a relatively rare subgroup of PTCs, i.e., tumors that arose in children following the 1986 nuclear accident in Chernobyl, Ukraine. Here, we report our technical developments and progress in deciphering complex chromosome aberrations in case S48TK, an aggressively growing PTC cell line, which shows an unusual high number of unbalanced translocations.

  7. BAC-FISH assays delineate complex chromosomal rearrangements in a case of post-Chernobyl childhood thyroid cancer

    International Nuclear Information System (INIS)

    Structural chromosome aberrations are known hallmarks of many solid tumors. In the papillary form of thyroid cancer (PTC), for example, activation of the receptor tyrosine kinase (RTK) genes, RET and neurotrophic tyrosine kinase receptor type I (NTRK1) by intra- and interchromosomal rearrangements has been suggested as a cause of the disease. However, many phenotypically similar tumors do not carry an activated RET or NTRK-1 gene or express abnormal ret or NTRK-1 transcripts. Thus, we hypothesize that other cellular RTK-type genes are aberrantly expressed in these tumors. Using fluorescence in situ hybridization-based methods, we are studying karyotype changes in a relatively rare subgroup of PTCs, i.e., tumors that arose in children following the 1986 nuclear accident in Chernobyl, Ukraine. Here, we report our technical developments and progress in deciphering complex chromosome aberrations in case S48TK, an aggressively growing PTC cell line, which shows an unusual high number of unbalanced translocations. (authors)

  8. Colonization of a Central Venous Catheter by the Hyaline Fungus Fusarium solani Species Complex: A Case Report and SEM Imaging

    Directory of Open Access Journals (Sweden)

    Alberto Colombo

    2013-01-01

    Full Text Available The incidence of opportunistic infections by filamentous fungi is increasing partly due to the widespread use of central venous catheters (CVC, indwelling medical devices, and antineoplastic/immunosuppressive drugs. The case of a 13-year-old boy under treatment for acute lymphoblastic leukemia is presented. The boy was readmitted to the Pediatric Ward for intermittent fever of unknown origin. Results of blood cultures drawn from peripheral venous sites or through the CVC were compared. CVC-derived bottles (but not those from peripheral veins yielded hyaline fungi that, based on morphology, were identified as belonging to the Fusarium solani species complex. Gene amplification and direct sequencing of the fungal ITS1 rRNA region and the EF-1alpha gene confirmed the isolate as belonging to the Fusarium solani species complex. Portions of the CVC were analyzed by scanning electron microscopy. Fungi mycelia with long protruding hyphae were seen into the lumen. The firm adhesion of the fungal formation to the inner surface of the catheter was evident. In the absence of systemic infection, catheter removal and prophylactic voriconazole therapy were followed by disappearance of febrile events and recovery. Thus, indwelling catheters are prone to contamination by environmental fungi.

  9. Two cases of culture proven Mycobacterium tuberculosis presenting with a broad-complex tachycardia and non-caseating granulomas

    Directory of Open Access Journals (Sweden)

    Z. Farah

    2014-01-01

    Full Text Available Tuberculosis is a leading cause of death worldwide. It affects pulmonary and extra-pulmonary sites with a multitude of differing presentations. In this report, we describe two cases in which TB causes myopericarditis and presents with a broad-complex tachycardia that did not respond typically to standard anti-arrhythmic therapy; a very rare presentation with limited description in the literature. Both patients required extensive investigation culminating in identifying lymph nodes amenable to biopsy under endobronchial ultrasound guidance. It was not until both patients received anti-tuberculous chemotherapy alongside anti-arrhythmic management that any improvement to their condition was witnessed. Therefore, we recommend that the clinician should have a high index of suspicion for TB in any patient presenting with a broad-complex tachycardia that is not responding to standard first line management, especially if the patient is from a high risk background. We recommend an active diagnostic pursuit, and lymph node biopsy under endobronchial ultrasound guidance.

  10. PETROCHEMICAL SUPPLY CHAIN’S SHARE IN EMISSION OF GREEN HOUSE GASES, CASE STUDY: SHAZAND PETROCHEMICAL COMPLEX

    Directory of Open Access Journals (Sweden)

    Naser Moharamned

    2013-01-01

    Full Text Available In this study petrochemical supply chain shares in global warming is studied by monitoring carbon footprint during manufacturing and distribution phase. For identification and measurement of carbon emissions in petrochemical supply chain, at first step necessary data are collected. Then carbon footprint is calculated in manufacturing process. So GHG is measured during fossil fuel use for chemical productions and electricity production in exclusive power plant in production phase. Also carbon emissions are calculated during chemical process (non-energy use of fossil fuels. The other activity that has an impact on GHG emissions is transportation. In this study Intergovernmental Panel for Climate Change (IPCC methodology was employed. For conducting this research Shazand petrochemical complex in Iran is selected as a case study. The calculations and monitoring GHG will help to greening the petrochemical supply chain.The result shows GHG emissions in Shazad petrochemical complex supply chain is 6108960.35 tons per year. 6100434.9 tones CO2equ per year emit from manufacturing phase and 8525.4 tones CO2equ per year emit from distribution phase. Based on a comparison with statistics from United Nation Statistics division reports contribution of manufacturing phase of Shazand Petrochemical supply chain in global warming is about 0.020% and Based on a comparison with statistics from Iranian fuel Conservation Company and energy balance reports the contribution of distribution phase of Shazand Petrochemical supply chain in global warming is about 0.004%.

  11. The treatment of complex proximal humeral fractures: analysis of the results of 55 cases treated with PHILOS plate.

    Science.gov (United States)

    Fattoretto, D; Borgo, A; Iacobellis, C

    2016-08-01

    Complex proximal humerus fractures are often difficult to treat. Their frequency is high, especially in the elderly, and their treatment is still controversial. The aim of this study was to analyze the clinical and radiological results achieved by patients with complex proximal humerus fractures, treated with PHILOS plate only. A cohort of 55 patients was selected. The mean age was 63.4 (range 33-89), while the mean follow-up time was 21.5 months (range 6-75). Clinical outcome was evaluated with the "Constant-Murley shoulder score." All the informations about the presence of complications were gathered, and radiological images were used to calculate the head-shaft angle. The overall mean Constant score was 61.93 ± 18.59, the Individual CS was 70 ± 20 % and the Relative CS was 83 ± 23 %. No significant differences were found between fractures Neer 3 and Neer 4 and between the surgical approaches (delta-split vs. delto-pectoral). Six patients had a fracture with dislocation, seven patients (12.7 %) had complications while in four patients a head-shaft angle beyond the normal range was found. Osteosynthesis with PHILOS plate is stable in the greater part of the cases, and it allows an earlier rehabilitation and so a good functional result, which could be compromised by a prolonged immobilization. Therefore, PHILOS plate is a good option for the treatment of complex proximal humerus fractures. PMID:26833189

  12. Collet-Sicard Syndrome from Thrombosis of the Sigmoid-Jugular Complex: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Tom P. B. Handley

    2010-01-01

    Full Text Available Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX–XII cranial nerves. It is distinguished from Villaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to idiopathic internal jugular vein thrombosis. Method and Results. We report the case of Collet-Sicard syndrome in a 30-year-old man who presented with delayed development of XIth nerve dysfunction, due to internal jugular vein-sigmoid sinus thrombosis. A multidisciplinary team approach was employed in the management of this patient. At three-month followup, he had significantly improved swallowing, and repeat computed tomography neck scan showed partial recanalisation of the right internal jugular vein. Conclusion. In suspected Collet-Sicard syndrome, a focal primary lesion or metastasis to the temporal bone must be excluded, and sigmoid-jugular complex thrombosis should be considered in the differential diagnosis. Early recognition and treatment may result in significant functional recovery.

  13. Complex Systems Education for natural Hazards and from down to up Pushing of Government and Officials: A Case Study

    Science.gov (United States)

    Zvelebil, J.

    2009-04-01

    interplays of highly organized entities. Of course, such efforts mainly fail due to existence of qualitative differences between description of the same phenomena on different time-space scales or functional levels. Main features of a basic course "Application of nonlinear dynamics and Theory of Complex Systems for Physical Geographers" are described. They also partially follow the course reader's opinion about necessity of new reunion of modern philosophy and methodology of natural and human sciences Dangerous distortion of reflections of reality by the frequently proposed substitution of human science methodology by the natural science one is stressed. On the contrary, examples from philosophy (Bergson 1919, Wittgenstein 1953), which had anticipated and even defined some profound themes of Complex Systems (e.g. Kauffman 1993), as e.g. self-organizing, entropy decreasing behavior, or existence of discontinuities between description of the same phenomena on different time-space scales or functional levels. The second priority has information dissemination for decisions makers of natural Hazards management. Any successful Case history is better then ten popular lectures for those decision makers. A case history of highly computerized Integrated Information System (IIS) for unstable rock slope monitoring, on-line rock fall precursors diagnostics of time series and automated early warning launching, the both with the use of predominantly nonlinear tools is outlined. It stands to support author's opinion that pushing of officials is effective only if it is provided from down to up. That means it is based on satisfactory solution of specific community needs, instead of from up to down flowing more or less general directives of some far away sitting clerks. The third tactical item is rather long-distance run. Change of paradigm cannot be ordered, it is matter of generation change, as on scientific, as well as on decision makers (hopefully recruited from students already aware of

  14. Cushing's Syndrome caused by pigmented adrenocortical micro nodular dysplasia - A familial case

    International Nuclear Information System (INIS)

    Introduction: We present a Case of Cushing's syndrome (CS) in a 16 year old male adolescent. Adrenocortical micro nodular dysplasia is a rare cause of CS. It mostly develops in the first two decades of life. In pathogenesis a stimulatory effect of circulating Immunoglobulins on adrenal steroidogenesis has been postulated. Familial cases have been reported in relation to Carney's Syndrome. We report the clinical case at first diagnosis and preoperative follow up of 1 year prior to treatment. The leading symptoms were severe bilateral (fibrotic) gynaecomastia, weight gain and growth retardation, without hypertension,but osteoporosis, secondary hypogonadism and glucose intolerance. Laboratory findings and the results of functional tests were diagnostic for CS. In addition LDH (I-131 Isotopes), CK, Lipoproteins, GPT, Androstendion, Prolactin were elevated. MRI abdomen revealed a slight enlargement of the adrenals, and suspected a bilateral micro nodular dysplasia. Iodo-cholesterol-scan under dexamethason suppression showed a diffuse bilateral Iodo-cholesterol uptake confirming the autonomous production of cortisol bilateral in the adrenals.Whole body bone scan showed a diffuse reduced diphosphonate uptake in the skeleton and the growth plates. The bone mineral density was significantly reduced.Radiologically osteoporosis was overt. The rapid increase of free urinary cortisol excretion/24h within one year of observation led to a total bilateral adrenalectomy. Postoperative 5 year follow up examinations. Documentation of the outcome and recovery of clinical signs,symptoms and laboratory findings, discussion about the most appropriate long-term substitution therapy. Familial anamnesis:affected family member was the father (micro nodular bilateral adrenocortical dysplasia), the aunt (pararenal incidentaloma, histologically lipoma) and a cousin (micro nodular adrenocortical dysplasia). Sequential analysis of the menin gene from the patient was negative.The detection of

  15. Case Report: Gollop-Wolfgang Complex in a 5 month old baby [v3; ref status: indexed, http://f1000r.es/53y

    OpenAIRE

    Ihtesham A Qureshi; Rohit Kumar Gudepu; Ravikanth Chava; Sravya Emmani; Syed Husain Asghar; Mohtashim A. Qureshi; Nimmathota Arlappa

    2015-01-01

    Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC) is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular age...

  16. A multi-disciplinary approach to study coastal complex landslides: the case of Torino di Sangro (Central Italy)

    Science.gov (United States)

    Sciarra, Marco; Carabba, Luigi; Urbano, Tullio; Calista, Monia

    2016-04-01

    This work illustrates the studies carried out on a complex landslide phenomenon between the Sangro and Osento River's mouths, near Torino di Sangro village in Southern Abruzzo Region (Italy). Historical activity of this landslide is well-documented since 1916; the activation/reactivation of the movements caused several interruptions of a national railway and the damage of few houses. The Torino di Sangro case study can be regarded as representative of many large landslides distributed along the central Adriatic coast (e.g., Ancona, Ortona, Vasto and Petacciato Landslides) that affect densely populated urban areas with a large amount of man-made infrastructure. The main controlling factors of these large and deep-seated landslides are still debated. From the geological and geomorphological viewpoint, the central Adriatic coast is characterized by a low-relief landscape (mesa) carved on clay-sandstone-conglomerate bedrock belonging to the Upper Pliocene - Lower Pleistocene marine deposits and locally to the Middle Pleistocene marine to continental transitional deposits. This high coast is widely affected by slope instability (rock falls, rotational, complex and shallow landslides) on both active and inactive sea cliffs, the first being mainly affected by wave-cut erosion and the latter influenced by heavy rainfall and changes of pore pressure. The main landslide has the typical characteristics of a deep-seated gravitation deformation. The landslide study was based on a multidisciplinary approach including: 1) definition and GIS mapping of geology and geomorphology factors (slope, aspect, topographic curvature, bedrock lithology, near-surface deposits, deposit thickness and land use), by means of DTM processing, multi-temporal analysis, and large-scale geomorphological field survey; 2) monitoring system in the landslide; 3) application of empiric models for the analysis of unstable sandstone-conglomerate escarpments; 4) slope stability analysis performed using a

  17. The Use of Best Practice in the Treatment of a Complex Diabetic Foot Ulcer: A Case Report

    Directory of Open Access Journals (Sweden)

    Melodie Blakely

    2016-03-01

    Full Text Available Background and Purpose: Published guidelines for effective management of diabetic foot ulcers (DFU include total contact casting (TCC. The purpose of this case study is to describe the application of best practice guidelines for the treatment of a diabetic foot ulcer (DFU in a complex patient where TCC offloading could not be utilized. Case Description: The patient was a 47 year-old female with a five-plus year history of a full-thickness DFU on the left plantar mid-foot. Treatment included sharp and ultrasound debridement, the use of a silver hydrofiber dressing, edema management via compression therapy, negative pressure wound therapy, offloading via customized 1/4 inch adhesive-backed felt applied to the plantar foot in addition to an offloading boot and use of a wheelchair, patient education regarding diabetes management, and the application of a bilayered living skin-equivalent biologic dressing. Outcomes: At 15 weeks the wound was closed and the patient was transitioned into diabetic footwear. Discussion: The felt offloading was a beneficial alternative to TCC. The patient’s longer than average healing rate may have been complicated by the duration of her wound, her 41 year history of diabetes, and the fact that gold standard offloading (TCC was not able to be used. Further research is needed regarding the use of felt for offloading, such as application technique for wounds on different areas of the foot, comparison of different types of felt, and the use of felt in conjunction with various offloading devices.

  18. DEFINING ‘PROJECT SUCCESS’ FOR A COMPLEX PROJECT – THE CASE OF A NUCLEAR ENGINEERING DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    S.I. Van Niekerk

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: The case of a nuclear engineering project was investigated to establish the relevant success criteria for the development of complex, high-technology systems. The project was first categorised according to an existing scheme, and the Delphi method was used to determine the criteria for project success that apply to this specific case. A framework of project success dimensions was extended to include criteria that are of specific importance for the project under consideration.

    While project efficiency (delivery on time and within budget obviously still needs to be controlled, the results provide empirical evidence for the notion that, for ‘super high tech’ projects, this is relatively less important. The relative importance of the dimensions of success was also evaluated and presented on a timeline stretching from project execution to 10 years after project completion. This provided empirical evidence for certain concepts in the literature.

    AFRIKAANSE OPSOMMING: Die geval van ʼn kern-ingenieursprojek is ondersoek om die relevante kriteria vir sukses vir die ontwikkeling van komplekse hoë-tegnologiesisteme te bepaal. Die projek is eerstens geklassifiseer volgens ʼn bestaande skema, en die Delphi-metode is vervolgens gebruik om die relevante kriteria vir projeksukses vir die betrokke geval te bepaal. ʼn Bestaande raamwerk van dimensies vir projeksukses is uitgebrei om kriteria wat van spesifieke belang vir die betrokke geval in te sluit.

    Terwyl tydige aflewering, binne begroting natuurlik steeds belangrik is, voorsien die resultate empiriese bewys vir die nosie in die literatuur dat hierdie aspekte van relatief minder belang is in die geval van ‘super hoë-tegnologie’-projekte. Die relatiewe belangrikheid van die dimensies van sukses is ook evalueer, en aangedui op ʼn tydlyn wat strek van projekuitvoering tot 10 jaar na die afhandeling van die projek. Dit lewer empiriese bewys vir sekere bewerings in

  19. BCR translocation to derivative chromosome 2: a new case of chronic myeloid leukemia with a complex variant translocation and Philadelphia chromosome

    OpenAIRE

    Al-Achkar, Walid; Wafa, Abdulsamad; ALMEDANI, SUHER

    2010-01-01

    The well-known typical fusion gene BCR/ABL is observed in connection with a complex translocation event in 5–8% of cases of chronic myeloid leukemia (CML). The present study described an exceptional CML case with complex chromosomal aberrations not previously observed. Aberrations included a translocated BCR to the derivative chromosome 2 [der(2)] that also involved a four-chromosome translocation, implying chromosomal regions 1p32 and 2q21, besides 9q34 and 22q11.2, which were characterized ...

  20. Local development and globalization: the case of the formation of the agroindustrial complex of lemon in Colima, México

    Directory of Open Access Journals (Sweden)

    Saúl Martínez González

    2008-03-01

    Full Text Available The multinational company has been the main vehicle of internationalization of capital and trade integration between countries. The global expansion phase of the transnational corporation is associated with the hegemony of capitalism in the United States, whose influence has been decisive in the territories where it operates. This essay is a case of the influence of transnational company Coca Cola in the formation of the region of Tecoman, Colima, as providing an input to the company during the period dominated by Fordism. This region is formed from exogenous impulses of the needs of lemon essential oil by transnational companies which in turn have determined the stages of growth and expansion in the region that occur in phases of boom and bust. Dependence on oil exports Mexican lime by an American multinational company is determined, in turn, by the behavior of the economic cycle in the United States. This study highlights the stage of formation of the agroindustrial complex and does not attempt to analyze the current situation

  1. Derangement of body representation in complex regional pain syndrome: report of a case treated with mirror and prisms.

    Science.gov (United States)

    Bultitude, Janet H; Rafal, Robert D

    2010-07-01

    Perhaps the most intriguing disorders of body representation are those that are not due to primary disease of brain tissue. Strange and sometimes painful phantom limb sensations can result from loss of afference to the brain; and Complex Regional Pain Syndrome (CRPS)-the subject of the current report-can follow limb trauma without pathology of either the central or peripheral nervous system. This enigmatic and vexing condition follows relatively minor trauma, and can result in enduring misery and a useless limb. It manifests as severe pain, autonomic dysfunction, motor disability and 'neglect-like' symptoms with distorted body representation. For this special issue on body representation we describe the case of a patient suffering from CRPS, including symptoms suggesting a distorted representation of the affected limb. We report contrasting effects of mirror box therapy, as well as a new treatment-prism adaptation therapy-that provided sustained pain relief and reduced disability. The benefits were contingent upon adapting with the affected limb. Other novel observations suggest that: (1) pain may be a consequence, not the cause, of a disturbance of body representation that gives rise to the syndrome; (2) immobilisation, not pain, may precipitate this reorganisation of somatomotor circuits in susceptible individuals; and (3) limitation of voluntary movement is neither due to pain nor to weakness but, rather, to derangement of body representation which renders certain postures from the repertoire of hand movements inaccessible. PMID:19967390

  2. Steroid atrophy scarring treated with fat grafting in a patient with complex regional pain syndrome: A case report.

    Science.gov (United States)

    Strickland, Leah R; Collawn, Sherry S

    2016-06-01

    Subcutaneous atrophy is a known complication of steroid injections. Excellent results with fat grafting for the treatment of steroid atrophy have been documented. However, the benefit of treating steroid-induced subcutaneous atrophy in an extremity diagnosed with complex regional pain syndrome (CRPS) has not been described. CRPS, known formerly as reflex sympathetic dystrophy or RSD, causalgia, or reflex neurovascular dystrophy, is a severe, progressive musculoskeletal pain syndrome characterized by pain which is disproportionate to the severity of the inciting event, edema, or skin changes. Common treatment modalities include pharmacotherapy, physical therapy, and nerve blocks-each therapy producing varying results. We present a literature review of CRPS and the case of a 15-year-old female who developed CRPS of the left lower leg after arthroscopic debridement with retrograde drilling of an osteochondral lesion. Steroid atrophy of the involved area following a saphenous nerve block complicated the patient's treatment course. The area of atrophy was treated with autologous fat grafting. Following the adipose injection procedure, the patient experienced almost complete resolution of her CPRS-associated pain symptoms, along with improved cosmetic appearance of the area. PMID:26735938

  3. A case study of waste management at the Northern Finnish pulp and paper mill complex of Stora Enso Veitsiluoto Mills.

    Science.gov (United States)

    Nurmesniemi, Hannu; Pöykiö, Risto; Keiski, Riitta Liisa

    2007-01-01

    This work presents the current waste management system at the pulp and paper mill complex of Stora Enso Oyj Veitsiluoto Mills at Kemi, Northern Finland. This paper covers examples of case studies carried out at the mill and describes how the wastes and by-products are utilized as a neutralizing agent for acidic wastewaters (i.e., green liquor dregs from the causticizing process), as a hardener in filling mine cavities (i.e., ash from the fluidized bed boiler), as a landscaping agent (i.e., ash as well as the fibre clay from chemical wastewater treatment plant), as a hydraulic barrier material for landfills (i.e., fibre clay), and as a soil enrichment agent (i.e., calcium carbonate from the precipitated calcium carbonate plant). In addition, the wood waste from the wood-handling plant, sawmill, packaging pallet plant and from the groundwood mill, as well as the biosludge from the biological wastewater treatment plant, are all incinerated in the fluidized bed boiler for energy production. Due to effective utilization of the solid wastes generated at the mills, the annual amount of waste to be disposed of in the landfill has decreased between 1994 and 2004 from 42,990 to 6083 tonn (expressed as wet weight). The paper also gives an overview of the relevant European Union legislation on the forest industry and on waste management, as well as of the pulping process and of the generation of major solid wastes in the pulp and paper mills. PMID:16987647

  4. Infection with the Mycobacterium avium complex in patients without predisposing conditons: a case report and literature review

    Directory of Open Access Journals (Sweden)

    Andrea Barral Martins

    2005-04-01

    Full Text Available Nontuberculous Mycobacteria (NTM, especially Mycobacterium avium-intracellulare complex (MAC, has been considered responsible for human disease, especially in HIV patients. Nevertheless, it has been diagnosed in immunocompetent elderly men, frequently with previous pulmonary disease: chronic obstructive lung disease (COPD, complications of tuberculosis, pulmonary fibrosis and bronchiectasis. We relate the case of a female patient, 51 years old, with continuously acid fast bacilli (AFB smears and with three previous treatments, which were conducted at the multiresistant tuberculosis (MRTB service. MAC was identified in the sputum culture, and she received treatment for one year. The posterior sputum exams were negative. The cavity lesions observed in the high-resolution computed tomography (HRCT were reduced, and some of the nodule lesions became bronchiectasis, even after the end of treatment. We agree with the literature reports that indicate that MAC is the cause of bronchiectasis. It is necessary to identify the type of mycobacteria in immunocompetent individuals with positive AFB smears that do not become negative with tuberculosis treatment.

  5. Function of Rural Settlement Complex Ecosystem in Mountain Area: A Case Study of Raosi Village of Zuogong County, Tibet

    Institute of Scientific and Technical Information of China (English)

    LIU Shaoquan; CHEN Guojie

    2006-01-01

    Using energy analysis,the quantifying evaluation and study method on production,living and ecology functions and their sustainability of rural settlement ecosystem in mountain area is established with these energy index such as export of labor and products,export of water resource,internal energy reserve,energy consumption for human living,net energy of ecosystem function and net internal reserve.Taking rural settlement Raosi Village in Hengduan Mountains as a case study,and on the basis of the synthetic research into the ecological process of the complex ecosystem,the study shows that energy costs of production,human living and ecology functions are separately taking 1.36%,13.59% and 85.05% of the gross ecosystem functions,and the exertions of production and human living functions are close to a high-point state on the present using level of energy in the settlement.The study also shows that the most important function of a rural settlement in mountain area is its ecological rather productive function.

  6. Relating catalytic activity and electrochemical properties: The case of arene-ruthenium phenanthroline complexes catalytically active in transfer hydrogenation

    Czech Academy of Sciences Publication Activity Database

    Štěpnička, P.; Ludvík, Jiří; Canivet, J.; Süss-Fink, G.

    2006-01-01

    Roč. 359, č. 8 (2006), s. 2369-2374. ISSN 0020-1693 R&D Projects: GA AV ČR IAA4040304 Institutional research plan: CEZ:AV0Z40400503 Keywords : arene complexes * chloro complexes * aqua complexes Subject RIV: CG - Electrochemistry Impact factor: 1.674, year: 2006

  7. Identifying Complex Cultural Interactions in the Instructional Design Process: A Case Study of a Cross-Border, Cross-Sector Training for Innovation Program

    Science.gov (United States)

    Russell, L. Roxanne; Kinuthia, Wanjira L.; Lokey-Vega, Anissa; Tsang-Kosma, Winnie; Madathany, Reeny

    2013-01-01

    The purpose of this research is to identify complex cultural dynamics in the instructional design process of a cross-sector, cross-border training environment by applying Young's (2009) Culture-Based Model (CBM) as a theoretical framework and taxonomy for description of the instructional design process under the conditions of one case. This…

  8. Coordination chemistry of a low-coordinate non-metal element: the case of electrophilic terminal phosphinidene complexes.

    Science.gov (United States)

    Villalba Franco, José Manuel; Schnakenburg, Gregor; Espinosa Ferao, Arturo; Streubel, Rainer

    2016-09-21

    3-Imino-azaphosphiridine complex 1 reacts with carbon monoxide to give 1,3-azaphosphetidinone complex 2, whereas with isocyanides 3a,b substitution occurred to yield complexes 4a,b. Oxidation of 1 using elemental sulfur afforded the first 1,3,2-thiazaphosphetidine-4-imine complex 5. DFT calculations provide insight into a manifold of pathways based on a common intermediate, a carbodiimide-to-phosphinidene complex, leading to P-N and P-C bond insertion products as well as ligand substitution products. PMID:27527532

  9. Coral reefs in an urban embayment in Hawaii: a complex case history controlled by natural and anthropogenic stress

    Science.gov (United States)

    Grigg, R. W.

    1995-11-01

    The effects of natural and anthropogenic stress need to be separated before coral reef ecosystems can be effectively managed. In this paper, a 25 year case history of coral reefs in an urban embayment (Mamala Bay) off Honolulu, Hawaii is described and differences between natural and man-induced stress are distinguished. Mamala Bay is a 30 km long shallow coastal bay bordering the southern (leeward) shore of Oahu and the city of Honolulu in the Hawaiian Islands. During the last 25 years, this area has been hit by two magnitude 5 hurricane events (winds > 240 km/h) generating waves in excess of 7.5 m. Also during this period, two large sewer outfalls have discharged up to 90 million gallons per day (mgd) or (360 × 106 L/day) of point source pollution into the bay. Initially the discharge was raw sewage, but since 1977 it has received advanced primary treatment. Non-point source run-off from the Honolulu watershed also enters the bay on a daily basis. The results of the study show that discharge of raw sewage had a serious but highly localized impact on shallow (˜10 m) reef corals in the bay prior to 1977. After 1977, when treatment was upgraded to the advanced primary level and outfalls were extended to deep water (> 65 m), impacts to reef corals were no longer significant. No measurable effects of either point or non-point source pollution on coral calcification, growth, species composition, diversity or community structure related to pollution can now be detected. Conversely the effects of hurricane waves in 1982 and 1992 together caused major physical destruction to the reefs. In 1982, average coral cover of well-developed offshore reefs dropped from 60-75% to 5-15%. Only massive species in high relief areas survived. Today, recovery is occurring, and notwithstanding major future disturbance events, long-term biological processes should eventually return the coral ecosystems to a more mature successional stage. This case history illustrates the complex nature of

  10. Complex Controls on Groundwater Quality in Growing Mid-sized Cities: A Case Study Focused on Nitrate and Emerging Contaminants

    Science.gov (United States)

    Ohr, C. A.; Godsey, S.; Welhan, J. A.; Larson, D. M.; Lohse, K. A.; Finney, B.; Derryberry, D.

    2015-12-01

    Many regions rely on quality groundwater to support urban growth. Groundwater quality often responds in a complex manner to stressors such as land use change, climate change, or policy decisions. Urban growth patterns in mid-sized cities, especially ones that are growing urban centers in water-limited regions in the western US, control and are controlled by water availability and its quality. We present a case study from southeastern Idaho where urban growth over the past 20 years has included significant ex-urban expansion of houses that rely on septic systems rather than city sewer lines for their wastewater treatment. Septic systems are designed to mitigate some contaminants, but not others. In particular, nitrates and emerging contaminants, such as pharmaceuticals, are not removed by most septic systems. Thus, even well-maintained septic systems at sufficiently high densities can impact down gradient water quality. Here we present patterns of nitrate concentrations over the period from 1985-2015 from the Lower Portneuf River Valley in southeastern Idaho. Concentrations vary from 0.03 to 27.09 nitrate-nitrogen mg/L, with average values increasing significantly over the 30 year time period from 3.15 +/- 0.065 to 3.57 +/- 0.43 mg/L. We examine temporal changes in locations of nitrate hotspots, and present pilot data on emerging contaminants of concern. Initial results suggest that high nitrate levels are generally associated with higher septic densities, but that this pattern is influenced by legacy agricultural uses and strongly controlled by underlying aquifer properties. Future work will include more detailed hydrological modeling to predict changes in hotspot locations under potential climate change scenarios.

  11. Dynamic Parameter Identification of Subject-Specific Body Segment Parameters Using Robotics Formalism: Case Study Head Complex.

    Science.gov (United States)

    Díaz-Rodríguez, Miguel; Valera, Angel; Page, Alvaro; Besa, Antonio; Mata, Vicente

    2016-05-01

    Accurate knowledge of body segment inertia parameters (BSIP) improves the assessment of dynamic analysis based on biomechanical models, which is of paramount importance in fields such as sport activities or impact crash test. Early approaches for BSIP identification rely on the experiments conducted on cadavers or through imaging techniques conducted on living subjects. Recent approaches for BSIP identification rely on inverse dynamic modeling. However, most of the approaches are focused on the entire body, and verification of BSIP for dynamic analysis for distal segment or chain of segments, which has proven to be of significant importance in impact test studies, is rarely established. Previous studies have suggested that BSIP should be obtained by using subject-specific identification techniques. To this end, our paper develops a novel approach for estimating subject-specific BSIP based on static and dynamics identification models (SIM, DIM). We test the validity of SIM and DIM by comparing the results using parameters obtained from a regression model proposed by De Leva (1996, "Adjustments to Zatsiorsky-Seluyanov's Segment Inertia Parameters," J. Biomech., 29(9), pp. 1223-1230). Both SIM and DIM are developed considering robotics formalism. First, the static model allows the mass and center of gravity (COG) to be estimated. Second, the results from the static model are included in the dynamics equation allowing us to estimate the moment of inertia (MOI). As a case study, we applied the approach to evaluate the dynamics modeling of the head complex. Findings provide some insight into the validity not only of the proposed method but also of the application proposed by De Leva (1996, "Adjustments to Zatsiorsky-Seluyanov's Segment Inertia Parameters," J. Biomech., 29(9), pp. 1223-1230) for dynamic modeling of body segments. PMID:26974715

  12. Universal plant DNA barcode loci may not work in complex groups: a case study with Indian berberis species.

    Directory of Open Access Journals (Sweden)

    Sribash Roy

    Full Text Available BACKGROUND: The concept of DNA barcoding for species identification has gained considerable momentum in animals because of fairly successful species identification using cytochrome oxidase I (COI. In plants, matK and rbcL have been proposed as standard barcodes. However, barcoding in complex genera is a challenging task. METHODOLOGY AND PRINCIPAL FINDINGS: We investigated the species discriminatory power of four reportedly most promising plant DNA barcoding loci (one from nuclear genome--ITS, and three from plastid genome--trnH-psbA, rbcL and matK in species of Indian Berberis L. (Berberidaceae and two other genera, Ficus L. (Moraceae and Gossypium L. (Malvaceae. Berberis species were delineated using morphological characters. These characters resulted in a well resolved species tree. Applying both nucleotide distance and nucleotide character-based approaches, we found that none of the loci, either singly or in combinations, could discriminate the species of Berberis. ITS resolved all the tested species of Ficus and Gossypium and trnH-psbA resolved 82% of the tested species in Ficus. The highly regarded matK and rbcL could not resolve all the species. Finally, we employed amplified fragment length polymorphism test in species of Berberis to determine their relationships. Using ten primer pair combinations in AFLP, the data demonstrated incomplete species resolution. Further, AFLP analysis showed that there was a tendency of the Berberis accessions to cluster according to their geographic origin rather than species affiliation. CONCLUSIONS/SIGNIFICANCE: We reconfirm the earlier reports that the concept of universal barcode in plants may not work in a number of genera. Our results also suggest that the matK and rbcL, recommended as universal barcode loci for plants, may not work in all the genera of land plants. Morphological, geographical and molecular data analyses of Indian species of Berberis suggest probable reticulate evolution and thus

  13. Switching industrial production processes from complex to defined media: method development and case study using the example of Penicillium chrysogenum

    Directory of Open Access Journals (Sweden)

    Posch Andreas E

    2012-06-01

    Full Text Available Abstract Background Filamentous fungi are versatile cell factories and widely used for the production of antibiotics, organic acids, enzymes and other industrially relevant compounds at large scale. As a fact, industrial production processes employing filamentous fungi are commonly based on complex raw materials. However, considerable lot-to-lot variability of complex media ingredients not only demands for exhaustive incoming components inspection and quality control, but unavoidably affects process stability and performance. Thus, switching bioprocesses from complex to defined media is highly desirable. Results This study presents a strategy for strain characterization of filamentous fungi on partly complex media using redundant mass balancing techniques. Applying the suggested method, interdependencies between specific biomass and side-product formation rates, production of fructooligosaccharides, specific complex media component uptake rates and fungal strains were revealed. A 2-fold increase of the overall penicillin space time yield and a 3-fold increase in the maximum specific penicillin formation rate were reached in defined media compared to complex media. Conclusions The newly developed methodology enabled fast characterization of two different industrial Penicillium chrysogenum candidate strains on complex media based on specific complex media component uptake kinetics and identification of the most promising strain for switching the process from complex to defined conditions. Characterization at different complex/defined media ratios using only a limited number of analytical methods allowed maximizing the overall industrial objectives of increasing both, method throughput and the generation of scientific process understanding.

  14. Variable coordinating activity of sulfur in silver(I) complexes with thiophene based N¹ -substituted thiosemicarbazones: First case of thiopheneyl-thione sulfur bridging in a dinuclear complex

    Indian Academy of Sciences (India)

    REKHA SHARMA; TARLOK S LOBANA; MANVIR KAUR; NEERAJ THATHAI; GEETA HUNDAL; JERRY P JASINSKI; RAY J BUTCHER

    2016-07-01

    Thiophene-2-carbaldehyde / acetaldehyde-N¹-substituted thiosemicarbazones {R¹R²C² = N³ - N(H)- C¹(=S)N¹HR; R¹, R², R : C₄H₃S, H, Me, Httsc- NMe; C₄H₃S, H, Et, Httsc-NEt; C₄H₃S, H, Ph, Httsc-NPh; C₄H₃S, Me, Et, Hattsc-NEt} and furan-2-carbaldehyde-N-ethyl thiosemicarbazone (C₄H₃O, H, Et, Hftsc-NEt) were reacted with silver(I) halides/silver(I) acetate in presence of triphenylphosphine in organic solvents. These reactions yielded a series of dinuclear [Ag₂(μ-Br)₂ (κ-S-Httsc-NEt)2(PPh3)2]·2MeOH 1, [Ag2Cl2(κ1-SHttsc-NPh)2(μ-S,S-Httsc-NPh)2] 2, [Ag2Cl2(μ-S-Hftsc-NEt)2(κ1-S-Hftsc-NEt)2] 4, [Ag2(μ3-N3,S-ttsc-NMe)2 (Ph3P)2]·2(CH3)2CO 5, [Ag2 (μ3-N3,S-attsc-NEt)2(Ph3P)2]·0.5(CH3)2CO 6 and mononuclear [AgBr(κ1-SHttsc-NPh)(PPh3)2]· MeCN 3 complexes, all of which have been characterized using analytical techniques, IRand NMR spectroscopy, and X-ray crystallography. Thio-ligands bind in neutral form in complexes 1-4 and in anionic form in complexes 5-6. Further, the sulfur donor atoms have shown variable coordination modes incomplexes, namely, κ1-S in 1 and 3; κ1-S, μ-S in 4; κ1-S, μ-S,S (thiopheneyl-thione) in 2 and μ3- N3, S in 5 and 6. Tertiary-phosphine (PPh3) showed dual function of ligation/de-ligation towards silver(I) chloride during the synthesis of complexes 2 and 4. The bridge bonding of Httsc-NPh in 2 through thiopheneyl ring sulfur andthione sulfur is unprecedented in metal-thiosemicarbazone chemistry.

  15. Diacritical Seismic Signatures for Complex Geological Structures: Case Studies from Shushan Basin (Egypt) and Arkoma Basin (USA)

    OpenAIRE

    Abdel-Fattah, Mohamed I.; Hamed A. Alrefaee

    2014-01-01

    Seismic reflection techniques show an imperative role in imaging complex geological structures and are becoming more acceptable as data interpreting tools in 2D/3D view. These subsurface geological structures provide complex seismic signature due to their geometrical behavior. Consequently, it is extremely difficult to interpret these seismic sections in terms of subsurface configuration. The main goal of this paper is to introduce seismic attributes as a powerful tool to interpret complex ge...

  16. Mycobacterium avium complex olecranon bursitis resolves without antimicrobials or surgical intervention: A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Selene Working

    2015-01-01

    Conclusion: This case raises an important clinical question of whether close observation off antimicrobials is appropriate in select cases of immunocompetent patients with localized atypical mycobacterial disease of soft tissue and skeletal structures.

  17. Multicolor-FISH applied to resolve complex chromosomal changes in a case of T-ALL (FAB L2)

    NARCIS (Netherlands)

    Mkrtchyan, H.; Glaser, M.; Gross, M.; Wedding, U.; Hoeffken, K.; Liehr, T.; Aroutiounian, R.

    2006-01-01

    We report on a patient with a clinically diagnosed acute lymphoblastic leukemia (ALL) with partial unrecorded complex translocation events especially involving chromosomes 5,9 and 18. At the GTG-band level the karyotype was abnormal in 20% of the analyzed cells. The complex karyotype was studied in

  18. Topical Treatment With Liposomal Sodium Copper Chlorophyllin Complex in Subjects With Facial Redness and Erythematotelangiectatic Rosacea: Case Studies.

    Science.gov (United States)

    Vasily, David B

    2015-10-01

    Physicians are often presented with patients complaining of facial redness and difficult to control rosacea. The water soluble sodium copper chlorophyllin complex has been shown to have anti-oxidant, anti-inflammatory, and anti-bacterial activities in vitro and anti-redness, pore reduction, and anti-acne activities in pilot clinical studies. In these case studies, the safety and efficacy of a topical gel containing a liposomal suspension of sodium copper chlorophyllin complex was assessed in subjects with facial redness and erythematotelangiectatic rosacea. PMID:26461829

  19. COMPLEX EVALUATION OF THE NUMBER DYNAMICS OF COLONIAL WATERBIRD COMMUNITIES (THE CASE OF SOME ISLANDS OF SIVASH REGION

    Directory of Open Access Journals (Sweden)

    Matsyura A.V.

    2011-12-01

    Full Text Available The problem of the mathematical analysis of the number dynamics of the nesting waterbirds for the islands of the south of Ukraine is examined. The algorithm of the evaluation of changes in the number of island birds is proposed. Data of the long-term monitoring of the number of birds were analyzed according to this algorithm. The necessity of the implementation of the statistical indices together with the graphic representation of island birds’ turnover is proved. The trends of population dynamics are determined for the key species. The discussed procedure of the complex evaluation is proposed for the management planning of the island bird species and their habitats. The performed analysis of the number dynamics of the key-stone breeding island birds showed that, with the exception of little tern, the population status and the prognosis of number are sufficiently favorable. From the data of long-term monitoring we came up with the conclusion about the existence of island habitats with carrying capacity to maintain the additional number of breeding birds. In the case of unfavorable conditions like strengthening of anthropogenic press, concurrent interrelations, deficiency of feed resources or drastic reduction of breeding biotopes, the birds due to turnover are capable to successfully react even without reducing their number and breeding success. The extinction rate of the breeding bird species from the island sites directly correlates with the number of breeding species. For the species with equal abundance, the extinction probability is higher for birds, whose numbers are unstable and characterized by significant fluctuations. This testifies the urgency of the constant monitoring and analysis of the number dynamics of breeding bird species in region. The suggested procedure of analysis is recommended for drawing up of management plans and performing of prognoses of number of breeding island bird species. More detail analysis with use of

  20. Modeling and hazard mapping of complex cascading mass movement processes: the case of glacier lake 513, Carhuaz, Peru

    Science.gov (United States)

    Schneider, Demian; Huggel, Christian; García, Javier; Ludeña, Sebastian; Cochachin, Alejo

    2013-04-01

    that complex cascades of mass movement processes can realistically be modeled using different models and model parameters. The method to semi-automatically produce hazard maps is promising and should be applied in other case studies. Verification of model based results in the field remains an important requirement. Results from this study are important for the GLOF early warning system that is currently in an implementation phase, and for risk reduction efforts in general.

  1. Rare case of impalement of two occupants of a vehicle by the same object: insights into the management of complex thoracic impalements

    Institute of Scientific and Technical Information of China (English)

    Maneesh Singhal; Madduri Vijay Kumar; Prem Prakash; Amit Gupta; Subodh Kumar; Sushma Sagar

    2012-01-01

    Thoracic impalement injuries are very rare and the majority of patients do not survive to reach a medical care facility.In this case report,we describe the successful outcome of a case of double thoracic impalement by two steed tors,of which one steel tor had impaled two patients simultaneously.The case report highlights all aspects of managing such rare and complex cases right from prehospital care; extrication process which happened under controlled environment at the trauma centre itself,till the definitive management of the impaled thoracic objects.Thoracic impalement injuries are dramatic and appear very challenging.However presence of mind of the managing team,coordinated team effort and availability of adequate facilities can lead to a successful outcome.

  2. Glacial recession in the Tropical Andes from the Little Ice Age: the case of Ampato Volcanic Complex (Southern Peru

    Science.gov (United States)

    Alcalá, J.; Palacios, D.; Zamorano, J. J.

    2010-03-01

    the Ampato volcanic complex (15º24´- 15º 51´ S, 71º 51´ - 73º W; 6.288 masl), one of the most important complexes of the northern sector of the CVZ. Photointerpretation of aerial photographs and teledetection through satellite images of Huayuray Valley (15º 41´ 14´´ S - 71º 51´ 53´´ W), located to the north of the complex, aided in accurately reconstructing the area occupied by the ice mass at different times (LIA, 1955, 2000 and 2008). Also the paleo-ELA (Equilibrium Line Altitude) and the ELA were calculated using the Accumulation Area (AA) method (Kaser and Osmaston, 2002; Osmaston, 2005) in a GIS. The ELA shows the relationship between climate and glacier mass balance (González Trueba, 2005). The data from Huayuray Valley show that the glaciers reached a minimum altitude of 5400 masl and covered an area of ~2.81 Km2 during the LIA. The paleo-ELA was located at ~5780 masl, ~120 m below the current ELA (~5900 m). Based on a vertical thermal gradient of 0.65ºC/100 m, the temperature during this event would have been about 0.7º C colder than present temperature in the Ampato volcanic complex. In 1955, Huayuray glacier covered ~2.45 km2, 12.8% less than in the LIA. In the same year, the glaciers in the Huayuray valley reached a minimum elevation of ~5660 masl and the ELA rose ~20 m, to 5800 masl. In only 45 years (1955 - 2000) the surface area of the ice was significantly reduced (~1 km2), i.e. 40.8%. The ELA continued to rise, until it reached 5890 masl in 2000. From 2000 - 2008, the Huayuray glacier was reduced to ~0.78 km2 and the ELA rised ~10 m to reach the 5900 masl These results from the CVZ confirm the dramatic recession of the glaciers in the tropical Andes during recent decades. They also suggest that if the rate of recession associated with the period 2000-2008 continues, glaciers in the Ampato volcanic complex will disappear in 10 years approximately. References González Trueba, J.J. (2005): La Pequeña Edad del Hielo en los Picos de

  3. The TOM Complex of Amoebozoans: the Cases of the Amoeba Acanthamoeba castellanii and the Slime Mold Dictyostelium discoideum.

    Science.gov (United States)

    Wojtkowska, Małgorzata; Buczek, Dorota; Stobienia, Olgierd; Karachitos, Andonis; Antoniewicz, Monika; Slocinska, Małgorzata; Makałowski, Wojciech; Kmita, Hanna

    2015-07-01

    Protein import into mitochondria requires a wide variety of proteins, forming complexes in both mitochondrial membranes. The TOM complex (translocase of the outer membrane) is responsible for decoding of targeting signals, translocation of imported proteins across or into the outer membrane, and their subsequent sorting. Thus the TOM complex is regarded as the main gate into mitochondria for imported proteins. Available data indicate that mitochondria of representative organisms from across the major phylogenetic lineages of eukaryotes differ in subunit organization of the TOM complex. The subunit organization of the TOM complex in the Amoebozoa is still elusive, so we decided to investigate its organization in the soil amoeba Acanthamoeba castellanii and the slime mold Dictyostelium discoideum. They represent two major subclades of the Amoebozoa: the Lobosa and Conosa, respectively. Our results confirm the presence of Tom70, Tom40 and Tom7 in the A. castellanii and D. discoideum TOM complex, while the presence of Tom22 and Tom20 is less supported. Interestingly, the Tom proteins display the highest similarity to Opisthokonta cognate proteins, with the exception of Tom40. Thus representatives of two major subclades of the Amoebozoa appear to be similar in organization of the TOM complex, despite differences in their lifestyle. PMID:26074248

  4. The complexities of managing forest resources in post-decentralization Indonesia: a case study from Sintang District, West Kalimantan

    NARCIS (Netherlands)

    Yasmi, Y.; Anshari, Gusti Z.; Alqadrie, S.; Budiarto, T.; Ngusmanto,; Abidin, E.; Komarudin, H.; McGrath, S.; Zulkifli,; Afifudin,

    2005-01-01

    The study attempted to understand the dynamics and complexities of forest resources management following decentralization, the interactions among stakeholders in forest resources management, and the impacts of the new legislation on local community livelihoods in Sintang District, West Kalimantan. F

  5. Complexity Plots

    KAUST Repository

    Thiyagalingam, Jeyarajan

    2013-06-01

    In this paper, we present a novel visualization technique for assisting the observation and analysis of algorithmic complexity. In comparison with conventional line graphs, this new technique is not sensitive to the units of measurement, allowing multivariate data series of different physical qualities (e.g., time, space and energy) to be juxtaposed together conveniently and consistently. It supports multivariate visualization as well as uncertainty visualization. It enables users to focus on algorithm categorization by complexity classes, while reducing visual impact caused by constants and algorithmic components that are insignificant to complexity analysis. It provides an effective means for observing the algorithmic complexity of programs with a mixture of algorithms and black-box software through visualization. Through two case studies, we demonstrate the effectiveness of complexity plots in complexity analysis in research, education and application. © 2013 The Author(s) Computer Graphics Forum © 2013 The Eurographics Association and Blackwell Publishing Ltd.

  6. Intrahepatic Cystic Disease with Congenital Fibrosis (Caroli's Complex Disease): A Case Report and Review of the Literature

    OpenAIRE

    Tamiolakis, Demetrio; Prassopoulos, Panagiotis; Kotini, Athanasia; Avgidou, Kiriaki; Simopoulos, Constantine; Papadopoulos, Nikolas

    2003-01-01

    A female patient affected by Caroli's disease with congenital fibrosis (Caroli's complex), aged 27 years, is described. Caroli's disease had been asymptomatic to the present. It was recognized as an intraoperative finding during the left hepatectomy procedure after an acute abdominal crisis episode. The main reason for this surgery was the incidence of malignant transformation to cholangiocarcinoma of the cells of the cystic walls. The complex Caroli's disease is more common than other forms....

  7. Switching industrial production processes from complex to defined media: method development and case study using the example of Penicillium chrysogenum

    OpenAIRE

    Posch Andreas E; Spadiut Oliver; Herwig Christoph

    2012-01-01

    Abstract Background Filamentous fungi are versatile cell factories and widely used for the production of antibiotics, organic acids, enzymes and other industrially relevant compounds at large scale. As a fact, industrial production processes employing filamentous fungi are commonly based on complex raw materials. However, considerable lot-to-lot variability of complex media ingredients not only demands for exhaustive incoming components inspection and quality control, but unavoidably affects ...

  8. Complex Care Management to Decrease Emergency Department Utilization: A Case Study of the Homeless Patient Aligned Care Team Demonstration Project at VA Greater Los Angeles Healthcare System

    OpenAIRE

    Patel, Beena Ishwar

    2013-01-01

    This quality improvement (QI) dissertation is a case study of the homeless-oriented Patient Centered Medical Home demonstration program, referred to as the Homeless Patient Aligned Care Team (HPACT) at West Los Angeles VA Medical Center (WLA). The WLA HPACT program was implemented to address the complex needs of the homeless and at-risk for homelessness population using the Patient Centered Medical Home model (PCMH) - a multi-disciplinary, team-based approach to primary care. Unlike tradition...

  9. Transapical transcatheter aortic valve implantation in a complex aortic surgical patient: A case involving the youngest valve-in-valve implantation with a 29 mm transcather valve

    OpenAIRE

    Attia, Rizwan; Visagan, Ravi; Nowell, Justin; Chadalavada, Sucharitha; Thomas, Martyn; Bapat, Vinne

    2012-01-01

    The present article reports a case involving a 29-year-old man who developed severe cardiac failure (New York Heart Association class IV). He had a complex surgical history, beginning with the repair of an anterior sinus of Valsalva aneurysm and closure of a ventricular septal defect at eight months of age. His residual Valsalva aneurysm and mixed aortic valve disease necessitated mechanical aortic valve replacement at 14 years of age. One year later, he developed coagulase-negative staphyloc...

  10. Vacuum assisted closure for the treatment of complex wounds and enterocutaneous fistulas in full term and premature neonates: a case report

    OpenAIRE

    Paradiso, Filomena Valentina; Nanni, Lorenzo; Merli, Laura; De Marco, Erika Adalgisa; Catania, Vincenzo Davide; Taddei, Alessandra; Manzoni, Carlo; Conti, Giorgio

    2016-01-01

    Background The Vacuum Assisted Closure (VAC) system has become an effective treatment for acute and chronic wound defects. Although its use has been reported in wound care of children and premature infants, the management of the device in this population has not been well established. Case presentation We report the satisfactory results in two neonates (one full-term and one preterm) with complex wounds secondary to major abdominal surgery. In the premature baby an enterocutaneous fistula was...

  11. Diacritical Seismic Signatures for Complex Geological Structures: Case Studies from Shushan Basin (Egypt and Arkoma Basin (USA

    Directory of Open Access Journals (Sweden)

    Mohamed I. Abdel-Fattah

    2014-01-01

    Full Text Available Seismic reflection techniques show an imperative role in imaging complex geological structures and are becoming more acceptable as data interpreting tools in 2D/3D view. These subsurface geological structures provide complex seismic signature due to their geometrical behavior. Consequently, it is extremely difficult to interpret these seismic sections in terms of subsurface configuration. The main goal of this paper is to introduce seismic attributes as a powerful tool to interpret complex geological structures in different geological settings. In order to image these complex geological features, multiple seismic attributes such as coherence and curvature have been applied to the seismic data generated over the Shushan Basin (Egypt and Arkoma Basin (USA. Each type of geological structure event usually generates a unique seismic “signature” that we can recognize and identify by using these seismic attributes. In Shushan Basin (Egypt, they provide a framework and constraint during the interpretation and can help prevent mistakes during a 3D structural modeling. In Arkoma Basin (USA, the seismic attributes results provide useful information for broader analyses of the complex structural relations in the region where the Ouachita orogenic belt intersects with the southern Oklahoma aulacogen. Finally, complex geological structures provide dramatically diacritical seismic signatures that can be easily interpreted by collaborating conventional seismic interpretation techniques with multiple seismic attributes.

  12. Communication complexity and information complexity

    Science.gov (United States)

    Pankratov, Denis

    Information complexity enables the use of information-theoretic tools in communication complexity theory. Prior to the results presented in this thesis, information complexity was mainly used for proving lower bounds and direct-sum theorems in the setting of communication complexity. We present three results that demonstrate new connections between information complexity and communication complexity. In the first contribution we thoroughly study the information complexity of the smallest nontrivial two-party function: the AND function. While computing the communication complexity of AND is trivial, computing its exact information complexity presents a major technical challenge. In overcoming this challenge, we reveal that information complexity gives rise to rich geometrical structures. Our analysis of information complexity relies on new analytic techniques and new characterizations of communication protocols. We also uncover a connection of information complexity to the theory of elliptic partial differential equations. Once we compute the exact information complexity of AND, we can compute exact communication complexity of several related functions on n-bit inputs with some additional technical work. Previous combinatorial and algebraic techniques could only prove bounds of the form theta( n). Interestingly, this level of precision is typical in the area of information theory, so our result demonstrates that this meta-property of precise bounds carries over to information complexity and in certain cases even to communication complexity. Our result does not only strengthen the lower bound on communication complexity of disjointness by making it more exact, but it also shows that information complexity provides the exact upper bound on communication complexity. In fact, this result is more general and applies to a whole class of communication problems. In the second contribution, we use self-reduction methods to prove strong lower bounds on the information

  13. Not a simple case - A first comprehensive phylogenetic hypothesis for the Midas cichlid complex in Nicaragua (Teleostei: Cichlidae: Amphilophus).

    Science.gov (United States)

    Geiger, Matthias F; McCrary, Jeffrey K; Schliewen, Ulrich K

    2010-09-01

    Nicaraguan Midas cichlids from crater lakes have recently attracted attention as potential model systems for speciation research, but no attempt has been made to comprehensively reconstruct phylogenetic relationships of this highly diverse and recently evolved species complex. We present a first AFLP (2793 loci) and mtDNA based phylogenetic hypothesis including all described and several undescribed species from six crater lakes (Apoyeque, Apoyo, Asososca Leon, Masaya, Tiscapa and Xiloá), the two great Lakes Managua and Nicaragua and the San Juan River. Our analyses demonstrate that the relationships between the Midas cichlid members are complex, and that phylogenetic information from different markers and methods do not always yield congruent results. Nevertheless, monophyly support for crater lake assemblages from Lakes Apoyeque, Apoyo, A. Leon is high as compared to those from L. Xiloá indicating occurrence of sympatric speciation. Further, we demonstrate that a 'three species' concept for the Midas cichlid complex is inapplicable and consequently that an individualized and voucher based approach in speciation research of the Midas cichlid complex is necessary at least as long as there is no comprehensive revision of the species complex available. PMID:20580847

  14. Cavernous hemangioma of the internal auditory canal encasing the VII and VIII cranial nerve complex: case report and review of the literature.

    Science.gov (United States)

    Mastronardi, Luciano; Carpineta, Ettore; Cacciotti, Guglielmo; Di Scipio, Ettore; Roperto, Raffaelino

    2016-04-01

    Cavernous angiomas originating in the internal auditory canal are very rare. In the available literature, only 65 cases of cavernomas in this location have been previously reported. We describe the case of a 22-year-old woman surgically treated for a cavernous hemangioma in the left internal auditory canal, mimicking on preoperative magnetic resonance imaging MRI an acoustic neuroma. Neurological symptoms were hypoacusia and dizziness. The cavernous angioma encased the seventh and, partially, the eighth cranial nerve complex. A "nearly total" removal was performed, leaving a thin residual of malformation adherent to the facial nerve. Postoperative period was uneventful; hearing was unchanged, but the patient had a moderate inferior left facial palsy (House-Brackmann grade II) slightly improved during the following weeks. On the basis of the observation of this uncommon case, we propose a revision of the literature and discuss clinical features, differential diagnosis, and treatment. PMID:26876892

  15. Metastatic Group 3 Medulloblastoma in a Patient With Tuberous Sclerosis Complex: Case Description and Molecular Characterization of the Tumor.

    Science.gov (United States)

    Moavero, Romina; Folgiero, Valentina; Carai, Andrea; Miele, Evelina; Ferretti, Elisabetta; Po, Agnese; Diomedi Camassei, Francesca; Lepri, Francesca Romana; Vigevano, Federico; Curatolo, Paolo; Valeriani, Massimiliano; Colafati, Giovanna S; Locatelli, Franco; Tornesello, Assunta; Mastronuzzi, Angela

    2016-04-01

    Medulloblastoma is the most common pediatric brain tumor. We describe a child with tuberous sclerosis complex that developed a Group 3, myc overexpressed, metastatic medulloblastoma (MB). Considering the high risk of treatment-induced malignancies, a tailored therapy, omitting radiation, was given. Based on the evidence of mammalian target of rapamycin mTORC, mTOR Complex; RAS, Rat sarcoma; RAF, rapidly accelerated fibrosarcoma (mTOR) pathway activation in the tumor, targeted therapy was applied resulting in complete remission of disease. Although the PI3K/AKT/mTOR signaling pathway plays a role in MB, we did not find TSC1/TSC2 (TSC, tuberous sclerosis complex) mutation in our patient. We speculate that a different pathway resulting in mTOR activation is the basis of both TSC and MB in this child; H&E, haematoxilin and eosin; Gd, gadolinium. PMID:26626406

  16. ETHICS, POLITICAL CONJUCTURES AND SOCIALIZATION: A CASE STUDY OF POLICY ENTREPRENEURSHIP ON THE CONVERSATION OF MAU FOREST COMPLEX IN KENYA

    OpenAIRE

    Mmbali, Oscar Siema

    2016-01-01

    This is a case where the government risked public support to save the environment. The government broke the law by disobeying human rights law in order to enforce the environmental policy. Implementers also disobeyed court orders in order to enforce executive decrees. Taking this event as a case study, the purpose of this study was to analyze what politicians tell the public during major political crisis and its implications on environmental ethics and political socialization. Document Analys...

  17. Exploring Innovation Processes from a Complexity Perspective. Part II. Experiences from the Subsea Increased Oil Recovery Case

    Science.gov (United States)

    Aasen, Tone Merethe Berg; Johannessen, Stig

    2007-01-01

    In this second part of the papers, exploring innovation processes from a complexity perspective, we present an empirical example to strengthen further the relevance of the approach. The example draws on a longitudinal research initiative conducted in cooperation with the Norwegian petroleum company Statoil ASA. We conducted our research into the…

  18. Computer tomography navigation for the transoral anterior release of a complex craniovertebral junction deformity: A report of two cases

    Directory of Open Access Journals (Sweden)

    Junya Miyahara

    2016-01-01

    Conclusion: Transoral anterior release using CT navigation is an effective treatment option for rigid complex CVJ deformities. The accurate identification of the patients' anatomical features such as occipitoatlantal assimilation, is crucial for the conducting accurate preoperative CT-based navigation during transoral surgery.

  19. Carbohydrate Content in the GDM Diet: Two Views: View 1: Nutrition Therapy in Gestational Diabetes: The Case for Complex Carbohydrates.

    Science.gov (United States)

    Hernandez, Teri L

    2016-05-01

    IN BRIEF Restriction of dietary carbohydrate has been the cornerstone for treatment of gestational diabetes mellitus (GDM). However, there is evidence that a balanced liberalization of complex carbohydrate as part of an overall eating plan in GDM meets treatment goals and may mitigate maternal adipose tissue insulin resistance, both of which may promote optimal metabolic outcomes for mother and offspring. PMID:27182176

  20. Advances in Multi-Sensor Scanning and Visualization of Complex Plants: the Utmost Case of a Reactor Building

    Science.gov (United States)

    Hullo, J.-F.; Thibault, G.; Boucheny, C.

    2015-02-01

    In a context of increased maintenance operations and workers generational renewal, a nuclear owner and operator like Electricité de France (EDF) is interested in the scaling up of tools and methods of "as-built virtual reality" for larger buildings and wider audiences. However, acquisition and sharing of as-built data on a large scale (large and complex multi-floored buildings) challenge current scientific and technical capacities. In this paper, we first present a state of the art of scanning tools and methods for industrial plants with very complex architecture. Then, we introduce the inner characteristics of the multi-sensor scanning and visualization of the interior of the most complex building of a power plant: a nuclear reactor building. We introduce several developments that made possible a first complete survey of such a large building, from acquisition, processing and fusion of multiple data sources (3D laser scans, total-station survey, RGB panoramic, 2D floor plans, 3D CAD as-built models). In addition, we present the concepts of a smart application developed for the painless exploration of the whole dataset. The goal of this application is to help professionals, unfamiliar with the manipulation of such datasets, to take into account spatial constraints induced by the building complexity while preparing maintenance operations. Finally, we discuss the main feedbacks of this large experiment, the remaining issues for the generalization of such large scale surveys and the future technical and scientific challenges in the field of industrial "virtual reality".

  1. Adaptive Capacity Within a Mega Project : A Case Study on Planning and Decision-Making in the Face of Complexity

    NARCIS (Netherlands)

    Giezen, Mendel; Bertolini, Luca; Salet, Willem

    2015-01-01

    There is a tendency in policy to reduce the complexity of planning and decision-making by simplifying both the process and the scope of projects. However, by framing a planning project's scope or process in a narrow way at an early stage, the possibility of adapting to changes in the context, and th

  2. Electron Transfer Across Multiple Hydrogen Bonds: The Case of Ureapyrimidinedione-Substituted Vinyl Ruthenium and Osmium Complexes

    Czech Academy of Sciences Publication Activity Database

    Pichlmaier, M.; Winter, R. F.; Zabel, M.; Záliš, Stanislav

    2009-01-01

    Roč. 131, č. 13 (2009), s. 4892-4903. ISSN 0002-7863 R&D Projects: GA MŠk OC 139; GA AV ČR KAN100400702 Institutional research plan: CEZ:AV0Z40400503 Keywords : bridget diruthenium complexes * supramolecular polymers * distance dependence Subject RIV: CG - Electrochemistry Impact factor: 8.580, year: 2009

  3. Integrating seasonal optical and thermal infrared spectra to characterize urban impervious surfaces with extreme spectral complexity: a Shanghai case study

    Science.gov (United States)

    Wang, Wei; Yao, Xinfeng; Ji, Minhe

    2016-01-01

    Despite recent rapid advancement in remote sensing technology, accurate mapping of the urban landscape in China still faces a great challenge due to unusually high spectral complexity in many big cities. Much of this complication comes from severe spectral confusion of impervious surfaces with polluted water bodies and bright bare soils. This paper proposes a two-step land cover decomposition method, which combines optical and thermal spectra from different seasons to cope with the issue of urban spectral complexity. First, a linear spectral mixture analysis was employed to generate fraction images for three preliminary endmembers (high albedo, low albedo, and vegetation). Seasonal change analysis on land surface temperature induced from thermal infrared spectra and coarse component fractions obtained from the first step was then used to reduce the confusion between impervious surfaces and nonimpervious materials. This method was tested with two-date Landsat multispectral data in Shanghai, one of China's megacities. The results showed that the method was capable of consistently estimating impervious surfaces in highly complex urban environments with an accuracy of R2 greater than 0.70 and both root mean square error and mean average error less than 0.20 for all test sites. This strategy seemed very promising for landscape mapping of complex urban areas.

  4. Evolution of tuff ring-dome complex: the case study of Cerro Pinto, eastern Trans-Mexican Volcanic Belt

    Science.gov (United States)

    Zimmer, Brian W.; Riggs, Nancy R.; Carrasco-Núñez, Gerardo

    2010-12-01

    Cerro Pinto is a Pleistocene rhyolite tuff ring-dome complex located in the eastern Trans-Mexican Volcanic Belt. The complex is composed of four tuff rings and four domes that were emplaced in three eruptive stages marked by changes in vent location and eruptive character. During Stage I, vent clearing produced a 1.5-km-diameter tuff ring that was then followed by emplacement of two domes of approximately 0.2 km3 each. With no apparent hiatus in activity, Stage II began with the explosive formation of a tuff ring ~2 km in diameter adjacent to and north of the earlier ring. Subsequent Stage II eruptions produced two smaller tuff rings within the northern tuff ring as well as a small dome that was mostly destroyed by explosions during its growth. Stage III involved the emplacement of a 0.04 km3 dome within the southern tuff ring. Cerro Pinto's eruptive history includes sequences that follow simple rhyolite-dome models, in which a pyroclastic phase is followed immediately by effusive dome emplacement. Some aspects of the eruption, however, such as the explosive reactivation of the system and explosive dome destruction, are more complex. These events are commonly associated with polygenetic structures, such as stratovolcanoes or calderas, in which multiple pulses of magma initiate reactivation. A comparison of major and trace element geochemistry with nearby Pleistocene silicic centers does not show indication of any co-genetic relationship, suggesting that Cerro Pinto was produced by a small, isolated magma chamber. The compositional variation of the erupted material at Cerro Pinto is minimal, suggesting that there were not multiple pulses of magma responsible for the complex behavior of the volcano and that the volcanic system was formed in a short time period. The variety of eruptive style observed at Cerro Pinto reflects the influence of quickly exhaustible water sources on a short-lived eruption. The rising magma encountered small amounts of groundwater that

  5. Critical analysis of the data on complexation of lanthanides and actinides by natural organic matter: particular case of humic substances; Analyse critique des donnees de complexation des lanthanides et actinides par la matiere organique naturelle: cas des substances humiques

    Energy Technology Data Exchange (ETDEWEB)

    Reiller, P.

    2010-07-01

    This document proposes a critical analysis of the models that describe the actinides and lanthanides complexation by natural organic matter in general and by humic substances in particular. In order to better delimit the particular properties of these substances the most influent physical and chemical properties on complexation are recalled as a preamble. Models as well as data that has been used are reviewed, compiled, and eventually compared to independent data in order to identify (i) their application domain, (ii) the possible simplifications which permit to obtain operational models, (iii) the conditions in which simplifications cannot be ascertained yet, and (iv) the data or fields of knowledge which are still too uncertain. A comparison between the different models is proposed in order to adapt parameters from one model to another minimising the experimental acquisitions, or at least to focus on missing data. Usually, data on the complexation of free ions M{sup z+} are reliable; as soon as hydrolysis, or competition with another ligand in general, in at stake data are much less reliable. Predictions from models are much more uncertain: formation of mixed complexes with hydroxide or carbonate anions is not univocal whatever the modelling strategy. Hints for transfer functions between models which are believed to be incompatible could be explored in order to justify necessary simplifications for using operational modelling. Influence on the solubility of oxides could be quantified, but it is difficult to clearly separate it from colloidal particles stabilisation. The account of the competition between cations by the models has also been tested. In view of the small number of available experimental data there still lie some uncertainties especially for the media that are close to neutrality and in the case of competition with magnesium, but overall in the case of the competition with aluminium and iron. The influence of redox activity of humic substances is

  6. Emergence of complex networks from diffusion on fractal lattices. A special case of the Sierpinski gasket and tetrahedron

    Energy Technology Data Exchange (ETDEWEB)

    Chełminiak, Przemysław, E-mail: geronimo@amu.edu.pl [Faculty of Physics, A. Mickiewicz University, Umultowska 85, 61-614 Poznań (Poland)

    2012-10-01

    A new approach to the assemblage of complex networks displaying the scale-free architecture is proposed. While the growth and the preferential attachment of incoming nodes assure an emergence of such networks according to the Barabási–Albert model, it is argued here that the preferential linking condition needs not to be a principal rule. To assert this statement a simple computer model based on random walks on fractal lattices is introduced. It is shown that the model successfully reproduces the degree distributions, the ultra-small-worldness and the high clustering arising from the topology of scale-free networks. -- Highlights: ► A new mechanism of evolution for scale-free complex networks is proposed. ► The preferential attachment rule is not necessary to construct such networks. ► It is shown that they reveal some basic properties of classical scale-free nets.

  7. COMBINATION OF APICALLY POSITIONED AND CORONALLY ADVANCED FLAP IN THE TREATMENT OF A COMPLEX MUCOGINGIVAL AND RESTORATIVE PROBLEM. A 3-YEAR FOLLOW-UP. (Case Report

    Directory of Open Access Journals (Sweden)

    Kamen Kotsilkov

    2015-07-01

    Full Text Available INTRODUCTION: The modern Periodontology has various approaches to achieve a complete functional and aesthetic rehabilitation of the mucogingival complex. These techniques include application of flaps with apical or coronal advancement in order to achieve different treatment objectives. Complex cases with different pathology on adjacent teeth require several surgeries thereby increasing treatment time and patient discomfort. New combined approaches are needed to meet the challenges of such cases. OBJECTIVE: This report presents a case with a simultaneous application of a resective and a mucogingival technique in one dental sextant. METHODS: I.C. (36 with a localized chronic periodontitis, Miller Class I gingival recessions (13,14 and subgingival caries lesions (15,16. A combined approach with simultaneous crown lengthening with apically positioned flap for 16,15 and root coverage with enamel matrix derivate and a coronally advanced flap for 14,13 was applied in order to avoid multiple surgical procedures. RESULTS: On the third month after the surgical procedure a complete root coverage (13,14 was achieved. The crown lengthening procedure enabled the restoration of the caries lesions and the placement of new crowns (15,16. The result at the third year demonstrates a stable gingival margin with no recurrence of the gingival recessions. CONCLUSION: The applied combined procedure led to a complete resolution of the existing problems with a single surgery. The simultaneous application of different procedures seems a promising approach aimed to reduce the treatment time and to diminish patient discomfort.

  8. A rigorous framework to interpret water relaxivity. The case study of a Gd(III) complex with an alpha-cyclodextrin derivative.

    Science.gov (United States)

    Bonnet, Célia S; Fries, Pascal H; Gadelle, Andrée; Gambarelli, Serge; Delangle, Pascale

    2008-08-01

    We present a general theoretical framework suitable for an economical, but rigorous, analysis of the relaxivity and EPR data of paramagnetic metal complexes. This framework is based on the so-called Grenoble method that properly accounts for the fluctuations of the "static" zero-field splitting Hamiltonian and avoids the misinterpretation of experimental data, which occurs with the Solomon, Bloembergen, and Morgan (SBM) formalism and may lead to erroneous conclusions. The applicability of the SBM approximation is discussed. Our approach is implemented in the case of a new Gd(3+) chelate with a cyclodextrin derivative ligand hexakis(2-O-carboxymethyl-3,6-anhydro)-alpha-cyclodextrin (ACX), designed to obtain lanthanide complexes of enhanced stability in comparison to natural cyclodextrins. The introduction of carboxymethyl units on the six residual hydroxyl groups of an alpha-per-3,6-anhydro cyclodextrin leads to mono- and binuclear Ln(3+) complexes with log beta(110) approximately = 7.5. The GdACX complex induces large water proton relaxivity in 0.1 M KCl aqueous solution. The molecular parameters governing the longitudinal (r1) and transverse (r2) relaxivities above 1 T are obtained through simple SBM-like theoretical expressions and complementary experimental techniques. The metal hydration state, the translational diffusion coefficient of the complex, and its rotational correlation time are derived from luminescence lifetime studies, pulse-field gradient NMR, and deuteron quadrupolar relaxation, respectively. The high relaxivity induced by the GdACX complex is attributed to its high hydration state in the presence of potassium ions and to a rotational correlation time lengthened by the hydrophilic character of the ACX scaffold. PMID:18620395

  9. A case-study of complex gas–water–rock–pollutants interactions in shallow groundwater: Šalek Valley (Slovenia)

    OpenAIRE

    Giammanco, S.; Istituto Nazionale di Geofisica e Vulcanologia, Sezione Catania, Catania, Italia; Justin, B.; ERICo Velenje, Environmental Research & Industrial Co-operation Institute, Koroška 58, SI-3320 Velenje, Slovenia; Speh, N.; ERICo Velenje, Environmental Research and Industrial Co-operation Institute, Velenje, Slovenia; Veder, M.; Kardeljev trg 2, SI-3320 Velenje, Slovenia

    2008-01-01

    The complex geochemical interactions in the groundwater of the industrial area of S ˇ alek Valley (Slovenia) between natural and anthropogenic fluids were studied by means of major (Ca, Mg, Na, K, HCO3 -, Cl- and SO4 2-) and trace elements’ (As , Cd, Cu, Pb, Zn, Hg, Se and V) abundances, geochemical classification and statistical analysis of data. Cation abundances indicate mixing between a dolomitic end-member and an evaporitic or geothermal end-member. Anion ab...

  10. Derangement of body representation in complex regional pain syndrome: report of a case treated with mirror and prisms

    OpenAIRE

    Bultitude, Janet H.; Rafal, Robert D.

    2009-01-01

    Perhaps the most intriguing disorders of body representation are those that are not due to primary disease of brain tissue. Strange and sometimes painful phantom limb sensations can result from loss of afference to the brain; and Complex Regional Pain Syndrome (CRPS)—the subject of the current report—can follow limb trauma without pathology of either the central or peripheral nervous system. This enigmatic and vexing condition follows relatively minor trauma, and can result in enduring misery...

  11. ADVANCES IN MULTI-SENSOR SCANNING AND VISUALIZATION OF COMPLEX PLANTS: THE UTMOST CASE OF A REACTOR BUILDING

    OpenAIRE

    Hullo, J.-F.; Thibault, G.; Boucheny, C.

    2015-01-01

    In a context of increased maintenance operations and workers generational renewal, a nuclear owner and operator like Electricité de France (EDF) is interested in the scaling up of tools and methods of “as-built virtual reality” for larger buildings and wider audiences. However, acquisition and sharing of as-built data on a large scale (large and complex multi-floored buildings) challenge current scientific and technical capacities. In this paper, we first present a state of th...

  12. Universal Plant DNA Barcode Loci May Not Work in Complex Groups: A Case Study with Indian Berberis Species

    OpenAIRE

    Sribash Roy; Antariksh Tyagi; Virendra Shukla; Anil Kumar; Singh, Uma M.; Lal Babu Chaudhary; Bhaskar Datt; Bag, Sumit K.; Singh, Pradhyumna K.; Nair, Narayanan K.; Tariq Husain; Rakesh Tuli

    2010-01-01

    BACKGROUND: The concept of DNA barcoding for species identification has gained considerable momentum in animals because of fairly successful species identification using cytochrome oxidase I (COI). In plants, matK and rbcL have been proposed as standard barcodes. However, barcoding in complex genera is a challenging task. METHODOLOGY AND PRINCIPAL FINDINGS: We investigated the species discriminatory power of four reportedly most promising plant DNA barcoding loci (one from nuclear genome--ITS...

  13. German Children’s Use of Word Order and Case Marking to Interpret Simple and Complex Sentences: Testing Differences Between Constructions and Lexical Items

    Science.gov (United States)

    Brandt, Silke; Lieven, Elena; Tomasello, Michael

    2016-01-01

    ABSTRACT Children and adults follow cues such as case marking and word order in their assignment of semantic roles in simple transitives (e.g., the dog chased the cat). It has been suggested that the same cues are used for the interpretation of complex sentences, such as transitive relative clauses (RCs) (e.g., that’s the dog that chased the cat) (Bates, Devescovi, & D’Amico, 1999). We used a pointing paradigm to test German-speaking 3-, 4-, and 6-year-old children’s sensitivity to case marking and word order in their interpretation of simple transitives and transitive RCs. In Experiment 1, case marking was ambiguous. The only cue available was word order. In Experiment 2, case was marked on lexical NPs or demonstrative pronouns. In Experiment 3, case was marked on lexical NPs or personal pronouns. Whereas the younger children mainly followed word order, the older children were more likely to base their interpretations on the more reliable case-marking cue. In most cases, children from both age groups were more likely to use these cues in their interpretation of simple transitives than in their interpretation of transitive RCs. Finally, children paid more attention to nominative case when it was marked on first-person personal pronouns than when it was marked on third-person lexical NPs or demonstrative pronouns, such as der Löwe ‘the-NOM lion’ or der ‘he-NOM.’ They were able to successfully integrate this case-marking cue in their sentence processing even when it appeared late in the sentence. We discuss four potential reasons for these differences across development, constructions, and lexical items. (1) Older children are relatively more sensitive to cue reliability. (2) Word order is more reliable in simple transitives than in transitive RCs. (3) The processing of case marking might initially be item-specific. (4) The processing of case marking might depend on its saliency and position in the sentence. PMID:27019652

  14. Ambiguity in the Manifestation of Adult Separation Anxiety Disorder Occurring in Complex Anxiety Presentations: Two Clinical Case Reports

    Science.gov (United States)

    Dudaee-Faass, Sigal; Marnane, Claire; Wagner, Renate

    2009-01-01

    Two case reports are described in which patients presented for the treatment of multiple comorbid anxiety disorders, all of which appeared to derive from prolonged separation anxiety disorder. In particular, these adults had effectively altered their lifestyles to avoid separation, thereby displaying only ambiguous separation anxiety symptoms that…

  15. Alignment of Configuration and Documentation for Highly Engineered Complex Product Configuration Systems: a Demonstration from a Case Study

    DEFF Research Database (Denmark)

    Shafiee, Sara; Kristjansdottir, Katrin; Hvam, Lars

    2015-01-01

    activities: (1) iterative testing of the system during the development, (2) communication with domain experts, (3) documentation and maintenance, and finally (4) updates without spending a lot of time and resources. This article is supplemented with a case study from an ETO company where the method for the...

  16. Case Report: Gollop-Wolfgang Complex in a 5 month old baby [v3; ref status: indexed, http://f1000r.es/53y

    Directory of Open Access Journals (Sweden)

    Ihtesham A. Qureshi

    2015-02-01

    Full Text Available Skeletal dysplasias are disorders associated with a generalized abnormality in the skeleton. The Gollop-Wolfgang complex (GWC is a limb deficiency disorder and an unusual limb malformation with highly variable manifestations. Here we report an interesting case of a 5-month old male baby from India with Gollop-Wolfgang Complex showing bifurcation of the right femur, ectrodactyly of both feet, ectrodactyly of left hand, syndactyly of right hand and unusual presentation of bilateral fibular agenesis and caudal (Sacrococcygeal agenesis. The etiology of GWC in this 5 month old male baby could possibly be attributed to spontaneous gene mutation. The clinical, radiographic findings and the unusual presentation are presented in detail.

  17. Ecohydrodynamics of cold-water coral reefs: a case study of the Mingulay Reef Complex (western Scotland.

    Directory of Open Access Journals (Sweden)

    Juan Moreno Navas

    Full Text Available Ecohydrodynamics investigates the hydrodynamic constraints on ecosystems across different temporal and spatial scales. Ecohydrodynamics play a pivotal role in the structure and functioning of marine ecosystems, however the lack of integrated complex flow models for deep-water ecosystems beyond the coastal zone prevents further synthesis in these settings. We present a hydrodynamic model for one of Earth's most biologically diverse deep-water ecosystems, cold-water coral reefs. The Mingulay Reef Complex (western Scotland is an inshore seascape of cold-water coral reefs formed by the scleractinian coral Lophelia pertusa. We applied single-image edge detection and composite front maps using satellite remote sensing, to detect oceanographic fronts and peaks of chlorophyll a values that likely affect food supply to corals and other suspension-feeding fauna. We also present a high resolution 3D ocean model to incorporate salient aspects of the regional and local oceanography. Model validation using in situ current speed, direction and sea elevation data confirmed the model's realistic representation of spatial and temporal aspects of circulation at the reef complex including a tidally driven current regime, eddies, and downwelling phenomena. This novel combination of 3D hydrodynamic modelling and remote sensing in deep-water ecosystems improves our understanding of the temporal and spatial scales of ecological processes occurring in marine systems. The modelled information has been integrated into a 3D GIS, providing a user interface for visualization and interrogation of results that allows wider ecological application of the model and that can provide valuable input for marine biodiversity and conservation applications.

  18. Case histories : implementation of new liner hanger technology in south central Venezuela significantly improves operations in complex wells

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, C.; Soto, S.; Leon, A. [PDVSA Petroleos de Venezuela SA, Caracas (Venezuela, Bolivarian Republic of); Marval, P.; Schoener-Scott, M. [Halliburton, Houston, TX (United States)

    2009-07-01

    Liner hangers are used in deep drilling operations to eliminate the need for full casing strings. However, conventional liner-hanger system do not always permit tool rotation, and liner-hanger failures can result in the complete loss of the wellbore. This study discussed an expandable liner hanger designed to withstand aggressive reaming as well as drilling to depths. Three case histories of wells located in southern Venezuela were used to compare the use of traditional and expandable liner hanger systems. The studies considered liner weight, and the pressure differentials caused by the use of positive seals. The study showed that conventional liner systems are not suited to the extreme environments of the Venezuelan heavy oil reserves. Multiple leak paths were observed. The expandable liner system provided a gas-tight seal, improved flow paths, and reduced the need for remedial cement jobs. It was concluded that use of the expandable systems also increased worker safety. 6 refs., 13 figs.

  19. Complex Regional Pain Syndrome (CRPS type-1) in an Adolescent Following Extravasation of Dextrose Containing Fluid-an Underdiagnosed Case

    OpenAIRE

    Subedi, Asish; Bhattarai, Balkrishna; Biswas, Binay K; Khatiwada, Sindhu

    2011-01-01

    Due to its complex pathophysiology and wide spectrum of clinical manifestations, the diagnosis of CRPS is often missed in the early stage by primary care physicians. After being treated by a primary care physician for 5 months for chronic cellulitis, a 16-year-old girl was referred to our hospital with features of type-1 CRPS of the right upper extremity. Inability to diagnose early caused prolonged suffering to the girl with all the consequence of CRPS. The patient responded well with marked...

  20. PROCESSING A COMPLEX ARCHITECTURAL SAMPLING WITH MESHLAB: THE CASE OF PIAZZA DELLA SIGNORIA

    OpenAIRE

    M. Callieri; Cignoni, P.; Dellepiane, M.; G. Ranzuglia; Scopigno, R.

    2012-01-01

    The paper presents a recent 3D scanning project performed with long range scanning technology showing how a complex sampled dataset can be processed with the features available in MeshLab, an open source tool. MeshLab is an open source mesh processing system. It is a portable and extensible system aimed to help the processing of the typical not-so-small unstructured models that arise in 3D scanning, providing a set of tools for editing, cleaning, processing, inspecting, rendering and converti...

  1. Natural and Anthropogenic Source of Heavy Metals Pollution in the Soil Samples of an Industrial Complex; a Case Study

    OpenAIRE

    Maryam Mohammadi Roozbahani; Soheil Sobhanardakani; Hoda Karimi; Rezvan Sorooshnia

    2015-01-01

    Background: Soil serves as a major reservoir for contaminants as it can bind to various chemicals. The aim of this study was to evaluate the levels of some metals (Cd, Cu, Fe and V) in soil samples collected from different stations of Ahvaz Industrial Complex II to determine the natural and anthropogenic contribution of metal in the soil. Methods: This was an experimental study that carried out in 2013. Soil samples were obtained from 9 stations and were subjected to bulk digestion and che...

  2. Complex Regional Pain Syndrome Revived by Epileptic Seizure Then Disappeared Soon during Treatment with Regional Intravenous Nerve Blockade: A Case Report

    Directory of Open Access Journals (Sweden)

    Masahiko Sumitani

    2011-01-01

    Full Text Available We present a case of complex regional pain syndrome (CRPS, in which symptoms, including burning pain and severe allodynia, were alleviated by using a regional intravenous nerve blockade (Bier block combined with physiotherapy, but reappeared following an epileptic seizure. Symptoms disappeared again following control of epileptic discharges, as revealed by single-photon emission computed tomography (SPECT and electroencephalography (EEG results. Although systemic toxicity of a local anesthetic applied by Bier block was suspected as a cause of the first seizure, the patient did not present any other toxic symptoms, and seizures repeatedly occurred after Bier block cessation; the patient was then diagnosed as having temporal symptomatic epilepsy. This case suggests that symptoms of CRPS may be sustained by abnormal brain conditions, and our findings contribute to the understanding of how the central nervous system participates in maintaining pain and allodynia associated with CRPS.

  3. Colonization of a Central Venous Catheter by the Hyaline Fungus Fusarium solani Species Complex: A Case Report and SEM Imaging

    OpenAIRE

    Alberto Colombo; Giuseppe Maccari; Terenzio Congiu; Petra Basso; Andreina Baj; Antonio Toniolo

    2013-01-01

    The incidence of opportunistic infections by filamentous fungi is increasing partly due to the widespread use of central venous catheters (CVC), indwelling medical devices, and antineoplastic/immunosuppressive drugs. The case of a 13-year-old boy under treatment for acute lymphoblastic leukemia is presented. The boy was readmitted to the Pediatric Ward for intermittent fever of unknown origin. Results of blood cultures drawn from peripheral venous sites or through the CVC were compared. CVC-d...

  4. ‘Patient-Centered Care’ for Complex Patients with Type 2 Diabetes Mellitus—Analysis of Two Cases

    OpenAIRE

    Hackel, Jennifer M.

    2013-01-01

    Purpose This paper serves to apply and compare aspects of person centered care and recent consensus guidelines to two cases of older adults with poorly controlled diabetes in the context of relatively similar multimorbidity. Methods After review of the literature regarding the shift from guidelines promoting tight control in diabetes management to individualized person centered care, as well as newer treatment approaches emerging in diabetes care, the newer guidelines and potential treatment ...

  5. The Nature of Activated Non-classical Hydrogen Bonds: A Case Study on Acetylcholinesterase-Ligand Complexes.

    Science.gov (United States)

    Berg, Lotta; Mishra, Brijesh Kumar; Andersson, C David; Ekström, Fredrik; Linusson, Anna

    2016-02-01

    Molecular recognition events in biological systems are driven by non-covalent interactions between interacting species. Here, we have studied hydrogen bonds of the CH⋅⋅⋅Y type involving electron-deficient CH donors using dispersion-corrected density functional theory (DFT) calculations applied to acetylcholinesterase-ligand complexes. The strengths of CH⋅⋅⋅Y interactions activated by a proximal cation were considerably strong; comparable to or greater than those of classical hydrogen bonds. Significant differences in the energetic components compared to classical hydrogen bonds and non-activated CH⋅⋅⋅Y interactions were observed. Comparison between DFT and molecular mechanics calculations showed that common force fields could not reproduce the interaction energy values of the studied hydrogen bonds. The presented results highlight the importance of considering CH⋅⋅⋅Y interactions when analysing protein-ligand complexes, call for a review of current force fields, and opens up possibilities for the development of improved design tools for drug discovery. PMID:26751405

  6. Hyperspectral Sensor Data Capability for Retrieving Complex Urban Land Cover in Comparison with Multispectral Data: Venice City Case Study (Italy

    Directory of Open Access Journals (Sweden)

    Federico Santini

    2008-05-01

    Full Text Available This study aims at comparing the capability of different sensors to detect land cover materials within an historical urban center. The main objective is to evaluate the added value of hyperspectral sensors in mapping a complex urban context. In this study we used: (a the ALI and Hyperion satellite data, (b the LANDSAT ETM+ satellite data, (c MIVIS airborne data and (d the high spatial resolution IKONOS imagery as reference. The Venice city center shows a complex urban land cover and therefore was chosen for testing the spectral and spatial characteristics of different sensors in mapping the urban tissue. For this purpose, an object-oriented approach and different common classification methods were used. Moreover, spectra of the main anthropogenic surfaces (i.e. roofing and paving materials were collected during the field campaigns conducted on the study area. They were exploited for applying band-depth and sub-pixel analyses to subsets of Hyperion and MIVIS hyperspectral imagery. The results show that satellite data with a 30m spatial resolution (ALI, LANDSAT ETM+ and HYPERION are able to identify only the main urban land cover materials.

  7. Information geometric analysis of phase transitions in complex patterns: the case of the Gray-Scott reaction–diffusion model

    Science.gov (United States)

    Har-Shemesh, Omri; Quax, Rick; Hoekstra, Alfons G.; Sloot, Peter M. A.

    2016-04-01

    The Fisher–Rao metric from information geometry is related to phase transition phenomena in classical statistical mechanics. Several studies propose to extend the use of information geometry to study more general phase transitions in complex systems. However, it is unclear whether the Fisher–Rao metric does indeed detect these more general transitions, especially in the absence of a statistical model. In this paper we study the transitions between patterns in the Gray-Scott reaction–diffusion model using Fisher information. We describe the system by a probability density function that represents the size distribution of blobs in the patterns and compute its Fisher information with respect to changing the two rate parameters of the underlying model. We estimate the distribution non-parametrically so that we do not assume any statistical model. The resulting Fisher map can be interpreted as a phase-map of the different patterns. Lines with high Fisher information can be considered as boundaries between regions of parameter space where patterns with similar characteristics appear. These lines of high Fisher information can be interpreted as phase transitions between complex patterns.

  8. The complexity of crime network data: a case study of its consequences for crime control and the study of networks.

    Directory of Open Access Journals (Sweden)

    Amir Rostami

    Full Text Available The field of social network analysis has received increasing attention during the past decades and has been used to tackle a variety of research questions, from prevention of sexually transmitted diseases to humanitarian relief operations. In particular, social network analyses are becoming an important component in studies of criminal networks and in criminal intelligence analysis. At the same time, intelligence analyses and assessments have become a vital component of modern approaches in policing, with policy implications for crime prevention, especially in the fight against organized crime. In this study, we have a unique opportunity to examine one specific Swedish street gang with three different datasets. These datasets are the most common information sources in studies of criminal networks: intelligence, surveillance and co-offending data. We use the data sources to build networks, and compare them by computing distance, centrality, and clustering measures. This study shows the complexity factor by which different data sources about the same object of study have a fundamental impact on the results. The same individuals have different importance ranking depending on the dataset and measure. Consequently, the data source plays a vital role in grasping the complexity of the phenomenon under study. Researchers, policy makers, and practitioners should therefore pay greater attention to the biases affecting the sources of the analysis, and be cautious when drawing conclusions based on intelligence assessments and limited network data. This study contributes to strengthening social network analysis as a reliable tool for understanding and analyzing criminality and criminal networks.

  9. Natural and Anthropogenic Source of Heavy Metals Pollution in the Soil Samples of an Industrial Complex; a Case Study

    Directory of Open Access Journals (Sweden)

    Maryam Mohammadi Roozbahani

    2015-06-01

    Full Text Available Background: Soil serves as a major reservoir for contaminants as it can bind to various chemicals. The aim of this study was to evaluate the levels of some metals (Cd, Cu, Fe and V in soil samples collected from different stations of Ahvaz Industrial Complex II to determine the natural and anthropogenic contribution of metal in the soil. Methods: This was an experimental study that carried out in 2013. Soil samples were obtained from 9 stations and were subjected to bulk digestion and chemical partitioning. Concentrations of Cd, Cu, Fe and V in soil were determined by ICP-OES. Contaminant factor (CF and geo-accumulation index (I-geo were used to evaluate the soil pollution in the samples. ANOVA, Duncan Multiple Range and Pearson correlation coefficient matrix tests was used to analyze the data. Results: According to I-geo results, the soil samples of the Ahvaz Industrial Complex II could be classified as strongly to very strongly pollute for Cd and it was unpolluted to moderately pollute for Cu, Fe and V. The amount of anthropogenic pollution was more than that of natural sources and the anthropogenic order of metals pollution was Fe (88%> Cu (83%> Cd (75%> V (61%. Conclusion: Metals concentrations are the highest at a distance of 300m from the pollution source. V, Cu and Cd pollutants are probably originated from oil industries.

  10. Modelling the X-ray polarimetric signatures of complex geometry: the case study of the "changing look" AGN NGC 1365

    CERN Document Server

    Marin, Frederic; Goosmann, Rene W; Dovciak, Michal; Muleri, Fabio; Grosso, Nicolas; Karas, Vladimir

    2013-01-01

    "Changing look" Active Galactic Nuclei (AGN) are a subset of Seyfert galaxies characterized by rapid transitions between Compton-thin and Compton-thick regimes. In their Compton-thin state, the central engine is less obscured, hence spectroscopy or timing observations can probe their innermost structures. However, it is not clear if the observed emission features and the Compton hump are associated with relativistic reflection onto the accretion disc, or complex absorption by distant, absorbing gas clouds passing by the observer's line-of-sight. Here, we investigate these two scenarios under the scope of X-ray polarimetry, providing the first polarisation predictions for an archetypal "changing look" AGN: NGC 1365. We explore the resulting polarisation emerging from lamp-post emission and scattering off an accretion disc in the immediate vicinity of a supermassive black hole. The computed polarisation signatures are compared to the results of an absorption-dominated model, where high column density gas partia...

  11. Engineering Economic Analysis for Feed Gas Cooler (Cold box: a Case of a Gas Processing Complex in Malaysia

    Directory of Open Access Journals (Sweden)

    Ghazali Zulkipli

    2014-07-01

    Full Text Available This study examine the economic feasibility of a proposal to replace an existing Feed Gas Cooler (Cold Box with a new unit in a gas processing complex in Malaysia. Economic justification is essential to make the decision on the feasibility of this undertaking because of the high capital investment. The mathematical model presented in the paper includes net present worth, payback period, rate of return, investment balance analysis, and sensitivity analysis. Critical analyses on four factors of the estimates were done to assess their influence on the overall economic justification of the proposal. The results indicate an acceptable return on investment. However, the proposal is susceptible to the variation in demand of the Feed Gas Load.

  12. Applying best practical environmental optioneering (BPEO) to a Complex clean-up programme; a ponds and silos case study - 16154

    International Nuclear Information System (INIS)

    The use of Best Practical Environmental Optioneering (BPEO) has long been part of informed decision making within the Nuclear Industry. However, BPEO has typically been applied to specific and discrete objectives, for example the selection of a technology to treat a particular nuclear waste stream. While this has sometimes been extended to cover a number of objectives, no one had applied BPEO to a programme of the size and complexity of that associated with Legacy Ponds and Silos at Sellafield. The programme, spanning more than 30 years, includes a range of different objectives covering ongoing management, recovery, conditioning, storage and ultimately disposal of nuclear wastes. This range of activities is applied across a number of facilities containing multiple, significant waste streams. This paper explains how BPEO was applied to the Legacy Ponds and Silos programme and discussed some of the learning resulting from that exercise. (authors)

  13. POTENTIAL BENEFITS AND COMPLEXITIES OF BLENDED LEARNING IN HIGHER EDUCATION: The case of the University of Botswana

    Directory of Open Access Journals (Sweden)

    Regina K. MASALELA

    2009-01-01

    Full Text Available Blended/hybrid learning is dominating news in higher education as a training and educational delivery method of choice. It is seen as a link between instructors, learners and classrooms located in different places to enhance learning. Based on the interviews with 15 faculty members and one administrator that had direct experience with this form of delivery at the University of Botswana (UB the findings suggested two major themes that dominated faculty members ’accounts: potential benefits and challenges of blended learning. The study was guided by the Diffusion of Innovation theory. The potential benefits of blended learning included improved pedagogy; engagement in learning; and added flexibility in the teaching and learning to mention a few. Faculty members perceived complexities such as lack of students’ readiness to use the course management system, slow network and breakdowns; lack of computers for students and lack of time. The article concludes by suggesting future directions for blended learning (BL at the UB.

  14. Thermodynamics of complexes formation by ITC in methanol/water = 9/1 (v/v) solution: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Fisicaro, Emilia, E-mail: emilia.fisicaro@unipr.it [University of Parma, Department of Pharmacy, Parco Area delle Scienze, 27/A, 43124 Parma (Italy); Compari, Carlotta; Bacciottini, Franco; Contardi, Laura [University of Parma, Department of Pharmacy, Parco Area delle Scienze, 27/A, 43124 Parma (Italy); Carcelli, Mauro; Rispoli, Gabriele; Rogolino, Dominga [University of Parma, Department of Chemistry, Parco Area delle Scienze, 17/A, 43124 Parma (Italy)

    2014-06-01

    Graphical abstract: Integrase strand transfert inhibitors chelate the metal ions in the active site of HIV integrase. - Highlights: • Development of inhibitors acting against those viral enzymes operating via a cooperative two-metal ion mechanism, such as HIV integrase (IN), requires optimizing the binding affinity to the target. • We have defined an experimental procedure for obtaining reliable thermodynamic data by ITC in methanol/water = 9/1 (v/v) as solvent. • Formation heats in mixed solvent of the complexes formed by a ligand, model of Raltegravir, with Mg(II), Mn(II), Co(II) and Zn(II) are here reported. - Abstract: Most enzymes that participate in the biochemistry of nucleic acids require divalent metal ion cofactors to promote activity. Development of potent inhibitors, acting against those viral enzymes operating via a cooperative two-metal ion mechanism, such as HIV integrase (IN) and RNase H, hepatitis C virus polymerase and influenza endonuclease, requires optimizing the binding affinity to the target, which is dictated by the binding free energy composed of both enthalpic and entropic contributions. They can be obtained by using isothermal titration microcalorimetry. We have defined an experimental procedure for obtaining reliable thermodynamic data in methanol/water = 9/1 0.1 M KCl as solvent, used to overcome solubility problems. In this way we have measured the heats of formation of the complexes formed by N-(4-fluorobenzyl)-5-hydroxy-2-isopropyl-1-methyl-6-oxo-1, 6-dihydroxypyrimidine-4-carboxylate (HL, a model of Raltegravir, the antiretroviral drug produced by Merck and Co.), and a series of divalent metal ions of biological interest (Mg(II), Mn(II), Co(II) and Zn(II)), whose speciation was previously determined by potentiometry.

  15. A Complex Systems Approach to Energy Poverty in sub-Saharan Africa: Nigeria as a Case Study

    Science.gov (United States)

    Chidebell Emordi, Chukwunonso

    Energy poverty is pervasive in sub-Saharan Africa. Nigeria, located in sub-Saharan West Africa, is the world's seventh largest oil exporting country and is a resource-rich nation. It however experiences the same levels of energy poverty as most of its neighboring countries. Attributing this paradox only to corruption or the "Dutch Disease", where one sector booms at the expense of other sectors of the economy, is simplistic and enervates attempts at reform. In addition, data on energy consumption is aggregated at the national level via estimates, disaggregated data is virtually non-existent. Finally, the wave of decentralization of vertically integrated national utilities sweeping the developing world has caught on in sub-Saharan Africa. However, little is known of the economic and social implications of these transitions within the unique socio-technical system of the region's electricity sector, especially as it applies to energy poverty. This dissertation proposes a complex systems approach to measuring and mitigating energy poverty in Nigeria due to its multi-dimensional nature. This is done via a three-fold approach: the first section of the study delves into causation by examining the governance institutions that create and perpetuate energy poverty; the next section proposes a context-specific minimum energy poverty line based on field data collected on energy consumption; and the paper concludes with an indicator-based transition management framework encompassing institutional, economic, social, and environmental themes of sustainable transition within the electricity sector. This work contributes to intellectual discourse on systems-based mitigation strategies for energy poverty that are widely applicable within the sub-Saharan region, as well as adds to the knowledge-base of decision-support tools for addressing energy poverty in its complexity.

  16. Acute unstable complex radial head and neck fractures fixed with a mini T-shaped plate in a 20-year-old man: a case report.

    Science.gov (United States)

    Yu, Weiguang; Hu, Jun; Zhang, Xinchao; Zhu, Xingfei; Xu, Yinfeng; Yi, Jianhua; Liu, Yunjiang

    2016-01-01

    Acute unstable complex radial head and neck fractures in adults are seldom reported in the literature. Early recognition and appropriate management are essential to prevent long-term consequences of the loss of elbow function, forearm rotation, and chronic pain. Here, we describe an unusual case of a 20-year-old man who exhibited acute unstable complex fractures of the head and neck of the right radius without other injuries or comorbidity. An open reduction and mini T-shaped plate fixation were performed within 3 hours after injury, and the results were satisfactory. A long plaster fixation was continued for 3 weeks. A gradual mobilization was started after the removal of the plaster under the supervision of a physiotherapist. At the 12-month follow-up, no complications associated with the use of the mini T-shaped plate were noted, and the Mayo Elbow Performance Score was 97 (excellent). To our knowledge, acute unstable complex radial head and neck fractures in adults can be successfully treated with a mini T-shaped plate reconstruction technique. PMID:27307743

  17. Joint impact of rainfall and tidal level on flood risk in a coastal city with a complex river network: a case study for Fuzhou city, China

    Directory of Open Access Journals (Sweden)

    J. J. Lian

    2012-06-01

    Full Text Available Coastal cities are particularly vulnerable to flood under the combined effect of multivariable variables, such as heavy rainfall, high sea level and large waves. For better assessment and management of flood risk the combined effect and joint probability should be considered. This paper aims to study the joint impact of rainfall and tidal level on flood risk by estimating the combined risk degree of flood and the joint flood probability. The area of case study is a typical coastal city in China, which has a complex river system. The flood in this city is mainly caused by inundation of river system. In this paper, the combined risk degree of flood is assessed by analyzing the behavior of the complex river network of the city under the combined effect of rainfall and tidal level with diverse return periods. The hydraulic model of the complex drainage network is established using HEC-RAS and verified by comparing the simulation results with the observed data during Typhoon "Longwang". The joint distribution and combined risk probability of rainfall and tidal level are estimated using the optimal copula function. The work carried out in this paper would facilitate assessment of flood risk significantly, which can be referred for the similar cities.

  18. Mycobacterium tuberculosis Complex and HIV Co-Infection among Extrapulmonary Tuberculosis Suspected Cases at the University of Gondar Hospital, Northwestern Ethiopia.

    Directory of Open Access Journals (Sweden)

    Alemu Fanosie

    Full Text Available Extrapulmonary Tuberculosis (EPTB and Human Immunodeficiency Virus (HIV infection are interrelated as a result of immune depression. The aim of this study was to determine the prevalence of Mycobacterium tuberculosis complex isolates and the burden of HIV co-infection among EPTB suspected patients.An institution based cross-sectional study was conducted among EPTB suspected patients at the University of Gondar Hospital. Socio-demographic characteristics and other clinical data were collected using a pretested questionnaire. GeneXpert MTB/RIF assay was performed to diagnosis Mycobacterium tuberculosis complex and Rifampicin resistance. All samples were also investigated by cytology and culture. The HIV statuses of all patients were screened initially by KHB, and all positive cases were further re-tested by STAT-pack. Data was analyzed using SPSS version 20 computer software and a P-value of < 0.05 was taken as statistically significant.A total of 141 extrapulmonary suspected patients were enrolled in this study. The overall prevalence of culture confirmed extrapulmonary tuberculosis infection was 29.8%, but the GeneXpert result showed a 26.2% prevalence of Mycobacterium tuberculosis complex infection. The 78.4% prevalence of extrapulmonary tuberculosis infection was found to be higher among the adult population. The prevalence of HIV infection among EPTB suspected patients was 14.1%, while it was 32.4% among GeneXpert-confirmed extrapulmonary TB cases (12/37. Tuberculosis lymphadenitis was the predominant (78.4% type of EPTB infection followed by tuberculosis cold abscess (10.7%. Adult hood, previous history of contact with known pulmonary tuberculosis patients, and HIV co-infection showed a statistically significant association with extrapulmonary tuberculosis infection (P<0.013.The prevalence of culture confirmed-EPTB infection was high, and a higher EPTB-HIV co-infection was also observed.

  19. Thermographic mapping of a complex vernacular settlement: the case study of Casalnuovo District within the Sassi of Matera (Italy)

    Science.gov (United States)

    Cardinale, Tiziana; Balestra, Alessandro; Cardinale, Nicola

    2015-04-01

    Never as in the Sassi of Matera (Italy), the parties have a volumetric material identity and a special construction condition for which, first of all, you need to know the whole to which they give life, and then the individual components and their connections. The distribution of these building artifacts in symbiotic connection with the connective calcareous texture that hosts them, resulted in a spontaneously harmonious figurative balance that characterizes the constructive expedients employed and the distributive and morphological solutions. This is the reason why the Sassi, and the overlooking Park of Rupestrian Churches of Matera Murgia have been entered in 1993 in the UNESCO World Heritage List. Our research focuses on a largely abandoned area within the Casalnuovo District, situated in the extreme south of the city, probably the place of the future Demoethnoanthropological Museum. It is known today that the particular shape of the area is made up of settlements mainly in cave; during the time architectures above ground, in a very limited number, filled almost completely the limited building space. Here there are the most archaic types and forms of building and wine cellars within the Sassi, essentially derive from the natural cave only slightly structured by man. The exterior construction complete the elementary cave and it is called lamione. The complexity of a built space like this one determines the need for a non-traditional approach, so you have to combine last generation tools and canonical ones for survey and energy diagnosis within a dialectic between memory, tradition and innovation, in order to identify solutions for an environment friendly recover of a cultural heritage such this one. Since the evaluation of the historical buildings conservation state using destructive techniques should be avoided to prevent the integrity of the cultural heritage, the development of non-destructive and non-contact techniques is very important. For this reason, an

  20. Airborne verification of CALIPSO products over the Amazon: a case study of daytime observations in a complex atmospheric scene

    Directory of Open Access Journals (Sweden)

    F. Marenco

    2014-04-01

    Full Text Available A daytime underflight of CALIPSO with the Facility for Airborne Atmospheric Measurements has been performed on 20 September 2012 in the Amazon region, during the biomass burning season. The scene is dominated by a thin elevated layer (aerosol optical depth 0.03 at 532 nm and a moderately turbid boundary layer (aerosol extinction coefficient ∼110 Mm−1. The boundary layer is topped with small broken stratocumulus clouds. In this complex scene, a comparison of observations from the airborne and spaceborne lidars reveals a few discrepancies. The CALIPSO detection scheme tends to miss the elevated thin layer, and also shows several gaps (∼30% in the boundary layer. The small clouds are not correctly detected in the atmospheric volume description flags, and are therefore not removed from the signals; this causes the CALIPSO aerosol subtype to oscillate between smoke and polluted dust and may introduce distorsion in the aerosol retrieval scheme. The magnitude of the average extinction coefficient estimated from CALIPSO level 2 data in the boundary layer is as expected, when compared to the aircraft lidar and accounting for wavelength scaling. However, when the gaps in aerosol detection mentioned above are accounted for, we are left with an overall estimate of aerosol extinction for this particular scene that is of the order of two thirds of that determined with the airborne lidar.

  1. Salvage of elbow function in chronic complex elbow fracture dislocation with total elbow arthroplasty: a case report.

    Science.gov (United States)

    Ramesh, Muthu; Foead, Agus Iwan; Ali, Anuar Bin; Devadasan, Benard

    2013-08-01

    In patients with an elbow fracture dislocation the incidence of radial head fracture is 36%, where as coronoid process fractures occur in 13%, and olecranon fractures in 4% of patients. Combination of all these fractures with a 'terrible triad' is rarely reported in the literature. We describe a 40 year old lady involved in a polytrauma who had head injury, pnuemothorax and an open fracture dislocation of the left elbow. The Injury Severity Score initially on admission was 44. She presented with chronic elbow instability with pain 1 year later. A semi constrained total elbow arthroplasty (TEA) with a Coonrad-Morrey prosthesis was performed in this complex injury involving fractures of the coronoid, olecranon, proximal third of the ulna and radial head malunion with heterotrophic ossification around the elbow joint. Although the survivorship of total elbow replacements has improved, it is still a procedure reserved to older patients with low functional demand. At 1-year follow-up, the patient had full range in flexion and extension. The Mayo Elbow Performance Score (MEPS) was 100. TEA is a procedure which gains function and stability in a terrible triad elbow. PMID:24145266

  2. Skills based constraints and complexities affecting small-scale-entrepreneurship: A case of communal cattle farmers in Vhembe District

    Directory of Open Access Journals (Sweden)

    Mavhungu Abel Mafukata

    2015-09-01

    Full Text Available This paper investigates constraints and complexities affecting entrepreneurial and Agri-business small-scale farming success and sustainability in the Vhembe District of Limpopo Province, South Africa. The respondent entrepreneur farmers were purposively selected (n=55 amongst 183 other farmers in the district for primary data collection through a semi-structured cross-language (Tshivenda questionnaire. Key Informant Interviews (KIIs and Focus Group Discussions (FGDs also formed part of data collection instruments. The results of this paper revealed that the entrepreneur farmers’ formal school educational levels and basic literacy skills in addition; subtraction; multiplication and division were reasonably higher while technological skills in farm risk management and production, and managerial competence in business financial skills; budgeting and marketing were low. Government sponsored extension service could be employed to improve some of these deficient skills through skills training amongst the entrepreneur farmers. Since the study area is in the proximity of the University of Venda and Madzivhandila Agricultural Colleges, these institutions could be enlisted to provide skills training to the entrepreneur farmers.

  3. Physician density planning in a public healthcare system: Complexities, threats and opportunities-The case of the Israeli healthcare system.

    Science.gov (United States)

    Gamzu, Ronni; Kaidar, Nir; Afek, Arnon; Horev, Tuvia

    2016-08-01

    Human-resource planning in healthcare is one of the most significant challenges that healthcare systems worldwide face. Among all healthcare professions, the planning of physician supply is the most complex of all due to physicians' lengthy training and many specialties. Forecasts showing a disturbing downward trend in the ratio of physicians to population in Israel prompted the Israeli Government in 2010 to establish a committee mandated to predict demand for physicians and recommend steps to adjust supply to it. The committee analyzed numerous variables that affect physician supply and demand and recommended measures that in greater part were implemented. The article discusses the methodology of the committee, its recommendations, and their implementation such as a 52% increase in the number of first-year medical students between 2010 and 2012. Its analysis of the current situation shows that the implementation of the recommendations successfully stemmed the decrease in physician density and attained the committee's other long-term objectives: physician density of 2.9 per 1000 of population and an increase (32.5%) in the number of physicians who began training in targeted specialties. PMID:27496154

  4. Understanding the Chemical Complexity in Circumstellar Envelopes of C-rich AGB Stars: the Case of IRC +10216

    CERN Document Server

    Agundez, M; Pardo, J R; Exposito, J P F; Guélin, M; Tenenbaum, E D; Ziurys, L M; Apponi, A J

    2007-01-01

    The circumstellar envelopes of carbon-rich AGB stars show a chemical complexity that is exemplified by the prototypical object IRC +10216, in which about 60 different molecules have been detected to date. Most of these species are carbon chains of the type CnH, CnH2, CnN, HCnN. We present the detection of new species (CH2CHCN, CH2CN, H2CS, CH3CCH and C3O) achieved thanks to the systematic observation of the full 3 mm window with the IRAM 30m telescope plus some ARO 12m observations. All these species, known to exist in the interstellar medium, are detected for the first time in a circumstellar envelope around an AGB star. These five molecules are most likely formed in the outer expanding envelope rather than in the stellar photosphere. A pure gas phase chemical model of the circumstellar envelope is reasonably successful in explaining the derived abundances, and additionally allows to elucidate the chemical formation routes and to predict the spatial distribution of the detected species.

  5. Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care

    Directory of Open Access Journals (Sweden)

    Hasson Henna

    2012-03-01

    Full Text Available Abstract Background Prior studies measuring fidelity of complex interventions have mainly evaluated adherence, and not taken factors affecting adherence into consideration. A need for studies that clarify the concept of fidelity and the function of factors moderating fidelity has been emphasized. The aim of the study was to systematically evaluate implementation fidelity and possible factors influencing fidelity of a complex care continuum intervention for frail elderly people. Methods The intervention was a systematization of the collaboration between a nurse with geriatric expertise situated at the emergency department, the hospital ward staff, and a multi-professional team with a case manager in the municipal care services for older people. Implementation was evaluated between September 2008 and May 2010 with observations of work practices, stakeholder interviews, and document analysis according to a modified version of The Conceptual Framework for Implementation Fidelity. Results A total of 16 of the 18 intervention components were to a great extent delivered as planned, while some new components were added to the model. No changes in the frequency or duration of the 18 components were observed, but the dose of the added components varied over time. Changes in fidelity were caused in a complex, interrelated fashion by all the moderating factors in the framework, i.e., context, staff and participant responsiveness, facilitation, recruitment, and complexity. Discussion The Conceptual Framework for Implementation Fidelity was empirically useful and included comprehensive measures of factors affecting fidelity. Future studies should focus on developing the framework with regard to how to investigate relationships between the moderating factors and fidelity over time. Trial registration ClinicalTrials.gov, NCT01260493.

  6. Using mitochondrial and nuclear sequence data for disentangling population structure in complex pest species: a case study with Dermanyssus gallinae.

    Science.gov (United States)

    Roy, Lise; Buronfosse, Thierry

    2011-01-01

    Among global changes induced by human activities, association of breakdown of geographical barriers and impoverishered biodiversity of agroecosystems may have a strong evolutionary impact on pest species. As a consequence of trade networks' expansion, secondary contacts between incipient species, if hybrid incompatibility is not yet reached, may result in hybrid swarms, even more when empty niches are available as usual in crop fields and farms. By providing important sources of genetic novelty for organisms to adapt in changing environments, hybridization may be strongly involved in the emergence of invasive populations. Because national and international trade networks offered multiple hybridization opportunities during the previous and current centuries, population structure of many pest species is expected to be the most intricate and its inference often blurred when using fast-evolving markers. Here we show that mito-nuclear sequence datasets may be the most helpful in disentangling successive layers of admixture in the composition of pest populations. As a model we used D. gallinae s. l., a mesostigmatid mite complex of two species primarily parasitizing birds, namely D. gallinae L1 and D. gallinae s. str. The latter is a pest species, considered invading layer farms in Brazil. The structure of the pest as represented by isolates from both wild and domestic birds, from European (with a focus on France), Australian and Brazilian farms, revealed past hybridization events and very recent contact between deeply divergent lineages. The role of wild birds in the dissemination of mites appears to be null in European and Australian farms, but not in Brazilian ones. In French farms, some recent secondary contact is obviously consecutive to trade flows. Scenarios of populations' history were established, showing five different combinations of more or less dramatic bottlenecks and founder events, nearly interspecific hybridizations and recent population mixing within D

  7. A Retrospective Study of Causes of Low Vision in Saud Arabia, A Case of Eye World Medical Complex in Riyadh.

    Science.gov (United States)

    Z Alotaibi, Abdullah

    2016-01-01

    Vision is the ability of seeing with a definite understanding of features, color and contrast, and to distinguish between objects visually. In the year 1999, the World Health Organization (WHO) and the International Agency for the Prevention of Blindness formulated a worldwide project for the eradication of preventable loss of sight with the subject of "Vision 2020: the Right to Sight". This global program aims to eradicate preventable loss of sight by the year 2020. This study was conducted to determine the main causes of low vision in Saudi Arabia and also to assess their visual improvement after using low vision aids (LVD).The study is a retrospective study and was conducted in low vision clinic at Eye World Medical Complex in Riyadh, Saudi Arabia. The file medical record of 280 patients attending low vision clinics from February 2008 to June 2010 was included. A data sheet was filled which include: age, gender, cause of low vision, unassisted visual acuity for long distances and short distances, low vision devices needed for long distances and short distances that provides best visual acuity. The result shows that the main cause of low vision was Optic atrophy (28.9%). Retinitis pigmentosa was the second cause of low vision, accounting for 73 patients (26%) followed by Diabetic retinopathy and Macular degeneration with 44 patients (15.7%) and 16 patients (5.7%) respectively. Inter family marriage could be one of the main causes of low vision. Public awareness should be embarked on for enlightenment on ocular diseases result in consanguineous marriage. Also, it is an important issue to start establishing low vision clinics in order to improve the situation. PMID:26652071

  8. Formation of metamorphic core complexes in non-over-thickened continental crust: A case study of Liaodong Peninsula (East Asia)

    Science.gov (United States)

    Wang, Kun; Burov, Evgueni; Gumiaux, Charles; Chen, Yan; Lu, Gang; Mezri, Leila; Zhao, Liang

    2015-12-01

    Pre-thickened hot orogenic crust is often considered a necessary condition for the formation of continental metamorphic core complexes (MCCs). However, the discovery of MCCs in the Liaodong Peninsula, where the crust has a normal thickness (~ 35 km), challenges the universality of this scenario. Therefore, we implement a series of 2-D numerical thermo-mechanical modeling experiments in which we investigate the conditions of MCC formation in normal crusts, as well as the relationships between the underlying mechanisms and the syn-rift basin evolution. In these experiments, we explore the impact of the lithostratigraphic and thermo-rheological structure of the crust. We also examine the lithosphere thickness, strain softening, extension rate, and surface erosion/ sedimentation processes. The experiments demonstrate that high thermal gradients and crustal heterogeneities result only in a symmetric spreading dome, which is geometrically incompatible with the observations of the MCCs in the Liaodong Peninsula. According to our further findings, the strain softening should play a key role in the development of asymmetric strain localization and domal topography uplift, while synchronous surface erosion controls the polarity of the syn-rift basin. The synthetic model data are compatible with the geological observations and cooling history based on the thermo-chronology for the eastern part of the East Asia during the late Mesozoic to the early Cenozoic. The model-predicted P-T-t paths are essentially different from those inferred for the other known MCCs, confirming the exceptional character of the MCC formation in the wide rift system of the East Asia.

  9. Using mitochondrial and nuclear sequence data for disentangling population structure in complex pest species: a case study with Dermanyssus gallinae.

    Directory of Open Access Journals (Sweden)

    Lise Roy

    Full Text Available Among global changes induced by human activities, association of breakdown of geographical barriers and impoverishered biodiversity of agroecosystems may have a strong evolutionary impact on pest species. As a consequence of trade networks' expansion, secondary contacts between incipient species, if hybrid incompatibility is not yet reached, may result in hybrid swarms, even more when empty niches are available as usual in crop fields and farms. By providing important sources of genetic novelty for organisms to adapt in changing environments, hybridization may be strongly involved in the emergence of invasive populations. Because national and international trade networks offered multiple hybridization opportunities during the previous and current centuries, population structure of many pest species is expected to be the most intricate and its inference often blurred when using fast-evolving markers. Here we show that mito-nuclear sequence datasets may be the most helpful in disentangling successive layers of admixture in the composition of pest populations. As a model we used D. gallinae s. l., a mesostigmatid mite complex of two species primarily parasitizing birds, namely D. gallinae L1 and D. gallinae s. str. The latter is a pest species, considered invading layer farms in Brazil. The structure of the pest as represented by isolates from both wild and domestic birds, from European (with a focus on France, Australian and Brazilian farms, revealed past hybridization events and very recent contact between deeply divergent lineages. The role of wild birds in the dissemination of mites appears to be null in European and Australian farms, but not in Brazilian ones. In French farms, some recent secondary contact is obviously consecutive to trade flows. Scenarios of populations' history were established, showing five different combinations of more or less dramatic bottlenecks and founder events, nearly interspecific hybridizations and recent

  10. ITS polymorphisms shed light on hybrid evolution in apomictic plants: a case study on the Ranunculus auricomus complex.

    Directory of Open Access Journals (Sweden)

    Ladislav Hodač

    Full Text Available The reconstruction of reticulate evolutionary histories in plants is still a major methodological challenge. Sequences of the ITS nrDNA are a popular marker to analyze hybrid relationships, but variation of this multicopy spacer region is affected by concerted evolution, high intraindividual polymorphism, and shifts in mode of reproduction. The relevance of changes in secondary structure is still under dispute. We aim to shed light on the extent of polymorphism within and between sexual species and their putative natural as well as synthetic hybrid derivatives in the Ranunculus auricomus complex to test morphology-based hypotheses of hybrid origin and parentage of taxa. We employed direct sequencing of ITS nrDNA from 68 individuals representing three sexuals, their synthetic hybrids and one sympatric natural apomict, as well as cloning of ITS copies in four representative individuals, RNA secondary structure analysis, and landmark geometric morphometric analysis on leaves. Phylogenetic network analyses indicate additivity of parental ITS variants in both synthetic and natural hybrids. The triploid synthetic hybrids are genetically much closer to their maternal progenitors, probably due to ploidy dosage effects, although exhibiting a paternal-like leaf morphology. The natural hybrids are genetically and morphologically closer to the putative paternal progenitor species. Secondary structures of ITS1-5.8S-ITS2 were rather conserved in all taxa. The observed similarities in ITS polymorphisms suggest that the natural apomict R. variabilis is an ancient hybrid of the diploid sexual species R. notabilis and the sexual species R. cassubicifolius. The additivity pattern shared by R. variabilis and the synthetic hybrids supports an evolutionary and biogeographical scenario that R. variabilis originated from ancient hybridization. Concerted evolution of ITS copies in R. variabilis is incomplete, probably due to a shift to asexual reproduction. Under the

  11. Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report

    Science.gov (United States)

    Lee, Jong-Hoo; Byun, Jeong-Hyun; Choe, Yu-Ri; Lim, Seung-Kyu; Lee, Ka-Young

    2015-01-01

    A 37-year-old man with a right transfemoral amputation suffered from severe phantom limb pain (PLP). After targeting the affected supplementary motor complex (SMC) or primary motor cortex (PMC) using a neuro-navigation system with 800 stimuli of 1 Hz repetitive transcranial magnetic stimulation (rTMS) at 85% of resting motor threshold, the 1 Hz rTMS over SMC dramatically reduced his visual analog scale (VAS) of PLP from 7 to 0. However, the 1 Hz rTMS over PMC failed to reduce pain. To our knowledge, this is the first case report of a successfully treated severe PLP with a low frequency rTMS over SMC in affected hemisphere. PMID:26361601

  12. Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report.

    Science.gov (United States)

    Lee, Jong-Hoo; Byun, Jeong-Hyun; Choe, Yu-Ri; Lim, Seung-Kyu; Lee, Ka-Young; Choi, In-Sung

    2015-08-01

    A 37-year-old man with a right transfemoral amputation suffered from severe phantom limb pain (PLP). After targeting the affected supplementary motor complex (SMC) or primary motor cortex (PMC) using a neuro-navigation system with 800 stimuli of 1 Hz repetitive transcranial magnetic stimulation (rTMS) at 85% of resting motor threshold, the 1 Hz rTMS over SMC dramatically reduced his visual analog scale (VAS) of PLP from 7 to 0. However, the 1 Hz rTMS over PMC failed to reduce pain. To our knowledge, this is the first case report of a successfully treated severe PLP with a low frequency rTMS over SMC in affected hemisphere. PMID:26361601

  13. Heterotopic Ossification around the Knee after Internal Fixation of a Complex Tibial Plateau Fracture Combined with the Use of Demineralized Bone Matrix (DBM: A Case Report

    Directory of Open Access Journals (Sweden)

    1.\tSjoerd P.F.T. Nota

    2014-10-01

    Full Text Available Demineralized bone matrix has been successfully commercialized as an alternative bone graft material that not only can function as filler but also as an osteoinductive graft. Numerous studies have confirmed its beneficial use in clinical practice. Heterotopic ossification after internal fixation combined with the use of demineralized bone matrix has not been widely reported. In this paper we describe a 39 year old male who sustained a complex articular fracture that developed clinically significant heterotopic ossification after internal fixation with added demineralized bone matrix. Although we cannot be sure that there is a cause-and-effect relation between demineralized bone matrix and the excessive heterotopic ossification seen in our patient, it seems that some caution in using demineralised bone matrix in similar cases is warranted. Also, given the known inter- and intraproduct variability, the risks and benefits of these products should be carefully weighed.

  14. Primary mucosal sinonasal melanoma - Case report and review of the literature. The role of complex treatment-surgery and adjuvant radiotherapy

    International Nuclear Information System (INIS)

    Aim: The place of adjuvant radiotherapy in the treatment of sinonasal melanoma. Background: Sinonasal mucosal melanoma is a rare disease with poor prognosis and requires a complex treatment. Elective neck dissection in patients with N0 and adjuvant radiotherapy has been a source of controversy. High late regional recurrence rates rise questions about elective irradiation of the neck nodes in patients with N0 stage disease. Methods: We present our two years follow up in a case of locally advanced sinonasal melanoma and literature review of the treatment options for mucosal melanoma. Results: In locally advanced sinonasal melanoma treated with surgical resection, postoperative radiotherapy and chemotherapy we had local tumor control. Two years later, a regional contralateral recurrence without distant metastasis occurred. Conclusions: Literature data for frequent neck lymph nodes recurrences justify elective neck dissection. Postoperative elective neck radiotherapy for patients with locally advanced sinonasal melanoma and clinically N0 appears to decrease the rate of late regional recurrences. (authors)

  15. Complex Multiplicative Calculus

    OpenAIRE

    Bashirov, Agamirza; Riza, Mustafa

    2011-01-01

    In the present paper we extend the concepts of multiplicative de- rivative and integral to complex-valued functions of complex variable. Some drawbacks, arising with these concepts in the real case, are explained satis- factorily. Properties of complex multiplicative derivatives and integrals are studied. In particular, the fundamental theorem of complex multiplicative calculus, relating these concepts, is proved. It is shown that complex multi- plicative calculus is not just another realizat...

  16. Assessment of the ARW-WRF model over complex terrain: the case of the Stellenbosch Wine of Origin district of South Africa

    Science.gov (United States)

    Soltanzadeh, Iman; Bonnardot, Valérie; Sturman, Andrew; Quénol, Hervé; Zawar-Reza, Peyman

    2016-07-01

    Global warming has implications for thermal stress for grapevines during ripening, so that wine producers need to adapt their viticultural practices to ensure optimum physiological response to environmental conditions in order to maintain wine quality. The aim of this paper is to assess the ability of the Weather Research and Forecasting (WRF) model to accurately represent atmospheric processes at high resolution (500 m) during two events during the grapevine ripening period in the Stellenbosch Wine of Origin district of South Africa. Two case studies were selected to identify areas of potentially high daytime heat stress when grapevine photosynthesis and grape composition were expected to be affected. The results of high-resolution atmospheric model simulations were compared to observations obtained from an automatic weather station (AWS) network in the vineyard region. Statistical analysis was performed to assess the ability of the WRF model to reproduce spatial and temporal variations of meteorological parameters at 500-m resolution. The model represented the spatial and temporal variation of meteorological variables very well, with an average model air temperature bias of 0.1 °C, while that for relative humidity was -5.0 % and that for wind speed 0.6 m s-1. Variation in model performance varied between AWS and with time of day, as WRF was not always able to accurately represent effects of nocturnal cooling within the complex terrain. Variations in performance between the two case studies resulted from effects of atmospheric boundary layer processes in complex terrain under the influence of the different synoptic conditions prevailing during the two periods.

  17. The complex clinical issues involved in an athlete's decision to retire from collision sport due to multiple concussions: a case study of a professional athlete

    Directory of Open Access Journals (Sweden)

    AndrewGardner

    2013-09-01

    Full Text Available The issue of retirement from athletic participation due to repetitive concussive injuries remains controversial. The complexity of providing recommendations to elite athletes is highlighted by the prospect that offering inappropriate advice may foreseeably lead to engagement in a medico-legal challenge. Currently no evidenced-based, scientifically validated guidelines for forming the basis of such a decision exist. The current paper discusses the complexities of this challenge in addition to presenting a case study of a professional athlete. A number of central issues to consider when discussing athlete retirement revolve around the player’s medical and concussion histories, the current clinical profile, the athlete’s long-term life goals and understanding of the potential long-terms risks. Ensuring that thorough investigations of all possible differential diagnosis, that may explain the presenting symptoms, are conducted is also essential. Discussion pertaining to recommendations for guiding the clinical approach to the retirement issue for athletes with a history of multiple concussions is presented.

  18. Knee megaprosthesis: a salvage solution for severe open and complex distal femoral fracture associated with an ipsilateral brachial plexus injury (a case report with literature review).

    Science.gov (United States)

    Ennaciri, Badr; Vasile, Christian; Lebredonchel, Thierry; Berrada, Mohamed Saleh; Montbarbon, Eric; Beaudouin, Emmanuel

    2015-01-01

    Complex distal femoral fractures in the young patient often occur as a result of high velocity trauma. Timely recognition and treatment is everything in such a situation, and it needs a robust staged management pathway to optimize the chance of limb preservation. We report a case of a motorcyclist admitted to the department of orthopedics at Chambery hospital, France, with a complex comminuted and open distal femoral fracture of the left leg, associated with a brachial plexus injury to the ipsilateral upper limb. On arrival to the emergency department, damage control stabilization and surgery was commenced, debridement of contaminated non-viable tissue, abundant antiseptic lavage and application of external fixation coupled with the use of antibiotic spacer. Following normalization of inflammatory markers and ensuring no clinical signs of infection, subsequent management consisted of joint reconstruction to achieve a functional knee. The external fixator and femoral spacer was removed and a modular megaprosthesis was implanted with a lateral gastrocnemius flap to cover the exposed knee joint and reinforce the extensor apparatus. Nerve graft to the left brachial plexus injury was performed at University Hospital of Grenoble. Our patient entered an intensive rehabilitation program and at 1 year follow-up achieved good knee function and sensation to the left upper limb. PMID:26421102

  19. Intraspecific Variation Patterns of the Caudal Complex in Extant and Fossil Teleosts, with Comments on Implications into Taxonomy and Systematics: a Case Study.

    Directory of Open Access Journals (Sweden)

    Maria Eduarda de Castro Leal

    2007-07-01

    Full Text Available Comparative morphology remains as afundamental support of the interrelationshiphypotheses of living and fossil fish taxa. Theconceptualization of the characters is only possibleafter the comparative analysis that shows themorphological variation of groups from differenttaxonomical rank. The intraspecific morphologicalvariation of a large number of teleostean speciesis relatively unknown. Osteological studies ofteninclude some few specimens minimizing thepossibility to recognize the intraspecific variation.This observation is also valid in the cases were theontogenetic changes are analyzed. The discoveryof such morphological variations requires the studyof a large sample size. The caudal skeleton is amajor anatomical complex and data source usedin the evaluation of teleostean interrelationships.However, the intraspecific variation of its elementshad been rarely investigated. Intraspecific variationobserved in extant taxa provides critical control forrecognition of intraspecific variation in fossil taxa,and integrated studies of fossil and living teleostsare required. Attempting to provide new data on thesubject, this study deals with intraspecific variationobserved in the caudal skeleton complex of twoteleost species: the extant Osteoglossum bicirrhosum(Osteoglossomorpha: Osteoglossidae from theAmazonian drainage, and the fossil Cladocyclusgardneri (Ichthyodectiformes from the LowerCretaceous of Araripe Basin, northeastern Brazil. Weanalyzed fifthy-three specimens of O. bicirrhosum(SL 37,4 mm to 580 mm and twenty-two specimensof C. gardneri (SL 70 mm to 260 mm, describing andquantifying the morphological variation. The caudalskeleton of O. bicirrhosum displays the highestdegrees of intraspecific variation in the patterns ofneural spines and hypurals associated to U2, andneural arches and spines counts for PU1, whereasC. gardneri presented a more conservative pattern.An overview of all the different patterns observedis given, and the implications

  20. Decentralized Building of Complex Software Systems-an eCommerce Case Study%复杂软件系统的分散式构造:一个电子商务案例研究

    Institute of Scientific and Technical Information of China (English)

    KASSEL Stephan; WINKELMANN Sabine; TITTMANN Claudia

    2007-01-01

    Software development skills are only partially trained with traditional programming languages and software engineering courses. To achieve practical skills needed in software industry, complex examples are necessary which have to be generated in a project-like setting. This includes common solution finding, intensive communication and structured programming tasks. Here, a case study from the domain of eCommerce is presented, showing the complexity needed for these learning processes.

  1. [Trabecular hyalinizing adenoma of the thyroid (HAT): A report of two cases].

    Science.gov (United States)

    Román-González, Alejandro; Simón-Duque, Carlos; Camilo-Pérez, Juan; Vélez-Hoyo, Alejandro

    2016-01-01

    The hyalinizing trabecular adenoma is a rare lesion of the thyroid. There is controversy in the literature about the correct name for this disease. Dr. Carney defended the benign nature of this condition and therefore continues calling it adenoma, the World Health Organization calls for the potential of tumor malignancy, and others qualify it as a variant of papillary carcinoma based on the presence of rearranged in transformation/papillary thyroid carcinoma (RET/PTC) rearrangements. In Latin America there are few reported cases. Two cases of hyalinizing trabecular adenoma are reported. The first is a 40-year-old woman with a thyroid nodule of 3x3 cm. The immunohistochemistry was positive for thyroglobulin and calcitonin and negative for cytokeratin 19 and chromogranin. The second case is a 36-year-old patient with a thyroid nodule of 4x4 cm with an immunohistochemical pattern identical to the first case. Trabecular hyalinizing adenoma is a benign disease, easily confused with papillary or medullary thyroid carcinoma. Awareness of this entity will allow a better classification and management of thyroid conditions. PMID:26927651

  2. Non-invasive investigative techniques for the diachronic study of territorial compartments: a case study for the documentation and analysis of architectural complexes.

    Science.gov (United States)

    Di Lieto, Marco; Marchetta, Isabella; Ciriello, Rosanna; De Martino, Gregory; Della Mora, Dario

    2014-05-01

    The trend in the study of areas of land in their integrity and as dynamic, anthropic units in diachronic history has initiated long survey campaigns over several decades that have covered large areas mapping the evidence and attempting a reconstruction of the evolution of ancient settlements. The need for further study to disentangle the knots of modes and types of settlement boosted further investigations of targeted excavations, based on the quality and density of the findings from the field. Currently archaeological research can rely on non-invasive integrated methods to better define the areas to be investigated systematically obtaining new typologies of information and better management of time and research costs. In this paper we present a specific case study in which a variety of integrated survey methods have contributed to the documentation and analysis of monumental complexes linked to specific local contexts. The area under investigation lies in Italy, in the province of Potenza and, specifically in the town of Forenza. The survey activities, involving the entire municipality, have been running on and off for about 2 years and have already resulted in the collection of a lot of interesting data that will be useful to essential fieldwork. In particular, we carried out different types of investigation in three different sample sites: 1. monumental complex of Santa Maria de 'Armenis: to complement previous excavations which involved only a portion of the estimated area of interest, we carried out magnetometric and geo-electrical surveys aimed at a more precise definition of the true extent and interpretation of the monument in antiquity; 2. site of Monte Caruso: we carried out remote sensing using a remote-controlled UAV hexakopter drone with stereoscopic photogrammetric survey techniques aimed at the detailed documentation of the monumental evidence of a structure visible in elevation but in a context difficult to approach with traditional surveying

  3. Atomic resolution structure of a chimeric DNA-RNA Z-type duplex in complex with Ba(2+) ions: a case of complicated multi-domain twinning.

    Science.gov (United States)

    Gilski, Miroslaw; Drozdzal, Pawel; Kierzek, Ryszard; Jaskolski, Mariusz

    2016-02-01

    The self-complementary dCrGdCrGdCrG hexanucleotide, in which not only the pyrimidine/purine bases but also the ribo/deoxy sugars alternate along the sequence, was crystallized in the presence of barium cations in the form of a left-handed Z-type duplex. The asymmetric unit of the P21 crystal with a pseudohexagonal lattice contains four chimeric duplexes and 16 partial Ba(2+) sites. The chimeric (DNA-RNA)2 duplexes have novel patterns of hydration and exhibit a high degree of discrete conformational disorder of their sugar-phosphate backbones, which can at least partly be correlated with the fractional occupancies of the barium ions. The crystals of the DNA-RNA chimeric duplex in complex with Ba(2+) ions and also with Sr(2+) ions exhibit complicated twinning, which in combination with structural pseudosymmetry made structure determination difficult. The structure could be successfully solved by molecular replacement in space groups P1 and P21 but not in orthorhombic or higher symmetry and, after scrupulous twinning and packing analysis, was refined in space group P21 to an R and Rfree of 11.36 and 16.91%, respectively, using data extending to 1.09 Å resolution. With the crystal structure having monoclinic symmetry, the sixfold crystal twinning is a combination of threefold and twofold rotations. The paper describes the practical aspects of dealing with cases of complicated twinning and pseudosymmetry, and compares the available software tools for the refinement and analysis of such cases. PMID:26894669

  4. Deep stratosphere-to-troposphere transport (STT over SE Europe: a complex case study captured by enhanced 7Be concentrations at the surface of a low topography region

    Directory of Open Access Journals (Sweden)

    A. Ioannidou

    2005-01-01

    Full Text Available In this study we present a complex case study of a Stratosphere-to-Troposphere Transport (STT event down to the surface of a low topography region in Northern Greece, during the second fortnight of March 2000. During this event our surface station at Livadi (23°15 E/40°32 N, 850 m a.s.l., was influenced by very different synoptic systems developing over Eastern Europe, N. America and the N. Atlantic, the last one evolving to a cut-off low over France/Spain. This is the first study, to our knowledge, that presents a down to the surface STT event in the eastern Mediterranean. The intrusion is primarily captured with the use of the cosmogenic radionuclide 7Be, which increased to 9.07 mBq m-3 and 9.37 mBq m-3 on 30 and 31 March 2000, respectively. A 7Be concentration of around 8 mBq m-3 recorded during parallel measurements at Thessaloniki (20 m a.s.l. gives strong evidence that air of stratospheric origins has even gone down to sea level. A rapid increase of 10–15 ppb is also observed in the surface ozone concentration on 31 March 2000. The relative increase of both tracers is consistent with a volume fraction of stratospheric air at the surface of about 5%, but the substantial increase in 7Be flags more clearly the event. Trajectory analyses, in conjunction with the evolution of the synoptic situation described by potential vorticity maps, are used for the exact identification of the different intrusions and the attribution of each intruding parcel of stratospheric air to a certain filament of high PV. Finally, the persistency of the stratospheric layers in the troposphere is another interesting point of this case study. The vast majority of the trajectories spent 7–10 days in the troposphere before reaching the surface at Livadi station.

  5. Evolution of biological complexity

    OpenAIRE

    Adami, Christoph; Ofria, Charles; Collier, Travis C.

    2000-01-01

    In order to make a case for or against a trend in the evolution of complexity in biological evolution, complexity needs to be both rigorously defined and measurable. A recent information-theoretic (but intuitively evident) definition identifies genomic complexity with the amount of information a sequence stores about its environment. We investigate the evolution of genomic complexity in populations of digital organisms and monitor in detail the evolutionary transitions that increase complexit...

  6. Dual-Positive (CD4+/CD8+ Acute Adult T-Cell Leukemia/Lymphoma Associated with Complex Karyotype and Refractory Hypercalcemia: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Shahzad Raza

    2010-12-01

    Full Text Available We describe a rare case of adult T-cell leukemia characterized by an expansion of CD4+ CD8+ double-positive lymphocytes associated with human T-lymphotropic virus type 1 (HTLV-1 and a complex karyotype in a 43-year-old Caribbean male who was initially admitted to our hospital with significant lethargy, visual disturbances, dysphagia, right facial palsy and numbness in both feet for 3 days. He was found to have severe hypercalcemia (15.6 mg/dl. Peripheral blood smear showed multilobulated clover-shaped nuclei. Bone marrow and CSF flow cytometries revealed abnormal monoclonal expansion of T cells positive for CD4, CD5, CD8 and CD25 but negative for CD7, CD20, CD56, CD68 and terminal deoxynucleotidyl transferase. The polymerase chain reaction analysis showed a distinct band of the T-cell receptor γ gene, revealing T-cell clonal integration of the proviral DNA of HTLV-1, thus confirming the diagnosis of acute adult T-cell leukemia/lymphoma. Cytogenetic study revealed a male karyotype with monosomy 12, unbalanced translocation 5q and 13q and additional material on 5q, 7q, 14q and 17q. The patient underwent prednisone (EPOCH chemotherapy followed by autologous transplantation with BEAM regimen. Although patients with a rare mixed CD4+ CD8+ immunophenotype usually present with an aggressive clinical course and have a poor prognosis, our patient was able to survive for 2.5 years.

  7. Minimally Invasive Treatment of a Complex Tibial Plateau Fracture with Diaphyseal Extension in a Patient with Uncontrolled Diabetes Mellitus: A Case Report and Review of Literature.

    Science.gov (United States)

    Rathod, Ashok K; Dhake, Rakesh P; Pawaskar, Aditya

    2016-01-01

    Fractures of the proximal tibia comprise a huge spectrum of injuries with different fracture configurations. The combination of tibia plateau fracture with diaphyseal extension is a rare injury with sparse literature being available on treatment of the same. Various treatment modalities can be adopted with the aim of achieving a well-aligned, congruous, stable joint, which allows early motion and function. We report a case of a 40-year-old male who sustained a Schatzker type VI fracture of left tibial plateau with diaphyseal extension. On further investigations, the patient was diagnosed to have diabetes mellitus with grossly deranged blood sugar levels. The depressed tibial condyle was manipulated to lift its articular surface using K-wire as a joystick and stabilized with an additional K-wire. Distal tibial skeletal traction was maintained for three weeks followed by an above knee cast. At eight months of follow-up, X-rays revealed a well-consolidated fracture site, and the patient had attained a reasonably good range of motion with only terminal restriction of squatting. Tibial plateau fractures with diaphyseal extension in a patient with uncontrolled diabetes mellitus is certainly a challenging entity. After an extended search of literature, we could not find any reports highlighting a similar method of treatment for complex tibial plateau injuries in a patient with uncontrolled diabetes mellitus. PMID:27335711

  8. Fatal Fusarium solani species complex infections in elasmobranchs: the first case report for black spotted stingray (Taeniura melanopsila) and a literature review.

    Science.gov (United States)

    Fernando, Nimal; Hui, Suk-Wai; Tsang, Chi-Ching; Leung, Shui-Yee; Ngan, Antonio H Y; Leung, Raymond W W; Groff, Joseph M; Lau, Susanna K P; Woo, Patrick C Y

    2015-07-01

    Fusarium species are environmental saprophytic fungi. Among the many Fusarium species, members of the Fusarium solani species complex (FSSC) are the most prevalent and virulent in causing human and animal infections. In this study, we describe the first case of fatal FSSC infection in a black spotted stingray and three concomitant infections in scalloped hammerhead sharks. In the stingray, cutaneous lesions were characterised by ulcers and haemorrhage of the ventral pectoral fin, or 'ray', especially around the head; while cutaneous lesions in the sharks were characterised by ulcers, haemorrhage, as well as white and purulent exudates at the cephalic canals of the cephalofoil and lateral line. Histological sections of the cutaneous lesions revealed slender (1-4 μm in diameter), branching, septate fungal hyphae. Internal transcribed spacer region and 28S nrDNA sequencing of the fungal isolates from the fish showed two isolates were F. keratoplasticum (FSSC 2) and the other two were FSSC 12. Environmental investigation revealed the FSSC strains isolated from water and biofilms in tanks that housed the elasmobranchs were also F. keratoplasticum and FSSC 12. Fusarium is associated with major infections in elasmobranchs and FSSC 12 is an emerging cause of infections in marine animals. DNA sequencing is so far the most reliable method for accurate identification of Fusarium species. PMID:26095191

  9. The complex case of V445 Lyr observed with Kepler: Two Blazhko modulations, a non-radial mode, possible triple mode RR Lyrae pulsation, and more

    CERN Document Server

    Guggenberger, E; Nemec, J M; Smolec, R; Benkő, J M; Ngeow, C -C; Cohen, J G; Sesar, B; Szabó, R; Catelan, M; Moskalik, P; Kinemuchi, K; Seader, S E; Smith, J C; Tenenbaum, P; Kjeldsen, H

    2012-01-01

    Rapid and strong changes in the Blazhko modulation of RR Lyrae stars, as they have recently been detected in high precision satellite data, have become a crucial topic in finding an explanation of the long-standing mystery of the Blazhko effect. We present here an analysis of the most extreme case detected so far, the RRab star V445 Lyr (KIC 6186029) which was observed with the Kepler space mission. V445 Lyr shows very strong cycle-to-cycle changes in its Blazhko modulation, which are caused both by a secondary long-term modulation period as well as irregular variations. In addition to the complex Blazhko modulation, V445 Lyr also shows a rich spectrum of additional peaks in the frequency range between the fundamental pulsation and the first harmonic. Among those peaks, the second radial overtone could be identified, which, combined with a metallicity estimate of [Fe/H]=-2.0 dex from spectroscopy, allowed to constrain the mass (0.55-0.65 M_sun) and luminosity (40-50 L_sun) of V445 Lyr through theoretical Pete...

  10. HYALINIZING TRABECULAR ADENOMA FEIGNING PAPILLARY CARCINOMA THYROID: CASE REPORT WITH REVIEW OF LITERATURE

    Directory of Open Access Journals (Sweden)

    Kandukuri Mahesh

    2014-05-01

    Full Text Available Hyalinizing Trabecular Adenoma (HTA of the thyroid is a rare neoplasm that was first described by Carney in 1987. It is a tumor of follicular derivation with peculiar nuclear, architectural, histochemical, and immunohistochemical features. We report a case of Hyalinizing trabecular adenoma in a 36-year-old woman with enlarged thyroid lobe. Ultrasonographic features and fine needle aspiration cytology (FNAC of the enlarged thyroid was performed and the diagnosis given was Papillary carcinoma of the thyroid. The patient underwent total thyroidectomy, with a histopathological diagnosis of hyalinizing trabecular Adenoma (HTA. We present this case in view of its rarity and to discuss the clinical and diagnostic approach, including the role of FNAC, and the pathologic features of HTA with special reference to the possible differential diagnosis and also review of literature. Although rare cases of malignant Hyalinizing trabecular adenoma (HTA have been documented, this tumor should be considered a benign neoplasm or at most, a neoplasm of extremely low malignant potential, however invasion of the capsule should be considered on histopathology. An awareness of hyalinizing trabecular adenomas and their characteristic features is valuable for their recognition and management as well as for the possible prevention of over diagnosis and over treatment for benign disease

  11. Complex communication signals: the case of the Blue-black Grassquit Volatinia jacarina (Aves, Emberizidae song. Part I - A structural analysis

    Directory of Open Access Journals (Sweden)

    Hernán Fandiño-Mariño

    2004-06-01

    Full Text Available The song of the Blue-black Grassquit Volatinia jacarina is different for every individual and the structural differences between individuals are quite complex. Samples of songs from different Brazilian localities, as well as from Venezuela and Mexico, were studied through a comparative analysis of their sonograms. From the structural point of view, the results show a song composed of a single note that is compacted in a ''window'' between 2 and 13 kHz and rarely occupying more than half of a second. The note is essentially pure and is repeatedly uttered with a high level of fidelity. A global frequency modulation decreases from the beginning to the end of the song. The main song components are referred to as ''Blocks'' and are of three types: ''Vibrations'' (Buzzes or Vibratos, ''Arabesques'' (complex notes and ''Isolated Modulations'' (simple syllables. Among other characteristics are double voices, which are quite diverse and probably function as codes for individual recognition. This song is considered a special case where a signature system has been developed to a high level of inter-individual variability.O canto do Tiziu Volatinia jacarina é único para cada indivíduo e as diferenças estruturais entre um e outro indivíduo são muito complexas. Cantos gravados em diversos lugares do Brasil e alguns da Venezuela e do México foram estudados através de uma análise comparativa dos seus sonogramas. Do ponto de vista estrutural, os resultados mostram que o canto é constituído por uma nota única que se encontra compactada numa ''janela'' entre 2 e 13 kHz e raramente ultrapassa meio segundo de duração. A nota, essencialmente pura, é repetida com alto grau de fidelidade entre uma emissão e outra. Constata-se uma modulação de freqüência global descendente do início ao fim do canto. Os principais componentes do canto do Tiziu foram denominados ''Blocos'' e são basicamente de três tipos: as ''Vibrações'' (Buzzes ou Vibratos, os

  12. Greigite-related complex magnetic polarity records unraveled through an integrated rock magnetic analysis: A case study on Neogene sections in East Timor

    Science.gov (United States)

    Aben, F. M.; Bakker, R. R.; Dekkers, M. J.; Van Hinsbergen, D. J.; Harris, R. A.; Zachariasse, J.; Duffy, B. G.

    2013-12-01

    Inconsistent polarity patterns in greigite-bearing (marine) sediments are a common problem in magnetostratigraphic and paleomagnetic research. Prolonged diagenesis can result in multiple generations of greigite being present in a sedimentary record. The associated remanence ';haystack' can be filtered to some extent by paleomagnetic field tests but not all rock records are suitable for such an approach. Here, we test whether end-member modeling of IRM-acquisition curves as a basis for an integrated rock magnetic and (electron) microscopic research approach can be used to identify all magnetic mineral suites, to evaluate the nature of the magnetic remanences, and to use the acquired knowledge to isolate the ChRM from such complex magnetic records. To this end, a case study was performed on uppermost Miocene to Pliocene deep-marine clastic and chalk bearing Viqueque Type section in East Timor. This section was originally sampled to establish a bio- and magnetostratigraphic age model dating the uplift history of the young Timor-orogen. An in principle straightforward polarity record was obtained, which, however, was impossible to reconcile with the biostratigraphy of the section. Among the dominant magnetic carriers was greigite. Two magnetic end-members were distinguished in the Viqueque Type section, which were analyzed further for rock magnetic properties. With microscopy, three magnetic mineral suites are shown to result in the two end-members. The first suite occurs in all lithologies and consists of detrital magnetite with a viscous NRM, caused by partial reductive dissolution of detrital magnetite grains after deposition. This mineral suite therefore is unreliable for magnetostratigraphic use. The second and third suite both consist of interacting single domain greigite grains with a chemical remanent magnetization. The second suite is present in almost all clay levels of the Viqueque Type section and is characterized by early diagenetic framboidal greigite

  13. Active faulting Vs other surface displacing complex geomorphic phenomena. Case studies from a tectonically active area, Abruzzi Region, central Apennines, Italy

    Science.gov (United States)

    Lo Sardo, Lorenzo; Gori, Stefano; Falcucci, Emanuela; Saroli, Michele; Moro, Marco; Galadini, Fabrizio; Lancia, Michele; Fubelli, Giandomenico; Pezzo, Giuseppe

    2016-04-01

    could be possible to infer the genesis of the scarps as due to complex tectono-karstic phenomena. As for case (ii), our ongoing analyses are aimed to analyze the tectonic "significance" of some closed depressions, up to 4 km long and to 0,5-1 km large, that occur along the south-western slope of the Gran Sasso Range. All these small depression are NW-SE trending. As already described by Bosi et al. (1989), Galadini and Giuliani (1993), D'Agostino et al. (1998), Falcucci et al. (2015), these closed depressions are bounded by scarps carved onto the carbonate bedrock and, subordinately, onto early Quaternary slope deposits, reaching height of up to 5 m. These scarps are preferentially NE dipping, even if in few cases some SW dipping scarp are also present . The field work has permitted to attest that these scarps are related to shear planes that that displaced two subsequent of Early Pleistocene breccias formations (the Valle Valiano Fm. and Fonte Vedice Fm.; Bosi e Bertini, 1993; D'agostino et al., 1997). A paleoseismological trench was also performed across one of these scarps, attesting the activity of these shear planes also in recent times, providing indications result about the deformation style. Reference Bertini, T., & Bosi, C. (1993). La tettonica quaternaria della conca di Fossa (L'Aquila). Il Quaternario, 6(2), 293-314. Bertini, T., Bosi, C., & Galadini, F. (1989). La conca di Fossa-S. Demetrio dei Vestini. CNR, Centro di Studio per la Geologia Tecnica, ENEA, PAS in Elementi di tettonica pliocenicoquaternaria ed indizi di sismicita olocenica nell'Appennino laziale-abruzzese, Societa Geologica Italiana, L'Aquila, 26-58. Bosi, C., & Bertini, T. (1970). Geologia della media valle dell'Aterno. Memorie Società Geologica Italiana, 9(4), 719-777. D'Agostino, N., F. Speranza, & R. Funiciello., (1997) "Le Brecce Mortadella dell'Appennino Centrale: primi risultati di stratigrafia magnetica." Il Quaternario10.2: 385-388. D'Agostino, N., Chamot-Rooke, N., Funiciello, R

  14. Useless hearing in male Emblemasoma auditrix (Diptera, Sarcophagidae--a case of intralocus sexual conflict during evolution of a complex sense organ?

    Directory of Open Access Journals (Sweden)

    Reinhard Lakes-Harlan

    Full Text Available Sensory modalities typically are important for both sexes, although sex-specific functional adaptations may occur frequently. This is true for hearing as well. Consequently, distinct behavioural functions were identified for the different insect hearing systems. Here we describe a first case, where a trait of an evolutionary novelty and a highly specialized hearing organ is adaptive in only one sex. The main function of hearing of the parasitoid fly Emblemasoma auditrix is to locate the host, males of the cicada species Okanagana rimosa, by their calling song. This task is performed by female flies, which deposit larvae into the host. We show that male E. auditrix possess a hearing sense as well. The morphology of the tympanal organ of male E. auditrix is rather similar to the female ear, which is 8% broader than the male ear. In both sexes the physiological hearing threshold is tuned to 5 kHz. Behavioural tests show that males are able to orient towards the host calling song, although phonotaxis often is incomplete. However, despite extensive observations in the field and substantial knowledge of the biology of E. auditrix, no potentially adaptive function of the male auditory sense has been identified. This unique hearing system might represent an intralocus sexual conflict, as the complex sense organ and the behavioural relevant neuronal network is adaptive for only one sex. The correlated evolution of the sense organ in both sexes might impose substantial constraints on the sensory properties of the ear. Similar constraints, although hidden, might also apply to other sensory systems in which behavioural functions differ between sexes.

  15. Complex Beauty

    OpenAIRE

    Franceschet, Massimo

    2014-01-01

    Complex systems and their underlying convoluted networks are ubiquitous, all we need is an eye for them. They pose problems of organized complexity which cannot be approached with a reductionist method. Complexity science and its emergent sister network science both come to grips with the inherent complexity of complex systems with an holistic strategy. The relevance of complexity, however, transcends the sciences. Complex systems and networks are the focal point of a philosophical, cultural ...

  16. A complexity analysis of 222Rn concentration variation: A case study for Domica cave, Slovakia for the period June 2010–June 2011

    International Nuclear Information System (INIS)

    In this paper we have analyzed 222Rn concentration variation in Domica cave (Slovakia) for the period June 2010–June 2011. In that sense we have applied a complexity analysis on 222Rn concentration time series. We have considered possible existence of a periodical component in the variation of 222Rn concentration and some environmental parameters, as well as possible correlation between them. In addition we have offered novel complexity measures based on the Kolmogorov complexity (KC), i.e. the Kolmogorov complexity spectrum, its highest value (KCM) and the integral Kolmogorov complexity (KCI). These measures have been applied on 222Rn concentration time series: (i) to establish the dependence of 222Rn concentration on cave environmental parameters (wind speed inside the cave, external wind speed, air temperature, atmospheric pressure and CO2 concentration) and (ii) to see whether influence of some parameters make the distribution of measured quantity less or more stochastic. - Highlights: • We have analyzed annual 222Rn concentration variation in Domica cave (Slovakia). • We have applied a complexity analysis on 222Rn concentration time series. • We have suggested novel complexity measures based on the Kolmogorov complexity. • We have analyzed dependence of 222Rn time series on cave environmental parameters. • We have analyzed stochasticity in 222Rn concentration time series

  17. Complex Systems and Dependability

    CERN Document Server

    Zamojski, Wojciech; Sugier, Jaroslaw

    2012-01-01

    Typical contemporary complex system is a multifaceted amalgamation of technical, information, organization, software and human (users, administrators and management) resources. Complexity of such a system comes not only from its involved technical and organizational structure but mainly from complexity of information processes that must be implemented in the operational environment (data processing, monitoring, management, etc.). In such case traditional methods of reliability analysis focused mainly on technical level are usually insufficient in performance evaluation and more innovative meth

  18. Complex dynamics

    CERN Document Server

    Carleson, Lennart

    1993-01-01

    Complex dynamics is today very much a focus of interest. Though several fine expository articles were available, by P. Blanchard and by M. Yu. Lyubich in particular, until recently there was no single source where students could find the material with proofs. For anyone in our position, gathering and organizing the material required a great deal of work going through preprints and papers and in some cases even finding a proof. We hope that the results of our efforts will be of help to others who plan to learn about complex dynamics and perhaps even lecture. Meanwhile books in the field a. re beginning to appear. The Stony Brook course notes of J. Milnor were particularly welcome and useful. Still we hope that our special emphasis on the analytic side will satisfy a need. This book is a revised and expanded version of notes based on lectures of the first author at UCLA over several \\Vinter Quarters, particularly 1986 and 1990. We owe Chris Bishop a great deal of gratitude for supervising the production of cour...

  19. Incorporating expert knowledge in calibrating a complex hydrological conceptual model: A FLEX-TOPO case study for a central European meso-scale catchment

    Science.gov (United States)

    Gharari, Shervan; Hrachowitz, Markus; Fenicia, Fabrizio; Gao, Hongkai; Euser, Tanja; Savenije, Huub

    2013-04-01

    Catchments are open systems meaning that it is impossible to find out the exact boundary conditions of the real system spatially and temporarily. Therefore models are essential tools in capturing system behavior spatially and extrapolating it temporarily for prediction. In recent years conceptual models have been in the center of attention rather than so called physically based models which are often over-parameterized and encounter difficulties for up-scaling of small scale processes. Conceptual models however are heavily dependent on calibration as one or more of their parameters can typically not be physically measured at the catchment scale. Parallel to the evolution of modeling attempts, our understanding of rainfall/runoff models increased due to improvements of measurement techniques. Heavily instrumented catchments have been studied, and measured system responses have been modeled for testing a priori hypothesis of system function. Although our understanding of how catchments may work has increased the lessons learned from the case specific studies remain locally valid and are not widely used in model calibration and development. In this study we try to constrain parameters of a complex conceptual model built on landscape units classified according to their hydrological functions, based on our logical considerations and general lessons from previous studies across the globe for the Luxembourgish meso-scale Wark catchment. The classified landscapes were used to assign different model structures to the individual hydrological response units. As an example deep percolation was defined as dominant process for plateaus, while rapid subsurface flow as dominant process for hillslope, and saturation overland flow as dominant process for wetlands. The modeled runoffs from each hydrological unit were combined in a parallel set-up to proportionally contribute to the total catchment runoff. The hydrological units are, in addition, linked by a common groundwater

  20. Significance of fragmented QRS complexes for identifying culprit lesions in patients with non-ST-elevation myocardial infarction: a single-center, retrospective analysis of 183 cases

    Directory of Open Access Journals (Sweden)

    Guo Rong

    2012-06-01

    Full Text Available Abstract Background Fragmented QRS (fQRS complexes are novel electrocardiographic signals, which reflect myocardial conduction delays in patients with coronary artery disease (CAD. The importance of fQRS complexes in identifying culprit vessels was evaluated in this retrospective study. Methods A 12-lead surface electrocardiogram was obtained in 183 patients who had non-ST-elevation myocardial infarction (NSTEMI and subsequently underwent coronary angiography (CAG. On the basis of the frequency of fQRS complexes, indices such as sensitivity, specificity, positive and negative predictive values, and likelihood ratio were evaluated to determine the ability of fQRS complexes to identify the culprit vessels. Results Among the patients studied, elderly patients (age ≥ 65 years and those with diabetes had a significantly higher frequency of fQRS complexes (p = 0.005, p = 0.003, respectively. The fQRS complexes recorded in the 4 precordial leads had the highest specificity (81.8% for indentifying the culprit vessel (left anterior descending artery. However, the specificity of fQRS complexes to identify lesions in the left circumflex and right coronary arteries was lower for the inferior and lateral leads than for the limb leads (65.5% versus 71.7%; however, the limb leads had higher sensitivity (92.3% versus 89.4%. And the total sensitivity and specificity of fQRS (77.1% and 71.5% were higher than those values for ischemic T-waves. Conclusions The frequency of fQRS complexes was higher in elderly and diabetic patients with NSTEMI. The frequency of fQRS complexes recorded in each of the ECG leads can be used to identify culprit vessels in patients with NSTEMI.

  1. Learning from simple ebooks, online cases or classroom teaching when acquiring complex knowledge. A randomized controlled trial in respiratory physiology and pulmonology

    DEFF Research Database (Denmark)

    Worm, Bjarne Skjødt

    2013-01-01

    E-learning is developing fast because of the rapid increased use of smartphones, tablets and portable computers. We might not think of it as e-learning, but today many new e-books are in fact very complex electronic teaching platforms. It is generally accepted that e-learning is as effective as...... classroom teaching methods, but little is known about its value in relaying contents of different levels of complexity to students. We set out to investigate e-learning effects on simple recall and complex problem-solving compared to classroom teaching....

  2. Complex chemistry

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Bong Gon; Kim, Jae Sang; Kim, Jin Eun; Lee, Boo Yeon

    2006-06-15

    This book introduces complex chemistry with ten chapters, which include development of complex chemistry on history coordination theory and Warner's coordination theory and new development of complex chemistry, nomenclature on complex with conception and define, chemical formula on coordination compound, symbol of stereochemistry, stereo structure and isomerism, electron structure and bond theory on complex, structure of complex like NMR and XAFS, balance and reaction on solution, an organo-metallic chemistry, biology inorganic chemistry, material chemistry of complex, design of complex and calculation chemistry.

  3. Complex chemistry

    International Nuclear Information System (INIS)

    This book introduces complex chemistry with ten chapters, which include development of complex chemistry on history coordination theory and Warner's coordination theory and new development of complex chemistry, nomenclature on complex with conception and define, chemical formula on coordination compound, symbol of stereochemistry, stereo structure and isomerism, electron structure and bond theory on complex, structure of complex like NMR and XAFS, balance and reaction on solution, an organo-metallic chemistry, biology inorganic chemistry, material chemistry of complex, design of complex and calculation chemistry.

  4. Management approaches for environmental restoration at the U.S. Department of Energy Weapons Complex, Savannah River Site: A case study

    International Nuclear Information System (INIS)

    This paper introduces the management approaches for environmental restoration at the US Department of Energy Weapons Complex. A brief chronology of environmental restoration complex-wide is presented. This chronology, which focuses on the changing climate at DOE facilities, is then keyed to activities at the Savannah River Site (SRS) in Aiken, South Carolina, USA. Past, present, and future environmental restoration activities at SRS are discussed, reflecting the change in emphasis at the site

  5. Intelligence in complex conflicts - does intelligence provide decision-makers with relevant knowledge? With a case study on the Dutch operation in Uruzgan province, Southern Afghanistan

    OpenAIRE

    Van Vliet, Arie

    2010-01-01

    The shift from ‘industrial wars’ to the contemporary paradigm of ‘war amongst the people’ has had enormous consequences for the theory, concepts and ideas about how contemporary wars (complex conflicts) are waged. What is the impact of this paradigm shift on the role and influence of intelligence? How relevant are intelligence reports for the decision-making processes concerning these complex conflicts? The purpose of this study is to support the intelligence community in the p...

  6. Immune reconstitution inflammatory syndrome due to Mycobacterium avium complex successfully followed up using 18 F-fluorodeoxyglucose positron emission tomography-computed tomography in a patient with human immunodeficiency virus infection: A case report

    OpenAIRE

    Namkoong, Ho; Fujiwara, Hiroshi; Ishii, Makoto; Yagi, Kazuma; Haraguchi, Mizuha; Matsusaka, Masako; Suzuki, Shoji; Asakura, Takanori; Asami,Takahiro; Saito, Fumitake; Fukunaga, Koichi; Tasaka, Sadatomo; Betsuyaku, Tomoko; Hasegawa, Naoki

    2015-01-01

    Background In human immunodeficiency virus (HIV)-infected patients, immune reconstitution inflammatory syndrome (IRIS) due to nontuberculous mycobacteria (NTM) infection is one of the most difficult types of IRIS to manage. 18 F-fluorodeoxyglucose positron emission tomography/computed tomography (18 F-FDG PET/CT) has been suggested as a useful tool for evaluating the inflammatory status of HIV-infected patients. We present the first case of Mycobacterium avium complex (MAC)-associated IRIS (M...

  7. Intervention description is not enough: evidence from an in-depth multiple case study on the untold role and impact of context in randomised controlled trials of seven complex interventions

    Directory of Open Access Journals (Sweden)

    Wells Mary

    2012-06-01

    Full Text Available Abstract Background A number of single case reports have suggested that the context within which intervention studies take place may challenge the assumptions that underpin randomised controlled trials (RCTs. However, the diverse ways in which context may challenge the central tenets of the RCT, and the degree to which this information is known to researchers or subsequently reported, has received much less attention. In this paper, we explore these issues by focusing on seven RCTs of interventions varying in type and degree of complexity, and across diverse contexts. Methods This in-depth multiple case study using interviews, focus groups and documentary analysis was conducted in two phases. In phase one, a RCT of a nurse-led intervention provided a single exploratory case and informed the design, sampling and data collection within the main study. Phase two consisted of a multiple explanatory case study covering a spectrum of trials of different types of complex intervention. A total of eighty-four data sources across the seven trials were accessed. Results We present consistent empirical evidence across all trials to indicate that four key elements of context (personal, organisational, trial and problem context are crucial to understanding how a complex intervention works and to enable both assessments of internal validity and likely generalisability to other settings. The ways in which context challenged trial operation was often complex, idiosyncratic, and subtle; often falling outside of current trial reporting formats. However, information on such issues appeared to be available via first hand ‘insider accounts’ of each trial suggesting that improved reporting on the role of context is possible. Conclusions Sufficient detail about context needs to be understood and reported in RCTs of complex interventions, in order for the transferability of complex interventions to be assessed. Improved reporting formats that require and encourage

  8. Bucolic Complexes

    CERN Document Server

    Brešar, Bostjan; Chepoi, Victor; Gologranc, Tanja; Osajda, Damian

    2012-01-01

    In this article, we introduce and investigate bucolic complexes, a common generalization of systolic complexes and of CAT(0) cubical complexes. This class of complexes is closed under Cartesian products and amalgamations over some convex subcomplexes. We study various approaches to bucolic complexes: from graph-theoretic and topological viewpoints, as well as from the point of view of geometric group theory. Bucolic complexes can be defined as locally-finite simply connected prism complexes satisfying some local combinatorial conditions. We show that bucolic complexes are contractible, and satisfy some nonpositive-curvature-like properties. In particular, we prove a version of the Cartan-Hadamard theorem, the fixed point theorem for finite group actions, and establish some results on groups acting geometrically on such complexes. We also characterize the 1-skeletons (which we call bucolic graphs) and the 2-skeletons of bucolic complexes. In particular, we prove that bucolic graphs are precisely retracts of Ca...

  9. Critical solvent thermodynamic effect on molecular recognition: The case of the complex formation of carboxylates and ammonium-squaramido based receptors

    International Nuclear Information System (INIS)

    Graphical abstract: - Highlights: • The enthalpy–entropy compensation in the complex is independent of the spacer used. • The enthalpy–entropy compensation is dependent on the microscopic nature of the binary mixture. • The enthalpy–entropy compensation is dependent on the proportion of the components of the binary mixture. - Abstract: An isothermal titration microcalorimetry (ITC) study on the supramolecular complex formation between carboxylates and ammonium-squaramido based receptors at different ethanol:water proportions is reported. The results obtained show that the formation enthalpy sign of a supramolecular complex in a water–ethanol binary mixture can be influenced by the proportion of the cosolvent. Moreover there is an enthalpy–entropy compensation process in the supramolecular complex formation; in poor water mixtures the process is endothermic, whilst in reach water mixtures the process is exothermic. This behavior is mostly due to the intrinsic nature of the mixture between water and ethanol, and particularly the process of solvation and desolvation of receptor, substrate and complex. When this study is repeated with binary mixtures of water–methanol and water–DMSO it is observed that the nature of the organic solvent affects the results. While the mixture water–methanol has a behavior similar to water–ethanol mixture, the water–DMSO mixture shows clear differences. In order to check this compensation process, △Cp values are calculated at two different proportions water–ethanol, and they are consistent with an enthalpy–entropy compensation process similar to that described by the inclusion process for certain hydrophilic cyclodextrines. The results obtained show that the enthalpy–entropy compensation detected in the supramolecular complex formation between carboxylates and ammonium-squaramido receptors is independent of the spacer used, and more dependent on the microscopic nature and proportion of the binary mixture

  10. Learning from Simple Ebooks, Online Cases or Classroom Teaching When Acquiring Complex Knowledge. A Randomized Controlled Trial in Respiratory Physiology and Pulmonology

    OpenAIRE

    Bjarne Skjødt Worm

    2013-01-01

    BACKGROUND AND AIMS: E-learning is developing fast because of the rapid increased use of smartphones, tablets and portable computers. We might not think of it as e-learning, but today many new e-books are in fact very complex electronic teaching platforms. It is generally accepted that e-learning is as effective as classroom teaching methods, but little is known about its value in relaying contents of different levels of complexity to students. We set out to investigate e-learning effects on ...

  11. In Search for Instructional Techniques to Maximize the Use of Germane Cognitive Resources: A Case of Teaching Complex Tasks in Physics

    Science.gov (United States)

    Sliva, Yekaterina

    2014-01-01

    The purpose of this study was to introduce an instructional technique for teaching complex tasks in physics, test its effectiveness and efficiency, and understand cognitive processes taking place in learners' minds while they are exposed to this technique. The study was based primarily on cognitive load theory (CLT). CLT determines the amount of…

  12. Polyelectrolyte complex formation and stability when mixing polyanions and polycations in salted media: A model study related to the case of body fluids

    Czech Academy of Sciences Publication Activity Database

    Etrych, Tomáš; Leclercq, L.; Boustta, M.; Vert, M.

    2005-01-01

    Roč. 25, 1-2 (2005), s. 281-288. ISSN 0928-0987 EU Projects: European Commission(XE) 512087 - GIANT Institutional research plan: CEZ:AV0Z40500505 Keywords : polyelectrolyte complex * selectivity * light scattering Subject RIV: CD - Macromolecular Chemistry Impact factor: 2.347, year: 2005

  13. Case report: Complex internal mammary to pulmonary artery fistula as a cause of hemoptysis in tuberculosis: Diagnosis and endovascular management using ethylene vinyl alcohol copolymer (Onyx)

    OpenAIRE

    Pierce, Gregory; Ahuja, Chaitanya; Chadha, Meghna

    2011-01-01

    A complex right internal mammary to right pulmonary artery fistula resulting in hemoptysis was successfully treated by embolization with a liquid, nonadhesive, embolic agent - ethylene vinyl alcohol copolymer (Onyx). There were no procedural complications and no recurrence of symptoms has been seen after 2 years of follow-up.

  14. Gold trifluoromethyl complexes.

    Science.gov (United States)

    Gil-Rubio, Juan; Vicente, José

    2015-12-01

    This article reviews the synthesis, reactivity and applications of gold trifluoromethyl complexes, which are the only isolated perfluoroalkyl complexes of gold. The most reported examples are neutral Au(i) complexes of the type [Au(CF3)L], whereas only two Au(ii) trifluoromethyl complexes have been reported, both being diamagnetic and containing a strong Au-Au bond. A number of Au(iii) trifluoromethyl complexes have been prepared by oxidative addition of halogens or iodotrifluoromethane to Au(i) complexes or, in a few cases, by transmetallation reactions. Owing to the limitations of the available synthetic methods, a lower number of examples is known, particularly for the oxidation states (ii) and (iii). Gold trifluoromethyl complexes present singular characteristics, such as thermal stability, strong Au-C bonds and, in some cases, reactive α-C-F bonds. Some of the Au(iii) complexes reported, show unusually easy reductive elimination reactions of trifluoromethylated products which could be applied in the development of gold-catalyzed processes for the trifluoromethylation of organic compounds. PMID:26169553

  15. Estimation of the Pitzer equation parameters for aqueous complexes. A case study for uranium at 298.15 K and 1 atm

    International Nuclear Information System (INIS)

    A procedure to estimate the Pitzer parameters for complexes or complex formation reactions from a small number of equilibrium constants (log K vs. I) obtained in 'constant ionic media' is discussed in some detail. It is then often impossible to determine both log K deg., the equilibrium constant at I=0, and all Pitzer parameters, hence some estimations or other simplifications are necessary. Solution coordination chemists have therefore preferred to use the less parametrized Broensted-Guggenheim-Scatchard (SIT) model. By comparison of analytical statements for the mean activity coefficients and equilibrium constants, for the SIT and Pitzer models we have shown that they are equivalent for ionic strengths less than 4 mol kg-1, and have also established relationships between the Pitzer parameter β(1) and the charge type of the interacting ions, and between Δβ(1) for a complex formation reaction and ΔZETA2 for the reaction, where ΔZETA2 is the sum of the squared charges of the reactants/products with the proper stoichiometric coefficients. The first relationship is based on data in single electrolyte systems and the second on equilibrium-constant data determined in ionic media. For reactions involving species of charges one and two in 1-1 electrolyte ionic media we recommend the use of Δβ(1)/ΔZETA2 = 0.337±0.014 kg mol-1 for the estimation of the Δβ(1) at 298.15 K and 1 atm. In this way we have used concentration equilibrium constant data to estimate log K deg. and Pitzer parameters β(0) and β(1) for more than 30 uranium complexes with other ions at 298.15 K and 1 atm. The procedure makes it possible to use the information on complex formation, acid/base and redox equilibria obtained in ionic media together with the Pitzer parameters for strong electrolytes for the modeling of complex equilibrium systems oer a broad range of ionic strength/ionic medium compositions, up to at least 4 mol kg-1. (au)

  16. THE SPIRAL-UP INNOVATION OF PETROCHEMICAL COMPLEX IN GROUP OPERATION CONCERNING THE CASE OF RING (RESEARCH ASSOCIATION OF REFINERY INTEGRATION FOR GROUP-OPERATION IN JAPAN

    Directory of Open Access Journals (Sweden)

    Kazuya Inaba

    2010-02-01

    Full Text Available The circumstances that surround the oil and petrochemical industry recently have been severe. Under such a severe competitive situation, oil and petrochemical companies came up with the idea of business cooperation in the same region in order to acquire global competitiveness. In this paper, the approach and ways of the high-level integration for group operation in petrochemical complex are analyzed, the meaning of RING projects is declared, and the economy that arises from group operation business is considered. Cooperation with some businesses would be effective for energy conservation and environmental measures, and would advance the possibility to achieve economies of public profit. Also, group operation would break the stoppage and promote innovations one after another in a petrochemical complex.

  17. Description of earthquake sequences using complex network theory: the cases of Italy (L'Aquila, 2009) and Southern California (Baja, 2010)

    Science.gov (United States)

    Daskalaki, E.; Papadopoulos, G. A.; Minadakis, G.; Spiliotis, K.; Siettos, C.

    2013-12-01

    Complex networks pertain to the structure of many real-world systems influencing their dynamics. Earthquakes are a highly complex natural process that develops in the space-time-size domains given that the state of the seismogenic layer of the Earth is characterized by self-organized criticality. Over the last years, complex network theory was tested as a tool to quantify the topological characteristics of seismic activity aiming to investigate possible correlation patterns between earthquakes. With the aid of complex network theory, we have analyzed foreshock and aftershock sequences associated with the mainshocks of L'Aquila (Italy), 6th April 2009, Mw=6.3, and of Baja (Southern California) 4th April 2010, Mw=7.2. After testing the catalogues for data completeness on the basis of the magnitude-frequency relationship, we selected magnitude cut-off of 1.3 and 1.0, respectively. We constructed the underlying network that describes the evolution of the two sequences in space and extracted the statistical properties of the underlying topology resulting in characteristic scale-free and small-world structures. We found that the corresponding earthquake networks form a scale-free degree distribution and we computed their basic statistical measures, such as the Average Clustering Coefficient, Mean Path Length and Entropy. Taking into account a spatio-temporal sensitivity analysis, we found that the statistical measures of the two networks change considerably before and after the two main shocks, thus underlying the space-time clustering of the sequences. Our findings are in agreement with the ones obtained by using well established classical methods of statistical seismology. Thus, we believe that the proposed approach has the potential to serve as a supplementary or stand-alone methodology towards the better assessment of seismicity clusters

  18. Multi temporal LiDAR-DTMs as a tool for modelling a complex landslide: a case study in the Rotolon catchment (Eastern Italian Alps)

    OpenAIRE

    Bossi, G; M. Cavalli; S. Crema; S. Frigerio; B. Quan Luna; Mantovani, M.; Marcato, G.; L. Schenato; Pasuto, A.

    2014-01-01

    The geomorphological change detection through the comparison of repeated topographic surveys is a recent approach that benefits greatly from the latest developments in topographical data acquisition techniques. Among them, airborne LiDAR makes the monitoring of geomorphological changes a more reliable and accurate approach for natural hazard and risk management. In this study, two LiDAR-DTMs (2 m resolution) were acquired just before and after a complex 340 ...

  19. Characterizing reactions to fabricate thin films of charge transfer complexes by synchrotron photoelectron spectroscopy: A case study of DCNQI-Cu

    Science.gov (United States)

    Shimada, Toshihiro; Mochida, Michihiro; Koma, Atsushi

    1997-04-01

    Ultraviolet photoelectron spectroscopy with various photon energies using synchrotron radiation was used to characterize chemical reactions associated with thin film growth of organic charge transfer complex (DMe-DCNQI) 2Cu. Other molecular systems H 2Pc, CuPc and C 60 were also studied to clarify the origin of the systematic relation between the spectra and the incident photon energy. Characteristic photon energy dependence of the photo-ionization cross section of molecular orbitals is useful to analyze the intermolecular reactions.

  20. Governance of Protected Areas in West Africa - The case of the W-Arly-Pendjari (WAP) Complex in Benin and Burkina Faso

    OpenAIRE

    Konrad, Tillmann

    2015-01-01

    Protected areas are the central strategy for preserving biodiversity in the face of overexploitation and global change. To ensure their long-term survival, however, these areas may not be regarded as last havens of wilderness, but as complex social-ecological systems. Modern approaches of protected area (PA) management support this view by balancing conservation and development issues in a sustainable way and adapted to the local context. However, success of these strategies in achieving thei...

  1. Methodological approach to determine of small spatial units in a highly complex terrain in atmospheric pollution research: the case of Zasavje region in Slovenia

    OpenAIRE

    Andreja Kukec; Marija Z. Boznar; Primoz Mlakar; Bostjan Grasic; Andrej Herakovic; Vesna Zadnik; Lijana Zaletel-Kragelj; Jerneja Farkas; Ivan Erzen

    2014-01-01

    The study of atmospheric air pollution research in complex terrains is challenged by the lack of appropriate methodology supporting the analysis of the spatial relationship between phenomena affected by a multitude of factors. The key is optimal design of a meaningful approach based on small spatial units of observation. The Zasavje region, Slovenia, was chosen as study area with the main objective to investigate in practice the role of such units in a test environment. The process consisted ...

  2. Comprehensive evaluation technology for shale gas sweet spots in the complex marine mountains, South China: A case study from Zhaotong national shale gas demonstration zone

    Directory of Open Access Journals (Sweden)

    Xing Liang

    2016-01-01

    Full Text Available The exploration and development of marine shale gas reservoirs in South China is challenged by complex geological and geographical conditions, such as strong transformation, post maturity, complex mountains and humanity. In this paper, the evaluations on shale gas sweet spots conducted in Zhaotong demonstration zone in the past six years and the construction of 500 million m3 shale gas productivity in Huangjinba region were discussed, and the results of shale gas reservoir evaluations in China and abroad were investigated. Accordingly, it is proposed that another two key indicators be taken into consideration in the evaluation on shale gas sweet spots in marine mountains in South China, i.e. shale gas preservation conditions and pore pressure, and the research on ground stress and natural microfracture systems should be strengthened. Then, systematic analysis was conducted by integrating shale gas multidisciplinary data and geological and engineering integration study was carried out. Finally, a 3D model, which was composed of “geophysics, reservoir geology, fracture system and rock geomechanics”, was established for shale gas reservoirs. Application practice shows that the geological engineering integration and the 3D reservoir modeling are effective methods for evaluating the shale gas sweet spots in complex marine mountains in South China. Besides, based on shale gas sweet spot evaluation, 3D spatial congruency and superposition effects of multiple attributes and multiple evaluation parameters are presented. Moreover, the short-plate principle is the factor controlling the distribution patterns and evaluation results of shale gas sweet spots. It is concluded that this comprehensive evaluation method is innovative and effective in avoiding complex geological and engineering risks, so it is of guiding significance in exploration and development of marine shale gas in South China.

  3. Emergency Management of Major Bleeding in a Case of Maxillofacial Trauma and Anticoagulation: Utility of Prothrombin Complex Concentrates in the Shock Room

    OpenAIRE

    Alessandro Morotti; Mauro Felice Frascisco

    2015-01-01

    Life-threatening bleeding in anticoagulation with Warfarin is an emergency challenging issue. Several approaches are available to treat bleeding in either over-anticoagulation or proper-anticoagulation, including vitamin K, fresh frozen plasma and prothrombin complex concentrates (PCC) administration. In coexisting trauma-induced bleeding and anticoagulation, reversal of anticoagulation must be a rapid and highly effective procedure. Furthermore the appropriate treatment must be directly avai...

  4. Application of molecular cytogenetic techniques to clarify apparently balanced complex chromosomal rearrangements in two patients with an abnormal phenotype: case report

    Directory of Open Access Journals (Sweden)

    Rongen Michel A

    2009-07-01

    Full Text Available Abstract Background Complex chromosomal rearrangements (CCR are rare cytogenetic findings that are difficult to karyotype by conventional cytogenetic analysis partially because of the relative low resolution of this technique. High resolution genotyping is necessary in order to identify cryptic imbalances, for instance near the multiple breakpoints, to explain the abnormal phenotype in these patients. We applied several molecular techniques to elucidate the complexity of the CCRs of two adult patients with abnormal phenotypes. Results Multicolour fluorescence in situ hybridization (M-FISH showed that in patient 1 the chromosomes 1, 10, 15 and 18 were involved in the rearrangement whereas for patient 2 the chromosomes 5, 9, 11 and 13 were involved. A 250 k Nsp1 SNP-array analysis uncovered a deletion in chromosome region 10p13 for patient 1, harbouring 17 genes, while patient 2 showed no pathogenic gains or losses. Additional FISH analysis with locus specific BAC-probes was performed, leading to the identification of cryptic interstitial structural rearrangements in both patients. Conclusion Application of M-FISH and SNP-array analysis to apparently balanced CCRs is useful to delineate the complex chromosomal rearrangement in detail. However, it does not always identify cryptic imbalances as an explanation for the abnormal phenotype in patients with a CCR.

  5. Modelling and simulation of electrical energy systems through a complex systems approach using agent-based models. Case study: Under-frequency load shedding for refrigerators

    Energy Technology Data Exchange (ETDEWEB)

    Kremers, Enrique [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany). European Inst. for Energy Research (EIFER); Gonzalez de Durana, Jose Maria; Barambones, Oscar [Universidad del Pais Vasco, Vitoria (Spain). Escuela Universitaria de Ingenieria de Vitoria-Gasteiz

    2013-09-01

    One of the ways of studying complex systems is through modelling and simulation, which are used as tools to represent these systems in a virtual environment. Current advances in computing performance (which has been a major constraint in this field for some time) allow for the simulation these kinds of systems within reasonable time horizons. One of the tools for simulating complex systems is agent-based modelling. This individual-centric approach is based on autonomous entities that can interact with each other, thus modelling the system in a disaggregated way. Agent-based models can be coupled with other modelling methods, such as continuous models and discrete events, which can be embedded or run in parallel to the multi-agent system. When representing the electrical energy system in a systemic and multi-layered way, it is treated as a true socio-technical system, in which not only technical models are taken into account, but also socio-behavioural ones. In this work, a number of different models for the parts of an electrical system are presented, related to production, demand and storage. The models are intended to be as simple as possible in order to be simulated in an integrated framework representing the system as a whole. Furthermore, the models allow the inclusion of social behaviour and other, not purely engineering-related aspects of the system, which have to be considered from a complex point of view. (orig.)

  6. Tropical complexes

    OpenAIRE

    Cartwright, Dustin

    2013-01-01

    We introduce tropical complexes, which are Delta-complexes together with additional numerical data. On a tropical complex, we define divisors and linear equivalence between divisors, analogous to the notions for algebraic varieties, and generalizing previous work for graphs. We prove a comparison theorem showing that divisor-curve intersection numbers agree under certain conditions.

  7. Medical Complex

    OpenAIRE

    Kumaraswamy, Mohan

    2002-01-01

    One element of the CIVCAL project Web-based resources containing images, tables, texts and associated data on the construction of the Medical Complex. This project covers the construction of a new Hong Kong University Medical Complex on Sassoon Road, Pokfulam. The complex will comprise two buildings, one will house laboratories and a car park, while the other will contain lecture halls

  8. Can the Language of Rights Get Hold of the Complex Realities of Child Domestic Work?: The Case of Young Domestic Workers in Abidjan, Ivory Coast

    Science.gov (United States)

    Jacquemin, Melanie

    2006-01-01

    This review examines refractions of children's rights in development practice from an anthropological point of view and considers the case of young domestic girls working in Abidjan. The author argues that child labour legislation and the children's rights perspective in Abidjan is permeated by patriarchal values that mask the exploitation of work…

  9. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis

    Directory of Open Access Journals (Sweden)

    Walter P Wodchis

    2015-09-01

    Full Text Available Background: To address the challenges of caring for a growing number of older people with a mix of both health problems and functional impairment, programmes in different countries have different approaches to integrating health and social service supports. Objective: The goal of this analysis is to identify important lessons for policy makers and service providers to enable better design, implementation and spread of successful integrated care models. Methods: This paper provides a structured cross-case synthesis of seven integrated care programmes in Australia, Canada, the Netherlands, New Zealand, Sweden, the UK and the USA. Key findings: All seven programmes involved bottom-up innovation driven by local needs and included: (1 a single point of entry, (2 holistic care assessments, (3 comprehensive care planning, (4 care co-ordination and (5 a well-connected provider network. The process of achieving successful integration involves collaboration and, although the specific types of collaboration varied considerably across the seven case studies, all involved a care coordinator or case manager. Most programmes were not systematically evaluated but the two with formal external evaluations showed benefit and have been expanded. Conclusions: Case managers or care coordinators who support patient-centred collaborative care are key to successful integration in all our cases as are policies that provide funds and support for local initiatives that allow for bottom-up innovation. However, more robust and systematic evaluation of these initiatives is needed to clarify the ‘business case’ for integrated health and social care and to ensure successful generalization of local successes.

  10. Evaluating the Performance of DFT Functionals in Assessing the Interaction Energy and Ground-State Charge Transfer of Donor/Acceptor Complexes: Tetrathiafulvalene−Tetracyanoquinodimethane (TTF−TCNQ) as a Model Case

    KAUST Repository

    Sini, Gjergji

    2011-03-08

    We have evaluated the performance of several density functional theory (DFT) functionals for the description of the ground-state electronic structure and charge transfer in donor/acceptor complexes. The tetrathiafulvalene- tetracyanoquinodimethane (TTF-TCNQ) complex has been considered as a model test case. Hybrid functionals have been chosen together with recently proposed long-range corrected functionals (ωB97X, ωB97X-D, LRC-ωPBEh, and LC-ωPBE) in order to assess the sensitivity of the results to the treatment and magnitude of exact exchange. The results show an approximately linear dependence of the ground-state charge transfer with the HOMO TTF-LUMOTCNQ energy gap, which in turn depends linearly on the percentage of exact exchange in the functional. The reliability of ground-state charge transfer values calculated in the framework of a monodeterminantal DFT approach was also examined. © 2011 American Chemical Society.

  11. Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report

    OpenAIRE

    Lee, Jong-Hoo; Byun, Jeong-Hyun; Choe, Yu-Ri; Lim, Seung-Kyu; Lee, Ka-Young; Choi, In-Sung

    2015-01-01

    A 37-year-old man with a right transfemoral amputation suffered from severe phantom limb pain (PLP). After targeting the affected supplementary motor complex (SMC) or primary motor cortex (PMC) using a neuro-navigation system with 800 stimuli of 1 Hz repetitive transcranial magnetic stimulation (rTMS) at 85% of resting motor threshold, the 1 Hz rTMS over SMC dramatically reduced his visual analog scale (VAS) of PLP from 7 to 0. However, the 1 Hz rTMS over PMC failed to reduce pain. To our kno...

  12. Emergency management of major bleeding in a case of maxillofacial trauma and anticoagulation: utility of prothrombin complex concentrates in the shock room

    Directory of Open Access Journals (Sweden)

    Alessandro Morotti

    2015-03-01

    Full Text Available Life-threatening bleeding in anticoagulation with Warfarin is an emergency challenging issue. Several approaches are available to treat bleeding in either over-anticoagulation or propeanticoagulation, including vitamin K, fresh frozen plasma and prothrombin complex concentrates (PCC administration. In coexisting trauma-induced bleeding and anticoagulation, reversal of anticoagulation must be a rapid and highly effective procedure. Furthermore the appropriate treatment must be directly available in each shock rooms to guarantee the rapid management of the emergency. PCC require a simple storage, rapid accessibility, fast administration procedures and high effectiveness. Here we report the utility of PCC in management of a craniofacial trauma in proper-anticoagulation.

  13. Joint impact of rainfall and tidal level on flood risk in a coastal city with a complex river network: a case study for Fuzhou city, China

    OpenAIRE

    Lian, J. J.; Xu, K.; Ma, C.

    2012-01-01

    Coastal cities are particularly vulnerable to flood under the combined effect of multivariable variables, such as heavy rainfall, high sea level and large waves. For better assessment and management of flood risk the combined effect and joint probability should be considered. This paper aims to study the joint impact of rainfall and tidal level on flood risk by estimating the combined risk degree of flood and the joint flood probability. The area of case study is a typical coastal city...

  14. Facilities Management Service Delivery in Public and Private High Rise Residential Buildings in Nigeria: A case study of Eko Court Complex and Niger Towers

    Directory of Open Access Journals (Sweden)

    Olanrele O. O.

    2014-01-01

    Full Text Available This study assessed and compared the delivery of Facilities Management (FM services in public and private high rise residential buildings in Lagos, Nigeria. While some facilities or services may not be available in some public estates, the efficiency of the available ones is inadequate in comparison with the adequacy and efficiency of services provided in private estates. The objectives set for the study include identification of services that are provided in the case studies, service delivery method, and an assessment of the residents’ satisfaction of the services. This study adopted questionnaire survey for collection of data. 127 questionnaires were distributed to the residents of the case studies and 93 were returned. Three of which were discarded for incompleteness, thus 90 were analysed. The study found that most but not all of the facilities services expected in high rise buildings are available in the case studies and the services are outsourced under a standard Service Level Agreement. The service delivery in private high rise residential building is better than the public residential high rise buildings as revealed by the study. The study recommends improved standardization of services, customized services and meeting customer’s expectation for improved service delivery.

  15. Prospective outcome of the influence of complexation by natural organic matter on enhanced or retarded transport of radionuclides: case of humic substances retention

    International Nuclear Information System (INIS)

    This document takes a prospective stock of the natural organic matter influence on the possible effects on radionuclide migration, as well as a brief critical analysis of the literature data. A comparison with the retention of the 'simple' organic complexing agents is done in order to fix the limit of the 'simplistic' analogies done in the literature very often. It appears that the magnitude of the effects is function of the residence time in the medium, and of the possibilities for the organic complexes to be retained on the mineral surfaces. The contact time between radionuclides and the natural organic matter is also an influent parameter, as it influences part of the reversibility of this interaction vis-a-vis surface retention. Modelling of the metal-organic-surface systems is only satisfying up to now when accounting fractions of organic matter that are less susceptible to form colloidal aggregates, i.e., fulvic acids. These non-aggregated fractions could be considered as simple ligands in a first approximation. Conversely, when it comes to aggregated colloids of organic origin, i.e., humic acids, modelling are limited by the lack of theoretical understanding of their structure and of their evolution in response to geochemical condition variations, as ionic strength (harsh meteoric events), acidity or water composition (non-saturated water table). (author)

  16. Age estimation of the mid-Pleistocene microtektite event in the South China Sea: A case showing the complexity of the sea-land correlation

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The present study confirms the stratigraphical position of microtektite layer being clearly located below the Brunhes/Matuyama (B/M) boundary. Based on the sedimentation rate derived from the stable isotopic and magnetic data of ODP Site 772A, cores 17957 and 17959 in the South China Sea, the age of the mid-Pleistocene impact event was estimated at 10-12 ka earlier than the Brunhes-Matuyama polarity reversal. However, the microtektites were found above the measured B/M boundary in the loess profile due to the downward deviation of the measured B/M boundary from its true position[1] . This demonstrates the complexity of paleo-magnetic records in the loess profiles which, in turn, causes the confusion in the sea-land stratigraphic correlation.

  17. The impact of uranium mining and milling operations over hydric bodies water quality: a case study of Pocos de Caldas Plateau Minero-industrial Complex area

    International Nuclear Information System (INIS)

    This study introduces an impact assessment of uranium mining and milling over river water quality in Pocos de Caldas Plateau Minero-Industrial Complex (CIPC) area. The pH and stable and radioactive elements concentration values of surface water and liquid effluent samples, obtained during 1982 to 1992 period, are used as data base, and the assessment methodology includes the application of statistical analysis techniques in order to obtain a higher information degree from monitoring programs. The environmental impact from mining and milling activities, additional aspects related to uranium concentrate production, and general description of Pocos de Caldas Plateau region, facility and radiological environmental impact from CIPC operation are also presented. (author). 100 refs, 43 figs, 44 tabs

  18. Studies on the power output of a MADEAE-30 operating on complex terrain. Annual Energy Production estimation and Multivariable analysis. A case of multi-stall effect

    International Nuclear Information System (INIS)

    The main need of the EWTS-II Sub-project IV group is to have a suitable data-base which allows it to reach proper conclusions on the characteristics of power performance of wind turbines in complex terrain. With this aim, this document presents an analysis on the power output of the MADE AE-30 Wind turbine operating at Tarifa (also data from flat terrain are enclosed as a reference). An application of the bin method and AEP estimation for energy production method. In the two last issues a directional analysis and an study for two different turbulence intensity ranges are enclosed. Finally the STEPWISE multirregression method is applied on the measurements to identify the stored parameters that have influence on the power output. A brief description of multi stall effect is enclosed. (Author) 7 refs

  19. Construction of a general library for the rational design of nanomagnets and spin qubits based on mononuclear f-block complexes. The polyoxometalate case.

    Science.gov (United States)

    Baldoví, José J; Clemente-Juan, Juan M; Coronado, Eugenio; Duan, Yan; Gaita-Ariño, Alejandro; Giménez-Saiz, Carlos

    2014-09-15

    This paper belongs to a series of contributions aiming at establishing a general library that helps in the description of the crystal field (CF) effect of any ligand on the splitting of the J ground states of mononuclear f-element complexes. Here, the effective parameters associated with the oxo ligands (effective charges and metal-ligand distances) are extracted from the study of the magnetic properties of the first two families of single-ion magnets based on lanthanoid polyoxometalates (POMs), formulated as [Ln(W5O18)2](9-) and [Ln(β2-SiW11O39)2](13-) (Ln = Tb, Dy, Ho, Er, Tm, Yb). This effective CF approach provides a good description of the lowest-lying magnetic levels and the associated wave functions of the studied systems, which is fully consistent with the observed magnetic behavior. In order to demonstrate the predictive character of this model, we have extended our model in a first step to calculate the properties of the POM complexes of the early 4f-block metals. In doing so, [Nd(W5O18)2](9-) has been identified as a suitable candidate to exhibit SMM behavior. Magnetic experiments have confirmed such a prediction, demonstrating the usefulness of this strategy for the directed synthesis of new nanomagnets. Thus, with an effective barrier of 51.4 cm(-1) under an applied dc field of 1000 Oe, this is the second example of a Nd(3+)-based single-ion magnet. PMID:25156530

  20. A systematic grounded approach to the development of complex interventions: the Australian WorkHealth Program--arthritis as a case study.

    Science.gov (United States)

    Reavley, Nicola; Livingston, Jenni; Buchbinder, Rachelle; Bennell, Kim; Stecki, Chris; Osborne, Richard Harry

    2010-02-01

    Despite demands for evidence-based research and practice, little attention has been given to systematic approaches to the development of complex interventions to tackle workplace health problems. This paper outlines an approach to the initial stages of a workplace program development which integrates health promotion and disease management. The approach commences with systematic and genuine processes of obtaining information from key stakeholders with broad experience of these interventions. This information is constructed into a program framework in which practice-based and research-informed elements are both valued. We used this approach to develop a workplace education program to reduce the onset and impact of a common chronic disease - osteoarthritis. To gain information systematically at a national level, a structured concept mapping workshop with 47 participants from across Australia was undertaken. Participants were selected to maximise the whole-of-workplace perspective and included health education providers, academics, clinicians and policymakers. Participants generated statements in response to a seeding statement: Thinking as broadly as possible, what changes in education and support should occur in the workplace to help in the prevention and management of arthritis? Participants grouped the resulting statements into conceptually coherent groups and a computer program was used to generate a 'cluster map' along with a list of statements sorted according to cluster membership. In combination with research-based evidence, the concept map informed the development of a program logic model incorporating the program's guiding principles, possible service providers, services, training modes, program elements and the causal processes by which participants might benefit. The program logic model components were further validated through research findings from diverse fields, including health education, coaching, organisational learning, workplace interventions

  1. Is Scale-Up of Community Mobilisation among Sex Workers Really Possible in Complex Urban Environments? The Case of Mumbai, India

    Science.gov (United States)

    Kongelf, Anine; Bandewar, Sunita V. S.; Bharat, Shalini; Collumbien, Martine

    2015-01-01

    Background In the last decade, community mobilisation (CM) interventions targeting female sex workers (FSWs) have been scaled-up in India’s national response to the HIV epidemic. This included the Bill and Melinda Gates Foundation’s Avahan programme which adopted a business approach to plan and manage implementation at scale. With the focus of evaluation efforts on measuring effectiveness and health impacts there has been little analysis thus far of the interaction of the CM interventions with the sex work industry in complex urban environments. Methods and Findings Between March and July 2012 semi-structured, in-depth interviews and focus group discussions were conducted with 63 HIV intervention implementers, to explore challenges of HIV prevention among FSWs in Mumbai. A thematic analysis identified contextual factors that impact CM implementation. Large-scale interventions are not only impacted by, but were shown to shape the dynamic social context. Registration practices and programme monitoring were experienced as stigmatising, reflected in shifting client preferences towards women not disclosing as ‘sex workers’. This combined with urban redevelopment and gentrification of traditional red light areas, forcing dispersal and more ‘hidden’ ways of solicitation, further challenging outreach and collectivisation. Participants reported that brothel owners and ‘pimps’ continued to restrict access to sex workers and the heterogeneous ‘community’ of FSWs remains fragmented with high levels of mobility. Stakeholder engagement was poor and mobilising around HIV prevention not compelling. Interventions largely failed to respond to community needs as strong target-orientation skewed activities towards those most easily measured and reported. Conclusion Large-scale interventions have been impacted by and contributed to an increasingly complex sex work environment in Mumbai, challenging outreach and mobilisation efforts. Sex workers remain a vulnerable

  2. Breast conserving surgery with preservation of the nipple-areola complex as a feasible and safe approach in male breast cancer: a case report

    Science.gov (United States)

    Lanitis, Sophocles; Filippakis, George; Al Mufti, Ragheed; Hadjiminas, Dimitri J

    2008-01-01

    Introduction Breast cancer in men is rare. The evidence about treatment has been derived from data on the management of the disease in women. The usual treatment is for male patients to undergo modified radical mastectomy. There is insufficient experience of breast conserving surgery with preservation of the nipple. The management of patients who demand such an approach for personal reasons remains a challenge for both the surgeon and oncologist. Case presentation A 50-year-old man with a breast cancer was successfully managed with breast conserving surgery with nipple preservation combined with axillary clearance and postoperative radiotherapy, chemotherapy and hormone treatment. Since there are no similar cases in the literature, we discuss the feasibility, safety and possible indications of such an approach. Conclusion Despite the limited indications and evidence about the safety and efficacy of breast conserving surgery with nipple preservation in men with breast cancer, it is a feasible approach if other options are declined by the patient. More studies are necessary to reach firm conclusions about the safety of such an approach. PMID:18442386

  3. Breast conserving surgery with preservation of the nipple-areola complex as a feasible and safe approach in male breast cancer: a case report

    Directory of Open Access Journals (Sweden)

    Lanitis Sophocles

    2008-04-01

    Full Text Available Abstract Introduction Breast cancer in men is rare. The evidence about treatment has been derived from data on the management of the disease in women. The usual treatment is for male patients to undergo modified radical mastectomy. There is insufficient experience of breast conserving surgery with preservation of the nipple. The management of patients who demand such an approach for personal reasons remains a challenge for both the surgeon and oncologist. Case presentation A 50-year-old man with a breast cancer was successfully managed with breast conserving surgery with nipple preservation combined with axillary clearance and postoperative radiotherapy, chemotherapy and hormone treatment. Since there are no similar cases in the literature, we discuss the feasibility, safety and possible indications of such an approach. Conclusion Despite the limited indications and evidence about the safety and efficacy of breast conserving surgery with nipple preservation in men with breast cancer, it is a feasible approach if other options are declined by the patient. More studies are necessary to reach firm conclusions about the safety of such an approach.

  4. Automatic Complexity Analysis

    DEFF Research Database (Denmark)

    Rosendahl, Mads

    1989-01-01

    One way to analyse programs is to to derive expressions for their computational behaviour. A time bound function (or worst-case complexity) gives an upper bound for the computation time as a function of the size of input. We describe a system to derive such time bounds automatically using abstract...

  5. Engaging complexity

    Directory of Open Access Journals (Sweden)

    Gys M. Loubser

    2014-01-01

    Full Text Available In this article, I discuss studies in complexity and its epistemological implications for systematic and practical theology. I argue that engagement with complexity does not necessarily assurea non-reductionist approach. However, if complexity is engaged transversally, it becomes possible to transcend reductionist approaches. Moreover, systematic and practical the ologians can draw on complexity in developing new ways of understanding and, therefore, new ways of describing the focus, epistemic scope and heuristic structures of systematic and practical theology. Firstly, Edgar Morin draws a distinction between restricted and general complexity based on the epistemology drawn upon in studies in complexity. Moving away from foundationalist approaches to epistemology, Morin argues for a paradigm of systems. Secondly,I discuss Kees van Kooten Niekerk�s distinction between epistemology, methodology andontology in studies in complexity and offer an example of a theological argument that drawson complexity. Thirdly, I argue for the importance of transversality in engaging complexity by drawing on the work of Wentzel van Huyssteen and Paul Cilliers. In conclusion, I argue that theologians have to be conscious of the epistemic foundations of each study in complexity, and these studies illuminate the heart of Reformed theology.Intradisciplinary and/or interdisciplinary implications: Therefore, this article has both intradisciplinary and interdisciplinary implications. When theologians engage studies incomplexity, the epistemological roots of these studies need to be considered seeing thatresearchers in complexity draw on different epistemologies. Drawing on transversality wouldenhance such considerations. Furthermore, Edgar Morin�s and Paul Cilliers� approach tocomplexity will inform practical and theoretical considerations in church polity and unity.

  6. Complex-Valued Autoencoders

    CERN Document Server

    Baldi, Pierre; Lu, Zhiqin

    2011-01-01

    Autoencoders are unsupervised machine learning circuits whose learning goal is to minimize a distortion measure between inputs and outputs. Linear autoencoders can be defined over any field and only real-valued linear autoencoder have been studied so far. Here we study complex-valued linear autoencoders where the components of the training vectors and adjustable matrices are defined over the complex field with the $L_2$ norm. We provide simpler and more general proofs that unify the real-valued and complex-valued cases, showing that in both cases the landscape of the error function is invariant under certain groups of transformations. The landscape has no local minima, a family of global minima associated with Principal Component Analysis, and many families of saddle points associated with orthogonal projections onto sub-space spanned by sub-optimal subsets of eigenvectors of the covariance matrix. The theory yields several iterative, convergent, learning algorithms, a clear understanding of the generalizatio...

  7. The evolution of the paleomagnetic fold test as applied to complex geologic situations, illustrated by a case study from northern Spain

    Science.gov (United States)

    Weil, Arlo B.; Van der Voo, Rob

    Paleomagnetic results are most useful if the age of the magnetization can be established with respect to the rock age or the age of specific structural or alteration events. The fold test is a particularly powerful tool; not only can it be used to determine whether magnetizations are pre-, syn- or post-folding, but it can also reassure us that structural corrections need (or need not) be applied to a given magnetization. This study traces the evolution of various fold and tilt tests developed in the 50-some years since the classical test of Graham was published. Syn-deformational magnetizations are a very special case, usually characterized as such by an incremental tilt test. In regions where rotations about (near-) vertical axes are to be expected, a strike test is the best tool for determining them. A case study of syn-deformational magnetizations in the Cantabria-Asturias Arc (CAA) of northern Spain is presented, which illustrates the application of the various tilt and strike tests. One ancient post-deformational and two syn-deformational magnetizations have been recorded in CAA Devonian carbonates, each characterized by different optimal (peak) percentages of unfolding in incremental fold tests. The structural corrections required to bring the individual site-mean magnetization directions into alignment can be used to restore the beds to their attitudes at the times when the magnetizations were acquired. Furthermore, these structural corrections provide robust constraints on the kinematics of the deformation phase that is being removed. In the CAA, removal of late-stage folding about steeply inclined fold axes, due to Permian oroclinal bending, restores the belt to its first folding and thrusting configuration, and produces north-south trending cylindrical folds that formed during the Late Carboniferous. The separate deformations, consisting of earlier folding and thrusting and later oroclinal bending, have implications for the final collisional movements

  8. In search for instructional techniques to maximize the use of germane cognitive resources: A case of teaching complex tasks in physics

    Science.gov (United States)

    Sliva, Yekaterina

    The purpose of this study was to introduce an instructional technique for teaching complex tasks in physics, test its effectiveness and efficiency, and understand cognitive processes taking place in learners' minds while they are exposed to this technique. The study was based primarily on cognitive load theory (CLT). CLT determines the amount of total cognitive load imposed on a learner by a learning task as combined intrinsic (invested in comprehending task complexity) and extraneous (wasteful) cognitive load. Working memory resources associated with intrinsic cognitive load are defined as germane resources caused by element interactivity that lead to learning, in contrast to extraneous working memory resources that are devoted to dealing with extraneous cognitive load. However, the amount of learner's working memory resources actually devoted to a task depends on how well the learner is engaged in the learning environment. Since total cognitive load has to stay within limits of working memory capacity, both extraneous and intrinsic cognitive load need to be reduced. In order for effective learning to occur, the use of germane cognitive resources should be maximized. In this study, the use of germane resources was maximized for two experimental groups by providing a learning environment that combined problem-solving procedure with prompts to self-explain with and without completion problems. The study tested three hypotheses and answered two research questions. The first hypothesis predicting that experimental treatments would reduce total cognitive load was not supported. The second hypothesis predicting that experimental treatments would increase performance was supported for the self-explanation group only. The third hypothesis that tested efficiency measure as adopted from Paas and van Merrienboer (1993) was not supported. As for the research question of whether the quality of self-explanations would change with time for the two experimental conditions, it was

  9. Monitoring Cloud-prone Complex Landscapes At Multiple Spatial Scales Using Medium And High Resolution Optical Data: A Case Study In Central Africa

    Science.gov (United States)

    Basnet, Bikash

    Tracking land surface dynamics over cloud-prone areas with complex mountainous terrain and a landscape that is heterogeneous at a scale of approximately 10 m, is an important challenge in the remote sensing of tropical regions in developing nations, due to the small plot sizes. Persistent monitoring of natural resources in these regions at multiple spatial scales requires development of tools to identify emerging land cover transformation due to anthropogenic causes, such as agricultural expansion and climate change. Along with the cloud cover and obstructions by topographic distortions due to steep terrain, there are limitations to the accuracy of monitoring change using available historical satellite imagery, largely due to sparse data access and the lack of high quality ground truth for classifier training. One such complex region is the Lake Kivu region in Central Africa. This work addressed these problems to create an effective process for monitoring the Lake Kivu region located in Central Africa. The Lake Kivu region is a biodiversity hotspot with a complex and heterogeneous landscape and intensive agricultural development, where individual plot sizes are often at the scale of 10m. Procedures were developed that use optical data from satellite and aerial observations at multiple scales to tackle the monitoring challenges. First, a novel processing chain was developed to systematically monitor the spatio-temporal land cover dynamics of this region over the years 1988, 2001, and 2011 using Landsat data, complemented by ancillary data. Topographic compensation was performed on Landsat reflectances to avoid the strong illumination angle impacts and image compositing was used to compensate for frequent cloud cover and thus incomplete annual data availability in the archive. A systematic supervised classification, using the state-of-the-art machine learning classifier Random Forest, was applied to the composite Landsat imagery to obtain land cover thematic maps

  10. Simplifying complexity

    NARCIS (Netherlands)

    Leemput, van de I.A.

    2016-01-01

    In this thesis I use mathematical models to explore the properties of complex systems ranging from microbial nitrogen pathways and coral reefs to the human state of mind. All are examples of complex systems, defined as systems composed of a number of interconnected parts, where the systemic behavior

  11. Hamiltonian complexity

    International Nuclear Information System (INIS)

    In recent years we have seen the birth of a new field known as Hamiltonian complexity lying at the crossroads between computer science and theoretical physics. Hamiltonian complexity is directly concerned with the question: how hard is it to simulate a physical system? Here I review the foundational results, guiding problems, and future directions of this emergent field.

  12. Foreshocks and short-term hazard assessment of large earthquakes using complex networks: the case of the 2009 L'Aquila earthquake

    Science.gov (United States)

    Daskalaki, Eleni; Spiliotis, Konstantinos; Siettos, Constantinos; Minadakis, Georgios; Papadopoulos, Gerassimos A.

    2016-08-01

    The monitoring of statistical network properties could be useful for the short-term hazard assessment of the occurrence of mainshocks in the presence of foreshocks. Using successive connections between events acquired from the earthquake catalog of the Istituto Nazionale di Geofisica e Vulcanologia (INGV) for the case of the L'Aquila (Italy) mainshock (Mw = 6.3) of 6 April 2009, we provide evidence that network measures, both global (average clustering coefficient, small-world index) and local (betweenness centrality) ones, could potentially be exploited for forecasting purposes both in time and space. Our results reveal statistically significant increases in the topological measures and a nucleation of the betweenness centrality around the location of the epicenter about 2 months before the mainshock. The results of the analysis are robust even when considering either large or off-centered the main event space windows.

  13. Surgical Treatment of Diverticulitis: Hand-Assisted Laparoscopic Resection Is Predominantly Used for Complex Cases and Is Associated With Increased Postoperative Complications and Prolonged Hospitalization.

    Science.gov (United States)

    Miyagaki, Hiromichi; Rhee, Rebecca; Shantha Kumara, H M C; Yan, Xiaohong; Njoh, Linda; Cekic, Vesna; Whelan, Richard L

    2016-06-01

    Introduction Laparoscopic (LAP) colectomy is now the "gold" standard for diverticulitis; the role of hand-assisted LAP (HAL) and Open methods today is unclear. This study assessed the elective use of these methods for diverticulitis. Methods A retrospective review of demographic, comorbidity (Carlson Comorbidity Index [CCI]), resection type, and short-term outcomes was carried out. Results There were 125 (44.5%) LAP, 125 (44.5%) HAL, and 31 (11%) Open cases (overall N = 281). The mean age, body mass index, and percentage of high-risk patients (CCI score >2) of the HAL group were greater (P 2 was greater when compared with the LAP group (P bowel movement was not different; however, there was a stepwise increase in median length of stay (LOS; days) from the LAP (5 days) to HAL (6 days) to Open group (7 days) (P surgery utilization rate (89%). PMID:26611789

  14. Displaced/re-worked rhodolith deposits infilling parts of a complex Miocene multistorey submarine channel: A case history from the Sassari area (Sardinia, Italy)

    Science.gov (United States)

    Murru, Marco; Bassi, Davide; Simone, Lucia

    2015-08-01

    In the Sassari area (north-western Sardinia, Italy), the Miocene Porto Torres sub-basin sequences represent the complex multistorey mixed carbonate-siliciclastic submarine feature called the Sassari Channel. During the late Burdigalian-early Serravallian, repeated terrigenous supplies from uplifted Paleozoic crystalline substrata fed the Sassari Channel system by means of turbidity and locally hyper-concentrated turbidity flows. Shelfal areas were the source of terrigenous clasts, but open shelf rhodalgal/foramol carbonate areas were very productive and largely also contributed to the channel infilling. Re-worked sands and skeletal debris were discontinuously re-sedimented offshore as pure terrigenous, mixed and/or carbonate deposits. Major sediment supply was introduced between the latest Burdigalian and the start of the middle Langhian, during which a large amount of carbonate, mixed and siliciclastic sediments reached the Porto Torres Basin (Sassari Channel I). Contributions from shallow proximal source areas typify the lower intervals (Unit A) in marginal sectors of the channel. Upward, these evolve into autochthonous rhodolith deposits, winnowed by strong currents in relatively shallow well lit settings within a complex network of narrow tidally-controlled channels (Unit D) locally bearing coral assemblages. Conversely, re-sedimented rhodoliths from the Units B and C accumulated under conditions of higher turbidity. In deeper parts of the channel taxonomically diversified rhodoliths point to the mixing of re-deposited skeletal components from different relatively deep bathmetric settings. In the latest early Langhian, major re-sedimentation episodes, resulting in large prograding bodies (Unit D), triggered by repeated regression pulses in a frame of persistent still stand. During these episodes photophile assemblages dwelled in the elevated margin sectors of the channel. A significant latest early Langhian drop in relative sea-level resulted in impressive mass

  15. Glacier meltwater flow paths and storage in a geomorphologically complex glacial foreland: The case of the Tapado glacier, dry Andes of Chile (30°S)

    Science.gov (United States)

    Pourrier, J.; Jourde, H.; Kinnard, C.; Gascoin, S.; Monnier, S.

    2014-11-01

    The Tapado catchment is located in the upper Elqui river basin (4000-5550 m) in northern Chile. It comprises the Tapado glacial complex, which is an assemblage of the Tapado glacier and the glacial foreland (debris-covered glacier, rock glacier, and moraines). Although the hydrological functioning of this catchment is poorly known, it is assumed to actively supply water to the lower semi-arid areas of the Elqui river basin. To improve our knowledge of the interactions and water transfers between the cryospheric compartment (glacier, debris-covered glacier, and rock glacier) and the hydrological compartment (aquifers, streams), the results of monitoring of meteorological conditions, as well as discharge, conductivity and temperature of streams and springs located in the Tapado catchment were analyzed. The hydrological results are compared to results inferred from a ground penetrating radar (GPR) survey of the underground structure of the glacial foreland. Water production from the Tapado glacier was shown to be highly correlated with daily and monthly weather conditions, particularly solar radiation and temperature. The resulting daily and monthly streamflow cycles were buffered by the glacial foreland, where underground transfers took place through complex flow paths. However, the development of a thermokarst drainage network in a portion of the glacial foreland enabled rapid concentrated water transfers that reduced the buffer effect. The glacial foreland was shown to act as a reservoir, storing water during high melt periods and supplying water to downstream compartments during low melt periods. GPR observations revealed the heterogeneity of the internal structure of the glacial foreland, which is composed of a mixture of ice and rock debris mixture, with variable spatial ice content, including massive ice lenses. This heterogeneity may explain the abovementioned hydrological behaviors. Finally, calculation of a partial hydrological budget confirmed the

  16. Early AIDS dementia complex

    International Nuclear Information System (INIS)

    A frequent complication of the acquired immunodeficiency syndrome (AIDS) is AIDS dementia complex (ADC). The authors evaluated seven patients with AIDS (aged 28-55 years, all male) for ADC by psychiatric evaluation, neuropsychological testing, CT scanning, and IMP-SPECT. Six of seven patients exhibited cognitive or behavioral abnormalities. Neuropsychological testing showed general deficits but no cases of explicit dementia. SPECT showed marked abnormalities in two cases: posterior temporal-parietal diminution of tracer uptake in one case (posterior/anterior=0.81) and marked right/left subcortical asymmetry (1.17) in the other. In three additional cases there was asymmetric tracer uptake in the subcortical and parietal regions. CT findings were normal in all seven cases. The authors conclude that functional imaging with the use of IMP-SPECT may be a useful method to follow ADC progression and response to therapy

  17. Applicability of major histocompatibility complex DRB1 alleles as markers to detect vertebrate hybridization: a case study from Iberian ibex × domestic goat in southern Spain

    Directory of Open Access Journals (Sweden)

    Alasaad Samer

    2012-09-01

    Full Text Available Abstract Background Hybridization between closely related wild and domestic species is of great concern because it can alter the evolutionary integrity of the affected populations. The high allelic variability of Major Histocompatibility Complex (MHC loci usually excludes them from being used in studies to detect hybridization events. However, if a the parental species don’t share alleles, and b one of the parental species possesses an exceptionally low number of alleles (to facilitate analysis, then even MHC loci have the potential to detect hybrids. Results By genotyping the exon2 of the MHC class II DRB1 locus, we were able to detect hybridization between domestic goats (Capra hircus and free-ranging Iberian ibex (Capra pyrenaica hispanica by molecular means. Conclusions This is the first documentation of a Capra pyrenaica × Capra hircus hybridization, which presented us the opportunity to test the applicability of MHC loci as new, simple, cost-effective, and time-saving approach to detect hybridization between wild species and their domesticated relatives, thus adding value to MHC genes role in animal conservation and management.

  18. Metal complexes of a pentadentate N2O3bis(semicarbazone) Schiff-base. A case study of structure-spectroscopy correlation.

    Science.gov (United States)

    Inoue, Mayara Hissami; Ribeiro, Ronny Rocha; Sabino, José Ricardo; Nunes, Fábio Souza

    2016-07-01

    Schiff condensation of 2,6-diformyl 4-methylphenol with semicarbazide hydrochloride in 1:2 molar ratio produces the bis(semicarbazone) ligand, herein called H3L. A comprehensive spectroscopic analysis of the compound was performed by (1)H and (13)C NMR, FTIR and electronic spectroscopies. Assignments to the UV-vis spectrum of H3L were supported by semi-empirical quantum mechanics ZINDO/S calculations. The ligand H3L forms monoclinic crystals in the space group P21/c and its structure is stabilized by classic hydrogen bonds with propanone molecules. It promptly reacts with first row metal ions to produce the following coordination compounds: [Co2(L)(μ-NO3)]·DMF, [Ni2(H2L)(μ-CH3COO)(CH3COO)2]·2H2O, [Cu2(L)(μ-NO3)(H2O)2]·H2O, [Cu2(L)(μ-CH3COO)(H2O)2]·H2O and [Cu2(H2L)(μ-Cl)Cl2]·3H2O, that have different compositions, depending on the degree of deprotonation of the ligand upon coordination. Electronic and EPR spectroscopies as well as effective magnetic moment measurements of the complexes were used in an attempt to better understand their mode of coordination, the microsymmetry around the metal ions and magnetic properties. PMID:27082654

  19. Shaping a high-mass star-forming cluster through stellar feedback. The case of the NGC 7538 IRS 1-3 complex

    CERN Document Server

    Frau, Pau; Zhang, Qizhou; Rao, Ramprasad

    2014-01-01

    Context: NGC 7538 IRS 1-3 is a high-mass star-forming cluster with several detected dust cores, infrared sources, (ultra)compact H$_{\\rm II}$ regions, molecular outflows, and masers. In such a complex environment, important interactions and feedback among the embedded objects are expected to play a major role in the evolution of the region. Aims: We study the dust, kinematic, and polarimetric properties of the NGC 7538 IRS 1-3 region to investigate the role of the different forces interplaying in the formation and evolution of high-mass star-forming clusters. Methods: We perform SMA high angular resolution observations at 880 $\\mu$m with the compact configuration. We develop the RATPACKS code to generate synthetic velocity cubes from models of choice to be compared to the observational data. We develop the "mass balance" analysis to quantify the stability against gravitational collapse accounting for all the energetics at core scales. Results: We detect 14 dust cores from 3.5 $M_{\\odot}$ to 37 $M_{\\odot}$ arr...

  20. Joint impact of rainfall and tidal level on flood risk in a coastal city with a complex river network: a case study of Fuzhou City, China

    Directory of Open Access Journals (Sweden)

    J. J. Lian

    2013-02-01

    Full Text Available Coastal cities are particularly vulnerable to flood under multivariable conditions, such as heavy precipitation, high sea levels, and storms. The combined effect of multiple sources and the joint probability of extremes should be considered to assess and manage flood risk better. This paper aims to study the combined effect of rainfall and the tidal level of the receiving water body on flood probability and severity in Fuzhou City, which has a complex river network. Flood severity under a range of precipitation intensities, with return periods (RPs of 5 yr to 100 yr, and tidal levels was assessed through a hydrodynamic model verified by data observed during Typhoon Longwang in 2005. According to the percentages of the river network where flooding occurred, the threshold conditions for flood severity were estimated in two scenarios: with and without working pumps. In Fuzhou City, working pumps efficiently reduce flood risk from precipitation within a 20-yr RP. However, the pumps may not work efficiently when rainfall exceeds a 100-yr RP because of the limited conveyance capacity of the river network. Joint risk probability was estimated through the optimal copula. The joint probability of rainfall and tidal level both exceeding their threshold values is very low, and the greatest threat in Fuzhou comes from heavy rainfall. However, the tidal level poses an extra risk of flood. Given that this extra risk is ignored in the design of flood defense in Fuzhou, flood frequency and severity may be higher than understood during design.

  1. Magma mixing, crustal contamination, contamination before chemical analysis or complex history? The case study from the Wołek Hill, SW Poland

    Science.gov (United States)

    Nowak, Monika

    2015-04-01

    Wołek Hill is one of the smallest exposures from ca. 300 occurrences of Cenozoic volcanic rocks from SW Poland. The outcrop is located about 100 km SW from Wrocław and belongs to the Złotoryja Volcanic Field, which is one of the largest volcanic fields in the Polish part of the Central European Volcanic Province (Ladenberger et al. 2006). The volcanic body, which is about 20 m wide, cross-cuts older Permian volcanic rocks (trachyandesites and rhyolites) and is well exposed in an old abandoned quarry. The occurrence was studied in detail because of great amount of mantle and crustal xenoliths brought to the surface by magma. Wołek Hill is one of the two occurrences in SW Poland where amphibole crystals were recognized as results of modal metasomatism in lithospheric mantle (Nowak et al. 2012). The volcanic rock from Wołek Hill represents complex history, difficult to explain by simple model. The rock was classified as basanite (Nowak, 2012). Its texture is porphyritic to glomeroporphyritic, olivine (Ol) and clinopyroxene (Cpx) occurs as phenocrysts, Cpx is also the dominant phase in the groundmass. Wołek Hill basanite differs from other exposures in Złotoryja Volcanic Field by presence of xenocrysts of Ol and Cpx from mantle rocks and also quartz (Qrtz) and feldspars (Feld) xenocrysts from crustal rocks. Those xenocrysts with additional carbonate veins, probably related with post-volcanic processes, were a great difficulty during rock preparation for whole-rock and isotopic analyses. The complex history of Wołek Hill basanite is visible in its chemical content (slight increase of SiO2, positive Pb anomaly, 87Sr/86Sr and 143Nd/144Nd values), but also in its petrography (e.g. by three types of olivine phenocrysts Fo82-91 with differences in zonation patterns reflecting Fo content; the most abundant are phenocrysts with normal zoning, but also crystals with opposite zoning and oscillatory zoning were recognised). According to available data from the basanite

  2. The role of amphiboles in the metamorphic evolution of the UHP rocks: a case study from the Tso Morari Complex, northwest Himalayas

    Science.gov (United States)

    Singh, Preeti; Pant, Naresch C.; Saikia, Ashima; Kundu, Amitava

    2013-11-01

    Amphiboles represent a crucial phase of the ultra-high-pressure (UHP) metamorphic rocks as their solid solution behavior reflects both bulk compositional and P- T changes. Three different types of amphibole have been reported from the UHP metamafic rocks of the Tso Morari Crystalline Complex, NW Himalayas: Na-rich (glaucophane); Na-Ca-rich (barroisite, taramite, winchite) and Ca-rich (tremolite, magnesio-hornblende, pargasite). The Na-amphibole is presented as a core of the zoned amphibole with Na-Ca-rich rim; Na-Ca-amphibole is presented as inclusion in garnets as well as in matrix, and Ca-amphibole is generally found in the matrix. The Na-Ca-amphibole is observed at two different stages of metamorphism. The first is pre-UHP, and the second is post-garnet-omphacite assemblage though with a significant difference in composition. The pressure-temperature estimations of the formation of these two sets of Na-Ca-amphiboles corroborate their textural associations. Ca-rich amphiboles are generally present in the matrix either as symplectite with plagioclase or as a pseudomorph after garnet along with other secondary minerals like chlorite and biotite. Two different types of zoning have been observed in the amphibole grains: (1) core is Na-rich followed by Na-Ca rim and (2) core of Na-Ca-amphibole is followed by Ca-rich rim. The pre-UHP (or the prograde P- T path) and post-UHP stages (or the retrograde P- T path) of Tso Morari eclogites are defined by characteristic amphibole compositions, viz. Na/Na-Ca-amphibole, Na-Ca-amphibole and Ca-amphibole and thus indicate their utility in inferring crustal evolution of this UHP terrain.

  3. Multi-temporal LiDAR-DTMs as a tool for modelling a complex landslide: a case study in the Rotolon catchment (eastern Italian Alps)

    Science.gov (United States)

    Bossi, G.; Cavalli, M.; Crema, S.; Frigerio, S.; Luna, B. Quan; Mantovani, M.; Marcato, G.; Schenato, L.; Pasuto, A.

    2015-04-01

    The geomorphological change detection through the comparison of repeated topographic surveys is a recent approach that benefits greatly from the latest developments in topographical data acquisition techniques. Among them, airborne LiDAR makes the monitoring of geomorphological changes a more reliable and accurate approach for natural hazard and risk management. In this study, two LiDAR digital terrain models (DTMs) (2 m resolution) were acquired just before and after a complex 340 000 m3 landslide event (4 November 2010) that generated a debris flow in the channel of the Rotolon catchment (eastern Italian Alps). The analysis of these data was used to set up the initial condition for the application of a dynamic model. The comparison between the pre- and post-event DTMs allowed us to identify erosion and depositional areas and the volume of the landslide. The knowledge of the phenomenon dynamics was the base of a sound back analysis of the event with the 3-D numerical model DAN3D. This particular code was selected for its capability to modify the rheology and the parameters of the moving mass during run-out, as actually observed along the path of the 2010 debris flow. Nowadays some portions of Mt. Rotolon flank are still moving and show signs of detachment. The same soil parameters used in the back-analysis model could be used to simulate the run-out for possible future landslides, allowing us to generate reliable risk scenarios useful for awareness of civil defense and strategy of emergency plans.

  4. Classification of Complex Urban Fringe Land Cover Using Evidential Reasoning Based on Fuzzy Rough Set: A Case Study of Wuhan City

    Directory of Open Access Journals (Sweden)

    Yetao Yang

    2016-04-01

    Full Text Available Urban fringe is the transition zone fine grained with urban and non-urban land cover types. The complex landscape mosaic in this area challenges the land cover classification based on the remote-sensing data. Spectral signatures are not efficient to discriminate all pixels into classes. To improve the recognition and handle the uncertainty, this paper provides a novel integrated approach, based on a fuzzy rough set and evidential reasoning (FRSER, for land cover classification in an urban fringe area. The approach is implemented on Landsat Operation Land Imager data covering the urban fringe area of Wuhan city, China. A fuzzy rough set is first used to define a decision table from multispectral imagery and ground reference data. Then the fuzzy rough information system is interpreted using the Dempster–Shafer theory, based on an evidential reasoning system. A final land cover classification with uncertainty is achieved by evidential reasoning. The results are compared with the traditional maximum likelihood classifier (MLC and some rough set-based classifiers including classical rough set classifier (RS, fuzzy rough set classifier (FRS, and variable precision fuzzy rough set classifier (VPFRS. The better overall accuracy, user’s and producer’s accuracies, and the kappa coefficient, in comparison with the other classifiers, suggest that the proposed approach can effectively discriminate land cover types in urban fringe areas with high inter-class similarities and intra-class heterogeneity. It is also capable of handling the uncertainty in data processing, and the final land cover map comes with a degree of uncertainty. The proposed approach that can efficiently integrate the merits of both the fuzzy rough set and DS theory provides an efficient method for urban fringe land cover classification.

  5. Isotopic and hydrogeochemical characterization of high-altitude karst aquifers in complex geological settings. The Ordesa and Monte Perdido National Park (Northern Spain) case study

    International Nuclear Information System (INIS)

    The Ordesa and Monte Perdido National Park, located in the Southern Pyrenees, constitutes the highest karst system in Western Europe. No previous studies regarding its geochemical and isotopic groundwater characterization are available in this area. This work presents the results of field and sampling campaigns carried out between July 2007 and September 2013. The groundwater presents high calcium bicarbonate contents due to the occurrence of upper Cretaceous and lower Paleocene–Eocene carbonate materials in the studied area. Other relevant processes include dissolution of anhydrite and/or gypsum and incongruent dissolution of Mg-limestone and dolomite. The water stable isotopes (δ18O, δ2H) show that the oceanic fronts from the Atlantic Ocean are responsible for the high levels of precipitation. In autumn, winter, and spring, a deuterium excess is found in the recharge water, which could be related to local atmospheric transport of low-altitude snow sublimation vapour and its later condensation on the snow surface at higher altitude, where recharge is mostly produced. The recharge zones are mainly between 2500 m and 3200 m a.s.l. The tritium content of the water suggests short groundwater transit times. The isotopic composition of dissolved sulphate points to the existence of regional fluxes mixed with local discharge in some of the springs. This work highlights the major role played by the altitude difference between the recharge and discharge zones in controlling the chemistry and the vertical variability of the isotopic composition in high-altitude karst aquifers. - Highlights: • Environmental tracers are essential to study complex alpine karst aquifers. • The long presence of snow controls the deuterium excess in groundwater. • Seasonal δD content in springs depends on gap between recharge and discharge points. • The first hydrogeological characterization of the Ordesa National Park is presented. • Sulphate content in springs comes from material

  6. Isotopic and hydrogeochemical characterization of high-altitude karst aquifers in complex geological settings. The Ordesa and Monte Perdido National Park (Northern Spain) case study

    Energy Technology Data Exchange (ETDEWEB)

    Lambán, L.J., E-mail: javier.lamban@igme.es [Geological Survey of Spain (IGME) (Spain); Jódar, J., E-mail: jorge.jodar@upc.edu [Department of Geotechnical Engineering and Geosciences, Technical University of Catalonia (UPC), Barcelona (Spain); Custodio, E., E-mail: emilio.custodio@upc.edu [Department of Geotechnical Engineering and Geosciences, Technical University of Catalonia (UPC), Barcelona (Spain); Soler, A., E-mail: albertsoler@ub.edu [Grup de Mineralogia Aplicada i Medi Ambient, Departament Cristal lografia Mineralogia i Dipòsits Minerals, Facultat de Geologia, Universitat de Barcelona (UB) (Spain); Sapriza, G., E-mail: g.sapriza@usask.ca [Global Institute for Water Security, National Hydrology Research Centre (Canada); Soto, R., E-mail: r.soto@igme.es [Geological Survey of Spain (IGME) (Spain)

    2015-02-15

    The Ordesa and Monte Perdido National Park, located in the Southern Pyrenees, constitutes the highest karst system in Western Europe. No previous studies regarding its geochemical and isotopic groundwater characterization are available in this area. This work presents the results of field and sampling campaigns carried out between July 2007 and September 2013. The groundwater presents high calcium bicarbonate contents due to the occurrence of upper Cretaceous and lower Paleocene–Eocene carbonate materials in the studied area. Other relevant processes include dissolution of anhydrite and/or gypsum and incongruent dissolution of Mg-limestone and dolomite. The water stable isotopes (δ{sup 18}O, δ{sup 2}H) show that the oceanic fronts from the Atlantic Ocean are responsible for the high levels of precipitation. In autumn, winter, and spring, a deuterium excess is found in the recharge water, which could be related to local atmospheric transport of low-altitude snow sublimation vapour and its later condensation on the snow surface at higher altitude, where recharge is mostly produced. The recharge zones are mainly between 2500 m and 3200 m a.s.l. The tritium content of the water suggests short groundwater transit times. The isotopic composition of dissolved sulphate points to the existence of regional fluxes mixed with local discharge in some of the springs. This work highlights the major role played by the altitude difference between the recharge and discharge zones in controlling the chemistry and the vertical variability of the isotopic composition in high-altitude karst aquifers. - Highlights: • Environmental tracers are essential to study complex alpine karst aquifers. • The long presence of snow controls the deuterium excess in groundwater. • Seasonal δD content in springs depends on gap between recharge and discharge points. • The first hydrogeological characterization of the Ordesa National Park is presented. • Sulphate content in springs comes

  7. Reconstrucción del complejo areola-pezón: revisión de 60 casos Nipple-areola complex reconstruction: revision of 60 cases

    Directory of Open Access Journals (Sweden)

    R. Fernández García

    2007-06-01

    hay ninguna cuyos resultados se sobrepongan a las demás, pero sí una vez que se reconstruye la areola siendo la técnica que más satisface la del injerto inguinal. A pesar de ello, el aspecto más notable a mejorar está en la reconstrucción del pezón, dada la frecuente disconformidad de las pacientes con la proyección conseguida a lo largo del tiempo por la posible reabsorción del mismo.The creation of the nipple-areola complex is the latest time in breast reconstruction, transforming the reconstruction of the breast mound into a real breast. We have to consider the reconstruction of the areola and the nipple as the culmination of breast reconstruction. There are a lot of documented techniques for nipple-areola complex reconstruction. The aim of this study is to determine the grade of psychological satisfaction of patients after this reconstruction This study was designed as a retrospective clinic review of 60 patients. After reviewing medical histories, the patients were interviewed and asked to complete a questionnaire. The most common desired aspect was to correct the absence/lost of nipple projection. However, 22% of patients answered they would not change anything regarding their reconstruction. The satisfaction with the mammary mound was excellent or good for 68%, normal for 23 % and poor for 9 %. On the other hand, satisfaction for the nippleareola complex reconstruction was excellent or good for 50%, normal for 45% and poor for 5%. There were no statistical differences among the different techniques depending on the time between the mastectomy intervention and the third reconstruction (p=0,06. For nipple reconstruction, the contralateral nipple donation technique offered more satisfaction (2.67 points and projection (7.23 points. In spite of the differences in their means, there were no statistically significant differences. Taking into account the technique used for the areola reconstruction, the donation-graft of inguinal skin was the one that

  8. The political economy of corporate social responsibility and community development: a case study of Norway's Snoehvit natural gas complex

    Energy Technology Data Exchange (ETDEWEB)

    Klick, Matthew T.

    2009-07-01

    This project uses stakeholder evidence from semi-structured interviews to analyze the relative effectiveness of an oil company's stated 'corporate social responsibility' (CSR) initiatives in a new, Arctic host community. Specifically, this project analyzes the outcomes of StatoilHydro initiatives to date in Hammerfest, Norway, where the Snoehvit (Snow White) natural gas project began production in 2007. It gauges the ability of 'socially responsible' approaches to development to internalize negative externalisation and promote positive 'spin-offs'. Arctic countries are increasingly prioritizing petroleum development. The convergence of dramatic climate change, increasing energy demands, and high energy prices has made the Arctic an alluring frontier for the oil industry and Arctic governments. Small Arctic communities are increasingly playing host to large energy projects with the potential for dramatic cultural, social, environmental, and economic upheaval, but also economic growth and increased human capital. In this case study, CSR initiatives resulted in a broader accounting of social costs and benefits, an outcome that better internalized externalities, and pareto-improving trades between stakeholders and industry. (Author). 87 refs., 5 figs., 5 tabs

  9. Managing Complexity

    DEFF Research Database (Denmark)

    Maylath, Bruce; Vandepitte, Sonia; Minacori, Patricia;

    2013-01-01

    and into French. The complexity of the undertaking proved to be a central element in the students' learning, as the collaboration closely resembles the complexity of international documentation workplaces of language service providers. © Association of Teachers of Technical Writing.......This article discusses the largest and most complex international learning-by-doing project to date- a project involving translation from Danish and Dutch into English and editing into American English alongside a project involving writing, usability testing, and translation from English into Dutch...

  10. Complex variables

    CERN Document Server

    Fisher, Stephen D

    1999-01-01

    The most important topics in the theory and application of complex variables receive a thorough, coherent treatment in this introductory text. Intended for undergraduates or graduate students in science, mathematics, and engineering, this volume features hundreds of solved examples, exercises, and applications designed to foster a complete understanding of complex variables as well as an appreciation of their mathematical beauty and elegance. Prerequisites are minimal; a three-semester course in calculus will suffice to prepare students for discussions of these topics: the complex plane, basic

  11. Harmonic oscillator with complex frequency

    International Nuclear Information System (INIS)

    In the present paper it is studied the problem of the harmonic oscillator with complex frequency. A special case of this problem is the determination of the eigenvalues and eigenfunctions of the squeeze operator in quantum optics. The Hamilton operator of the complex harmonic oscillator is non-Hermitian and its study leads to the Lie-admissible theory. Because of the complex frequency the eigenvalues of the energy are complex numbers and the partition function of Boltzman and the free energy of Helmoltz are complex functions. Especially the imaginary part of the free energy describes the metastable states

  12. Palladium(II), Ruthenium(II), and Ruthenium(III) Complexes of 23-Thiaazuliporphyrin: The Case of Coordination-Induced Contraction.

    Science.gov (United States)

    Białek, Michał J; Latos-Grażyński, Lechosław

    2016-02-15

    5,10,15,20-Tetraaryl-23-thiaazuliporphyrin (SAz) was synthesized starting from nonfunctionalized azulene using a "1 + 3" method to be applied as a monoanionic macrocyclic ligand that provides a peculiar [CNSN] coordination cavity. An insertion of palladium(II) afforded the cationic [Pd(II)(SAz)](+), which readily undergoes the seven-membered ring contraction to form palladium(II) 23-thiabenzocarbaporphyrin [Pd(SBzC)] providing the first example of metal azuliporphyrinoid contraction. A reaction of SAz and a ruthenium source ([RuCl2(CO)3]2, [RuCl2(p-cymene)]2, or [RuCl2(cod)]) yielded ruthenium(II) 23-thiaazuliporphyrin [Ru(II)(SAz)Cl(CO)]. As shown by X-ray crystallography the thiophene ring in [Ru(SAz)Cl(CO)] is sharply tilted out of the plane of the two pyrrole nitrogen and carbon atoms being bound to the ruthenium through the pyramidal sulfur in the η(1) fashion. In solution, as demonstrated by variable-temperature (1)H NMR investigations, [Ru(SAz)Cl(CO)] exists as an equilibrium mixture of two isomers that are differentiated by the direction of thiophene folding (toward or outward of the axial chloride ligand). Apart of [Ru(II)(SAz)Cl(CO)], ruthenium(III) 23-thiaazuliporphyrin [Ru(III)(SAz)Cl2] was obtained when [RuCl2(p-cymene)]2 or [RuCl2(cod)]n were used for insertion. The most characteristic (1)H NMR features of paramagnetic [Ru(SAz)Cl2] are negative isotropic shifts of resonances assigned to meso-aryl, azulene, and pyrrolic hydrogen atoms. The analysis of contact shifts and the parallel density functional theory calculations of spin density distribution documented that in [Ru(SAz)Cl2] the metal ion acquires the dxy(2)(dxzdyz)(3) ground electronic state. This Cs symmetry complex has singly occupied dxz or dyz orbitals that are symmetrically unequivalent. The resulting two different spin density distributions, when merged, reflect the spectroscopic image with the very specific π-spin delocalization, also including the azulene moiety. PMID:26808147

  13. Metal nanostructures with complex surface morphology: The case of supported lumpy Pd and Pt nanoparticles produced by laser processing of metal films

    Science.gov (United States)

    Ruffino, F.; Maugeri, P.; Cacciato, G.; Zimbone, M.; Grimaldi, M. G.

    2016-09-01

    In this work we report on the formation of lumpy Pd and Pt nanoparticles on fluorine-doped tin oxide/glass (FTO/glass) substrate by a laser-based approach. In general, complex-surface morphology metal nanoparticles can be used in several technological applications exploiting the peculiarities of their physical properties as modulated by nanoscale morphology. For example plasmonic metal nanoparticles presenting a lumpy morphology (i.e. larger particles coated on the surface by smaller particles) can be used in plasmonic solar cell devices providing broadband scattering enhancement over the smooth nanoparticles leading, so, to the increase of the device efficiency. However, the use of plasmonic lumpy nanoparticles remains largely unexplored due to the lack of simply, versatile, low-cost and high-throughput methods for the controllable production of such nanostructures. Starting from these considerations, we report on the observation that nanoscale-thick Pd and Pt films (17.6 and 27.9 nm, 12.1 and 19.5 nm, respectively) deposited on FTO/glass surface irradiated by nanosecond pulsed laser at fluences E in the 0.5-1.5 J/cm2 range, produce Pd and Pt lumpy nanoparticles on the FTO surface. In addition, using scanning electron microscopy analyses, we report on the observation that starting from each metal film of fixed thickness h, the fraction F of lumpy nanoparticles increases with the laser fluence E and saturates at the higher fluences. For each fixed fluence, F was found higher starting from the Pt films (at each starting film thickness h) with respect to the Pd films. For each fixed metal and fluence, F was found to be higher decreasing the starting thickness of the deposited film. To explain the formation of the lumpy Pd and Pt nanoparticles and the behavior of F as a function of E and h both for Pd and Pt, the thermodynamic behavior of the Pd and Pt films and nanoparticles due to the interaction with the nanosecond laser is discussed. In particular, the

  14. Climate change and viticulture in Mediterranean climates: the complex response of socio-ecosystems. A comparative case study from France and Australia (1955-2040)

    Science.gov (United States)

    Lereboullet, A.-L.; Beltrando, G.; Bardsley, D. K.

    2012-04-01

    The wine industry is very sensitive to extreme weather events, especially to temperatures above 35°C and drought. In a context of global climate change, Mediterranean climate regions are predicted to experience higher variability in rainfall and temperatures and an increased occurrence of extreme weather events. Some viticultural systems could be particularly at risk in those regions, considering their marginal position in the growth climatic range of Vitis vinifera, the long commercial lifespan of a vineyard, the high added-value of wine and the volatile nature of global markets. The wine industry, like other agricultural systems, is inserted in complex networks of climatic and non-climatic (other physical, economical, social and legislative) components, with constant feedbacks. We use a socio-ecosystem approach to analyse the adaptation of two Mediterranean viticultural systems to recent and future increase of extreme weather events. The present analysis focuses on two wine regions with a hot-summer Mediterranean climate (CSb type in the Köppen classification): Côtes-du-Roussillon in southern France and McLaren Vale in southern Australia. Using climate data from two synoptic weather stations, Perpignan (France) and Adelaide (Australia), with time series running from 1955 to 2010, we highlight changes in rainfall patterns and an increase in the number of days with Tx >35°c since the last three decades in both regions. Climate models (DRIAS project data for France and CSIRO Mk3.5 for Australia) project similar trends in the future. To date, very few projects have focused on an international comparison of the adaptive capacity of viticultural systems to climate change with a holistic approach. Here, the analysis of climate data was complemented by twenty in-depth semi-structured interviews with key actors of the two regional wine industries, in order to analyse adaptation strategies put in place regarding recent climate evolution. This mixed-methods approach

  15. Complex Covariance

    Directory of Open Access Journals (Sweden)

    Frieder Kleefeld

    2013-01-01

    Full Text Available According to some generalized correspondence principle the classical limit of a non-Hermitian quantum theory describing quantum degrees of freedom is expected to be the well known classical mechanics of classical degrees of freedom in the complex phase space, i.e., some phase space spanned by complex-valued space and momentum coordinates. As special relativity was developed by Einstein merely for real-valued space-time and four-momentum, we will try to understand how special relativity and covariance can be extended to complex-valued space-time and four-momentum. Our considerations will lead us not only to some unconventional derivation of Lorentz transformations for complex-valued velocities, but also to the non-Hermitian Klein-Gordon and Dirac equations, which are to lay the foundations of a non-Hermitian quantum theory.

  16. Simplifying complexity

    OpenAIRE

    Leemput, van de, J.C.H.

    2016-01-01

    In this thesis I use mathematical models to explore the properties of complex systems ranging from microbial nitrogen pathways and coral reefs to the human state of mind. All are examples of complex systems, defined as systems composed of a number of interconnected parts, where the systemic behavior leads to the emergence of properties that would not be expected from behavior or properties of the individual parts of the system. Although the full behavior of the systems I address will probably...

  17. Progress in Computational Complexity Theory

    Institute of Scientific and Technical Information of China (English)

    Jin-Yi Cai; Hong Zhu

    2005-01-01

    We briefly survey a number of important recent achievements in Theoretical Computer Science (TCS), especially Computational Complexity Theory. We will discuss the PCP Theorem, its implications to inapproximability on combinatorial optimization problems; space bounded computations, especially deterministic logspace algorithm for undirected graph connectivity problem; deterministic polynomial-time primality test; lattice complexity, worst-case to average-case reductions;pseudorandomness and extractor constructions; and Valiant's new theory of holographic algorithms and reductions.

  18. Dynamics and chemistry of Venus' large and complex cloud system : a science case for an in-situ long-term chemical laboratory

    Science.gov (United States)

    Widemann, Thomas; Määttänen, Anni; Wilquet, Valérie; McGouldrick, Kevin; Jessup, Kandis Lea; Wilson, Colin; Limaye, Sanjay; EuroVenus Consortium, the

    2014-05-01

    combine through meso-scale convection. In situ sampling of these aerosols represents a key measurement for constraining their properties, and identifying their role in the sulfurohydrological cycle by means of microphysical models of steadily increasing complexity. A probe/lander making a single descent will lack the spatial, temporal and local time coverage to address the coupling of compositional variations with radiative and dynamical properties of the atmosphere at cloud level, requiring a long duration flight. Establishing a long-term chemical laboratory in the cloud layer which would measure the detailed composition of both gas and liquid phases, and their latitudinal, diurnal and vertical variability using a combination of mass spectrometry, gas chromatography, tunable laser transmission spectrometry, and polar nephelometry would significantly address all of these objectives. It would allow the determination of the size distribution, shape, and real and imaginary refractive indices of the cloud particles, and the measurement of intensity and polarization phase functions. Our target species would include those known to be associated with cloud formation (e.g. H2SO4, SO3, SO2, H2O), as well as species important in stratospheric chemistry (e.g. CO, ClCOx, Ox, HCl, HF) and surface-atmosphere buffering (e.g. CO, OCS, SOx, Ox, H2S).

  19. Statistical Complexity in Traveling Densities

    OpenAIRE

    Lopez-Ruiz, Ricardo; Sanudo, Jaime

    2009-01-01

    In this work, we analyze the behavior of statistical complexity in several systems where two identical densities that travel in opposite direction cross each other. The crossing between two Gaussian, rectangular and triangular densities is studied in detail. For these three cases, the shape of the total density presenting an extreme value in complexity is found.

  20. Supporting complex search tasks

    DEFF Research Database (Denmark)

    Gäde, Maria; Hall, Mark; Huurdeman, Hugo;

    2015-01-01

    fragmented at best. The workshop addressed the many open research questions: What are the obvious use cases and applications of complex search? What are essential features of work tasks and search tasks to take into account? And how do these evolve over time? With a multitude of information, varying from...... introductory to specialized, and from authoritative to speculative or opinionated, when to show what sources of information? How does the information seeking process evolve and what are relevant differences between different stages? With complex task and search process management, blending searching, browsing...

  1. 类获得性免疫缺陷(阴性HIV)“患者”的流行病学调查%Epidemiological investigation of cases with complained AIDS-related complex (HIV negative)

    Institute of Scientific and Technical Information of China (English)

    刘雅琼; 林辉; 于磊; 王清青; 王太武; 马翔宇; 凌华; 吴国辉; 张路

    2013-01-01

    目的 对社区类获得性免疫缺陷(AIDS)综合征(阴性HIV)“患者”进行病因探索.方法 采用定性系统分析筛检国内外相关综合征报道病例,探索类AIDS综合征“患者”临床特征可能的聚类属性;通过现况调查掌握“患者”人群的一般特征和临床特征.结果 定性系统分析显示,目前在世界范围,与类AIDS综合征(阴性HIV)“患者”相似的疾病有2种,即CD4+T淋巴细胞缺陷综合征(ICL)和非结核分枝杆菌感染(NTM感染);通过174例网络调查和52例现场观察,发现“患者”人群以男性为主,青、中年为主;在国内分布地区广泛;主诉症状涉及呼吸道、消化道、皮肤、肌肉、骨骼和神经系统;根据症状特点,病程有急性期和稳定期之分;群体症状及体征为:淋巴结部位肿胀感、骨痛、肌肉“跳”(痛)、淋巴结节、皮肤结节(皮疹)、舌苔白厚、关节弹响、皮肤干燥;52例“患者”检测发现CD4+T淋巴细胞< 500/μL 17例(32.69%)、CD4/CD8比值异常16例(30.77%)、干扰素-γ抗体阳性17例(36.69%)和PPD阳性39例(++~+++,75.00%);高危险性行为是可疑的暴露因素之一.结论 类AIDS综合征(阴性HIV)“患者”现象不能完全用心理因素予以解释,其呈现的临床特征有明显的一致性和规律性,亟待开展深入研究进行分析.%Objective To investigate the possible causes of AIDS-related complex (HIV negative) in community population. Methods Qualitative systematic analysis was used to screen the cases with AIDS-related complex (HIV negative) that had been reported. The possible clustering types of the clinical features of AIDS-related complex were explored based on a cross-section study that had been conducted to observe the personality and clinical features of the cases with AIDS-related complex. Results The qualitative systematic analysis suggested that the idiopathic CD4+ T lymphocytopenia (ICL) and infection of

  2. Subsidies to the decommissioning of the first uranium mining and processing plant in Brazil - the case of the mineral industrial complex in Pocos de Caldas, Minas Gerais State

    International Nuclear Information System (INIS)

    The closure of an uranium mining and milling facility has the potential to cause risks (radiological and non-radiological) to the human health and to the environment as a whole; these risks may be incurred in the short as well in the long terms. The present work took the mining and milling facility of Pocos de Caldas, Minas Gerais - as a study case. The following aspects were covered by the work: analysis of the impacts associated to the facility operation; assessment of the geological processes involved in the mobilization of radioactive and non-radioactive pollutants from the main sources of these pollutants in the environment - the waste rock piles and the tailings dam; quantification of the resulting impacts associated to the emission of pollutants into the environment in future scenarios and establishment of remedial actions taking into account the risk reduction and the association costs. The main aspects arising from the study were: the wastes in the tailings dam are stratified in relation to metal and radionuclide concentrations, with the exception of 210 Pb and 226 Ra. The stratification is caused by the oxidation of the residual pyrite in the tailings, and is also related to metal and radionuclide concentrations in seepage water being higher in the upper zone and lower in the deeper zones. Sulfate anion was the only pollutant present in the seepage water to be detected in the groundwater below the tailings dam. Mathematical simulations taking into account the rest of the potential pollutants indicated the probability of groundwater contamination after 800 years. Direct liquid effluent releases into superficial waters are associated with a dose of about 8.0 mSv/y (conservative scenario) and less than 0.62 mSv/y (non-conservative scenario). If houses are built over the tailings, doses as high as 40 mSv/y and 8.0 mSv/y are to expected due to the Rn exhalation and external gamma respectively. Finally, covering the tailings dam with a clay layer 1.0 m thick

  3. Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report Crises parciais complexas e afasia como manifestações iniciais de hiperglicemia não cetótica: relato de caso

    Directory of Open Access Journals (Sweden)

    MARCUS SABRY AZAR BATISTA

    1998-06-01

    Full Text Available We describe a case of non-ketotic hyperglycemia (NKH, heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.Descrevemos um caso de hiperglicemia não-cetótica (HNC cujas manifestações iniciais foram crises parciais complexas e afasia de origem epiléptica, além de crises versivas e parcias motoras. Este quadro clínico foi acompanhado por atividade epileptiforme na região fronto-temporal esquerda ao eletrencefalograma. As crises epilépticas foram controladas com carbamazepina (CBZ apenas após o controle do diabetes mellitus. Após um mês, a CBZ foi suspensa, permanecendo a paciente com linguagem normal, sem novas crises epilépticas, em uso apenas de glibenclamida. Crises parciais complexas, ao contrário de crises parciais simples, são raramente descritas como manifestação de HNC. Atividade epileptiforme nas regiões relacionadas a linguagem podem manifestar-se como afasia.

  4. A Multi-Data Source and Multi-Sensor Approach for the 3D Reconstruction and Web Visualization of a Complex Archaelogical Site: The Case Study of “Tolmo De Minateda”

    Directory of Open Access Journals (Sweden)

    Jose Alberto Torres-Martínez

    2016-06-01

    Full Text Available The complexity of archaeological sites hinders creation of an integral model using the current Geomatic techniques (i.e., aerial, close-range photogrammetry and terrestrial laser scanner individually. A multi-sensor approach is therefore proposed as the optimal solution to provide a 3D reconstruction and visualization of these complex sites. Sensor registration represents a riveting milestone when automation is required and when aerial and terrestrial datasets must be integrated. To this end, several problems must be solved: coordinate system definition, geo-referencing, co-registration of point clouds, geometric and radiometric homogeneity, etc. The proposed multi-data source and multi-sensor approach is applied to the study case of the “Tolmo de Minateda” archaeological site. A total extension of 9 ha is reconstructed, with an adapted level of detail, by an ultralight aerial platform (paratrike, an unmanned aerial vehicle, a terrestrial laser scanner and terrestrial photogrammetry. Finally, a mobile device (e.g., tablet or smartphone has been used to integrate, optimize and visualize all this information, providing added value to archaeologists and heritage managers who want to use an efficient tool for their works at the site, and even for non-expert users who just want to know more about the archaeological settlement.

  5. Complex networks: Patterns of complexity

    Science.gov (United States)

    Pastor-Satorras, Romualdo; Vespignani, Alessandro

    2010-07-01

    The Turing mechanism provides a paradigm for the spontaneous generation of patterns in reaction-diffusion systems. A framework that describes Turing-pattern formation in the context of complex networks should provide a new basis for studying the phenomenon.

  6. Complex analysis

    CERN Document Server

    Freitag, Eberhard

    2005-01-01

    The guiding principle of this presentation of ``Classical Complex Analysis'' is to proceed as quickly as possible to the central results while using a small number of notions and concepts from other fields. Thus the prerequisites for understanding this book are minimal; only elementary facts of calculus and algebra are required. The first four chapters cover the essential core of complex analysis: - differentiation in C (including elementary facts about conformal mappings) - integration in C (including complex line integrals, Cauchy's Integral Theorem, and the Integral Formulas) - sequences and series of analytic functions, (isolated) singularities, Laurent series, calculus of residues - construction of analytic functions: the gamma function, Weierstrass' Factorization Theorem, Mittag-Leffler Partial Fraction Decomposition, and -as a particular highlight- the Riemann Mapping Theorem, which characterizes the simply connected domains in C. Further topics included are: - the theory of elliptic functions based on...

  7. Polystochastic Models for Complexity

    CERN Document Server

    Iordache, Octavian

    2010-01-01

    This book is devoted to complexity understanding and management, considered as the main source of efficiency and prosperity for the next decades. Divided into six chapters, the book begins with a presentation of basic concepts as complexity, emergence and closure. The second chapter looks to methods and introduces polystochastic models, the wave equation, possibilities and entropy. The third chapter focusing on physical and chemical systems analyzes flow-sheet synthesis, cyclic operations of separation, drug delivery systems and entropy production. Biomimetic systems represent the main objective of the fourth chapter. Case studies refer to bio-inspired calculation methods, to the role of artificial genetic codes, neural networks and neural codes for evolutionary calculus and for evolvable circuits as biomimetic devices. The fifth chapter, taking its inspiration from systems sciences and cognitive sciences looks to engineering design, case base reasoning methods, failure analysis, and multi-agent manufacturing...

  8. The Complexity of Coverage

    CERN Document Server

    Chatterjee, Krishnendu; Majumdar, Rupak

    2008-01-01

    We study the problem of generating a test sequence that achieves maximal coverage for a reactive system under test. We formulate the problem as a repeated game between the tester and the system, where the system state space is partitioned according to some coverage criterion and the objective of the tester is to maximize the set of partitions (or coverage goals) visited during the game. We show the complexity of the maximal coverage problem for non-deterministic systems is PSPACE-complete, but is NP-complete for deterministic systems. For the special case of non-deterministic systems with a re-initializing ``reset'' action, which represent running a new test input on a re-initialized system, we show that the complexity is again co-NP-complete. Our proof technique for reset games uses randomized testing strategies that circumvent the exponentially large memory requirement in the deterministic case.

  9. Complex wounds Feridas complexas

    OpenAIRE

    Marcus Castro Ferreira; Paulo Tuma Júnior; Viviane Fernandes de Carvalho; Fábio Kamamoto

    2006-01-01

    Complex wound is the term used more recently to group those well-known difficult wounds, either chronic or acute, that challenge medical and nursing teams. They defy cure using conventional and simple "dressings" therapy and currently have a major socioeconomic impact. The purpose of this review is to bring these wounds to the attention of the health-care community, suggesting that they should be treated by multidisciplinary teams in specialized hospital centers. In most cases, surgical treat...

  10. Complex Networks

    CERN Document Server

    Evsukoff, Alexandre; González, Marta

    2013-01-01

    In the last decade we have seen the emergence of a new inter-disciplinary field focusing on the understanding of networks which are dynamic, large, open, and have a structure sometimes called random-biased. The field of Complex Networks is helping us better understand many complex phenomena such as the spread of  deseases, protein interactions, social relationships, to name but a few. Studies in Complex Networks are gaining attention due to some major scientific breakthroughs proposed by network scientists helping us understand and model interactions contained in large datasets. In fact, if we could point to one event leading to the widespread use of complex network analysis is the availability of online databases. Theories of Random Graphs from Erdös and Rényi from the late 1950s led us to believe that most networks had random characteristics. The work on large online datasets told us otherwise. Starting with the work of Barabási and Albert as well as Watts and Strogatz in the late 1990s, we now know th...

  11. Nonergodic complexity management

    Science.gov (United States)

    Piccinini, Nicola; Lambert, David; West, Bruce J.; Bologna, Mauro; Grigolini, Paolo

    2016-06-01

    Linear response theory, the backbone of nonequilibrium statistical physics, has recently been extended to explain how and why nonergodic renewal processes are insensitive to simple perturbations, such as in habituation. It was established that a permanent correlation results between an external stimulus and the response of a complex system generating nonergodic renewal processes, when the stimulus is a similar nonergodic process. This is the principle of complexity management, whose proof relies on ensemble distribution functions. Herein we extend the proof to the nonergodic case using time averages and a single time series, hence making it usable in real life situations where ensemble averages cannot be performed because of the very nature of the complex systems being studied.

  12. Familial gigantism

    Directory of Open Access Journals (Sweden)

    Wouter W. de Herder

    2012-01-01

    Full Text Available Familial GH-secreting tumors are seen in association with three separate hereditary clinical syndromes: multiple endocrine neoplasia type 1, Carney complex, and familial isolated pituitary adenomas.

  13. Managing Complexity

    Energy Technology Data Exchange (ETDEWEB)

    Chassin, David P.; Posse, Christian; Malard, Joel M.

    2004-08-01

    Physical analogs have shown considerable promise for understanding the behavior of complex adaptive systems, including macroeconomics, biological systems, social networks, and electric power markets. Many of today’s most challenging technical and policy questions can be reduced to a distributed economic control problem. Indeed, economically-based control of large-scale systems is founded on the conjecture that the price-based regulation (e.g., auctions, markets) results in an optimal allocation of resources and emergent optimal system control. This paper explores the state of the art in the use physical analogs for understanding the behavior of some econophysical systems and to deriving stable and robust control strategies for them. In particular we review and discussion applications of some analytic methods based on the thermodynamic metaphor according to which the interplay between system entropy and conservation laws gives rise to intuitive and governing global properties of complex systems that cannot be otherwise understood.

  14. Managing complex systems: The Labdata case

    OpenAIRE

    Pettersen, Mads Walle

    2014-01-01

    The aim of this master thesis is to explore the organization of a program within Digital Fornying, namely Labdata. The goal of Labdata is to introduce a common, standard, laboratory system for the South-Eastern Norway Regional Health Authority. We compare the organization of Labdata with theoretical concepts from adaptive co-management, Weill & Ross, project and program management. In order to manage this, we have developed the following research question: What are the challenges involved...

  15. Modelling Complexity: the case of Climate Science

    CERN Document Server

    Lucarini, Valerio

    2011-01-01

    We briefly review some of the scientific challenges and epistemological issues related to climate science. We discuss the formulation and testing of theories and numerical models, which, given the presence of unavoidable uncertainties in observational data, the non-repeatability of world-experiments, and the fact that relevant processes occur in a large variety of spatial and temporal scales, require a rather different approach than in other scientific contexts. A brief discussion of the intrinsic limitations of geo-engineering solutions to global warming is presented, and a framework of investigation based upon non-equilibrium thermodynamics is proposed. We also critically discuss recently proposed perspectives of development of climate science based purely upon massive use of supercomputer and centralized planning of scientific priorities.

  16. Modelling Complexity: the case of Climate Science

    OpenAIRE

    Lucarini, Valerio

    2011-01-01

    We briefly review some of the scientific challenges and epistemological issues related to climate science. We discuss the formulation and testing of theories and numerical models, which, given the presence of unavoidable uncertainties in observational data, the non-repeatability of world-experiments, and the fact that relevant processes occur in a large variety of spatial and temporal scales, require a rather different approach than in other scientific contexts. A brief discussion of the intr...

  17. Blog and Complex Thinking: A Case Study

    Science.gov (United States)

    Ramos, Maria Altina Silva

    2010-01-01

    The access to a vast array of resources is facilitated by the Internet, which, in its turn, does not promote learning by itself as children and young people often use it passively. As a consequence, the teachers' role is regarded essential so that they are helped to interpret and analyze available information critically. Nowadays, when referring…

  18. Complex-Valued Autoencoders

    Science.gov (United States)

    Baldi, Pierre; Lu, Zhiqin

    2012-01-01

    Autoencoders are unsupervised machine learning circuits, with typically one hidden layer, whose learning goal is to minimize an average distortion measure between inputs and outputs. Linear autoencoders correspond to the special case where only linear transformations between visible and hidden variables are used. While linear autoencoders can be defined over any field, only real-valued linear autoencoders have been studied so far. Here we study complex-valued linear autoencoders where the components of the training vectors and adjustable matrices are defined over the complex field with the L2 norm. We provide simpler and more general proofs that unify the real-valued and complex-valued cases, showing that in both cases the landscape of the error function is invariant under certain groups of transformations. The landscape has no local minima, a family of global minima associated with Principal Component Analysis, and many families of saddle points associated with orthogonal projections onto sub-space spanned by sub-optimal subsets of eigenvectors of the covariance matrix. The theory yields several iterative, convergent, learning algorithms, a clear understanding of the generalization properties of the trained autoencoders, and can equally be applied to the hetero-associative case when external targets are provided. Partial results on deep architecture as well as the differential geometry of autoencoders are also presented. The general framework described here is useful to classify autoencoders and identify general properties that ought to be investigated for each class, illuminating some of the connections between autoencoders, unsupervised learning, clustering, Hebbian learning, and information theory. PMID:22622264

  19. Assessing the feasibility of volumetric-modulated arc therapy using simultaneous integrated boost (SIB-VMAT): An analysis for complex head-neck, high-risk prostate and rectal cancer cases

    International Nuclear Information System (INIS)

    Intensity-modulated radiotherapy (IMRT) allowed the simultaneous delivery of different doses to different target volumes within a single fraction, an approach called simultaneous integrated boost (SIB). As consequence, the fraction dose to the boost volume can be increased while keeping low doses to the elective volumes, and the number of fractions and overall treatment time will be reduced, translating into better radiobiological effectiveness. In recent years, volumetric-modulated arc therapy (VMAT) has been shown to provide similar plan quality with respect to fixed-field IMRT but with large reduction in treatment time and monitor units (MUs) number. However, the feasibility of VMAT when used with SIB strategy has few investigations to date. We explored the potential of VMAT in a SIB strategy for complex cancer sites. A total of 15 patients were selected, including 5 head-and-neck, 5 high-risk prostate, and 5 rectal cancer cases. Both a double-arc VMAT and a 7-field IMRT plan were generated for each case using Oncentra MasterPlan treatment planning system for an Elekta Precise linac. Dosimetric indexes for targets and organs at risk (OARs) were compared based on dose-volume histograms. Conformity index, homogeneity index, and dose-contrast index were used for target analyses. The equivalent uniform doses and the normal tissue complication probabilities were calculated for main OARs. MUs number and treatment time were analyzed to score treatment efficiency. Pretreatment dosimetry was performed using 2-dimensional (2D)-array dosimeter. SIB-VMAT plans showed a high level of fluence modulation needed for SIB treatments, high conformal dose distribution, similar target coverage, and a tendency to improve OARs sparing compared with the benchmark SIB-IMRT plans. The median treatment times reduced from 13 to 20 minutes to approximately 5 minutes for all cases with SIB-VMAT, with a MUs reduction up to 22.5%. The 2D-array ion-chambers' measurements reported an agreement

  20. Complex Systems

    Directory of Open Access Journals (Sweden)

    Yi Zhao

    2012-01-01

    Full Text Available Quantum instanton (QI approximation is recently proposed for the evaluations of the chemical reaction rate constants with use of full dimensional potential energy surfaces. Its strategy is to use the instanton mechanism and to approximate time-dependent quantum dynamics to the imaginary time propagation of the quantities of partition function. It thus incorporates the properties of the instanton idea and the quantum effect of partition function and can be applied to chemical reactions of complex systems. In this paper, we present the QI approach and its applications to several complex systems mainly done by us. The concrete systems include, (1 the reaction of H+CH4→H2+CH3, (2 the reaction of H+SiH4→H2+SiH3, (3 H diffusion on Ni(100 surface; and (4 surface-subsurface transport and interior migration for H/Ni. Available experimental and other theoretical data are also presented for the purpose of comparison.

  1. Partially - conformal mappings in multidimensional complex spaces

    CERN Document Server

    Bakhtin, A K

    2011-01-01

    The paper proposes a vector generalization of the basic concepts of the theory of complex variable: the concept of modulus and argument of complex number. The author introduces some generalizations of the notion of holomorphic functions and mappings to the case of infinite-dimensional complex spaces. This approach allows us to generalize several well-known results of geometric function theory to the case of infinite-dimensional complex spaces. In particular, the author summarizes a number of known theorems on the theory of functions of class S on infinite-dimensional complex space.

  2. Cosmic Complexity

    Science.gov (United States)

    Mather, John C.

    2012-01-01

    What explains the extraordinary complexity of the observed universe, on all scales from quarks to the accelerating universe? My favorite explanation (which I certainty did not invent) ls that the fundamental laws of physics produce natural instability, energy flows, and chaos. Some call the result the Life Force, some note that the Earth is a living system itself (Gaia, a "tough bitch" according to Margulis), and some conclude that the observed complexity requires a supernatural explanation (of which we have many). But my dad was a statistician (of dairy cows) and he told me about cells and genes and evolution and chance when I was very small. So a scientist must look for me explanation of how nature's laws and statistics brought us into conscious existence. And how is that seemll"!gly Improbable events are actually happening a!1 the time? Well, the physicists have countless examples of natural instability, in which energy is released to power change from simplicity to complexity. One of the most common to see is that cooling water vapor below the freezing point produces snowflakes, no two alike, and all complex and beautiful. We see it often so we are not amazed. But physlc!sts have observed so many kinds of these changes from one structure to another (we call them phase transitions) that the Nobel Prize in 1992 could be awarded for understanding the mathematics of their common features. Now for a few examples of how the laws of nature produce the instabilities that lead to our own existence. First, the Big Bang (what an insufficient name!) apparently came from an instability, in which the "false vacuum" eventually decayed into the ordinary vacuum we have today, plus the most fundamental particles we know, the quarks and leptons. So the universe as a whole started with an instability. Then, a great expansion and cooling happened, and the loose quarks, finding themselves unstable too, bound themselves together into today's less elementary particles like protons and

  3. Complex silumins

    Directory of Open Access Journals (Sweden)

    S. Pietrowski

    2007-09-01

    Full Text Available Purpose: The study presents the results of investigations carried out on silumins with additions of Mg, Ni, Cu, Cr, Mo and W. The silumins containing Mg, Cu and Ni are well-known and commonly used in construction of machines and equipment.Design/methodology/approach: Additions of Cr, Mo and W have not been thoroughly investigated yet. They are considered a new family of innovative cast aluminium alloys.Findings: In Al-Si systems they form silicides, like Cr3Si, Mo3Si, W3Si and intermetallic phases of Al13Cr4Si4, Al12Mo, Al12W and AlWSi. The silicides crystallise in cubic lattice of parameters similar to aluminium and silicon.Research limitations/implications: Therefore they can act as crystallisation substrates and occur as separate phases. The examinations under the microscope and X-ray microanalysis of the linear and point distribution of elements confirmed the presence of the above mentioned phases. A combination of two elements, e.g. Cr and Mo, or Cr and W, was observed to cause the formation of complex silicide layers of Mo3Si and (Cr, Mo3Si, or Cr3Si as well as (W, Cr3Si.Originality/value: The presence of the silicides has been indicated as a possible source of the refinement of α(Al and β(Si phases. The precipitations of these phases and of the intermetallic phases favour a high degree of the silumins hardening. A characteristic feature is the fact that nucleation and crystallisation of the successive phases takes place at the phase boundaries formed between the previously precipitated phase and solid solution α. The studies carried out so far have indicated that in complex silumins at high temperatures crystallise the silicides and peritectic phases of Al12W, AlWSi, Al12Mo and Al13Cr4Si4. Phases α or β are the next ones to crystallise, followed by complex eutectic α + β +Al(Si, Cr, Mo, W, Fe. Further crystallise the phases of Mg2Si, Al3Ni and Al2Cu. The silumins presented here are characterised by high mechanical properties: Rp0

  4. Exploring synergistic interactions and catalysts in complex interventions: longitudinal, mixed methods case studies of an optimised multi-level suicide prevention intervention in four european countries (Ospi-Europe)

    OpenAIRE

    Harris, Fiona; Maxwell, Margaret; O'Connor, Rory; Coyne, James; Arensman, Ella; Coffey, Claire; Koburger, Nicole; Gusmão, Ricardo; Costa, Susana; Székely, András; Cserhati, Zoltan; McDaid, David; van Audenhove, Chantal; Hegerl, Ulrich

    2016-01-01

    Background: The Medical Research Council (MRC) Framework for complex interventions highlights the need to explore interactions between components of complex interventions, but this has not yet been fully explored within complex, non-pharmacological interventions. This paper draws on the process evaluation data of a suicide prevention programme implemented in four European countries to illustrate the synergistic interactions between intervention levels in a complex programme, and t...

  5. Quantum Entanglement and Communication Complexity

    OpenAIRE

    Buhrman, Harry; Cleve, Richard; Van Dam

    1997-01-01

    We consider a variation of the multi-party communication complexity scenario where the parties are supplied with an extra resource: particles in an entangled quantum state. We show that, although a prior quantum entanglement cannot be used to simulate a communication channel, it can reduce the communication complexity of functions in some cases. Specifically, we show that, for a particular function among three parties (each of which possesses part of the function's input), a prior quantum ent...

  6. Stable generalized complex structures

    CERN Document Server

    Cavalcanti, Gil R

    2015-01-01

    A stable generalized complex structure is one that is generically symplectic but degenerates along a real codimension two submanifold, where it defines a generalized Calabi-Yau structure. We introduce a Lie algebroid which allows us to view such structures as symplectic forms. This allows us to construct new examples of stable structures, and also to define period maps for their deformations in which the background three-form flux is either fixed or not, proving the unobstructedness of both deformation problems. We then use the same tools to establish local normal forms for the degeneracy locus and for Lagrangian branes. Applying our normal forms to the four-dimensional case, we prove that any compact stable generalized complex 4-manifold has a symplectic completion, in the sense that it can be modified near its degeneracy locus to produce a compact symplectic 4-manifold.

  7. Reducing GWAS Complexity.

    Science.gov (United States)

    Hazelett, Dennis J; Conti, David V; Han, Ying; Al Olama, Ali Amin; Easton, Doug; Eeles, Rosalind A; Kote-Jarai, Zsofia; Haiman, Christopher A; Coetzee, Gerhard A

    2016-01-01

    Genome-wide association studies (GWAS) have revealed numerous genomic 'hits' associated with complex phenotypes. In most cases these hits, along with surrogate genetic variation as measure by numerous single nucleotide polymorphisms (SNPs) that are in linkage disequilibrium, are not in coding genes making assignment of functionality or causality intractable. Here we propose that fine-mapping along with the matching of risk SNPs at chromatin biofeatures lessen this complexity by reducing the number of candidate functional/causal SNPs. For example, we show here that only on average 2 SNPs per prostate cancer risk locus are likely candidates for functionality/causality; we further propose that this manageable number should be taken forward in mechanistic studies. The candidate SNPs can be looked up for each prostate cancer risk region in 2 recent publications in 2015 (1,2) from our groups. PMID:26771711

  8. Concept of ecological corridors and agroforestal systems applied for the implementation of PETROBRAS punctual and linear projects: case study of COMPERJ (Rio de Janeiro Petrochemical Complex); Conceito de corredores ecologicos e sistemas agroflorestais aplicados a implantacao de empreendimentos pontuais e lineares em ambito PETROBRAS: estudo de caso do COMPERJ (Complexo Petroquimico do Rio de Janeiro)

    Energy Technology Data Exchange (ETDEWEB)

    Secron, Marcelo B.; Mesquita, Ivan D.; Soares, Luiz Felipe R.; Almeida, Ronaldo Bento G. de; Fernandes, Renato; Dellamea, Giovani S. [PETROBRAS, Rio de Janeiro, RJ (Brazil); Nunes, Rodrigo T.; Pereira Junior, Edson Rodrigues [SEEBLA, Servicos de Engenharia Emilio Baumgart Ltda., Rio de Janeiro, RJ (Brazil)

    2008-07-01

    The land use and human occupation realized with an indiscriminate form across many parts of the world, including Brazil, have been causing destruction of great amount of forest mass and green areas. These actions results an isolation of a forest reminder fragment, and in such case, along the time, these fragments become weak and debilitated, characterizing general biodiversity loss or its extinction, in a worse case. This study presents basic concepts of ecological corridors and agroforestal systems, showing the case study that will be implemented in COMPERJ (Rio de Janeiro Petrochemical Complex), pointing the aspects that can be applied for PETROBRAS to offset impacts (biodiversity offsets concept) of punctual and linear projects. (author)

  9. What is a complex graph?

    Science.gov (United States)

    Kim, Jongkwang; Wilhelm, Thomas

    2008-04-01

    Many papers published in recent years show that real-world graphs G(n,m) ( n nodes, m edges) are more or less “complex” in the sense that different topological features deviate from random graphs. Here we narrow the definition of graph complexity and argue that a complex graph contains many different subgraphs. We present different measures that quantify this complexity, for instance C1e, the relative number of non-isomorphic one-edge-deleted subgraphs (i.e. DECK size). However, because these different subgraph measures are computationally demanding, we also study simpler complexity measures focussing on slightly different aspects of graph complexity. We consider heuristically defined “product measures”, the products of two quantities which are zero in the extreme cases of a path and clique, and “entropy measures” quantifying the diversity of different topological features. The previously defined network/graph complexity measures Medium Articulation and Offdiagonal complexity ( OdC) belong to these two classes. We study OdC measures in some detail and compare it with our new measures. For all measures, the most complex graph G has a medium number of edges, between the edge numbers of the minimum and the maximum connected graph n-1graph complexity measures are characterized with the help of different example graphs. For all measures the corresponding time complexity is given. Finally, we discuss the complexity of 33 real-world graphs of different biological, social and economic systems with the six computationally most simple measures (including OdC). The complexities of the real graphs are compared with average complexities of two different random graph versions: complete random graphs (just fixed n,m) and rewired graphs with fixed node degrees.

  10. Procuring complex performance

    DEFF Research Database (Denmark)

    Hartmann, A.; Roehrich, J.; Frederiksen, Lars;

    2014-01-01

    transition process. Design/methodology/approach – A multiple, longitudinal case study method is used to examine the transition towards PCP. The study deploys rich qualitative data sets by combining semi-structured interviews, focus group meetings and organisational reports and documents. Findings – The...... contractual and relational challenges they need to master when facing higher levels of performance and infrastructural complexity. Originality/value – The study adds to the limited empirical and conceptual understanding on the nature of long-term public-private interactions in PCP. It contributes through a...

  11. Topological complexity of configuration spaces

    OpenAIRE

    Farber, Michael; Grant, Mark

    2008-01-01

    The topological complexity TC(X) is a homotopy invariant which reflects the complexity of the problem of constructing a motion planning algorithm in the space X, viewed as configuration space of a mechanical system. In this paper we complete the computation of the topological complexity of the configuration space of n distinct points in Euclidean m-space for all m>1$ and n>1; the answer was previously known in the cases m=2 and m odd. We also give several useful general results concerning sha...

  12. Threshold complexes and connections to number theory

    OpenAIRE

    Pakianathan, Jonathan; Winfree, Troy

    2013-01-01

    In this paper we study quota complexes (or equivalently in the case of scalar weights, threshold complexes) and how the topology of these quota complexes changes as the quota is changed. This problem is a simple ``linear\\" version of the general question in Morse Theory of how the topology of a space varies with a parameter. We give examples of natural and basic quota complexes where this problem frames questions about the distribution of primes, squares and divisors in number t...

  13. Immune reconstitution inflammatory syndrome due to Mycobacterium avium complex successfully followed up using 18 F-fluorodeoxyglucose positron emission tomography-computed tomography in a patient with human immunodeficiency virus infection: A case report

    International Nuclear Information System (INIS)

    In human immunodeficiency virus (HIV)-infected patients, immune reconstitution inflammatory syndrome (IRIS) due to nontuberculous mycobacteria (NTM) infection is one of the most difficult types of IRIS to manage. 18 F-fluorodeoxyglucose positron emission tomography/computed tomography (18 F-FDG PET/CT) has been suggested as a useful tool for evaluating the inflammatory status of HIV-infected patients. We present the first case of Mycobacterium avium complex (MAC)-associated IRIS (MAC-IRIS) that was successfully followed up using 18 F-FDG PET/CT. A 44-year-old homosexual Japanese man was referred to our hospital with fever and dyspnea. He was diagnosed with Pneumocystis jiroveci pneumonia and found to be HIV positive. After the initiation of combined antiretroviral therapy (cART), the patient’s mediastinal and bilateral hilar lymphadenopathy gradually enlarged, and bilateral infiltrates appeared in the upper lung fields. 18 F-FDG PET/CT was performed five months after the initiation of cART and showed intense accumulation of fluorodeoxyglucose (FDG) corresponding to the lesions of infiltration as well as the mediastinal and bilateral hilar lymphadenopathy. A bronchial wash culture and pathology findings led to a diagnosis of MAC-IRIS. Anti-mycobacterial chemotherapy with rifampicin, ethambutol, clarithromycin, and levofloxacin was started. One year after the chemotherapy was initiated, there was a significant reduction in FDG uptake in the area of the lesions except in the mediastinal lymph node. This implied incomplete resolution of the MAC-IRIS-related inflammation. Anti-mycobacterial chemotherapy was continued because of the residual lesion. To date, the patient has not experienced a recurrence of MAC-IRIS, a period of nine months. We present a case of MAC-IRIS in an HIV-infected patient whose disease activity was successfully followed up using 18 F-FDG PET/CT. Our data suggest that 18 F-FDG PET/CT is useful for evaluating the disease activity of NTM-IRIS and

  14. COMPLEX TRAINING: A BRIEF REVIEW

    Directory of Open Access Journals (Sweden)

    William P. Ebben

    2002-06-01

    Full Text Available The effectiveness of plyometric training is well supported by research. Complex training has gained popularity as a training strategy combining weight training and plyometric training. Anecdotal reports recommend training in this fashion in order to improve muscular power and athletic performance. Recently, several studies have examined complex training. Despite the fact that questions remain about the potential effectiveness and implementation of this type of training, results of recent studies are useful in guiding practitioners in the development and implementation of complex training programs. In some cases, research suggests that complex training has an acute ergogenic effect on upper body power and the results of acute and chronic complex training include improved jumping performance. Improved performance may require three to four minutes rest between the weight training and plyometrics sets and the use of heavy weight training loads

  15. Use of Participatory Systems Dynamics Modelling to Generate User-Friendly Decision Support Systems for the Design of Management Policies for Complex Human-Environmental Systems: A Case Study from the Varied Socio-environmental Landscape of Guatemala

    Science.gov (United States)

    Malard, J. J.; Baig, A. I.; Carrera, J.; Mellini, L.; Pineda, P.; Monterroso, O.; Melgar-Quiñonez, H.; Adamowski, J. F.; Halbe, J.; Monardes, H.; Gálvez, J.

    2014-12-01

    The design of effective management policies for socioenvironmental systems requires the development of comprehensive, yet sufficiently simple, decision support systems (DSS) for policy makers. Guatemala is a particularly complex case, combining an enormous diversity of climates, geographies, and agroecosystems within a very small geographical scale. Although food insecurity levels are very high, indicating a generally inadequate management of the varied agroecosystems of the country, different regions have shown vastly different trends in food insecurity over the past decade, including between regions with similar geophysical and climatic characteristics and/or governmental programmes (e.g., agricultural support). These observations suggest two important points: firstly, that not merely environmental conditions but rather socio-environmental interactions play a crucial role in the successful management of human-environmental systems, and, secondly, that differences in the geophysical and climatic environments between the diverse regions significantly impact the success or failure of policies. This research uses participatory systems dynamic modelling (SDM) to build a DSS that allows local decision-makers to (1) determine the impact of current and potential policies on agroecosystem management and food security, and (2) design sustainable and resilient policies for the future. The use of participatory SDM offers several benefits, including the active involvement of the end recipients in the development of the model, greatly increasing its acceptability; the integration of physical (e.g., precipitation, crop yield) and social components in one model; adequacy for modelling long-term trends in response to particular policy decisions; and the inclusion of local stakeholder knowledge on system structure and trends through the participatory process. Preliminary results suggest that there is a set of common variables explaining the generally high levels of food insecurity

  16. Nonisostructural complex oxide heteroepitaxy

    International Nuclear Information System (INIS)

    The authors present an overview of the fundamentals and representative examples of the growth of epitaxial complex oxide thin films on structurally dissimilar substrates. The authors will delineate how the details of particular crystal structures and symmetry of different oxide surfaces can be employed for a rational approach to the synthesis of nonisostructural epitaxial heterostructures. The concept of oxygen eutaxy can be widely applied. Materials combinations will be split into three categories, and in all cases the films and substrates occur in different crystal structures: (1) common translational and rotational symmetry between the film and substrate planes; (2) translational symmetry mismatch between the substrates and films that is distinct from a simple mismatch in lattice parameters; and (3) rotational symmetry mismatch. In case (1), in principle single-crystalline thin films can be attained despite the films and substrates possessing different crystal structures. In case (2), antiphase boundaries will be prevalent in the thin films. In case (3), thin-film rotational variants that are joined by tilt boundaries will be present. Diffraction techniques to determine crystallographic alignment and epitaxial variants are discussed, and transmission electron microscopy studies to investigate extended defects in the thin films will also be reviewed. The authors end with open problems in this field regarding the structure of oxide interfaces that can be topics for future research

  17. Complex regional pain syndrome.

    Science.gov (United States)

    Bruehl, Stephen

    2015-01-01

    Complex regional pain syndrome is a chronic pain condition characterized by autonomic and inflammatory features. It occurs acutely in about 7% of patients who have limb fractures, limb surgery, or other injuries. Many cases resolve within the first year, with a smaller subset progressing to the chronic form. This transition is often paralleled by a change from "warm complex regional pain syndrome," with inflammatory characteristics dominant, to "cold complex regional pain syndrome" in which autonomic features dominate. Multiple peripheral and central mechanisms seem to be involved, the relative contributions of which may differ between individuals and over time. Possible contributors include peripheral and central sensitization, autonomic changes and sympatho-afferent coupling, inflammatory and immune alterations, brain changes, and genetic and psychological factors. The syndrome is diagnosed purely on the basis of clinical signs and symptoms. Effective management of the chronic form of the syndrome is often challenging. Few high quality randomized controlled trials are available to support the efficacy of the most commonly used interventions. Reviews of available randomized trials suggest that physical and occupational therapy (including graded motor imagery and mirror therapy), bisphosphonates, calcitonin, subanesthetic intravenous ketamine, free radical scavengers, oral corticosteroids, and spinal cord stimulation may be effective treatments. Multidisciplinary clinical care, which centers around functionally focused therapies is recommended. Other interventions are used to facilitate engagement in functional therapies and to improve quality of life. PMID:26224572

  18. The Augmented Complex Kernel LMS

    CERN Document Server

    Bouboulis, Pantelis; Mavroforakis, Michael

    2011-01-01

    Recently, a unified framework for adaptive kernel based signal processing of complex data was presented by the authors, which, besides offering techniques to map the input data to complex Reproducing Kernel Hilbert Spaces, developed a suitable Wirtinger-like Calculus for general Hilbert Spaces. In this short paper, the extended Wirtinger's calculus is adopted to derive complex kernel-based widely-linear estimation filters. Furthermore, we illuminate several important characteristics of the widely linear filters. We show that, although in many cases the gains from adopting widely linear estimation filters, as alternatives to ordinary linear ones, are rudimentary, for the case of kernel based widely linear filters significant performance improvements can be obtained.

  19. Modeling Complex Systems

    International Nuclear Information System (INIS)

    This book by Nino Boccara presents a compilation of model systems commonly termed as 'complex'. It starts with a definition of the systems under consideration and how to build up a model to describe the complex dynamics. The subsequent chapters are devoted to various categories of mean-field type models (differential and recurrence equations, chaos) and of agent-based models (cellular automata, networks and power-law distributions). Each chapter is supplemented by a number of exercises and their solutions. The table of contents looks a little arbitrary but the author took the most prominent model systems investigated over the years (and up until now there has been no unified theory covering the various aspects of complex dynamics). The model systems are explained by looking at a number of applications in various fields. The book is written as a textbook for interested students as well as serving as a comprehensive reference for experts. It is an ideal source for topics to be presented in a lecture on dynamics of complex systems. This is the first book on this 'wide' topic and I have long awaited such a book (in fact I planned to write it myself but this is much better than I could ever have written it!). Only section 6 on cellular automata is a little too limited to the author's point of view and one would have expected more about the famous Domany-Kinzel model (and more accurate citation!). In my opinion this is one of the best textbooks published during the last decade and even experts can learn a lot from it. Hopefully there will be an actualization after, say, five years since this field is growing so quickly. The price is too high for students but this, unfortunately, is the normal case today. Nevertheless I think it will be a great success! (book review)

  20. Association theories for complex thermodynamics

    DEFF Research Database (Denmark)

    Kontogeorgis, Georgios; Rafiqul Gani

    2013-01-01

    promising direction for a general and useful for engineering purposes modeling of complex thermodynamics is via the use of association theories e.g. those based on chemical theory (like APACT), or on the lattice theory (like NRHB) or those based on perturbation theory (like SAFT and CPA). The purpose of......Thermodynamics of complex systems (e.g. with associating molecules, multicomponent mixtures, multiphase equilibria, wide ranges of conditions, estimation of many different properties simultaneously) is a topic of great importance in chemical engineering and for a wide range of industrial...... applications. While specialized models can handle different cases, even complex ones, with the advent of powerful theories and computers there is the hope that a single or a few models could be suitable for a general modeling of complex thermodynamics. After more than 100 years with active use of thermodynamic...