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Sample records for case description mucormicosis

  1. Mucormicosis (ficomicosis en Colombia

    Directory of Open Access Journals (Sweden)

    Carlos E. Peña

    1965-10-01

    Full Text Available Se presentan dos casos de mucormicosis (ficomicosis, entidad que ha sido muy raramente encontrada en Colombia. El primer caso se refiere a un prematuro con deshidratación consecutiva a vómito y diarrea. A la autopsia se encontró una mucormicosis del intestino delgado con necrosis del mismo e invasión al bazo, a la vez que una candidiasis esofágica. El segundo caso es el de un niño de 5 meses de edad, con diarreas, vómito, acidosis y signos de trombosis del seno cavernoso derecho y de meningitis. La autopsia reveló una mucormicosis ocular y meningo-encefálica acompañada de trombosis de la arteria cerebral media derecha y del seno cavernoso del mismo lado.

  2. Mucormicosis: Una micosis emergente

    Directory of Open Access Journals (Sweden)

    Iris Tiraboschi

    2012-02-01

    Full Text Available El objetivo de este trabajo es presentar la incidencia, frecuencia, características clínicas y evolución de los pacientes con mucormicosis atendidos en el Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, entre los años 1982 y 2010. Durante ese período se diagnosticaron 10 casos de mucormicosis. Los tres primeros entre 1982 y 2004 y los últimos 7 entre 2005 y 2010. La incidencia y frecuencia de esta enfermedad, para el período 1980-2004 fue 0.13 pacientes/año y 0.1 casos/10 000 egresos (IC 95%: 0.00 a 0.3 respectivamente. En el período 2005-2010 la incidencia fue 0.86 pacientes/año y la frecuencia de 1.1 casos/10 000 egresos (IC 95%: 0.5 a 2.4. Hubo nueve casos de mucormicosis rinosinuso-orbitaria, siete en pacientes con diabetes mellitus, uno en una paciente con una hemopatía maligna y neutropenia, y el restante en un paciente con HIV/sida que además estaba neutropénico y con un síndrome hemofagocítico. En una paciente se realizó el diagnóstico post mortem de mucormicosis pulmonar. El diagnóstico se efectuó por la observación de filamentos cenocíticos en los diez casos. Hubo desarrollo de mucorales en los cultivos de 8/9 pacientes; cinco Rhizopus spp y tres Mucor spp. Todos los pacientes recibieron un tratamiento inicial con anfotericina B deoxicolato, que en tres de ellos fue continuado con anfotericina B liposomal, y cirugía. Tres enfermos recibieron además un tratamiento adyuvante con oxigeno hiperbárico. La mortalidad fue 30%.

  3. Cases Description

    DEFF Research Database (Denmark)

    Hansen, Jesper Rohr; Savini, Federico; Wallin, Sirkku

    2013-01-01

    The JPI Urban Europe research project ‘APRILab’ focuses on planning dilemmas for the transformation of city areas in the urban fringe. In this Working Document we describe the case studies selected by the involved partners: - Aalto University, Finland: T3 in Espoo City - Aalborg University, Denma...

  4. Mucormycosis and bone scintillography of three phases. Case description; Mucormicosis y centelleografia osea de tres fases. Descripcion de un caso

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    Papadakis S, M.; Larrea R, E.; Carrasco R, C.A.; Garrido A, R.A.; Olmedo T, D.; Perez C, M. [Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, 14000 Mexico D.F. (Mexico)

    2007-07-01

    The purpose of presenting this work, besides the interest that shows the mucormycosis pathology not so frequent, it is to carry out a clinical correlation photographic with the imagenology, particularly with the bone scintillography. In the Nuclear Medicine Service it is carried out bone scintillography of three phases previous endovenous administration of 30 mCi (1110 MBq) of {sup 99m} Tc-MDP. The images are obtained with a gamma camera model Elscint APEX SPX, first each 2 seconds during the first minute, then early image to the 5 minutes and finally the late ones to the 3 hs. The bone scintillography in the phases 2 and 3 detects bigger radioactive density in left hemi side, with increment of the osteoblast activity mainly in the medial border and the floor of the orbit, in the malar bone and a little more tenuous in the superior maxillary. (Author)

  5. Coinfección de mucormicosis rinocerebral y aspergilosis sinusal

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    William Torres-Damas

    Full Text Available La mucormicosis y la aspergilosis son las causas más frecuentes de infecciones micóticas causadas por hongos filamentosos, la coinfección en un mismo huésped es poco frecuente. Se presenta el caso de un paciente varón de 78 años con debut de diabetes mellitus tipo 2 y cetoacidosis, que presenta tumefacción de hemicara derecha, parálisis facial derecha, ptosis palpebral y úlcera necrótica en paladar derecho. La tomografía computarizada de macizo facial evidenció un absceso del seno maxilar derecho, de cuya secreción se cultivó Aspergillus fumigatus. El resultado de anatomía patológica de biopsia de paladar, seno maxilar y hueso etmoidal fue compatible con mucormicosis. El paciente recibió tratamiento con voriconazol, anfotericina B desoxicolato y debridamiento quirúrgico del seno maxilar. Sin embargo, pese al manejo, falleció. La coinfección rinocerebral por mucormicosis y aspergilosis debería ser sospechada en pacientes inmunosuprimidos con el fin de establecer un manejo temprano que permita mejorar el pronóstico de la enfermedad

  6. [Mucormycosis: Study of five cases found in San Juan de Dios hospital and Sor Maria Ludovica hospital in La Plata, Argentina].

    Science.gov (United States)

    Featherston, P L; Fernández, G; Munguía, H; Marín, M E

    1998-01-01

    Hospital San Juan de Dios and Sor María Ludovica in La Plata, between 1980 and 1997. Mucormicosis is a frequently fatal, opportunistic fungal infection, that affects immunocompromised patients. The risk factors include diabetes mellitus, leukemia, lymphoma, burns, etc. We present three cases of cutaneous mucormicosis in children 3, 10 and 11 years old, who had been sent to the hospital due to compound fractures in a car crash; one case of pulmonary mucormicosis in an adult 28 years old with prolonged corticotherapy and rhinocerebral mucormicosis in a patient 38 years old with a diagnosis of acute lymphoid leukemia.

  7. Mucormicosis yeyunal en paciente con linfoma de Hodgkin Jejunal mucormycosis in a patient with Hodgkin's lymphoma

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    B. Madrigal

    2008-08-01

    Full Text Available Comunicamos un caso de mucormicosis intestinal en un hombre de 46 años de edad, diagnosticado de enfermedad de Hodgkin clásica, estadio IV-B. Durante la primera fase de la quimioterapia, sufrió una hemorragia digestiva masiva secundaria a una úlcera yeyunal por zigomicosis tipo mucor, diagnosticada por biopsia endoscópica. El paciente fue tratado con antifúngicos y resección quirúrgica del intestino afectado. En la cirugía, se apreció una doble perforación yeyunal cubierta. El estudio anatomopatológico de la pieza confirmó el diagnóstico previo. Tras un año de seguimiento, el paciente está recuperado y su linfoma de Hodgkin en remisión completa. Tras una extensa revisión de la literatura, según nuestro conocimiento, este es el segundo caso publicado en la literatura de mucormicosis intestinal en un paciente con linfoma de Hodgkin.We report a case of intestinal mucormycosis in a 46-year-old male diagnosed with classical Hodgkin's disease, IV-B stage. During the first phase of chemotherapy he had a massive digestive bleeding event secondary to a jejunal ulcer, and zygomicosis mucor-type was diagnosed by endoscopic biopsy. The patient was treated with antifungal drugs and surgical resection of the intestine involved. At surgery a double covered perforation of the jejunum was seen. Pathological examination confirmed the previous diagnosis. After one year of follow-up the patient is doing well, and his lymphoma is on remission. To our best knowledge this is the second case of intestinal mucormycosis in a patient with Hodgkin's lymphoma reported in the medical literature.

  8. Task descriptions versus use cases

    DEFF Research Database (Denmark)

    Lauesen, Søren; Kuhail, Mohammad Amin

    2011-01-01

    project: Acquire a new system to support a hotline. Among the 15 replies, eight used traditional use cases that specified a dialog between user and system. Seven used a related technique, task description, which specified the customer’s needs without specifying a dialog. It also allowed the analyst...

  9. Use cases versus task descriptions

    DEFF Research Database (Denmark)

    Lauesen, Søren; Kuhail, Mohammad Amin

    2011-01-01

    to specify require-ments for the same project: Acquire a new system to support a hotline. [Princi-pal ideas/results] Among the 15 replies, eight used traditional use cases that specified a dialog between users and system. Seven used a related technique, task description, which specified the customer's needs...

  10. Mucormicosis rinocerebral de origen dental, reporte de un caso clínico y revisión de la literatura

    OpenAIRE

    Acosta Behrends, Carlos; Lucio Leonel, Ernesto; Uribe Campos, Alfonso; Gómez Mata, Brenda

    2014-01-01

    Se presenta el caso clínico de un hombre de 46 años de edad, con antecedentes patológicos de diabetes metabólicamente descompensada de 4 años de evolución, quien posterior a una odontectomía de primer molar superior izquierdo, cursó con proceso infeccioso en región maxilar de evolución aguda que fue diagnosticado histopatologicamente como mucormicosis rinocerebral. La mucormicosis es una enfermedad de baja prevalencia frecuentemente fatal y rápidamente progresiva causada por hongos de la f...

  11. Mucormicosis rinocerebral de origen dental, reporte de un caso clínico y revisión de la literatura

    Directory of Open Access Journals (Sweden)

    Carlos Acosta Behrends

    2014-04-01

    La mucormicosis es una enfermedad de baja prevalencia frecuentemente fatal y rápidamente progresiva causada por hongos de la familia Mucoraceae del orden mucorales. Es la enfermedad fúngica fatal de más rápida evolución en los humanos. Es una entidad importante de considerar, porque su rápida detección y tratamiento son los elementos claves para la supervivencia.

  12. [Q fever. Description of a case].

    Science.gov (United States)

    Peña-Irún, Á; González Santamaría, A R; Munguía Rozadilla, F; Herrero González, J L

    2013-01-01

    Q fever is a zoonosis of global distribution with an incidence of 3 cases per 100,000 inhabitants/year. A variety of animals can be the coxiella reservoir which always must be taken into account when faced with a fever process in a compatible context. Rapid diagnosis and treatment are essential to improve the prognosis, and prevent the development of chronic infection or other potential complications associated with the coxelliosis. Copyright © 2012 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  13. Predicate Argument Structure Analysis for Use Case Description Modeling

    Science.gov (United States)

    Takeuchi, Hironori; Nakamura, Taiga; Yamaguchi, Takahira

    In a large software system development project, many documents are prepared and updated frequently. In such a situation, support is needed for looking through these documents easily to identify inconsistencies and to maintain traceability. In this research, we focus on the requirements documents such as use cases and consider how to create models from the use case descriptions in unformatted text. In the model construction, we propose a few semantic constraints based on the features of the use cases and use them for a predicate argument structure analysis to assign semantic labels to actors and actions. With this approach, we show that we can assign semantic labels without enhancing any existing general lexical resources such as case frame dictionaries and design a less language-dependent model construction architecture. By using the constructed model, we consider a system for quality analysis of the use cases and automated test case generation to keep the traceability between document sets. We evaluated the reuse of the existing use cases and generated test case steps automatically with the proposed prototype system from real-world use cases in the development of a system using a packaged application. Based on the evaluation, we show how to construct models with high precision from English and Japanese use case data. Also, we could generate good test cases for about 90% of the real use cases through the manual improvement of the descriptions based on the feedback from the quality analysis system.

  14. World Perspective Case Descriptions on Educational Programs for Adults: Japan.

    Science.gov (United States)

    Moro'oka, Kazufusa; And Others

    Three adult education programs being conducted in Japan are described in the case studies in this packet. The first case study (by K. Moro'oka) describes an adult education center in Ohyama in which education and community services are integrated. The program first put emphasis on community building, then on the development of human resources.…

  15. [Description of dysphonia cases assisted in a mutua in 2013].

    Science.gov (United States)

    Rodríguez Bayarri, M Jesús; Oliveres Verges, Joan; Linares Salas, Carlos; Martínez Llorente, Enrique; Puget Bosch, Dulce

    2015-01-01

    To describe a case series of patients with dysphonia evaluated in a national Spanish mutua. Computerized medical records of 2013 were reviewed and 129 patients with diagnoses compatible with dysphonia were identified. Eighty-six (67%) of the 129 cases were recognized as occupational diseases, three cases were considered as occupational injuries (two with a diagnosis of Reinke's edema) and the remaining 40 cases were considered to not be work-related. Most of the cases (90%) occurred in women between the ages of 30 and 49 years. Ninety-three percent of the cases diagnosed as occupational diseases underwent speech therapy and, of these, 72% were cured. The majority of the cases (61%) occurred in teachers. Average duration of sickness absence, among those patients who took it, was 113.5 days. All cases reported as occupational disease met the criteria set by the Spanish legislation (RD 1299/2006). Non-occupational diseases were referred to the national health service. Customized speech therapy was effective for most of the patients. The average duration of sick leave in our series was high. Copyright belongs to the Societat Catalana de Salut Laboral.

  16. Gitelman syndrome associated with chondrocalcinosis: description of two cases

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    E. Filippucci

    2011-06-01

    Full Text Available Gitelman syndrome is a rare inherited tubulopathy, characterized by hypomagnesemia, hypokalemia, metabolic alkalosis, hypocalciuria and hyperreninemic hyperaldosteronism. The clinical spectrum is wide and includes: cramps, myalgies, muscle weakness, until episodes of carpo-podalic spasm, tetania, rabdomyolisis and paralysis. Some cases have been described in literature underlining the association of this condition with chondrocalcinosis, as a typical example of hypomagnesemia-induced crystal deposition disease. The therapy of Gitelman syndrome consists on the administration of defective electrolytes, althought not always effective. We describe two cases of Gitelman syndrome associated with chondrocalcinosis showing the wide range of presentation of this clinical condition.

  17. World Perspective Case Descriptions on Educational Programs for Adults: India.

    Science.gov (United States)

    Jayagopal, R.; Burns, E. P.

    Four adult education programs being conducted in India are described in the case studies in this packet. Two of the projects involve literacy; the third promotes literacy as one part of its community development program, and the fourth trains workers in hotel management and catering technology. The literacy programs are (1) development of a…

  18. [Brucellosis in Chile: Description of a series of 13 cases].

    Science.gov (United States)

    Olivares, Roberto; Vidal, Pamela; Sotomayor, Camila; Norambuena, Mackarenna; Luppi, Mario; Silva, Francisco; Cifuentes, Marcela

    2017-06-01

    Brucellosis is a zoonosis caused by Brucella spp. It may be acquired by consuming unpasteurized dairy products. Brucellosis has a low incidence in Chile, thus, we have a scarce data. To report and to characterize the first series of clinical cases of adult patients diagnosed with brucellosis in Chile. We describe a series of 13 clinical cases in patients diagnosed between 2000 and 2016 in three different centers in the Metropolitan Region, Chile. A retrospective analysis was performed on clinical presentation, laboratory, antibiotic treatment, morbidity and mortality. The mean age was 50 years old. Eight cases had a record of consumption of unpasteurized dairy products. The most frequently reported complaints were fever. The most frequent focal point involved was the spine. Only one patient had a positive blood culture, while the diagnosis was made using serological techniques in the other part of the group. The most indicated antibiotic regimens were doxycycline-rifampicin and doxycycline-gentamicin. The hospital stay was 20 days approximately as an average. Clinical cure was achieved in all cases. Brucellosis is an infrequent zoonosis in Chile, and it produces a nonspecific clinical picture, so it is necessary to have high suspicion to make the diagnosis based in the antecedent of consumption of unpasteurized dairy or raw meat.

  19. Description of odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital Bandung, Indonesia

    OpenAIRE

    Ravitha Savitri; Tis Karasutisna; Agus Nurwiadh

    2018-01-01

    One of the most difficult cases to be managed in dentistry is an odontogenic infection. The study was aimed to finding the description of the odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital, Bandung, Indonesia, according to the odontogenic infection types, genders, ages, sources of infection, and type of treatment given. This study was a retrospective-descriptive study with a survey method conducted from January 2009 to December 2010. The results of this s...

  20. IDIOPATHIC ERYTHEMA NODOSUM AND PREGNANCY: DESCRIPTION OF A CASE

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    B S Belov

    2009-01-01

    Full Text Available Erythema nodosum (EN is a dermatosis of unclear etiology, which is characterized by vascular lesion of the skin; it shows itself as hard painful nodes occurring in the derma or subcutaneous fat on the shins and thighs. EN has been described in many chronic infectious processes with some features of its clinical course. In most cases, the disease is regarded as a nonspecific immunoinflammatory response to a wide spectrum of etiological factors, including that in gestation, which presents certain problems in curing the patient. The example given below supports the need for timely testing for infectious markers in pregnancy and, in case of evolving EN, for using not only nonsteroidal anti-inflammatory drugs, but also pathogenetic treatment.

  1. [Facial angioedema after filler injections. Description of five cases].

    Science.gov (United States)

    Cosatti, Micaela; Fernández Romero, Diego S; Juri, María Cecilia; Malbrán, Alejandro

    2010-01-01

    The use of fillers for cosmetic purposes is becoming increasingly frequent. Although initially considered inert, these products produce adverse reactions around the injection site. We present 5 cases of women with a history of filler injections who presented a hard and persistent angioedema followed by local subcutaneous nodules. They were referred to the allergist for suspected allergy related angioedema without response to usual antihistamine treatment. The angioedema episodes initiated 27.6 months (range 1 to 48) after the fillers treatment. The patients underwent exacerbations and remissions of angioedema, partially relieved with oral steroids and, in 2 cases, local triamcinolone injections. Mean time from onset of symptoms to remission of angioedema was 8.75 months (range 1 to 24). Until October 2009 four patients continued into remission after 24.5 months (range 7 to 36) free of symptoms. One patient continued with exacerbations 11 months after the initial symptoms. Fillers may cause angioedema as an adverse event and should be considered in the differential diagnosis of persistent angioedema. They are only sensitive to steroid treatment and in some steroid dependent cases they respond to ciclosporin. The frequency of angioedema after filler injections among patients with angioedema in the Unit of Asthma Allergy and Clinical Immunology was 0.5%.

  2. [Abdominal gunshot wound: description of 86 cases in Cameroon].

    Science.gov (United States)

    Bahebeck, J; Masso-Misse, P; Essomba, A; Takongmo, S; Ngo-Nonga, B; Ngo-Nyeki, A R; Sosso, M; Malong, E

    2005-11-01

    Abdominal gunshot wound (AGSW) is a trauma emergency. The purpose of this report is to describe our experience with managing AGSW largely without modem investigational modalities. Data was collected retrospectively by reviewing the surgical reports and clinical charts of patients admitted to live hospitals dealing with AGSW over a 5-year period. Incomplete files and wounds not involving the abdomen were not included. A total of 86 files were analyzed. Patients ranged in age from 10 to 63 years ivith mean age of 32 years and a sex ratio of 5.5. Most patients (87%) underwent surgical exploration. Laboratory revealed no lesions in 22.5% of cases, minor lesions in 9.5% and major lesions justifying surgical repair in 68%. A total of 86 visceral lesions were found in the patients who underwent surgical exploration. The lesion involved the small intestine in 31.5% of case, colon in 24.5%, liver in 23.5%, spleen in 7%, stomach in 6%, and uterus in 2%. The kidney, pancreas, mesenteries, large momentum, and transverse mescaline each accounted for 1% of lesions. Conventional operative techniques were used with a mortality of 5.5% and morbidity of 4%. Based on our findings we conclude that when investigational tools (CT-scan, peritoneal lavage and laparoscopy) are unavailable prolonged watchful waiting increases the risk of mortality and morbidity in patients presenting AGSW associated with suspicious clinical signs. Prompt surgical treatment improves prognosis but is associated with a high rate of cases showing no lesions.

  3. Case Descriptions and Observations About Cutis Marmorata From Hypobaric Decompressions

    Science.gov (United States)

    Conkin, Johnny; Pilmanis, Andrew A.; Webb, James T.

    2002-01-01

    There is disagreement about the pathophysiology, classification, and treatment of cutis marmorata (CM), so there is disagreement about the disposition and medical status of a person that had CM. CM is rare, associated with stressful decompressions, and may be associated with serious signs and symptoms of decompression sickness (DCS). CM presents as purple or bluish-red skin mottling, often in the pectoral region, shoulders, chest, or upper abdomen. It is unethical to induce CM in humans so all information comes from retrospective analysis of case reports, or from animal models. A literature search, seven recent case reports from the Johnson Space Center and Brooks Air Force Base Hypobaric DCS Databases, interviews with DCS treatment experts, and responses to surveys provided the factual information used to arrive at our conclusions and recommendations. The "weight of evidence" indicates that CM is a local, not centrally mediated or systemic response to bubbles. It is unclear whether obstruction of arterial or venous blood flow is the primary insult since the lesion is reported under either condition. Any neurological or cardiovascular involvements are coincidental, developing along the same time course. The skin could be the source of the bubbles due to its mass, the associated layer of fat, and the variable nature of skin blood flow. CM should not be categorized as Type II DCS, should be included with other skin manifestations in a category called cutaneous DCS, and hyperbaric treatment is only needed if ground level oxygen is ineffective in the case of altitude-induced CM.

  4. Case series and descriptive cohort studies in neurosurgery: the confusion and solution.

    Science.gov (United States)

    Esene, Ignatius N; Ngu, Julius; El Zoghby, Mohamed; Solaroglu, Ihsan; Sikod, Anna M; Kotb, Ali; Dechambenoit, Gilbert; El Husseiny, Hossam

    2014-08-01

    Case series (CS) are well-known designs in contemporary use in neurosurgery but are sometimes used in contexts that are incompatible with their true meaning as defined by epidemiologists. This inconsistent, inappropriate and incorrect use, and mislabeling impairs the appropriate indexing and sorting of evidence. Using PubMed, we systematically identified published articles that had "case series" in the "title" in 15 top-ranked neurosurgical journals from January 2008 to December 2012. The abstracts and/or full articles were scanned to identify those with descriptions of the principal method as being "case series" and then classified as "true case series" or "non-case series" by two independent investigators with 100 % inter-rater agreement. Sixty-four articles had the label "case series" in their "titles." Based on the definition of "case series" and our appraisal of the articles using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines, 18 articles (28.13 %) were true case series, while 46 (71.87 %) were mislabeled. Thirty-five articles (54.69 %) mistook retrospective (descriptive) cohorts for CS. CS are descriptive with an outcome-based sampling, while "descriptive cohorts" have an exposure-based sampling of patients, followed over time to assess outcome(s). A comparison group is not a defining feature of a cohort study and distinguishes descriptive from analytic cohorts. A distinction between a case report, case series, and descriptive cohorts is absolutely necessary to enable the appropriate indexing, sorting, and application of evidence. Researchers need better training in methods and terminology, and editors and reviewers should scrutinize more carefully manuscripts claiming to be "case series" studies.

  5. [Reflex sympathetic dystrophy: description of a case with skin lesions].

    Science.gov (United States)

    Vergara, Aránzazu; Isarría, María J; Prado Sánchez-Caminero, María; Guerra, Aurora

    2005-10-01

    Reflex sympathetic dystrophy or algodystrophy is a poorly defined syndrome in which the patient develops pain disproportionate to the cause. It is included among the complex regional pain syndromes. The symptoms are triggered by some type of trauma, at times trivial, and consist of burning pain, edema, changes in skin color, alterations in vascularization, temperature changes, hyperhidrosis and skin disorders, which primarily consist of atrophic changes. Other less frequent cutaneous manifestations have been described in patients with this syndrome. These include papules, blisters, inflammatory lesions and reticulated hyperpigmentation. We discuss the case of a patient with reflex sympathetic dystrophy who presented with superficial ulcers on the affected limb, which mimicked dermatitis artefacta.

  6. [Paracoccidioidomycosis in pediatric patients: a description of 4 cases].

    Science.gov (United States)

    Taicz, Moira; Rosanova, Maria Teresa; Bes, David; Lisdero, Maria Laura; Iglesias, Viviana; Santos, Patricia; Berberian, Griselda

    2014-01-01

    Paracoccidioidomycosis is the most frequent systemic mycosis in Latin America, caused by the dimorphic fungus Paracoccidioides. Paracoccidioidomycosis in children is uncommon. Our aim is to describe clinical features of patients who had a confirmed diagnosis of paracoccidioidomycosis in our hospital in the last 10 years. We describe 4 cases of paracoccidioidomycosis in previously healthy children from the north of our country. Diagnoses were made by biopsy or culture. The diagnosis of paracoccidioidomycosis should be considered in a patient coming from regions where Paracoccidioides is endemic, and presenting with a lymphoproliferative syndrome, anemia, eosinophilia and hypergammaglobulinemia. Copyright © 2012 Revista Iberoamericana de Micología. Published by Elsevier Espana. All rights reserved.

  7. [Granulomatosis with polyangiitis (Wegener). Description of 15 cases].

    Science.gov (United States)

    Martínez-Morillo, Melania; Grados, Dolors; Naranjo-Hans, Dolores; Mateo, Lourdes; Holgado, Susana; Olivé, Alejandro

    2012-01-01

    Granulomatosis with polyangiitis (GP) is a necrotizing vasculitis of unknown etiology that involves small and medium caliber vessels. It is associated with anti neutrophil cytoplasm antibodies (ANCA). It most often affects the respiratory tract and the kidneys and its most important pathologic feature is the presence of necrotizing granulomas. To detail the features of 15 patients with GP diagnosed in a university referral center. Retrospective study: between 1984 and 2009, 15 patients with GP were diagnosed in our center. Epidemiological, clinical, laboratory test as well as pathologic studies and treatment were retrospectively analyzed. Biopsy diagnosis of GP was considered as an inclusion criterion. Fifteen patients were diagnosed: 12 men and 3 women. Mean age at diagnosis: 52.2 years (14-78). 12 patients had a history of smoking. A biopsy was diagnostic in all patients. ANCA were positive in 11 cases, 6 had a cytoplasmic c-ANCA pattern. All patients had pulmonary involvement and seven (40%) had renal involvement. All patients received intravenous glucocorticoids and cyclophosphamide as induction therapy. During the disease progression 5 patients died. The clinical features of this series do not differ from those described by other authors. However, a history of smoking is more common than expected. Frequently used drugs were glucocorticoids and cyclophosphamide (oral and pulse therapy). The course was usually unfavorable, with outbreaks or complications due to immunosuppression, except for those with limited forms. Immunosuppressive therapy should be maintained indefinitely in most cases. Copyright © 2010 Elsevier España, S.L. All rights reserved.

  8. [Respiratory allergy to nickel. Description of an atypical clinical case].

    Science.gov (United States)

    Marraccini, P; Cantone, L; Previdi, M; Patrini, L; Costamagna, P

    2008-01-01

    Exposure to nickel sulphate, other than contact dermatitis, can potentially cause respiratory symptoms. Although few cases of occupational rhinitis and asthma are reported in literature, a prolonged exposure can determine sensitization and evolution to respiratory symptoms. Clinical evaluation of a case of occupational rhinitis and asthma due to nickel sulphate. A female worker, aged 43 years, has been occupationally exposed to nickel for 22 years. After 1 year she experienced asthma, apparently not work related. She treated the respiratory symptoms for many years, but a slow and progressive increase of the disease was observed. During the last five years a straight relationship between work and symptoms was observed. On-off test was positive. The diagnosis of occupational respiratory disease was based on the work-related symptoms and the specific nasal challenge test result. An early response was observed with nasal symptoms (score 4), increase of anterior nasal airflow resistance (33%), severe dyspnea, haematic eosinophilia, and fall in FEV-1 of 18%. The prolonged exposure to nickel determined impairment of respiratory function. Nasal challenge, more safe and useful than bronchial challenge, can be considered gold standard for the diagnosis of occupational rhinitis and asthma due to occupational allergens.

  9. Geographic distribution and clinical description of leishmaniasis cases in Peru.

    Science.gov (United States)

    Lucas, C M; Franke, E D; Cachay, M I; Tejada, A; Cruz, M E; Kreutzer, R D; Barker, D C; McCann, S H; Watts, D M

    1998-08-01

    Studies were conducted from 1986 through 1993 to further define the geographic distribution and relative importance of different species of Leishmania as a cause of leishmaniasis in Peru. Patients with a clinical diagnosis of cutaneous and/or mucosal or diffuse cutaneous leishmaniasis were enrolled at the Naval Medical Research Institute Detachment (NAMRID) Laboratory in Lima, the Tropical Disease Clinic at San Marcos University Daniel A. Carrión, the Central Military Hospital, and a Ministry of Health hospital in Cusco, Peru. Clinical features, lesion aspirates, and biopsy tissue were obtained from each patient. All specimens were collected and assayed separately, including multiple specimens from some of the same patients for Leishmania parasites by inoculating aliquots of either aspirates or biopsy tissue suspensions onto Senekji's blood agar medium. Stocks of Leishmania isolates were used to prepare promastigotes to produce extracts for identifying the Leishmania species by the cellulose acetate electrophoresis enzyme technique. A total of 351 isolates of Leishmania were obtained from 350 patients who were infected primarily in the low and high jungle of at least 15 different Departments of Peru. Of the 351 isolates, 79% were identified as L. (V.) braziliensis, 7% as L. (V.) guyanensis, 10% as L. (V.) peruviana, 2% as L. (V.) lainsoni, and 1.7% as L. (L.) amazonensis. The clinical form of disease varied depending on the species of Leishmania, with L. (V.) braziliensis being associated most frequently with cutaneous, mucosal ulcers and mixed cutaneous and mucosal disease, and L. (V) peruviana, L. (V.) guyanensis, L. (V.) lainsoni with cutaneous lesions. Leishmania (L.) amazonensis was isolated from six patients, three with cutaneous lesions, one with mucosal lesions, and two with diffuse cutaneous lesions. Among all of the leishmaniasis cases, males were affected more frequently, and cases occurred among patients less than 10 to more than 51 years of age. These

  10. Nasogastric Tube Feeding-Induced Esophageal Bezoar: Case Description.

    Science.gov (United States)

    Degheili, Jad A; Sebaaly, Mikhael G; Hallal, Ali H

    2017-01-01

    Background . Bezoars are well established entities causing gastrointestinal obstructions. Depending on the prominent constituent of these bezoars, the latter are divided into four subtypes: pharmacobezoars, lactobezoars, trichobezoars, and phytobezoars. Less frequently reported types of bezoars are reported including those formed secondary to nasogastric tube feeding with casein-based formulas. Case Presentation. A 69-year-old male presented following cardiac arrest postmyocardial infarction. Patient sustained anoxic brain injury after resuscitation, rendering him ventilator dependant along with nasogastric tube feeding, initially. Dislodging of the nasogastric tube at one time rendered it difficult to reinsert it, with investigation showing the presence of calcified material within the distal oesophagus, mainly composed of casein-based products secondary to enteral feeding. Conclusion. Bezoars are well known to cause gastrointestinal obstructions due to their indigestible characteristics within the alimentary tract. More rare causes of bezoars include those formed from casein-based feeding formulas administered to patients with sustained enteral feeding. Esophageal obstruction, secondary to casein-based bezoars, occurs due to multiple risk factors, especially in those necessitating intensive care. Approach in such scenarios requires a multiteam approach.

  11. Necrobiosis lipoidica: a descriptive study of 35 cases.

    Science.gov (United States)

    Marcoval, J; Gómez-Armayones, S; Valentí-Medina, F; Bonfill-Ortí, M; Martínez-Molina, L

    2015-06-01

    Necrobiosis lipoidica (NL) is a chronic idiopathic granulomatous disease considered to occur in association with diabetes mellitus. Data on the frequency of this association, however, are inconsistent. Our aim was to retrospectively analyze the clinical characteristics of patients diagnosed with NL at our hospital and to investigate the association with diabetes mellitus and other diseases. We performed a chart review of all patients with a clinical and histologic diagnosis of NL treated and followed in the dermatology department of Hospital de Bellvitge in Barcelona, Spain between 1987 and 2013. Thirty-five patients (6 men and 29 women with a mean age of 47.20 years) were diagnosed with NL in the study period. At the time of diagnosis, 31 patients had pretibial lesions. Thirteen patients (37%) had a single lesion at diagnosis, and the mean number of lesions was 3.37. Twenty-three patients (65.71%) had diabetes mellitus (type 1 in 10 cases and type 2 in 13). In 20 patients, onset of diabetes preceded that of NL by a mean of 135.70 months. The 2 conditions were diagnosed simultaneously in 3 patients. None of the 35 patients developed diabetes mellitus during follow-up. Six patients had hypothyroidism, and 4 of these also had type 1 diabetes. NL is frequently associated with type 1 and 2 diabetes. Although diabetes tends to develop before NL, it can occur simultaneously. Copyright © 2014 Elsevier España, S.L.U. and AEDV. All rights reserved.

  12. Direct: Ontology based discovery of responsibility and causality in legal case descriptions

    NARCIS (Netherlands)

    Breuker, J.A.P.J.; Hoekstra, R.J.; Gordon, T.

    2004-01-01

    In this paper we present DIRECT, a system forautomatic discovery of responsibility and causal relations in legal case descriptions based on LRI-Core, a core ontology that covers the main concepts that are common to all legal domains. These domains have a predominant common-sense character - the law

  13. The development of a descriptive evaluation tool for clinical ethics case consultations

    NARCIS (Netherlands)

    Pedersen, R.; Hurst, S.; Schildmann, J.; Schuster, S.; Molewijk, A.C.

    2010-01-01

    There is growing interest in clinical ethics. However, we still have sparse knowledge about what is actually going on in the everyday practice of clinical ethics consultations. This paper introduces a descriptive evaluation tool to present, discuss and compare how clinical ethics case consultations

  14. Art Therapy for an Individual with Late Stage Dementia: A Clinical Case Description

    Science.gov (United States)

    Tucknott-Cohen, Tisah; Ehresman, Crystal

    2016-01-01

    This article describes the healing benefits of art therapy for an individual with dementia of the Alzheimer's type. In this clinical case description, a woman diagnosed with Alzheimer's disease received individual art therapy for 17 weeks. The treatment concerns that arose, altered view of reality, agitation, and retrogenesis provide insight on…

  15. Hypothetical Case and Scenario Description for International Transportation of Spent Nuclear Fuel.

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Adam David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Osborn, Douglas [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Jones, Katherine A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Kalinina, Elena Arkadievna [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Cohn, Brian [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thomas, Maikael A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Parks, Mancel Jordan [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Parks, Ethan Rutledge [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mohagheghi, Amir H. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-12-01

    To support more rigorous analysis on global security issues at Sandia National Laboratories (SNL), there is a need to develop realistic data sets without using "real" data or identifying "real" vulnerabilities, hazards or geopolitically embarrassing shortcomings. In response, an interdisciplinary team led by subject matter experts in SNL's Center for Global Security and Cooperation (CGSC) developed a hypothetical case description. This hypothetical case description assigns various attributes related to international SNF transportation that are representative, illustrative and indicative of "real" characteristics of "real" countries. There is no intent to identify any particular country and any similarity with specific real-world events is purely coincidental. To support the goal of this report to provide a case description (and set of scenarios of concern) for international SNF transportation inclusive of as much "real-world" complexity as possible -- without crossing over into politically sensitive or classified information -- this SAND report provides a subject matter expert-validated (and detailed) description of both technical and political influences on the international transportation of spent nuclear fuel. [PAGE INTENTIONALLY LEFT BLANK

  16. Malignant mesothelioma of the tunica vaginalis: a rare case report and description of multimodal treatment.

    Science.gov (United States)

    Andresen, Eric D; Henning, Grant; Uhlman, Matthew A; Gupta, Amit

    2016-12-01

    Malignant mesothelioma is an uncommon neoplasm that develops from serous surfaces, and rarely from the tunica vaginalis. Although atypical in any location, paratesticular presentation is exceedingly infrequent as only 0.3% to 1.4% of mesothelioma cases arise from the tunica vaginalis. Fewer than 300 cases have been reported with very few descriptions of long term follow up and multimodal therapy. Here we describe a patient with 2 years of follow up for metastatic mesothelioma treated with orchiectomy, chemotherapy and robot-assisted laparoscopic retroperitoneal lymph node dissection.

  17. Description of odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital Bandung, Indonesia

    Directory of Open Access Journals (Sweden)

    Ravitha Savitri

    2018-01-01

    Full Text Available One of the most difficult cases to be managed in dentistry is an odontogenic infection. The study was aimed to finding the description of the odontogenic infection cases at the Oral Surgery Polyclinic of Hasan Sadikin Hospital, Bandung, Indonesia, according to the odontogenic infection types, genders, ages, sources of infection, and type of treatment given. This study was a retrospective-descriptive study with a survey method conducted from January 2009 to December 2010. The results of this study showed that there were total 8 types of odontogenic infection cases. The periapical abscess was the most frequent abscess found in 89 patients (30.6%. Male patients were having more often cases than women with the ratio of 53:47. The most frequent age group was the 21-30 years old age group in 57 patients (22.7%. The highest number of patients from 8 different cases of odontogenic infection (30.2%. The source of odontogenic infection was found most commonly by the mandibular first molar teeth, with as much as 26.6%.

  18. Case Report: Occurrence of Paracoccidioides lutzii in the Amazon Region: Description of Two Cases

    NARCIS (Netherlands)

    Marques-da Silva, S.H.; Rodrigues, A.M.; de Hoog, G.S.; Silveira-Gomes, F.; Camargo, Z.P.

    2012-01-01

    Paracoccidioidomycosis (PCM), the most important human systemic mycosis in Latin America, is known to be caused by at least four different phylogenetic lineages within the Paracoccidioides brasiliensis complex, including S1, PS2, PS3, and Pb01-like group. Herein, we describe two cases of PCM in

  19. Occupational accidents with exposure to biological material: Description of cases in Bahia

    Directory of Open Access Journals (Sweden)

    Técia Maria Santos Carneiro e Cordeiro

    2016-04-01

    Full Text Available Background and Objective: This study is included in the field of public health in Brazil, in particular occupational health, by the occupational accidents with exposure to biological material consists of a preventable injury. Thus, the objective was to describe risk factors the of occupational accidents with exposure to biological material and the conduct postexposure adopted notified of cases in Notifiable Diseases Information System (SINAN in the State of Bahia in 2012. Methods: This is a descriptive epidemiological study realized with data from the injuries of notifications SINAN in February 2013, the analysis was realized using descriptive statistics in absolute frequencies and relative. Results: The results indicate a higher occurrence of occupational accidents involving exposure to biological materials in Bahia in the female population (78.1% and aged between 30-49 years (51.5%; the blood was fluid larger contact in accidents 75.2% by percutaneous (71.5%; post-exposure procedures were adopted in accordance recommended by the Ministry of Health; divers information were not fulfilled in the notifications and only 23.8% of Occupational Accidents Comunication (CAT were issued. Conclusion: It is considered necessary to draw up strategies on occupational health and safety, consciousness of workers about the relevance of the measures adopted after occupational accidents with exposure to biological material and the training of professionals for case notification and research to fill all the fields of the notification form and also the issuance of CAT.

  20. [CDC73 mutations in young patients with primary hyperparathyroidism: A description of two clinical cases].

    Science.gov (United States)

    Mamedova, E O; Mokrysheva, N G; Pigarova, E A; Przhiyalkovskaya, E G; Voronkova, I A; Vasilyev, E V; Petrov, V M; Gorbunova, V A; Rozhinskaya, L Ya; Belaya, Zh E; Tyulpakov, A N

    The article describes two clinical cases of severe primary hyperparathyroidism (PHPT) caused by parathyroid carcinoma in young female patients who underwent molecular genetic testing to rule out the hereditary forms of PHPT. In both patients, heterozygous germline nonsense mutations of tumor suppressor gene CDC73 encoding parafibromin (p.R91X and p.Q166X) were identified using next-generation sequencing with Ion Torrent Personal Genome Machine (Thermo Fisher Scientific - Life Technologies, USA). It is the first description of CDC73 mutations in Russia, one of the mutations is described for the first time in the world. Identification of germline mutations in the CDC73 gene in patients with PHPT necessitates regular lifelong screening for other manifestations of hyperparathyroidism-jaw tumor syndrome (HPT-JT), PHPT recurrence due to parathyroid carcinoma as well, and identification of mutation carriers among first-degree relatives.

  1. Bridging molecular and continuous descriptions: the case of dynamics in clays

    Directory of Open Access Journals (Sweden)

    Jean-François Dufrêche

    2010-03-01

    Full Text Available The theory of transport in porous media such as clays depends on the level of description. On the macroscopic scale,hydrodynamics equations are used. These continuous descriptions are convenient to model the fluid motion in a confined system. Nevertheless, they are valid only if the pores of the material are much larger than the molecular size of the components of the system. Another approach consists in using molecular descriptions. These two methods which correspond to different levels of description are complementary. The link between them can be clarified by using a coarse-graining procedure where the microscopic laws are averaged over fast variables to get the long time macroscopic laws. We present such an approach in the case of clays. Firstly, we detail the various levels of description and the relations among them, by emphasizing the validity domain of the hydrodynamic equations. Secondly, we focus on the case of dehydrated clays where hydrodynamics is not relevant. We show that it is possible to derive a simple model for the motion of the cesium ion based on the difference on time scale between the solvent and the solute particles.A teoria de transporte em meios porosos tais como argilasdepende do nível de descrição. Na escala macroscópica, equações da hidrodinâmica são utilizadas. Tais descrições a níveldo contínuo são convenientes para tratar o movimento do fluido em sistemas confinados. No entanto, tais equações são válidas se os poros do material são muito maiores do que as moléculas das componentes do sistema. Uma outra abordagem consiste em usar descrições moleculares. Esses dois métodos que correspondem a diferentes níveis de descriçãosão complementares. A ligação entre eles pode ser elucidada usando um procedimento de mudança de escala onde são tomadas médias das leis microscópicas sobre as variáveis rápidas para se obter as leis macroscópicas para tempos longos. Apresentamos esta abordagem no

  2. An Analysis of Descriptive Text in English Textbook Using Transitivity System (a Case Study of Reading Passages)

    OpenAIRE

    Anggun, Shafira Khairina

    2016-01-01

    The main focus of the study is to investigate to what extent the descriptive texts in English textbook meet its criteria in terms of purposes, schematic structures and linguistic features. A qualitative case study method with document analysis technique is employed as the method of the study. The study also applied Systemic Functional Linguistics framework proposed mainly by M.A.K. Halliday, yet the study had focused on Transitivity system in analyzing descriptive texts. The prime data of the...

  3. Bullous Pemphigoid in Iranian Patients: A Descriptive Study on 122 Cases

    Directory of Open Access Journals (Sweden)

    Cheyda Chams Davatchi

    2012-05-01

    Full Text Available Bullous pemphigoid is an immunobullous disease with high mortality and morbidity. Different aspects and characteristics in the patients vary in different areas in the world. Our objective was to study clinical and demographic characteristics of bullous pemphigoid in Iranian patients. In a retrospective descriptive study, we reviewed 122 patients with bullous pemphigoid within 1987-2007. Demographic characteristics, clinical manifestations, treatment, relapses and outcome were evaluated. The mean age of 122 patients was 65 ± 18.11 years including 35.2% male and 64.8% female. The most common manifestations were cutaneous bullae (97.5%. 27% had oral lesions. 30.3% had eosinophillia. 90 patients(73.8% received oral prednisolone, 29 patients (23.8% topical steroid, 2 patients tetracycline and 1 patient dapsone. 89 patients were followed after admission. Out of them 44 patients experienced first relapse and 22 patients second relapse. 41 cases (46% were completely controlled. 11 cases (12% were not controlled. Clinical and general characteristics of bullous pemphigoid patients differ in various regions in the world.

  4. Descriptive epidemiology of injury cases: findings from a pilot injury surveillance system in Abu Dhabi.

    Science.gov (United States)

    Rahman, M Hafizur; Allen, Katharine A; Hyder, Adnan A

    2016-01-01

    Considering the high burden of injuries, the Health Authority-Abu Dhabi developed a draft electronic and paper-based injury and poisoning notification system (IPNS) to generate better data on the nature and severity of injuries. The pilot testing and evaluation of IPNS was conducted with the specific objectives to (1) identify the characteristics of injury cases, (2) explore potential risk factors, (3) illustrate the nature and type of data, and (4) the working mechanism of data collection. Data were collected from selected hospitals on patient demographics, injury information and clinical assessment. Descriptive, bivariate and multivariate analyses were conducted. Of 4226 injury cases, nearly three-fourths were male, majority were non-UAE nationals, and the mean age was 21.9. Multivariate findings suggested that compared to UAE nationals, non-UAE nationals were 27% more likely to experience fatal, severe or moderate injuries (p = 0.01). Individuals with health insurance were 31% less likely to suffer a fatal, severe or moderate injury compared to those having no health insurance (p Abu Dhabi, and provides initial information on characteristics and injury risk factors that will help identify the need for evidence-based intervention for injury prevention and control.

  5. Withdrawal-associated injury site pain (WISP): a descriptive case series of an opioid cessation phenomenon.

    Science.gov (United States)

    Rieb, Launette Marie; Norman, Wendy V; Martin, Ruth Elwood; Berkowitz, Jonathan; Wood, Evan; McNeil, Ryan; Milloy, M-J

    2016-12-01

    Withdrawal pain can be a barrier to opioid cessation. Yet, little is known about old injury site pain in this context. We conducted an exploratory mixed-methods descriptive case series using a web-based survey and in-person interviews with adults recruited from pain and addiction treatment and research settings. We included individuals who self-reported a past significant injury that was healed and pain-free before the initiation of opioids, which then became temporarily painful upon opioid cessation-a phenomenon we have named withdrawal-associated injury site pain (WISP). Screening identified WISP in 47 people, of whom 34 (72%) completed the descriptive survey, including 21 who completed qualitative interviews. Recalled pain severity scores for WISP were typically high (median: 8/10; interquartile range [IQR]: 2), emotionally and physically aversive, and took approximately 2 weeks to resolve (median: 14; IQR: 24 days). Withdrawal-associated injury site pain intensity was typically slightly less than participants' original injury pain (median: 10/10; IQR: 3), and more painful than other generalized withdrawal symptoms which also lasted approximately 2 weeks (median: 13; IQR: 25 days). Fifteen surveyed participants (44%) reported returning to opioid use because of WISP in the past. Participants developed theories about the etiology of WISP, including that the pain is the brain's way of communicating a desire for opioids. This research represents the first known documentation that previously healed, and pain-free injury sites can temporarily become painful again during opioid withdrawal, an experience which may be a barrier to opioid cessation, and a contributor to opioid reinitiation.

  6. Descriptive Research

    DEFF Research Database (Denmark)

    Wigram, Anthony Lewis

    2003-01-01

    Descriptive research is described by Lathom-Radocy and Radocy (1995) to include Survey research, ex post facto research, case studies and developmental studies. Descriptive research also includes a review of the literature in order to provide both quantitative and qualitative evidence of the effect...... starts will allow effect size calculations to be made in order to evaluate effect over time. Given the difficulties in undertaking controlled experimental studies in the creative arts therapies, descriptive research methods offer a way of quantifying effect through descriptive statistical analysis...

  7. [Cardiovascular manifestations in systemic lupus erythematosus in Dakar: Descriptive study about 50 cases].

    Science.gov (United States)

    Ngaïdé, A A; Ly, F; Ly, K; Diao, M; Kane, Ad; Mbaye, A; Lèye, M; Aw, F; Sarr, S A; Dioum, M; Ndao, C T; Gaye, N D; Ndiaye, M B; Bodian, M; Bah, M B; Ndiaye, M; Cissé, A F; Kouamé, I; Tabane, A; Mingou, J S; Thiombiano, P; Kane, A; Bâ, S A

    2016-12-01

    Systemic lupus erythematosus is a non-specific inflammatory disorder of an organ of unknown cause and autoimmune origin. Visceral injuries, including those cardiovascular, determine the prognosis of this disease primarily affecting women. The objectives of this study were to determine the frequency and describe the cardiovascular manifestations in systemic lupus erythematosus in a lupus population of the Dakar region. This is a multicenter prospective study descriptive and analytical conducted in the region of Dakar (Senegal) from 14 February 2011 to 2 July 2012. Patients were either hospitalized or monitored as outpatients. Included were all patients with lupus and meeting at least four criteria of the American College of Rheumatology of lupus disease classification 1997. All patients underwent physical examination, an electrocardiogram and an echocardiogram looking for cardiovascular damage. The collected data were entered into the Epi Info version 3.5.1 and processed with SPSS 16.0 software. Quantitative variables are described in the median and the qualitative workforce, percentage and frequency. We have included 50 patients. The average age of the population was 36.18 years. A female predominance is noted with a sex ratio man/woman of 0.09. Cardiovascular functional symptoms were dominated by dyspnea stage II to IV NYHA (26%) and palpitations (22%). The physical signs we have found were mainly tachycardia (40%), spontaneous turgor of the jugular veins (29%), a muffling of the heart sounds (29%) and a infandibulopulmonairy shock (18%). The frequency of cardiovascular events was 46%. Electrical cardiac events were dominated by sinus tachycardia (40%) of repolarization disorders (16.3%) type of ischemia, injury, ischemia injury, necrosis and hypertrophy with 18% atrial and left ventricular hypertrophy each. Furthermore, one case of BAV first degree at 280 ms was recorded. We found 19 cases of pericarditis including 2 tamponade, 3 cases of dilated cardiomyopathy

  8. Edgar Allan Poe: a case description of the Marfan syndrome in an obscure short story.

    Science.gov (United States)

    Battle, Robert W

    2011-07-01

    In the obscure short story “A Tale of the Ragged Mountains,” Edgar Allen Poe meticulously described a character with features remarkably consistent with the Marfan syndrome. This description appeared in fiction >50 years before the celebrated index description in the published medical research by Professor Antoine Marfan in Paris in 1896.

  9. Evidence-informed health policy 4 – Case descriptions of organizations that support the use of research evidence

    Directory of Open Access Journals (Sweden)

    Oxman Andrew D

    2008-12-01

    Full Text Available Abstract Background Previous efforts to produce case descriptions have typically not focused on the organizations that produce research evidence and support its use. External evaluations of such organizations have typically not been analyzed as a group to identify the lessons that have emerged across multiple evaluations. Case descriptions offer the potential for capturing the views and experiences of many individuals who are familiar with an organization, including staff, advocates, and critics. Methods We purposively sampled a subgroup of organizations from among those that participated in the second (interview phase of the study and (once from among other organizations with which we were familiar. We developed and pilot-tested a case description data collection protocol, and conducted site visits that included both interviews and documentary analyses. Themes were identified from among responses to semi-structured questions using a constant comparative method of analysis. We produced both a brief (one to two pages written description and a video documentary for each case. Results We conducted 51 interviews as part of the eight site visits. Two organizational strengths were repeatedly cited by individuals participating in the site visits: use of an evidence-based approach (which was identified as being very time-consuming and existence of a strong relationship between researchers and policymakers (which can be challenged by conflicts of interest. Two organizational weaknesses – a lack of resources and the presence of conflicts of interest – were repeatedly cited by individuals participating in the site visits. Participants offered two main suggestions for the World Health Organization (and other international organizations and networks: 1 mobilize one or more of government support, financial resources, and the participation of both policymakers and researchers; and 2 create knowledge-related global public goods. Conclusion The findings from

  10. Evaluation of 280,000 cases in Dutch midwifery practices: a descriptive study

    NARCIS (Netherlands)

    Amelink-Verburg, M. P.; Verloove-Vanhorick, S. P.; Hakkenberg, R. M. A.; Veldhuijzen, I. M. E.; Bennebroek Gravenhorst, J.; Buitendijk, S. E.

    2008-01-01

    OBJECTIVE: To assess the nature and outcome of intrapartum referrals from primary to secondary care within the Dutch obstetric system. DESIGN: Descriptive study. SETTING: Dutch midwifery database (LVR1), covering 95% of all midwifery care and 80% of all Dutch pregnancies (2001-03). POPULATION:

  11. Hospital visits due to domestic violence from 1994 to 2011 in the Solomon Islands: a descriptive case series.

    Science.gov (United States)

    Farrell, Penny C; Negin, Joel; Houasia, Patrick; Munamua, Alex B; Leon, David P; Rimon, Mia; Martiniuk, Alexandra L C

    2014-09-01

    The Solomon Islands has one of the highest rates of domestic violence in the world. This paper is a descriptive case series of all cases of domestic violence presenting to the Solomon Islands National Referral Hospital (NRH) over 18 years. Data were routinely collected from a database of all patients who were treated by NRH general surgery and orthopedic clinicians between 1994 and 2011, inclusive. The total number of cases in the injury database as a result of domestic violence was 387. The average number of cases in the database per year from 1994 to 2011 was 20. There were 6% more female patients (205 of 387; 53%) than male (182 of 387; 47%). Of the cases in which the perpetrator of the violence against a female patient was specified (111 of 205 female cases), 74% (82 of 111) were the patient's husband. Only 5% (5 of 111) of cases in females were inflicted by another female. This analysis provides the best available information on domestic violence cases requiring a visit to a tertiary hospital in a Pacific Island in the specified time period and is undoubtedly an under-estimate of the total cases of domestic violence. Preventing and treating domestic violence in the Solomon Islands and in the Pacific is an important challenge and there is a significant role for secondary and tertiary health services in screening for and preventing domestic violence.

  12. Hospital Visits Due to Domestic Violence from 1994 to 2011 in the Solomon Islands: A Descriptive Case Series

    Science.gov (United States)

    Negin, Joel; Houasia, Patrick; Munamua, Alex B; Leon, David P; Rimon, Mia; Martiniuk, Alexandra LC

    2014-01-01

    The Solomon Islands has one of the highest rates of domestic violence in the world. This paper is a descriptive case series of all cases of domestic violence presenting to the Solomon Islands National Referral Hospital (NRH) over 18 years. Data were routinely collected from a database of all patients who were treated by NRH general surgery and orthopedic clinicians between 1994 and 2011, inclusive. The total number of cases in the injury database as a result of domestic violence was 387. The average number of cases in the database per year from 1994 to 2011 was 20. There were 6% more female patients (205 of 387; 53%) than male (182 of 387; 47%). Of the cases in which the perpetrator of the violence against a female patient was specified (111 of 205 female cases), 74% (82 of 111) were the patient's husband. Only 5% (5 of 111) of cases in females were inflicted by another female. This analysis provides the best available information on domestic violence cases requiring a visit to a tertiary hospital in a Pacific Island in the specified time period and is undoubtedly an under-estimate of the total cases of domestic violence. Preventing and treating domestic violence in the Solomon Islands and in the Pacific is an important challenge and there is a significant role for secondary and tertiary health services in screening for and preventing domestic violence. PMID:25285254

  13. Thunderclap headache caused by minimally invasive medical procedures: description of 2 cases.

    Science.gov (United States)

    Devetag Chalaupka, Flavio; Caneve, Giorgio; Mauri, Michela; Zaiotti, Giuseppe

    2007-02-01

    We report 2 very unusual cases of thunderclap headache complicating minimally invasive medical procedures. In the first case headache developed as the consequence of a pneumocephalus caused by an inadvertent intrathecal puncture during oxygen-ozone therapy for lumbar disk herniation. The second case involved intracranial hypotension, caused by the persistence of the needle, used for epidural anesthesia, and then penetrated in the subarachnoid space.

  14. Subgroup Discovery for Election Analysis: A Case Study in Descriptive Data Mining

    Science.gov (United States)

    Grosskreutz, Henrik; Boley, Mario; Krause-Traudes, Maike

    In this paper, we investigate the application of descriptive data mining techniques, namely subgroup discovery, for the purpose of the ad-hoc analysis of election results. Our inquiry is based on the 2009 German federal Bundestag election (restricted to the City of Cologne) and additional socio-economic information about Cologne's polling districts. The task is to describe relations between socio-economic variables and the votes in order to summarize interesting aspects of the voting behavior. Motivated by the specific challenges of election data analysis we propose novel quality functions and visualizations for subgroup discovery.

  15. 55 cases of allergic reactions to hair dye: a descriptive, consumer complaint-based study

    DEFF Research Database (Denmark)

    Søsted, H; Agner, T; Andersen, Klaus Ejner

    2002-01-01

    for angio-oedema. The 55 cases comprised a total of 75 visits to the health service and 5 admissions to hospital. 18 persons had sick leave, which supports the impression of very severe dermatitis reactions. 60% were treated with antihistamine, while 52% were treated with corticosteroids. 29% of the cases...

  16. Case writing as a vehicle for promoting cultural competency: a retrospective, descriptive qualitative analysis.

    Science.gov (United States)

    Foreman, Juron S; Hark, Lisa; DeLisser, Horace M

    2012-01-01

    A variety of approaches are available that provide cultural competency education for practicing physicians. There is, however, still a need for additional, innovative approaches that address continuing education and professional improvement regarding cultural competency for physicians after their training. To assess the potential impact on established clinicians of writing an extended case narrative on cultural competency. We conducted structured interviews of physician contributors (n = 14) to a book of cases on cultural competency. Authors were invited to contribute to the book based on their experiences as established clinicians, and previous expertise in cultural competency research or education was not required. Because of this, the editors employed a process in which they worked with contributors in a one-on-one manner to develop their case(s). The participants were experienced physicians (all > 10 years since medical school graduation), most of whom were white (64%) and affiliated with an academic medical center (86%). The majority of the contributors (1) reported that writing their case(s) increased their awareness of, and sensitivity to, issues of cultural competency; (2) indicated that the writing of their case(s) changed their approach to patient care and/ or their education of medical students or graduate medical trainees; and (3) would recommend case writing as a vehicle for promoting cultural sensitivity and awareness. Although preliminary, these data suggest that the cultural awareness, sensitivity, and competence of established physicians might be enhanced by a process in which clinicians are facilitated in the writing of cases that address issues of culture that are pertinent to their practice and patient experiences.

  17. Hepatitis E virus infection in Europe: surveillance and descriptive epidemiology of confirmed cases, 2005 to 2015.

    Science.gov (United States)

    Aspinall, Esther J; Couturier, Elisabeth; Faber, Mirko; Said, Bengü; Ijaz, Samreen; Tavoschi, Lara; Takkinen, Johanna; Adlhoch, Cornelia

    2017-06-29

    Hepatitis E virus (HEV) is an under-recognised cause of acute hepatitis in high-income countries. The purpose of this study was to provide an overview of testing, diagnosis, surveillance activities, and data on confirmed cases in the European Union/European Economic Area (EU/EEA). A semi-structured survey was developed and sent to 31 EU/EEA countries in February 2016, 30 responded. Twenty of these countries reported that they have specific surveillance systems for HEV infection. Applied specific case definition for HEV infection varied widely across countries. The number of reported cases has increased from 514 cases per year in 2005 to 5,617 in 2015, with most infections being locally acquired. This increase could not be explained by additional countries implementing surveillance for HEV infections over time. Hospitalisations increased from less than 100 in 2005 to more than 1,100 in 2015 and 28 fatal cases were reported over the study period. EU/EEA countries are at different stages in their surveillance, testing schemes and policy response to the emergence of HEV infection in humans. The available data demonstrated a Europe-wide increase in cases. Standardised case definitions and testing policies would allow a better understanding of the epidemiology of HEV as an emerging cause of liver-related morbidity. This article is copyright of The Authors, 2017.

  18. Elasto fibroma dorsi. A case description and review of the literature

    International Nuclear Information System (INIS)

    Ruiz Carzo, E.; Medina Benitez, A.; Garcia Espana, M.A.; Asencio Moreno, C.; Esquivias Lopez-Cuervo, J.

    1995-01-01

    Elasto fibroma (elasto fibroma dorsi or sub scapular elasto fibroma) is a rare bening tumor that can be confused with a malignant lesion. In most cases, these neoplasms present characteristic CT and MR findings. A correct diagnosis of these lesions requires knowledge of their existence and of their radiological signs. We present a case studied by means of CT our service and review the literature. 10 refs

  19. The usefulness of CBF brain SPECT in forensic medicine: the civil law codes cases. A description of four cases

    International Nuclear Information System (INIS)

    Piskunowicz, M.; Lass, P.; Bandurski, T.; Krzyzanowski, M.

    2003-01-01

    The aim of this report was to assess the usefulness of cerebral blood flow (CBF) scanning utilising the SPECT technique in forensic medicine cases in the area of civil law cases. CBF SPECT scanning was performed in four patients utilising 99m Tc-ECD and a triple-head gammacamera. In the analysis both the asymmetry index and cerebellar normalisation were applied. Reference values were obtained by studying 30 healthy volunteers. In those cases CBF SPECT scanning played an important role in forensic argument. It influenced the sentence and the amount of financial compensation. CBF SPECT scanning may provide valuable information in forensic medicine argument in civil law cases, but only when taken together with psychometric tests and other neuroimaging methods (CT, MRI). The value of CBF SPECT scanning alone may be limited in judicial proceedings. (author)

  20. Mothers' perceptions of their premature infant's communication: A description of two cases

    Directory of Open Access Journals (Sweden)

    Michelle Pascoe

    2016-10-01

    Methods: A descriptive, longitudinal study was conducted with two mother—infant dyads.Three visits took place in the first year of life. Subjective maternal reports were obtained through semi-structured interviews. Results: Differences in the two mothers' perceptions were noted. The mothers described helping their infants to communicate through physical contact and talking. Risk and protective factors for early communication development are discussed in relation to the findings. Conclusion: The findings support the need for a healthy mothereinfant relationship in the first few months of life. Health professionals should support premature infants and their families after discharge in order to help them interact with their infants and encourage attachment and bonding.

  1. Applicability of the Organisational Climate Description Questionnaire - Rutgers Elementary: a South African case study

    Directory of Open Access Journals (Sweden)

    D Vos

    2013-01-01

    Full Text Available The Organisational Climate Description Questionnaire - Rutgers Elementary (OCDQ - RE was used to determine the current organizational climate of primary schools in North-West Province, South Africa. This questionnaire evaluates the actions of principals and educators; the current organizational climate in primary schools can be determined from the results. A quantitative research approach, with 904 teachers from 68 schools, was used to determine the applicability of the measuring instrument. Exploratory and confirmatory factor analyses revealed that certain items measuring directive behaviour in the OCDQ-RE grouped with supportive behaviour of the principal. Hence, in this study, these items were regarded as supportive towards the educators and their work by the respondents. According to Cronbach's alpha coefficient the questionnaire can be regarded as reliable. Recommendations are made to render the questionnaire even more applicable for the South African context.

  2. Varicella-zoster virus vasculopathy. A review description of a new case with multifocal brain hemorrhage.

    Science.gov (United States)

    González-Suárez, Inés; Fuentes-Gimeno, Blanca; Ruiz-Ares, Gerardo; Martínez-Sánchez, Patricia; Diez-Tejedor, Exuperio

    2014-03-15

    The varicella zoster virus (VZV) is a highly neurotropic virus that, after the primary infection, remains latent in the nerve cells and can reactivate many years later, resulting in various conditions affecting the central nervous system, such as vasculopathy and stroke. We report on a review of the published literature that included all case reports identified via PubMed and an additional unpublished case of VZV vasculopathy. All epidemiological, clinical, laboratory, imaging, virologic, treatment and outcome data collected are described. Of the 62 patients, 41.6% were immunocompromised. Ischemic stroke occurred in 77.2% of the patients, comprising cases of isolated (37.1%) and multifocal stroke (17.7%). Multifocal, ischemic and hemorrhagic stroke was only described in the newly reported case. The magnetic resonance imaging results were normal in 2.9% of the cases. The vascular studies (angiography and magnetic resonance angiography [MRA]) revealed signs of angiitis in 74.4% of the cases; the small arteries were involved in 38.5% of the cases, large arteries in 17.7% and mixed in 43.5%. For 95.2% of the patients, the cerebrospinal fluid (CSF) was positive for VZV IgG antibodies, and for 46.1% of the patients, the CSF was positive for polymerase chain reaction (PCR); however, the diagnosis was confirmed in only 3 of 6 biopsies. VZV vasculopathy can occur in both immunocompetent and immunosuppressed patients. Neuroimaging can reveal stroke and angiitis, and the detection of VZV-specific IgG antibodies in the CSF is a reliable and highly sensitive diagnostic tool. The multifocal nature of VZV vasculopathy makes biopsy a test with low sensitivity and high morbidity. Copyright © 2014 Elsevier B.V. All rights reserved.

  3. Lemierre's syndrome from odontogenic infection: Review of the literature and case description.

    Science.gov (United States)

    Noy, Dani; Rachmiel, Adi; Levy-Faber, Dan; Emodi, Omri

    2015-01-01

    Lemierre's syndrome (LS) is a rare potentially fatal sequel of head and neck infection, classically described as thrombophlebitis of the internal jugular vein (IJV) with cervical space infection extending into the thorax. Our objective was to answer the clinical question: "Does Lemierre syndrome (LS) from odontogenic infection differ from nonodontogenic LS in regard to clinical sequence, treatment, and survival." We reviewed the literature on the management of LS over the last two decades, with a focus on LS from odontogenic infection. Such a case is presented in order to portray the clinical sequence. Only 10 cases met the inclusion criteria (including the case presented). The recorded data were analyzed in comparison to large case series reviewing LS. Our data reflect the moderate differences in regard to IJV thrombosis and bacteriogram. There is an overall rise in published LS cases in the last 20 years. Odontogenic infection leading to LS is scarce, yet with survival rates similar to nonodontogenic LS. Repeated surgical interventions and aggressive wide spectrum antibiotic therapy remain the treatment of choice.

  4. Lipomatous tumors of the uterus: review and description of two new cases

    International Nuclear Information System (INIS)

    Lopez, C.; Sanchez, F.; Zarca, M. A.; Calvo, M.

    1999-01-01

    Lipomatous tumors of the uterus constitute a range of uncommon, benign lesions, less than 20 cases of which have been reported in the radiological literature. They contain mature adipose tissues and include pure forms (lipomas) and mixed forms (fibrolipomas, lipoleiomyomas, etc). They must be differentiated from other fat-containing masses of the female pelvis that should be treated surgically, since the malignant transformation of these tumors is scarcely reported in recent literature. Thus, we consider a conservative approach involving ultrasonography or radiological follow-up to be sufficient and that surgery should be reserved for those cases in which there are symptoms or evidence of rapid growth. We present two new c cases of uterine lipomatous tumors studied by ultrasound and computed tomography and we review the most common aspects of these lesions as reported in the literature. (Author) 13 refs

  5. Cryptococcal meningitis: description of 3 cases and estimation of T-cell subsets.

    Science.gov (United States)

    Zhu, Lei; Huang, Rui; Guo, Huimin; Zhang, Jinli; Dong, Chen; Han, Hong

    2014-06-01

    To describe three cases of cryptococcus neoformans meningitis and evaluate their cellular immunity. This study involved three cases of cryptococcus neoformans meningitis admitted to Children's Hospital of Shanxi Province between July 2010 and July 2011. Clinical presentations, laboratory findings, treatment and outcome in these cases has been discussed. Staining cerebrospinal fluid (CSF) with India ink showed Cryptococcus neoformans. Flow cytometric analysis of T-cell subsets revealed that their cellular immunity were depressed, which mainly embodies decline in CD4+ levels. The authors speculate that decreased CD4+ T lymphocyte counts are attributed to cryptococcal infection, emphasizing the significance and importance of evaluating cellular immunity in patients who present with unusual infections. Early diagnosis of cryptococcal meningitis and appropriate antifungal therapy are essential to achieve a better outcome.

  6. [Human African trypanosomiasis: description of two pediatric cases in Yaoundé, Cameroon].

    Science.gov (United States)

    Kinkela, M N; Chelo, D; Boula, A; Ebo'O Eyenga, V; Kohagne Tongue, L; Akazong, C A; Kyebyene, A; Tietche, F

    2010-02-01

    During the first decades of the 20th century, about 45% of deaths in Cameroon were believed to be due to human African trypanosomiasis. Thanks to the screening and treatment campaigns implemented between 1926-1932, a considerable regression of the disease was achieved and, by the 1950s, only a few well-known and delimited foci remained. Today, human African trypanosomiasis is an extremely rare diagnosis, especially in children. The purpose of this report is to describe two cases of neuromeningeal human African trypanosomiasis that were discovered coincidentally in two children, ages 12 and 2 years. The children were from two villages in the center of Cameroon that is not considered as a known endemic focus. These two cases raise difficult questions about the possibility of latent endemic foci of human African trypanosomiasis and of animal-to-human transmission. The outcome was favorable in the first case and fatal in the second.

  7. Rheumatoid arthritis with Sjogren's syndrome and MALT lymphoma of the parotid gland, associatedwith multiple myeloma: Description of a case and review of literature

    Directory of Open Access Journals (Sweden)

    Vadim Romanovich Gorodetsky

    2010-01-01

    Full Text Available The paper provides a detailed description of a rare case of rheumatoid arthritis concurrent with Sjogren's syndrome, MALT lymphoma of the parotid gland, and multiple myeloma. It presents a review of literature

  8. Vaginal metastasis of bladder urothelial carcinoma: Description of a case and revision of literature.

    Science.gov (United States)

    Di Franco, Carmelo A; Porru, Daniele; Giliberto, Giovanni; Viglio, Alessandra; Rovereto, Bruno

    2017-06-30

    Vaginal metastases from urothelial cancer are a rare entity and in literature, few cases are described. We report a case of a 68 year-old woman with history of bladder urothelial carcinoma underwent to radical cystectomy who came in our department after 5 months for pelvic pain and vaginal bleeding. Objective examination revealed an ulcerative, solid vaginal lesion in the upper vaginal wall. We performed a vaginal biopsy that showed urothelial carcinoma compatible with the primitive bladder cancer. The patient underwent to surgery and was sent to oncological evaluation.

  9. Ultrasound-guided hydrostatic reduction of intestinal intussusception: description of three cases

    Directory of Open Access Journals (Sweden)

    Martha Hanemann Kim

    2008-09-01

    Full Text Available With the objective of reporting the technique of ultrasound-guided hydrostatic reduction of intestinal intussusception, three cases with confirmed diagnosis of the disease submitted to reduction with this technique are described. All cases had successful reductions with no complications. One patient experienced a recurrence of the invagination eight days after treatment, which was surgically corrected. The technique of hydrostatic reversal of intestinal intussusception guided by ultrasound may be used in place of the conventional barium enema, since it is a minimally invasive and safe method, with high rates of success and few complications.

  10. Description of a clinical case of synchronous cancer in the native and graft kidneys

    Directory of Open Access Journals (Sweden)

    A. V. Khaylenko

    2017-01-01

    Full Text Available Kidney transplantation is the most frequently performed organ transplant procedure in the world. The occurrence of malignant tumors is one of the well-known late complications of organ transplantation, which is induced by immunosuppressive therapy. In the vast majority of patients, kidney cancer occurs in the native organs; however, in a small percentage of cases, malignancies are found in the graft organ. The article describes a rare clinical case of a patient with synchronous cancer in the native and graft kidneys.

  11. 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.

  12. Descriptive analysis of measles cases seen in a tertiary health facility in Sokoto, Northwest Nigeria – implication of disease eradication

    Directory of Open Access Journals (Sweden)

    Mohammed Yahaya

    2017-01-01

    Full Text Available Introduction Measles is a vaccine preventable viral disease that affects mostly children under-five years of age. It is highly contagious infection associated with high morbidity and mortality. Objective To describe the morbidity and mortality pattern of measles cases in person, place and time. Methods A health facility based study and cross sectional descriptive study design was used. All cases of measles that presented at the facility from January to June 2016 were profiled and their medical records reviewed. Representative blood samples were taken and analyzed using the Enzyme linked immunosorbent assay (ELISA method for the diagnosis of measles. Data was entered into MS Excel version 2016 and later analysed using Epi-info version 7. Results A total of 149 patients were seen over a period of 6 months. They represent 88 males and 61 females with a male to female ratio of 2:1. The median age of the cases was 30 months (range of 108 months to 9 month. The trend analysis shows a steady increased in number of cases from January with the month of March having the highest number of 46 cases, then there was steady decline for the subsequent months. Only 14 children, which accounted for 9.4% were reported to have being vaccinated against measles, while majority, 135 that represented 90.6% were not. Seven deaths were recorded; all were males and among cases that never received vaccine against measles, giving Case fatality rate (CFR of 5.0%. Measles specific immunoglobulin M (IgM was detected in all the blood samples that were sent for investigations. Conclusion Nearly all the cases did not receive measles vaccine and among the deaths recorded, none had been vaccinated against measles. Concerted efforts are required by all stakeholders to ensure every child is completely immunized in line with the global measles elimination strategy.

  13. The Adult Male Rape Victim: Forensic Description of a Series of 57 Cases.

    Science.gov (United States)

    Casali, Michelangelo Bruno; Palazzo, Elisa; Blandino, Alberto; Battistini, Alessio; Motta, Francesca; Kustermann, Alessandra; Cattaneo, Cristina

    2017-09-01

    A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86.8% of cases, mostly performed by a single assailant. Anogenital injuries were recorded in 61.4% of cases, whereas extragenital injuries in 35.1%: abrasions and perianal reddening were the most frequent acute anogenital marks, whereas the head and lower limbs were the body parts most commonly affected by blunt trauma. No clinically severe injuries were found. Anal and perianal swabs for semen detection tested positive in less than 20% cases, whereas oral swabs always tested negative. When performed, nearly 50% of cases tested positive in drug tests, above all for psychoactive substances. No definite forensic diagnosis in terms of confirmation of rape was possible on the basis of type and topography of injuries.

  14. Management of cases suffering from atypical myopathy: interpretations of descriptive, epidemiological and pathophysiological findings

    DEFF Research Database (Denmark)

    van Galen Verwilghen, Gaby; Votion, D.-M.

    2013-01-01

    Atypical myopathy is highly fatal, but about a quarter of affected horses survive. This highlights the need for provision of supportive treatment for these cases. This review is a practical guideline for equine practitioners and includes suggestions for close monitoring of involved organ systems ...

  15. Psychogenic nonepileptic seizures mimicking gelastic seizures: A description of two cases

    Directory of Open Access Journals (Sweden)

    Addolorata Mascia

    2015-01-01

    Here, we describe the cases of two patients with a prolonged history of laughter attacks mistaken for epilepsy and unresponsive to AED treatment. Brain MRI and interictal EEG were unremarkable. Video-EEG monitoring allowed us to document the spontaneous and suggestion-induced habitual episodes that were then diagnosed as PNES.

  16. Nasal foreign bodies: description of types and complications in 420 cases.

    Science.gov (United States)

    Figueiredo, Ricardo Rodrigues; Azevedo, Andréia A; Kós, Arthur Octávio de Avila; Tomita, Shiro

    2006-01-01

    Nasal cavities foreign bodies are common accidents in children, sometimes leading, in accordance with the literature, to complications such as epistaxis and bronchoaspiration. Diagnosis is often made with anterior rhinoscopy, but sometimes nasal fibroendoscopy and imaging may be useful. To evaluate 420 cases of nasal foreign bodies removed in ENT Service of Souza Aguiar Hospital, Rio de Janeiro, as related to sex, age, type of foreign body and complications. 420 cases of nasal foreign bodies removed in the ENT service of Souza Aguiar Hospital between December 1992 and December 1998 were evaluated according to the parameters related above. We found higher incidence between 0 and 4 years of age, and the most frequently found foreign bodies were foam fragments, plastic pieces of little toys, beans and paper fragments. Complications occurred in 9.05% of the cases, epistaxis and vestibulitis being the commonest. Nasal foreign bodies are especially found between the ages of 0 and 4 years. In our study, foam fragments and small plastic objects were the most frequent foreign bodies found. Complications were found in 9.05% of the cases, headed by epistaxis and nasal vestibulitis.

  17. [Transient topographical amnesia: a description of a series of eight cases].

    Science.gov (United States)

    Naranjo-Fernández, Cristina; Arjona, Antonio; Quiroga-Subirana, Pablo; Payán-Ortiz, Manuel; Guardado-Santervás, Pedro; Serrano-Castro, Pedro J; Aguilera-Del Moral, Almudena

    Impaired memory, and more particularly spatial orientation, occurs in pathologies such as dementia, cerebrovascular accidents or traumatic brain injuries. Less frequently it also appears as a transient disorder in healthy people with no apparent brain damage, in which case it is known as transient topographical amnesia (TTA). The aim of this work is to report on a series of eight cases of TTA that were evaluated in a neurology unit. We study the cases of eight patients diagnosed with TTA over the period 2002-2008. Patients were considered to fulfil eligibility criteria if they had presented at least one episode of spatial disorientation, with no loss of memory or consciousness, and were able to describe the events that had taken place, without any previous cognitive impairment and with a normal neurological examination. The demographic characteristics taken into account in the study were: predominance of females (75%) and a mean age of 69.13 +/- 8.79 years. The mean number of episodes was 1.75 (range: 1-3), which lasted an average of 24.5 minutes. Three of the eight patients had associated vascular risk factors. Neuroimaging studies did not reveal any relevant findings in any of the eight patients, except one case of a bilateral frontal porencephalic area resulting from a traumatic brain injury suffered in the past. Simple single-photon emission tomography and Doppler ultrasound imaging scans of the brain, as well as an electroencephalogram, were performed on two patients, the results being normal in all cases. Follow-ups were performed on all the patients, without any kind clinical change being observed, except for one patient who developed dementia at six years after the episode of amnesia. TTA is possibly an underdiagnosed condition which we believe should be included in the differential diagnosis of patients who are referred owing to suspected cognitive impairment.

  18. How to manage fetomaternal hemorrhage? Description of five cases and literature review

    Directory of Open Access Journals (Sweden)

    Alessandra Marciano

    2017-11-01

    Full Text Available Fetomaternal hemorrhage (FMH is a poorly understood condition in which there is a transfer of fetal blood to the maternal circulation. It occurs in approximately 1-3 per 1,000 births. We described five cases with characteristics suggestive of both acute and chronic anemia. When FMH is suspected, maternal blood can be checked for the presence of fetal red blood cells and usually there are three diagnostic modalities: Kleihauer-Betke test, flow cytometry and Rosette test. The clinical manifestations and the prognosis of FMH depend on the gestational age, the volume of the hemorrhage and the rapidity with which it has occurred. Red blood transfusion is recommended, while in case with severe anemia and cardiac failure an exchange transfusion can be considered. The physician’s awareness of the condition, the ability to suspect and diagnose it with appropriate testing have a significant impact on the epidemiology, accurate management and prognosis for the anemic neonates.

  19. Cutaneous drug toxicity from 2,4-dinitrophenol (DNP): Case report and histological description.

    Science.gov (United States)

    Le, Patricia; Wood, Benjamin; Kumarasinghe, Sujith Prasad

    2015-11-01

    The use of 2,4-dinitrophenol (DNP) has regained popularity as a weight loss aid in the last two decades due to increased marketing to bodybuilders and the increasing availability of this banned substance via the Internet. 2,4-DNP is a drug of narrow therapeutic index and toxicity results in hyperthermia, diaphoresis, tachycardia, tachypnoea and possible cardiac arrest and death. Skin toxicity from 2,4-DNP has not been reported since the 1930s. We report a case of a 21-year-old bodybuilding enthusiast who presented with a toxic exanthem after taking 2,4-DNP, and describe the first skin biopsy findings in a case of 2,4-DNP toxicity. © 2014 The Australasian College of Dermatologists.

  20. Shigella flexneri-induced vaginitis in a prepubertal children: description of a case

    Directory of Open Access Journals (Sweden)

    Antonella Restelli

    2011-06-01

    Full Text Available In prepuberal girls vulvo-vaginitis are caused by germs of intestinal origin,mycetes, Gardnerella vaginalis, protozoa. Shigella is an uncommon agent able to induce valvovaginitis in children. We report the case of a 7-year-old girl with chronic vulvo-vaginitis caused by S. flexneri. Antibiotic Susceptibility Testing revealed that S. flexnery was sensible to cefotaxime, amoxicillin, imipenem, ciprofloxacin, but resistant to amikacin, cefazolin, gentamycin, ampicillin and tetracycline. A treatment with ciprofloxacin brought to a rapid resolution of all symptoms. At the follows up at 3 and 6 months the patient did not report symptoms of infection or articular cartilage abnormality; microbiological evaluations were also negative. Even if it is a single case report and other clinical trial may be performed in order to validate this hypothesis,we speculate that in patient with vulvo-vaginal infection living in environment with low hygiene care, a carefully microbiological evaluation of uncommon agents may be performed.

  1. BK virus encephalitis: case report, review of the literature, and description of a novel treatment modality.

    Science.gov (United States)

    Chittick, Paul; Williamson, John C; Ohl, Christopher A

    2013-09-01

    To describe a case of BK virus encephalitis with attempted direct antiviral therapy, review the reported cases of BK virus in the central nervous system, and report the novel use of intravenous cimetidine in place of oral probenecid to minimize the toxicities of intravenous cidofovir. A 36-year-old male with acute myelomonocytic leukemia and subsequent myelodysplastic syndrome underwent allogeneic hematopoietic stem cell transplant. His course was complicated by severe graft-versus-host disease involving his skin and gastrointestinal tract. Five weeks after transplantation, he developed fever and confusion. Magnetic resonance imaging was suggestive of limbic encephalitis and cerebrospinal fluid tested positive for BK virus. Therapy with intravenous cidofovir was thought to be indicated. Although probenecid is commonly used to minimize the toxicities of cidofovir, the patient's severe graft-versus-host disease raised concerns about absorption of oral medications. Based on animal models and pharmacokinetic data, intravenous cimetidine was used in place of oral probenecid. Despite these therapies, the patient's mental status did not improve. He developed progressive organ system failure, and care was ultimately withdrawn. BK virus is increasingly described as a cause of encephalitis. The majority of reported cases have occurred in immunocompromised patients and have generally had a poor outcome. This case describes attempted antiviral therapy using cidofovir, the antiviral agent used most frequently in other syndromes due to BK virus. Intravenous cimetidine is a novel modality used to minimize ocular and renal toxicities frequently seen with cidofovir, and we believe this warrants further investigation. BK virus may be a cause of encephalitis in immunocompromised hosts, and cidofovir represents a possible treatment option. Intravenous cimetidine can be considered to minimize toxicities associated with cidofovir use in patients unable to tolerate or absorb oral

  2. Clinical and laboratory description of a series of cases of acute viral myositis

    Directory of Open Access Journals (Sweden)

    Silvana Paula Cardin

    2015-10-01

    Full Text Available ABSTRACT OBJECTIVE: Describe the clinical and laboratory profile, follow-up, and outcome of a series of cases of acute viral myositis. METHOD: A retrospective analysis of suspected cases under observation in the emergency department was performed, including outpatient follow-up with the recording of respiratory infection and musculoskeletal symptoms, measurement of muscle enzymes, creatine phosphokinase (CPK, lactate dehydrogenase (LDH, transaminases (AST and ALT, blood count, C-reactive protein, and erythrocyte sedimentation rate in the acute phase and during follow-up until normalization. RESULTS: Between 2000 and 2009, 42 suspected cases were identified and 35 (27 boys were included. The median age was 7 years and the diagnosis was reported in 89% in the first emergency visit. The observed respiratory symptoms were cough (31%, rhinorrhea (23%, and fever (63%, with a mean duration of 4.3 days. Musculoskeletal symptoms were localized pain in the calves (80%, limited ambulation (57%, gait abnormality (40%, and muscle weakness in the lower limbs (71%, with a mean duration of 3.6 days. There was significant increase in CPK enzymes (5507 ± 9180 U/L, LDH (827 ± 598 U/L, and AST (199 ± 245 U/L, with a tendency to leukopenia (4590 ± 1420 leukocytes/mm3. The complete recovery of laboratory parameters was observed in 30 days (median, and laboratory and clinical recurrence was documented in one case after 10 months. CONCLUSION: Typical symptoms with increased muscle enzymes after diagnosis of influenza and self-limited course of the disease were the clues to the diagnosis. The increase in muscle enzymes indicate transient myotropic activity related to seasonal influenza, which should be considered, regardless of the viral identification, possibly associated with influenza virus or other respiratory viruses.

  3. Atlanto-axial Subluxation in rheumatoid arthritis: description of a case

    International Nuclear Information System (INIS)

    Medina, Yimy F; Martinez V, Jose B; Restrepo, Jose Felix; Rondon H, Federico; Iglesias G, Antonio

    2004-01-01

    The damage of the spine by rheumatoid arthritis is multiple and a variety of affectations have been described at cervical level, being the anterior atlanto-axial subluxation and vertical subluxation the more common. However the posterior atlanto-axial subluxation has been rarely described. In this paper, we describe the case of a patient with posterior atlanto-axial subluxaction in addition to its infrequent manifestation of alteration of the lower cranial nerves as a manifestation of myelopathy

  4. Scleroderma of geriatric age and scleroderma-like paraneoplastic syndrome – description of two cases

    Directory of Open Access Journals (Sweden)

    Magdalena Marek

    2016-06-01

    Full Text Available Systemic sclerosis (Ssc is an autoimmune connective tissue disease of unknown origin, characterized by progressive fibrosis of the skin and internal organs. Immune reactions taking part in Ssc pathogenesis may contribute to cancer development; therefore patients with risk factors for this disease require observation for a neoplastic process. On the other hand, symptoms of Ssc may be a mask of various cancers. Differentiating between the idiopathic form of Ssc and scleroderma-like paraneoplastic syndrome often causes a lot of difficulties. The article presents two cases of Ssc at the beginning of the disease after 60 years of age. The first case was diagnosed as Ssc, whereas in the second case the defined diagnosis was scleroderma-like syndrome in the course of colorectal cancer. This paper presents an analysis of differential diagnostic procedures which were performed and led to the final diagnosis, mentions types of cancers co-occurring with Ssc and suggests a screening scheme for cancer development in patients with a diagnosis of Ssc.

  5. Scleroderma of geriatric age and scleroderma-like paraneoplastic syndrome - description of two cases.

    Science.gov (United States)

    Marek, Magdalena; Rudny, Robert

    2016-01-01

    Systemic sclerosis (Ssc) is an autoimmune connective tissue disease of unknown origin, characterized by progressive fibrosis of the skin and internal organs. Immune reactions taking part in Ssc pathogenesis may contribute to cancer development; therefore patients with risk factors for this disease require observation for a neoplastic process. On the other hand, symptoms of Ssc may be a mask of various cancers. Differentiating between the idiopathic form of Ssc and scleroderma-like paraneoplastic syndrome often causes a lot of difficulties. The article presents two cases of Ssc at the beginning of the disease after 60 years of age. The first case was diagnosed as Ssc, whereas in the second case the defined diagnosis was scleroderma-like syndrome in the course of colorectal cancer. This paper presents an analysis of differential diagnostic procedures which were performed and led to the final diagnosis, mentions types of cancers co-occurring with Ssc and suggests a screening scheme for cancer development in patients with a diagnosis of Ssc.

  6. Clinical Description of Metastatic Cutaneous Hemangiosarcoma (HSA in a Greyhound Dog: Clinical Case Study

    Directory of Open Access Journals (Sweden)

    Romy Marie Weinborn Astudillo

    2015-09-01

    Full Text Available Hemangiosarcoma (HSA is a type of cancer that has different clinical presentations and therefore different effects, since, depending on each case, different treatment options will exist. While in the case of cutaneous HSA the first line of treatment is always surgical removal of the tumor, metastatic foci should be sought and then perform chemotherapy, despite them having a low metastatic potential. Moreover, the low survival that exists in this type of cancer is a factor that should be communicated to those responsible for the pets, so that, with all available information, they can make a free and informed choice about the treatment they want for their pet, considering the financial commitment, survival time and quality of life associated with chemotherapy. This article describes the clinical case of a female greyhound dog of eight years of age that was brought to consultation for a skin tumor on the right hind limb in the distal tibia. She was diagnosed with noninvasive cutaneous HSA through histopathology, reason why the owners chose not to do the chemotherapy; however, 10 months later she presented recurrent skin lesions and a popliteal lymph node corresponding to hemangiosarcoma and hemangioma respectively, and three weeks later the patient developed cardiac tamponade due to a cardiac mass with associated spill, which resulted in her euthanasia.

  7. Obstructed spinopelvic fixation in the setting of a triangular titanium sacroiliac fusion implant: a case description.

    Science.gov (United States)

    Laratta, Joseph L; Lin, James D; Shillingford, Jamal N; Hardy, Nathan E; Reddy, Hemant; Lehman, Ronald A

    2017-12-01

    Achieving lumbosacral fusion through spinopelvic fixation is an important and challenging aspect of spinal deformity surgery. Numerous instrumentation techniques are available, with iliac screws and S2-alar-iliac (SRAI) screws being most commonly used today. However, the increasing popularity of minimally invasive sacroiliac (SI) fusion as a common procedure performed for SI joint pain presents a distinct challenge in complex adult deformity cases requiring iliac screw fixation. We report a case of a 71-year-old female with a longstanding history of spinal deformity status-post T11-L5 fusion and a subsequent right-sided SI joint fusion who presented with sagittal imbalance. The SI joint fusion implant obstructed the pathway for spinopelvic fixation. Spinopelvic fixation was achieved by burring a pathway through the SI joint implant. The increasing popularity of minimally invasive SI fusion as a common procedure performed for SI joint pain presents a distinct challenge in complex adult deformity cases requiring iliac screw fixation. This is the first report in the literature describing a technique for spinopelvic fixation in the setting of screw obstruction due to an instrumented SI joint.

  8. Description and outcomes of a Medicare case management program by nurses.

    Science.gov (United States)

    Allen, S A

    1999-01-01

    During the current environment of cost-cutting and restructuring, case management is viewed as a means of providing comprehensive, coordinated care while reducing costs. Studies of community-based case management have been disappointing. This study evaluates a Medicare service, Management and Evaluation of the Care Plan (MAE), as a model of nurses providing case management in the home. Three groups were compared: MAE (N = 176), non-MAE (N = 187) and newly discharged (N = 93). Utilization data was collected over one year. Overall, subjects were unmarried older women with three functional limitations, four medical diagnoses and averaged 43 home care visits and one hospitalization. MAE patients were older, had more functional and environmental limitations, less ADL independence, and a worse prognosis, yet used significantly less health care than non-MAE recipients did. Regression analysis was performed using group membership and hospital and home care utilization as dependent variables. Although the project was conducted at one site, overall the sample was similar to the national Medicare population.

  9. Tracheotomy in a tertiary health care unit in Northwestern Mexico: description and analysis of a series of cases

    Directory of Open Access Journals (Sweden)

    Juan Antonio Lugo Machado

    2017-02-01

    Full Text Available Objective: To describe the conditions and characteristics of the tracheostomy procedure in a tertiary health care unit and analyze its association with the recorded outcome. Materials and methods: A retrospective, observational and descriptive study that included patients operated in the Otorhinolaryngology Unit of the Northwest National Medical Center, Sonora, from August 2014 to August 2015. Fifty-two (52 complete clinical records of consecutive series of cases were reviewed, out of which 57% were men with an average age of 56.2 years old. Descriptive statistics was used to characterize the distribution, and the differences were evaluated by chi-square test and Student’s t-test. Results: Seventy-one percent (71% of the patients underwent surgery in an operating room and 29% in the ICU. In the latter, more than half of the cases had a tracheostomy (51.92%. Prolonged intubation was the main cause of 51% of the tracheostomy procedures. Complications reached 34.61% of the cases and included the following disorders in descending order: cannula occlusion, peristomal emphysema, hemorrhage, bilateral pneumothorax, decanulation and innominate fistula. These complications were significantly associated with obesity, prolonged endotracheal intubation and general anesthesia. Mortality occurred in 7.69% of the patients. Conclusions: No significant difference was found between complications occurred in an operating room and the ICU. Prolonged mechanical ventilation was the primary indication for tracheotomy. Decannulation was the main cause of complication. Moreover, BMI was a risk factor for complications. The mortality rate was 7.69%, which was more elevated compared to other studies.

  10. [Acute pulmonary edema and pregnancy: a descriptive study of 15 cases and review of the literature].

    Science.gov (United States)

    Dolley, P; Lebon, A; Beucher, G; Simonet, T; Herlicoviez, M; Dreyfus, M

    2012-11-01

    To describe the incidence and the etiologies of acute pulmonary edema (APE) and the diagnostic procedure used during pregnancy and immediate post-partum. We analyzed records from a search of codes of heart failure and APE as well as from the term "pulmonary edema" in computerized obstetric records from 2002 to 2010 in a university center of level 3. We identified maternal characteristics, the term of appearance and route of delivery, the time between symptoms and diagnosis, additional tests performed, and data from echocardiography. Fifteen patients had an APE during pregnancy or in the immediate post-partum period during the study period (0.05%). The mean age was 28.6 years and the mean term of appearance was 31.2±3.1 weeks of amenorrhea. The diagnosis was made in 11 cases (73.3%) before delivery and in four during post-partum. The main etiology was preeclampsia (46.6%) followed by heart disease (26.7%), then tocolysis and overfilling (13.3%). In 55% of cases, we found a diagnostic wander characterized by carrying out further unnecessary tests. The echocardiography has led to a change in management in 27.3% of cases. The APE is a rare event during pregnancy and the post-partum period and its main etiology is preeclampsia. Some other etiologies are avoidable like the use of beta-agonists by intravenous route. The diagnosis is sometimes difficult, but the realization of a chest X-ray, a simple and inexpensive test, is enough to confirm it. Copyright © 2012. Published by Elsevier Masson SAS.

  11. Description of an oral Chagas disease outbreak in Venezuela, including a vertically transmitted case.

    Science.gov (United States)

    Noya, Belkisyolé Alarcón de; Pérez-Chacón, Gladymar; Díaz-Bello, Zoraida; Dickson, Sonia; Muñoz-Calderón, Arturo; Hernández, Carlos; Pérez, Yadira; Mauriello, Luciano; Moronta, Eyleen

    2017-08-01

    We describe the eleventh major outbreak of foodborne Trypanosoma cruzi transmission in urban Venezuela, including evidence for vertical transmission from the index case to her fetus. After confirming fetal death at 24 weeks of gestation, pregnancy interruption was performed. On direct examination of the amniotic fluid, trypomastigotes were detected. T. cruzi specific-polymerase chain reaction (PCR) also proved positive when examining autopsied fetal organs. Finally, microscopic fetal heart examination revealed amastigote nests. Acute orally transmitted Chagas disease can be life threatening or even fatal for pregnant women and unborn fetuses owing to vertical transmission. There is therefore an urgent need to improve national epidemiologic control measures.

  12. ANTISYNTHETASE SYNDROME IS THE MOST SEVERE SUBTYPE OF POLYMYOSITIS/DERMATOMYOSITIS:DESCRIPTION OF CASES

    Directory of Open Access Journals (Sweden)

    Olga Alekseyevna Antelava

    2009-01-01

    Full Text Available Polymyositis (PM and dermatomyositis (DM are autoimmune skeletal muscle diseases of unknown etiology, which are referred to as systemic connective tissue diseases and united under the common term Tidiopathic inflammatory myopathiesy. The most severe subtype of PM/DM is the antisynthetase syndrome that is characterized by a certain sympathocomplex, including interstitial lung lesion that is one of the most common visceral changes. Of interest are the specific features of the antisynthetase syndrome, its onset, the course and pulmonary manifestations of fibrosing alveolitis, unlike the classical course of PM/DM. Two clinical cases of the antisynthetase syndrome are given.

  13. A histological and clinical study on oral cancer: descriptive analyses of 365 cases.

    Science.gov (United States)

    Dias, Gonçalo Seguro; Almeida, Arlindo Pereira de

    2007-11-01

    Cancer is the second cause of death in Portugal right after cardio vascular diseases. In Portugal the incidence of oral and pharynx cancer (OPC) is higher than uterus and larynx cancers, and in US its frequency is higher than melanoma or uterus cancer, diseases that concern more population than oral cancer. The aim of this paper is to identify preferable anatomic location for oral cancer, mean age of patients, the use of tobacco and alcohol, histological characteristics, staging, type of therapeutics, presence of metastases and 1 and 5 year follow up. Data was collected from clinical charts of 365 cases from the Centro de Lisboa do Instituto Portugues de Oncologia with histological confirmation of malign tumor of the mouth. These cases are the total of oral malign tumors in the years of 1997, 1998 and 1999 in that institution. We observe that despite modern diagnostic and treatment techniques 37,9% of all patients died after first year with evidence of tumor. From all patients just 23,7% were free of disease after 5 years of treatment. Tongue was the principal region affected and the average age was 62, 25 years. It was concluded that 57, 8% of patient were smokers and 43,8% were alcohol drinkers. A high number of patients were submitted to radiotherapy either alone or with other treatment options.

  14. The cleanroom case study in the Software Engineering Laboratory: Project description and early analysis

    Science.gov (United States)

    Green, Scott; Kouchakdjian, Ara; Basili, Victor; Weidow, David

    1990-01-01

    This case study analyzes the application of the cleanroom software development methodology to the development of production software at the NASA/Goddard Space Flight Center. The cleanroom methodology emphasizes human discipline in program verification to produce reliable software products that are right the first time. Preliminary analysis of the cleanroom case study shows that the method can be applied successfully in the FDD environment and may increase staff productivity and product quality. Compared to typical Software Engineering Laboratory (SEL) activities, there is evidence of lower failure rates, a more complete and consistent set of inline code documentation, a different distribution of phase effort activity, and a different growth profile in terms of lines of code developed. The major goals of the study were to: (1) assess the process used in the SEL cleanroom model with respect to team structure, team activities, and effort distribution; (2) analyze the products of the SEL cleanroom model and determine the impact on measures of interest, including reliability, productivity, overall life-cycle cost, and software quality; and (3) analyze the residual products in the application of the SEL cleanroom model, such as fault distribution, error characteristics, system growth, and computer usage.

  15. [Reye's syndrome. Description of a case focused on the patient's epileptic seizures].

    Science.gov (United States)

    Jiménez-Caballero, P E; Montes-Gonzalo, M C; Velázquez-Pérez, J M

    Reye's syndrome is an acute disease characterised by encephalopathy and fatty degeneration of the liver that occurs almost exclusively in children. It can cause the death of the patient in up to a third of all cases, generally due to severe cerebral oedema. The aetiopathogenesis of this condition is uncertain and is usually preceded by a viral infection, generally from the influenza or varicella virus. Some studies have shown a strong epidemiological association between the ingestion of acetylsalicylic acid (ASA) during the viral infection and development of Reye's syndrome. We describe the case of a 20-month-old female who developed Reye's syndrome within the context of a viral infection and the ingestion of ASA. A hepatic biopsy study is appropriate in this syndrome. The patient presented a non-convulsive status during the acute phase and at one year developed Lennox-Gastaut syndrome. She died from pneumonia at the age of 18 years. In all patients with clinical features that suggest Reye's syndrome, inborn errors of metabolism that can mimic it must be precluded. Although the incidence of this syndrome has gone down considerably in recent years, it is important to keep it in mind as an early and aggressive diagnosis and treatment of cerebral hypertension will reduce the mortality rate and the sequelae.

  16. Hidradenocarcinoma presenting as soft tissue mass: Case report with cytomorphologic description, histologic correlation, and differential diagnosis.

    Science.gov (United States)

    Jinnah, Alexander H; Emory, Cynthia L; Mai, Nicholas H; Bergman, Simon; Salih, Ziyan T

    2016-05-01

    Hidradenocarcinoma (HAC) is a rare adenexal tumor with a propensity for the head and neck region and extremities. We report a case of hidradenocarcinnoma in a 56-year-old woman with a mass on her right palm sampled by fine-needle aspiration and later confirmed on histological examination. Fine-needle aspiration cytology revealed a dual population of cells including polyhedral eosinophilic cells and glycogen containing cells with pale/clear cytoplasm. The nuclei were pleomorphic with prominent nucleoli. Occassional papillary structures were identified on the cell block material. A series of immunohistochemical stains were performed and an adnexal neoplasm was suggested. The mass was resected. On histologic sections, infiltration into the adjacent soft tissue was identified. After an additional series of immunohistochemical stains, the diagnosis was confirmed as a HAC. Herein, we present our findings and discuss the differential diagnoses. © 2016 Wiley Periodicals, Inc.

  17. A Description of Skeletal Manifestation in Adult Case of Morquio Syndrome: Radiographic and MRI Appearance

    Directory of Open Access Journals (Sweden)

    Annalisa Di Cesare

    2012-01-01

    Full Text Available We report on a rare case of Morquio syndrome, an autosomal recessive mucopolysaccharidosis including type IVA, a deficiency of N-acetylgalctosamine-6-sulfatase and type IVB a deficiency of β-galactosidase. A 43-year-old female patient affected by IVB Morquio syndrome underwent instrumental investigation. Conventional plain films of the entire spine, pelvis, chest and knees together with magnetic resonance imaging of the entire column, hip, knees, and ankles demonstrated the characteristics of skeletal changes of this disease. The main abnormalities were platyspondily and hypoplasia of the odontoid process, genua valga deformity and severe multiple degenerative changes of the hips, knees, and ankle joints. Radiographs and above all magnetic resonance imaging are crucial to provide substantial information about the gravity, evolution of the skeletal and joints changes, and the rehabilitation strategies to be followed.

  18. The description of gay and lesbian families in second-parent adoption cases.

    Science.gov (United States)

    Connolly, C

    1998-01-01

    Lesbians and gay men are turning to the courts to recognize their family relationships. In this article every reported court decision where a lesbian or gay couple has successfully completed a second-parent adoption is reviewed to analyze the presentation and judicial analysis of the petitioning parties in conjunction with the current debates within family theory. Traditional family theorists argue that the contemporary family is in transition but will always be recognizable as the traditional family; postmodern theorists argue that the traditional "family" is a fiction. Results from this study indicate that judges in second-parent adoption cases rely on a traditional definition and vision of the family in evaluating the gay and lesbian petitioners before them.

  19. Case descriptions of fibropapillomatosis in rehabilitating loggerhead sea turtles Caretta caretta in the southeastern USA.

    Science.gov (United States)

    Page-Karjian, Annie; Norton, Terry M; Harms, Craig; Mader, Doug; Herbst, Larry H; Stedman, Nancy; Gottdenker, Nicole L

    2015-08-20

    Fibropapillomatosis (FP) is a debilitating neoplastic disease that affects all species of hard-shelled sea turtles, including loggerhead turtles Caretta caretta. FP can represent an important clinical concern in rehabilitating turtles, since managing these infectious lesions often requires special husbandry provisions including quarantine, and FP may affect clinical progression, extend rehabilitation duration, and complicate prognoses. Here we describe cases of rehabilitating loggerhead turtles with FP (designated FP+). Medical records of FP+ loggerhead cases from 3 sea turtle rehabilitation facilities in the southeastern USA were reviewed. Between 2001 and 2014, FP was observed in 8 of 818 rehabilitating loggerhead turtles (0.98% overall prevalence in admitted patients). FP+ loggerhead size classes represented were large juvenile (straight carapace length, SCL: 58.1-80 cm; n=7) and adult (SCL>87 cm; n=1). Three turtles presented with FP, and 5 developed tumors during rehabilitation within a range of 45 to 319 d. Sites of new tumor growth included the eyes, sites of trauma, neck, and glottis. FP+ turtles were scored as mildly (3/8), moderately (4/8), or heavily (1/8) afflicted. The mean total time in rehabilitation was 476±355 d (SD) (range: 52-1159 d). Six turtles were released without visible evidence of FP, 1 turtle was released with mild FP, and 1 turtle with internal FP was euthanized. Clinical decision-making for FP+ loggerhead patients can be aided by such information as time to tumor development, anatomic locations to monitor for new tumor growth, husbandry considerations, diagnostic and treatment options, and comparisons to FP in rehabilitating green turtles Chelonia mydas.

  20. Fournier gangrene: description of 37 cases and analysis of associated health care costs.

    Science.gov (United States)

    Jiménez-Pacheco, A; Arrabal-Polo, M Á; Arias-Santiago, S; Arrabal-Martín, M; Nogueras-Ocaña, M; Zuluaga-Gómez, A

    2012-01-01

    Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical characteristics of Fournier gangrene along with the variables that influence disease course and mortality in patients treated in our department. We carried out a retrospective study of 37 patients diagnosed with Fournier gangrene between January 2001 and October 2010. All the patients were men, 43.2% had diabetes, and the mean age of the patients was 57.68 years. Statistically significant differences were observed between the age of surviving patients and that of patients who died (55.8 and 69.6 years, respectively). The mean hospital stay was 27.54 days and 32.4% of patients required admission to the intensive care unit. Etiology was unknown in 39.8% of cases. Polymicrobial infection was observed in 59.5% of cases. The mean health care cost associated with a patient diagnosed with Fournier gangrene admitted to intensive care and requiring at least 1 procedure in the operating room was €25,108.67. Mortality was 13.5%. Based on analysis of individual comorbid conditions, only ischemic heart disease displayed a statistically significant association with mortality due to Fournier gangrene; ischemic heart disease was also associated with longer hospital stay. Fournier gangrene is associated with high mortality despite appropriate early treatment. Although the condition is infrequent, the high associated health care costs suggest that primary and secondary prevention measures should be implemented. Copyright © 2011 Elsevier España, S.L. and AEDV. All rights reserved.

  1. [Fournier gangrene: description of 37 cases and analysis of associated health care costs].

    Science.gov (United States)

    Jiménez-Pacheco, A; Arrabal-Polo, M Á; Arias-Santiago, S; Arrabal-Martín, M; Nogueras-Ocaña, M; Zuluaga-Gómez, A

    2012-01-01

    Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical characteristics of Fournier gangrene along with the variables that influence disease course and mortality in patients treated in our department. We carried out a retrospective study of 37 patients diagnosed with Fournier gangrene between January 2001 and October 2010. All of the patients were men, 43.2% had diabetes, and the mean age of the patients was 57.68 years. Statistically significant differences were observed between the age of surviving patients and that of patients who died (55.8 and 69.6 years, respectively). The mean hospital stay was 27.54 days and 32.4% of patients required admission to the intensive care unit. Etiology was unknown in 39.8% of cases. Polymicrobial infection was observed in 59.5% of cases. The mean health care cost associated with a patient diagnosed with Fournier gangrene admitted to intensive care and requiring at least 1 procedure in the operating room was €25,108.67. Mortality was 13.5%. Based on analysis of individual comorbid conditions, only ischemic heart disease displayed a statistically significant association with mortality due to Fournier gangrene; ischemic heart disease was also associated with longer hospital stay. Fournier gangrene is associated with high mortality despite appropriate early treatment. Although the condition is infrequent, the high associated health care costs suggest that primary and secondary prevention measures should be implemented. Copyright © 2011 Elsevier España, S.L. and AEDV. All rights reserved.

  2. Annular erythema in primary Sjogren's syndrome: description of 43 non-Asian cases.

    Science.gov (United States)

    Brito-Zerón, P; Retamozo, S; Akasbi, M; Gandía, M; Perez-De-Lis, M; Soto-Cardenas, M-J; Diaz-Lagares, C; Kostov, B; Bove, A; Bosch, X; Perez-Alvarez, R; Siso, A; Ramos-Casals, M

    2014-02-01

    The objective of this paper is to evaluate the prevalence and characterize the main epidemiological, clinical and immunological features of annular erythema (AE) in non-Asian patients with primary Sjögren's syndrome (SS). We carried out a retrospective study searching for AE in 377 Spanish patients with primary SS fulfilling the 2002 American-European criteria. In addition, we searched PubMed (1994-2012) using the MeSH terms "annular erythema" and "primary Sjögren's syndrome" for additional cases. All cases with AE reported in patients with SS associated with systemic lupus erythematosus were excluded. In our Spanish cohort, we found 35 (9%) patients diagnosed with AE. All were white females, with a mean age of 47 years at diagnosis of AE. AE preceded diagnosis of SS in 27 (77%) patients. Cutaneous AE lesions involved principally the face and upper extremities. All patients reported photosensitivity, with cutaneous flares being reported during the warmest months in 93% of patients. Immunological markers consisted of anti-Ro/La antibodies in 31 (89%) patients. In the literature search, we identified eight additional non-Asian patients with primary SS diagnosed with AE. In comparison with 52 Asian patients, the 43 non-Asian patients with AE related to primary SS were more frequently women (100% vs 78%, p=0.008), and cutaneous lesions were less frequently reported in the face (55% vs 81%, p=0.045) and more frequently in the neck (40% vs 14%, p=0.041). Immunologically, non-Asian patients had a lower frequency of anti-Ro antibodies and a higher frequency of negative Ro/La antibodies, although the differences were not statistically significant. AE is not an exclusive cutaneous feature of Asian patients with primary SS. In addition to the characteristic cutaneous expression, AE has a very specific clinical and immunological profile: often presenting before the fulfillment of SS criteria, overwhelmingly associated with anti-Ro antibodies but weakly associated with other

  3. Acute gouty arthritis and rapidly progressive renal failure as manifestation of multiple myeloma: clinical case description

    Directory of Open Access Journals (Sweden)

    O.V. Gudym

    2017-08-01

    Full Text Available The article describes a clinical case of multiple myeloma in 78-year-old man, its clinical onset was as an acute attack of gout. The patient was admitted to hospital due to the development of the first acute attack of gout. The attack was characterized by polyarthricular joint lesion of the upper and lower extremities, pronounced inflammatory reaction, insufficient response to the use of non-steroidal anti-inflammatory drugs, and a high level of hyperuricemia. The serum uric acid concentration ranged from 636 to 712 μmol/l. The study of the synovial fluid of the inflamed knee joint made it possible to reveal uric acid crystals and to confirm the diagnosis of acute gouty arthritis. Simultaneously, the patient had significant renal impairment: creatinine was 574 μmol/l, urea — 39.9 mmol/l, glomerular filtration rate according to CKD-EPI — 8 ml/min. The daily proteinuria was 1.8 g. A retrospective assessment of laboratory parameters allowed to reveal completely normal indicators of renal function 6 months ago. Considering the development of acute gouty arthritis, its polyarticular nature, persistent course, rapid involvement of new joints, high uric acid levels during an acute attack exceeding 600 μmol/l (10 mg/dL, rapid development of renal failure within 6 months until the terminal stage, it was suggested the secondary nature of gout on the background of kidney damage by another pathological process. Further clinical, laboratory and instrumental studies allowed verifying multiple myeloma with renal damage. Bence Jones protein in the urine was not detected, there was also no evidence of hyperproteinemia. However, pain in the spine, ribs and chest was the basis for carrying out an X-ray study of the bones of the skeleton. Changes in the skeleton typical for multiple myeloma have been identified. Myelogram showed a high content of plasma cells (21.1 %, electrophoresis of blood proteins showed a high M-gradient (30.42 %, and a cytochemical

  4. Impression of multiple implants using photogrammetry: description of technique and case presentation.

    Science.gov (United States)

    Peñarrocha-Oltra, David; Agustín-Panadero, Rubén; Bagán, Leticia; Giménez, Beatriz; Peñarrocha, María

    2014-07-01

    To describe a technique for registering the positions of multiple dental implants using a system based on photogrammetry. A case is presented in which a prosthetic treatment was performed using this technique. Three Euroteknika® dental implants were placed to rehabilitate a 55-year-old male patient with right posterior maxillary edentulism. Three months later, the positions of the implants were registered using a photogrammetry-based stereo-camera (PICcamera®). After processing patient and implant data, special abutments (PICabutment®) were screwed onto each implant. The PICcamera® was then used to capture images of the implant positions, automatically taking 150 images in less than 60 seconds. From this information a file was obtained describing the relative positions - angles and distances - of each implant in vector form. Information regarding the soft tissues was obtained from an alginate impression that was cast in plaster and scanned. A Cr-Co structure was obtained using CAD/CAM, and its passive fit was verified in the patient's mouth using the Sheffield test and the screw resistance test. Twelve months after loading, peri-implant tissues were healthy and no marginal bone loss was observed. The clinical application of this new system using photogrammetry to record the position of multiple dental implants facilitated the rehabilitation of a patient with posterior maxillary edentulism by means of a prosthesis with optimal fit. The prosthetic process was accurate, fast, simple to apply and comfortable for the patient.

  5. Mycobacterium avium complex-associated cholecystitis in AIDS patient: a case description and review of literature.

    Science.gov (United States)

    El Chaer, Firas; Harris, Nadine; El Sahly, Hana; Hemmige, Vagish; Martinez Blanco, Elvia; Woc-Colburn, Laila

    2016-11-01

    AIDS-related cholangiopathy was common in patients with AIDS prior to the advent of highly active antiretroviral therapy. Mycobacterium avium complex (MAC) is the most common opportunistic bacterial infection seen in AIDS patients and one of many opportunistic pathogens implicated in AIDS cholangiopathy. We describe a case of acute cholecystitis secondary to MAC in a patient with likely AIDS cholangiopathy. The patient, a 37-year-old Hispanic woman with CD4 + cell count of 10 cells/mm 3 who was previously diagnosed with disseminated MAC, presented with a eight days of diffuse abdominal pain and anorexia. Radiologic imaging suggested acute cholecystitis, so the patient underwent open cholecystectomy. Pathology staining of the gall bladder wall revealed acid-fast bacilli consistent with MAC. The patient had been receiving appropriate therapy as an outpatient for MAC with presumed reliable adherence, but we suggest her burden of disease was high due to her severe immunosuppressive state. A thorough review of the literature showed that there are many infectious and non-infectious aetiologies for AIDS-associated cholangiopathy. Acute cholecystitis can develop in the setting of AIDS cholangiopathy, potentially secondary to the opportunistic infection that initially caused the cholangiopathy. MAC-related gallbladder disease needs to be considered in patients with advanced AIDS who present with evidence of acute cholecystitis. © The Author(s) 2015.

  6. Acute juvenile cataract in newly diagnosed type 1 diabetic patients: a description of six cases.

    Science.gov (United States)

    Iafusco, Dario; Prisco, Francesco; Romano, Mario R; Dell'omo, Roberto; Libondi, Teodosio; Costagliola, Ciro

    2011-11-01

    Cataract represents one of the most frequent eye complications in type 1 and type 2 patients; contrarily, acute cataract in young diabetic patients occurs very rarely. The aim of this study was to describe six cases of acute cataract in adolescents at the onset of type 1 diabetes. Eight hundred and twenty-six patients with type 1 diabetes were retrospectively studied. A multivariate analysis was applied to verify the weight of the following laboratory findings taken on admission (independent variables): glycemia, glycated hemoglobin (HbA1c), pH, base excess (BE),and on the occurrence of cataract (dependent variable). Six patients (0.7%) presented with acute lens opacities. Cataract development was significantly correlated with HbA1c and glycemia. The relative risk increases about twice for each percentage point from 12.8 to 14.1% of HbA1c; glycemic blood levels represent a moderate risk factor for cataractogenesis. Ketoacidosis and BE were not significantly correlated. © 2011 John Wiley & Sons A/S.

  7. Liddle Syndrome: Review of the Literature and Description of a New Case

    Directory of Open Access Journals (Sweden)

    Martina Tetti

    2018-03-01

    Full Text Available Liddle syndrome is an inherited form of low-renin hypertension, transmitted with an autosomal dominant pattern. The molecular basis of Liddle syndrome resides in germline mutations of the SCNN1A, SCNN1B and SCNN1G genes, encoding the α, β, and γ-subunits of the epithelial Na+ channel (ENaC, respectively. To date, 31 different causative mutations have been reported in 72 families from four continents. The majority of the substitutions cause an increased expression of the channel at the distal nephron apical membrane, with subsequent enhanced renal sodium reabsorption. The most common clinical presentation of the disease is early onset hypertension, hypokalemia, metabolic alkalosis, suppressed plasma renin activity and low plasma aldosterone. Consequently, treatment of Liddle syndrome is based on the administration of ENaC blockers, amiloride and triamterene. Herein, we discuss the genetic basis, clinical presentation, diagnosis and treatment of Liddle syndrome. Finally, we report a new case in an Italian family, caused by a SCNN1B p.Pro618Leu substitution.

  8. The diffusion of the distance Entomology Master's Degree Program at the University of Nebraska Lincoln: A descriptive case study

    Science.gov (United States)

    Hubbell, Jody M.

    This study explored three selected phases of Rogers' (1995) Diffusion of Innovations Theory to examine the diffusion process of the distance Entomology Master's Degree program at the University of Nebraska, Lincoln. A qualitative descriptive case study approach incorporated semi-structured interviews with individuals involved in one or more of the three stages: Development, Implementation, and Institutionalization. Documents and archival evidence were used to triangulate findings. This research analyzed descriptions of the program as it moved from the Development, to the Implementation, and finally, the Institutionalization stages of diffusion. Each respective stage was examined through open and axial coding. Process coding identified themes common to two or more diffusion stages, and explored the evolution of themes from one diffusion stage to the next. At a time of significant budget constraints, many departments were faced with the possibility of merger or dissolution. The Entomology Master's Degree Program evolved from being an entrepreneurial means to prevent departmental dissolution to eventually being viewed as a model for the development of similar programs across this university and other institutions of higher education. During this evolution, the program was reinvented to meet the broader needs of industry and a global student market. One finding not consistent with Rogers' model was that smaller, rather than larger, departmental size contributed to the success of the program. Within this small department, faculty members were able to share their experiences and knowledge with each other on a regular basis, which promoted greater acceptance of the distance program. How quality and rigor may be defined and measured was a key issue in each respective stage. In this specific case, quality and rigor was initially a comparison of on-campus and distance course content and then moved to program-based assessment and measures of student outcomes such as job

  9. Description of children identified as suffering from MAM in Bangladesh: Varying results based on case definitions

    International Nuclear Information System (INIS)

    Waid, Jillian

    2014-01-01

    Full text: Background: There is a wide discrepancy between the proportion of children classified as acutely malnourished when MUAC criteria are used compared to weight for height. This has greatly complicated setting targets for the coverage of SAM and MAM programs in Bangladesh. This difference is much larger for children identified with MAM than for those with SAM, largely because identification as MAM can overlap both with SAM and with children not identified as acutely malnourished. Objective: To review existing data sets in order to determine the relationship between MUAC and other anthropometric measures, helping to provide a better understanding of the implications of different admission criteria to therapeutic and supplementary feeding programs. Methodology: This study uses data collected through national nutritional surveillance projects over multiple seasons in Bangladesh. For the years 1990 to 2006, sub-samples of data from the Nutritional Surveillance Project were pulled from areas of the country that remained constant over a set period. Data from 2010 to 2012 was pulled from the Food Security and Nutrition Surveillance Project. Case definition: Cases of moderate acute malnutrition were identified using MUAC- for-age z-scores (-3>z-score>-2), MUAC cut-offs (115mm>MUAC>125mm), and weight-for-height z-scores (-3>z-score>-2). Results: In all years more than 50% of all children identified as moderately malnourished were classified as such by only one measure (1990 selected sub-districts: 52%, 2012 national sample: 69%) In 1990 a higher proportion of children were categorized as moderately malnourished based on MUAC-for-age z-scores than by weight for height z-scores, but since 2000 the opposite has been true. This change is closely tied to the increasing height of children sampled, due to the declining rates of stunting in the country. After controlling for age and weight-for-height z-scores, an increase in height of one cm was associated with an increase

  10. Impression of multiple implants using photogrammetry: Description of technique and case presentation

    Science.gov (United States)

    Peñarrocha-Oltra, David; Agustín-Panadero, Rubén; Bagán, Leticia; Giménez, Beatriz

    2014-01-01

    Aim: To describe a technique for registering the positions of multiple dental implants using a system based on photogrammetry. A case is presented in which a prosthetic treatment was performed using this technique. Study Design: Three Euroteknika® dental implants were placed to rehabilitate a 55-year-old male patient with right posterior maxillary edentulism. Three months later, the positions of the implants were registered using a photogrammetry-based stereo-camera (PICcamera®). After processing patient and implant data, special abutments (PICabutment®) were screwed onto each implant. The PICcamera® was then used to capture images of the implant positions, automatically taking 150 images in less than 60 seconds. From this information a file was obtained describing the relative positions – angles and distances – of each implant in vector form. Information regarding the soft tissues was obtained from an alginate impression that was cast in plaster and scanned. A Cr-Co structure was obtained using CAD/CAM, and its passive fit was verified in the patient’s mouth using the Sheffield test and the screw resistance test. Results and Conclusions: Twelve months after loading, peri-implant tissues were healthy and no marginal bone loss was observed. The clinical application of this new system using photogrammetry to record the position of multiple dental implants facilitated the rehabilitation of a patient with posterior maxillary edentulism by means of a prosthesis with optimal fit. The prosthetic process was accurate, fast, simple to apply and comfortable for the patient. Key words:Dental implants, photogrammetry, dental impression technique, CAD/CAM. PMID:24608216

  11. Case report and theoretical description of accelerated resolution therapy (ART) for military-related post-traumatic stress disorder.

    Science.gov (United States)

    Kip, Kevin E; Shuman, Amy; Hernandez, Diego F; Diamond, David M; Rosenzweig, Laney

    2014-01-01

    This article describes a new, brief exposure-based psychotherapy known as Accelerated Resolution Therapy (ART) that is currently being evaluated as a treatment for combat-related post-traumatic stress disorder (PTSD). We describe a case report of an Army veteran with combat-related PTSD who was treated with 2 sessions of ART and experienced significant clinical improvement. We then discuss the theoretical basis and major components of the ART protocol, including use of lateral left-right eye movements, and differentiate ART with evidence-based psychotherapies currently endorsed by the Department of Defense and Veterans Administration. The number of military personnel who have served in the wars in Iraq and Afghanistan and are afflicted with PTSD is likely in the hundreds of thousands. The ART protocol, which is delivered in 2 to 5 sessions and without homework, uses the psychotherapeutic practices of imaginal exposure and imagery rescripting (IR) facilitated through sets of eye movements. In addition to its brevity, a novel component of ART is use of IR to "replace" negative imagery (and other sensations) with positive imagery. This theoretical description of ART and single case report provide a rationale for future formal evaluation of ART for treatment of military-related PTSD. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  12. Use of Occupational Performance Coaching for stroke survivors (OPC-Stroke in late rehabilitation: A descriptive case study

    Directory of Open Access Journals (Sweden)

    Danika Belliveau

    2016-04-01

    Full Text Available Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke on the participation level of adults in the later stage of stroke rehabilitation. Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of change. A semi-structured interview was carried out postintervention to explore the participant’s experiences of the intervention. Results: The participant who took part in the study reported improvement with his goal performance and satisfaction. However, the level of participation did not improve and emotional well-being decreased. Qualitative data revealed an appreciation of the intervention and a recommendation of the intervention for others. Conclusion: OPC-Stroke was valued by the participant and shows promise for improving goal performance and satisfaction. Further research is necessary to determine the potential efficacy of OPC-Stroke in later stages of rehabilitation.

  13. Safety case for the disposal of spent nuclear fuel at Olkiluoto. Description of the disposal system 2012

    International Nuclear Information System (INIS)

    2012-12-01

    Description of the Disposal System sits within Posiva Oy's Safety Case 'TURVA-2012' report portfolio and has the objective presenting the initial state of the disposal system for the safety case for the disposal of spent nuclear fuel at Olkiluoto, Finland. Disposal system is an entity composed of a repository system and surface environment. The repository system includes the spent nuclear fuel, canister, buffer, backfill, and closure components as well as the host rock. The repository system components have assigned safety functions (except for the spent nuclear fuel) and are subject to requirements. The initial state is presented for each component, and references to the main supporting reports are given to guide the reader for more details. Conditions for each component vary in time and space, due to the time of emplacement and due to the tolerances set for the compositions, geometries and other properties depending on the component. The disposal operation is foreseen to commence ∼ 2020. At the beginning of the postclosure period, around 2120, all the engineered components have been installed and the operation is finalised. The system evolution during the operational phase is discussed in detail in Performance Assessment. The initial state for the host rock is defined to be essentially equal to the baseline conditions prior to starting the construction of the underground characterisation facility ONKALO. For the surface environment, the initial state is the present conditions prevailing. For any other component of the disposal system, the initial state is defined as the state it has when the direct control over that specific part of the system ceases and only limited information can be made available on the subsequent development of conditions in that part of the system or its near field. (orig.)

  14. Safety case for the disposal of spent nuclear fuel at Olkiluoto. Description of the disposal system 2012

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-12-15

    Description of the Disposal System sits within Posiva Oy's Safety Case 'TURVA-2012' report portfolio and has the objective presenting the initial state of the disposal system for the safety case for the disposal of spent nuclear fuel at Olkiluoto, Finland. Disposal system is an entity composed of a repository system and surface environment. The repository system includes the spent nuclear fuel, canister, buffer, backfill, and closure components as well as the host rock. The repository system components have assigned safety functions (except for the spent nuclear fuel) and are subject to requirements. The initial state is presented for each component, and references to the main supporting reports are given to guide the reader for more details. Conditions for each component vary in time and space, due to the time of emplacement and due to the tolerances set for the compositions, geometries and other properties depending on the component. The disposal operation is foreseen to commence {approx} 2020. At the beginning of the postclosure period, around 2120, all the engineered components have been installed and the operation is finalised. The system evolution during the operational phase is discussed in detail in Performance Assessment. The initial state for the host rock is defined to be essentially equal to the baseline conditions prior to starting the construction of the underground characterisation facility ONKALO. For the surface environment, the initial state is the present conditions prevailing. For any other component of the disposal system, the initial state is defined as the state it has when the direct control over that specific part of the system ceases and only limited information can be made available on the subsequent development of conditions in that part of the system or its near field. (orig.)

  15. How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study.

    Science.gov (United States)

    Kilpatrick, Kelley; Lavoie-Tremblay, Mélanie; Ritchie, Judith A; Lamothe, Lise; Doran, Diane; Rochefort, Christian

    2012-07-01

    In many countries, acute care nurse practitioners contribute to patient care through an expanded scope of practice that includes nursing and medical activities. There have been calls across nations to establish better understanding of how nurse practitioners enact their roles in healthcare teams. The 2006 introduction of cardiology nurse practitioners in Quebec, Canada provides an opportunity to examine this process more closely. The purpose of the study is to understand how nurse practitioners enact the medical and expanded nursing portions of their role in healthcare teams. A descriptive multiple-case study design was used. The study was conducted in two university-affiliated teaching hospitals in Quebec. Data were collected from March 2009 to May 2009. Data sources included interviews (N=59), field notes, documents, and a time and motion study (N=108 h 53 min) of nurse practitioner activities using a validated observation tool. The interviews were conducted individually or in groups. Content analysis was used to analyse the qualitative data. Descriptive statistics were generated for the time and motion study. The clinical role component, including nursing and medical activities, occupied the largest portion of the nurse practitioners' work time. The pace of nurse practitioner work activities was faster in the first half of the workday in response to patient care demands. The enacted nurse practitioner scope of practice was sensitive to the local context, and the needs of team members, patients and families. Nursing and medical leadership, and the transfer of prescriptive authority and decision-making autonomy affected how nurse practitioners enacted the medical and expanded nursing portions of their roles. Participants believed the pace of work influenced the nurse practitioners' ability to develop relationships with team members, and enact all the components of their role. The practitioners' scope of practice changed in response to pressures inside and outside

  16. Perspectives on enhancing international practical training of students in health and social care study programs - A qualitative descriptive case study.

    Science.gov (United States)

    Hvalič-Touzery, Simona; Hopia, Hanna; Sihvonen, Sanna; Diwan, Sadhna; Sen, Soma; Skela-Savič, Brigita

    2017-01-01

    Internationalization of practical training in health and social care study programs is an important aspect of higher education. However, field mentors' and classroom teachers' competence in guiding culturally diverse students varies widely in European countries, and the majority does not have enough training in guiding foreign students. This study aimed to examine which factors enhance the efficacy of international practical placement experiences in health and social care study programs. A qualitative descriptive case study design was used. The study was conducted at six higher education institutions-two in Finland and one in Croatia, Estonia, the Netherlands and Slovenia. A convenience sample of 14 mentors, 15 teachers and 14 students with international experiences from six higher education institutions which are part of the Bologna Process was recruited. The data were collected from six focus groups using a semi-structured questionnaire based on a literature review. Each higher education institution conducted one group interview that was tape-recorded, transcribed and analysed for themes. Participants made several recommendations for enhancing the practical placement experience of students, teachers, and mentors. Most recommendations dealt with practical supervision of students. Three major themes noted were: 'Attitudes towards internationalization of practical placements', 'Factors impacting the international placement experience', and 'Pedagogical methods used and structural support available for internationalization.' The study highlights the need for strengthening the multicultural knowledge and skills of mentors and teachers. The findings provide practical guidelines for improving the international placement experience across health and social care fields. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. NUMERICAL DESCRIPTION OF THE GROUNDWATER LEVELS CHANGE DUE TO THE RE- AND DISCHARGE OF THE ADJACENT SURFACE WATER BODIES – PROBLEMS AND CASE STUDIES

    Directory of Open Access Journals (Sweden)

    G. Trendafilov

    2012-03-01

    Full Text Available Numerical description of the groundwater levels change due to the re- and discharge of the adjacent surface water bodies – problems and case studies. The water exchange between the surface water bodies (rivers, lakes, seas, dams, etc. and adjacent water-bearing beds is possible if a hydraulic connection between them exists. The change of the levels of the first ones causes corresponding changes of the levels of the aquifers in the surrounding territories and vice versa. In many cases this interaction is the primary mechanism determining the groundwater regime. The aim of the present study is to examine the applicability of the most general possible analytical approach for quantitative description of the phenomena in the case of short-term changes with a significant magnitude (high waves of the level of the river of Maritsa in Plovdiv, Bulgaria. The study is performed through numerical simulations/calculations, with especially composed by the authors for this work computational programs.

  18. Incidence rate of ovarian cancer cases in Saudi Arabia: an observational descriptive epidemiological analysis of data from Saudi Cancer Registry 2001-2008.

    Science.gov (United States)

    Alghamdi, Ibrahim G; Hussain, Issam I; Alghamdi, Mohamed S; Alghamdi, Mansour M; Dohal, Ahlam A; El-Sheemy, Mohammed A

    2014-01-01

    This study provides descriptive epidemiological data, such as the percentage of cases diagnosed, crude incidence rate (CIR), and age-standardized incidence rate (ASIR) of ovarian cancer in Saudi Arabia from 2001-2008. A retrospective descriptive epidemiological analysis of all ovarian cancer cases recorded in the Saudi Cancer Registry (SCR) from January 2001-December 2008 was performed. The data were analyzed using descriptive statistics, analysis of variance tests, Poisson regression, and simple linear modeling. A total of 991 ovarian cancer cases were recorded in the SCR from January 2001-December 2008. The region of Riyadh had the highest overall ASIR at 3.3 cases per 100,000 women, followed by the Jouf and Asir regions at 3.13 and 2.96 cases per 100,000 women. However, Hail and Jazan had the lowest rates at 1.4 and 0.6 cases per 100,000 women, respectively. Compared to Jazan, the incidence rate ratio for the number of ovarian cancer cases was significantly higher (PSaudi Arabia at 4.52 (95% CI: 2.93-6.98). The predicted annual CIR and ASIR for ovarian cancer in Saudi Arabia could be defined by the equations 0.9 + (0.07× years) and 1.71 + (0.09× years), respectively. We observed a slight increase in the CIRs and ASIRs for ovarian cancer in Saudi Arabia from 2001-2008. Riyadh, Jouf, and Asir had the highest overall ASIR, while Jazan and Hail had the lowest rates. Makkah, Riyadh, and the eastern region of Saudi Arabia had the highest incidence rate ratio for the number of ovarian cancer cases. Further analytical studies are required to determine the potential risk factors of ovarian cancer among Saudi women.

  19. The utility of image descriptions in the initial stages of vision: a case study of printed text.

    Science.gov (United States)

    Watt, Roger J; Dakin, Steven C

    2010-02-01

    Vision research has made very substantial progress towards understanding how we see. It is one area of psychology where the three-way thrust of behavioural measurements (psychophysics), brain imaging, and computational studies have been combined quite routinely for some years. The purpose of this paper is to demonstrate a relatively unusual form of computational modelling that we characterise as involving image descriptions. Image descriptions are statements about structures in images and relationships between structures. Most modelling in vision is either conceived in fairly abstract terms, or is done at the level of images. Neither is entirely satisfactory, and image descriptions are a simple formulation of age-old ideas about a Vocabulary of image features that are detected and parameterized from actual digital images. For our example, we use the domain of the visual perception of printed text. This is an area that has been characterized by thorough, robust psychophysical experiments. The fundamental requirements of visual processing in this domain are: grouping of some parts if the image into words; at the same time segmenting words from each other. We show how these are readily understood in terms of our model of image descriptions, and show quantitatively that typographical practice, refined over centuries, is about optimum for the visual system at least as represented by our model. In addition, we show that the same notion of image descriptions could, in principle, support word recognition in certain circumstances.

  20. Description of common methodology used in all case studies, following the ILCD methodology guide and the ISO standards for LCA (ISO 14040 and 14044)

    DEFF Research Database (Denmark)

    Sonesson, Ulf; Anton, Assumpcio; Ohlau, Katrin

    2011-01-01

    This document describes common methodological issues for the case studies within LC-IMPACT. There will be five case studies in three areas performed within the project. The case studies are: Tomatoes, Margarine, Fish, Paper and printing and finally car manufacture and operation. In each case study...... several LCIA methods developed in other parts of LC-IMPACT will be applied and evaluated, but established LCIA methods will also be used and the studies shall be ILCD compliant. All case studies will follow the ILCD Handbook and this report describes common methodological choices needed and describes how...... data inventory is to be done and how deviations from the stated goals shall be managed and reported. A description of the external review is also presented....

  1. Teaching and Learning in Two iPad-Infused Classrooms: A Descriptive Case Study of A Dual Classroom, School-Based Pilot Project

    Science.gov (United States)

    Maich, Kimberly; Hall, Carmen L.; van Rhijn, Tricia Marie; Henning, Megan

    2017-01-01

    This multi-methods, descriptive case study examines attitudes and practices of classroom-based iPad use. The site is one inner-city, urban, publicly funded school, focused on two iPad-infused classrooms (Grade 2/3 and Grade 4/5). Data were collected from 5 educators and 35 students to investigate two research questions: How are iPads being…

  2. Step-by-step iconographic description of a prolonged but still favourable course of orbital cellulitis in a child with acute rhinosinusitis: an iconographic case study.

    Science.gov (United States)

    Torretta, Sara; Marchisio, Paola; Gaffuri, Michele; Capaccio, Pasquale; Esposito, Susanna; Pignataro, Lorenzo

    2014-03-04

    Orbital cellulitis is an infrequent complication of acute ethmoiditis possibly leading to life- or visual-threatening complications. Despite its natural history is well known, its clinical evolution may widely vary among patients, and even in the most favourable cases long-term sequelae may persist. We here provide a step-by-step iconographic description of a periorbital and orbital cellulitis occurring in a child with ipsilateral acute rhinosinusitis. Our report shows that an unusual long-term evolution of periorbital and orbital cellulitis is possible also in apparently favourable cases.

  3. Potential Psychosocial Risk Factors for Chronic TMD: Descriptive Data and Empirically Identified Domains from the OPPERA Case-Control Study

    OpenAIRE

    Fillingim, Roger B.; Ohrbach, Richard; Greenspan, Joel D.; Knott, Charles; Dubner, Ronald; Bair, Eric; Baraian, Cristina; Slade, Gary D.; Maixner, William

    2011-01-01

    Case-control studies have consistently associated psychosocial factors with chronic pain in general, and with temporomandibular disorders (TMD) specifically. Moreover, a handful of prospective studies suggest that pre-existing psychosocial characteristics represent risk factors for new onset TMD. The current study presents psychosocial findings from the baseline case-control study of the Orofacial Pain Prospective Evaluation and Risk Assessment (OPPERA) cooperative agreement. For this study, ...

  4. Bacillary angiomatosis: description of 13 cases reported in five reference centers for AIDS treatment in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    GAZINEO Jorge L. D.

    2001-01-01

    Full Text Available The aim of this case series was to describe the clinical, laboratory and epidemiological characteristics and the presentation of bacillary angiomatosis cases (and/or parenchymal bacillary peliosis that were identified in five public hospitals of Rio de Janeiro state between 1990 and 1997; these cases were compared with those previously described in the medical literature. Thirteen case-patients were enrolled in the study; the median age was 39 years and all patients were male. All patients were human immunodeficiency virus type 1 (HIV-1 infected and they had previous or concomitant HIV-associated opportunistic infections or malignancies diagnosed at the time bacillary angiomatosis was diagnosed. Median T4 helper lymphocyte counts of patients was 96 cells per mm³. Cutaneous involvement was the most common clinical manifestation of bacillary angiomatosis in this study. Clinical remission following appropriate treatment was more common in our case series than that reported in the medical literature, while the incidence of relapse was similar. The frequency of bacillary angiomatosis in HIV patients calculated from two of the hospitals included in our study was 1.42 cases per 1000 patients, similar to the frequencies reported in the medical literature. Bacillary angiomatosis is an unusual opportunistic pathogen in our setting.

  5. Towards a semantic framework for an integrative description of neuroscience patterns and studies: a case for emotion-related data.

    Science.gov (United States)

    Bratsas, Charalampos; Frantzidis, Christos A; Klados, Manousos; Papadelis, Christos; Pappas, Costas; Bamidis, Panagiotis D

    2009-01-01

    The continuously increasing number of neuroscience studies and the difficulties associated with searching for related information and properly tracking neuroscience findings makes it imperative that one may be lead to isolated theories and findings which may be incompatible to each other or partially occluded. Semantically describing several aspects of studies in this field, such as, research groups attributes, aims of studies, experimental procedures followed, hardware and software tools utilised, acquisition systems used, as well as, the emerging neuro-physiological patterns found, may facilitate an integrative view of neuroscience theories. To this end, the current piece of work aims to provide a global theoretical framework using ontologies and semantic rules to describe neuroscience studies. Implementation details and applicability of the proof of concept are illustrated by means of an example targeting the semantic description of an emotion related study. The importance of the proposed framework in facilitating the envisaged personalised healthcare of the information society is discussed.

  6. Comparing conventional Descriptive Analysis and Napping®-UFP against physiochemical measurements: a case study using apples.

    Science.gov (United States)

    Pickup, William; Bremer, Phil; Peng, Mei

    2018-03-01

    The extensive time and cost associated with conventional sensory profiling methods has spurred sensory researchers to develop rapid method alternatives, such as Napping® with Ultra-Flash Profiling (UFP). Napping®-UFP generates sensory maps by requiring untrained panellists to separate samples based on perceived sensory similarities. Evaluations of this method have been restrained to manufactured/formulated food models, and predominantly structured on comparisons against the conventional descriptive method. The present study aims to extend the validation of Napping®-UFP (N = 72) to natural biological products; and to evaluate this method against Descriptive Analysis (DA; N = 8) with physiochemical measurements as an additional evaluative criterion. The results revealed that sample configurations generated by DA and Napping®-UFP were not significantly correlated (RV = 0.425, P = 0.077); however, they were both correlated with the product map generated based on the instrumental measures (P < 0.05). The finding also noted that sample characterisations from DA and Napping®-UFP were driven by different sensory attributes, indicating potential structural differences between these two methods in configuring samples. Overall, these findings lent support for the extended use of Napping®-UFP for evaluations of natural biological products. Although DA was shown to be a better method for establishing sensory-instrumental relationships, Napping®-UFP exhibited strengths in generating informative sample configurations based on holistic perception of products. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  7. Phocomelia: A Worldwide Descriptive Epidemiologic Study in a Large Series of Cases From the International Clearinghouse for Birth Defects Surveillance and Research, and Overview of the Literature

    Science.gov (United States)

    Bermejo-Sánchez, Eva; Cuevas, Lourdes; Amar, Emmanuelle; Bianca, Sebastiano; Bianchi, Fabrizio; Botto, Lorenzo D.; Canfield, Mark A.; Castilla, Eduardo E.; Clementi, Maurizio; Cocchi, Guido; Landau, Danielle; Leoncini, Emanuele; Li, Zhu; Lowry, R. Brian; Mastroiacovo, Pierpaolo; Mutchinick, Osvaldo M.; Rissmann, Anke; Ritvanen, Annukka; Scarano, Gioacchino; Siffel, Csaba; Szabova, Elena; Martínez-Frías, María-Luisa

    2015-01-01

    Epidemiologic data on phocomelia are scarce. This study presents an epidemiologic analysis of the largest series of phocomelia cases known to date. Data were provided by 19 birth defect surveillance programs, all members of the International Clearinghouse for Birth Defects Surveillance and Research. Depending on the program, data corresponded to a period from 1968 through 2006. A total of 22,740,933 live births, stillbirths and, for some programs, elective terminations of pregnancy for fetal anomaly (ETOPFA) were monitored. After a detailed review of clinical data, only true phocomelia cases were included. Descriptive data are presented and additional analyses compared isolated cases with those with multiple congenital anomalies (MCA), excluding syndromes. We also briefly compared congenital anomalies associated with nonsyndromic phocomelia with those presented with amelia, another rare severe congenital limb defect. A total of 141 phocomelia cases registered gave an overall total prevalence of 0.62 per 100,000 births (95% confidence interval: 0.52–0.73). Three programs (Australia Victoria, South America ECLAMC, Italy North East) had significantly different prevalence estimates. Most cases (53.2%) had isolated phocomelia, while 9.9% had syndromes. Most nonsyndromic cases were monomelic (55.9%), with an excess of left (64.9%) and upper limb (64.9%) involvement. Most nonsyndromic cases (66.9%) were live births; most isolated cases (57.9%) weighed more than 2,499 g; most MCA (60.7%) weighed less than 2,500 g, and were more likely stillbirths (30.8%) or ETOPFA (15.4%) than isolated cases. The most common associated defects were musculoskeletal, cardiac, and intestinal. Epidemiological differences between phocomelia and amelia highlighted possible differences in their causes. PMID:22002800

  8. Analytic description of Raman-induced frequency shift in the case of non-soliton ultrashort pulses

    Energy Technology Data Exchange (ETDEWEB)

    Bugay, Aleksandr N., E-mail: bugay_aleksandr@mail.ru [Joint Institute for Nuclear Research, Joliot-Curie 6, 141980, Dubna, Moscow Region (Russian Federation); Khalyapin, Vyacheslav A., E-mail: slavasxi@gmail.com [Immanuel Kant Baltic Federal University, Kaliningrad, 236041 (Russian Federation); Kaliningrad State Technical University, Kaliningrad, 236000 (Russian Federation)

    2017-01-30

    Raman-induced frequency shift of ultrashort pulses have been studied extensively for the soliton propagation regime. Here we derive explicit analytic expressions for the evolution of Raman-induced frequency shift in much less studied case of non-soliton ultrashort pulses. Pulse spectra may belong to any region of group velocity dispersion including zero group dispersion point. The analysis is based on the moment method. Obtained expressions fit well to the numerical solution of the nonlinear wave equation. - Highlights: • Explicit analytic formulas for the evolution of Raman-induced frequency shift are derived in the case of non-soliton pulses. • Dynamics of non-soliton ultrashort pulses in the cases of positive and zero group dispersion is considered. • The deceleration and the saturation of Raman-induced frequency shift are analyzed. • The calculation relies on the moment method and fit well to the numerical solution of the nonlinear wave equation.

  9. Analytic description of Raman-induced frequency shift in the case of non-soliton ultrashort pulses

    International Nuclear Information System (INIS)

    Bugay, Aleksandr N.; Khalyapin, Vyacheslav A.

    2017-01-01

    Raman-induced frequency shift of ultrashort pulses have been studied extensively for the soliton propagation regime. Here we derive explicit analytic expressions for the evolution of Raman-induced frequency shift in much less studied case of non-soliton ultrashort pulses. Pulse spectra may belong to any region of group velocity dispersion including zero group dispersion point. The analysis is based on the moment method. Obtained expressions fit well to the numerical solution of the nonlinear wave equation. - Highlights: • Explicit analytic formulas for the evolution of Raman-induced frequency shift are derived in the case of non-soliton pulses. • Dynamics of non-soliton ultrashort pulses in the cases of positive and zero group dispersion is considered. • The deceleration and the saturation of Raman-induced frequency shift are analyzed. • The calculation relies on the moment method and fit well to the numerical solution of the nonlinear wave equation.

  10. A Improved Bone Graft Method For Upper Cervical Surgery with Posterior Approach: Technical Description and report of 52 cases.

    Science.gov (United States)

    Wang, Yongli; Wang, Xiangyang

    2018-02-21

    To report a minimum 12 months follow-up results of our improved bone graft method For upper cervica surgery with posterior approach. 52 consecutive patients which included odontoid nonunion in 33 patients, atlantoaxial instability in 11 patients and occipito-cervical deformity in 8 patients who underwent posterior C1-C2 transarticular screw /screw-rod internal fixation ( 41 cases )and occipitocervical fusion ( 11 cases ) with the improved bone graft technique. Each surgical procedure was performed by the same senior spine surgeon. We took lateral cervical standing roentgenograms before surgery, after surgery immediately and took craniocerebral computed tomography (CT) examination with reconstruction at 3, 6, 12, and 24 months, and annually thereafter. The postoperative follow-up time are about 12 month to 38 month. All cases showed satisfactory screw fixation by radiographic examination and there were no postoperative neurologic complications. 1 case had postoperative retropharyngeal infection after the transoral release and posterior reduction by pedicle screw instrumentation. All patients got solid fusions, and no pseudarthrosis occurred. All the cases had solid fusion at the 3-month follow-up. In conclusion, good bone graft bed, enough bone graft material, solid local fixation and effective bone graft method are a prerequisite for successful bone graft. By analysing the postoperative follow-up in the consecutive cases in this study, our new bone graft method which discribed a new bone graft structure is a reliable posterior fusion technique. It is worth to be concern and the further research is needed. Copyright © 2018. Published by Elsevier Inc.

  11. Heterotopic ossification of the ulnar collateral ligament: a description of a case in a top level weightlifting athlete.

    Science.gov (United States)

    Giombini, A; Innocenzi, L; Massazza, G; Fagnani, F; Ripani, M; Pigozzi, F

    2005-09-01

    The purpose of this paper is to describe a case of heterotopic ossification of the ulnar collateral ligament in a 29-year-old top level weightlifter. Plain radiography of the elbow determined the extent and location of heterotopic ossification. Ultrasound and MR imaging completed the instrumental set-up. This symptomatic case had the resolution of pain after 2 months of a supervised rehabilitation program. At one year follow-up the athlete is asymptomatic referring occasional minor pain only in the periods of vigorous training.

  12. [Behçet's disease: Intracardiac thrombosis (a description of two cases and a review of literature)].

    Science.gov (United States)

    Alekberova, Z S; Ovcharov, P S; Lisitsyna, T A; Volkov, A V; Popkova, T V

    Behçet's disease (BD) is systemic vasculitis of unknown etiology, which is more common in the countries located along the Great Silk Road. The disease is diagnosed if a patient has 4 key diagnostic signs: aphthous stomatitis, genital sores, and eye and skin lesions. Vascular diseases referred to as minor criteria for BD are characterized by the formation of aneurysms and thrombosis, predominantly in the venous bed. In venous disorders, a blood clot can form in any vessel, including caval, cerebral, pulmonary, and other veins. The paper describes two clinical cases of BD with intracardiac thrombosis. In one case, a 24-year-old male patient with a documented diagnosis of BD, echocardiography revealed a left ventricular spontaneous echo contrast phenomenon that disappeared due to immunosuppressive therapy. The other case was a 34-year-old female patient, in whom the diagnosis was based on the international disease criteria: aphthous stomatitis, skin lesions (pseudopustulosis, erythema nodosum), and genital sores. Computed tomographic angiography showed a 3.7×2.2-cm mass (thrombus) in the right atrium. In addition, blood clots were present in the hepatic and inferior vena cava. No abnormalities in the coagulation system were found in both cases.

  13. METASTASIS OF RENAL CARCINOMA TO THE THYROID, SPECIFIC FEATURES OF DIAGNOSIS AND TREATMENT (DESCRIPTION OF A CASE

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    L. P. Yakovleva

    2014-08-01

    Full Text Available The paper describes a case of metastatic involvement of the thyroid by renal carcinoma. The specific features of this observation are diagnostic difficulties in assessing the pattern and extent of a process and in choosing surgical treatment tactics.

  14. Endoluminal brachytherapy in the treatment of oesophageal cancer: technique description, case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Luisa Castilla

    2015-07-01

    Full Text Available Endoesophageal brachytherapy is a useful technique for the palliative treatment of dysphagia in advanced oesophageal cancer. This technique offers good results on dysphagia control and quality of life. We report the case of a patient treated with this technique presenting complete response to the dysphagia. We describe endoesophageal brachyterapy technique and we comment on the literature.

  15. Descriptive analysis of context evaluation instrument for technical oral presentation skills evaluation: A case study in English technical communication course

    Science.gov (United States)

    Mohamed, Abdullah-Adnan; Asmawi, Adelina; Hamid, Mohd Rashid Ab; Mustafa, Zainol bin

    2015-02-01

    This paper reports a pilot study of Context Evaluation using a self-developed questionnaire distributed among engineering undergraduates at a university under study. The study aims to validate the self-developed questionnaires used in the Context evaluation, a component in the CIPP Model. The Context evaluation assesses background information for needs, assets, problems and opportunities relevant to beneficiaries of the study in a defined environment. Through the questionnaire, background information for the assessment of needs, assets and problems related to the engineering undergraduates' perceptions on the teaching and learning of technical oral presentation skills was collected and analysed. The questionnaire was developed using 5-points Likert scale to measure the constructs under study. They were distributed to 100 respondents with 79 returned. The respondents consisted of engineering undergraduates studied at various faculties at one technical university in Malaysia. The descriptive analysis of data for each item which makes up the construct for Context evaluation is found to be high. This implied that engineering undergraduates showed high interest in teaching and learning of technical oral presentation skills, thus their needs are met. Also, they agreed that assets and facilities are conducive to their learning. In conclusion, the context evaluation involving needs and assets factors are both considerably important; their needs are met and the assets and facilities do support their technical oral presentation skills learning experience.

  16. [Anti-N-methyl-D-aspartate receptor encephalitis associated with ovarian teratoma: Description of a case and anesthetic implications].

    Science.gov (United States)

    Arteche Andrés, M A; Zugasti Echarte, O; de Carlos Errea, J; Pérez Rodríguez, M; Leyún Pérez de Zabalza, R; Azcona Calahorra, M A

    2015-10-01

    N-methyl-D-aspartate receptor encephalitis is an autoimmune encephalitis relationated or not with a neoplasm. Although its incidence is unknown, probably remains underdiagnosed. Epidemiological studies place it as the second cause of immune-mediated encephalitis and the first in patients aged less of 30 years. It shows neuropsychiatric symptoms and autonomic instability. After diagnosis, based on the detection of antibodies in serum or cerebrospinal fluid, an occult malignancy must be investigated. While increasing number of cases have been diagnosed and the important role of this receptor in general anesthesia mechanisms, the interaction of the disease with anesthetic agents and perioperative stress is unknown. We describe the case of a patient with encephalitis associated to ovarian teratoma that underwent gynaecological laparoscopy. Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Extragonadal mixed germ cell tumor of the right arm: description of the first case in the literature

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    Benali Hicham

    2012-05-01

    Full Text Available Abstract Background Extragonadal localization of germ cell tumors (GCTs is rare; to the best of our knowledge, a location in the soft tissue of the arm has never been previously reported in the literature. Case presentation We report the case of a 37-year-old man who presented with a primary malignant mixed non-seminomatous GCT (teratocarcinoma variety in the right arm, treated by a combination of cisplatin-based chemotherapy and surgery. After 18 months of close follow-up, no locoregional recurrence or distant metastases have been detected. Conclusions A combination of chemotherapy and surgery is the most appropriate treatment strategy for extragonadal GCTs, to ensure both local and systemic control.

  18. USE OF EXTENDED-RELEASE PRAMIPEXOLE IN EARLY-STAGE PARKINSON’S DISEASE: DESCRIPTION OF A CLINICAL CASE

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    N. V. Fedorova

    2014-11-01

    Full Text Available The paper considers a clinical case of early-stage mixed Parkinson’s disease (PD with significant affective disorders and restless legs syndrome. Once-daily extended-release pramipexole 3 mg significantly improved a patient’s status and led to regression of movement and affective disorders. The paper gives data on the efficacy of dopamine receptor agonists in treating PD and the benefits of their extended-release formulations.

  19. Gila monster (Heloderma suspectum) envenomation: Descriptive analysis of calls to United States Poison Centers with focus on Arizona cases.

    Science.gov (United States)

    French, Robert; Brooks, Daniel; Ruha, Anne-Michelle; Shirazi, Farshad; Chase, Peter; Boesen, Keith; Walter, Frank

    2015-01-01

    The Gila monster (Heloderma suspectum) is a venomous lizard native to the deserts of southwestern United States (US) and northern Mexico. The purpose of this study was to describe human exposures to Gila monsters reported to US poison control centers (PCCs) with a focus on Arizona cases. The American Association of Poison Control Centers' National Poison Data System (NPDS) was used to access and retrospectively review all calls to US PCCs, concerning Gila monsters between January 1, 2000 and October 31, 2011. In addition, detailed records from the two Arizona PCCs were reviewed for the same time period. A total of 319 calls regarding Gila monsters were identified in the NPDS. Of these, 105 (33%) were human exposures; most (79%) occurred in males. A total of 71 (68%) of these 105 cases were referred to a health care facility (HCF); 30 (29%) were managed on-site. Of the 71 HCF referrals, 36 (51%) were discharged home and 17 (24%) were admitted. Most (65%) admissions were to an intensive care unit (ICU). Arizona's PCCs received 70 unique reports of Gila monster bite. Most (77%) of the bites in Arizona involved an upper extremity. Eight (11%) involved patients under the age of 18 years. Eleven (16%) Arizona cases were work-related. Twenty-eight (40%) of the 70 bites in Arizona were evaluated in a HCF, but not admitted. Eleven (16%) were admitted, of which five were to an ICU. Six patients had edema of airway structures; three required emergent airway management, one by cricothyrotomy. There were no deaths. Gila monster bites are uncommon. Many cases did not require hospitalization. Edema of airway structures is an infrequent, but life-threatening complication.

  20. Familial Cortical Myoclonic Tremor with Epilepsy and Cerebellar Changes: Description of a New Pathology Case and Review of the Literature

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    Sarvi Sharifi

    2012-08-01

    Full Text Available Background: Over 60 Asian and European families with cortical myoclonic tremor and epilepsy have been reported under various names. Cerebellar changes may be part of the syndrome. In this study, we report the neuropathology findings in a new Dutch familial cortical myoclonic tremor with epilepsy case and review the literature on this syndrome.Methods: Neuropathological investigations were performed for a third case of the Dutch pedigree. In addition, we searched the literature for pedigrees meeting the criteria for benign familial myoclonic tremor and epilepsy.Results: Our third Dutch case showed cerebellar Purkinje cell changes and a normal cerebral cortex. The pedigrees described show phenotypical differences, cerebellar symptoms and cerebellar atrophy to a variable degree. Japanese pedigrees with linkage to chromosome 8q have been reported with milder disease features than members of Italian pedigrees with linkage to chromosome 2p. French pedigrees (5p possibly show even more severe and progressive disease, including cognitive changes and cerebellar features.Discussion: Currently, familial cortical myoclonic tremor is not listed by the International League Against Epilepsy, although it can be differentiated from other epileptic syndromes. Genetic heterogeneity and phenotypical differences between pedigrees exist. Cerebellar changes seem to be part of the syndrome in at least a number of pedigrees.

  1. Case Report of Human Urinary Myiasis Caused by Clogmia albipunctata (Diptera: Psychodidae with Morphological Description of Larva and Pupa

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    Nadia Ali El-Dib

    2017-12-01

    Full Text Available Background: Urinary myiasis is a form of myiasis caused mainly by larvae of Fannia scalaris, Musca, Sarcophaga, Lucilia, Wohlfahrtia, Calliphora, and rarely by Eristalis and Clogmia albipunctata.Methods: This report presents a case of female patient complaining of dysuria and frequency of micturition associ­ated with intermittent passage of small, motile, dark-colored worm-like organisms in urine. She was a married housewife aged 24 years old referred from the Tropical Outpatient Clinic of Beni-Suef University Hospital, Egypt. The patient was subjected to a full questionnaire sheet and investigations such as CBC, stool and urine analysis and uri­nary ul­traso­nography. Collected larvae and pupae from urine samples were examined macroscopically and micro­scopically.Results: The examined larvae and pupae belonged to C. albipunctata. Ivermectin was prescribed to the patient with complaint withdrawal and complete disappearance of the larvae from urine.Conclusion: This study reports the first case of urinary myiasis caused by C. albipunctata in Beni-Suef Governorate, the second in Egypt and third case worldwide. The study throws some light on the medical importance and manage­ment of urinary myiasis.

  2. Chemometric strategies to unmix information and increase the spatial description of hyperspectral images: a single-cell case study.

    Science.gov (United States)

    Piqueras, S; Duponchel, L; Offroy, M; Jamme, F; Tauler, R; de Juan, A

    2013-07-02

    Hyperspectral images are analytical measurements that provide spatial and structural information. The spatial description of the samples is the specific asset of these measurements and the reason why they have become so important in (bio)chemical fields, where the microdistribution of sample constituents or the morphology or spatial pattern of sample elements constitute very relevant information. Often, because of the small size of the samples, the spatial detail provided by the image acquisition systems is insufficient. This work proposes a data processing strategy to overcome this instrumental limitation and increase the natural spatial detail present in the acquired raw images. The approach works by combining the information of a set of images, slightly shifted from each other with a motion step among them lower than the pixel size of the raw images. The data treatment includes the application of multivariate curve resolution (unmixing) multiset analysis to the set of collected images to obtain the distribution maps and spectral signatures of the sample constituents. These sets of maps are noise-filtered and compound-specific representations of all the relevant information in the pixel space and decrease the dimensionality of the original image from hundreds of spectral channels to few sets of maps, one per sample constituent or element. The information in each compound-specific set of maps is combined via a super-resolution post-processing algorithm, which takes into account the shifting, decimation, and point spread function of the instrument to reconstruct a single map per sample constituent with much higher spatial detail than that of the original image measurement.

  3. Asbestos Exposure and Survival in Malignant Mesothelioma: A Description of 122 Consecutive Cases at an Occupational Clinic

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    E Skammeritz

    2011-09-01

    Full Text Available Background: The natural history and etiology of malignant mesothelioma (MM is already thoroughly described in the literature, but there is still debate on prognostic factors, and details of asbestos exposure and possible context with clinical and demographic data, have not been investigated comprehensively. Objectives: Description of patients with MM, focusing on exposure, occupation, survival and prognostic factors. Methods: Review of medical records of patients with MM from 1984 to 2010 from a Danish Occupational clinic. Survival was estimated using Kaplan-Meier survival analysis and prognostic factors were identified by Cox regression analysis. Results: 110 (90.2% patients were male, and 12 (9.8% were female. The median (interquartile rang [IQR] age was 65 (13 years. Pleural MM was seen in 101 (82.8% patients, and peritoneal in 11 (9.0%; two (1.6% had MM to tunica vaginalis testis, and eight (6.6% to multiple serosal surfaces. We found 68 (55.7% epithelial tumors, 26 (21.3% biphasic, and 6 (4.9% sarcomatoid. 12 (9.8% patients received tri-modal therapy, 66 (54.1% received one-/two-modality treatment, and 36 (29.5% received palliative care. Asbestos exposure was confirmed in 107 (91.0% patients, probable in four (3.3%, and unidentifiable in 11 (9.0%. The median (IQR latency was 42 (12.5 years. Exposure predominantly occurred in shipyards. The median overall survival was 1.05 (95% CI: 0.96–1.39 years; 5-year survival was 5.0% (95% CI: 2.0%–13.0%. Female sex, good WHO performance status (PS, epithelial histology and tri-modal treatment were associated with a favorable prognosis. Conclusion: MM continuously presents a difficult task diagnostically and therapeutically, and challenges occupational physicians with regard to identification and characterization of asbestos exposure.

  4. Metastasis of the epididymis and spermatic cord from pancreatic adenocarcinoma: A rare entity. Description of a case and revision of literature

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    Carmelo Agostino Di Franco

    2018-03-01

    Full Text Available Introduction: Metastatic epididymal and spermatic cord adenocarcinoma from epithelial tumors are a rare condition. The most frequent primary cancers are prostate, lung, kidney, gastrointestinal tumors and breast. In literature, there are very low number of cases reporting metastasis from pancreatic cancer to epididymis and spermatic cord. Case description: We report a case of 70-years old man with history of left orchiectomy for undescended testicle, who presented to our department with a palpable nodule in the right scrotum. Scrotal ultrasound revealed an inhomogeneous hypoechoic nodule of epididymis and/or spermatic cord. Neoplastic markers showed high levels of CEA (carcinoembryonic antigen and bHCG (beta Human Chorionic Gonadotropin. The patient underwent right surgical scrotal exploration with orchifunicolectomy. Pathologic examination revealed pathologic tissue showing rare glandular structures. Immunohistochemistry profile was compatible with malign epithelial neoplasm with glandular differentiation. Total body CT-scan revealed pathologic tissue in pancreas between head and body and a suspect pathologic lesion in liver and 18-FDG PET-scan confirmed the pancreatic neoplastic mass and a suspect secondary hepatic lesion. Biopsy of pancreatic pathologic area was positive for ductal pancreatic adenocarcinoma. The patient was sent to oncologic evaluation and started chemotherapy. Conclusions: Malignancies of epididymis and spermatic cord are rare entities and, in literature, very low number of cases of metastasis from pancreatic carcinoma to epididymis and spermatic cord are described. Early differential diagnosis is fundamental mostly in those patients with age range unusual for testis cancers.

  5. [Encephalitis due to the Epstein-Barr virus: a description of a clinical case and review of the literature].

    Science.gov (United States)

    Barón, Johanna; Herrero-Velázquez, Sonia; Ruiz-Piñero, Marina; Pedraza, M Isabel; Rojo-Rello, Silvia; Guerrero-Peral, Ángel Luis

    2013-11-16

    INTRODUCTION. Infection by the Epstein-Barr virus (EBV) -either as a primary infection, a reactivation or an active chronic infection- can give rise to several clinical forms of involvement of the central nervous system. We report a case of encephalitis due to EBV produced by viral reactivation in an immunocompetent patient which initially mimicked, from the clinical and electroencephalographic point of view, encephalitis due to type 1 herpes simplex virus (HSV-1). CASE REPORT. A 51-year-old male who had reported the presence of dorsal herpes zoster some days earlier. The patient visited the emergency department after suffering a holocranial oppressive headache and febricula for seven days; 24 hours before admission to hospital, he was suffering from drowsiness and language disorder. The neurological examination revealed stiffness in the back of the neck and dysphasia. An analysis of the cerebrospinal fluid revealed pleocytosis (422 cells/mm(3)) with 98% of mononuclear cells and normal protein and glucose concentration levels in cerebrospinal fluid. Magnetic resonance imaging of the brain and electroencephalogram readings were normal with periodic lateralised epileptiform discharges in the left temporal region. Intravenous acyclovir treatment was initiated, but renal failure meant it had to be changed to oral valaciclovir with clinical resolution and improvement of the liquoral parameters. Polymerase chain reaction in the cerebrospinal fluid was positive for EBV and negative for the other neurotropic viruses. In blood, the serology test for EBV with IgG was positive, while IgM and heterophile antibody tests were negative. CONCLUSIONS. EBV infection can give rise to acute disseminated encephalomyelitis or affect several locations in the central nervous system, especially the cerebellum. Clinical pictures mimicking HSV-1 are less frequent. When encephalitis is related to viral reactivation, precipitating factors can be detected, as in our case.

  6. [Malignant neoplasms of the uterus in women treated with uterine artery embolization for presumed leiomyoma--description of three cases].

    Science.gov (United States)

    Gajewska, Małgorzata; Panek, Grzegorz

    2013-03-01

    Leiomyomas are the most common tumors of the uterus. Uterine artery embolization has been accepted as an alternative method for myomectomy or hysterectomy However lack of histologic conformation carries the risk of misdiagnosis of cancer so a thorough diagnostic testing is needed. Leiomyosarcomas are rare but very aggressive tumors of the uterine tract. The risk of leiomyosarcoma in myomata is very low, but it is necessary to remember about it, especially when we have no tissue for histological examination. Our report presents three cases of women diagnosed with leiomyosarcomas or endometrial cancer after uterine artery embolization for suspected symptomatic uterine fibroids.

  7. Progressive Vaccinia: Case Description and Laboratory-Guided Therapy With Vaccinia Immune Globulin, ST-246, and CMX001

    Science.gov (United States)

    Lederman, Edith R.; Davidson, Whitni; Groff, Harold L.; Smith, Scott K.; Warkentien, Tyler; Li, Yu; Wilkins, Kimberly A.; Karem, Kevin L.; Akondy, Rama S.; Ahmed, Rafi; Frace, Michael; Shieh, Wun-Ju; Zaki, Sherif; Hruby, Dennis E.; Painter, Wendy P.; Bergman, Kimberly L.; Cohen, Jeffrey I.; Damon, Inger K.

    2012-01-01

    Progressive vaccinia (PV) is a rare but potentially lethal complication that develops in smallpox vaccine recipients with severely impaired cellular immunity. We describe a patient with PV who required treatment with vaccinia immune globulin and who received 2 investigational agents, ST-246 and CMX001. We describe the various molecular, pharmacokinetic, and immunologic studies that provided guidance to escalate and then successfully discontinue therapy. Despite development of resistance to ST-246 during treatment, the patient had resolution of PV. This case demonstrates the need for continued development of novel anti-orthopoxvirus pharmaceuticals and the importance of both intensive and timely clinical and laboratory support in management of PV. PMID:22904336

  8. Emotion-focused therapy for the treatment of social anxiety: an overview of the model and a case description.

    Science.gov (United States)

    Shahar, Ben

    2014-01-01

    Emotion-focused therapy (EFT) is an integrative and experiential treatment approach that views emotions as fundamentally adaptive and privileges attention to, and exploration of, emotional experiences. EFT has been demonstrated to be efficacious with depression, interpersonal trauma and marital discord, but application to anxiety disorders is in its initial stages. The purpose of this paper is to present the main principles of using EFT with socially anxious patients and to make the case that EFT is particularly well suited for working with this patient group. The primary change processes in EFT for social anxiety include improving emotion awareness, reducing experiential avoidance and the activation and transformation of shame that underlies the symptomatic anxiety. Such processes lead to less self-criticism, to more self-compassion and self-soothing and to a more favourable perception of the self. A case example is used to illustrate how these principles were applied with a socially anxious patient. Copyright © 2013 John Wiley & Sons, Ltd.

  9. Syndrome of hypoplasic left ventricle, Description of a clinical case with survival after carrying out of Norwood technique

    International Nuclear Information System (INIS)

    Velasco B, Ana M; Lince V, Rafael; Zapata S, Jorge A and others

    2003-01-01

    A clinical case of a 72 hours newborn patient admitted to the pediatric intensive care unit for reduced cardiac output syndrome showing anuria, metabolic acidosis and respiratory distress, is reported. Mechanical ventilation, inotropic support and continuous prostaglandin e1 infusion were initiated. The echocardiogram showed hypoplasia of the left ventricle. The Norwood procedure stage i under extracorporeal circulation with deep hypothermia and circulatory arrest, was performed at the 6th day of life. During the early postoperative period, the patient developed hypoxaemia and pulmonary hypertension, which improved with controlled hyperventilation and vasodilatation therapy. Other complications were clinical sepsis and abstinence syndrome, which resolved with medical management. The patient was extubated on the sixth postoperative day. Subsequent echocardiograms showed tricuspid valve regurgitation, right ventricular dysfunction with dilation and an organized thrombus in the left atrium. These improved with diuretics, dopamine, milrinone and heparin. The patient was discharged after 32 days of the surgery without signs of congestive heart failure. This case is important, given the high mortality rate of this pathology. The Norwood procedure proved to be a palliative strategy versus the ortotopic cardiac transplant in newborns, because of the difficulty in finding donators at this age and the immunosuppressive therapy complications. This represents a great advance in the Colombian pediatric cardiology because until recent years these patients did not have any other surgical alternative

  10. [Clinical and diagnostic considerations on degenerative spino-cerebellar diseases. A clinical and instrumental description of 2 cases].

    Science.gov (United States)

    Trebini, F; Appiotti, A; Scarzella, G

    1990-11-01

    Two cases of spino-cerebellar heredoataxia are reported. The first patient, aged 18, presented the clinical peculiarities of Friedreich's disease; subjected to encephalic CT and encephalomedullary NMR the proved normal; EMG study and visual, acoustic and somatosensorial evoked potentials were not normal but there was nothing specifically wrong. The second patient, aged 30, followed up for more than 10 years, presented the clinical aspects of Pierre Marie disease; stress is laid on encephalic CT examinations carried out at the age of 20 and 30. These were pathological due to the marked dilatation of the IVth ventricle and the basal cisternae; evoked potential changes were aspecific. The nosography is discussed, especially as regards clinical diagnosis, in the absence of typical neuroradiological or other instrumental aspects and, obviously, in the absence of anatomopathological signs.

  11. Aneurysm of the main trunk of the left coronary artery. Description of a clinical case and literature review

    International Nuclear Information System (INIS)

    Rodriguez, Julio C; Rivera, Alex; Pinzon, Bibiana

    2010-01-01

    Coronary artery aneurysm is a rare entity in the population. Its incidence rates vary between 1.5% - 5%, and is more frequent in males. There is limited literature on this disease, although its study goes back to the late eighteenth century. The most frequently affected artery is the right coronary artery, in approximately 40% of cases. The initial diagnostic difficulty lies in the fact that the initial approach is focused in confirming and treating properly the coronary acute syndrome, which is the most frequent initial presentation in these patients. Therefore, its diagnosis requires necessarily imaging or interventionist aid, or both. Many causes account for coronary aneurysms, being the most common atherosclerosis followed by congenital abnormalities, connective tissue diseases, vasculitis and cocaine consumption. Novel studies regarding the physiopathology and advances in pharmacological and interventionist therapy have been published, although treatment must focus on risk factors, associated pathologies and clinical manifestations.

  12. Esthetic consideration for alveolar socket preservation prior to implant placement: description of a technique and 80-case series report.

    Science.gov (United States)

    Kutkut, Ahmad; Andreana, Sebastiano; Monaco, Edward

    2012-01-01

    An esthetic restoration supported by dental implant rehabilitation is a major challenge to restorative dentists. The ultimate goal of a dental implant is to restore missing or extracted teeth by placing implants in anatomically, esthetically, and long-term functional restorations. Alveolar ridge preservation and site enhancement following tooth extraction has a major impact on the hard and soft tissue volume. Extraction socket preservation is technique sensitive, not 100% successful, and at times unpredictable. Current techniques may delay surgical implant placement for a few months, and the quality of new bone regeneration is questionable. The aim of this report was to describe a minimally traumatic extraction socket preservation technique using different types of bone graft as a preserver prior to implant placement applied for 80 consecutive cases.

  13. Autoimmune reaction after anti-tetanus vaccination-description of four cases and review of the literature.

    Science.gov (United States)

    Ruhrman-Shahar, N; Torres-Ruiz, J; Rotman-Pikielny, P; Levy, Y

    2017-02-01

    Autoimmune reaction after vaccination is sporadically reported in the medical literature. Vaccinations are generally safe and have an important role in eradicating endemic diseases worldwide. Nevertheless, the question arises as to whether there is a possibility of post-vaccination autoimmune phenomena. The anti-tetanus vaccine is being used since 1924, and it is part of the recommended immunization schedules for children. There are few reports of autoimmune diseases, such as rheumatoid arthritis and anti-phospholipid syndrome after anti-tetanus vaccination. Herein, we describe four cases, of which we believe, show a clear temporal relation between anti-tetanus vaccination and the appearance of dermatomyositis, systemic lupus erythematosus, type 1 diabetes mellitus and anti-phospholipid syndrome. We also suggest some of the pathogenic mechanisms that promote a pathogenic autoimmune response.

  14. Outpatient multimodal intravenous analgesia in patients undergoing day-case surgery: description of a three year experience.

    Science.gov (United States)

    Serra, Magdalena; Vives, Roser; Cañellas, Montserrat; Planell, Josep; Oliva, Joan Carles; Colilles, Carmen; Pontes, Caridad

    2016-09-13

    The use of elastomeric devices for ambulatory intravenous pain treatment in Major Ambulatory Surgery (MAS) has been described to improve postoperative pain management. The objective of the study was to describe the first 3 years experience of the use of elastomeric devices for ambulatory intravenous pain treatment in MAS implemented at our site since 2010. Data were retrieved from the medical records for all patients who, between January 2010 and March 2014, underwent surgical procedures at the ambulatory surgical centre at our hospital and were prescribed a home-based continuous intravenous analgesia. Data were retrieved from the medical records of 1128 patients. The most frequent surgical interventions included orthopedic and proctology surgeries. 80 % of patients were discharged home without pain; during the first 48 h after discharge roughly 40 % of subjects were completely free of pain, 50 % reported mild pain (VAS 1 to 3) and 9 % reported higher pain scores (4 and above). Peripheral nerve block was associated to better pain control in the immediate postoperative period. Vomiting in the first 24 h was 4.6 % before introducing haloperidol into the drug schemes, and 2.6 % thereafter. Complications related with the intravenous route required treatment withdrawal in 1.1 % cases. Only 3.5 % of patients returned to the hospital in the first 72 h, mainly for non-pain related reasons. Overall, 99.5 % of patients were satisfied with the treatment received at home. Our initial experience suggest that outpatient multimodal intravenous analgesia in patients undergoing day-case surgery is a feasible alternative in our setting, that allows an effective management of postoperative pain with a small rate of adverse events and complications requiring readmission.

  15. Multidisciplinary approach to the management of children with female genital mutilation (FGM) or suspected FGM: service description and case series.

    Science.gov (United States)

    Creighton, Sarah M; Dear, Joanna; de Campos, Claudia; Williams, Louise; Hodes, Deborah

    2016-02-29

    To describe the first dedicated clinic in the UK for children with suspected or confirmed female genital mutilation (FGM) including referral patterns, clinical findings and subsequent management. A prospective study of all children seen in a dedicated multidisciplinary FGM clinic for children over a 1-year period. Patients aged under 18 years referred for clinical assessment or for a second opinion on Digital Versatile Disc (DVD) images. Data were collected on reasons for referral, demography, genital examination findings including FGM type, and clinical recommendations. 38 children were referred of whom 18 (47%) had confirmed FGM; most frequently type 4 (61%). Social care and police referred 78% of cases. According to UK law FGM had been performed illegally in three cases. Anonymous information given to the police led to the referral of six children, none of whom had had FGM. Mandatory reporting and increased media attention may increase the numbers of referrals of children with suspected FGM. This patient group have complex needs and management in a dedicated multidisciplinary service is essential. Paediatricians and gynaecologists should have the skills to carry out the consultation and detect all types of FGM including type 4 which was the most common type seen in this series. This is the first dedicated FGM service for children in the UK and similar clinics in high-prevalence areas should be established. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  16. Angioedema por rellenos faciales: Descripción de cinco casos Facial angioedema after filler injections: Description of five cases

    Directory of Open Access Journals (Sweden)

    Micaela A. Cosatti

    2010-12-01

    Full Text Available En los últimos años se ha incrementado la utilización de sustancias de relleno facial con fines estéticos. Estos productos, originalmente considerados inertes, se asocian con diversos efectos adversos localizados alrededor del sitio de la aplicación. Describimos a 5 mujeres con antecedentes de inyecciones de sustancia de relleno facial que presentaron como síntoma inicial angioedema facial duro y persistente seguido por la aparición de nódulos subcutáneos. Todas las pacientes fueron derivadas al servicio de alergia por sospecha de angioedema de causa alérgica sin respuesta al tratamiento con antihistamínicos. El angioedema inició 27.6 meses (1 a 48 luego de la inyección del producto, y las pacientes evolucionaron con brotes y remisiones que fueron tratados con corticoides orales y en 2 oportunidades con inyecciones locales. El tiempo medio desde el inicio de los síntomas hasta la remisión del angioedema fue 8.75 meses (1 a 24. A octubre de 2009 cuatro pacientes se mantuvieron en remisión persistente, luego de un seguimiento clínico de 24.5 meses (7 a 36. Una paciente continúa con exacerbaciones luego de 11 meses de iniciados los síntomas. Las sustancias de relleno facial pueden producir angioedema como evento adverso y deben ser consideradas en el diagnóstico diferencial del angioedema persistente. Sólo responden al tratamiento con esteroides y en algunos casos esteroides dependientes, con ciclosporina. La frecuencia de angioedema por rellenos faciales entre pacientes con angioedema asistidos en la Unidad de Asma, Alergia e Inmunología Clínica fue del 0.5%.The use of fillers for cosmetic purposes is becoming increasingly frequent. Although initially considered inert, these products produce adverse reactions around the injection site. We present 5 cases of women with a history of filler injections who presented a hard and persistent angioedema followed by local subcutaneous nodules . They were referred to the allergist for

  17. End-of-life care: nurses' experiences in caring for dying patients with profound learning disabilities--a descriptive case study.

    Science.gov (United States)

    Li, S; Ng, J

    2008-12-01

    This qualitative study identifies areas of expertise and deficits in the specific knowledge and practical skills of nurses in the care of dying patients with profound learning disabilities in one NHS Primary Care Trust in the UK. In response to these findings, we have developed a simple observational checklist applicable to profound learning disability nursing to identify disease-related personality and physiological changes. The method consists of a descriptive case study of five nurses qualified in learning disabilities nursing, using semi-structured interviews. The disease trajectory was used as a framework of reference to guide the data analysis. Themes showed were 'certainty of knowing' about disease-related changes in patients' habits and behaviour and 'uncertainty and ambiguity' in the patho-physiology of advanced diseases and disease progression. This study interprets a lack of patho-physiological knowledge in both malignant and non-malignant diseases leading to delayed diagnosis and timely intervention. Timeliness of observation and intervention are emphasised.

  18. School-based peer-related social competence interventions for children with autism spectrum disorder: a meta-analysis and descriptive review of single case research design studies.

    Science.gov (United States)

    Whalon, Kelly J; Conroy, Maureen A; Martinez, Jose R; Werch, Brittany L

    2015-06-01

    The purpose of this review was to critically examine and summarize the impact of school-based interventions designed to facilitate the peer-related social competence of children with autism spectrum disorder (ASD). Reviewed studies employed a single-case experimental design, targeted peer-related social competence, included children 3-12 years old with an ASD, and took place in school settings. Articles were analyzed descriptively and using the evaluative method to determine study quality. Additionally, effect size estimates were calculated using nonoverlap of all pairs method and Tau-U. A total of 37 studies including 105 children were reviewed. Overall, ES estimates ranged from weak to strong, but on average, the reviewed interventions produced a moderate to strong effect, and quality ratings were generally in the acceptable to high range. Findings suggest that children with ASD can benefit from social skill interventions implemented with peers in school settings.

  19. Developing a Dementia Research Registry: a descriptive case study from North Thames DeNDRoN and the EVIDEM programme

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    Lowery David

    2011-01-01

    Full Text Available Abstract Aim To describe the development of a dementia research registry, outlining the conceptual, practical and ethical challenges, and to report initial experiences of recruiting people with dementia to it from primary and secondary care. Background Women, the oldest old and ethnic minorities have been under-represented in clinical trials in dementia. Such under-representation biases estimates of absolute effect, absolute harm and cost-effectiveness. Research on dementia should include patient populations that more exactly reflect the population at risk. One of the impediments to this is the lack of a suitable tool for identification of patients suitable for studies. Construction & contents A technology development methodology was used to develop a registry of people with dementia and their carers. This involved phases of modelling and prototype creation, 'bench testing' the prototype with experts and then 'field testing' the refined prototype in exemplar sites. The evaluation of the field testing described here is based on a case study methodology. Utility This case study suggests that construction and population of a dementia research registry is feasible, but initial development is complex because of the ethical and organisational difficulties. Recruitment from primary care is particularly costly in terms of staff time and only identifies a very small number of people with dementia who were not already known to specialist services. Recruiting people with dementia through secondary care is a resource intensive process that takes up to six months to complete. Identifying the components of a minimum dataset was easy but its usefulness for pre-screening potential research populations has yet to be established. Acceptance rates are very high in the first clinic to recruit to the registry, but this may reflect the efforts of registry 'champions'. Discussion and Conclusions Easier recruitment may perpetuate potential selection biases and we are

  20. Improved malaria case management in formal private sector through public private partnership in Ethiopia: retrospective descriptive study.

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    Argaw, Mesele D; Woldegiorgis, Asfawesen Gy; Abate, Derebe T; Abebe, Mesfin E

    2016-07-11

    Malaria is a major public health problem and still reported among the 10 top causes of morbidity and mortality in Ethiopia. More than one-third of the people sought treatment from the private health sector. Evaluating adherences of health care providers to standards are paramount importance to determine the quality and the effectiveness of service delivery. Therefore, the aim of this study was to evaluate the contribution of public private mix (PPM) approach in improving quality of malaria case management among formal private providers. A retrospective data analysis was conducted using 2959 facility-months data collected from 110 PPM for malaria care facilities located in Amhara, Dire Dawa, Hareri, Oromia, Southern Nation Nationalities and Peoples and Tigray regions. Data abstraction formats were used to collect and collate the data on quarterly bases. The data were manually cleaned and analysed using Microsoft Office Excel 2010. To claim statistical significance non-parametric McNemar test was done and decision accepted at P private health facilities. Therefore, regional health bureaus and partners shall closely work to scale up the initiated PPM for malaria care service.

  1. Delayed colonic perforation following stent placement for colorectal obstruction: a description of two cases with stent palliation.

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    Jalal Vahedian Ardakani

    2013-10-01

    Full Text Available Bowel stent insertion has a variety of complications one major of which is colonic perforation. The purpose of this article is to reveal two cases with delayed colonic perforation after stent placement to relieve bowel obstruction caused by rectal cancer. The first patient was a 55 year-old man who was a candidate for stent placement to avoid palliative surgery and relieve his bowel obstruction. Although the procedure resulted in complete relief of patient symptoms, but he returned with signs of peritonitis 10 days after the stent placement. A perforation was found at rectosigmoid junction on laparotomy. The second patient was a 60 year-old man who underwent a successful stent placement and returned 3 months later with a complaint of abdominal pain that showed up to be due to a rectal perforation on investigations. In conclusion, bowel perforation following stent placement can be a major complication, so close follow-up is necessary to detect it as soon as possible and prevent it from becoming an irreparable complication.

  2. Scaphocapitate Syndrome With Associated Trans-Scaphoid, Trans-Hamate Perilunate Dislocation: A Case Report and Description of Surgical Fixation.

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    Nunez, Fiesky A; Luo, T David; Jupiter, Jesse B; Nunez, Fiesky A

    2017-03-01

    Background: Perilunate fracture dislocations are often associated with fractures of the distal pole of the scaphoid or the proximal pole of the capitate. However, the combination of perilunate dislocation with multiple carpal fractures and associated scaphocapitate syndrome is very rare. Methods: We report a unique case of scaphocapitate fracture syndrome with perilunate dislocation and fracture of the hamate resulting from a high-energy injury to the wrist during a dirt-bike competition. Results: Open reduction and internal fixation of the scaphoid fracture with a 3.0-mm headless screw, the head of the capitate with a 1.5-mm lag screw, and the hamate fracture with a 1.3-mm lag screw was performed. The lunotriquetral dissociation was reduced, with the ligament repaired and the joint stabilized using a Kirschner wire. All screw heads are carefully buried under the articulate cartilage. Conclusions: Prompt anatomic reduction and stable osteosynthesis of all fractures in this patient resulted in successful healing and return to activity.

  3. Safe intrathecal fluorescein use for identification of cerebrospinal fluid leaks: Case-report and perioperative algorithm description.

    Science.gov (United States)

    Rodríguez-Navarro, M Á; Díaz-Alejo, C; Padilla-Del Rey, M L; Alcaraz, A B; González-Pérez, P; Benítez, M

    2017-11-01

    Intrathecal injection of fluorescein is a method for repairing cerebrospinal fluid fistulas. The most frequent surgical procedure is endonasal endoscopy and the purpose of injecting this dye is to locate the fistula. The anaesthesiologists usually perform the puncture, therefore it is necessary to review this method and to specify some anaesthetic considerations such as correct dosing, safe management protocols and medical-legal aspects. In this case-report we describe the pre, intra and postoperative protocol of action implemented in our department that basically consists of: obtaining a specific consent, prior neurological/ophthalmologic assessment to rule out hypertension and brain damage, use of corticosteroids and previous antihistamines, choosing the correct dose and concentration of intrathecal sodium fluorescein (maximum 1ml at a concentration of 5% diluted in 9ml of cerebrospinal fluid) and close intra and postoperative monitoring. Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. [Postraumatic rupture of diaphragm with projection of the liver into the right pleural cavity--the case description].

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    Jabłoński, Sławomir; Wcisło, Edyta Santorek-strumiłłoszymon; Wawrzycki, Marcin; Misiak, Piotr; Kordiak, Jacek

    2009-05-01

    The proper initial diagnosis of acute diaphragm rupture in patients with multiple blunt trauma can be found difficult. It is the result of non specific clinical picture and dominating signs of injuries of other organs. Delayed diagnosis has a serious impact on worse conditions of diaphragm reconstruction and prognosis. A 53-year-old woman, with a severe abdomen injury after a car accident, is reported with perforation of the alimentary tract in two places (the small bowel and the sigmoid) and respiratory insufficiency caused by the projection of the liver into the thoracic cavity due to a large rupture of the right hemidiaphragm. The patient was initialy treated in another hospital in the intensive care ward where she was operated on three times by laparotomy acces owing to the perforations of the small and large bowels and the following complications. Eventually, she was admitted to our hospital one month after the accident so as to be treated for respiratory insufficiency. We described the difficulties in the treatment of this case in the late period after the injury. Finally the woman was treated with moderate success. Diaphragm laceration was repaired by the right thoracotomy access. In the next stage we performed the reconstruction of the alimentary tract and eliminated iloeostomy and colostomy during the fourth in turn laparotomy. Afterwards the patient in the state of the relative respiratory sufficiency was sent to the original hospital for further treatment.

  5. Canine Bilateral Conjunctivo-Palpebral Dermoid: Description of Two Clinical Cases and Discussion of the Relevance of the Terminology

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    O. Balland

    2015-01-01

    Full Text Available Two young dogs were presented for the evaluation of an abnormally haired appearance of both eyes since adoption. In one dog, the lesions were symmetrical and appeared as disorganized skin tissue located on the cutaneous aspect of the lateral portion of both lower eyelids, and continuing to the palpebral and the bulbar conjunctiva, thus forming continuous lesions. In the other dog, a similar lesion was present in the right eye (OD, but the lesion of the left eye (OS was of discontinuous, disorganized skin tissue located midway on the lower eyelid and on the lateral bulbar conjunctiva. The lesions were surgically removed and routinely processed for histopathological analysis. Definitive diagnosis was conjunctivo-palpebral dermoids for each dog. Dermoids are usually considered to be choristoma (normal tissue in an abnormal location when they are located on the ocular surface (cornea and/or conjunctiva and as hamartoma when located on the palpebral skin. The lesion presentation in these two dogs reveals that names of “choristoma” alone or “hamartoma” alone are not accurate to depict the continuous, composite, conjunctivo-palpebral dermoids. These cases suggest that choristoma and hamartoma might develop subsequently from the same abnormal event during the embryonic development, which means that the lesion location might be the only difference between the two terms.

  6. Gastric Smooth Muscle Hamartomas Mimicking Polyps in a Dog: A Case Description and a Review of the Literature

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    Marian A. Taulescu

    2013-01-01

    Full Text Available This report presents a case of two smooth muscle hamartomas of the stomach in a 10-year-old male Boxer. The clinical history of the animal was of chronic vomiting, weight loss, and intermittent gastric distension, and it died because of chronic and congestive heart failure. Gross, histology, and immunohistochemistry (IHC exams were performed. On necropsy, in the pyloric region of the stomach, two closely related polypoid growths between 10 and 15 mm in diameter were identified. On the cut sections, both polyps presented white to gray color, with homogenous architecture and well-defined limits. The thickness of the submucosal layer was seen to be increased to 1 cm. No other gastric alterations were identified by the necropsy exam. Histologically, both masses growth consisted of hyperplastic glands lined by foveolar epithelium, arranged in a papillary or branching pattern, and supported by a core of well-vascularised and marked smooth muscle tissue interspersed between glands. No dysplastic cells and mitotic figures were observed in these lesions. Immunohistochemistry revealed a strong cytoplasm labelling for smooth muscle actin of the bundles around the mucosal glands. To our knowledge, this is the first report of smooth muscle hamartomas mimicking multiple gastric polyps in dogs.

  7. Analysis and management of implant-prosthetic complications: Description of a diagnostic and therapeutic algorithm with a clinical case.

    Science.gov (United States)

    De Marco, Gennaro; Di Francesco, Fabrizio; Lanza, Alessandro

    2017-08-24

    A 65-year-old non-smoker man with stabilized chronic periodontitis and in good general health conditions presented to our observation. The patient reported crown mobility, gingival inflammation and localized pain, corresponding to the mandibular right first molar rehabilitated with a cement-retained implant crown. This clinical situation suspected a fracture of an implant-prosthetic component. Through the described diagnostic algorithm, an abutment hexagon fracture was revealed. Thus, a minimally invasive treatment was carried out in order to use the residual implant-prosthetic components for a new implant-prosthetic rehabilitation. Fractures of implant-prosthetic components are clinical occurrences that may result in irreversible failures. The main causes of a possible fracture are dependent on biomechanical considerations and production processes of implant-prosthetic components. The respect of the rigorous planning and the employment of the implant-prosthetic devices of the same manufacturer are recommended. Specific employments and protocols have to be offered in order to manage the fractures of implant-prosthetic components. This work showed that through the described diagnostic and therapeutic algorithm, the clinician can be guided towards a proper diagnosis and a correct management of the cases where a fracture of implant-prosthetic components may occur. Copyright © 2017 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

  8. Description of six autochthonous cases of canine visceral leishmaniasis diagnosed in Pedregulho (São Paulo, Brazil

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    Cássia Regina de Abreu

    Full Text Available Visceral leishmaniasis is an infectious disease of chronic, emerging and zoonotic nature that presents various degrees of severity. In Brazil, this illness is caused by Leishmania infantum (Leishmania chagasi, which is transmitted by the bite of the sand fly Lutzomyia longipalpis, and dogs are its main reservoir. Given the increasing spread of this disease across Brazil, the aim of this study was to report on six cases of canine visceral leishmaniasis, diagnosed in June 2013, in the city of Pedregulho, State of São Paulo, considered to be a non-endemic area and free of phlebotomine sand flies. The diagnosis was based on clinical signs of the patients and additional tests (serological and parasitological. It was concluded that the diagnosis of leishmaniasis is complex because the clinical signs are similar to other systemic diseases, thus justifying the importance of parasitological test of bone marrow, considered "gold standard", in the confirmation of the disease. In addition, the area was not, until now, considered risk place, despite notification.

  9. Descriptive Analysis of Right and Left-sided Traumatic Diaphragmatic Injuries; Case Series from a Single Institution

    Science.gov (United States)

    Al-Thani, Hassan; Jabbour, Gaby; El-Menyar, Ayman; Abdelrahman, Husham; Peralta, Ruben; Zarour, Ahmad

    2018-01-01

    Objective: To investigate the presentation, management and outcomes of left and right-sided traumatic diaphragmatic injury (TDI) in a single level I trauma center. Methods: This cross-sectional study was conducted during a 7-year period from 2008 to 2015 in a level I trauma center in Qatar. We included all the patients who presented with TDIs during the study period. Data included demographics, mechanism of injury, associated injuries, initial vitals, emergency department disposition, length of ICU and hospital stay, ventilator days, management, and outcomes. The variables were analyzed and compared for patients with left (LTDI) and right (RTDI). Results: A total of 52 TDI cases (79% LTDI and 21% RTDI) were identified with a mean age of 31±11. LTDI patients were more likely to have higher Injury severity scores (p=0.50) and greater AAST organ injury scoring (p=0.661 for all) than RTDI patients. Surgical repair was performed for 85% LTDI vs. 73% RTDI (p=0.342). Recurrent DIs was reported only in LTDI (5.1% vs. 0.0%; p=0.911). Twelve patients died (9 LTDI and 3 RTDI), of them 5 had associated head injury. Conclusion: This single-institution study confirms that LTDI are more commonly diagnosed than RTDI. Exploratory laparotomy is the most frequent procedure considered for the management of diaphragmatic injuries in the emergency settings. To improve outcomes in patients presenting with TDI, large prospective multicenter studies are needed to standardize the TDI management protocols including the diagnostic workup, timing of surgical intervention, and the most appropriate approach of treatment.  PMID:29379805

  10. A descriptive study of TB cases finding practices in the three largest public general hospitals in Vietnam

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    Nguyen Binh Hoa

    2012-09-01

    Full Text Available Abstract Background A project was implemented in 2010 to improve TB notification and TB screening and diagnostic routines in large general hospitals. The aims of present study was to assess baseline TB screening and diagnostic practices in the three largest general hospitals in Vietnam. Objectives To assess baseline TB screening and diagnostic practices in the three largest general hospitals in Vietnam. Method The study had three elements: 1 Focus group discussions with hospital physicians; 2 review of hospital records and structured interviews of people who had a chest X-ray on any indication; and 3 record reviews and structured interviews of people newly diagnosed with TB. Results The most commonly reported diagnostic pathway for pulmonary TB was chest X-ray followed by sputum-smear microscopy. Among 599 individuals who had a chest X-ray performed, 391 (65.1% had recorded any abnormality, significantly higher in males (73.8% than in females (54.7%, (p  Of 103 consecutive TB cases enrolled in the study, 92 (90% had chest X-ray as the initial test. Sixty-three (61.2% fulfilled the TB suspect criteria based on respiratory symptoms (productive cough >2 weeks. Conclusion Chest X-ray is the preferred first test for TB in the largest hospitals in Vietnam. Chest X-ray is a sensitive screening tool for TB, which should be followed by a confirmatory TB test. While the majority of those with chest X-ray abnormalities are investigated with smear-microscopy, the high sputum-smear positivity ratio among them suggests that sputum-smear microscopy is done mainly for persons with quite clear TB signs or symptoms. TB screening and use of confirmatory diagnostic tests on wider indications seem warranted.

  11. ‘Feeling of despair’ as the leading cluster theme of conceptual descriptive analyses in participatory assessment: Russia Oxfam GB case study

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    Venera Zakirova

    2016-12-01

    Full Text Available This article provides a case study on participatory assessment based on experience gained from an EU–Oxfam GB project entitled “Empowering Municipalities to Effectively Address Poverty” conducted in five small towns in Russia. Participatory assessment through focus group discussions (FGDs was the main approach used in the implementation of the project. A participatory assessment was performed through 25 FGDs in five remote areas in central Russia. More than 200 participants representing people living in poverty, such as single mothers, people with disabilities, families with many children, families with disabled children, and pensioners, voluntarily participated in the meetings. Most of the participants were women (75% aged between 25 and 70 years. We consider that the participants’ representation is relevant in accordance with the official poverty studies. Through identification of patterns of recurrent ideas and opinions, a qualitative method helps us understand social phenomena from the views of and on the basis of the opinions of the participants. The FGDs’ narratives underwent pattern analysis, resulting in the framing of the cluster themes and narrative conceptualization. Cluster analysis of the FGDs’ narratives led to the framing of 10 cluster themes of importance, followed by conceptual descriptions and related narratives. The conceptual description of the leading theme, feeling of despair (theme 1, was described by respondents’ expressions/narratives, such as “Nobody needs us and there is no future for us and our children in this town,” the narrative idea that crosscuts the subsequent themes. The following nine themes are of equal importance, are interlinked, and for the major part constitute the leading theme, feeling of despair (theme 1: state social and family support (theme 2; health care (theme 3; who are those living in poverty? (theme 4; housing (theme 5; living costs (theme 6; employment (theme 7; children

  12. Mucormicosys due to Saksenaea vasiformis in a dog

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    Francisco J. Reynaldi

    2017-06-01

    Full Text Available A 2-year-old female Border collie was examined for dermatitis with a partial alopecic zone around her left front member. Six months later the lesion became swollen, alopecic with ulcerated areas. Microscopy analysis of samples showed numerous non-septate, branching, thin-walled and irregular shaped hyphal elements. Fungal cultures and molecular studies identified Saksenaea vasiformis. Treatments with griseofulvin, itraconazole and surgical debridement were used, however, fourteen months later the dog was euthanatized because of the unfavorable clinical outcome.

  13. kMucormicosys due to Saksenaea vasiformis in a dog.

    Science.gov (United States)

    Reynaldi, Francisco J; Giacoboni, Gabriela; Córdoba, Susana B; Romero, Julián; Reinoso, Enso H; Abrantes, Ruben

    2017-06-01

    A 2-year-old female Border collie was examined for dermatitis with a partial alopecic zone around her left front member. Six months later the lesion became swollen, alopecic with ulcerated areas. Microscopy analysis of samples showed numerous non-septate, branching, thin-walled and irregular shaped hyphal elements. Fungal cultures and molecular studies identified Saksenaea vasiformis. Treatments with griseofulvin, itraconazole and surgical debridement were used, however, fourteen months later the dog was euthanatized because of the unfavorable clinical outcome.

  14. Distinctiveness and Influence of Subjective Norms, Personal Descriptive and Injunctive Norms, and Societal Descriptive and Injunctive Norms on Behavioral Intent: A Case of Two Behaviors Critical to Organ Donation

    Science.gov (United States)

    Park, Hee Sun; Smith, Sandi W.

    2007-01-01

    The effects of the attitudinal, normative, and perceived behavioral control (PBC) components of the theory of planned behavior and personal- and societal-level descriptive and injunctive norms were investigated with regard to their impact on the intent to enroll on a state organ-donor registry and the intent to engage in family discussion about…

  15. Descriptive report on pattern of variation in cancer cases within selected ethnic groups in Kamrup Urban District of Assam, 2009-2011.

    Science.gov (United States)

    Sharma, Jagannath Dev; Kalita, Manoj; Barbhuiya, Jamil Ahmed; Lahon, Ranjan; Sharma, Arpita; Barman, Debanjana; Kataki, Amal Chandra; Roy, Barsha Deka

    2014-01-01

    The global burden of cancer is continuously increasing. According to recent report of the National Cancer Registry Programme (NCRP) on time trends it is estimated that future burden of cancer cases for India in 2020 will be 1,320,928. It is well known that knowledge of the incidence of cancer is a fundamental requirement of rational planning and monitoring of cancer control programs. It would help health planners to formulate public health policy if relevant ethnic groups were considered. North East-India alone contains over 160 Scheduled Tribes and 400 other sub-tribal communities and groups, whose cancer incidence rates are high compared to mainland India. As since no previous study was done focusing on ethnicity, the present investigation was performed. In this paper PBCR-Guwahati data on all cancer registrations from January 2009 to December 2011 for residents of the Kamrup Urban District, comprising an area of 261.8 sq. km with a total population of 900,518, including individual records with information on sex, age, ethnicity and cancer site are provided. Descriptive statistics including age adjusted rates (AARs) were taken as provided by NCRP. For comparison of proportional incidence ratios (PIR) the Student's t test was used, with ppolicy makers to formulate different strategies to control the level of burden as well as for treatment planning. This study also suggests that age is an important factor of cancer among different ethnic populations as well as for overall population of Kamrup District of Assam.

  16. The Olin EILOBI Breathing Techniques: Description and Initial Case Series of Novel Respiratory Retraining Strategies for Athletes with Exercise-Induced Laryngeal Obstruction.

    Science.gov (United States)

    Johnston, Kristina L; Bradford, Hannah; Hodges, Heather; Moore, Camille M; Nauman, Emily; Olin, J Tod

    2017-10-11

    Exercise-induced laryngeal obstruction (EILO), the condition previously known as paradoxical vocal fold motion and vocal cord dysfunction, is characterized by inappropriate glottic or supraglottic obstruction during high-intensity exercise, causing exertional dyspnea, frequently with stridor. EILO is definitively diagnosed through upper-airway visualization during a characteristic episode. Although respiratory retraining is a primary therapy for EILO, many patients report symptom persistence despite adequate performance of traditional techniques. This report describes three novel breathing techniques for EILO, the Olin EILOBI (EILO biphasic inspiratory) breathing techniques. We include a teaching process and case series with patient-reported assessments. Following descriptions of the techniques and teaching process, we present data from a questionnaire offered to all patients who learned at least one of the techniques between September 2015 and March 2017. Subjects evaluated (1) expectation setting, (2) teaching processes, (3) their ability to implement the techniques during high-intensity exercise, and (4) perceived clinical effectiveness. Ninety-five percent of eligible patients participated, a primarily young, female, and Caucasian sample. Over 50% of subjects competed at the high school varsity level. Sixty-two percent of subjects perceived reasonable expectations, and 82% positively evaluated the teaching process. Seventy-nine percent were able to employ their technique in the high-intensity activity of choice, and 66% perceived clinical effectiveness with the techniques. The Olin EILOBI breathing techniques are novel respiratory retraining techniques for use in high-intensity exercise. Case series subjects reported reasonable expectations, a helpful teaching process, the ability to use these techniques during high-intensity exercise, and perceived clinical effectiveness. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  17. [A foci of Schistosomiasis mekongi rediscovered in Northeast Cambodia: cultural perception of the illness; description and clinical observation of 20 severe cases].

    Science.gov (United States)

    Biays, S; Stich, A H; Odermatt, P; Long, C; Yersin, C; Men, C; Saem, C; Lormand, J D

    1999-10-01

    In 1992 a foci of Schistosomiasis mekongi was rediscovered in the province of Kracheh in Northeast Cambodia. Severe clinical signs due to portal hypertension, which were frequently observed in this population, allowed the discovery of this 'forgotten' focus. Elements of the perception of the population and clinical observations of 20 severe cases due to S. mekongi infections are presented. Interviews with patients and villagers of the area of Kracheh showed severe psychosocial impact including fear from death, infirmity and invalidity. The symptoms of schistosomiasis were well known by the population and were reported to have increased in frequency in the last two decades. They have received traditional names and specific traditional treatment. The description of the clinical cases illustrates the severe pathology, which was observed in the hospital of Sambour, in the north of the province of Kracheh. It shows the pathogenic potential of S. mekongi in all age groups (from 7 to 58 years old): cachexia, hepatosplenomegaly, stunting and retardation of puberty, decompensation of portal hypertension with ascites and rupture of oesophagual varicies. The efficacy of the treatment in the severe stages varies. A follow-up after 30 months showed that 5 patients died, 5 initially improved but then relapsed, 3 remained unchanged and only 5 patients clearly improved. Two patients could not be followed-up. The clinical observations and interviews show severe pathology with impact at both individual and community level. The infection with S. mekongi is the main factor but additional concomitant factors are responsible for this fact. At a certain stage of the disease the prognosis for successful treatment is very low. These observations show the importance of the foci in the Province of Kracheh, Cambodia and underline the need for a long-term global intervention.

  18. Descriptive Features of Mesothelioma Cases Diagnosed in a Special Hospital in Ankara and Assessment of Domestic Environmental Exposure to Asbestosis and Erionite: Preliminary Results

    Science.gov (United States)

    Demirkaya, E.; Özden, A.; Aydogdu, K.; Polat, A.; Findik, G.; Agackiran, Y.; Ozaydin, S.; Ozturk, M.; Acikel, C.

    2013-05-01

    Background: Unlike Western countries where asbestosis and erionite exposure is industrial, domestic exposure of these chriystals is common in central and eastern Turkey where they are used as a constrcution material for houses. This life-long exposure to these materials has been showed to be causing endemies of mesothelioma at younger ages in central Turkey. In this study it was aimed to assess the descriptive features of malignant mesothelioma cases and evaluate the domestic exposure of asbestosis and erionite. Method: Data were obtained through retrospective reviewing of the patient files of a pulmonary disease hospital in Ankara. Demographical features such as age, gender, the place of birth, migration and living, age of diagnosis and some clinical features were evaluated. Results: A total of 44 files of patients diagnosed with malignant mesothelioma were screened. The female to male ratio was 19/25. Of the patients 43 (97 %) were born in asbestosis-rich and only one (3 %)was born in erionite-rich region. All of the patients had resided in asbestosis-rich regions where they were born and the places where some of the patients moved were known to be rich for asbestosis as well. The age of diagnosis was between 32 and 78 years and the median age of diagnosis was 54,5 years. Family history of malignancy was negative in 39 patients (88.6%) and was positive in 5 patients (11.4%). History for smoking was 40.9%. The 81.1 % of the patients applied with the complaint of dispnea; 48.8 % with cough and 45.5 % with chest pain. Median time period between the date of disease onset and diagnosis was 91 days. The most rapid diagnosis was made as early as 28 days. Pleural fluid was seen in 95.5 % while pleural thickening was seen in 29,5 % of the patients. Respiratory funcitons were found to be deteriorated in 86.4 %. The histological types of epitheloid and mixt mesothelioma were seen with the percentages of 69 % and 31 % respectively. Conclusion: This was a descriptive study

  19. Acromegaly and gigantism in the medical literature. Case descriptions in the era before and the early years after the initial publication of Pierre Marie

    NARCIS (Netherlands)

    W.W. de Herder (Wouter)

    2009-01-01

    textabstractIn 1886 Pierre Marie used the term "acromegaly" for the first time and gave a full description of the characteristic clinical picture. However several others had already given clear clinical descriptions before him and sometimes had given the disease other names. After 1886, it gradually

  20. The application of bifrontal electrotherapy in patients with a diagnosis of schizophrenia – case series description

    Directory of Open Access Journals (Sweden)

    Karina Nowakowska

    2017-09-01

    Full Text Available Electrotherapy is considered a very effective and safe therapeutic method. Its most frequently described adverse effect is the impairment of cognitive functions. Currently, the most commonly applied form of electrotherapy are bitemporal procedures and the most frequent and best-studied indication for its application are depressive disorders. A method combining high effectiveness with satisfactory safety is the bifrontal application of the electrodes, although study results are often inconsistent. An issue which should also be noted is the lack of studies comparing the effectiveness of bifrontal and bitemporal procedures in the reduction of positive and negative symptoms of schizophrenia and assessing the safety of these methods in terms of the influence on cognitive functions. The present paper presents a clinical description of four patients with schizophrenia who have undergone electrotherapy procedures performed applying the bifrontal method. The decisive indication for applying the bifrontal procedures were the memory disturbances the persistence of which was reported by the patients during the application of bitemporal procedures. The analysed clinical cases indicate the effectiveness of the bifrontal electrotherapy procedures which was comparable with the effectiveness of bitemporal procedures with the simultaneous better toleration of the former. Improvement was observed in terms of paranoid, catatonic and negative schizophrenia symptoms. At the same time the patients reported subjectively better tolerance of the procedures, as well as improvement in the recalling of facts and events.

  1. The evolution of the national licensing system of health care professionals: a qualitative descriptive case study in Lao People's Democratic Republic.

    Science.gov (United States)

    Sonoda, Miwa; Syhavong, Bounkong; Vongsamphanh, Chanphomma; Phoutsavath, Phisith; Inthapanith, Phengdy; Rotem, Arie; Fujita, Noriko

    2017-08-07

    The introduction of a systematic framework for the licensing of health care professions, which is a crucial step in ensuring the quality of human resources for health (HRH), is still evolving in Lao People's Democraic Republic. The aim of this study was to review and document the evolution of Lao HRH policies and the development of its national licensing system. A qualitative descriptive case study methodology was applied to document and describe how Lao People's Democratic Republic laid the foundation for the development of a licensing system. The results demonstrate that Lao People's Democratic Republic is currently in the process of transitioning the focus of its HRH policies from the quantity and deployment of services to remote areas to improvements in the quality of services. The key events in the process of developing the licensing system are as follows: (1) the systematic development of relevant policies and legislation, (2) the establishment of responsible organizations and the assignment of responsible leaders, (3) the acceleration of development efforts in response to the Association of Southeast Asian Nations Mutual Recognition Arrangement for standard qualifications, (4) the strengthening of educational systems for fostering competent health care professionals, (5) the introduction of a 3-year compulsory service component in rural areas for newly recruited government servants, and (6) the introduction of a requirement to obtain a professional health care certificate to work in a private hospital. The Lao Ministry of Health (MOH) has endorsed a specific strategy for licensing to realize this system. The need for licensing systems has increased in recent years due to regional economic integration and a shift in policy toward achieving universal health coverage. A national licensing system would be a significant milestone in health system development, helping to ensure the competency of health care professionals by means of a national examination

  2. Review of Dolichostyrax Aurivillius (Cerambycidae, Lamiinae) in Borneo, with descriptions of three new genera and the first case of (ovo)viviparity in the long-horned beetles

    OpenAIRE

    Gabriš,Radim; Kundrata,Robin; Trnka,Filip

    2016-01-01

    Abstract We reviewed the species of genus Dolichostyrax Aurivillius ( Cerambycidae : Morimopsini ) from Borneo, which included the redescriptions of two species ? Dolichostyrax moultoni Aurivillius, 1911 and Dolichostyrax longipes Aurivillius, 1913, with the first female description for the latter. After the examination of the additional material previously identified as Dolichostyrax , we described three new genera ? Borneostyrax gen. n., Microdolichostyrax gen. n., and Eurystyrax gen. n. Bo...

  3. Implementing a Description Grammar Interpreter : A Notation for Descriptions and Description Rules

    NARCIS (Netherlands)

    Stouffs, R.M.F.

    2015-01-01

    Description grammars represent a formalism for generating verbal descriptions of designs, used in conjunction with shape grammars. A description grammar constitutes a set of description rules that define a language of descriptions. A description grammar interpreter implements the mechanisms to

  4. Zika emergence in the French Territories of America and description of first confirmed cases of Zika virus infection on Martinique, November 2015 to February 2016.

    Science.gov (United States)

    Daudens-Vaysse, Elise; Ledrans, Martine; Gay, Noellie; Ardillon, Vanessa; Cassadou, Sylvie; Najioullah, Fatiha; Leparc-Goffart, Isabelle; Rousset, Dominique; Herrmann, Cécile; Cesaire, Raymond; Maquart, Marianne; Flusin, Olivier; Matheus, Séverine; Huc-Anaïs, Patricia; Jaubert, Josiane; Criquet-Hayot, Anne; Hoen, Bruno; Djossou, Felix; Locatelli-Jouans, Corinne; Blateau, Alain; McKenzie, Anne-Marie; Melin, Mathilde; Saint-Martin, Patrick; Dorléans, Frédérique; Suivant, Claudine; Carvalho, Luisiane; Petit-Sinturel, Marion; Andrieu, Audrey; Noël, Harold; Septfons, Alexandra; Gallay, Anne; Paty, Marie-Claire; Filleul, Laurent; Cabié, André

    2016-07-14

    Following of the emergence of Zika virus in Brazil in 2015, an epidemiological surveillance system was quickly implemented in the French overseas Territories of America (FTA) according to previous experience with dengue and chikungunya and has detected first cases of Zika. General practitioners and medical microbiologists were invited to report all clinically suspected cases of Zika, laboratory investigations were systematically conducted (RT-PCR). On 18 December, the first autochthonous case of Zika virus infection was confirmed by RT-PCR on French Guiana and Martinique, indicating introduction of Zika virus in FTA. The viral circulation of Zika virus was then also confirmed on Guadeloupe and Saint-Martin. We report here early findings on 203 confirmed cases of Zika virus infection identified by RT-PCR or seroneutralisation on Martinique Island between 24 November 2015 and 20 January 2016. All cases were investigated. Common clinical signs were observed (maculopapular rash, arthralgia, fever, myalgia and conjunctival hyperaemia) among these patients, but the rash, the foundation of our case definition, may be absent in a significant proportion of patients (16%). These results are important for the implementation of a suspected case definition, the main tool for epidemiological surveillance, in territories that may be affected by ZIKV emergence, including Europe. This article is copyright of The Authors, 2016.

  5. Small-scale bioenergy initiatives: brief description and preliminary lessons on livelihood impacts from case studies in Asia, Latin America and Afica. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-01-15

    Fifteen case studies from Africa, Asia, and Latin America were undertaken to assess the impacts that different types of local-level bioenergy initiatives can have on rural livelihoods. The report concludes with preliminary lessons and recommendations for further work.

  6. Alopecia induced by tumour necrosis factor-alpha antagonists: description of 52 cases and disproportionality analysis in a nationwide pharmacovigilance database.

    Science.gov (United States)

    Béné, Johana; Moulis, Guillaume; Auffret, Marine; Lefevre, Guillaume; Coquerelle, Pascal; Coupe, Patrick; Péré, Patrice; Gautier, Sophie

    2014-08-01

    The aim of this research was to describe the cases of TNF-α antagonist-related alopecia reported in the French Pharmacovigilance Database (FPVD) and to investigate the association between exposure to TNF-α antagonists and occurrence of alopecia. All spontaneous reports of TNF-α antagonist-related alopecia recorded in the FPVD between January 2000 and April 2012 were colligated and described. We conducted disproportionality analyses (case/non-case method) to assess the link between the occurrence of alopecia and exposure to TNF-α antagonists. Cases were all reports of alopecia and non-cases were all other reports recorded during the study period. Exposure to TNF-α antagonists was sought in cases and in non-cases. Reporting odds ratios (RORs) were calculated to assess the association. Docetaxel was used as positive control and acetaminophen as negative control. We performed sensitivity analyses excluding cases of androgenic alopecia and those occurring in psoriatic patients. Among 282 590 spontaneous reports of adverse drug reactions (ADRs) collated in the FPVD, 1068 cases (alopecia reports) were identified. Of these cases, 52 (4.9%) occurred during exposure to TNF-α antagonists (18 involved infliximab, 17 adalimumab, 15 etanercept and 2 certolizumab). Exposure to TNF-α antagonists was more frequent among alopecia reports than among other ADR reports for all TNF-α antagonists pooled (ROR 3.0, 95% CI 2.3, 4.0) as well as for each antagonist separately, with similar values. Sensitivity analyses yielded similar results. The RORs were 29.9 (95% CI 25.3, 35.5) with docetaxel and 0.3 (95% CI 0.2, 0.4) with acetaminophen. The present study confirms a strong link between TNF-α antagonist exposure (class effect) and the occurrence of alopecia. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: a descriptive study.

    Science.gov (United States)

    Assiri, Abdullah; Al-Tawfiq, Jaffar A; Al-Rabeeah, Abdullah A; Al-Rabiah, Fahad A; Al-Hajjar, Sami; Al-Barrak, Ali; Flemban, Hesham; Al-Nassir, Wafa N; Balkhy, Hanan H; Al-Hakeem, Rafat F; Makhdoom, Hatem Q; Zumla, Alimuddin I; Memish, Ziad A

    2013-09-01

    Middle East respiratory syndrome (MERS) is a new human disease caused by a novel coronavirus (CoV). Clinical data on MERS-CoV infections are scarce. We report epidemiological, demographic, clinical, and laboratory characteristics of 47 cases of MERS-CoV infections, identify knowledge gaps, and define research priorities. We abstracted and analysed epidemiological, demographic, clinical, and laboratory data from confirmed cases of sporadic, household, community, and health-care-associated MERS-CoV infections reported from Saudi Arabia between Sept 1, 2012, and June 15, 2013. Cases were confirmed as having MERS-CoV by real-time RT-PCR. 47 individuals (46 adults, one child) with laboratory-confirmed MERS-CoV disease were identified; 36 (77%) were male (male:female ratio 3·3:1). 28 patients died, a 60% case-fatality rate. The case-fatality rate rose with increasing age. Only two of the 47 cases were previously healthy; most patients (45 [96%]) had underlying comorbid medical disorders, including diabetes (32 [68%]), hypertension (16 [34%]), chronic cardiac disease (13 [28%]), and chronic renal disease (23 [49%]). Common symptoms at presentation were fever (46 [98%]), fever with chills or rigors (41 [87%]), cough (39 [83%]), shortness of breath (34 [72%]), and myalgia (15 [32%]). Gastrointestinal symptoms were also frequent, including diarrhoea (12 [26%]), vomiting (ten [21%]), and abdominal pain (eight [17%]). All patients had abnormal findings on chest radiography, ranging from subtle to extensive unilateral and bilateral abnormalities. Laboratory analyses showed raised concentrations of lactate dehydrogenase (23 [49%]) and aspartate aminotransferase (seven [15%]) and thrombocytopenia (17 [36%]) and lymphopenia (16 [34%]). Disease caused by MERS-CoV presents with a wide range of clinical manifestations and is associated with substantial mortality in admitted patients who have medical comorbidities. Major gaps in our knowledge of the epidemiology, community prevalence

  8. Epileptic seizure propagation from the second somatic sensory area to the fronto-medial region, by insular redistribution. A case report and a connectome description

    Directory of Open Access Journals (Sweden)

    Balogh Attila

    2015-06-01

    Full Text Available Introduction. The seizure propagation phenomenon by inducing remote symptoms brings several difficulties in finding the seizure onset and delineating the epileptic network which should be taken into consideration in epilepsy surgery. By demonstrating a difficult (MRI negative epilepsy surgery case explored with invasive presurgical evaluation we highlight the importance to recognise the secondary sensory area and to explore the the parieto-opercular-insular-medial frontal network in certain cases. A further conclusion is the consideration of the redistributory role of the insula as a special structure in the cerebral connectome, having a role in epileptic network organisation.

  9. School-Based Peer-Related Social Competence Interventions for Children with Autism Spectrum Disorder: A Meta-Analysis and Descriptive Review of Single Case Research Design Studies

    Science.gov (United States)

    Whalon, Kelly J.; Conroy, Maureen A.; Martinez, Jose R.; Werch, Brittany L.

    2015-01-01

    The purpose of this review was to critically examine and summarize the impact of school-based interventions designed to facilitate the peer-related social competence of children with autism spectrum disorder (ASD). Reviewed studies employed a single-case experimental design, targeted peer-related social competence, included children 3-12 years old…

  10. Phlegmonous gastritis: A rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review.

    Science.gov (United States)

    Rada-Palomino, Arantzazu; Muñoz-Duyos, Arantxa; Pérez-Romero, Noelia; Vargas-Pierola, Harold; Puértolas-Rico, Noelia; Ruiz-Campos, Laura; Espinós-Pérez, Jorge; Veloso-Veloso, Enrique

    2014-06-01

    Phlegmonous gastritis is a rare bacterial infection of the gastric wall, which progress rapidly. It is characterized by a purulent inflammation that can affect the entire gastrointestinal tract and presents a high mortality rate. We are reporting a case of phlegmonous gastritis in an HIV-seropositive man successfully treated with antibiotics. Moreover, a review of the English andSpanish literature is carried out, from 1980 to the present time.The most frequently involved microorganism is Streptococcus spp. (57 %), but the polimicrobial infection is also frequent (17 %). The most important symptom is the intensive epigastric pain associated with vomits and most cases were diagnosed by CT and/or fibrogastroscopy. There are many existing risk factors described.The main one is the immunesuppression, although in 40 % of the cases no risk factors were identified. The global mortality is 27 % without identifying significant differences between antibiotics and surgical treatment, for that reason it is recommended to initiate antibiotic treatment right from the beginning and postponing surgery for the refractory cases and complications.

  11. Phlegmonous gastritis: a rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review

    Directory of Open Access Journals (Sweden)

    Arantzazu Rada-Palomino

    2014-06-01

    Full Text Available Phlegmonous gastritis is a rare bacterial infection of the gastric wall, which progress rapidly. It is characterized by a purulent inflammation that can affect the entire gastrointestinal tract and presents a high mortality rate. We are reporting a case of phlegmonous gastritis in an HIV-seropositive man successfully treated with antibiotics. Moreover, a review of the English and Spanish literature is carried out, from 1980 to the present time. The most frequently involved microorganism is Streptococcus spp. (57 %, but the polimicrobial infection is also frequent (17 %. The most important symptom is the intensive epigastric pain associated with vomits and most cases were diagnosed by CT and/or fibrogastroscopy. There are many existing risk factors described. The main one is the immunesuppression, although in 40 % of the cases no risk factors were identified. The global mortality is 27 % without identifying significant differences between antibiotics and surgical treatment, for that reason it is recommended to initiate antibiotic treatment right from the beginning and postponing surgery for the refractory cases and complications.

  12. Isolation of Haemophilus influenzae and Haemophilus parainfluenzae in urethral exudates from men with acute urethritis: a descriptive study of 52 cases.

    Science.gov (United States)

    Deza, Gustavo; Martin-Ezquerra, Gemma; Gómez, Julià; Villar-García, Judit; Supervia, August; Pujol, Ramon M

    2016-02-01

    To describe the clinical characteristics and therapeutic outcomes from male patients diagnosed of Haemophilus spp urethritis. A chart review of patients who presented to our hospital from January 2013 to December 2014 with symptoms of acute urethritis in which Haemophilus spp was isolated in their urethral samples was performed. Haemophilus spp was isolated in 52 out of 413 urethral samples (12.6%) received in our laboratory from patients with symptoms of acute urethritis during the study period. Seven cases corresponded to Haemophilus influenzae and 45 cases to Haemophilus parainfluenzae. The most common clinical presentation was mucopurulent urethral discharge (71%). Eight per cent were HIV-infected patients, and 60% were men who have sex with men. Haemophilus spp was isolated as a single pathogen in 6.8% (28 of 413) of cases. Seventeen per cent of Haemophilus spp were β-lactamase producers. All patients reported having practiced unprotected insertive oral sex the month before consultation, and five of them denied having had another sexual contact apart from this exposure. In all cases in which follow-up was available, empirical treatment achieved a complete clinical resolution. Haemophilus spp was considered a pathogen in at least 6.8% of the patients from the evaluated area. It affected men regardless their sexual orientation or HIV status. Unprotected oral sex could play a role in its transmission. The limitations of the study (small sample size and lack of a representative control group) do not allow to prove the true pathogenic role of Haemophilus spp in acute urethritis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  13. Posterior lumbar interbody fusion with instrumented posterolateral fusion in adult spondylolisthesis: description and association of clinico-surgical variables with prognosis in a series of 36 cases

    Science.gov (United States)

    Gomez-Moreta, Juan A.; Hernandez-Vicente, Javier

    2015-01-01

    Background We present our experience in the treatment of patients with isthmic or degenerative spondylolisthesis, by means of a posterior lumbar interbody fusion (PLIF) and instrumented posterolateral fusion (IPLF), and we compare them with those published in the literature. We analyse whether there exists any statistical association between the clinical characteristics of the patient, radiological characteristics of the disease and our surgical technique, with the complications and the clinical-radiological prognosis of the cases. Method We designed a prospective study. A total of 36 cases were operated. The patients included were 14 men and 22 women, with an average age of 57.17±27.32 years. Our technique consists of PLIF+IPLF, using local bone for the fusion. The clinical results were evaluated with the Visual Analogical Scale (VAS) and the Kirkaldy-Willis criteria. The radiological evaluation followed the Bratingan (PLIF) and Lenke (IPLF) methodology. A total of 42 variables were statistically analysed by means of SPSS18. We used the Paired Student's T-test, logistic regression and Pearson's Chi-square-test. Results The spondylolisthesis was isthmic in 15 cases and degenerative in 21 cases. The postoperative evaluations had excellent or good results in 94.5% (n = 34), with a statistically significant improvement in the back pain and sciatica (p spondylolisthesis, isthmic or degenerative, refractory to conservative treatment, for the obtaining the best clinical results and rates of fusion, with similar risks to those of the other published techniques. Our statistical analysis could contribute to improve outcomes after surgery. PMID:26196029

  14. Description of Causes and Treatment Types Made in Teeth with Biological Space Invasion and/or in Need of Pre-Prosthetic Surgery: Case series

    OpenAIRE

    Machón, Lourdes; Universidad Evangélica de El Salvador; Hernández, Morena; Universidad Evangélica de El Salvador; Espinoza, Manuel Antonio; Universidad Evangélica de El Salvador; Hidalgo de Andrade, Laura Elena; Universidad Evangélica de El Salvador; Andrade Acevedo, Roberto Antonio; Universidad Evangélica de El Salvador

    2010-01-01

    Background: The decision to rehabilitate or extract a tooth is determined by the knowledge of the causes of dental destruction affecting treatment plan and prognosis. Aim: Describe indications, surgical periodontal therapy prior to dental restoration, most affected teeth and age of the patients with invasion of biological space (IBS) and/or pre-prosthetic surgery. Methods: This is a case series report of 162 patients, male and female, who were treated at the predoctoral dental program of Univ...

  15. Application of a classification system and description of a combined manual therapy intervention: a case with low back related leg pain.

    Science.gov (United States)

    Petersen, Shannon M; Scott, Daphne R

    2010-06-01

    Low back pain and leg pain commonly occur together. Multiple factors can cause low back related leg pain; therefore, identification of the source of symptoms is required in order to develop an appropriate intervention program. The patient in this case presented with low back and leg pain. A patho-mechanism based classification is described in combination with the patient's subjective and objective examination findings to guide treatment. The patient's symptoms improved marginally with intervention addressing primarily the musculoskeletal impairments and with intervention addressing primarily the neurodynamic impairments. Full functional improvements were attained with a manual therapy intervention directed at both mechanisms simultaneously. The approach described in this case address a mixed pathology utilizing passive accessory and passive physiological lumbar mobilizations in combination with lower extremity neurodynamic mobilization. The patient reported complete resolution of symptoms after a total of seven visits over a period of 6 weeks. While specific guidelines do not yet exist for treatment based on the classification approach utilized, this case report provides an example of manual therapy to address low back related leg pain of mixed pathology.

  16. A cohort study of equine laminitis in Great Britain 2009-2011: estimation of disease frequency and description of clinical signs in 577 cases.

    Science.gov (United States)

    Wylie, C E; Collins, S N; Verheyen, K L P; Newton, J R

    2013-11-01

    A previous systematic review highlighted a lack of good evidence regarding the frequency of equine laminitis in Great Britain. To estimate the frequency of veterinary-diagnosed active laminitis in the general horse population of Great Britain and to describe the clinical signs present in cases. Prospective cohort study. Data on active episodes of equine laminitis were collected from veterinary practitioners. The prevalence of veterinary-diagnosed active laminitis was 0.47% (95% confidence interval [CI] 0.42-0.52%) for the veterinary-attended population and 0.49% (95% CI 0.43-0.55%) for the veterinary-registered population, suggesting that active episodes of laminitis accounted for nearly one in 200 equine visits and occurred in nearly one in 200 horses registered with veterinary practices. The incidence of veterinary-diagnosed active laminitis was 0.5 cases per 100 horse-years at risk (95% CI 0.44-0.57). Laminitis occurred in all limbs, but most commonly affected the forelimbs bilaterally (53.5%, 95% CI 49.4-57.7%) and was most severe in the front feet. The most common clinical signs were increased digital pulses, difficulty turning and a short, stilted gait at walk. The frequency of veterinary-diagnosed active laminitis was considerably lower than previously published estimates, which is probably due to differences in geographical setting, study period, case definition, study design and study populations. © 2013 EVJ Ltd.

  17. Metastasis of the epididymis and spermatic cord from pancreatic adenocarcinoma: A rare entity. Description of a case and revision of literature.

    Science.gov (United States)

    Di Franco, Carmelo Agostino; Rovereto, Bruno; Porru, Daniele; Zoccarato, Valeria; Regina, Cesare; Cebrelli, Tiziano; Fiorello, Nicolò; Viglio, Alessandra; Galvagno, Lavinia; Marchetti, Carlo; Ringressi, Andrea; Barletta, Davide; Giliberto, Giovanni

    2018-03-31

    Metastatic epididymal and spermatic cord adenocarcinoma from epithelial tumors are a rare condition. The most frequent primary cancers are prostate, lung, kidney, gastrointestinal tumors and breast. In literature, there are very low number of cases reporting metastasis from pancreatic cancer to epididymis and spermatic cord. We report a case of 70-years old man with history of left orchiectomy for undescended testicle, who presented to our department with a palpable nodule in the right scrotum. Scrotal ultrasound revealed an inhomogeneous hypoechoic nodule of epididymis and/or spermatic cord. Neoplastic markers showed high levels of CEA (carcinoembryonic antigen) and bHCG (beta Human Chorionic Gonadotropin). The patient underwent right surgical scrotal exploration with orchifunicolectomy. Pathologic examination revealed pathologic tissue showing rare glandular structures. Immunohistochemistry profile was compatible with malign epithelial neoplasm with glandular differentiation. Total body CT-scan revealed pathologic tissue in pancreas between head and body and a suspect pathologic lesion in liver and 18-FDG PET-scan confirmed the pancreatic neoplastic mass and a suspect secondary hepatic lesion. Biopsy of pancreatic pathologic area was positive for ductal pancreatic adenocarcinoma. The patient was sent to oncologic evaluation and started chemotherapy. Malignancies of epididymis and spermatic cord are rare entities and, in literature, very low number of cases of metastasis from pancreatic carcinoma to epididymis and spermatic cord are described. Early differential diagnosis is fundamental mostly in those patients with age range unusual for testis cancers.

  18. Invasive lobular carcinoma with extracellular mucin production-a novel pattern of lobular carcinomas of the breast. Clinico-pathological description of eight cases.

    Science.gov (United States)

    Cserni, Gábor; Floris, Giuseppe; Koufopoulos, Nektarios; Kovács, Anikó; Nonni, Afroditi; Regitnig, Peter; Stahls, Anders; Varga, Zsuzsanna

    2017-07-01

    Invasive lobular carcinoma of the breast is known to produce intracellular mucin and has been recognized in single-case reports to show extracellular mucin production, as well. This latter morphology is not only rare but must also be under- or misdiagnosed. The aim was to better characterize this entity. Cases of lobular cancers demonstrating extracellular mucin formation were identified in a multi-institutional effort and their clinical and morphologic features were assessed. Immunohistochemistry was used to characterize the E-cadherin-membrane complex, neuroendocrine differentiation, and to some extent, mucin formation. All but one of the eight cases occurred in postmenopausal patients. Extracellular mucin production was present in 5 to 50% of the tumour samples and rarely also appeared in nodal and distant metastases. The tumours were completely E-cadherin negative and showed cytoplasmic p120 positivity. The majority (n = 6/8) was also completely negative for β-catenin, but two tumours displayed focal β-catenin positivity in the mucinous area. MUC1 and MUC2 expression was observed in all and 7/8 tumours, respectively; neuroendocrine differentiation was present in only one. Invasive lobular carcinoma with extracellular mucin formation is a rare morphologic variant of lobular carcinoma prone to be misdiagnosed and warranting further studies.

  19. Impaction grafting in the femur in cementless modular revision total hip arthroplasty: a descriptive outcome analysis of 243 cases with the MRP-TITAN revision implant

    Directory of Open Access Journals (Sweden)

    Wimmer Matthias D

    2013-01-01

    Full Text Available Abstract Background We present a descriptive and retrospective analysis of revision total hip arthroplasties (THA using the MRP-TITAN stem (Peter Brehm, Weisendorf, GER with distal diaphyseal fixation and metaphyseal defect augmentation. Our hypothesis was that the metaphyseal defect augmentation (Impaction Bone Grafting improves the stem survival. Methods We retrospectively analyzed the aggregated and anonymized data of 243 femoral stem revisions. 68 patients with 70 implants (28.8% received an allograft augmentation for metaphyseal defects; 165 patients with 173 implants (71.2% did not, and served as controls. The mean follow-up was 4.4 ± 1.8 years (range, 2.1–9.6 years. There were no significant differences (p > 0.05 between the study and control group regarding age, body mass index (BMI, femoral defects (types I-III as described by Paprosky, and preoperative Harris Hip Score (HHS. Postoperative clinical function was evaluated using the HHS. Postoperative radiologic examination evaluated implant stability, axial implant migration, signs of implant loosening, periprosthetic radiolucencies, as well as bone regeneration and resorption. Results There were comparable rates of intraoperative and postoperative complications in the study and control groups (p > 0.05. Clinical function, expressed as the increase in the postoperative HHS over the preoperative score, showed significantly greater improvement in the group with Impaction Bone Grafting (35.6 ± 14.3 vs. 30.8 ± 15.8; p ≤ 0.05. The study group showed better outcome especially for larger defects (types II C and III as described by Paprosky and stem diameters ≥ 17 mm. The two groups did not show significant differences in the rate of aseptic loosening (1.4% vs. 2.9% and the rate of revisions (8.6% vs. 11%. The Kaplan-Meier survival for the MRP-TITAN stem in both groups together was 93.8% after 8.8 years. [Study group 95.7% after 8.54 years ; control group 93

  20. Olkiluoto site description 2004

    International Nuclear Information System (INIS)

    2005-05-01

    This Olkiluoto Site Description 2004 is a description of the Olkiluoto site, in which the various disciplines have been integrated to produce a coherent picture, and is based on the data available prior to the start of the underground excavation of the ONKALO facility. This report is the first version of such a Site Report and supplements the site syntheses that have already been published. Further Site Reports will be produced on a regular basis and it is planned that the Site Report should form the geoscientific basis of the Safety Case in a future licence application. The report updates the Baseline report published in 2003 and is designed to produce an integrated site model, by focusing on interdisciplinary interactions, and also by including new data obtained during 2003 and 2004. The report has been produced by the OMTF (Olkiluoto Modelling Task Force), which covers the areas of geology, rock mechanics, hydrogeology and hydrogeochemistry. In addition to discussing the input from these four disciplines, the Site Report also includes a description of the surface conditions. Formally, the surface conditions are not within the remit of the OMTF, which is concentrating on modelling the bedrock around the ONKALO and the future repository. The influence of the surface conditions to the overall system and to the conditions at depth is recognised, however, and thus a summary of climate, ecosystems and overburden properties is also included in this report. Chapter 1 sets out the methodology to be used in the modelling, describes the various discipline-specific models which are developed and the modelled areas which are used, and also describes two important processes - the prediction/outcome studies and the uncertainty and confidence assessment. The difference between the estimate (the prediction) and the result (the outcome) indicates the level of knowledge and the prevailing uncertainties in the models. Chapter 2 presents the applied investigation data, which are

  1. Quantifying the need for enhanced case management for TB patients as part of TB cohort audit in the North West of England: a descriptive study.

    Science.gov (United States)

    Tucker, Angela; Mithoo, Jeniffer; Cleary, Paul; Woodhead, Mark; MacPherson, Peter; Wingfield, Tom; Davies, Stefanie; Wake, Carolyn; McMaster, Paddy; Bertel Squire, S

    2017-11-15

    Patients with TB have diverse and often challenging clinical and social needs that may hamper successful treatment outcomes. Understanding the need for additional support during treatment (enhanced case management, or ECM) is important for workforce capacity planning. North West England TB Cohort Audit (TBCA) has introduced a 4-level ECM classification system (ECM 0-3) to quantify the need for ECM in the region. This study describes the data from the first 2 years of ECM classification. Data collected between April 2013 and July 2015 were used to analyse the proportions of patients allocated to each ECM level and the prevalence of social and clinical factors indicating need for ECM. Single variable and multivariable logistic regression models were constructed to examine the association between ECM level and treatment outcome. Of 1714 notified cases 99.8% were assigned an ECM level: 31% ECM1, 19% ECM2 and 14% ECM3. The most common factors indicating need for ECM were language barriers (20.3%) and clinical complexity (16.9%). 1342/1493 (89.9%) of drug-sensitive, non-CNS cases completed treatment within 12 months. Patients in ECM2 and 3 were less likely to complete treatment at 12 months than patients in ECM0 (adjusted OR 0.47 [95% CI 0.27-0.84] and 0.23 [0.13-0.41] respectively). Use of TBCA to quantify different levels of need for ECM is feasible and has demonstrated that social and clinical complexity is common in the region. Results will inform regional workforce planning and assist development of innovative methods to improve treatment outcomes in these vulnerable groups.

  2. Review of idiopathic eosinophilic meningitis in dogs and cats, with a detailed description of two recent cases in dogs : review and clinical communication

    Directory of Open Access Journals (Sweden)

    J.H. Williams

    2008-05-01

    Full Text Available Eosinophilic meningoencephalitis (EME has been described in various species of animals and in humans. In dogs it has been associated with protozoal infections, cuterebral myiasis and various other aetiologies. Ten cases of idiopathic eosinophilic meningoencephalitis have been reported in dogs and one in a cat where the origin was uncertain or unknown. The dogs were all males, of various breeds but with a predominance of Golden Retrievers and Rottweilers; they generally had a young age of onset. Two cases with no apparent underlying aetiology were diagnosed on post mortem examination. The 18-month-old, male Boerboel presented with sudden onset of cerebellar ataxia, as well as various asymmetrical cranial nerve deficits of 2 weeks' duration and without progression. Haematology revealed a peripheral eosinophilia. Necropsy showed extreme generalised congestion especially of the meninges and blood smear and histological sections of various tissues showed intravascular erythrocyte fragmentation with the formation of microcytes. Histopathology revealed severe diffuse cerebrocortical subarachnoidal meningitis and submeningeal encephalitis, the exudate containing variable numbers of eosinophils together with neutrophils and mononuclear cells. There was also deeper white matter and hippocampal multifocal perivascular mononuclear encephalitis and multifocal periventricular malacia, gliosis and phagocytosis of white matter. The cerebellum, brain stem and spinal cord showed only mild multifocal oedema or scattered occasional axon and myelin degeneration respectively, with no inflammation. Immunohistochemical staining of central nervous tissue for Toxoplasma gondii failed to show any antigen in the central nervous tissue. Ultrastructure of a single submeningeal suspected parasitic cyst showed it to be chromatin clumping within a neuron nucleus indicating karyorrhexis. Gram stain provided no evidence of an aetiological agent. The 3-year-old Beagle bitch had a

  3. Efficacy of a multimodal rehabilitation program in a dental hygienist with upper quadrant disorders. Description of a case report with one-year follow-up.

    Science.gov (United States)

    Ferrari, S; Monticone, M

    2009-01-01

    Many musculoskeletal disorders are work-related. For the success of treatment, it is essential to promptly recognize these cases and introduce a specific intervention able to act on the causes. In Literature many activities predisposing workers to incorrect posture and long maintained attitudes are highlighted. The professionals involved in dental hygiene are among these. For these patients it is not sufficient to just reduce pain, but it is necessary to have a broader approach to rehabilitation, which can also act on neuromuscular imbalances induced by work. The article describes the case of a dental hygienist with upper quadrant disorders treated by physiotherapy and education. Particular importance during treatment was given to postural re-education. The treatment lasted two months (8 sessions, 1 session per week). The outcomes introduced were Visual Analogue Scale, VAS (70/100 at the beginning and 0/100 at the end of treatment) and Neck Pain and Disability Scale, NPDS (62.5/100 at the beginning and 3/100 at the end of treatment); at 12-month follow-up, VAS was 10/100 and NPDS was 19/100. A multimodal rehabilitation, with emphasis to musculoskeletal imbalance correction, proved to be useful in a patient who maintained prolonged flexion and rotation of the spine, front shoulder closure, and arm suspension due to occupational daily activities. The improvements lasted over time.

  4. Expanding the phenotype of alopecia-contractures-dwarfism mental retardation syndrome (ACD syndrome): description of an additional case and review of the literature.

    Science.gov (United States)

    Schell-Apacik, Chayim; Hardt, Michael; Ertl-Wagner, Birgit; Klopocki, Eva; Möhrenschlager, Matthias; Heinrich, Uwe; von Voss, Hubertus

    2008-09-01

    Alopecia-contractures-dwarfism mental retardation syndrome (ACD syndrome; OMIM 203550) is a very rare genetic disorder with distinct features. To our knowledge, there have been four cases documented to date. In addition, another three patients, previously described as having IFAP syndrome (OMIM %308205), may also have ACD syndrome. We report on one patient with short stature, total alopecia, ichthyosis, photophobia, seizures, ectrodactyly, vertebral anomalies, scoliosis, multiple contractures, mental retardation, and striking facial and other features (e.g. microdolichocephaly, missing eyebrows and eyelashes, long nose, large ears) consistent with ACD syndrome. Results of laboratory testing in the literature case reports were normal, although in none of them, array-CGH (microarray-based comparative genomic hybridization) analysis was performed. In conclusion, the combination of specific features, including total alopecia, ichthyosis, mental retardation, and skeletal anomalies are suggestive of ACD syndrome. We propose that children with this syndrome undergo a certain social pediatric protocol including EEG diagnostics, ophthalmological investigation, psychological testing, management of dermatologic and orthopedic problems, and genetic counseling.

  5. Primitive neuroectodermal tumour of kidney with thrombosis of the inferior vena cava and good responsive to surgical and medical treatment: description of a case and revision of literature.

    Science.gov (United States)

    Giliberto, Giovanni L; Di Franco, Carmelo A; Rovereto, Bruno

    2017-03-15

    Primitive neuroectodermal tumour (PNET) of kidney is a rare cancer typical of young adults with few cases described in the literature. We report a case of renal PNET in a 31-year-old man who presented to our department with a computed tomographic (CT)-scan revealing a large renal mass of 20 cm, massive thrombosis of the inferior vena cava (IVC). The patient underwent radical nephrectomy with contextual retroperitoneal lymphadenectomy and resection of IVC needing Dacron prosthesis substitution. Definitive histopathological examination showed PNET of kidney infiltrating ipsilateral adrenal gland, massive cava thrombosis with infiltration of vena cava wall and one lymph nodal metastasis. Postoperative PET-scan showed metastatic lesions in bilateral adrenal glands and pancreas. The patient received chemotherapy, and currently, he is in follow-up after 26 months from first diagnosis without any sign of recurrence of disease. Kidney PNET usually is associated with poor prognosis, so, it needs an early identification and differentiation from other similar small cells tumours in order to obtain a good response to the treatments.

  6. Oral infection by Staphylococcus aureus in patients affected by White Sponge Nevus: a description of two cases occurred in the same family.

    Science.gov (United States)

    Marrelli, Massimo; Tatullo, Marco; Dipalma, Gianna; Inchingolo, Francesco

    2012-01-01

    White Sponge Nevus (WSN) is a rare pathology with a pathogenesis on genetic basis, a benign course and a localization affecting the mucosal keratin.WSN is usually a symptomless pathology: when pain is present, some authors reported reduction of symptoms by taking penicillin or oral tetracycline rinses, suggesting that a bacterial overinfection could be at the base of possible painful symptoms. We describe 2 patients affected by WSN, father and son: they presented two different oral diseases associated with an infection by Staphylococcus aureus. So, we have performed a careful oral hygiene to reduce infection in the oral cavity. In the following days we prescribed 2 rinses a day with a mouthwash containing chlorhexidine digluconate at two different percentages. Early diagnosis of this lesion is important, because it allows us to exclude other more serious diseases. In the most part of cases, WSN requires no treatment because of its benign and asymptomatic behaviour: up to now, no protocol of treatment for this condition was standardized. Even if WSN is a painless condition, sometime a correlated painful symptomatology was reported. In our experience, we have achieved excellent results even with chlorhexidine digluconate rinses, considering that our treated cases were both infected by Staphylococcus aureus. We hypothesize that the corrugated plaques and the altered texture of the mucosa create the right conditions for the colonization and the development of microbial species such as saprophytic bacteria or fungal species.

  7. Iatrogenic Cushing's syndrome in HIV-infected patients receiving ritonavir and inhaled fluticasone: description of 4 new cases and review of the literature.

    Science.gov (United States)

    Valin, Nadia; De Castro, Nathalie; Garrait, Valerie; Bergeron, Anne; Bouche, Clara; Molina, Jean Michel

    2009-01-01

    Protease inhibitors boosted with ritonavir can lead to drug-drug interactions, particularly with inhaled corticosteroids such as fluticasone, because of the potent inhibition of cytochrome P450-3A4 activity. We report 4 cases of iatrogenic Cushing's syndrome after concomitant administration of inhaled fluticasone and antiretroviral therapy including a protease inhibitor boosted with ritonavir. Although typical manifestations were present, diagnosis of Cushing's syndrome was delayed because the patients were suspected to have antiretroviral therapy-associated lipodystrophy, which shares common clinical features with Cushing's syndrome. Biochemical tests confirmed iatrogenic Cushing's syndrome and clinical symptoms resolved after stopping ritonavir or fluticasone. The differences between the clinical symptoms of Cushing's syndrome and lipodystrophy are discussed as well as their frequency in the cases reported in the literature. The recommendation that concomitant administration of inhaled or intranasal fluticasone and ritonavir be prohibited must be implemented among practitioners who treat HIV-infected patients, and if long-term inhaled steroids are required, other drugs should be preferred.

  8. Effects and mechanisms of an allied health research position in a Queensland regional and rural health service: a descriptive case study.

    Science.gov (United States)

    Wenke, Rachel J; Tynan, Anna; Scott, Annette; Mickan, Sharon

    2017-10-30

    The aim of the present case study is to illustrate the outcomes of a dedicated allied health (AH) research position within a large Queensland regional and rural health service. The secondary aim of the case study is to describe the enabling and hindering mechanisms to the success of the role. Semistructured interviews were conducted with the Executive Director of Allied Health and the current AH research fellow incumbent within the health service. A focus group was also undertaken with six stakeholders (e.g. clinicians, team leaders) who had engaged with the research position. Outcomes of the AH research fellow included clinical and service improvements, enhanced research culture and staff up-skilling, development of research infrastructure and the formation of strategic research collaborations. Despite being a sole position in a geographically expansive health service with constrained resources, key enabling mechanisms to the success of the role were identified, including strong advocacy and regular communication with the Executive. In conclusion, the case study highlights the potential value of an AH research position in building research capacity within a large non-metropolitan health service. Factors to facilitate ongoing success could include additional research and administrative funding, as well as increased use of technology and team-based research. What is known about the topic? Dedicated research positions embedded within health care settings are a well cited strategy to increase research capacity building of allied health professionals (AHPs). However the majority of these positions are within metropolitan health settings and unique challenges exist for these roles in regional and rural areas. Few studies have described the impact of dedicated AH research positions within regional health centres or the factors which facilitate or hinder their role. What does this paper add? Dedicated research positions within a non-metropolitan Australian health service

  9. Improving knowledge and behaviours related to the cause, transmission and prevention of Tuberculosis and early case detection: a descriptive study of community led Tuberculosis program in Flores, Indonesia

    Directory of Open Access Journals (Sweden)

    Christa Dewi

    2016-08-01

    Full Text Available Abstract Background The community’s awareness of Tuberculosis (TB and delays in health care seeking remain important issues in Indonesia despite the extensive efforts of community-based TB programs delivered by a non-government organisation (NGO. This study explored the knowledge and behaviours in relation to TB and early diagnosis before and after an asset-based intervention designed to improve these issues. Methods Six villages in Flores, Indonesia were purposively selected to participate in this study. Three villages served as intervention villages and the other three villages provided a comparison group. Data collection included interviews, group discussions, observations, field notes and audit of records. Results In total, 50 participants across six villages were interviewed and three group discussions were conducted in the intervention villages supplemented by 1 – 5 h of observation during monthly visits. Overall, participants in all villages had limited knowledge regarding the cause and transmission of TB before the intervention. The delay in health seeking behaviour was mainly influenced by ignorance of TB symptoms. Health care providers also contributed to delayed diagnosis by ignoring the symptoms of TB suspects at the first visit and failing to examine TB suspects with sputum tests. Stigmatisation of TB patients by the community was reported, although this did not seem to be common. Early case detection was less than 50 % in four of the six villages before the asset-based intervention. Knowledge of TB improved after the intervention in the intervention villages alongside improved education activities. Early case detection also increased in the intervention villages following this intervention. The behaviour changes related to prevention of TB were also obvious in the intervention villages but not the comparison group. Conclusion This small project demonstrated that an asset-based intervention can result in positive changes in

  10. The IAEA Coordinated Research Program on HTGR Reactor Physics, Thermal-hydraulics and Depletion Uncertainty Analysis: Description of the Benchmark Test Cases and Phases

    Energy Technology Data Exchange (ETDEWEB)

    Frederik Reitsma; Gerhard Strydom; Bismark Tyobeka; Kostadin Ivanov

    2012-10-01

    The continued development of High Temperature Gas Cooled Reactors (HTGRs) requires verification of design and safety features with reliable high fidelity physics models and robust, efficient, and accurate codes. The uncertainties in the HTR analysis tools are today typically assessed with sensitivity analysis and then a few important input uncertainties (typically based on a PIRT process) are varied in the analysis to find a spread in the parameter of importance. However, one wish to apply a more fundamental approach to determine the predictive capability and accuracies of coupled neutronics/thermal-hydraulics and depletion simulations used for reactor design and safety assessment. Today there is a broader acceptance of the use of uncertainty analysis even in safety studies and it has been accepted by regulators in some cases to replace the traditional conservative analysis. Finally, there is also a renewed focus in supplying reliable covariance data (nuclear data uncertainties) that can then be used in uncertainty methods. Uncertainty and sensitivity studies are therefore becoming an essential component of any significant effort in data and simulation improvement. In order to address uncertainty in analysis and methods in the HTGR community the IAEA launched a Coordinated Research Project (CRP) on the HTGR Uncertainty Analysis in Modelling early in 2012. The project is built on the experience of the OECD/NEA Light Water Reactor (LWR) Uncertainty Analysis in Best-Estimate Modelling (UAM) benchmark activity, but focuses specifically on the peculiarities of HTGR designs and its simulation requirements. Two benchmark problems were defined with the prismatic type design represented by the MHTGR-350 design from General Atomics (GA) while a 250 MW modular pebble bed design, similar to the INET (China) and indirect-cycle PBMR (South Africa) designs are also included. In the paper more detail on the benchmark cases, the different specific phases and tasks and the latest

  11. [Monoclonal immunoglobulin (M-Ig) and skin diseases from the group of mucinoses--scleredema adultorum Buschke and scleromyxedema. Description of four cases and an overview of therapies].

    Science.gov (United States)

    Adam, Zdeněk; Szturz, Petr; Krejčí, Marta; Vašků, Vladimír; Pour, Luděk; Michalková, Eva; Ševčíková, Sabina; Čermáková, Zdeňka; Veselý, Karel; Vaníček, Jíří; Pourová, Eva; Král, Zdeněk; Mayer, Jiří

    2015-12-01

    The mucinoses of the type of scleredema and scleromyxedema are diseases marked by excessive production of mucin deposits in the skin and subcutaneous tissue, which causes skin hardening. The skin and subcutaneous deposits hamper the movement of limbs, the thorax as well as mouth. The same mechanism also damages other organs (the heart, lungs, oesophagus). It is probably caused by the stimulation of mucin production in fibroblasts by immunoglobulins, frequently monoclonal immunoglobulin. Therefore these diseases are typically associated with monoclonal gammopathy. We describe a cohort of 4 patients, skin manifestations were twice identified as scleredema and twice as scleromyxedema. All the four patients had type IgG monoclonal immunoglobulin and had clonal plasma cells in the bone marrow proven by histologic examination and flow cytometry. Therefore we commenced chemotherapy in all of them. In one case this chemotherapy was ended by a high-dose chemotherapy with transplanting of autologous red blood cells. This therapy attained the complete disappearance of monoclonal immunoglobulin as well as cutaneous and extracutaneous manifestations of scleredema (obstipation). In one case chemotherapy led to partial hematologic remission and partial improvement of skin manifestations. The other two patients did not respond to standard chemotherapy. The condition of one of them resulted in dermato-neuro syndrome (confusion, somnolence passing into coma and grand mal seizure) and improved following an intensive treatment including also intravenous application of immunoglobulins in a dose of 2 g/per 1 kg weight. This patient has now been under long-term treatment with these immunoglobulins, during which the skin symptoms have significantly diminished, but the concentration of monoclonal immunoglobulin has not changed. The fourth patient not responding to standard chemotherapy was treated with intravenous immunoglobulins also in a dose of 2 g/per 1 kg of weight 1× in a month

  12. DESCRIPTION OF MALARIA CARD UTILIZE AS EFFORT TO CONTROL OF MALARIA VIVAX THERAPHY (CASE STUDY IN WANADADI I AND BANJARMANGU I PUBLIC HEALTH CENTER, BANJARNEGARA DISTRICT

    Directory of Open Access Journals (Sweden)

    Agung Puja Kesuma

    2014-08-01

    Full Text Available ABSTRAKKabupaten Banjarnegara merupakan salah satu daerah endemis malaria di Provinsi Jawa Tengah. Pengobatan berperandalam mencegah terjadinya penularan malaria. Kartu penderita malaria merupakan salah satu alat instrumen untukmemantau pelaksanaan follow up pengobatan. Pemanfaatan kartu penderita malaria di Kabupaten Banjarnegara dimulaisekitar tahun 1999. Tidak semua puskesmas di Kabupaten Banjarnegara memanfaatkan kartu penderita malaria. Tujuanpenelitian untuk mendeskripsikan manfaat kartu penderita malaria dalam pemantauan pengobatan malaria vivax.Penelitian ini merupakan penelitian observasional dengan pendekatan studi kasus, pengumpulan data dengan wawancaramendalam dan observasi kartu penderita malaria. Penelitian dilaksanakan di Puskesmas Wanadadi I dan Banjarmangu Ipada Bulan April-Mei 2012. Hasil penelitian menunjukkan di Puskesmas Wanadadi I terdapat 60 kartu penderita malaria(80% yang diisi oleh JMD dan hanya 23 kartu (38,3% yang diisi lengkap. Di Puskesmas Banjarmangu I tidak ada kartupenderita malaria yang diisi. Follow up pengobatan tepat waktu paling banyak (82% pada follow up IV. Penderita yangdifollow up secara lengkap (lima kali sebanyak 18 penderita (30%. Penggunaan kartu penderita malaria di PuskesmasWanadadi I dan Banjarmangu I belum dimanfaatkan dengan baik.Kata kunci: malaria vivax, kartu penderita malaria, pengobatanABSTRACTBanjarnegara district is a malaria endemic areas in Central Java Province. Therapy role to prevent malaria transmission.Malaria card is one of instrument for monitoring the implementation of therapy follow up. The used of malaria card inBanjarnegara District begins around 1999. Not all public health center in Banjarnegara District used malaria card. The aimof this research was to describe benefit of malaria card to control of malaria vivax theraphy. This research was observasionalwith case study approach, information collected by indepth interview and observation of malaria card. This study

  13. The Passive microwave Neural network Precipitation Retrieval (PNPR) algorithm for AMSU/MHS observations: description and application to European case studies

    Science.gov (United States)

    Sanò, P.; Panegrossi, G.; Casella, D.; Di Paola, F.; Milani, L.; Mugnai, A.; Petracca, M.; Dietrich, S.

    2015-02-01

    The purpose of this study is to describe a new algorithm based on a neural network approach (Passive microwave Neural network Precipitation Retrieval - PNPR) for precipitation rate estimation from AMSU/MHS observations, and to provide examples of its performance for specific case studies over the European/Mediterranean area. The algorithm optimally exploits the different characteristics of Advanced Microwave Sounding Unit-A (AMSU-A) and the Microwave Humidity Sounder (MHS) channels, and their combinations, including the brightness temperature (TB) differences of the 183.31 channels, with the goal of having a single neural network for different types of background surfaces (vegetated land, snow-covered surface, coast and ocean). The training of the neural network is based on the use of a cloud-radiation database, built from cloud-resolving model simulations coupled to a radiative transfer model, representative of the European and Mediterranean Basin precipitation climatology. The algorithm provides also the phase of the precipitation and a pixel-based confidence index for the evaluation of the reliability of the retrieval. Applied to different weather conditions in Europe, the algorithm shows good performance both in the identification of precipitation areas and in the retrieval of precipitation, which is particularly valuable over the extremely variable environmental and meteorological conditions of the region. The PNPR is particularly efficient in (1) screening and retrieval of precipitation over different background surfaces; (2) identification and retrieval of heavy rain for convective events; and (3) identification of precipitation over a cold/iced background, with increased uncertainties affecting light precipitation. In this paper, examples of good agreement of precipitation pattern and intensity with ground-based data (radar and rain gauges) are provided for four different case studies. The algorithm has been developed in order to be easily tailored to new

  14. MUST ONCOLOGICAL PRINCIPLES BE IN THE SURGERY OF MENINGIOMAS? EN BLOC REMOVAL OF GIANT RIGHT FRONTAL MENINGIOMA WITH EXTRACRANIAL SPREAD. DESCRIPTION OF A CLINICAL CASE

    Directory of Open Access Journals (Sweden)

    V. B. Karakhan

    2014-01-01

    Full Text Available The use of the oncological principle – en bloc ablastic tumor resection – can expect a breakthrough in the treatment of baseline unfavorable patient groups. In the described case of atypical meningioma, its en bloc resection presents significant technical difficulties when accomplishing the task associated with the giant sizes of a tumor as an iceberg growing outside and into the cranial cavity, its rich vascularization from both the internal and external carotid artery system, with the involvement of the superior sagittal sinus, the presence of a dense bone crown that combines the three-component construction of a neoplasm, which made difficult safe mobilization and scanning in the cranial cavity.In such topographic variants, the criteria for the Simpson radical meningioma resection are inapplicable and only en bloc tumor resection may reflect the oncological principles of surgery. The technologies of en bloc resection of intracranial meningiomas should be more frequently used because preoperative neurovisualization and even histological diagnosis does not always allow the grade of meningiomas to be specified.

  15. Multidisciplinary management of non small cell lung cancer (NSCLC in stage III: clinical case description. Recommendations and state of the art

    Directory of Open Access Journals (Sweden)

    Simona Carnio

    2013-03-01

    Full Text Available Lung cancer is the leading cause of cancer death in industrialized countries with progressive increase of its mortality rate. Non Small Cell Lung Cancer (NSCLC is approximately 80-85% of all lung cancers, being adenocarcinoma and squamous cell carcinoma the most common histologies. The majority of the patients with stage III clinical stage, presents a mediastinal lymph node involvement described with computed tomography (TC and/or positron emission tomography (PET. The current approach to patients with NSCLC is multidisciplinary, especially for those staged as potentially operable, both for staging and for a correct definition of best treatment strategy. Updated international and national Guidelines and recommendations can provide valuable support to the clinician.The case described concerns the accidental detection of a tumour in the lung in a 58-year-old man with arterial hypertension controlled with ACE inhibitors. The treatments agreed after a multidisciplinary approach are cisplatin and docetaxel, the surgical resection, and the radiotherapy. After three months the patient has neither metastasis nor relapse.

  16. 17q21.31 microdeletion syndrome: Description of a case further contributing to the delineation of Koolen-de Vries syndrome.

    Science.gov (United States)

    Bernardo, Pia; Madia, Francesca; Santulli, Lia; Del Gaudio, Luigi; Caccavale, Carmela; Zara, Federico; Traverso, Monica; Cirillo, Mario; Striano, Salvatore; Coppola, Antonietta

    2016-08-01

    The widespread use of Array Comparative Genomic Hybridization (aCGH) technology has enabled the identification of several syndromes associated with copy number variants (CNVs) including the 17q21.31 microdeletion. The 17q21.31 microdeletion syndrome, also known as Koolen-de Vries syndrome, was first described in 2006 in individuals with intellectual disabilities and organ abnormalities. We report the clinical, instrumental, cytogenetic and molecular investigations of a boy admitted for epilepsy and intellectual disabilities. We carried out detailed analysis of the clinical phenotype of this patient and investigated the genetic basis by using aCGH. We identified a de novo microdeletion on chromosome 17q21.31, compatible with Koolen-de Vries syndrome. Our case shares some of the typical characteristics of the syndrome already described by other authors: delayed psychomotor development, primarily affecting the expressive language, dysmorphic facial features, and epilepsy. However the clinical outcome was not severe as the intellectual disabilities were moderate with good adaptive and functional behaviour. Epilepsy was easily controlled by a single drug, and he never needed surgery for organ abnormalities. Copyright © 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  17. Analytical Criticalities Associated to Different Immunological Methods for Serum Free Light Chain Detection in Plasma Cell Dyscrasias: A Description of Particular Clinical Cases

    Directory of Open Access Journals (Sweden)

    Rocco Sabatino

    2017-04-01

    Full Text Available Current criteria for differential diagnosis of multiple myeloma (MM, Monoclonal gammopathy of undetermined significance (MGUS, and smoldering multiple myeloma (SMM are included in the 2003 guidelines by the International Myeloma Working Group (IMWG. An updated version was then published in 2014, highlighting the importance of serum free light chain (sFLC detection, as well as the κ/λ ratio as excellent indicators of clonality. At present, two commercial assays for sFLC quantification are available: the Freelite™ assay and the N-Latex assay. The first was developed by The Binding Site based on a mixture of polyclonal antibodies directed against a variety of FLC epitopes. It may be run on a wide range of nephelometers, as well as on turbidimeters. The second method was developed by Siemens and runs exclusively on Siemens instruments. It employs a probe mixture of mouse monoclonal antibodies. The aim of our study was to evaluate sFLC measurement and calculated κ/λ ratio in 85 patients with monoclonal gammopathies (MGs in order to compare methods. We demonstrated that there is only a moderate concordance between the two FLC assays. In particular, in one case, we observed no qualitative alterations of the serum protein pattern, and in the absence of a Freelite™ assay, sFLC measurement would not have been possible to highlight the increase of λ FLC.

  18. Description logics of context

    CSIR Research Space (South Africa)

    Klarman, S

    2013-05-01

    Full Text Available We introduce Description Logics of Context (DLCs) - an extension of Description Logics (DLs) for context-based reasoning. Our approach descends from J. McCarthy's tradition of treating contexts as formal objects over which one can quantify...

  19. Physics 3204. Course Description.

    Science.gov (United States)

    Newfoundland and Labrador Dept. of Education.

    A description of the physics 3204 course in Newfoundland and Labrador is provided. The description includes: (1) statement of purpose, including general objectives of science education; (2) a list of six course objectives; (3) course content for units on sound, light, optical instruments, electrostatics, current electricity, Michael Faraday and…

  20. Descriptive set theory

    CERN Document Server

    Moschovakis, YN

    1987-01-01

    Now available in paperback, this monograph is a self-contained exposition of the main results and methods of descriptive set theory. It develops all the necessary background material from logic and recursion theory, and treats both classical descriptive set theory and the effective theory developed by logicians.

  1. [Description of a particular case of the so-called Schmincke lymphoepithelioma and study of the correlation with Epstein-Barr virus].

    Science.gov (United States)

    Torre, V; Cavallari, V; Bucolo, S; Abbate, G; Romano, G; Fera, G; Galletti, B

    2000-10-01

    host's reaction to the tumor cells, but also to the reaction to the viral antigens. In the former case we find an attempt to limit the carcinomatous process; in the latter it is a response caused by the EBV and is not, apparently, aimed at protecting against the neoplasm rather it facilitates the neoplastic process.

  2. Trans-syndesmotic fibular plating for fractures of the distal tibia and fibula with medial soft tissue injury: report of 6 cases and description of surgical technique.

    Science.gov (United States)

    Sciadini, Marcus F; Manson, Theodore T; Shah, Swapnil B

    2013-03-01

    This report presents a retrospective review of several cases of distal fractures of the tibia and fibula with significant injury to the medial soft tissues treated either primarily or in staged fashion with fixed-angle trans-syndesmotic fixation. This fixation strategy was used in an effort to minimize further surgical trauma and implant load in the zone of soft tissue injury. Ten patients were identified between September 2002 and November 2010 who presented to a level I trauma center with fractures of the distal tibia and fibula associated with open medial wounds (9 patients) or extensive closed medial degloving injury (1 patient). They were all treated with trans-syndesmotic plating of the distal fibula. Two patients were lost to follow-up after initial treatment, and an additional 2 patients had follow-up durations of only 6.5 and 3 months, respectively. This left 6 patients with an average of 23.3 months of follow-up (range: 14-36 months). Radiographs and medical records were reviewed, and clinical and radiographic results were evaluated. All 6 patients had radiographic evidence of bony healing and had resumed weight bearing. Two patients required additional bone graft surgery to encourage healing, 1 of whom also required free-flap coverage as a component of the nonunion repair. One patient resumed weight bearing earlier than instructed and experienced mild but acceptable loss of reduction. No patients developed wound infections of either the medial traumatic or lateral surgical wounds, although, as noted above, 1 of the patients with a nonunion required medial free-flap coverage as a component of the nonunion repair because of incompetent medial soft tissues. Trans-syndesmotic fixation has previously been described as providing enhanced fixation of diabetic and osteoporotic ankle fractures but has not, to our knowledge, been described for the treatment of higher energy traumatic injuries. Specifically, the valgus distal tibial fracture, frequently associated

  3. Lúpus eritematoso sistêmico e tuberculose renal: descrição de nove Casos Systemic lupus erythematosus and renal tuberculosis: description of nine cases

    Directory of Open Access Journals (Sweden)

    Daniela Cabral de Sousa

    2008-02-01

    Full Text Available OBJETIVO: O presente estudo tem por objetivo principal descrever uma série de nove casos de tuberculose (TB renal em pacientes portadores de lúpus eritematoso sistêmico (LES ocorridos em um período de seis anos em um hospital terciário do Nordeste brasileiro. MÉTODOS: Foram identificados nove pacientes portadoras de LES com baciloscopia e/ou cultura de urina positivas para Mycobacterium tuberculosis no período de outubro de 1998 a novembro de 2004, por intermédio dos registros do Serviço de Microbiologia do Hospital Universitário Walter Cantídio. Foram coletados dados demográficos, dados sobre o LES e sobre a TB renal das respectivas pacientes. RESULTADOS: Todas as pacientes eram do sexo feminino, com idade entre 19 e 58 anos. Quanto às características do LES, todas haviam tido nefrite lúpica em algum momento da evolução, das quais três haviam utilizado ciclofosfamida previamente à infecção. A dose média de prednisona antes do diagnóstico de TB renal variou entre 7, 5 e 20 mg/dia. O diagnóstico de TB renal foi feito por meio de cultura positiva em cinco pacientes e por intermédio de baciloscopia apenas em quatro pacientes. As manifestações laboratoriais mais freqüentes foram leucocitúria e hematúria. A recidiva da TB renal ocorreu em quatro pacientes. CONCLUSÃO: A ocorrência de TB renal em pacientes com LES deve ser suspeitada na presença de piúria estéril e/ou hematúria persistentes, em especial em populações de países em desenvolvimento.OBJECTIVE: The main objective of the present study was to describe a series of nine cases of renal tuberculosis (TB in patients diagnosed with systemic lupus erythematosus (SLE over a period of six years at a tertiary-level hospital in Northeastern Brazil. METHODS: Nine SLE patients with renal TB confirmed by bacterioscopy (n=4 or urine culture (n=5 positive for M. tuberculosis between October 1998 and November 2004 were sampled from the records of the microbiology

  4. Olkiluoto biosphere description 2006

    International Nuclear Information System (INIS)

    Haapanen, R.; Aro, L.; Ilvesniemi, H.; Kareinen, T.; Kirkkala, T.; Mykrae, S.; Turkki, H.; Lahdenperae, A.-M.; Ikonen, A.T.K.

    2007-02-01

    This report summarises the current knowledge of the biosphere of Olkiluoto, and it is the first Biosphere Description Report. The elements considered were climate, topography, land use, overburden, terrestrial vegetation and fauna and sea flora, fauna and water. The principal aim was to present a synthesis of the present state (now to 2020) and the main features of past evolution of the biosphere at the site using currently available data. The lack of site specific parameters and their importance was discussed. Conceptual ecosystem models are presented for land and sea. Currently available data made it possible to calculate the biomass of the terrestrial vegetation and further convert it to carbon. In the case of terrestrial animals, preliminary figures are given for moose alone due to lack of sitespecific data. For the same reason, the sea ecosystem model was not quantified within this work. The ecosystems on Olkiluoto do not deviate from the surrounding areas. Since mires are few on Olkiluoto, forests are the most important land ecosystem. However, coastal areas are the transition zones between land and sea, and also potential sites for deep groundwater discharge. The major interest concerning aquatic ecosystems was laid on four future lakes potentially developing from the sea due to the land up-lift. Current sea sediments near Olkiluoto are future land areas, and thus very important. Spatially, the forest ecosystems of Olkiluoto are now most comprehensively covered, while the temporal coverage is highest in sea ecosystems. Lack of data is greatest in terrestrial fauna and sea sediments. During this work, the system boundaries were crossed and the use of data over disciplines was started. The data were mostly in agreement, but some discrepancies were detected. To solve these, and to supplement the existing data, some recommendations were given. (orig.)

  5. On Meanings and Descriptions

    Directory of Open Access Journals (Sweden)

    Mieke Bal

    1981-09-01

    Full Text Available Although descriptive passages would appear to be of marginal importance in narrative texts, they are, in fact, of both logical and semantic necessity. Narratology, therefore, must take these segments into account. In this article, I shall survey the present situation in this field and compare rival points of view. I shall also offer several suggestions for analyzing descriptions. The following topics will be discussed: the nature of description as a specific type of discourse which makes it recognizable as such; the internal structure of description; the place and function of descriptions in the text as a whole. In the latter section, the semantic impact of descriptions in the overall meaning of narrative texts will be accounted for. This article is intended as a contribution to the theory of description as a part of narratology. It also has a didactic purpose, since it proposes a model for the analysis of texts which can be used for systematic text-study, both in a historical and a comparative perspective.

  6. Museum audio description

    OpenAIRE

    Martins, Cláudia Susana Nunes

    2011-01-01

    Audio description for the blind and visually impaired has been around since people have described what is seen. Throughout time, it has evolved and developed within different media, starting with reality and daily life, moving into the cinema and television, then across other performing arts, museums and art galleries, and public places. Thus, academics and entertainment providers have developed a growing interest for audio description, especially in what concerns the best methods and strateg...

  7. Reliability of semiology description.

    Science.gov (United States)

    Heo, Jae-Hyeok; Kim, Dong Wook; Lee, Seo-Young; Cho, Jinwhan; Lee, Sang-Kun; Nam, Hyunwoo

    2008-01-01

    Seizure semiology is important for classifying patients' epilepsy. Physicians usually get most of the seizure information from observers though there have been few reports on the reliability of the observers' description. This study aims at determining the reliability of observers' description of the semiology. We included 92 patients who had their habitual seizures recorded during video-EEG monitoring. We compared the semiology described by the observers with that recorded on the videotape, and reviewed which characteristics of the observers affected the reliability of their reported data. The classification of seizures and the individual components of the semiology based only on the observer-description was somewhat discordant compared with the findings from the videotape (correct classification, 85%). The descriptions of some ictal behaviors such as oroalimentary automatism, tonic/dystonic limb posturing, and head versions were relatively accurate, but those of motionless staring and hand automatism were less accurate. The specified directions by the observers were relatively correct. The accuracy of the description was related to the educational level of the observers. Much of the information described by well-educated observers is reliable. However, every physician should keep in mind the limitations of this information and use this information cautiously.

  8. Olkiluoto site description 2011

    International Nuclear Information System (INIS)

    2012-12-01

    This fourth version of the Olkiluoto Site Report, produced by the OMTF (Olkiluoto Modelling Task Force), updates the Olkiluoto Site Report 2008 with the data and knowledge obtained up to December 2010. A descriptive model of the site (the Site Descriptive Model, SDM), i.e. a model describing the geological and hydrogeological structure of the site, properties of the bedrock and the groundwater and its flow, and the associated interacting processes and mechanisms. The SDM is divided into six parts: surface system, geology, rock mechanics, hydrogeology, hydrogeochemistry and transport properties

  9. CRAC2 model description

    International Nuclear Information System (INIS)

    Ritchie, L.T.; Alpert, D.J.; Burke, R.P.; Johnson, J.D.; Ostmeyer, R.M.; Aldrich, D.C.; Blond, R.M.

    1984-03-01

    The CRAC2 computer code is a revised version of CRAC (Calculation of Reactor Accident Consequences) which was developed for the Reactor Safety Study. This document provides an overview of the CRAC2 code and a description of each of the models used. Significant improvements incorporated into CRAC2 include an improved weather sequence sampling technique, a new evacuation model, and new output capabilities. In addition, refinements have been made to the atmospheric transport and deposition model. Details of the modeling differences between CRAC2 and CRAC are emphasized in the model descriptions

  10. Olkiluoto site description 2011

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-12-15

    This fourth version of the Olkiluoto Site Report, produced by the OMTF (Olkiluoto Modelling Task Force), updates the Olkiluoto Site Report 2008 with the data and knowledge obtained up to December 2010. A descriptive model of the site (the Site Descriptive Model, SDM), i.e. a model describing the geological and hydrogeological structure of the site, properties of the bedrock and the groundwater and its flow, and the associated interacting processes and mechanisms. The SDM is divided into six parts: surface system, geology, rock mechanics, hydrogeology, hydrogeochemistry and transport properties.

  11. Generalizing: The descriptive struggle

    Directory of Open Access Journals (Sweden)

    Barney G. Glaser, Ph.D.; Hon Ph.D.

    2006-11-01

    Full Text Available The literature is not kind to the use of descriptive generalizations. Authors struggle and struggle to find and rationalize a way to use them and then fail in spite of trying a myriad of work-arounds. And then we have Lincoln and Guba’s famous statement: “The only generalization is: there is no generalization” in referring to qualitative research. (op cit, p. 110 They are referring to routine QDA yielding extensive descriptions, but which tacitly include conceptual generalizations without any real thought of knowledge about them. In this chapter I wish to explore this struggle for the purpose of explaining that the various contra arguments to using descriptive generalizations DO NOT apply to the ease of using conceptual generalizations yielded in SGT and especially FGT. I will not argue for the use of descriptive generalization. I agree with Lincoln and Guba with respect to QDA, “the only generalization is: there is no generalization.” It is up to the QDA methodologists, of whom there are many; to continue the struggle and I wish them well.

  12. Tore Supra: technical description

    International Nuclear Information System (INIS)

    1985-08-01

    This report is aimed, after a brief recall of physics and technologic perspectives of Tore Supra, at giving a detailed description of the basic machine; details of each component are defined. Volume 1 is specifically concerned with the general aspects of Tore Supra and the toroidal field system [fr

  13. Systematic Description of Sensors

    NARCIS (Netherlands)

    Regtien, Paulus P.L.; Sydenham, Peter H.; Thorn, Richard

    A sensor performs the exchange of information (thus energy) from one domain to another and therefore it operates on the interface between different physical domains. Several frameworks have been developed for a systematic description of sensors. Basically, they are based on either of two different

  14. Fractal description of fractures

    International Nuclear Information System (INIS)

    Lung, C.W.

    1991-06-01

    Recent studies on the fractal description of fractures are reviewed. Some problems on this subject are discussed. It seems hopeful to use the fractal dimension as a parameter for quantitative fractography and to apply fractal structures to the development of high toughness materials. (author). 28 refs, 7 figs

  15. MCFire model technical description

    Science.gov (United States)

    David R. Conklin; James M. Lenihan; Dominique Bachelet; Ronald P. Neilson; John B. Kim

    2016-01-01

    MCFire is a computer program that simulates the occurrence and effects of wildfire on natural vegetation, as a submodel within the MC1 dynamic global vegetation model. This report is a technical description of the algorithms and parameter values used in MCFire, intended to encapsulate its design and features a higher level that is more conceptual than the level...

  16. Dry Cleaning, Course Description.

    Science.gov (United States)

    Briscoe, Albert J.; Anderson, Floyd L.

    This course description was developed by educators for use at the Work Opportunity Center which was established to teach high school dropouts and/or hard-core unemployed youth. The ultimate objectives of this course are to prepare students for employment in dry cleaning occupations and to assist them in completing their high school graduation…

  17. Business Education, Course Description.

    Science.gov (United States)

    O'Neill, Robert; Anderson, Floyd L.

    This course description was developed by educators for use at the Work Opportunity Center in teaching high school dropouts and hard-core unemployed youth. The ultimate objectives of the business education curriculum at the Center are to prepare students for employment in clerical occupations and to assist them in completing their high school…

  18. Communications, Course Description.

    Science.gov (United States)

    Vickstrom, Sandra E.; Anderson, Floyd L.

    This course description was developed by educators for use at the Work Opportunity Center which was established to teach high school dropouts and/or hardcore unemployed youth. The ultimate objectives of this curriculum are to develop communicative skills necessary for social interaction and to help the student complete high school graduation…

  19. Reading, Course Description.

    Science.gov (United States)

    Decker, George; Anderson, Floyd L.

    This course description was developed by educators for use at the Work Opportunity Center which was established to teach high school dropouts and hard-core unemployed youth. The objectives of this reading curriculum are to develop skills of retarded readers, further develop skills of adequate readers, and develop an appreciation for reading.…

  20. Updating action domain descriptions.

    Science.gov (United States)

    Eiter, Thomas; Erdem, Esra; Fink, Michael; Senko, Ján

    2010-10-01

    Incorporating new information into a knowledge base is an important problem which has been widely investigated. In this paper, we study this problem in a formal framework for reasoning about actions and change. In this framework, action domains are described in an action language whose semantics is based on the notion of causality. Unlike the formalisms considered in the related work, this language allows straightforward representation of non-deterministic effects and indirect effects of (possibly concurrent) actions, as well as state constraints; therefore, the updates can be more general than elementary statements. The expressivity of this formalism allows us to study the update of an action domain description with a more general approach compared to related work. First of all, we consider the update of an action description with respect to further criteria, for instance, by ensuring that the updated description entails some observations, assertions, or general domain properties that constitute further constraints that are not expressible in an action description in general. Moreover, our framework allows us to discriminate amongst alternative updates of action domain descriptions and to single out a most preferable one, based on a given preference relation possibly dependent on the specified criteria. We study semantic and computational aspects of the update problem, and establish basic properties of updates as well as a decomposition theorem that gives rise to a divide and conquer approach to updating action descriptions under certain conditions. Furthermore, we study the computational complexity of decision problems around computing solutions, both for the generic setting and for two particular preference relations, viz. set-inclusion and weight-based preference. While deciding the existence of solutions and recognizing solutions are PSPACE-complete problems in general, the problems fall back into the polynomial hierarchy under restrictions on the additional

  1. Técnica modificada de injerto de tejido conectivo interposicionado y sobrepuesto en implantología y rehabilitación oral. Reporte de dos casos clínicos Description of two clinical cases showing surgical possibilities of correction or ridges reconstruction, using connective tissue graft and gingival sculping

    OpenAIRE

    ME Javer; CC Godoy; VC López

    2010-01-01

    Se describen dos reportes de casos clínicos mostrando posibilidades quirúrgicas de corrección o reconstrucción para rebordes usando tejido conectivo y posterior modelado gingival.Description of two clinical cases showing surgical possibilities of correction or ridges reconstruction, using connective tissue graft and gingival sculping.

  2. Description of the Sandia Validation Metrics Project

    International Nuclear Information System (INIS)

    TRUCANO, TIMOTHY G.; EASTERLING, ROBERT G.; DOWDING, KEVIN J.; PAEZ, THOMAS L.; URBINA, ANGEL; ROMERO, VICENTE J.; RUTHERFORD, BRIAN M.; HILLS, RICHARD GUY

    2001-01-01

    This report describes the underlying principles and goals of the Sandia ASCI Verification and Validation Program Validation Metrics Project. It also gives a technical description of two case studies, one in structural dynamics and the other in thermomechanics, that serve to focus the technical work of the project in Fiscal Year 2001

  3. Multidimensional nonlinear descriptive analysis

    CERN Document Server

    Nishisato, Shizuhiko

    2006-01-01

    Quantification of categorical, or non-numerical, data is a problem that scientists face across a wide range of disciplines. Exploring data analysis in various areas of research, such as the social sciences and biology, Multidimensional Nonlinear Descriptive Analysis presents methods for analyzing categorical data that are not necessarily sampled randomly from a normal population and often involve nonlinear relations. This reference not only provides an overview of multidimensional nonlinear descriptive analysis (MUNDA) of discrete data, it also offers new results in a variety of fields. The first part of the book covers conceptual and technical preliminaries needed to understand the data analysis in subsequent chapters. The next two parts contain applications of MUNDA to diverse data types, with each chapter devoted to one type of categorical data, a brief historical comment, and basic skills peculiar to the data types. The final part examines several problems and then concludes with suggestions for futu...

  4. Descriptive sensory evaluations

    DEFF Research Database (Denmark)

    Dehlholm, Christian

    in projective mapping frame geometry and restrictions on the reported semantics. Two rapid descriptive evaluation techniques were proposed to represent a consensus evaluation. One of the approaches, ‘consensus attribute rating’ (CAR), allows a group of assessors to rate products on a list of pre......-selected attributes. The other approach, ‘consensus Napping’, allows a group of assessors to project products according to an agreed consensus placement on a paper sheet. Evaluations were performed either by groups of experienced sensory assessors or by product experts. Compared with conventional profiling techniques......, the evaluations showed significant correlations between some product configurations, but no consistent and systematic similarities. On average, product expert groups had less in common with the reference profiles than the trained panellist groups and the semantic descriptions of products varied to a large degree...

  5. Descriptive sensory evaluations

    DEFF Research Database (Denmark)

    Dehlholm, Christian

    A recent trend in descriptive sensory evaluation methodology has been the application of rapid evaluation techniques. The ease in use makes the techniques extremely easy to implement by industry and university environments. Thus, one might not consider validity in the choice of method. The overall...... in projective mapping frame geometry and restrictions on the reported semantics. Two rapid descriptive evaluation techniques were proposed to represent a consensus evaluation. One of the approaches, ‘consensus attribute rating’ (CAR), allows a group of assessors to rate products on a list of pre...... for all groups. Hence, consensus profiling with untrained assessors should not be used for the purpose of considering consistency between panels, while assessors trained in the product may perform more reliably. As for projective mapping variations of frame geometry, evaluations in a rectangular...

  6. Resource Description Framework (RDF)

    OpenAIRE

    Gibbins, Nicholas; Shadbolt, Nigel

    2009-01-01

    The Resource Description Framework (RDF) is the standard knowledge representation language for the Semantic Web, an evolution of the World Wide Web that aims to provide a well-founded infrastructure for publishing, sharing and querying structured data. This article provides an introduction to RDF and its related vocabulary definition language RDF Schema, and explains its relationship with the OWL Web Ontology Language. Finally, it provides an overview of the historical development of RDF and ...

  7. TMACS system description

    International Nuclear Information System (INIS)

    Scaief, C.C.

    1995-01-01

    This document provides a description of the Tank Monitor and Control System (TMACS). It is intended as an introduction for those persons unfamiliar with the system as well as a reference document for the users, maintenance personnel, and system designers. In addition to describing the system, the document outlines the associated drawing documentation, provides maintenance and spare parts information, and discusses other TMACS documents that provide additional detail

  8. Descriptive Qualitative Method of Evaluation from the Viewpoint of Math Teachers and Its Comparison with the Quantitative Evaluation (Giving scores Method (A Case Study on the Primary Schools for Girls in Zone 1 of Tehran City

    Directory of Open Access Journals (Sweden)

    Farnaz Ostad-Ali

    2015-12-01

    Full Text Available In recent years, one of the most important developments which have been taking place in the primary school education system is the development of the qualitative-descriptive method of evaluating the students' achievements. The main goals of the qualitative-descriptive evaluation are improving the quality of learning and promoting the level of mental health in teaching-learning environments. Therefore, based on the the raised hypothesis, the purpose of this study is to investigate the teachers' perspecives regarding the descriptive and quantitative methods of evaluation.Using survey sampling method and multi-stage cluster sampling method, 30 teachers, teaching through the qualitative (descriptive method in zone 1 of Tehran were selected. A questionnaire, developed by the researcher of this study, was used to compare the qualitative (descriptive method of evaluation with quantitative evaluation method in order to explore the viewpoints of teachers.Using 1-sample sign test, the results revealed the positive view of teachers towards descriptive evaluation. From the perspective of teachers, quantitavie evaluation has had negative impacts on the mental health of families and students for years. Hence descriptive method of evaluation must match the content of textbooks and whatever the teacher has taught.

  9. XML Diagnostics Description Standard

    International Nuclear Information System (INIS)

    Neto, A.; Fernandes, H.; Varandas, C.; Lister, J.; Yonekawa, I.

    2006-01-01

    A standard for the self-description of fusion plasma diagnostics will be presented, based on the Extensible Markup Language (XML). The motivation is to maintain and organise the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money when problems arises. Since there is no existing standard to organise this kind of information, every Association stores and organises each experiment in different ways. This can lead to severe problems when the organisation schema is poorly documented or written in national languages. The exchange of scientists, researchers and engineers between laboratories is a common practice nowadays. Sometimes they have to install new diagnostics or to update existing ones and frequently they lose a great deal of time trying to understand the currently installed system. The most common problems are: no documentation available; the person who understands it has left; documentation written in the national language. Standardisation is the key to solving all the problems mentioned. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalisation (information at least in the native language and in English), a common XML schema will be proposed. This paper will also discuss an extension of these ideas to the self-description of ITER plant systems, since the problems will be identical. (author)

  10. MCO Monitoring activity description

    International Nuclear Information System (INIS)

    SEXTON, R.A.

    1998-01-01

    Spent Nuclear Fuel remaining from Hanford's N-Reactor operations in the 1970s has been stored under water in the K-Reactor Basins. This fuel will be repackaged, dried and stored in a new facility in the 200E Area. The safety basis for this process of retrieval, drying, and interim storage of the spent fuel has been established. The monitoring of MCOS in dry storage is a currently identified issue in the SNF Project. This plan outlines the key elements of the proposed monitoring activity. Other fuel stored in the K-Reactor Basins, including SPR fuel, will have other monitoring considerations and is not addressed by this activity description

  11. Description logic rules

    CERN Document Server

    Krötzsch, M

    2010-01-01

    Ontological modelling today is applied in many areas of science and technology,including the Semantic Web. The W3C standard OWL defines one of the most important ontology languages based on the semantics of description logics. An alternative is to use rule languages in knowledge modelling, as proposed in the W3C's RIF standard. So far, it has often been unclear how to combine both technologies without sacrificing essential computational properties. This book explains this problem and presents new solutions that have recently been proposed. Extensive introductory chapters provide the necessary

  12. Quantum trajectory description of entanglement dynamics

    Energy Technology Data Exchange (ETDEWEB)

    Guevara, Ivonne [Departamento de Fisica, Universidad Nacional de Colombia, Carrera 30 No.45-03, Bogota D.C. (Colombia); Centre for Quantum Dynamics, Griffith University, Brisbane, Queensland 4111 (Australia); Viviescas, Carlos [Departamento de Fisica, Universidad Nacional de Colombia, Carrera 30 No.45-03, Bogota D.C. (Colombia)

    2013-07-01

    We present and overview of the characterization of the dynamical evolution of entanglement in open quantum system by means of diffusive quantum trajectories. We show how this method allows for a complete description of this phenomenon providing deterministic evolution equations for some experimentally relevant cases, and excellent upper bounds for the entanglement dynamics in some other cases. Remarkably, for a family of entanglement measures, all the information of the entanglement dynamics can be recovered from a single trajectory. For some of the cases considered we propose quantum optical experimental setups which allow for a real time measurement of the entanglement time evolution.

  13. Multiple Descriptions Using Sparse Decompositions

    DEFF Research Database (Denmark)

    Jensen, Tobias Lindstrøm; Østergaard, Jan; Dahl, Joachim

    2010-01-01

    In this paper, we consider the design of multiple descriptions (MDs) using sparse decompositions. In a description erasure channel only a subset of the transmitted descriptions is received. The MD problem concerns the design of the descriptions such that they individually approximate the source...... first-order method to the proposed convex problem such that we can solve large-scale instances for image sequences....

  14. A Note on Name Individuation and Identifying Descriptions | Smit ...

    African Journals Online (AJOL)

    Abstract. In “Public Proper names and Idiolectical Identifying Descriptions”, Glezakos (2009) puts forward a theory concerning the role of identifying descriptions in the theory of names. Her main claim is that such identifying descriptions serve to individuate names, i.e. to make it the case that a given linguistic act containing a ...

  15. Evalutive Descriptions of Art

    Directory of Open Access Journals (Sweden)

    Nataša Lah

    2016-01-01

    Full Text Available Taking into account the fact that, throughout history, certain artworks have been considered as “worth of watching” (according to the Greek etymon ἀξιοϑέατος / aksioteatos, preservation, or theorizing, while others were not, one is led to investigate the various types of evaluative descriptions. Those artworks that are more valuable than others, or simply valuable in themselves on the basis of rather specific features, have always represented the paradigmatic model for the evaluator, thus revealing the identitary nature of value as different from one epoch to another. Our aim has been to discern, with regard to this starting point, the way in which the process of evaluating artworks fits the general matrix of the universal theory of value, with its clearly distinguished levels of evaluation, beginning with value descriptions, continuing through the features of evaluation or abstract qualities of values extracted from these descriptions, and ending with value norms or systems of accepted generalizations in evaluation. Value standpoints in such an evaluation matrix represent dispositions or preferences in procedures, which reflect the norms or signifying concepts of the time. Corresponding procedures, or applications of the hierarchicized signification of artworks, are manifested in all known forms of artwork assessment: attribution, institutionalization, and setting of priorities in terms of exhibition, conservation, acquisition, restoration, and so on. Research in the history of European art-historical ideas has corroborated the hypothesis that, prior to the late 18th century, clear normative patterns were applied when it came to the evaluation of artworks. However, with the emergence of early Romanticism, this could no longer be done in the traditional way. Before the period in question, visual art was created (regardless of some stylistic discrepancies between individual authors and classified according to well-defined thematic

  16. Polemic and Descriptive Negations

    DEFF Research Database (Denmark)

    Horslund, Camilla Søballe

    2011-01-01

    as such may be more or less central to the meaning of the utterance. The present paper investigates the role of morphosyntactic and prosodic prominence as well as register and social setting on the interpretation of negations. It seems plausible to expect that if the negation as such is central to the meaning...... of the utterance (as in polemic negations), the negation will be articulated prominently in order to emphasise this importance. Likewise, if the negation is not central to the meaning of the utterance, it should not be articulated prominently. Moreover, it is plausible to expect descriptive negations to be more...... common in certain social context or genres, while polemic negations are more likely to come up in other genres and social settings. Previous studies have shown a relation between articulatory prominence and register, which may further inform the analysis. Hence, the paper investigates how articulatory...

  17. Task Description Language

    Science.gov (United States)

    Simmons, Reid; Apfelbaum, David

    2005-01-01

    Task Description Language (TDL) is an extension of the C++ programming language that enables programmers to quickly and easily write complex, concurrent computer programs for controlling real-time autonomous systems, including robots and spacecraft. TDL is based on earlier work (circa 1984 through 1989) on the Task Control Architecture (TCA). TDL provides syntactic support for hierarchical task-level control functions, including task decomposition, synchronization, execution monitoring, and exception handling. A Java-language-based compiler transforms TDL programs into pure C++ code that includes calls to a platform-independent task-control-management (TCM) library. TDL has been used to control and coordinate multiple heterogeneous robots in projects sponsored by NASA and the Defense Advanced Research Projects Agency (DARPA). It has also been used in Brazil to control an autonomous airship and in Canada to control a robotic manipulator.

  18. YUCCA MOUNTAIN SITE DESCRIPTION

    Energy Technology Data Exchange (ETDEWEB)

    A.M. Simmons

    2004-04-16

    The ''Yucca Mountain Site Description'' summarizes, in a single document, the current state of knowledge and understanding of the natural system at Yucca Mountain. It describes the geology; geochemistry; past, present, and projected future climate; regional hydrologic system; and flow and transport within the unsaturated and saturated zones at the site. In addition, it discusses factors affecting radionuclide transport, the effect of thermal loading on the natural system, and tectonic hazards. The ''Yucca Mountain Site Description'' is broad in nature. It summarizes investigations carried out as part of the Yucca Mountain Project since 1988, but it also includes work done at the site in earlier years, as well as studies performed by others. The document has been prepared under the Office of Civilian Radioactive Waste Management quality assurance program for the Yucca Mountain Project. Yucca Mountain is located in Nye County in southern Nevada. The site lies in the north-central part of the Basin and Range physiographic province, within the northernmost subprovince commonly referred to as the Great Basin. The basin and range physiography reflects the extensional tectonic regime that has affected the region during the middle and late Cenozoic Era. Yucca Mountain was initially selected for characterization, in part, because of its thick unsaturated zone, its arid to semiarid climate, and the existence of a rock type that would support excavation of stable openings. In 1987, the United States Congress directed that Yucca Mountain be the only site characterized to evaluate its suitability for development of a geologic repository for high-level radioactive waste and spent nuclear fuel.

  19. YUCCA MOUNTAIN SITE DESCRIPTION

    International Nuclear Information System (INIS)

    Simmons, A.M.

    2004-01-01

    The ''Yucca Mountain Site Description'' summarizes, in a single document, the current state of knowledge and understanding of the natural system at Yucca Mountain. It describes the geology; geochemistry; past, present, and projected future climate; regional hydrologic system; and flow and transport within the unsaturated and saturated zones at the site. In addition, it discusses factors affecting radionuclide transport, the effect of thermal loading on the natural system, and tectonic hazards. The ''Yucca Mountain Site Description'' is broad in nature. It summarizes investigations carried out as part of the Yucca Mountain Project since 1988, but it also includes work done at the site in earlier years, as well as studies performed by others. The document has been prepared under the Office of Civilian Radioactive Waste Management quality assurance program for the Yucca Mountain Project. Yucca Mountain is located in Nye County in southern Nevada. The site lies in the north-central part of the Basin and Range physiographic province, within the northernmost subprovince commonly referred to as the Great Basin. The basin and range physiography reflects the extensional tectonic regime that has affected the region during the middle and late Cenozoic Era. Yucca Mountain was initially selected for characterization, in part, because of its thick unsaturated zone, its arid to semiarid climate, and the existence of a rock type that would support excavation of stable openings. In 1987, the United States Congress directed that Yucca Mountain be the only site characterized to evaluate its suitability for development of a geologic repository for high-level radioactive waste and spent nuclear fuel

  20. An integrated morphological and molecular approach to a new species description in the Trypanosomatidae: the case of Leptomonas podlipaevi n.sp., a parasite of Boisea rubrolineata (Hemiptera: Rhopalidae)

    Czech Academy of Sciences Publication Activity Database

    Yurchenko, V.; Lukeš, Julius; Xu, X.; Maslov, D. A.

    2006-01-01

    Roč. 53, č. 2 (2006), s. 103-111 ISSN 1066-5234 Institutional research plan: CEZ:AV0Z60220518 Keywords : Kinetoplastida * species description * phylogeny Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 2.288, year: 2006

  1. The Pirate group intervention protocol description and a case report of a modified constraint-induced movement therapy combined with bimanual training for young children with unilateral spastic cerebral palsy

    NARCIS (Netherlands)

    Aarts, Pauline B.; van Hartingsveldt, Margo; Anderson, Patricia G.; van den Tillaar, Ingrid; van der Burg, Jan; Geurts, Alexander C.

    The purpose of this article was to describe a child-friendly modified constraint-induced movement therapy protocol that is combined with goal-directed task-specific bimanual training (mCIMT-BiT). This detailed description elucidates the approach and supports various research reports. This protocol

  2. A comparison of two follow-up analyses after multiple analysis of variance, analysis of variance, and descriptive discriminant analysis: A case study of the program effects on education-abroad programs

    Science.gov (United States)

    Alvin H. Yu; Garry. Chick

    2010-01-01

    This study compared the utility of two different post-hoc tests after detecting significant differences within factors on multiple dependent variables using multivariate analysis of variance (MANOVA). We compared the univariate F test (the Scheffé method) to descriptive discriminant analysis (DDA) using an educational-tour survey of university study-...

  3. Unified geometric description of black hole thermodynamics

    International Nuclear Information System (INIS)

    Alvarez, Jose L.; Quevedo, Hernando; Sanchez, Alberto

    2008-01-01

    In the space of thermodynamic equilibrium states we introduce a Legendre invariant metric which contains all the information about the thermodynamics of black holes. The curvature of this thermodynamic metric becomes singular at those points where, according to the analysis of the heat capacities, phase transitions occur. This result is valid for the Kerr-Newman black hole and all its special cases and, therefore, provides a unified description of black hole phase transitions in terms of curvature singularities.

  4. Descriptive assessment for physical education

    OpenAIRE

    Pirih Tavčar, Ksenija

    2016-01-01

    Descriptive grading is a type of grading in which opinions about children’s knowledge or products are expressed in sentences. This opinion highlights what individual children know or have mastered, what they have not mastered, and what they should do to improve. In descriptive grading, the pupil’s work is assessed in terms of learning objectives. In their descriptive grades, physical education (PE) teachers write down everything that they have taught and reviewed with their pupils during t...

  5. How to utilize a value-based pricing strategy in service contracts : A descriptive case study of how a Swedish pricing consultancy company optimizes pricing of services for its customers

    OpenAIRE

    Aydede, Cem; Turkoglu, Tunca

    2017-01-01

    This paper’s aim is to analyze value-based pricing strategies in service contracts and how they help companies generate sustainable advantages. Scoop of the analysis will be service contracts in manufacturing industry. A service contract could be defined as an intangible value proposition that includes but not limited to maintaining client’s machines continuously for a negotiated amount of time. By working with a Swedish pricing consultancy firm Navetti AB, a descriptive research was conducte...

  6. Trusting Description: Authenticity, Accountability, and Archival Description Standards

    Science.gov (United States)

    MacNeil, Heather

    2009-01-01

    It has been suggested that one of the purposes of archival description is to establish grounds for presuming the authenticity of the records being described. The article examines the implications of this statement by examining the relationship between and among authenticity, archival description, and archival accountability, assessing how this…

  7. Tore Supra: technical description

    International Nuclear Information System (INIS)

    1985-08-01

    This report volume is devoted to system composed of vacuum vessel and thermal shields, and to poloidal field system. Mocks realized to study feasibility and structure properties are presented, mechanical calculations (with different cases of static and dynamic loads for vacuum vessel) are resumed, first wall components are described. Techniques designed to dissipate plasma power, to control recycling and maintain a good impuritiy rate are examined. Principal fabrication process are described together with pumping systems; and control of pumping circuits. For poloidal field, electrical power supplies, operation and use priciples, field coils and magnetic circuits are described [fr

  8. Modelling object typicality in description logics - [Workshop on Description Logics

    CSIR Research Space (South Africa)

    Britz, K

    2009-07-01

    Full Text Available The authors presents a semantic model of typicality of concept members in description logics that accords well with a binary, globalist cognitive model of class membership and typicality. The authors define a general preferential semantic framework...

  9. Detector Description Framework in LHCb

    CERN Document Server

    Ponce, Sébastien

    2003-01-01

    The Gaudi architecture and framework are designed to provide a common infrastructure and environment for simulation, filtering, reconstruction and analysis applications. In this context, a Detector Description Service was developed in LHCb in order to also provide easy and coherent access to the description of the experimental apparatus. This service centralizes every information about the detector, including geometry, materials, alignment, calibration, structure and controls. From the proof of concept given by the first functional implementation of this service late 2000, the Detector Description Service has grown and has become one of the major components of the LHCb software, shared among all applications, including simulation, reconstruction, analysis and visualization. We describe here the full and functional implementation of the service. We stress the easiness of customization and extension of the detector description by the user, on the seamless integration with condition databases in order to handle ...

  10. Reading Words and Images in the Description(s of Sir John Soane’s Museum

    Directory of Open Access Journals (Sweden)

    Danielle S. Willkens

    2016-05-01

    Full Text Available In the 18th and early 19th centuries, London was a city filled with cabinets of curiosity, 'lusus naturae', and bourgeoning public museums. Most of these institutions publicized their holdings through newspaper advertisements, leaflets, and self-published, descriptive catalogs that were available for purchase on-site and through booksellers. Using Soane’s Museum as a case study, this paper will move beyond historiographical analysis of individual objects in collections catalogs to probe how the museum-produced guidebooks depicted spatial arrangements. Citing examples from the 19th to twenty-first centuries, this paper will examine how the curator-produced descriptions of Soane’s Museum manipulated text and graphics to guide visitors through a constructed narrative, recreated the ephemeral experiences of the museum, and advertise the site’s unparalleled union of painting, sculpture, and architecture to audiences abroad. Soane’s 'Description of the House and Museum, on the North Side of Lincoln‘s Inn-Fields, the Residence of Sir John Soane' (privately printed 1830, 1832; revised 1835 paired spatial narratives with the architectural language of orthographic projection and perspective engravings. His 'Description' set forth an agenda about the museum’s arrangement and established a compositional strategy for subsequent editions of the guidebook, renamed the 'General Description' in the editions printed between 1840 and 1930 then rebranded as the 'New Description' by Summerson in 1955. Through the study of the changing written and visual language published in the guides by the curators of Soane’s Museum, this article will examine the changing character of the visitor experience at the museum and question the form of future editions.

  11. Squamous cell carcinoma of the oral cavity in patients aged 45 years and under: a descriptive analysis of 116 cases diagnosed in the South East of England from 1990 to 1997.

    Science.gov (United States)

    Llewellyn, C D; Linklater, K; Bell, J; Johnson, N W; Warnakulasuriya, K A A S

    2003-02-01

    there is, currently, much anecdotal and some epidemiological evidence for a rise in oral cancer rates amongst younger individuals, many of whom have had no exposure to traditional risk factors such as tobacco and heavy alcohol use, or at least not the exposure over decades usually associated with this disease. The probity of this assertion and the presence or absence of traditional risk factors needs further evidence. this paper describes the demography and the exposure to potential risk factors amongst a cohort aged 45 years and younger, diagnosed with squamous cell carcinoma of the oral cavity between 1990 and 1997 from the South East of England. eligible patients registered with a cancer registry were included in this retrospective study. Information was accessed from the database and by a postal questionnaire survey. The self-completed questionnaire contained items about exposure to the following risk factors: tobacco; alcohol; diet; frequency of dental visits and familial cancer. this is the largest UK epidemiological study so far to be undertaken on young subjects diagnosed with oral cancer. One-hundred and sixteen cases were recruited representing a response rate of 59%. Slightly over 90% of this cohort were classified as white European. A large proportion of cases (40%) were from social classes I & II suggesting either a true social class difference in young cases versus older oral cancer cases or a possible bias in responders or survivors. Risk factors of tobacco use and excessive alcohol consumption were present in the majority (75%) of patients. Significant differences in the pattern of alcohol consumption were found in female subjects, who were less likely to consume over the recommended amounts of alcohol compared with male subjects. Daily regular fresh fruit and vegetable consumption during the ten year period before cancer diagnosis was recorded to be low. There was a distinct subgroup of cases, 26% of the group, that showed little, if any, exposure

  12. CANISTER HANDLING FACILITY DESCRIPTION DOCUMENT

    International Nuclear Information System (INIS)

    Beesley. J.F.

    2005-01-01

    The purpose of this facility description document (FDD) is to establish requirements and associated bases that drive the design of the Canister Handling Facility (CHF), which will allow the design effort to proceed to license application. This FDD will be revised at strategic points as the design matures. This FDD identifies the requirements and describes the facility design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This FDD is an engineering tool for design control; accordingly, the primary audience and users are design engineers. This FDD is part of an iterative design process. It leads the design process with regard to the flowdown of upper tier requirements onto the facility. Knowledge of these requirements is essential in performing the design process. The FDD follows the design with regard to the description of the facility. The description provided in this FDD reflects the current results of the design process

  13. CANISTER HANDLING FACILITY DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    J.F. Beesley

    2005-04-21

    The purpose of this facility description document (FDD) is to establish requirements and associated bases that drive the design of the Canister Handling Facility (CHF), which will allow the design effort to proceed to license application. This FDD will be revised at strategic points as the design matures. This FDD identifies the requirements and describes the facility design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This FDD is an engineering tool for design control; accordingly, the primary audience and users are design engineers. This FDD is part of an iterative design process. It leads the design process with regard to the flowdown of upper tier requirements onto the facility. Knowledge of these requirements is essential in performing the design process. The FDD follows the design with regard to the description of the facility. The description provided in this FDD reflects the current results of the design process.

  14. Fuel Handling Facility Description Document

    International Nuclear Information System (INIS)

    M.A. LaFountain

    2005-01-01

    The purpose of the facility description document (FDD) is to establish the requirements and their bases that drive the design of the Fuel Handling Facility (FHF) to allow the design effort to proceed to license application. This FDD is a living document that will be revised at strategic points as the design matures. It identifies the requirements and describes the facility design as it currently exists, with emphasis on design attributes provided to meet the requirements. This FDD was developed as an engineering tool for design control. Accordingly, the primary audience and users are design engineers. It leads the design process with regard to the flow down of upper tier requirements onto the facility. Knowledge of these requirements is essential to performing the design process. It trails the design with regard to the description of the facility. This description is a reflection of the results of the design process to date

  15. Description du langage scientifique (Description of Scientific Language)

    Science.gov (United States)

    Widdowson, H. G.

    1977-01-01

    A description of scientific language using three approaches: text, textualization, and discourse. Scientific discourse is analogous to universal deep structure; text, to surface variations in diverse languages; and textualization, to transformational processes. The relationship of the primary and secondary (scientific) cultures and their languages…

  16. Auteur Description: From the Director's Creative Vision to Audio Description

    Science.gov (United States)

    Szarkowska, Agnieszka

    2013-01-01

    In this report, the author follows the suggestion that a film director's creative vision should be incorporated into Audio description (AD), a major technique for making films, theater performances, operas, and other events accessible to people who are blind or have low vision. The author presents a new type of AD for auteur and artistic films:…

  17. Eosinophilic esophagitis in adults, an emerging cause of dysphagia: Description of 9 cases Esofagitis eosinofílica del adulto, causa emergente de disfagia: Presentación de 9 casos

    OpenAIRE

    A. J. Lucendo Villarín; G. Carrión Alonso; M. Navarro Sánchez; S. Martín Chavarri; S. Gómez Senent; P. Castillo Grau; J. M. Pascual Turrión; P. González Sanz-Agero

    2005-01-01

    Background: eosinophilic esophagitis is a rare condition mainly affecting children, although the number of cases reported in adults is on the increase. It is characterized by intense infiltration of eosinophilic leukocytes in the esophageal mucosa, without involvement of other sections of the alimentary canal. Material and methods: over the past year, following the performance of endoscopies and biopsies, our service identified nine patients who were diagnosed with suffering from this disorde...

  18. Severe osteolysis and soft tissue mass around total hip arthroplasty: Description of four cases and review of the literature with respect to clinico-radiographic and pathologic differential diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Fabbri, N., E-mail: nicola.fabbri@ior.it [Orthopedic Surgery, Istituto Ortopedico Rizzoli, Bologna (Italy); Rustemi, E.; Masetti, C.; Kreshak, J. [Orthopedic Surgery, Istituto Ortopedico Rizzoli, Bologna (Italy); Gambarotti, M. [Department of Surgical Pathology, Istituto Ortopedico Rizzoli, Bologna (Italy); Vanel, D. [Department of Radiology, Istituto Ortopedico Rizzoli, Bologna (Italy); Toni, A.; Mercuri, M. [Orthopedic Surgery, Istituto Ortopedico Rizzoli, Bologna (Italy)

    2011-01-15

    Periprosthetic osteolysis is a well known phenomenon caused by wear particle-induced bone resorption, particularly common and extensively reported in total hip arthroplasty. Its typical radiographic feature is a radiolucent area adjacent to an implant, sometimes associated with a soft tissue mass. Osteolytic changes may be caused by numerous other pathologic processes, including infection, metabolic disease, and neoplasia. Four cases of massive periprosthetic bone destruction associated with a large soft tissue mass around a failed total hip replacement are presented. In three cases, a diagnosis of periprosthetic osteolysis was correctly made and managed by revision surgery. However, in one case angiosarcoma of the ipsilateral hemipelvis went long unrecognized despite aggressive clinical course, requiring hind-quarter amputation and ultimately resulting in the patient's death. Periprosthetic malignancy in the form of either primary sarcoma or metastatic cancer is a very rare yet reported event in the setting of previous hip replacement, likely leading to catastrophic consequences when diagnosis is not established in a timely manner. The differential diagnosis of periprosthetic osteolysis should consider the entire spectrum of conditions that can present with radiolucent changes. Thorough review of patient's history and course of symptoms, along with careful evaluation of standard roentgenograms should be always performed and possibly integrated with imaging modalities such as CT, MRI, and bone scintigraphy in order to increase diagnostic accuracy. If uncertainty remains, biopsy should always be considered to rule out malignancy.

  19. Severe osteolysis and soft tissue mass around total hip arthroplasty: Description of four cases and review of the literature with respect to clinico-radiographic and pathologic differential diagnosis

    International Nuclear Information System (INIS)

    Fabbri, N.; Rustemi, E.; Masetti, C.; Kreshak, J.; Gambarotti, M.; Vanel, D.; Toni, A.; Mercuri, M.

    2011-01-01

    Periprosthetic osteolysis is a well known phenomenon caused by wear particle-induced bone resorption, particularly common and extensively reported in total hip arthroplasty. Its typical radiographic feature is a radiolucent area adjacent to an implant, sometimes associated with a soft tissue mass. Osteolytic changes may be caused by numerous other pathologic processes, including infection, metabolic disease, and neoplasia. Four cases of massive periprosthetic bone destruction associated with a large soft tissue mass around a failed total hip replacement are presented. In three cases, a diagnosis of periprosthetic osteolysis was correctly made and managed by revision surgery. However, in one case angiosarcoma of the ipsilateral hemipelvis went long unrecognized despite aggressive clinical course, requiring hind-quarter amputation and ultimately resulting in the patient's death. Periprosthetic malignancy in the form of either primary sarcoma or metastatic cancer is a very rare yet reported event in the setting of previous hip replacement, likely leading to catastrophic consequences when diagnosis is not established in a timely manner. The differential diagnosis of periprosthetic osteolysis should consider the entire spectrum of conditions that can present with radiolucent changes. Thorough review of patient's history and course of symptoms, along with careful evaluation of standard roentgenograms should be always performed and possibly integrated with imaging modalities such as CT, MRI, and bone scintigraphy in order to increase diagnostic accuracy. If uncertainty remains, biopsy should always be considered to rule out malignancy.

  20. [Hyponatremia associated with SSRI/NRSI: Descriptive and comparative epidemiological study of the incidence rates of the notified cases from the data of the French National Pharmacovigilance Database and the French National Health Insurance].

    Science.gov (United States)

    Revol, R; Rault, C; Polard, E; Bellet, F; Guy, C

    2017-12-14

    Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) are frequently prescribed. These antidepressants can potentially induce serious hyponatremia through the SIADH syndrome. That seems to concern all molecules of these classes but the individual risk of each molecule is not well known. The aims of the study were to compare the incidence rate of each molecule in order to identify the existence of molecules more at risk of inducing hyponatremia and to characterize a profile of patients at risk for hyponatremia during a treatment with a SSRI or a SNRI. The cases of hyponatremia under SSRI/SNRI were extracted from the French pharmacovigilance database (BPNV). The exposition to the different SSRIs/SNRIs in the French population was estimated from the French National Health Insurance database (SNIIRAM) using a sampled database (Echantillon Généralistes des Bénéficiaires). The study ran from 01/01/2011 to 31/12/2013. The primary study endpoint was the incidence rate of notifications of the hyponatremia cases in patients treated by SSRI/SNRI and recorded into the BNPV database, related to the average annual number of corresponding treatments initiated during the same period. The number of cases of hyponatremia included in the study was 169 for 3 749 800 adult patients initiating treatment. The incidence rate of cases was 1.64 for 100 000 persons per year (PY). The standardized incidence rates between the different molecules showed no difference except for duloxetine (2.79/100 000 PY p > 0.03). Identified risk factors were age, with a large increase of incidence rate from 75 years old (incidence 12.5 higher) and female gender. Comparison of the incidence rates from spontaneous reports indicates a greater risk of hyponatremia for duloxetine for 2011-2013. This result needs to be confirmed by other studies. The advanced age and female sex are risk factors, irrespective of the molecule. Copyright © 2017 L

  1. Carbon-Fiber Framework for Full-Arch Implant-Supported Fixed Dental Prostheses Supporting Resin-Based Composite and Lithium Disilicate Ceramic Crowns: Case Report and Description of Features.

    Science.gov (United States)

    Castorina, Giuseppe

    2017-12-15

    This case report presents a new approach for shock-absorbing carbon-fiber composite frameworks for full-arch implant-supported fixed dental prostheses supporting resin-based and lithium disilicate ceramic crowns. It describes the characteristics of the materials used, the procedures for implementing the framework, and the requirements to achieve the best mechanical and clinical properties. The result is a full-arch prosthesis with masticatory load shock-absorption capacities, chemical bonding between materials, good esthetics, and wear similar to natural enamel. A 24-month follow-up full-arch bimaxillary implant-supported rehabilitation, performed with computer-guided surgery, is described.

  2. 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

  3. Descripción de un caso de labio leporino y paladar hendido en bubalus bubalis bubalis (búfalo), Sucre, Colombia - Description of a case of harelip and cleft palate in bubalus bubalis bubalis (buffalo), Sucre, Colombia.

    OpenAIRE

    Montes Vergara, Donicer; De La Ossa Velázquez, Jaime

    2012-01-01

    ResumenEl presente trabajo muestra el hall azgo de un caso de labio leporino y paladar hendido en una cría de Bubalus bubalis bubalis (Murrah x Murrah) en una la finca, dedicada a la explotación de esta especie de ganado ubicada en la depresión del Bajo Cauca y San Jorge del Municipio de San Benito Abad, departamento de Sucre, Colombia.SummaryThe present work report the discovery of a case of harelip and cleft palate in a newborn of Bubalus bubalis bubalis (Murrah x Murrah) on a farm dedicate...

  4. Geotechnical Description of Mineral Deposits

    Directory of Open Access Journals (Sweden)

    Sasvári Tibor

    1996-06-01

    Full Text Available Performing various mineral deposits extraction methods requires thorough knowledge of the rock masses` geomechanical parameters. In the geotechnical description of mineral deposits there is proposed a methodical approarch at the collection, registration, and evaluation of rock masses` geological properties for geotechnics being applied within the mining industry.

  5. Natural Language Description of Emotion

    Science.gov (United States)

    Kazemzadeh, Abe

    2013-01-01

    This dissertation studies how people describe emotions with language and how computers can simulate this descriptive behavior. Although many non-human animals can express their current emotions as social signals, only humans can communicate about emotions symbolically. This symbolic communication of emotion allows us to talk about emotions that we…

  6. The geometry description markup language

    International Nuclear Information System (INIS)

    Chytracek, R.

    2001-01-01

    Currently, a lot of effort is being put on designing complex detectors. A number of simulation and reconstruction frameworks and applications have been developed with the aim to make this job easier. A very important role in this activity is played by the geometry description of the detector apparatus layout and its working environment. However, no real common approach to represent geometry data is available and such data can be found in various forms starting from custom semi-structured text files, source code (C/C++/FORTRAN), to XML and database solutions. The XML (Extensible Markup Language) has proven to provide an interesting approach for describing detector geometries, with several different but incompatible XML-based solutions existing. Therefore, interoperability and geometry data exchange among different frameworks is not possible at present. The author introduces a markup language for geometry descriptions. Its aim is to define a common approach for sharing and exchanging of geometry description data. Its requirements and design have been driven by experience and user feedback from existing projects which have their geometry description in XML

  7. Marketing and Merchandising, Course Description.

    Science.gov (United States)

    Boyer, Jerome L.; Anderson, Floyd L.

    This course description was developed by educators for use at the Work Opportunity Center which was established to teach high school dropouts and/or hard-core unemployed youth. The ultimate objectives of the marketing and merchandising curriculum are to prepare students for careers in distribution and to assist them in graduating from high school.…

  8. Epsilon. A System Description Language

    DEFF Research Database (Denmark)

    Jensen, Kurt; Kyng, Morten

    This paper discusses the use of Petri nets as a semantic tool in the design of languages and in the construction and analysis of system descriptions. The topics treated are: -- Languages based on nets. -- The problem of time in nets. -- Nets and related models. -- Nets and formal semantics...

  9. Paralisia Facial Periférica por comprometimento do tronco cerebral: A propósito de um caso clínico Peripheral Facial Paralisys of brainstem origin: A clinical case description

    Directory of Open Access Journals (Sweden)

    Paulo R. Lazarini

    Full Text Available É apresentado um caso clínico de paciente portador de paralisia facial periférica com comprometimento de toda a hemiface direita. Durante a investigação clínica, esperava-se que o comprometimento topográfico do nervo facial se desse a partir de sua emergência na ponte. Após exames de imagem, evidenciou-se lesão expansiva no tronco cerebral. Deste modo, a classificação de paralisia facial como periférica ou central não atende a este caso. O uso de uma classificação utilizando os núcleos do nervo facial como referência pode ser mais adequado na investigação clínica da paralisia facial.It is presented a clinical case of a patient with a peripheral facial paralysis with hemifacial compromise. During the clinical investigation it was expected that the topographic compromise of the facial nerve would arise out of the emergence of the nerve from the pons. After some image examinations, an expansive brain trunk lesion was evidenced. Thus, the classification of facial paralysis - either peripheral or central - is not applicable to this case. The use of a classification having the facial nerve nucleus as reference could be more adequate in the clinical investigation of the paralysis.

  10. CRACUK model description (appendices to the CRAC2 model description)

    International Nuclear Information System (INIS)

    Nixon, W.; Egan, M.J.

    1986-08-01

    The CRACUK computer code is a revised version of the US consequence modelling code CRAC2, adapted to suit UK requirements. The revisions include modifications to the models for spatial interval representation, weather sequence sampling, atmospheric dispersion, dosimetry and countermeasures. This document describes, in the form of appendices to the CRAC2 model description, each of the revisions made to the original model which collectively distinguish CRACUK from CRAC2. (author)

  11. Corpos estranhos de fossas nasais: descrição de tipos e complicações em 420 casos Nasal foreign bodies: description of types and complications in 420 cases

    Directory of Open Access Journals (Sweden)

    Ricardo Rodrigues Figueiredo

    2006-02-01

    Full Text Available Corpos estranhos de fossas nasais são acidentes comuns em crianças, podendo, de acordo com a literatura, levar a complicações supurativas e bronco-aspiração do corpo estranho. O diagnóstico é feito quase sempre pela rinoscopia anterior, mas a nasofibroscopia e exames radiológicos podem ser úteis. OBJETIVO: Analisar um total de 420 casos de corpos estranhos de fossas nasais removidos no serviço de ORL-EPO do Hospital Municipal Souza Aguiar quanto a vários parâmetros como sexo, idade, tipo e complicações. MATERIAL E MÉTODO: 420 casos de corpos estranhos de fossas nasais removidos no serviço de Otorrinolaringologia e Endoscopia Per-oral (ORL-EPO do Hospital Municipal Souza Aguiar, no período de dezembro de 1992 a dezembro de 1998, quanto aos parâmetros acima referidos. RESULTADOS: Foi encontrada uma maior incidência na faixa etária de 0 a 4 anos, sendo os mais comuns, pela ordem fragmentos de espuma, fragmentos de material plástico, grãos de feijão e fragmentos de papel. As complicações ocorreram em 9,05% dos casos, sendo as mais comuns a epistaxe e a vestibulite. CONCLUSÃO: Os corpos estranhos de fossas nasais são acidentes encontrados principalmente na faixa etária de 0 a 4 anos, sendo os mais comuns, em nossa casuística, os fragmentos de espuma e pequenos artefatos de plástico. Complicações não são freqüentes, sendo as mais encontradas a epistaxe e vestibulite nasal.Nasal cavities foreign bodies are common accidents in children, sometimes leading, in accordance with the literature, to complications such as epistaxis and bronchoaspiration. Diagnosis is often made with anterior rhinoscopy, but sometimes nasal fibroendoscopy and imaging may be useful. AIM: To evaluate 420 cases of nasal foreign bodies removed in ENT Service of Souza Aguiar Hospital, Rio de Janeiro, as related to sex, age, type of foreign body and complications. MATERIALS AND METHOD: 420 cases of nasal foreign bodies removed in the ENT service of

  12. Fractures of the Bilateral C2 Neurocentral and Lateral Dental Synchondroses with Kyphotic C1-C2 Subluxation in a 3-Year-Old Girl: A Description of a Rare Fracture Pattern and Its Treatment: A Case Report.

    Science.gov (United States)

    Gautier, Lucienne; Aufdenblatten, Christoph; Dierauer, Stefan; Ramseier, Leonhard; Mazzone, Luca; Huber, Hanspeter; Farshad, Mazda

    2017-01-01

    Spinal fractures are rare in young children. Because spinal anatomy and biomechanics differ in children and adults, knowledge of the deviations of the juvenile spine is necessary for adequate treatment. We present the case of a young girl with an unusual C2 fracture that included rupture of both of the neurocentral and lateral dental synchondroses, with an opening of the synchondroses and a caudal dislocation of both vertebral arches following a head-on motor vehicle collision. The whole body and apex of the dens was displaced anteriorly and cranially with a kyphotic angulation of 34°. We describe the treatment and clinical and radiographic outcome after 1 year. Using passive hyperextension and distraction of the head, a closed open-mouth digital reduction was performed under continuous fluoroscopy. At the 1-year follow-up, the patient had full range of motion of the head without pain or neurologic dysfunction.

  13. Granuloma gigantocelular central del maxilar inferior: Presentación de un caso pediátrico Giant cell granuloma of the lower jaw: Description of a pediatric case

    Directory of Open Access Journals (Sweden)

    S A Grees

    2006-12-01

    Full Text Available El granuloma gigantocelular central (GGCC, es una lesión tumoral o seudotumoral, infrecuente de los huesos de la cabeza y cuello, que afecta más frecuentemente los maxilares. Su etiología y patogenia son poco conocidas, sus características histológicas son benignas y su comportamiento biológico puede ser agresivo localmente. Presentamos el caso de un niño de 6 años con esta afección y realizamos una revisión de la entidad y sus diagnósticos diferenciales con otras lesiones de los maxilares.Giant Cell Granuloma (GCG is an uncommon condition affecting the bones of the head and neck. The ethiology and pathophysiology are not completely understood. The histlogic characteristics of GCG are benign, but its biologic behavior could locally aggressive. We describe the case of a 6 year-old boy with GCG and performed a review of the entity ant their differential diagnosis with other lesions of the maxillary bones.

  14. Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs.

    Science.gov (United States)

    Athavale, Priyanka; Thomas, Melanie; Delgadillo-Duenas, Adriana T; Leong, Karen; Najmabadi, Adriana; Harleman, Elizabeth; Rios, Christina; Quan, Judy; Soria, Catalina; Handley, Margaret A

    2016-01-01

    Background . Low-income minority women with prior gestational diabetes mellitus (pGDM) or high BMIs have increased risk for chronic illnesses postpartum. Although the Diabetes Prevention Program (DPP) provides an evidence-based model for reducing diabetes risk, few community-based interventions have adapted this program for pGDM women. Methods . STAR MAMA is an ongoing randomized control trial (RCT) evaluating a hybrid HIT/Health Coaching DPP-based 20-week postpartum program for diabetes prevention compared with education from written materials at baseline. Eligibility includes women 18-39 years old, ≥32 weeks pregnant, and GDM or BMI > 25. Clinic- and community-based recruitment in San Francisco and Sonoma Counties targets 180 women. Sociodemographic and health coaching data from a preliminary sample are presented. Results . Most of the 86 women included to date (88%) have GDM, 80% were identified as Hispanic/Latina, 78% have migrant status, and most are Spanish-speaking. Women receiving the intervention indicate high engagement, with 86% answering 1+ calls. Health coaching callbacks last an average of 9 minutes with range of topics discussed. Case studies presented convey a range of emotional, instrumental, and health literacy-related supports offered by health coaches. Discussion . The DPP-adapted HIT/health coaching model highlights the possibility and challenge of delivering DPP content to postpartum women in community settings. This trial is registered with ClinicalTrials.gov NCT02240420.

  15. Continuum description for jointed media

    International Nuclear Information System (INIS)

    Thomas, R.K.

    1982-04-01

    A general three-dimensional continuum description is presented for a material containing regularly spaced and approximately parallel jointing planes within a representative elementary volume. Constitutive relationships are introduced for linear behavior of the base material and nonlinear normal and shear behavior across jointing planes. Furthermore, a fracture permeability tensor is calculated so that deformation induced alterations to the in-situ values can be measured. Examples for several strain-controlled loading paths are presented

  16. GROUNDWATER PROTECTION MANAGEMENT PROGRAM DESCRIPTION.

    Energy Technology Data Exchange (ETDEWEB)

    PAQUETTE,D.E.; BENNETT,D.B.; DORSCH,W.R.; GOODE,G.A.; LEE,R.J.; KLAUS,K.; HOWE,R.F.; GEIGER,K.

    2002-05-31

    THE DEPARTMENT OF ENERGY ORDER 5400.1, GENERAL ENVIRONMENTAL PROTECTION PROGRAM, REQUIRES THE DEVELOPMENT AND IMPLEMENTATION OF A GROUNDWATER PROTECTION PROGRAM. THE BNL GROUNDWATER PROTECTION MANAGEMENT PROGRAM DESCRIPTION PROVIDES AN OVERVIEW OF HOW THE LABORATORY ENSURES THAT PLANS FOR GROUNDWATER PROTECTION, MONITORING, AND RESTORATION ARE FULLY DEFINED, INTEGRATED, AND MANAGED IN A COST EFFECTIVE MANNER THAT IS CONSISTENT WITH FEDERAL, STATE, AND LOCAL REGULATIONS.

  17. Personality: Description, Classification and Evaluation

    Directory of Open Access Journals (Sweden)

    Ibrahim Taymur

    2012-06-01

    Full Text Available Many descriptions and classifications of personality have been made to understand and acknowledge human being through out the history. During the developmental process of psychiatry, almost every school defined and assessed personality regarding to their own perspective. As DSM (Diagnostical and Statistical Manual of Mental Disorders and ICD (International Classification of Diseases being available to common usage, scientists conducted studies to set a common terminology for personality. Categorical and dimensional approaches are the most fundamentally different assessment strategies in the research and clinical aspects about personality. While categorical approach views the personality as dichotomies which consists of different groups, dimensional approach aims to describe the personality on the basis of dimensions, thus suggests that the personality is a structure formed by definite dimensions. Several advantages and disadvantages can be noticed when descriptions of personality and tools for the evaluation of personality are reviewed. When the section making suggestions about personality disorder in DSM-5 is evaluated, it is seen that it aims to restructure the personality disorder diagnostic group according to new findings and critiques. In this article, the description of personality throughout the history, dimensional, categorical and cognitive approaches to personality, the features of the tools that are used to assess and measure the personality are reviewed.

  18. Description of fiction in Wikipedia

    Directory of Open Access Journals (Sweden)

    Alenka Šauperl

    2010-01-01

    Full Text Available Subject description of fiction in the Slovenian Cooperative On-line Bibliographic Database (COBIB is still inadequate. Participation in COBIB is granted to librarians who have successfully passed the exam. As a consequence, the number of contributing librarians is limited. However, all Slovenian librarians can collaborate in the Slovenian Wikipedia. Slovenian and foreign library science researchers have proposed the structure of subject description of fiction. An analysis of articles describing nine works of fiction in five wikipedias (English, French, Spanish, Croatian and Slovenian has shown new characteristics. Drawing on these findings, a suggestion of an optimal structure is made. An article describing a work of fiction should begin with a general introductory statement comprising the name of the author, his/her nationality and genre.Translators and original title should be written if a translation is presented. Illustrators and other contributors, the background and other specific information on the work should be added if relevant. The main body of the text should be structured in the following chapters: 1 contents, 2 collection, 3 reviews and awards, 4 editions and translations, 5 adaptations, 6 see also, 7 links and 8 sources. An "infobox: book" with Slovenian adaptation and relevant categories should be inserted. Copying these Wikipedia articles into the library catalogue would enhance subject description and provide better subject access to fiction.

  19. Eosinophilic esophagitis in adults, an emerging cause of dysphagia: Description of 9 cases Esofagitis eosinofílica del adulto, causa emergente de disfagia: Presentación de 9 casos

    Directory of Open Access Journals (Sweden)

    A. J. Lucendo Villarín

    2005-04-01

    Full Text Available Background: eosinophilic esophagitis is a rare condition mainly affecting children, although the number of cases reported in adults is on the increase. It is characterized by intense infiltration of eosinophilic leukocytes in the esophageal mucosa, without involvement of other sections of the alimentary canal. Material and methods: over the past year, following the performance of endoscopies and biopsies, our service identified nine patients who were diagnosed with suffering from this disorder. Each patient sought medical help for episodes of long-term, self-limited dysphagia or food impaction in the alimentary canal. Results: endoscopy revealed esophageal stenosis in the form of simultaneous contraction rings or regular stenosis. In six cases, the manometric study showed a nonspecific motor disorder of severe intensity affecting the esophageal body, and another patient had a disorder characterized by the presence of simultaneous waves and secondary peristaltic waves in the three thirds of the organ. These disorders are presumably due to eosinophilic infiltration of the muscular layer or ganglionar cells of the esophagus, and account for symptoms in these patients. Although the etiopathogenesis of this illness is uncertain, it is clearly an immunoallergic manifestation. Conclusions: as the number of diagnosed cases is on the increase, eosinophilic esophagitis is in adults a specific entity within the differential diagnosis of dysphagia in young males with a history of allergies. Eosiniphilic esophagitis responds in a different number of ways to therapies used. We successfully used fluticasone propionate, a synthetic corticoid applied topically, which proved to be efficient in the treatment of this illness by acting on the pathophysiological basis of the process. It does not have any adverse effects, thus offering advantages over other therapies such as systematic corticoids or endoscopic dilations.Introducción: la esofagitis eosinofílica es

  20. “Influence Method”. Detailed mathematical description

    International Nuclear Information System (INIS)

    Rios, I.J.; Mayer, R.E.

    2015-01-01

    A new method for the absolute determination of nuclear particle flux in the absence of known detector efficiency, the “Influence Method”, was recently published (I.J. Rios and R.E. Mayer, Nuclear Instruments & Methods in Physics Research A 775 (2015) 99–104). The method defines an estimator for the population and another estimator for the efficiency. In this article we present a detailed mathematical description which yields the conditions for its application, the probability distributions of the estimators and their characteristic parameters. An analysis of the different cases leads to expressions of the estimators and their uncertainties. - Highlights: • “Influence Method”, a new method for absolute particle flux determination. • Absolute counting method when detector efficiencies are not known. • Absolute detector efficiency determination

  1. Evaluation of Stallions Based on Linear Description of Their Daughters

    Directory of Open Access Journals (Sweden)

    Barbora Králová

    2017-01-01

    Full Text Available The purpose of our work was an objective evaluation of mares of the Czech warmblood horse based on the linear description, as well as the evaluation of the benefits of stallion breeding based on the linear description of their daughters and – for specific stallions – the evaluation of certain individual exterior traits which are passed on by stallions to their offspring. Stallion horses with at least 7 descendants were used for the evaluation and determination of the values, mares which underwent a linear description of traits at the age of 3 years. For this evaluation we used available data from the year 1996 to 2012, a total including 251 stallions and 4709 mares and more than 500 000 records related to the linear description. The data were gathered from the database of the Central Register of Horse Breeding at Slatińany in the Czech Republic. These data were manually compiled using Excel 2007 and then processed and evaluated according to the objectives of the present study using the linear model GLM as well as the statistical programme Scheffe. The results of the study showed a convincing statistical influence of the stallions on all the monitored exterior traits analyzed on the mares for the father‑factor, and after evaluating all the general exterior traits the statistical difference among the stallions was seen as convincing. We found out that in most cases the breed had no convincing statistical influence on the analyzed traits of the linear description. On the contrary, in terms of the other effects (father and year of measurement we found a convincing statistical influence on all traits of the linear description. For some stallions we evaluated particular traits of linear description, which they pass on to their female offspring using charts and graphics. Afterwards we compared reciprocally certain stallions according to the traits of the linear description.

  2. Subject categories and scope descriptions

    International Nuclear Information System (INIS)

    2002-01-01

    This document is one in a series of publications known as the ETDE/INIS Joint Reference Series. It defines the subject categories and provides the scope descriptions to be used for categorization of the nuclear literature for the preparation of INIS and ETDE input by national and regional centres. Together with the other volumes of the INIS Reference Series it defines the rules, standards and practices and provides the authorities to be used in the International Nuclear Information System and ETDE. A complete list of the volumes published in the INIS Reference Series may be found on the inside front cover of this publication. This INIS/ETDE Reference Series document is intended to serve two purposes: to define the subject scope of the International Nuclear Information System (INIS) and the Energy Technology Data Exchange (ETDE) and to define the subject classification scheme of INIS and ETDE. It is thus the guide to the inputting centres in determining which items of literature should be reported, and in determining where the full bibliographic entry and abstract of each item should be included in INIS or ETDE database. Each category is identified by a category code consisting of three alphanumeric characters. A scope description is given for each subject category. The scope of INIS is the sum of the scopes of all the categories. With most categories cross references are provided to other categories where appropriate. Cross references should be of assistance in finding the appropriate category; in fact, by indicating topics that are excluded from the category in question, the cross references help to clarify and define the scope of the category to which they are appended. A Subject Index is included as an aid to subject classifiers, but it is only an aid and not a means for subject classification. It facilitates the use of this document, but is no substitute for the description of the scope of the subject categories

  3. ELECTRICAL POWER SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    M. Maniyar

    2004-06-22

    The purpose of this revision of the System Description Document (SDD) is to establish requirements that drive the design of the electrical power system and their bases to allow the design effort to proceed to License Application. This SDD is a living document that will be revised at strategic points as the design matures over time. This SDD identifies the requirements and describes the system design as they exist at this time, with emphasis on those attributes of the design provided to meet the requirements. This SDD has been developed to be an engineering tool for design control. Accordingly, the primary audience are design engineers. This type of SDD leads and follows the design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential to performing the design process. This SDD follows the design with regard to the description of the system. The description provided in the SDD is a reflection of the results of the design process to date. Functional and operational requirements applicable to this system are obtained from ''Project Functional and Operational Requirements'' (F&OR) (Siddoway, 2003). Other requirements to support the design process have been taken from higher level requirements documents such as ''Project Design Criteria Document'' (PDC) (Doraswamy 2004), the fire hazards analyses, and the preclosure safety analysis. The above mentioned low-level documents address ''Project Requirements Document'' (PRD) (Canori and Leitner 2003) requirements. This SDD includes several appendices with supporting information. Appendix B lists key system charts, diagrams, drawings, and lists; and Appendix C is a list of system procedures.

  4. ELECTRICAL SUPPORT SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    S. Roy

    2004-06-24

    The purpose of this revision of the System Design Description (SDD) is to establish requirements that drive the design of the electrical support system and their bases to allow the design effort to proceed to License Application. This SDD is a living document that will be revised at strategic points as the design matures over time. This SDD identifies the requirements and describes the system design as they exist at this time, with emphasis on those attributes of the design provided to meet the requirements. This SDD has been developed to be an engineering tool for design control. Accordingly, the primary audience/users are design engineers. This type of SDD both ''leads'' and ''trails'' the design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD trails the design with regard to the description of the system. The description provided in the SDD is a reflection of the results of the design process to date. Functional and operational requirements applicable to electrical support systems are obtained from the ''Project Functional and Operational Requirements'' (F&OR) (Siddoway 2003). Other requirements to support the design process have been taken from higher-level requirements documents such as the ''Project Design Criteria Document'' (PDC) (Doraswamy 2004), and fire hazards analyses. The above-mentioned low-level documents address ''Project Requirements Document'' (PRD) (Canon and Leitner 2003) requirements. This SDD contains several appendices that include supporting information. Appendix B lists key system charts, diagrams, drawings, and lists, and Appendix C includes a list of system procedures.

  5. SNF AGING SYSTEM DESCRIPTION DOCUMENT

    International Nuclear Information System (INIS)

    L.L. Swanson

    2005-01-01

    The purpose of this system description document (SDD) is to establish requirements that drive the design of the spent nuclear fuel (SNF) aging system and associated bases, which will allow the design effort to proceed. This SDD will be revised at strategic points as the design matures. This SDD identifies the requirements and describes the system design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This SDD is an engineering tool for design control; accordingly, the primary audience and users are design engineers. This SDD is part of an iterative design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD follows the design with regard to the description of the system. The description provided in the SDD reflects the current results of the design process. Throughout this SDD, the term aging cask applies to vertical site-specific casks and to horizontal aging modules. The term overpack is a vertical site-specific cask that contains a dual-purpose canister (DPC) or a disposable canister. Functional and operational requirements applicable to this system were obtained from ''Project Functional and Operational Requirements'' (F andOR) (Curry 2004 [DIRS 170557]). Other requirements that support the design process were taken from documents such as ''Project Design Criteria Document'' (PDC) (BSC 2004 [DES 171599]), ''Site Fire Hazards Analyses'' (BSC 2005 [DIRS 172174]), and ''Nuclear Safety Design Bases for License Application'' (BSC 2005 [DIRS 171512]). The documents address requirements in the ''Project Requirements Document'' (PRD) (Canori and Leitner 2003 [DIRS 166275]). This SDD includes several appendices. Appendix A is a Glossary; Appendix B is a list of key system charts, diagrams, drawings, lists and additional supporting information; and Appendix C is a list of

  6. Thorax X-ray diagnostics. DDS (double base description system). Uniform terminology and standardized sytematics. Correct diagnosis

    International Nuclear Information System (INIS)

    Kulke, H.M.

    2012-01-01

    The booklet describes the so called DDS (double-base description system) to be used in the frame of medical thorax X-ray examinations with modern imaging devices. The following issues are discussed: Description features, shadow characterization, general fundamentals, procedural methodology, diagnostic findings protocol, examples and case descriptions.

  7. Acceptance Testing Of Web Applications With Test Description Language

    Directory of Open Access Journals (Sweden)

    Łukasz Olek

    2014-01-01

    Full Text Available Acceptance tests are usually created by a client after a part of a system is implemented. However, some methodologies propose the elaboration of test cases before implementing a system. This approach increases the probability of system implementation that fulfills requirements, but may be problematic for customers and testers. To allow acceptance testing in such conditions, we propose to define test cases by recording them on an interactive mockup (a low detailed user-interface prototype. The paper focuses on Test Description Language, a notation used to store test cases.

  8. Addressing the Language Description Deficit

    Directory of Open Access Journals (Sweden)

    M. Ali Bolgiin

    2010-01-01

    Full Text Available Well-described language features are key to successful teaching and learning, especially for achieving advanced levels of proficiency. Other measures, such as simply increasing the number of reading and listening passages in a language program alone are not enough to bring the student to a higher level in a given skill. In fact, even being present in the target culture does not suffice. Angelelli and Degueldre (2002 argue that at advanced levels, even spending time in a country where the language is spoken is not necessarily sufficient for learners: "They do not need just exposure; they need answers to questions and explanations that they can rarely get by simply being immersed in a language/ culture." Less commonly taught languages (LCTLs lack descriptions that have such answers and explanations (cf. Fotos, 2002. It is argued in this paper that corpuslinguistic analyses help to provide actual usage-based, rather than intuition-based, descriptions and explanations of language features. Such approach is illustrated through English and Turkish examples.

  9. Integrated Project Management System description

    International Nuclear Information System (INIS)

    1994-09-01

    The Integrated Program Management System (IPMS) Description is a ''working'' document that describes the work processes of the Uranium Mill Tailings Remedial Action Project Office (UMTRA) and IPMS Group. This document has undergone many revisions since the UMTRA Project began; this revision not only updates the work processes but more clearly explains the relationships between the Project Office, contractors, and other participants. The work process flow style has been revised to better describe Project work and the relationships of participants. For each work process, more background and guidance on ''why'' and ''what is expected'' is given. For example, a description of activity data sheets has been added in the work organization and the Project performance and reporting processes, as well as additional detail about the federal budget process and funding management and improved flow charts and explanations of cost and schedule management. A chapter has been added describing the Cost Reduction/Productivity Improvement Program. The Change Control Board (CCB) procedures (Appendix A) have been updated. Project critical issues meeting (PCIM) procedures have been added as Appendix B. Budget risk assessment meeting procedures have been added as Appendix C. These appendices are written to act as stand-alone documentation for each process. As the procedures are improved and updated, the documentation can be updated separately

  10. Thermodynamical description of excited nuclei

    International Nuclear Information System (INIS)

    Bonche, P.

    1989-01-01

    In heavy ion collisions it has been possible to obtain composite systems at rather high excitation energies corresponding to temperatures of several MeV. The theoretical studies of these systems are based on concepts borrowed from thermodynamics or statistical physics, such as the temperature. In these lectures, we present the concepts of statistical physics which are involved in the physics of heavy ion as they are produced nowadays in the laboratory and also during the final stage of a supernova collapse. We do not attempt to describe the reaction mechanisms which yield such nuclear systems nor their decay by evaporation or fragmentation. We shall only study their static properties. The content of these lectures is organized in four main sections. The first one gives the basic features of statistical physics and thermodynamics necessary to understand quantum mechanics at finite temperature. In the second one, we present a study of the liquid-gas phase transition in nuclear physics. A phenomenological approach of the stability of hot nuclei follows. The microscopic point of view is proposed in the third part. Starting from the basic concepts derived in the first part, it provides a description of excited or hot nuclei which confirms the qualitative results of the second part. Furthermore it gives a full description of most properties of these nuclei as a function of temperature. Finally in the last part, a microscopic derivation of the equation of state of nuclear matter is proposed to study the collapse of a supernova core

  11. Archival Descriptions from the National Archives Catalog

    Data.gov (United States)

    National Archives and Records Administration — Archival Descriptions from the National Archives Catalog data set provides archival descriptions of the permanent holdings of the federal government in the custody...

  12. SNF AGING SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    L.L. Swanson

    2005-04-06

    The purpose of this system description document (SDD) is to establish requirements that drive the design of the spent nuclear fuel (SNF) aging system and associated bases, which will allow the design effort to proceed. This SDD will be revised at strategic points as the design matures. This SDD identifies the requirements and describes the system design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This SDD is an engineering tool for design control; accordingly, the primary audience and users are design engineers. This SDD is part of an iterative design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD follows the design with regard to the description of the system. The description provided in the SDD reflects the current results of the design process. Throughout this SDD, the term aging cask applies to vertical site-specific casks and to horizontal aging modules. The term overpack is a vertical site-specific cask that contains a dual-purpose canister (DPC) or a disposable canister. Functional and operational requirements applicable to this system were obtained from ''Project Functional and Operational Requirements'' (F&OR) (Curry 2004 [DIRS 170557]). Other requirements that support the design process were taken from documents such as ''Project Design Criteria Document'' (PDC) (BSC 2004 [DES 171599]), ''Site Fire Hazards Analyses'' (BSC 2005 [DIRS 172174]), and ''Nuclear Safety Design Bases for License Application'' (BSC 2005 [DIRS 171512]). The documents address requirements in the ''Project Requirements Document'' (PRD) (Canori and Leitner 2003 [DIRS 166275]). This SDD includes several appendices. Appendix A is a Glossary; Appendix B is a list of key system charts

  13. Theory buried under heavy description

    Directory of Open Access Journals (Sweden)

    Vivian B. Martin Ph.D.

    2010-12-01

    Full Text Available In journalism when a reporter puts the main news or point of the story deep down in the text, we say she’s buried the lead, the lead being the main point of the story and usually the first paragraph. In Children in Genocide: extreme traumatization and affect regulation, psychoanalyst Suzanne Kaplan buries her theory. Her study of the after effects of trauma among Holocaust survivors who were children during their persecution and survivors of atrocities during the Rwandan atrocities of the 1990s, is filled with highly descriptive material from the many interviews that serve as data. An interesting grounded theory is peeking out from under all the disciplinary discourse and historical background one must read through to get to what grounded theory readers will consider the juicy parts: concepts on affect regulation in trauma survivors.

  14. Integrated Project Management System description

    International Nuclear Information System (INIS)

    1987-03-01

    The Uranium Mill Tailings Remedial Action (UMTRA) Project is a Department of Energy (DOE) designated Major System Acquisition (MSA). To execute and manage the Project mission successfully and to comply with the MSA requirements, the UMTRA Project Office (''Project Office'') has implemented and operates an Integrated Project Management System (IPMS). The Project Office is assisted by the Technical Assistance Contractor's (TAC) Project Integration and Control (PIC) Group in system operation. Each participant, in turn, provides critical input to system operation and reporting requirements. The IPMS provides a uniform structured approach for integrating the work of Project participants. It serves as a tool for planning and control, workload management, performance measurement, and specialized reporting within a standardized format. This system description presents the guidance for its operation. Appendices 1 and 2 contain definitions of commonly used terms and abbreviations and acronyms, respectively. 17 figs., 5 tabs

  15. Reversible gates and circuits descriptions

    Science.gov (United States)

    Gracki, Krzystof

    2017-08-01

    This paper presents basic methods of reversible circuit description. To design reversible circuit a set of gates has to be chosen. Most popular libraries are composed of three types of gates so called CNT gates (Control, NOT and Toffoli). The gate indexing method presented in this paper is based on the CNT gates set. It introduces a uniform indexing of the gates used during synthesis process of reversible circuits. The paper is organized as follows. Section 1 recalls basic concepts of reversible logic. In Section 2 and 3 a graphical representation of the reversible gates and circuits is described. Section 4 describes proposed uniform NCT gates indexing. The presented gate indexing method provides gate numbering scheme independent of lines number of the designed circuit. The solution for a circuit consisting of smaller number of lines is a subset of solution for a larger circuit.

  16. Relativistic description of deformed nuclei

    International Nuclear Information System (INIS)

    Price, C.E.

    1988-01-01

    The author has shown that relativistic Hartree calculations using parameters that have been fit to the properties of nuclear matter can provide a good description of both spherical and axially deformed nuclei. The quantitative agreement with experiment is equivalent to that which was obtained in non-relativistic calculations using Skyrme interactions. The equilibrium deformation is strongly correlated with the size of the spin-orbit splitting, and that parameter sets which give roughly the correct value for this splitting provide the best agreement with the quadrupole moments in the s-d shell. Finally, for closed shell +/- 1 nuclei, it was shown that the self-consistent calculations are able to reproduce the experimental magnetic moments. This was not possible in relativistic calculations which include only the effects of the valence orbital

  17. Semantic Web Compatible Names and Descriptions for Organisms

    Science.gov (United States)

    Wang, H.; Wilson, N.; McGuinness, D. L.

    2012-12-01

    vocabulary encoded in the Web Ontology Language to represent the observational features. A prototype of the system is currently under development in collaboration with the Mushroom Observer website. It allows users to propose new names and descriptions for fungi, provide feedback on those proposals, and ultimately have them formally approved. It relies on SPARQL queries and semantic reasoning for data management. This effort will offer the mycology community a knowledge base of fungal observational features and a tool for identifying fungal observations. It will also serve as an operational specification of how the Semantic Vernacular System can be used in practice in one scientific community (in this case mycology).

  18. Depressive symptoms associated with hereditary Alzheimer's disease: a case description.

    Science.gov (United States)

    Contreras, Mónica Yicette Sánchez; Vargas, Paula Alejandra Osorio; Ramos, Lucero Rengifo; Velandia, Rafael Alarcón

    The authors describe a family group studied by the Centro de Biología Molecular y Biotecnología, and the Clínica de la Memoria, las Demencias y el Envejecimiento (Universidad Tecnológica de Pereira, Colombia), and evaluate the association of depressive symptoms with Alzheimer's disease (AD). This family presented a hereditary pattern for AD characterized by an early onset of dementia symptoms, a long preclinical depressive course, and, once the first symptoms of dementia appeared, a rapid progression to severe cognitive function impairment. The authors found a high prevalence of depressive symptoms in this family and propose that the symptoms could be an important risk factor for developing AD in the presence of other risk factors such as the APOE E4 allele.

  19. Mucormycosis and bone scintillography of three phases. Case description

    International Nuclear Information System (INIS)

    Papadakis S, M.; Larrea R, E.; Carrasco R, C.A.; Garrido A, R.A.; Olmedo T, D.; Perez C, M.

    2007-01-01

    The purpose of presenting this work, besides the interest that shows the mucormycosis pathology not so frequent, it is to carry out a clinical correlation photographic with the imagenology, particularly with the bone scintillography. In the Nuclear Medicine Service it is carried out bone scintillography of three phases previous endovenous administration of 30 mCi (1110 MBq) of 99m Tc-MDP. The images are obtained with a gamma camera model Elscint APEX SPX, first each 2 seconds during the first minute, then early image to the 5 minutes and finally the late ones to the 3 hs. The bone scintillography in the phases 2 and 3 detects bigger radioactive density in left hemi side, with increment of the osteoblast activity mainly in the medial border and the floor of the orbit, in the malar bone and a little more tenuous in the superior maxillary. (Author)

  20. Inguinoscrotal herniation of the ureter: Description of five cases

    Directory of Open Access Journals (Sweden)

    Allam E.S.

    2015-01-01

    CONCLUSION: Pre-operative diagnosis by CT can prevent injury to the ureter. We hypothesize that anterior displacement of the ureter at the level of L4 as seen on CT may be predictive of inguinoscrotal herniation of the ureter.

  1. Anatomical description of the ostrich (Struthio camelus skeleton: case report

    Directory of Open Access Journals (Sweden)

    Ana Greice Borba Leite

    2012-11-01

    Full Text Available Ostrich (Struthio camelus is a bird characterized by its large size, it can achieve 2.8m in height and weight over 150kg. It has an Egyptian origin and then spread throughout Africa. Commercial breeding began about 150 years ago, with the domestication of native animals from South Africa, country which holds the first position in meat supply. Several musculoskeletal diseases were observed in fast-growing birds, such as ostrich. High body weight, associated to a developing bone structure, is indicated as the main cause of disorders of the locomotor system. In this study, an adult male specimen was used, from an ostrich production farm located at the town of Paranatama, Pernambuco, Brazil. After removing soft tissues, bone measurements were performed with caliper and tape measure, and each bone was photographed for documentation and described. This study aims to contribute to increase knowledge on the ostrich skeletal system, as well as provide a basis for muscle development, one of the main targets of commercial exploitation with regard to this species.

  2. [OEIS complex. Description of a case associated with cardiopathy].

    Science.gov (United States)

    Faranda, F; Zucchinetti, P; Pozzolo, S; Romagnoli, G; Camera, G

    1993-01-01

    We describe a newborn affected by OEIS complex (Omphalocele--Exstrophy of bladder--Imperforate anus--Spinal defect) associated with atrial septal defect. Terminal ileostomy, closure of the abdominal wall defect and suture of the cecal and vesical plates were performed. The patient died at 5 months and four days.

  3. [Mucinous adenocarcinoma of the prostate: description of a case].

    Science.gov (United States)

    Ferrero, G; Mastroberardino, E; Del Vino, A; Artese, L

    2000-04-01

    We report an occasional biopsy of primary mucinous adenocarcinoma of the prostate with review of the literature and discussion about all criteria used to classify this clinical-pathological entity. Histochemical (Alcian Blue and P.A.S.) and immunohistochemical (P.A.P. and P.S.A.) stainings were performed.

  4. Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review

    Directory of Open Access Journals (Sweden)

    Thankappan Bindu

    2005-01-01

    Full Text Available Background : Mobius syndrome is traditionally know as a non-progressive developmental disorder of cranial nerve nuclei mainly the sixth and the seventh nerves. Recent evidences however suggest that it may have an extended spectrum and a variable course. Objective: To describe various clinical features and pathogenesis of Mobius syndrome. Patients : Clinical profile of three patients with diverse manifestations of Mobius syndrome from a university teaching hospital in South India. Results: The presenting manifestations in the three patients with Mobius syndrome were mono-ocular visual impairment due to ischemic cerebrovascular disease (Patient 1, generalized tonic clonic seizures, delayed speech, bilateral facial, eighth and vagus nerve palsy (Patient 2 and progressive cranial polyneuropathy (Patient 3. Besides disorder of ocular mobility these patients had evidence of multiple morphologic abnormalities viz- polydactyly, high arched palate, clinodactyly, absence of pectoralis major and thoracic scoliosis. CT/MR imaging of the brainstem region were normal. The child with progressive involvement of multiple cranial nerve, and normal imaging of brain particularly posed diagnostic difficulty. Conclusion: Mobius syndrome is perhaps a regional development disorder of the entire brainstem with diverse clinical manifestations, severity and course, depending on the structures involved. Our observation, similar to the other reports, suggest that there is a need to further explore the etiology and pathogenetic link with other morphological abnormalities.

  5. Simpevarp - site descriptive model version 0

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-11-01

    During 2002, SKB is starting detailed investigations at two potential sites for a deep repository in the Precambrian rocks of the Fennoscandian Shield. The present report concerns one of those sites, Simpevarp, which lies in the municipality of Oskarshamn, on the southeast coast of Sweden, about 250 kilometres south of Stockholm. The site description will have two main components: a written synthesis of the site, summarising the current state of knowledge, as documented in the databases containing the primary data from the site investigations, and one or several site descriptive models, in which the collected information is interpreted and presented in a form which can be used in numerical models for rock engineering, environmental impact and long-term safety assessments. SKB maintains two main databases at the present time, a site characterisation database called SICADA and a geographic information system called SKB GIS. The site descriptive model will be developed and presented with the aid of the SKB GIS capabilities, and with SKBs Rock Visualisation System (RVS), which is also linked to SICADA. The version 0 model forms an important framework for subsequent model versions, which are developed successively, as new information from the site investigations becomes available. Version 0 is developed out of the information available at the start of the site investigation. In the case of Simpevarp, this is essentially the information which was compiled for the Oskarshamn feasibility study, which led to the choice of that area as a favourable object for further study, together with information collected since its completion. This information, with the exception of the extensive data base from the nearby Aespoe Hard Rock Laboratory, is mainly 2D in nature (surface data), and is general and regional, rather than site-specific, in content. Against this background, the present report consists of the following components: an overview of the present content of the databases

  6. Simpevarp - site descriptive model version 0

    International Nuclear Information System (INIS)

    2002-11-01

    During 2002, SKB is starting detailed investigations at two potential sites for a deep repository in the Precambrian rocks of the Fennoscandian Shield. The present report concerns one of those sites, Simpevarp, which lies in the municipality of Oskarshamn, on the southeast coast of Sweden, about 250 kilometres south of Stockholm. The site description will have two main components: a written synthesis of the site, summarising the current state of knowledge, as documented in the databases containing the primary data from the site investigations, and one or several site descriptive models, in which the collected information is interpreted and presented in a form which can be used in numerical models for rock engineering, environmental impact and long-term safety assessments. SKB maintains two main databases at the present time, a site characterisation database called SICADA and a geographic information system called SKB GIS. The site descriptive model will be developed and presented with the aid of the SKB GIS capabilities, and with SKBs Rock Visualisation System (RVS), which is also linked to SICADA. The version 0 model forms an important framework for subsequent model versions, which are developed successively, as new information from the site investigations becomes available. Version 0 is developed out of the information available at the start of the site investigation. In the case of Simpevarp, this is essentially the information which was compiled for the Oskarshamn feasibility study, which led to the choice of that area as a favourable object for further study, together with information collected since its completion. This information, with the exception of the extensive data base from the nearby Aespoe Hard Rock Laboratory, is mainly 2D in nature (surface data), and is general and regional, rather than site-specific, in content. Against this background, the present report consists of the following components: an overview of the present content of the databases

  7. Automated Linguistic Personality Description and Recognition Methods

    Directory of Open Access Journals (Sweden)

    Danylyuk Illya

    2016-12-01

    Full Text Available Background: The relevance of our research, above all, is theoretically motivated by the development of extraordinary scientific and practical interest in the possibilities of language processing of huge amount of data generated by people in everyday professional and personal life in the electronic forms of communication (e-mail, sms, voice, audio and video blogs, social networks, etc.. Purpose: The purpose of the article is to describe the theoretical and practical framework of the project "Communicative-pragmatic and discourse-grammatical lingvopersonology: structuring linguistic identity and computer modeling". The description of key techniques is given, such as machine learning for language modeling, speech synthesis, handwriting simulation. Results: Lingvopersonology developed some great theoretical foundations, its methods, tools, and significant achievements let us predict that the newest promising trend is a linguistic identity modeling by means of information technology, including language. We see three aspects of the modeling: 1 modeling the semantic level of linguistic identity – by means of the use of corpus linguistics; 2 sound level formal modeling of linguistic identity – with the help of speech synthesis; 3 formal graphic level modeling of linguistic identity – with the help of image synthesis (handwriting. For the first case, we suppose to use machine learning technics and vector-space (word2vec algorithm for textual speech modeling. Hybrid CUTE method for personality speech modeling will be applied to the second case. Finally, trained with the person handwriting images neural network can be an instrument for the last case. Discussion: The project "Communicative-pragmatic, discourse, and grammatical lingvopersonology: structuring linguistic identity and computer modeling", which is implementing by the Department of General and Applied Linguistics and Slavonic philology, selected a task to model Yuriy Shevelyov (Sherekh

  8. The diagnostic activity on wild animals through the description of a ...

    African Journals Online (AJOL)

    The diagnostic activity on wild animals through the description of a model case report (caseous lymphadenitis by Corynebacterium pseudotuberculosis associated with Pasteurella spp and parasites infection in an alpine ibex – Capra ibex )

  9. Software Test Description (STD) for the Globally Relocatable Navy Tide/Atmospheric Modeling System (PCTides)

    National Research Council Canada - National Science Library

    Posey, Pamela

    2002-01-01

    The purpose of this Software Test Description (STD) is to establish formal test cases to be used by personnel tasked with the installation and verification of the Globally Relocatable Navy Tide/Atmospheric Modeling System (PCTides...

  10. Prostitute Homicides: A Descriptive Study

    Science.gov (United States)

    Salfati, C. Gabrielle; James, Alison R.; Ferguson, Lynn

    2008-01-01

    It has been estimated that women involved in street prostitution are 60 to 100 times more likely to be murdered than are nonprostitute females. In addition, homicides of prostitutes are notoriously difficult to investigate and, as such, many cases remain unsolved. Despite this large risk factor, little literature exists on homicides of…

  11. Description of collisionless plasmas by classical field equations

    International Nuclear Information System (INIS)

    Fraley, G.S.

    1975-10-01

    Classical field equations are derived from quantum fields to obtain a different and possibly simpler description of a collisionless plasma. The method is to take the simultaneous limit, Dirac constant, e, m → 0, of charged scalar fields and the electromagnetic field. Laplace transforms for perturbations in a uniform relativistic plasma are compared with corresponding results from the Maxwell--Vlasov equations. For the nonlinear case, a distribution function defined on the classical fields is shown to satisfy the Vlasov equation

  12. XML Translator for Interface Descriptions

    Science.gov (United States)

    Boroson, Elizabeth R.

    2009-01-01

    A computer program defines an XML schema for specifying the interface to a generic FPGA from the perspective of software that will interact with the device. This XML interface description is then translated into header files for C, Verilog, and VHDL. User interface definition input is checked via both the provided XML schema and the translator module to ensure consistency and accuracy. Currently, programming used on both sides of an interface is inconsistent. This makes it hard to find and fix errors. By using a common schema, both sides are forced to use the same structure by using the same framework and toolset. This makes for easy identification of problems, which leads to the ability to formulate a solution. The toolset contains constants that allow a programmer to use each register, and to access each field in the register. Once programming is complete, the translator is run as part of the make process, which ensures that whenever an interface is changed, all of the code that uses the header files describing it is recompiled.

  13. Probabilistic description of traffic flow

    International Nuclear Information System (INIS)

    Mahnke, R.; Kaupuzs, J.; Lubashevsky, I.

    2005-01-01

    A stochastic description of traffic flow, called probabilistic traffic flow theory, is developed. The general master equation is applied to relatively simple models to describe the formation and dissolution of traffic congestions. Our approach is mainly based on spatially homogeneous systems like periodically closed circular rings without on- and off-ramps. We consider a stochastic one-step process of growth or shrinkage of a car cluster (jam). As generalization we discuss the coexistence of several car clusters of different sizes. The basic problem is to find a physically motivated ansatz for the transition rates of the attachment and detachment of individual cars to a car cluster consistent with the empirical observations in real traffic. The emphasis is put on the analogy with first-order phase transitions and nucleation phenomena in physical systems like supersaturated vapour. The results are summarized in the flux-density relation, the so-called fundamental diagram of traffic flow, and compared with empirical data. Different regimes of traffic flow are discussed: free flow, congested mode as stop-and-go regime, and heavy viscous traffic. The traffic breakdown is studied based on the master equation as well as the Fokker-Planck approximation to calculate mean first passage times or escape rates. Generalizations are developed to allow for on-ramp effects. The calculated flux-density relation and characteristic breakdown times coincide with empirical data measured on highways. Finally, a brief summary of the stochastic cellular automata approach is given

  14. Content of system design descriptions

    International Nuclear Information System (INIS)

    1998-10-01

    A System Design Description (SDD) describes the requirements and features of a system. This standard provides guidance on the expected technical content of SDDs. The need for such a standard was recognized during efforts to develop SDDs for safety systems at DOE Hazard Category 2 nonreactor nuclear facilities. Existing guidance related to the corresponding documents in other industries is generally not suitable to meet the needs of DOE nuclear facilities. Across the DOE complex, different contractors have guidance documents, but they vary widely from site to site. While such guidance documents are valuable, no single guidance document has all the attributes that DOE considers important, including a reasonable degree of consistency or standardization. This standard is a consolidation of the best of the existing guidance. This standard has been developed with a technical content and level of detail intended to be most applicable to safety systems at DOE Hazard Category 2 nonreactor nuclear facilities. Notwithstanding that primary intent, this standard is recommended for other systems at such facilities, especially those that are important to achieving the programmatic mission of the facility. In addition, application of this standard should be considered for systems at other facilities, including non-nuclear facilities, on the basis that SDDs may be beneficial and cost-effective

  15. Quality Assurance Requirements and Description

    International Nuclear Information System (INIS)

    Ram Murthy

    2002-01-01

    The Quality Assurance Requirements and Description (QARD) is the principal Quality Assurance (QA) document for the Civilian Radioactive Waste Management Program (Program). It establishes the minimum requirements for the QA program [INTRODUCTION :1p2s (NOT A REQUIREMENT)]. The QARD contains regulatory requirements and program commitments necessary for the development of an effective QA program [INTRODUCTION :1p3s (NOT A REQUIREMENT)]. Implementing documents must be based on, and be consistent with the QARD. The QARD applies to the following: (1) Acceptance of spent nuclear fuel and high-level waste. (2) Transport of spent nuclear fuel and high-level waste. (3) Storage of spent nuclear fuel through receipt of storage cask certification or a facility operating license. (4) Monitored Geologic Repository, including the site characterization activities [Exploratory Studies Facility (ESF) and surface based testing], through receipt of an operating license. (5) High-level waste form development through qualification, production, and acceptance. (6) Characterization of DOE spent nuclear fuel, and conditioning through acceptance of DOE spent nuclear fuel. Section 2.0, Quality Assurance Program, defines in greater detail criteria for determining work subject to the QARD

  16. Description of the Triton reactor

    International Nuclear Information System (INIS)

    1967-09-01

    The Triton reactor is an enriched uranium pool type reactor. It began operation in 1959, after a divergence made on the June 30 the same year. Devoted to studies of radiation protection, its core can be displaced in the longitudinal direction. The pool can be separated in two unequal compartments by a wall. The Triton core is placed in a small compartment, the Nereide core in the big compartment. A third compartment without water is called Naiade II, is separated by a concrete wall in which is made a window closed by an aluminium plate (2.50 m x 2.70 m). The Naiade II hole is useful for protection experiments using the Nereide core. After a complete refitting, the power of the triton reactor that reached progressively from 1.2 MW to 2 MW, then 3 MW has reached in August 1965 6.5 MW. The reactor has been specialized in irradiations in fix position, the core become fix, the nereide core has been hung mobile. Since it has been used for structure materials irradiation, for radioelements fabrication and fundamental research. The following descriptions are valid for the period after August 1965 [fr

  17. Descriptive terms used by Malay patients for exertional angina pectoris.

    Science.gov (United States)

    Khalid, Y; Malina, O; Rofiah, A; Latinah, M; Thahirahtul, A Z; Zaridah, M S; Tan, M H

    1994-09-01

    Description of the chest pain of angina pectoris by patients is commonly used in the diagnosis, evaluation and monitoring of ischaemic heart disease. Whilst certain descriptive terms have been identified as describing angina and not other causes of chest pain, these terms have not been systematically evaluated among local Malaysian patients. Reliance on a translation of the description used by Western patients may not be totally correct in the local context. Seventy-one Malay patients with documented ischaemic heart disease were asked, by questionnaire and by interview, to identify the descriptive terms they used for their angina pectoris. Common terms used by these patients were sempit (constrictive) [56.3%], mencuck (pricking) [54.9%], berat (heavy) [53.5%], panas (burning) [50.7%], menekan (pressing) [46.4%], and pedih (smarting) [43.7%]. Other less common descriptions used were tajam (sharp), mencengkam (strangulating), hempap (compressive), ngilu, hiris (knife-like), lengoh (aching). Two-thirds of the patients used more than three terms to describe their angina pectoris. Direct translation of the description of angina may not only be inaccurate but could also be misleading. It is suggested that the actual words used by the patients in Bahasa Malaysia be recorded in the patient's notes rather than a translation of these. More studies are required to determine whether the terms used by the patients in this study are related to local dialect (in this case Terengganu) or are actually common in Malaysia. Further, similar studies among Chinese and Indian patients are also required.

  18. [Descriptive study on basal cell eyelid carcinoma].

    Science.gov (United States)

    Pfeiffer, M J; Pfeiffer, N; Valor, C

    2015-09-01

    To describe a series of cases of basal cell carcinomas of the eyelid. A descriptive and retrospective study was conducted by reviewing the medical outcome, histopathological history, and photographic images of 200 patients with basal cell eyelid carcinomas. All were treated in the Herzog Carl Theodor Eye Hospital in Munich, Germany, between 2000 and 2013. In the present study, it was found that females are more affected than males. The mean age of presentation of the tumor occurred at the age of 70 years. In 50% of the cases the tumor was found on the lower lid, especially medially from the center of the lid. The lid margin was involved in 47% of all tumors. The mean diameter was 9.2mm. The recurrence rate after surgery with histologically clear resection margins was 5%. There was a significant relationship between tumor diameter and age. As tumors where located farther away from medial and closer to the lid margin, they became larger. There is a predominance of women affected by this tumor. This may be related to the fact that the sample was taken from those attending an oculoplastic surgery clinic, where there are generally more women than men attending. The formation of basal cell carcinomas increases with age. The infrequent involvement of the upper lid could be explained by the protection of the the eyebrow. The frequent involvement of the lower lid may be due to the light reflection (total reflection) by the cornea on the lower lid margin. Also chemical and physical effects of the tears may be more harmful on the lower lid. Patients tend to ask for medical help when they are females, younger, when the tumor is closer to the medial canthus or when the tumor is away from the lid margin. Copyright © 2014 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  19. A new description of the superstring

    Energy Technology Data Exchange (ETDEWEB)

    Berkovits, Nathan [Sao Paulo Univ., SP (Brazil). Inst. de Fisica. Dept. de Fisica Matematica]. E-mail: nberkovi@snfma2.if.usp.br

    1996-07-01

    This is a review of the new manifestly spacetime-supersymmetric description of the superstring. The new description contains N=2 world sheet supersymmetry, and is related by a field redefinition to the standard RNS description. It is especially convenient for four-dimensional compactifications since S O (3,1) super-Poincare invariance can be made manifest. Parts of this work have been done in collaboration with Warren Siegel and Cumrun Vafa. (author)

  20. Audio Description as a Pedagogical Tool

    OpenAIRE

    Georgina Kleege; Scott Wallin

    2015-01-01

    Audio description is the process of translating visual information into words for people who are blind or have low vision. Typically such description has focused on films, museum exhibitions, images and video on the internet, and live theater. Because it allows people with visual impairments to experience a variety of cultural and educational texts that would otherwise be inaccessible, audio description is a mandated aspect of disability inclusion, although it remains markedly underdeveloped ...

  1. Building Program Models Incrementally from Informal Descriptions.

    Science.gov (United States)

    1979-10-01

    AD-AOB6 50 STANFORD UNIV CA DEPT OF COMPUTER SCIENCE F/G 9/2 BUILDING PROGRAM MODELS INCREMENTALLY FROM INFORMAL DESCRIPTION--ETC(U) OCT 79 B P...port SCI.ICS.U.79.2 t Building Program Models Incrementally from Informal Descriptions by Brian P. McCune Research sponsored by Defense Advanced...TYPE OF REPORT & PERIOD COVERED Building Program Models Incrementally from Informal Descriptions. , technical, October 1979 6. PERFORMING ORG

  2. Genotyping of Giardia isolates in Scotland: a descriptive epidemiological study.

    Science.gov (United States)

    Alexander, C; Jones, B; Inverarity, D; Pollock, K G J

    2014-08-01

    Giardiasis, caused by the intestinal protozoan parasite Giardia intestinalis (synonyms: G. lamblia, G. duodenalis), is one of the most frequent parasites to infect the Scottish population. Transmission of the infective cysts in faecal matter is commonly via food and/or water. Giardia is subdivided into assemblages, where clinical and epidemiological differences have been described between assemblages A and B. This snapshot descriptive epidemiological study examines 30 positive cases of Giardia of which 72% (n = 21) were shown to be assemblage A, 14% (n = 4) assemblage B and 10% (n = 3) mixed assemblages (A and B). There was a 2:3 female:male ratio of affected individuals with foreign travel recorded in 22 of these cases. The commonest symptom was diarrhoea which was reported in 80% of cases followed by tiredness. Five cases required hospitalization emphasizing the importance of gaining a greater understanding of how Giardia assemblages influence clinical outcomes to assist in formulating guidelines to manage potential Giardia outbreaks.

  3. Description of moving plasma blob

    Science.gov (United States)

    Rys, Stanisław

    Physical models describing the structure close to the radio source's core have to account for strong forces existing in the vicinity of the black hole. Therefore, describing the motion of an outflow from the core, even in the simplest case, we should take into account a deceleration factor. Using special relativity formulae and including the orientation of the outflow direction with respect to the observer as one of the parameters, we have developed a model of an outflow close to the core. Here, a simple analytical model of decelerated motion is described and a few morphological properties of a radio source structure close to the core are discussed.

  4. Freeform surface descriptions. Part I: Mathematical representations

    Science.gov (United States)

    Broemel, Anika; Lippmann, Uwe; Gross, Herbert

    2017-10-01

    Optical systems can benefit strongly from freeform surfaces; however, the choice of the right surface representation is not trivial and many aspects must be considered. In this work, we discuss the general approach classical globally defined representations, as well as the basic mathematics and properties of the most commonly used descriptions and present a new description developed by us for describing freeform surfaces.

  5. UO3 plant turnover - facility description document

    International Nuclear Information System (INIS)

    Clapp, D.A.

    1995-01-01

    This document was developed to provide a facility description for those portions of the UO 3 Facility being transferred to Bechtel Hanford Company, Inc. (BHI) following completion of facility deactivation. The facility and deactivated state condition description is intended only to serve as an overview of the plant as it is being transferred to BHI

  6. A Relevance Theoretic Account of Definite Descriptions

    Science.gov (United States)

    Puglisi, Diana C.

    2014-01-01

    Definite descriptions have a number of different readings, the most prominent being the referential and attributive readings. On the referential reading, the description "The current President of the USA" is interpreted as "Barack Obama"; read attributively, it is interpreted as "the current President of the USA, whoever…

  7. Waste Management System Description Document (WMSD)

    International Nuclear Information System (INIS)

    1992-02-01

    This report is an appendix of the ''Waste Management Description Project, Revision 1''. This appendix is about the interim approach for the technical baseline of the waste management system. It describes the documentation and regulations of the waste management system requirements and description. (MB)

  8. A DESCRIPTION OF BUFO PARDALIS TADPOLES (ANURA ...

    African Journals Online (AJOL)

    Tadpoles of Bufo parda/is Hewitt from Kei Road, Cape Province, are described. INTRODUCTION. Although tadpoles of B. pardalis have been included in Van Dijk's (1971) key to the genus Bufa, no adequate description of this taxon has yet been published. Further studies on variability depend upon a complete description ...

  9. Evaluating Visual Information Provided by Audio Description.

    Science.gov (United States)

    Peli, E.; And Others

    1996-01-01

    The video and standard audio portions of 2 television programs were presented to 25 adults with low vision and 24 adults with normal vision; 29 additional subjects only heard the standard audio portions. Subjects then answered questions based on audio descriptions (AD) provided by Descriptive Video Service. Results indicated that some AD…

  10. Audio Description as a Pedagogical Tool

    Directory of Open Access Journals (Sweden)

    Georgina Kleege

    2015-05-01

    Full Text Available Audio description is the process of translating visual information into words for people who are blind or have low vision. Typically such description has focused on films, museum exhibitions, images and video on the internet, and live theater. Because it allows people with visual impairments to experience a variety of cultural and educational texts that would otherwise be inaccessible, audio description is a mandated aspect of disability inclusion, although it remains markedly underdeveloped and underutilized in our classrooms and in society in general. Along with increasing awareness of disability, audio description pushes students to practice close reading of visual material, deepen their analysis, and engage in critical discussions around the methodology, standards and values, language, and role of interpretation in a variety of academic disciplines. We outline a few pedagogical interventions that can be customized to different contexts to develop students' writing and critical thinking skills through guided description of visual material.

  11. Physical description of decay processes

    International Nuclear Information System (INIS)

    Henin, F.; Mayne, F.

    1981-01-01

    A dynamical formulation of quasi-particles corresponding to complex poles of Green's functions has been provided in the frame of 'Liapounov' transformations in a superoperator formalism. In this formalism, two different superorperators are associated with the hamiltonian, on the one hand an energy superoperator H, and on the other hand, an evolution superoperator L. In the case of systems with continuous spectrum it is possible to diagonalize the transform of H, the diagonal elements being the energies found by the Green's functions methods. This can be achieved without diagonalizing at the same time, the transform of L: the inverse lifetimes and the collision processes are obtained in this way. We show here on the Friedrichs model, that we can specify uniquely such a transformation in agreement with our previous 'new quantum rules for dissipative systems'. This method can be generalized to more complex systems. (orig.)

  12. Simple description of cluster radioactivity

    International Nuclear Information System (INIS)

    Tavares, O.A.P.; Medeiros, E.L.

    2012-05-01

    The partial half-life of radioactive decay of nuclei by the emission of fragments heavier than the alpha particle, such as the emission of carbon, oxygen, neon, magnesium, and silicon isotopes from translead nuclei (known as cluster radioactivity), is re-evaluated in the framework of a semiempirical, one-parameter model based on the quantum mechanical tunneling mechanism through a potential barrier where the Coulomb, centrifugal, and overlapping contributions to the barrier are considered within the spherical nucleus approximation. This treatment has shown not only very adequate to t all the existing half-life data, but also to give more reliable half-life predictions for new, yet unmeasured cases of spontaneous emission of massive nuclear fragments both from heavy and intermediate-mass parent nuclei as well. (author)

  13. Qualitative Description of Spatial Quality in Inclusive Architecture.

    Science.gov (United States)

    Ryhl, Camilla; Kajita, Masashi; Sørensen, René

    2016-01-01

    Universal design (UD) has gained global significance and is in the process of institutionalisation in the Nordic Region. This is despite an urgent necessity for developing the theoretical basis and practical applicability of UD. Reflecting this need for furthering the comprehensive understanding of spatial implication of UD, this paper aims to contribute for articulating a means to assess the quality of UD in architecture. Drawing upon numerous cases from research conducted at the Danish Building Research Institute, the paper focuses on sensory aspects of spatial quality, and discusses as well as reflects an applied method for producing the qualitative description of selected buildings that embody UD through creative solutions. The qualitative description of collected examples appears to be effective in delineating sensory aspects of spatial experience; however the systematic development of assessment criteria is essential in order to support students and designers to make responsible decisions in shaping built environments that are accessible and inclusive but also enjoyable.

  14. Yergason's Test: Discrepancies in Description and Implications for Diagnosing Biceps Subluxation

    Science.gov (United States)

    Pettitt, Robert W.; Sailor, Scott R.; Lentell, Gary; Tanner, Cary; Murray, Steven R.

    2008-01-01

    Yergason described the case of a woman with bicipital pain that was confirmed with isolated forearm supination. Since publication of this respective case report in 1931, orthopedic assessment textbooks have provided a wide range of descriptions for Yergason's Test and what a positive sign implicates. Vast differences in hand placement, along with…

  15. Converting Taxonomic Descriptions to New Digital Formats

    Directory of Open Access Journals (Sweden)

    Hong Cui

    2008-01-01

    Full Text Available Abstract.--The majority of taxonomic descriptions is currently in print format. The majority of digital descriptions are in formats such as DOC, HTML, or PDF and for human readers. These formats do not convey rich semantics in taxonomic descriptions for computer-aided process. Newer digital formats such as XML and RDF accommodate semantic annotations that allow computers to process the rich semantics on human's behalf, thus open up opportunities for a wide range of innovative usages of taxonomic descriptions, such as searching in more precise and flexible ways, integrating with gnomic and geographic information, generating taxonomic keys automatically, and text data mining and information visualization etc. This paper discusses the challenges in automated conversion of multiple collections of descriptions to XML format and reports an automated system, MARTT. MARTT is a machine-learning system that makes use of training examples to tag new descriptions into XML format. A number of utilities are implemented as solutions to the challenges. The utilities are used to reduce the effort for training example preparation, to facilitate the creation of a comprehensive schema, and to predict system performance on a new collection of descriptions. The system has been tested with several plant and alga taxonomic publications including Flora of China and Flora of North America.

  16. Soft Biometrics; Human Identification Using Comparative Descriptions.

    Science.gov (United States)

    Reid, Daniel A; Nixon, Mark S; Stevenage, Sarah V

    2014-06-01

    Soft biometrics are a new form of biometric identification which use physical or behavioral traits that can be naturally described by humans. Unlike other biometric approaches, this allows identification based solely on verbal descriptions, bridging the semantic gap between biometrics and human description. To permit soft biometric identification the description must be accurate, yet conventional human descriptions comprising of absolute labels and estimations are often unreliable. A novel method of obtaining human descriptions will be introduced which utilizes comparative categorical labels to describe differences between subjects. This innovative approach has been shown to address many problems associated with absolute categorical labels-most critically, the descriptions contain more objective information and have increased discriminatory capabilities. Relative measurements of the subjects' traits can be inferred from comparative human descriptions using the Elo rating system. The resulting soft biometric signatures have been demonstrated to be robust and allow accurate recognition of subjects. Relative measurements can also be obtained from other forms of human representation. This is demonstrated using a support vector machine to determine relative measurements from gait biometric signatures-allowing retrieval of subjects from video footage by using human comparisons, bridging the semantic gap.

  17. The transportation operations system: A description

    International Nuclear Information System (INIS)

    Best, R.E.; Danese, F.L.; Dixon, L.D.; Peterson, R.W.; Pope, R.B.

    1990-01-01

    This paper presents a description of the system for transporting radioactive waste that may be deployed to accomplish the assigned system mission, which includes accepting spent nuclear fuel (SNF) and high-level radioactive waste (HLW) from waste generator sites and transporting them to the FWMS destination facilities. The system description presented here contains, in part, irradiated fuel and waste casks, ancillary equipments, truck, rail, and barge transporters, cask and vehicle traffic management organizations, maintenance facilities, and other operations elements. The description is for a fully implemented system, which is not expected to be achieved, however, until several years after initial operations. 6 figs

  18. Crosswalking EAD: Collaboration in Archival Description

    Directory of Open Access Journals (Sweden)

    Amy McCrory

    2005-09-01

    Full Text Available Different library departments must work together, both formally and informally, in implementing encoded archival description and in repackaging descriptive information about archival collections to other formats, particularly machine-readable cataloging. The authors, one a technical services librarian and the other a special collections archivist, describe their experiences collaborating in these processes at The Ohio State University. Although other institutions may differ in their organizational structure, the authors hope to provide technical guidance, as well as a model of collaboration between archivists and technical services personnel. Careful dialogue and planning are essential to transcend the traditional divide between archival and library descriptive practices and systems.

  19. 1995 Baseline solid waste management system description

    International Nuclear Information System (INIS)

    Anderson, G.S.; Konynenbelt, H.S.

    1995-09-01

    This provides a detailed solid waste system description that documents the treatment, storage, and disposal (TSD) strategy for managing Hanford's solid low-level waste, low-level mixed waste, transuranic and transuranic mixed waste, and greater-than-Class III waste. This system description is intended for use by managers of the solid waste program, facility and system planners, as well as system modelers. The system description identifies the TSD facilities that constitute the solid waste system and defines these facilities' interfaces, schedules, and capacities. It also provides the strategy for treating each of the waste streams generated or received by the Hanford Site from generation or receipt through final destination

  20. Formalizing the Problem of Music Description

    DEFF Research Database (Denmark)

    Sturm, Bob L.; Bardeli, Rolf; Langlois, Thibault

    2015-01-01

    The lack of a formalism for “the problem of music descrip- tion” results in, among other things: ambiguity in what problem a music description system must address, how it should be evaluated, what criteria define its success, and the paradox that a music description system can reproduce the “ground...... truth” of a music dataset without attending to the music it contains. To address these issues, we formal- ize the problem of music description such that all elements of an instance of it are made explicit. This can thus inform the building of a system, and how it should be evaluated in a meaningful way...

  1. Information resource description creating and managing metadata

    CERN Document Server

    Hider, Philip

    2012-01-01

    An overview of the field of information organization that examines resource description as both a product and process of the contemporary digital environment.This timely book employs the unifying mechanism of the semantic web and the resource description framework to integrate the various traditions and practices of information and knowledge organization. Uniquely, it covers both the domain-specific traditions and practices and the practices of the ?metadata movement' through a single lens ? that of resource description in the broadest, semantic web sense.This approach more readily accommodate

  2. Modelling object typicality in description logics

    CSIR Research Space (South Africa)

    Britz, K

    2009-12-01

    Full Text Available The authors present a semantic model of typicality of concept members in description logics (DLs) that accords well with a binary, globalist cognitive model of class membership and typicality. The authors define a general preferential semantic...

  3. Scripps Sediment Description File- OCSEAP Portion

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Scripps Institution of Oceanography compiled descriptions of sediment samples in the Alaskan Outer Continental Shelf area, funded through the NOAA Outer...

  4. The Year's Work in Descriptive Cataloging, 1992.

    Science.gov (United States)

    Knutson, Gunnar

    1993-01-01

    Examines the descriptive cataloging literature of 1992. Topics discussed include cataloging simplification and improved practices; artificial intelligence and expert systems; Anglo-American Cataloging Rules, MARC format, and cataloging standards; authority control and bibliographic maintenance; retrospective conversion; romanization and…

  5. SIO Ferromanganese Nodule Description file - IDOE Portion

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Scripps Institution of Oceanography compiled descriptions of sediment samples related to ferromanganese deposits, funded through the International Decade of...

  6. Integrated Visualisation and Description of Complex Systems

    National Research Council Canada - National Science Library

    Goodburn, D

    1999-01-01

    .... Guided by a conceptual model of a description process that is driven by user information needs within a domain context, the approach incorporates the use of novel visualization techniques based...

  7. Reachability modules for the description logic SRIQ

    CSIR Research Space (South Africa)

    Nortje, R

    2013-12-01

    Full Text Available In this paper we investigate module extraction for the Description Logic SRIQ. We formulate modules in terms of the reachability problem for directed hypergraphs. Using inseperability relations, we investigate the module-theoretic properties...

  8. Mining skeletal phenotype descriptions from scientific literature.

    Directory of Open Access Journals (Sweden)

    Tudor Groza

    Full Text Available Phenotype descriptions are important for our understanding of genetics, as they enable the computation and analysis of a varied range of issues related to the genetic and developmental bases of correlated characters. The literature contains a wealth of such phenotype descriptions, usually reported as free-text entries, similar to typical clinical summaries. In this paper, we focus on creating and making available an annotated corpus of skeletal phenotype descriptions. In addition, we present and evaluate a hybrid Machine Learning approach for mining phenotype descriptions from free text. Our hybrid approach uses an ensemble of four classifiers and experiments with several aggregation techniques. The best scoring technique achieves an F-1 score of 71.52%, which is close to the state-of-the-art in other domains, where training data exists in abundance. Finally, we discuss the influence of the features chosen for the model on the overall performance of the method.

  9. Some Dictionary Descriptions of Grammatical Structure

    African Journals Online (AJOL)

    Some Dictionary Descriptions of. Grammatical Structure. William Branford, Department of Linguistics, University of Cape Town opsomming: Enkele woordeboekbeskrywings van grammatikale struk- tuur. Hierdie artikel ondersoek enkele aspekte van die behandeling van grammatikale struktuur in vier resente woordeboeke ...

  10. Defeasible inheritance-based description logics

    CSIR Research Space (South Africa)

    Casini, G

    2013-01-01

    Full Text Available of Artificial Intelligence Research 2013 Defeasible Inheritance-based Description Logics Giovanni Casini GCASINI@CSIR.CO.ZA Centre for Artificial Intelligence Research (CAIR), CSIR Meraka Institute and UKZN, South Africa Umberto Straccia UMBERTO...

  11. Using Realia to Teach Physically Disabled Students in Writing Descriptive Texts

    OpenAIRE

    Noorma Fitriana M. Zain

    2014-01-01

    This case study is focused on teaching descriptive texts by using realia. The writer took the 8th grade students of SMPLB Negeri Ungaran as the subjects of the study. The aim of this research is to know the implementation of teaching descriptive texts that cover parts, qualities, and characteristics of the objects. This study was carried out around four meetings. In each meeting, the researcher observed the situation of the class and the setudents’ activities in that classroom. The data colle...

  12. Moral Judgments as Descriptions of Institutional Facts

    OpenAIRE

    Ferber, Rafael

    1994-01-01

    It deals with the question of what a moral judgment is. On the one hand, a satisfactory theory of moral judgments must take into account the descriptive character of moral judgments and the realistic language of morals. On the other hand, it must also meet the non-descriptive character of moral judgments that consists in the recommending or condemning element and in the fact that normative statements are derived from moral judgments. However, cognitivism and emotivism or “normativism” are...

  13. Site descriptive modelling - strategy for integrated evaluation

    International Nuclear Information System (INIS)

    Andersson, Johan

    2003-02-01

    The current document establishes the strategy to be used for achieving sufficient integration between disciplines in producing Site Descriptive Models during the Site Investigation stage. The Site Descriptive Model should be a multidisciplinary interpretation of geology, rock mechanics, thermal properties, hydrogeology, hydrogeochemistry, transport properties and ecosystems using site investigation data from deep bore holes and from the surface as input. The modelling comprise the following iterative steps, evaluation of primary data, descriptive and quantitative modelling (in 3D), overall confidence evaluation. Data are first evaluated within each discipline and then the evaluations are checked between the disciplines. Three-dimensional modelling (i.e. estimating the distribution of parameter values in space and its uncertainty) is made in a sequence, where the geometrical framework is taken from the geological model and in turn used by the rock mechanics, thermal and hydrogeological modelling etc. The three-dimensional description should present the parameters with their spatial variability over a relevant and specified scale, with the uncertainty included in this description. Different alternative descriptions may be required. After the individual discipline modelling and uncertainty assessment a phase of overall confidence evaluation follows. Relevant parts of the different modelling teams assess the suggested uncertainties and evaluate the feedback. These discussions should assess overall confidence by, checking that all relevant data are used, checking that information in past model versions is considered, checking that the different kinds of uncertainty are addressed, checking if suggested alternatives make sense and if there is potential for additional alternatives, and by discussing, if appropriate, how additional measurements (i.e. more data) would affect confidence. The findings as well as the modelling results are to be documented in a Site Description

  14. Description of Measurements on Biogas Stations

    Directory of Open Access Journals (Sweden)

    Ladislav Novosád

    2016-08-01

    Full Text Available This paper focuses mainly on performance analysis for three biogas stations situated within the territory of the Czech Republic. This paper contains basic details of the individual biogas stations as well as description of their types. It also refers to the general description of the measurement gauge involved, with specifications of its potential use. The final part of this paper deals with the analysis of course data obtained, with special regard to voltage, current, active power and reactive power data.

  15. A Formal Description of Problem Frames

    OpenAIRE

    Souleymane KOUSSOUBE; Roger NOUSSI; Balira O. KONFE

    2014-01-01

    Michael Jackson defines a Problem Frame as a mean to describe and classify software development problems. The initial description of problem Frames is essentially graphical. A weakness of this proposal is the lack of formal specification allowing efficient reasoning tools. This paper deals with Problem Frames’ formal specification with Description Logics. We first propose a formal terminology of Problem Frames leading to the specification of a Problem Frames’ TBOX and a specific problem’s ABO...

  16. The maximum entropy technique. System's statistical description

    International Nuclear Information System (INIS)

    Belashev, B.Z.; Sulejmanov, M.K.

    2002-01-01

    The maximum entropy technique (MENT) is applied for searching the distribution functions of physical values. MENT takes into consideration the demand of maximum entropy, the characteristics of the system and the connection conditions, naturally. It is allowed to apply MENT for statistical description of closed and open systems. The examples in which MENT had been used for the description of the equilibrium and nonequilibrium states and the states far from the thermodynamical equilibrium are considered

  17. A Descriptive Study on the Military Leadership

    OpenAIRE

    Muhammed Kürşad Özlen; Anes Zukic

    2013-01-01

    This study provides more complete deliberation of the current practices of leadership in the surveyed Armed Forces. This study aims to descriptively identify the degree of motivating military leadership, military environment, characteristics of military leaders and military leadership benefits in the selected army. The research method conducted was based on survey of 200 respondents in Armed Forces of Bosnia and Herzegovina and descriptive analyses of the survey data. According to the results...

  18. What Makes a Good App Description?

    OpenAIRE

    Jiang, He; Ma, Hongjing; Ren, Zhilei; Zhang, Jingxuan; Li, Xiaochen

    2017-01-01

    In the Google Play store, an introduction page is associated with every mobile application (app) for users to acquire its details, including screenshots, description, reviews, etc. However, it remains a challenge to identify what items influence users most when downloading an app. To explore users' perspective, we conduct a survey to inquire about this question. The results of survey suggest that the participants pay most attention to the app description which gives users a quick overview of ...

  19. Audio description as an accessibility enhancer

    OpenAIRE

    Martins, Cláudia Susana Nunes

    2012-01-01

    Audio description for the blind and visually-impaired has been around since people have described what is seen. Throughout time, it has evolved and developed in different contexts, starting with daily life, moving into the cinema and television, then across other performing arts, museums and galleries, historical sites and public places. Audio description is above all an issue of accessibility and of providing visually-impaired people with the same rights to have access to culture, e...

  20. Statistics for dental researchers: descriptive statistics

    OpenAIRE

    Mohammad Reza Baneshi PhD; Amir Reza Ghassemi DDS; Arash Shahravan DDS, MS

    2012-01-01

    Descriptive statistics is the process of summarizing gathered raw data from a research and creating useful statistics,which help the better understanding of data. According to the types of variables, which consist of qualitative andquantitative variables, some descriptive statistics have been introduced. Frequency percentage is used in qualitativedata, and mean, median, mode, standard deviation, standard error, variance, and range are some of the statistics whichare used in quantitative data....

  1. Effective Conformal Descriptions of Black Hole Entropy

    Directory of Open Access Journals (Sweden)

    Steven Carlip

    2011-07-01

    Full Text Available It is no longer considered surprising that black holes have temperatures and entropies. What remains surprising, though, is the universality of these thermodynamic properties: their exceptionally simple and general form, and the fact that they can be derived from many very different descriptions of the underlying microscopic degrees of freedom. I review the proposal that this universality arises from an approximate conformal symmetry, which permits an effective “conformal dual” description that is largely independent of the microscopic details.

  2. Description and search labor for information retrieval

    OpenAIRE

    Warner, Julian

    2007-01-01

    Selection power is taken as the fundamental value for information retrieval systems. Selection power is regarded as produced by selection labor, which itself separates historically into description and search labor. As forms of mental labor, description and search labor participate in the conditions for labor and for mental labor. Concepts and distinctions applicable to physical and mental labor are indicated, introducing the necessity of labor for survival, the idea of technology as a human ...

  3. Case study research.

    Science.gov (United States)

    Taylor, Ruth; Thomas-Gregory, Annette

    2015-06-10

    This article describes case study research for nursing and healthcare practice. Case study research offers the researcher an approach by which a phenomenon can be investigated from multiple perspectives within a bounded context, allowing the researcher to provide a 'thick' description of the phenomenon. Although case study research is a flexible approach for the investigation of complex nursing and healthcare issues, it has methodological challenges, often associated with the multiple methods used in individual studies. These are explored through examples of case study research carried out in practice and education settings. An overview of what constitutes 'good' case study research is proposed.

  4. Qualitative Descriptive Methods in Health Science Research.

    Science.gov (United States)

    Colorafi, Karen Jiggins; Evans, Bronwynne

    2016-07-01

    The purpose of this methodology paper is to describe an approach to qualitative design known as qualitative descriptive that is well suited to junior health sciences researchers because it can be used with a variety of theoretical approaches, sampling techniques, and data collection strategies. It is often difficult for junior qualitative researchers to pull together the tools and resources they need to embark on a high-quality qualitative research study and to manage the volumes of data they collect during qualitative studies. This paper seeks to pull together much needed resources and provide an overview of methods. A step-by-step guide to planning a qualitative descriptive study and analyzing the data is provided, utilizing exemplars from the authors' research. This paper presents steps to conducting a qualitative descriptive study under the following headings: describing the qualitative descriptive approach, designing a qualitative descriptive study, steps to data analysis, and ensuring rigor of findings. The qualitative descriptive approach results in a summary in everyday, factual language that facilitates understanding of a selected phenomenon across disciplines of health science researchers. © The Author(s) 2016.

  5. Graphic Description: The Mystery of Ibn Khafaja\\'s Success in Description

    Directory of Open Access Journals (Sweden)

    جواد رنجبر

    2009-12-01

    Full Text Available Graphic Description:   The Mystery of Ibn Khafaja's Success in Description    Ali Bagher Taheriniya *  Javad Ranjbar **      Abstract Ibn Khafaja is one of the poets and men of letters in Spain. He is titled to Sanobari of Spain. He is one of the masters of description. Hence, the analysis of successful techniques he has used in the descriptive art could illuminate the way for others. Al-Taswir al-harfi (graphic description is a term which denotes the highest and most detailed poems. On this basis, the best descriptive poem is one which is closer to a painting. He has used some elements called conforming elements of description which contain: imagination, feeling, faculty, and dialogue as well as three other elements: to be inborn in description, enchanting nature and convenient life. This article is going to give an analysis of the reasons for Ibn Khafaja’s success in description and portrait making.   Key words: Ibn Khafaja, poetry, description, portrait   * Associate Professor, Bu Ali Sina University of Hamadan E-mail: bTaheriniya@yahoo.com  ** M.A. in Arabic Language and Literature

  6. Description innovative practices for archives and special collections

    CERN Document Server

    Theimer, Kate

    2014-01-01

    Description: Innovative Practices for Archives and Special Collections explores how archives of different sizes and types can enhance the accessibility of their holdings. The book uses eleven case studies to demonstrate innovative ideas that could be transferred into many other settings. Readers can use these as models, sources of inspiration, or starting points for new discussions. The volume will be useful to those working in archives and special collections as well as other cultural heritage organizations, and provides ideas ranging from those that require long-term planning and coordinatio

  7. Fluid description of multi-component solar partially ionized plasma

    Energy Technology Data Exchange (ETDEWEB)

    Khomenko, E., E-mail: khomenko@iac.es; Collados, M.; Vitas, N. [Instituto de Astrofísica de Canarias, 38205 La Laguna, Tenerife (Spain); Departamento de Astrofísica, Universidad de La Laguna, 38205 La Laguna, Tenerife (Spain); Díaz, A. [Departament de Física, Universitat de les Illes Balears, E-07122 Palma de Mallorca (Spain)

    2014-09-15

    We derive self-consistent formalism for the description of multi-component partially ionized solar plasma, by means of the coupled equations for the charged and neutral components for an arbitrary number of chemical species, and the radiation field. All approximations and assumptions are carefully considered. Generalized Ohm's law is derived for the single-fluid and two-fluid formalism. Our approach is analytical with some order-of-magnitude support calculations. After general equations are developed, we particularize to some frequently considered cases as for the interaction of matter and radiation.

  8. Description of the detailed Functional Architecture of the Frequency and Voltage control solution (functional and information layer)

    DEFF Research Database (Denmark)

    Caerts, Chris; Rikos, Evangelos; Syed, Mazheruddin

    2017-01-01

    This D4.2 document provides the description of the detailed functional architecture of the selected solutions that will be implemented and tested. This is documented by combining a function-based IEC 62559 Use Case description with an SGAM mapping of these functions and the interactions among the...

  9. Analysis of laparoscopic port site complications: A descriptive study.

    Science.gov (United States)

    Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya

    2013-04-01

    The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Prospective descriptive study. In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

  10. Hydrodynamic description of spin Calogero-Sutherland model

    Science.gov (United States)

    Abanov, Alexander; Kulkarni, Manas; Franchini, Fabio

    2009-03-01

    We study a non-linear collective field theory for an integrable spin-Calogero-Sutherland model. The hydrodynamic description of this SU(2) model in terms of charge density, charge velocity and spin currents is used to study non-perturbative solutions (solitons) and examine their correspondence with known quantum numbers of elementary excitations [1]. A conventional linear bosonization or harmonic approximation is not sufficient to describe, for example, the physics of spin-charge (non)separation. Therefore, we need this new collective bosonic field description that captures the effects of the band curvature. In the strong coupling limit [2] this model reduces to integrable SU(2) Haldane-Shastry model. We study a non-linear coupling of left and right spin currents which form a Kac-Moody algebra. Our quantum hydrodynamic description for the spin case is an extension for the one found in the spinless version in [3].[3pt] [1] Y. Kato,T. Yamamoto, and M. Arikawa, J. Phys. Soc. Jpn. 66, 1954-1961 (1997).[0pt] [2] A. Polychronakos, Phys Rev Lett. 70,2329-2331(1993).[0pt] [3] A.G.Abanov and P.B. Wiegmann, Phys Rev Lett 95, 076402(2005)

  11. General Description of the Mechanic Design of the Pressure Vessel and the Internal Mechanical Component of the CAREM Reactor

    International Nuclear Information System (INIS)

    Diez, F.; Horro, R.

    2000-01-01

    This paper presents a brief description of the CAREM reactor pressure vessel and its main internal mechanical components and summarizes the functional requirements and approaches applied for their design, together with a review of the normative applicable in each case

  12. Math Description Engine Software Development Kit

    Science.gov (United States)

    Shelton, Robert O.; Smith, Stephanie L.; Dexter, Dan E.; Hodgson, Terry R.

    2010-01-01

    The Math Description Engine Software Development Kit (MDE SDK) can be used by software developers to make computer-rendered graphs more accessible to blind and visually-impaired users. The MDE SDK generates alternative graph descriptions in two forms: textual descriptions and non-verbal sound renderings, or sonification. It also enables display of an animated trace of a graph sonification on a visual graph component, with color and line-thickness options for users having low vision or color-related impairments. A set of accessible graphical user interface widgets is provided for operation by end users and for control of accessible graph displays. Version 1.0 of the MDE SDK generates text descriptions for 2D graphs commonly seen in math and science curriculum (and practice). The mathematically rich text descriptions can also serve as a virtual math and science assistant for blind and sighted users, making graphs more accessible for everyone. The MDE SDK has a simple application programming interface (API) that makes it easy for programmers and Web-site developers to make graphs accessible with just a few lines of code. The source code is written in Java for cross-platform compatibility and to take advantage of Java s built-in support for building accessible software application interfaces. Compiled-library and NASA Open Source versions are available with API documentation and Programmer s Guide at http:/ / prim e.jsc.n asa. gov.

  13. The Theory of Nearly Incompressible Magnetohydrodynamic Turbulence: Homogeneous Description

    Science.gov (United States)

    Zank, G. P.; Adhikari, L.; Hunana, P.; Shiota, D.; Bruno, R.; Telloni, D.; Avinash, K.

    2017-09-01

    The theory of nearly incompressible magnetohydrodynamics (NI MHD) was developed to understand the apparent incompressibility of the solar wind and other plasma environments, particularly the relationship of density fluctuations to incompressible manifestations of turbulence in the solar wind and interstellar medium. Of interest was the identification of distinct leading-order incompressible descriptions for plasma beta β ≫ 1 and β ∼ 1 or ≪ 1 environments. In the first case, the “dimensionality” of the MHD description is 3D whereas for the latter two, there is a collapse of dimensionality in that the leading-order incompressible MHD description is 2D in a plane orthogonal to the large-scale or mean magnetic field. Despite the success of NI MHD in describing fluctuations in a low-frequency plasma environment such as the solar wind, a basic turbulence description has not been developed. Here, we rewrite the NI MHD system in terms of Elsässer variables. We discuss the distinction that emerges between the three cases. However, we focus on the β ∼ 1 or ≪ 1 regimes since these are appropriate to the solar wind and solar corona. In both cases, the leading-order turbulence model describes 2D turbulence and the higher-order description corresponds to slab turbulence, which forms a minority component. The Elsäasser β ∼ 1 or ≪ 1 formulation exhibits the nonlinear couplings between 2D and slab components very clearly, and shows that slab fluctuations respond in a passive scalar sense to the turbulently evolving majority 2D component fluctuations. The coupling of 2D and slab fluctuations through the β ∼ 1 or ≪ 1 NI MHD description leads to a very natural emergence of the “Goldreich-Sridhar” critical balance scaling parameter, although now with a different interpretation. Specifically, the critical balance parameter shows that the energy flux in wave number space is a consequence of the intensity of Alfvén wave sweeping versus passive scalar

  14. Towards an infrastructure description language for modeling computing infrastructures

    NARCIS (Netherlands)

    Ghijsen, M.; van der Ham, J.; Grosso, P.; de Laat, C.

    2012-01-01

    This paper describes the Infrastructure and Network Description Language (INDL). The aim of INDL is to provide technology independent descriptions of computing infrastructures. These descriptions include the physical resources and the network infrastructure that connects these resources. The

  15. Cotovelo flutuante em crianças: estudo descritivo de 31 casos atendidos em centro de referência em traumatologia pediátrica Floating elbow in children: a descriptive study of 31 cases attended in a reference center for pediatric trauma

    Directory of Open Access Journals (Sweden)

    Dorotea Starling Malheiros

    2011-10-01

    Full Text Available OBJETIVO: Realizar análise descritiva de 31 casos de crianças portadoras de cotovelo flutuante atendidas em nosso serviço no período de 1994 a 2009, bem como uma revisão da literatura pertinente ao tema. MÉTODOS: Os dados foram obtidos através da análise de prontuários. Foram consideradas as variáveis: idade, gênero, lado, mecanismo, tipo de fratura, classificação, tratamento e complicações. RESULTADOS: Vinte quatro pacientes (77,4% eram do gênero masculino e sete (22,6%, do feminino. A média de idade foi de 8,5 (± 3,2 que variaram entre um e 14 anos. Houve predomínio do lado esquerdo (67,7%. O mecanismo de lesão mais comum foi queda de altura (74,2%. Todas as fraturas supracondilianas foram do tipo III de Gartland. A fratura isolada do rádio distal do tipo II de Salter-Harris foi diagnosticada em 22 (71% pacientes. As fraturas expostas ocorreram em 22 pacientes (71%. A redução incruenta e gesso para fratura fechada do rádio distal foi realizada em dois pacientes (6,45%. O tratamento conservador simultâneo para ambas as fraturas não foi empregado. Dezessete (54,8% fraturas supracondilianas foram fixadas com fios cruzados a 90° e em 14 (45,16% utilizou-se um fio intramedular associado a outro introduzido pelo epicôndilo lateral a 45°. Quanto às complicações, houve: consolidação viciosa (10%, lesão nervosa (6%, síndrome compartimental (3%, infecção de trajeto de pinos (16%. Conclusões: Trata-se de uma lesão incomum, na maioria dos casos, decorrente de trauma de alta energia. O tratamento cirúrgico de ambas as fraturas é preconizado pela maioria dos autores. A lesão do nervo ulnar foi relacionada ao método de fixação, não havendo lesão neurológica desencadeada pelo trauma inicial.OBJECTIVE: To conduct a descriptive analysis on 31 cases of children with floating elbow who were attended at our clinic between 1994 and 2009, and to review the literature relating to this topic. METHODS: Data were obtained

  16. Effective fluid description of the dark universe

    Directory of Open Access Journals (Sweden)

    M. Cadoni

    2018-01-01

    Full Text Available We propose an effective anisotropic fluid description for a generic infrared-modified theory of gravity. In our framework, the additional component of the acceleration, commonly attributed to dark matter, is explained as a radial pressure generated by the reaction of the dark energy fluid to the presence of baryonic matter. Using quite general assumptions, and a microscopic description of the fluid in terms of a Bose–Einstein condensate of gravitons, we find the static, spherically symmetric solution for the metric in terms of the Misner–Sharp mass function and the fluid pressure. At galactic scales, we correctly reproduce the leading MOND-like log⁡(r and subleading (1/rlog⁡(r terms in the weak-field expansion of the potential. Our description also predicts a tiny (of order 10−6 for a typical spiral galaxy Machian modification of the Newtonian potential at galactic scales, which is controlled by the cosmological acceleration.

  17. SURFACE INDUSTRIAL HVAC SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    M.M. Ansari

    2005-04-05

    The purpose of this system description document (SDD) is to establish requirements that drive the design of the surface industrial heating, ventilation, and air-conditioning (HVAC) system and its bases to allow the design effort to proceed to license application. This SDD will be revised at strategic points as the design matures. This SDD identifies the requirements and describes the system design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This SDD is an engineering tool for design control; accordingly, the primary audience and users are design engineers. This SDD is part of an iterative design process. It leads the design process with regard to the flowdown of upper tier requirements onto the system. Knowledge of these requirements is essential to performing the design process. The SDD follows the design with regard to the description of the system. The description that provided in this SDD reflects the current results of the design process.

  18. LAGRANGIAN PARTICLE DISPERSION MODEL (LPDM) TECHNICAL DESCRIPTION

    International Nuclear Information System (INIS)

    Chen, K

    2006-01-01

    The Savannah River National Laboratory (SRNL) uses the Lagrangian Particle Dispersion Model (LPDM) in conjunction with the Regional Atmospheric Modeling System as an operational tool for emergency response consequence assessments for the Savannah River Site (SRS). The LPDM is an advanced stochastic atmospheric transport model used to transport and disperse passive tracers subject to the meteorological field generated by RAMS from sources of varying number and shape. The Atmospheric Technologies Group (ATG) of the SRNL is undertaking the task of reviewing documentation and code for LPDM Quality Assurance (QA). The LPDM QA task will include a model technical description, computer coding descriptions, model applications, and configuration control. This report provides a comprehensive technical description of the LPDM model

  19. Towards reproducible descriptions of neuronal network models.

    Directory of Open Access Journals (Sweden)

    Eilen Nordlie

    2009-08-01

    Full Text Available Progress in science depends on the effective exchange of ideas among scientists. New ideas can be assessed and criticized in a meaningful manner only if they are formulated precisely. This applies to simulation studies as well as to experiments and theories. But after more than 50 years of neuronal network simulations, we still lack a clear and common understanding of the role of computational models in neuroscience as well as established practices for describing network models in publications. This hinders the critical evaluation of network models as well as their re-use. We analyze here 14 research papers proposing neuronal network models of different complexity and find widely varying approaches to model descriptions, with regard to both the means of description and the ordering and placement of material. We further observe great variation in the graphical representation of networks and the notation used in equations. Based on our observations, we propose a good model description practice, composed of guidelines for the organization of publications, a checklist for model descriptions, templates for tables presenting model structure, and guidelines for diagrams of networks. The main purpose of this good practice is to trigger a debate about the communication of neuronal network models in a manner comprehensible to humans, as opposed to machine-readable model description languages. We believe that the good model description practice proposed here, together with a number of other recent initiatives on data-, model-, and software-sharing, may lead to a deeper and more fruitful exchange of ideas among computational neuroscientists in years to come. We further hope that work on standardized ways of describing--and thinking about--complex neuronal networks will lead the scientific community to a clearer understanding of high-level concepts in network dynamics, and will thus lead to deeper insights into the function of the brain.

  20. Microscopic description of magnetized plasma: quasiparticle concept

    International Nuclear Information System (INIS)

    Sosenko, P.P.; Decyk, V.K.

    1993-01-01

    A quasiparticle concept is developed systematically, from first principles, within the context of microscopic description of magnetized plasma. It is argued that the zeroth velocity-gyroangle harmonic of the microscopic particle distribution function under the gyrokinetic change of variables can be taken as a microscopic quasi-particle density in a reduced phase space. The nature of quasiparticles is discussed and equations of their motion are derived within both exact and reduced microscopic descriptions. The reduced one employs explicitly the separation of interesting time scales. (orig.)

  1. Multiple-Description l1-Compression

    DEFF Research Database (Denmark)

    Jensen, Tobias Lindstrøm; Østergaard, Jan; Dahl, Joachim

    2011-01-01

    applicable and thereby admit solutions for large-scale problems, e.g., coding entire images or image sequences. We show by examples that the proposed framework generates non-trivial sparse descriptions and non-trivial refinements. We finally show that the sparse descriptions can be quantized and encoded...... using off-the-shell encoders such as the set partitioning in hierarchical trees (SPIHT) encoder, however, the proposed method shows a rate-distortion loss compared to state-of-the-art image MD encoders....

  2. Manifest domains:analysis and description

    DEFF Research Database (Denmark)

    Bjørner, Dines

    2017-01-01

    _static_attribute, is_dynamic_attribute, is_inert_attribute, is_reactive_attribute, is_active_attribute, is_autonomous_attribute, is_biddable_attribute and is_programmable_attribute. The twist suggests ways of modeling “access” to the values of these kinds of attributes: the static attributes by simply “copying” them...... processes. C.A.R. Hoare series in computer science. Prentice-Hall International, London, 2004). We show how to model essential aspects of perdurants in terms of their signatures based on the concepts of endurants. And we show how one can “compile” descriptions of endurant parts into descriptions...

  3. Description of the RDCDS Meteorological Component

    Energy Technology Data Exchange (ETDEWEB)

    Pekour, Mikhail S.; Berg, Larry K.

    2007-10-01

    This report provides a detailed description of the Rapidly Deployable Chemical Defense System (RDCDS) Meteorological Component. The Meteorological Component includes four surface meteorological stations, miniSODAR, laptop computers, and communications equipment. This report describes the equipment that is used, explains the operation of the network, and gives instructions for setting up the Component and replacing defective parts. A detailed description of operation and use of the individual sensors, including the data loggers is not covered in the current document, and the interested reader should refer to the manufacturer’s documentation.

  4. Statistics for dental researchers: descriptive statistics

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Baneshi PhD

    2012-09-01

    Full Text Available Descriptive statistics is the process of summarizing gathered raw data from a research and creating useful statistics,which help the better understanding of data. According to the types of variables, which consist of qualitative andquantitative variables, some descriptive statistics have been introduced. Frequency percentage is used in qualitativedata, and mean, median, mode, standard deviation, standard error, variance, and range are some of the statistics whichare used in quantitative data. In health sciences, the majority of continuous variables follow a normal distribution.skewness and kurtosis are two statistics which help to compare a given distribution with the normal distribution.

  5. Description of a novel mating plug mechanism in spiders and the description of the new species Maeotasetastrobilaris (Araneae, Salticidae).

    Science.gov (United States)

    Garcilazo-Cruz, Uriel; Alvarez-Padilla, Fernando

    2015-01-01

    Reproduction in arthropods is an interesting area of research where intrasexual and intersexual mechanisms have evolved structures with several functions. The mating plugs usually produced by males are good examples of these structures where the main function is to obstruct the female genitalia against new sperm depositions. In spiders several types of mating plugs have been documented, the most common ones include solidified secretions, parts of the bulb or in some extraordinary cases the mutilation of the entire palpal bulb. Here, we describe the first case of modified setae, which are located on the cymbial dorsal base, used directly as a mating plug for the Order Araneae in the species Maeotasetastrobilaris sp. n. In addition the taxonomic description of Maeotasetastrobilaris sp. n. is provided and based on our findings the geographic distribution of this genus is extended to the Northern hemisphere.

  6. Description of a novel mating plug mechanism in spiders and the description of the new species Maeota setastrobilaris (Araneae, Salticidae

    Directory of Open Access Journals (Sweden)

    Uriel Garcilazo-Cruz

    2015-06-01

    Full Text Available Reproduction in arthropods is an interesting area of research where intrasexual and intersexual mechanisms have evolved structures with several functions. The mating plugs usually produced by males are good examples of these structures where the main function is to obstruct the female genitalia against new sperm depositions. In spiders several types of mating plugs have been documented, the most common ones include solidified secretions, parts of the bulb or in some extraordinary cases the mutilation of the entire palpal bulb. Here, we describe the first case of modified setae, which are located on the cymbial dorsal base, used directly as a mating plug for the Order Araneae in the species Maeota setastrobilaris sp. n. In addition the taxonomic description of M. setastrobilaris sp. n. is provided and based on our findings the geographic distribution of this genus is extended to the Northern hemisphere.

  7. The Directed Case Method.

    Science.gov (United States)

    Cliff, William H.; Curtin, Leslie Nesbitt

    2000-01-01

    Provides an example of a directed case on human anatomy and physiology. Uses brief real life newspaper articles and clinical descriptions of medical reference texts to describe an actual, fictitious, or composite event. Includes interrelated human anatomy and physiology topics in the scenario. (YDS)

  8. Description of surface systems. Preliminary site description Simpevarp sub area - Version 1.2

    International Nuclear Information System (INIS)

    Lindborg, Tobias

    2005-03-01

    Swedish Nuclear Fuel and Waste Management Co is currently conducting site characterisation in the Simpevarp area. The area is divided into two subareas, the Simpevarp and the Laxemar subarea. The two subareas are surrounded by a common regional model area, the Simpevarp area. This report describes both the regional area and the subareas. This report is an interim version (model version 1.2) of the description of the surface systems at the Simpevarp area, and should be seen as a background report to the site description of the Simpevarp area, version 1.2, SKB-R--05-08. The basis for this description is quality-assured field data available in the SKB SICADA and GIS databases, together with generic data from the literature. The Surface system, here defined as everything above the bedrock, comprises a number of separate disciplines (e.g. hydrology, geology, topography, oceanography and ecology). Each discipline has developed descriptions and models for a number of properties that together represent the site description. The current methodology for developing the surface system description and the integration to ecosystem models is documented in a methodology strategy report SKB-R--03-06. The procedures and guidelines given in that report were followed in this report. Compared with version 1.1 of the surface system description SKB-R--04-25, this report presents considerable additional features, especially in the ecosystem description (Chapter 4) and in the description of the surface hydrology (Section 3.4). A first attempt has also been made to connect the flow of matter (carbon) between the different ecosystems into an overall ecosystem model at a landscape level. A summarised version of this report is also presented in SKB-R--05-08 together with geological-, hydrogeological-, transport properties-, thermal properties-, rock mechanics- and hydrogeochemical descriptions

  9. Description of surface systems. Preliminary site description Simpevarp sub area - Version 1.2

    Energy Technology Data Exchange (ETDEWEB)

    Lindborg, Tobias (ed.)

    2005-03-01

    Swedish Nuclear Fuel and Waste Management Co is currently conducting site characterisation in the Simpevarp area. The area is divided into two subareas, the Simpevarp and the Laxemar subarea. The two subareas are surrounded by a common regional model area, the Simpevarp area. This report describes both the regional area and the subareas. This report is an interim version (model version 1.2) of the description of the surface systems at the Simpevarp area, and should be seen as a background report to the site description of the Simpevarp area, version 1.2, SKB-R--05-08. The basis for this description is quality-assured field data available in the SKB SICADA and GIS databases, together with generic data from the literature. The Surface system, here defined as everything above the bedrock, comprises a number of separate disciplines (e.g. hydrology, geology, topography, oceanography and ecology). Each discipline has developed descriptions and models for a number of properties that together represent the site description. The current methodology for developing the surface system description and the integration to ecosystem models is documented in a methodology strategy report SKB-R--03-06. The procedures and guidelines given in that report were followed in this report. Compared with version 1.1 of the surface system description SKB-R--04-25, this report presents considerable additional features, especially in the ecosystem description (Chapter 4) and in the description of the surface hydrology (Section 3.4). A first attempt has also been made to connect the flow of matter (carbon) between the different ecosystems into an overall ecosystem model at a landscape level. A summarised version of this report is also presented in SKB-R--05-08 together with geological-, hydrogeological-, transport properties-, thermal properties-, rock mechanics- and hydrogeochemical descriptions.

  10. Glomerulonefrite aguda após infecção de vias aéreas superiores ou pele: análise descritiva de 82 pacientes entre 14 e 64 anos de idade Acute glomerulonephritis after upper airway or skin infection: descriptive analysis of 82 cases between 14 and 64 years-old

    Directory of Open Access Journals (Sweden)

    Vilmar de Paiva Marques

    2010-09-01

    failure, is common in childhood and little incident in adults and younger individuals. OBJECTIVE: To analyze, in a descriptive way, data from the initial presentation of GNA after infection of the upper airways or skin in patients over 14 years of age, with emphasis on its epidemiological and clinical aspects. PATIENTS AND METHODS: We reviewed the clinical data of 82 patients treated at our department during the period 1972-2001, divided into three groups: group 1, with individuals between 14 and 20 years (n = 52, group 2, between 21 and 30 years (n = 19 and group 3, aged >; 31 years (n = 11. RESULTS: There was a predominance of the table among younger patients (group 1, male and white, mostly preceded by infection of the skin, appearing most commonly on lower extremity edema and/or face. In some cases, even with nephrotic syndrome, and hypertension, especially in adults over 30 years (group 3, being the least frequent finding of gross hematuria, and rarely, acute renal failure. CONCLUSION: Our findings underscore the importance of studying the AGN after infection of the upper airways or skin in younger individuals and adults, seeking to better characterize its clinical, mainly because it is a group of patients where the disease is less incident.

  11. The Congenital Heart Disease Genetic Network Study: Cohort description.

    Directory of Open Access Journals (Sweden)

    Thanh T Hoang

    Full Text Available The Pediatric Cardiac Genomics Consortium (PCGC designed the Congenital Heart Disease Genetic Network Study to provide phenotype and genotype data for a large congenital heart defects (CHDs cohort. This article describes the PCGC cohort, overall and by major types of CHDs (e.g., conotruncal defects and subtypes of conotrucal heart defects (e.g., tetralogy of Fallot and left ventricular outflow tract obstructions (e.g., hypoplastic left heart syndrome. Cases with CHDs were recruited through ten sites, 2010-2014. Information on cases (N = 9,727 and their parents was collected through interviews and medical record abstraction. Four case characteristics, eleven parental characteristics, and thirteen parent-reported neurodevelopment outcomes were summarized using counts and frequencies and compared across CHD types and subtypes. Eleven percent of cases had a genetic diagnosis. Among cases without a genetic diagnosis, the majority had conotruncal heart defects (40% or left ventricular outflow tract obstruction (21%. Across CHD types, there were significant differences (p<0.05 in the distribution of all four case characteristics (e.g., sex, four parental characteristics (e.g., maternal pregestational diabetes, and five neurodevelopmental outcomes (e.g., learning disabilities. Several characteristics (e.g., sex were also significantly different across CHD subtypes. The PCGC cohort is one of the largest CHD cohorts available for the study of genetic determinants of risk and outcomes. The majority of cases do not have a genetic diagnosis. This description of the PCGC cohort, including differences across CHD types and subtypes, provides a reference work for investigators who are interested in collaborating with or using publically available resources from the PCGC.

  12. The Congenital Heart Disease Genetic Network Study: Cohort description.

    Science.gov (United States)

    Hoang, Thanh T; Goldmuntz, Elizabeth; Roberts, Amy E; Chung, Wendy K; Kline, Jennie K; Deanfield, John E; Giardini, Alessandro; Aleman, Adolfo; Gelb, Bruce D; Mac Neal, Meghan; Porter, George A; Kim, Richard; Brueckner, Martina; Lifton, Richard P; Edman, Sharon; Woyciechowski, Stacy; Mitchell, Laura E; Agopian, A J

    2018-01-01

    The Pediatric Cardiac Genomics Consortium (PCGC) designed the Congenital Heart Disease Genetic Network Study to provide phenotype and genotype data for a large congenital heart defects (CHDs) cohort. This article describes the PCGC cohort, overall and by major types of CHDs (e.g., conotruncal defects) and subtypes of conotrucal heart defects (e.g., tetralogy of Fallot) and left ventricular outflow tract obstructions (e.g., hypoplastic left heart syndrome). Cases with CHDs were recruited through ten sites, 2010-2014. Information on cases (N = 9,727) and their parents was collected through interviews and medical record abstraction. Four case characteristics, eleven parental characteristics, and thirteen parent-reported neurodevelopment outcomes were summarized using counts and frequencies and compared across CHD types and subtypes. Eleven percent of cases had a genetic diagnosis. Among cases without a genetic diagnosis, the majority had conotruncal heart defects (40%) or left ventricular outflow tract obstruction (21%). Across CHD types, there were significant differences (p<0.05) in the distribution of all four case characteristics (e.g., sex), four parental characteristics (e.g., maternal pregestational diabetes), and five neurodevelopmental outcomes (e.g., learning disabilities). Several characteristics (e.g., sex) were also significantly different across CHD subtypes. The PCGC cohort is one of the largest CHD cohorts available for the study of genetic determinants of risk and outcomes. The majority of cases do not have a genetic diagnosis. This description of the PCGC cohort, including differences across CHD types and subtypes, provides a reference work for investigators who are interested in collaborating with or using publically available resources from the PCGC.

  13. 44 CFR 361.3 - Project description.

    Science.gov (United States)

    2010-10-01

    ... earthquake damage, planning to prevent or minimize earthquake damage, disseminating warnings of earthquakes... HOMELAND SECURITY PREPAREDNESS NATIONAL EARTHQUAKE HAZARDS REDUCTION ASSISTANCE TO STATE AND LOCAL GOVERNMENTS Earthquake Hazards Reduction Assistance Program § 361.3 Project description. (a) An objective of...

  14. 14 CFR 415.109 - Launch description.

    Science.gov (United States)

    2010-01-01

    ... trajectory information as part of the flight safety analysis data required by § 415.115. (1) One drawing must... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Launch description. 415.109 Section 415.109 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF...

  15. 40 CFR 145.23 - Program description.

    Science.gov (United States)

    2010-07-01

    ... designated as a “lead agency” to facilitate communications between EPA and the State agencies having program... 146; (7) A description of and schedule for the State's program to establish and maintain a current... to assess the need for a program to regulate Class V wells. (12) For Class V programs only. A...

  16. Descriptive data of JENDL-3.3

    Energy Technology Data Exchange (ETDEWEB)

    Shibata, Keiichi (ed.) [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    2003-01-01

    The third revision of JENDL-3 (JENDL-3.3) was released in 2002. The library contains evaluated neutron nuclear data for 337 nuclides. This report presents a brief description of the evaluation method which is given in the MF1 part of JENDL-3.3. (author)

  17. Effective harmonic oscillator description of anharmonic molecular ...

    Indian Academy of Sciences (India)

    Administrator

    The effective harmonic oscillator is constructed variationally, by taking the trial wave function as a harmonic oscillator eigenfunction with the centroid and width parameter as variational para- eters. It is found that the effective harmonic oscillator approximation provides a description of the anharmonic eigenstates very similar ...

  18. MPEG DASH SRD : Spatial Relationship Description

    NARCIS (Netherlands)

    Niamut, O.A.; Thomas, E.D.R.; D'Acunto, L.; Concolato, C.; Denoual, F.; Yong Lim, S.

    2016-01-01

    This paper presents the Spatial Representation Description (SRD)feature of the second amendment of MPEG DASH standard part 1, 23009-1:2014 [1]. SRD is an approach for streaming only spatial sub-parts of a video to display devices, in combination with the form of adaptive multi-rate streaming that is

  19. A description of the wetlands research programme

    CSIR Research Space (South Africa)

    Walmsley, RD

    1988-01-01

    Full Text Available This report presents a rationale to the development of a multi-disciplinary South African wetland research programme. A definition of what is meant by the term wetland is given along with a general description of what types of wetland occur in South...

  20. Minimum Description Length Shape and Appearance Models

    DEFF Research Database (Denmark)

    Thodberg, Hans Henrik

    2003-01-01

    The Minimum Description Length (MDL) approach to shape modelling is reviewed. It solves the point correspondence problem of selecting points on shapes defined as curves so that the points correspond across a data set. An efficient numerical implementation is presented and made available as open s...

  1. A DESCRIPTIVE INDONESIAN GRAMMAR--PRELIMINARY EDITION.

    Science.gov (United States)

    DYEN, ISIDORE

    THIS PRELIMINARY EDITION COMPRISES A DESCRIPTIVE GRAMMAR OF INDONESIAN (BAHASA INDONESIA), THE OFFICIAL LANGUAGE OF THE REPUBLIC OF INDONESIA. THE THREE SECTIONS--PHONOLOGY, SYNTAX, AND MORPHOLOGY--PRESENT A COMPREHENSIVE LINGUISTIC ANALYSIS OF INDONESIAN, WITH OCCASIONAL CONTRASTIVE REFERENCE TO MALAY, JAVANESE, SUNDANESE, AND SUMATRAN. THIS…

  2. Generalized Langevin Equation Description of Stochastic ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Astrophysics and Astronomy; Volume 35; Issue 3. Generalized Langevin Equation Description of Stochastic Oscillations of General Relativistic Disks. Chun Sing Leung Gabriela Mocanu Tiberiu Harko. Part VI: Combined Multi-Waveband Observations Volume 35 Issue 3 September 2014 pp 449- ...

  3. 7 CFR 52.801 - Product description.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Product description. 52.801 Section 52.801 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946...

  4. Employing both descriptive and predictive algorithms toward ...

    African Journals Online (AJOL)

    Clustering technique was used in the descriptive stage while classification technique was used in the predictive stage. K-Means and Expected Maximization (EM) were used for clustering while models from three classifiers (Decision Stump, M5P and RepTree) were used for classification. The result of using each of the two ...

  5. Microprocessor Design Using Hardware Description Language

    Science.gov (United States)

    Mita, Rosario; Palumbo, Gaetano

    2008-01-01

    The following paper has been conceived to deal with the contents of some lectures aimed at enhancing courses on digital electronic, microelectronic or VLSI systems. Those lectures show how to use a hardware description language (HDL), such as the VHDL, to specify, design and verify a custom microprocessor. The general goal of this work is to teach…

  6. Description of the Wetlands Research Programme

    CSIR Research Space (South Africa)

    Walmsley, RD

    1988-01-01

    Full Text Available This report presents a rationale to the development of a multidisciplinary South African Wetland Research Programme. A definition of what is meant by the term wetland is given along with a general description of what types of wetland occur in South...

  7. Word Processing Job Descriptions and Duties.

    Science.gov (United States)

    Gajewski-Johnson, Marlyce

    In order to develop a word processing career file at Milwaukee Area Technical College, employment managers at 124 Milwaukee-area businesses were asked to provide job descriptions for all word processing positions in the company; skill and knowledge requirements necessary to obtain these positions; employee appraisal forms; wage scales; a list of…

  8. Effective harmonic oscillator description of anharmonic molecular ...

    Indian Academy of Sciences (India)

    ... a harmonic oscillator eigenfunction with the centroid and width parameter as variational paraeters. It is found that the effective harmonic oscillator approximation provides a description of the anharmonic eigenstates very similar to the vibrational self consistent field results. Coriolis coupling is also included in these studies.

  9. Advisory processes and their descriptive data

    Directory of Open Access Journals (Sweden)

    Milan Mišovič

    2005-01-01

    Full Text Available Processes are regarded as a representative of all firm activities what is valid for Web-based Advisory Systems, too. Interpretation of processes from the both sides managers and informaticians is naturally different what is given by their scientific platforms and observed objectives. Managers have connected all firm processes with the firm prosperity and firm competition ability. Therefore they have followed understanding, modeling and regular improving of all processes what should stimulate and evoke using of process revisions (reengineering. The main role in such process understanding is thus committed to the firm management.The most professional computer process implementations are dominant objectives of Informaticians. In this conception all processes have been understood as real sequences of partial transactions (elementary firm activities and data processed by them regardless of using of a structural or object process approach modeling. The process and transaction models, submitted by informaticians, are connected with process content orientation. This content has to be programmed. The firm management represents the main resource of the process knowledge used by informaticians.In addition to these two process conceptions there is a different approach based on a process description by a descriptive data. The descriptive data are not oriented to a process content but to its theoretical conception and real implementation. The descriptive data processing inside special algebra operations can bring a lot of very important and easily economically interpreted results.

  10. Automatic TLI recognition system, general description

    Energy Technology Data Exchange (ETDEWEB)

    Lassahn, G.D.

    1997-02-01

    This report is a general description of an automatic target recognition system developed at the Idaho National Engineering Laboratory for the Department of Energy. A user`s manual is a separate volume, Automatic TLI Recognition System, User`s Guide, and a programmer`s manual is Automatic TLI Recognition System, Programmer`s Guide. This system was designed as an automatic target recognition system for fast screening of large amounts of multi-sensor image data, based on low-cost parallel processors. This system naturally incorporates image data fusion, and it gives uncertainty estimates. It is relatively low cost, compact, and transportable. The software is easily enhanced to expand the system`s capabilities, and the hardware is easily expandable to increase the system`s speed. In addition to its primary function as a trainable target recognition system, this is also a versatile, general-purpose tool for image manipulation and analysis, which can be either keyboard-driven or script-driven. This report includes descriptions of three variants of the computer hardware, a description of the mathematical basis if the training process, and a description with examples of the system capabilities.

  11. An Introduction to the Resource Description Framework.

    Science.gov (United States)

    Miller, Eric

    1998-01-01

    Explains the Resource Description Framework (RDF), an infrastructure developed under the World Wide Web Consortium that enables the encoding, exchange, and reuse of structured metadata. It is an application of Extended Markup Language (XML), which is a subset of Standard Generalized Markup Language (SGML), and helps with expressing semantics.…

  12. Effective harmonic oscillator description of anharmonic molecular ...

    Indian Academy of Sciences (India)

    Administrator

    function as a harmonic oscillator eigenfunction with the centroid and width parameter as variational para- eters. It is found that the effective harmonic oscillator approximation provides a description of the anharmonic eigenstates very similar to the vibrational self consistent field results. Coriolis coupling is also included in ...

  13. Descriptive data of JENDL-3.2

    International Nuclear Information System (INIS)

    Shibata, Keiichi; Narita, Tsutomu

    1998-02-01

    The second revision of JENDL-3 (JENDL-3.2) was released in 1994. The library contains evaluated neutron nuclear data for 340 nuclides which are needed for the design of fission and fusion reactors and for shielding calculation. This report presents a brief description of the evaluation method which is given in the File-1 part of JENDL-3.2. (author)

  14. Descriptive Chemistry in High School Curriculum.

    Science.gov (United States)

    Rajan, Raj G.

    1983-01-01

    Discusses incorporation of descriptive chemistry and scientific/technical writing at the high school level. After discussing the periodic table, each student prepares a paper discussing the history, atomic data, occurring/extraction/purification, properties, and uses of an element. (JN)

  15. Network architecture functional description and design

    Energy Technology Data Exchange (ETDEWEB)

    Stans, L.; Bencoe, M.; Brown, D.; Kelly, S.; Pierson, L.; Schaldach, C.

    1989-05-25

    This report provides a top level functional description and design for the development and implementation of the central network to support the next generation of SNL, Albuquerque supercomputer in a UNIX{reg sign} environment. It describes the network functions and provides an architecture and topology.

  16. 30 CFR 1.2 - Description.

    Science.gov (United States)

    2010-07-01

    ... MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OFFICIAL EMBLEM AND OMB CONTROL NUMBERS FOR RECORDKEEPING AND REPORTING MINE SAFETY AND HEALTH ADMINISTRATION; ESTABLISHMENT AND USE OF OFFICIAL EMBLEM § 1.2 Description. The emblem of the Mine Safety and Health Administration is of contemporary design...

  17. Instructions for Radiological Case Reports.

    Science.gov (United States)

    Bannas, Peter

    2017-04-01

    Purpose  This paper explains the purpose and structure of a radiological case report and provides guidance for radiologists with respect to the writing of a well-structured patient case report. Materials and Methods  The current literature and the author's experience as a writer were used to create a manual that describes steps for preparing a radiological case report containing all of the important ingredients for effective communication. Results  Case reports are the first line of evidence in documenting clinical observations in the literature. A case report should be written succinctly and consists of four structured main sections: introduction, description of the case, discussion and conclusion. Its structure follows the structure of an original research article, whereby the description of the case of the case report corresponds to the materials and methods section of the research article. The introduction provides the subject and merit of the case report with respect to the published literature. The case description presents the case in detail and chronological order to allow for plausibility. The discussion compares the case with the published literature and summarizes the essential features. A case report, like an original article, must provide a justified conclusion. The conclusion should be brief and be applicable to clinical practice. Conclusion  The unique quality of the case, proper preparation and a clear conclusion are essential for a case report to be published. Key Points: · Case reports are the first line of evidence in documenting clinical observations in the literature. · The structure of a case report structure follows the structure of an original research article. · The unique quality of the case, proper preparation and a clear conclusion are essential for a case report to be published.. Citation Format · Bannas P. Anleitung zum Schreiben eines radiologischen Fallberichts. Fortschr Röntgenstr 2017; 189: 333 - 337.

  18. Description of surface systems. Preliminary site description. Forsmark area Version 1.2

    International Nuclear Information System (INIS)

    Lindborg, Tobias

    2005-06-01

    Swedish Nuclear Fuel and Waste Management Co (SKB) started site investigations for a deep repository for spent nuclear fuel in 2002 at two different sites in Sweden, Forsmark and Oskarshamn. The investigations should provide necessary information for a license application aimed at starting underground exploration. For this reason, ecosystem data need to be interpreted and assessed into site descriptive models, which in turn are used for safety assessment studies and for environmental impact assessment. Descriptions of the surface system are also needed for further planning of the site investigations. This report describes the surface ecosystems of the Forsmark site (e.g. hydrology, Quaternary deposits, chemistry, vegetation, animals and the human land use). The ecosystem description is an integration of the site and its regional setting, covering the current state of the biosphere as well as the ongoing natural processes affecting the longterm development. Improving the descriptions is important during both the initial and the complete site investigation phase. Before starting of the initial phase in Forsmark, version 0 of the site descriptive model was developed. The results of the initial site investigation phase is compiled into a preliminary site description of Forsmark (version 1.2) in June 2005. This report provides the major input and background to the biosphere description, in the 1.2 version of the Forsmark site description. The basis for this interim version is quality-assured field data from the Forsmark sub area and regional area, available in the SKB SICADA, and GIS data bases as of July 31th 2004 as well as version 1.1 of the Site Descriptive Model. To achieve an ecosystem site description there is a need to develop discipline-specific models by interpreting and analysing primary data. The different discipline-specific models are then integrated into a system describing interactions and flows and stocks of matter between and within functional units in

  19. Description of surface systems. Preliminary site description. Forsmark area Version 1.2

    Energy Technology Data Exchange (ETDEWEB)

    Lindborg, Tobias (ed.)

    2005-06-01

    Swedish Nuclear Fuel and Waste Management Co (SKB) started site investigations for a deep repository for spent nuclear fuel in 2002 at two different sites in Sweden, Forsmark and Oskarshamn. The investigations should provide necessary information for a license application aimed at starting underground exploration. For this reason, ecosystem data need to be interpreted and assessed into site descriptive models, which in turn are used for safety assessment studies and for environmental impact assessment. Descriptions of the surface system are also needed for further planning of the site investigations. This report describes the surface ecosystems of the Forsmark site (e.g. hydrology, Quaternary deposits, chemistry, vegetation, animals and the human land use). The ecosystem description is an integration of the site and its regional setting, covering the current state of the biosphere as well as the ongoing natural processes affecting the longterm development. Improving the descriptions is important during both the initial and the complete site investigation phase. Before starting of the initial phase in Forsmark, version 0 of the site descriptive model was developed. The results of the initial site investigation phase is compiled into a preliminary site description of Forsmark (version 1.2) in June 2005. This report provides the major input and background to the biosphere description, in the 1.2 version of the Forsmark site description. The basis for this interim version is quality-assured field data from the Forsmark sub area and regional area, available in the SKB SICADA, and GIS data bases as of July 31th 2004 as well as version 1.1 of the Site Descriptive Model. To achieve an ecosystem site description there is a need to develop discipline-specific models by interpreting and analysing primary data. The different discipline-specific models are then integrated into a system describing interactions and flows and stocks of matter between and within functional units in

  20. A Formal Semantics for Concept Understanding relying on Description Logics

    DEFF Research Database (Denmark)

    Badie, Farshad

    2017-01-01

    In this research, Description Logics (DLs) will be employed for logical description, logical characterisation, logical modelling and ontological description of concept understanding in terminological systems. It’s strongly believed that using a formal descriptive logic could support us in reveali...

  1. Success and limits of the relativistic mean field description of nuclear ...

    Indian Academy of Sciences (India)

    Intermediate energy p-A scattering : ¯Successful description of spin observables. (potential shape changes : Wine bottle bottom shape). ¯ Ground state .... (1) for the spherically symmetric case now reduces to a set of four coupled differential equations for the RHB Dirac spinors Н(Ц) and О (Ц). These are to be solved self.

  2. 29 CFR 2520.102-3 - Contents of summary plan description.

    Science.gov (United States)

    2010-07-01

    ..., DEPARTMENT OF LABOR REPORTING AND DISCLOSURE UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 RULES... website on the Internet at http://www.pbgc.gov. (4) A summary plan description for a multiemployer plan... through the PBGC's website on the Internet at http://www.pbgc.gov. (n) In the case of an employee pension...

  3. Macroscopic description of spin transfer torque

    International Nuclear Information System (INIS)

    Barnas, J.; Fert, A.; Gmitra, M.; Weymann, I.; Dugaev, V.K.

    2006-01-01

    A macroscopic description of the current-induced torque due to spin transfer has been developed for layered systems consisting of ferromagnetic films, separated by nonmagnetic layers. The description is based on the classical spin diffusion equations for the distribution functions used in the theory of current-perpendicular-to-plane giant magnetoresistance (CPP-GMR), and the relevant boundary conditions for the longitudinal and transverse components of the spin current and spin accumulation. The torque is expressed as a function of the usual parameters derived from CPP-GMR experiments and two additional parameters involved in the transverse boundary conditions. The model describes qualitatively the normal and inverse switching phenomena studied in recent experiments. We also discuss a structure for which the spin torque disappears at a noncollinear magnetic configuration

  4. Hydrogen electrode reaction: A complete kinetic description

    International Nuclear Information System (INIS)

    Quaino, P.M.; Gennero de Chialvo, M.R.; Chialvo, A.C.

    2007-01-01

    The kinetic description of the hydrogen electrode reaction (HER) in the whole range of overpotentials (-0.2 < η (V) < 0.40) is presented. The Volmer-Heyrovsky-Tafel mechanism was solved considering simultaneously the following items: (i) the diffusional contribution of the molecular hydrogen from and towards the electrode surface, (ii) the forward and backward reaction rates of each elementary step and (iii) a Frumkin type adsorption for the reaction intermediate. In order to verify the descriptive capability of the kinetic expressions derived, an experimental study of the HER was carried out on a rotating platinum disc electrode in acid solution. From the correlation of these results the elementary kinetic parameters were evaluated and several aspects related to the kinetic mechanism were discussed. Finally, the use of these kinetic expressions to interpret results obtained on microelectrodes is also analysed

  5. Parametric description of the quantum measurement process

    Science.gov (United States)

    Liuzzo-Scorpo, P.; Cuccoli, A.; Verrucchi, P.

    2015-08-01

    We present a description of the measurement process based on the parametric representation with environmental coherent states. This representation is specifically tailored for studying quantum systems whose environment needs being considered through the quantum-to-classical crossover. Focusing upon projective measures, and exploiting the connection between large-N quantum theories and the classical limit of related ones, we manage to push our description beyond the pre-measurement step. This allows us to show that the outcome production follows from a global-symmetry breaking, entailing the observed system's state reduction, and that the statistical nature of the process is brought about, together with the Born's rule, by the macroscopic character of the measuring apparatus.

  6. Development of a methodology for microstructural description

    Directory of Open Access Journals (Sweden)

    Vanderley de Vasconcelos

    1999-07-01

    Full Text Available A systematic methodology for microstructural description can help the task of obtaining the processing x microstructure x properties x performance relationships. There are, however, some difficulties in performing this task, which are related mainly to the following three factors: the complexity of the interactions between microstructural features; difficulties in evaluating geometric parameters of microstructural features; and difficulties in relating these geometric parameters to process variables. To solve some of these problems, it is proposed a methodology that embodies the following features: takes into account the different possible types of approaches for the microstructural description problem; includes concepts and tools of Total Quality Management; is supported on techniques of system analysis; and makes use of computer modeling and simulation and statistical design of experiments tools. The methodology was applied on evaluating some topological parameters during sintering process and its results were compared with available experimental data.

  7. System Design Description PFP Thermal Stabilization

    International Nuclear Information System (INIS)

    RISENMAY, H.R.

    2000-01-01

    The purpose of this document is to provide a system design description (SDD) and design basis for the Plutonium Finishing Plant (PFP) Thermal Stabilization project. The chief objective of the SDD is to document the Structures, Systems, and Components (SSCs) that establish and maintain the facility Safety Envelope necessary for normal safe operation of the facility; as identified in the FSAR, the OSRs, and Safety Assessment Documents (SADs). This safety equipment documentation should satisfy guidelines for the SDD given in WHC-SD-CP-TI-18 1, Criteria for Identification and Control of Equipment Necessary for Preservation of the Safety Envelope and Safe Operation of PFP. The basis for operational, alarm response, maintenance, and surveillance procedures are also identified and justified in this document. This document and its appendices address the following elements of the PFP Thermal Stabilization project: Functional and design requirements; Design description; Safety Envelope Analysis; Safety Equipment Class; and Operational, maintenance and surveillance procedures

  8. A Modal Description of Multiport Antennas

    Directory of Open Access Journals (Sweden)

    Jonathan J. Lynch

    2011-01-01

    Full Text Available This paper presents a modal description of multiport antennas that leads directly to a rigorous network representation and simple quadratic expressions for gain, efficiency, and effective area. The analysis shows that the transmitting and receiving properties of an element antenna array are exactly described by a 2×2 element scattering matrix together with a set of orthonormal mode functions and accounts for effects such as mutual coupling, scattering, reflection, and losses. The approach is quite general, only requiring that the antenna be finite and reciprocal. The scattering network description simplifies accounting of power flow while retaining a close connection to the physical antenna characteristics. The orthonormal mode functions provide a complete basis for radiated and received fields, facilitating beamforming. The theory provides rigorous definitions of input-output signals and links them to the underlying electromagnetics in a straightforward manner.

  9. XML for detector description at GLAST

    International Nuclear Information System (INIS)

    Bogart, J.; Favretto, D.; Giannitrapani, R.

    2001-01-01

    The problem of representing a detector in a form which is accessible to a variety of applications, allows retrieval of information in ways which are natural to those applications, and is maintainable has been vexing physicists for some time. Although invented to address an entirely different problem domain, the document markup meta-language XML is well-suited to detector description. The author describes its use for a GLAST detector

  10. XML for Detector Description at GLAST

    International Nuclear Information System (INIS)

    Bogart, Joanne

    2002-01-01

    The problem of representing a detector in a form which is accessible to a variety of applications, allows retrieval of information in ways which are natural to those applications, and is maintainable has been vexing physicists for some time. Although invented to address an entirely different problem domain, the document markup meta-language XML is well-suited to detector description. This paper describes its use for a GLAST detector

  11. RSYST - a short description of the modules

    International Nuclear Information System (INIS)

    Ruehle, R.

    1976-04-01

    The modular system RSYST is used for reactor and shielding calculations. A data base managed by a central program, data blocks containing structure descriptions, and hierarchical linking of data blocks enable flexible management of all data. Module sequences are formulated using a user command language. The language features logical branches, variables and arithmetic experssions. Sections of the user language may be stored in the data base and activated at any time. (orig.) [de

  12. TINTE. Nuclear calculation theory description report

    Energy Technology Data Exchange (ETDEWEB)

    Gerwin, H.; Scherer, W.; Lauer, A. [Forschungszentrum Juelich GmbH (DE). Institut fuer Energieforschung (IEF), Sicherheitsforschung und Reaktortechnik (IEF-6); Clifford, I. [Pebble Bed Modular Reactor (Pty) Ltd. (South Africa)

    2010-01-15

    The Time Dependent Neutronics and Temperatures (TINTE) code system deals with the nuclear and the thermal transient behaviour of the primary circuit of the High-temperature Gas-cooled Reactor (HTGR), taking into consideration the mutual feedback effects in twodimensional axisymmetric geometry. This document contains a complete description of the theoretical basis of the TINTE nuclear calculation, including the equations solved, solution methods and the nuclear data used in the solution. (orig.)

  13. Minimum Description Length Shape and Appearance Models

    DEFF Research Database (Denmark)

    Thodberg, Hans Henrik

    2003-01-01

    The Minimum Description Length (MDL) approach to shape modelling is reviewed. It solves the point correspondence problem of selecting points on shapes defined as curves so that the points correspond across a data set. An efficient numerical implementation is presented and made available as open s...... source Matlab code. The problems with the early MDL approaches are discussed. Finally the MDL approach is extended to an MDL Appearance Model, which is proposed as a means to perform unsupervised image segmentation....

  14. Emerging topics in translation: Audio description

    OpenAIRE

    Perego, Elisa

    2012-01-01

    The volume deals with several aspects of audio description for the blind and sight impaired which came to the surface during the AD session of the conference Emerging topics in translation and interpreting held at the Department of Language, Translation and Interpreting Studies of the University of Trieste, 16-18 June 2010. The topics dealt with in the volume range from the more established (linguistic analysis of ADs in various languages, strategies to overcome possible obs...

  15. 1993 baseline solid waste management system description

    International Nuclear Information System (INIS)

    Armacost, L.L.; Fowler, R.A.; Konynenbelt, H.S.

    1994-02-01

    Pacific Northwest Laboratory has prepared this report under the direction of Westinghouse Hanford Company. The report provides an integrated description of the system planned for managing Hanford's solid low-level waste, low-level mixed waste, transuranic waste, and transuranic mixed waste. The primary purpose of this document is to illustrate a collective view of the key functions planned at the Hanford Site to handle existing waste inventories, as well as solid wastes that will be generated in the future. By viewing this system as a whole rather than as individual projects, key facility interactions and requirements are identified and a better understanding of the overall system may be gained. The system is described so as to form a basis for modeling the system at various levels of detail. Model results provide insight into issues such as facility capacity requirements, alternative system operating strategies, and impacts of system changes (ie., startup dates). This description of the planned Hanford solid waste processing system: defines a baseline system configuration; identifies the entering waste streams to be managed within the system; identifies basic system functions and waste flows; and highlights system constraints. This system description will evolve and be revised as issues are resolved, planning decisions are made, additional data are collected, and assumptions are tested and changed. Out of necessity, this document will also be revised and updated so that a documented system description, which reflects current system planning, is always available for use by engineers and managers. It does not provide any results generated from the many alternatives that will be modeled in the course of analyzing solid waste disposal options; such results will be provided in separate documents

  16. XML for Detector Description at GLAST

    Energy Technology Data Exchange (ETDEWEB)

    Bogart, Joanne

    2002-04-30

    The problem of representing a detector in a form which is accessible to a variety of applications, allows retrieval of information in ways which are natural to those applications, and is maintainable has been vexing physicists for some time. Although invented to address an entirely different problem domain, the document markup meta-language XML is well-suited to detector description. This paper describes its use for a GLAST detector.

  17. Plant species descriptions show signs of disease.

    Science.gov (United States)

    Hood, Michael E; Antonovics, Janis

    2003-11-07

    It is well known that diseases can greatly influence the morphology of plants, but often the incidence of disease is either too rare or the symptoms too obvious for the 'abnormalities' to cause confusion in systematics. However, we have recently come across several misinterpretations of disease-induced traits that may have been perpetuated into modern species inventories. Anther-smut disease (caused by the fungus Microbotryum violaceum) is common in many members of the Caryophyllaceae and related plant families. This disease causes anthers of infected plants to be filled with dark-violet fungal spores rather than pollen. Otherwise, their vegetative morphology is within the normal range of healthy plants. Here, we present the results of a herbarium survey showing that a number of type specimens (on which the species name and original description are based) in the genus Silene from Asia are diseased with anther smut. The primary visible disease symptom, namely the dark-violet anthers, is incorporated into the original species descriptions and some of these descriptions have persisted unchanged into modern floras. This raises the question of whether diseased type specimens have erroneously been given unique species names.

  18. SNF/HLW Transfer System Description Document

    International Nuclear Information System (INIS)

    W. Holt

    2005-01-01

    The purpose of this system description document (SDD) is to establish requirements that drive the design of the spent nuclear fuel (SNF)/high-level radioactive waste (HLW) transfer system and associated bases, which will allow the design effort to proceed to license application. This SDD will be revised at strategic points as the design matures. This SDD identifies the requirements and describes the system design, as it currently exists, with emphasis on attributes of the design provided to meet the requirements. This SDD is an engineering tool for design control. Accordingly, the primary audience and users are design engineers. This SDD is part of an iterative design process. It leads the design process with regard to the flowdown of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD follows the design with regard to the description of the system. The description provided in this SDD reflects the current results of the design process

  19. Macroscopic Description for Networks of Spiking Neurons

    Science.gov (United States)

    Montbrió, Ernest; Pazó, Diego; Roxin, Alex

    2015-04-01

    A major goal of neuroscience, statistical physics, and nonlinear dynamics is to understand how brain function arises from the collective dynamics of networks of spiking neurons. This challenge has been chiefly addressed through large-scale numerical simulations. Alternatively, researchers have formulated mean-field theories to gain insight into macroscopic states of large neuronal networks in terms of the collective firing activity of the neurons, or the firing rate. However, these theories have not succeeded in establishing an exact correspondence between the firing rate of the network and the underlying microscopic state of the spiking neurons. This has largely constrained the range of applicability of such macroscopic descriptions, particularly when trying to describe neuronal synchronization. Here, we provide the derivation of a set of exact macroscopic equations for a network of spiking neurons. Our results reveal that the spike generation mechanism of individual neurons introduces an effective coupling between two biophysically relevant macroscopic quantities, the firing rate and the mean membrane potential, which together govern the evolution of the neuronal network. The resulting equations exactly describe all possible macroscopic dynamical states of the network, including states of synchronous spiking activity. Finally, we show that the firing-rate description is related, via a conformal map, to a low-dimensional description in terms of the Kuramoto order parameter, called Ott-Antonsen theory. We anticipate that our results will be an important tool in investigating how large networks of spiking neurons self-organize in time to process and encode information in the brain.

  20. Horizons of description: Black holes and complementarity

    Science.gov (United States)

    Bokulich, Peter Joshua Martin

    Niels Bohr famously argued that a consistent understanding of quantum mechanics requires a new epistemic framework, which he named complementarity . This position asserts that even in the context of quantum theory, classical concepts must be used to understand and communicate measurement results. The apparent conflict between certain classical descriptions is avoided by recognizing that their application now crucially depends on the measurement context. Recently it has been argued that a new form of complementarity can provide a solution to the so-called information loss paradox. Stephen Hawking argues that the evolution of black holes cannot be described by standard unitary quantum evolution, because such evolution always preserves information, while the evaporation of a black hole will imply that any information that fell into it is irrevocably lost---hence a "paradox." Some researchers in quantum gravity have argued that this paradox can be resolved if one interprets certain seemingly incompatible descriptions of events around black holes as instead being complementary. In this dissertation I assess the extent to which this black hole complementarity can be undergirded by Bohr's account of the limitations of classical concepts. I begin by offering an interpretation of Bohr's complementarity and the role that it plays in his philosophy of quantum theory. After clarifying the nature of classical concepts, I offer an account of the limitations these concepts face, and argue that Bohr's appeal to disturbance is best understood as referring to these conceptual limits. Following preparatory chapters on issues in quantum field theory and black hole mechanics, I offer an analysis of the information loss paradox and various responses to it. I consider the three most prominent accounts of black hole complementarity and argue that they fail to offer sufficient justification for the proposed incompatibility between descriptions. The lesson that emerges from this

  1. Spinor description of the curvatures of D = 5 gauge fields

    Science.gov (United States)

    Uvarov, D. V.

    2017-03-01

    Spinor description of the curvatures of D = 5 Yang-Mills, Rarita-Schwinger and gravitational fields is considered. Restrictions imposed on the curvature spinors by the dynamical equations and Bianchi identities are studied. In the absence of sources symmetric curvature spinors with 2 s indices obey first-order equations that in the linearized limit reduce to Dirac-type equations for massless free fields. These equations allow for a higher-spin generalization similarly to 4 d case. Their solution in the form of the integral over Lorentz-harmonic variables parametrizing coset manifold SO(1, 4)/( SO(1,1) × ISO(3)) isomorphic to the three-sphere is considered.

  2. Descriptive review of tuberculosis surveillance systems across the circumpolar regions

    Directory of Open Access Journals (Sweden)

    Annie-Claude Bourgeois

    2016-04-01

    baseline knowledge on similarities and differences among circumpolar tuberculosis surveillance systems. The similarity in case definitions will allow for description of the epidemiology of TB based on surveillance data in circumpolar regions, further study of tuberculosis trends across regions, and recommendation of best practices to improve surveillance activities.

  3. Quantum Description of Optical Devices Used in Interferometry

    Directory of Open Access Journals (Sweden)

    P. Kucera

    2007-09-01

    Full Text Available A quantum-mechanical description of the phase shifters, retarders, mirrors and beam splitters is given in the paper. The description is then applied on two types of states. On a coherent state, a classical-like state, and on a number state, hence the strict quantum state. The quantum description of a beam splitter can be found in the literature. However the description does not treat with the polarization concept. The paper is aimed to introduce quantum description of an arbitrary oriented retarder and give a description of a beam splitter which treats with the polarization.

  4. Durability 2007. Injection grout investigations. Background description

    International Nuclear Information System (INIS)

    Orantie, K.; Kuosa, H.

    2008-12-01

    The aim of this project was to evaluate the durability risks of injection grouts. The investigations were done with respect to the application conditions, materials and service life requirements at the ONKALO underground research facility. The study encompassed injection grout mixtures made of ultrafine cement with and without silica fume. Some of the mixtures hade a low pH and thus a high silica fume content. The project includes a background description on durability literature, laboratory testing programme, detailed analysis of results and recommendations for selecting of ideal grout mixtures. The background description was made for the experimental study of low-pH and reference rock injection grouts as regards pore- and microstructure, strength, shrinkage/swelling and thus versatile durability properties. A summary of test methods is presented as well as examples, i.e. literature information or former test results, of expected range of results from the tests. Also background information about how the test results correlate to other material properties and mix designs is presented. Besides the report provides basic information on the pore structure of cement based materials. Also the correlation between the pore structure of cement based materials and permeability is shortly discussed. The test methods included in the background description are compressive strength, measurement of bulk drying, autogenous and chemical shrinkage and swelling, hydraulic conductivity / permeability, capillary water uptake test, mercury intrusion porosimetry (MIP) and thin section analysis. Three main mixtures with water-binder ratio of 0.8, 1.0 and 1.4 and silica fume content of 0, 15 and 40% were studied in the laboratory. Besides two extra mixtures were studied to provide additional information about the effect of varying water-dry-material ratio and silica fume content on durability. The evaluation of water tightness based on water permeability coefficient and micro cracking was

  5. Site and Regional Data for Biosphere Assessment BSA-2009 Supplement to Olkiluoto Biosphere Description 2009

    International Nuclear Information System (INIS)

    Aro, L.; Haapanen, R.; Puhakka, L.; Hjerpe, T.; Kirkkala, T.; Koivunen, S.; Lahdenperae, A.-M.; Salo, T.; Ikonen, A.T.K.; Helin, J.

    2010-06-01

    The safety case for a spent nuclear fuel repository at Olkiluoto includes a computational safety assessment. A site-specific biosphere assessment is an integral part of them both. In 2009 an assessment was conducted to demonstrate preparedness to apply for construction license to the repository in 2012. As a part of the biosphere assessment, the present conditions at the site are described in Olkiluoto biosphere description report for an analogue of the future conditions being simulated in the safety assessment. This report is a supplement to the biosphere description report of 2009 and documents the site and regional data used in the biosphere assessment 'BSA-2009' with respective rationales. (orig.)

  6. A theoretical relation between the form factor concept and the fractal description of irregularily shaped particles

    International Nuclear Information System (INIS)

    Naumann, K.H.; Bunz, H.

    1994-04-01

    This report describes a theoretical concept that establishes a complete link between the form factor characterization and the fractal description of irregularily shaped particles. Of central importance is the approximate consideration of hydrodynamic interactions between the primary particles within the framework of the Kirkwood-Riseman theory, resulting in a clear distinction between the geometric and the hydrodynamic radius of the agglomerates. Furthermore, special attention is given to the description of the density decay in the outer regions of the particles. Using connectivity arguments it is shown that the case of particles with very low fractal dimension (e.g. chainlike species) requires a specific treatment. (orig./HP) [de

  7. Thorax X-ray diagnostics. DDS (double base description system). Uniform terminology and standardized sytematics. Correct diagnosis; Thorax Roentgendiagnostik. DDS-System*, Einheitliche Terminologie und Standardisierte Systematik {yields} Richtige Diagnose

    Energy Technology Data Exchange (ETDEWEB)

    Kulke, H.M. [Wuerzburg Univ. (Germany). Universitaetsklinikum

    2012-07-01

    The booklet describes the so called DDS (double-base description system) to be used in the frame of medical thorax X-ray examinations with modern imaging devices. The following issues are discussed: Description features, shadow characterization, general fundamentals, procedural methodology, diagnostic findings protocol, examples and case descriptions.

  8. Continuum description of avalanches in granular media.

    Energy Technology Data Exchange (ETDEWEB)

    Aranson, I. S.; Tsimring, L. S.

    2000-12-05

    A continuum theory of partially fluidized granular flows is proposed. The theory is based on a combination of the mass and momentum conservation equations with the order parameter equation which describes the transition between flowing and static components of the granular system. We apply this model to the dynamics of avalanches in chutes. The theory provides a quantitative description of recent observations of granular flows on rough inclined planes (Daerr and Douady 1999): layer bistability, and the transition from triangular avalanches propagating downhill at small inclination angles to balloon-shaped avalanches also propagating uphill for larger angles.

  9. Resource description and access 2013 revision

    CERN Document Server

    2013-01-01

    This e-book contains the 2013 Revision of RDA: Resource Description and Access, and includes the July 2013 Update. This e-book offers links within the RDA text and the capability of running rudimentary searches of RDA, but please note that this e-book does not have the full range of content or functionality provided by the subscription product RDA Toolkit. Included: A full accumulation of RDA- the revision contains a full set of all current RDA instructions. It replaces the previous version of RDA Print as opposed to being an update packet to that version. RDA has gone through many changes sin

  10. Forsmark - site descriptive model version 0

    International Nuclear Information System (INIS)

    2002-10-01

    During 2002, the Swedish Nuclear Fuel and Waste Management Company (SKB) is starting investigations at two potential sites for a deep repository in the Precambrian basement of the Fennoscandian Shield. The present report concerns one of those sites, Forsmark, which lies in the municipality of Oesthammar, on the east coast of Sweden, about 150 kilometres north of Stockholm. The site description should present all collected data and interpreted parameters of importance for the overall scientific understanding of the site, for the technical design and environmental impact assessment of the deep repository, and for the assessment of long-term safety. The site description will have two main components: a written synthesis of the site, summarising the current state of knowledge, as documented in the databases containing the primary data from the site investigations, and one or several site descriptive models, in which the collected information is interpreted and presented in a form which can be used in numerical models for rock engineering, environmental impact and long-term safety assessments. The site descriptive models are devised and stepwise updated as the site investigations proceed. The point of departure for this process is the regional site descriptive model, version 0, which is the subject of the present report. Version 0 is developed out of the information available at the start of the site investigation. This information, with the exception of data from tunnels and drill holes at the sites of the Forsmark nuclear reactors and the underground low-middle active radioactive waste storage facility, SFR, is mainly 2D in nature (surface data), and is general and regional, rather than site-specific, in content. For this reason, the Forsmark site descriptive model, version 0, as detailed in the present report, has been developed at a regional scale. It covers a rectangular area, 15 km in a southwest-northeast and 11 km in a northwest-southeast direction, around the

  11. Theoretical Description of the Fission Process

    Energy Technology Data Exchange (ETDEWEB)

    Witold Nazarewicz

    2003-07-01

    The main goals of the project can be summarized as follows: Development of effective energy functionals that are appropriate for the description of heavy nuclei. Our goal is to improve the existing energy density (Skyrme) functionals to develop a force that will be used in calculations of fission dynamics. Systematic self-consistent calculations of binding energies and fission barriers of actinide and trans-actinide nuclei using modern density functionals. This will be followed by calculations of spontaneous fission lifetimes and mass and charge divisions using dynamic adiabatic approaches based on the WKB approximation. Investigate novel microscopic (non-adiabatic) methods to study the fission process.

  12. Hamiltonian description of the ideal fluid

    Energy Technology Data Exchange (ETDEWEB)

    Morrison, P.J.

    1994-01-01

    Fluid mechanics is examined from a Hamiltonian perspective. The Hamiltonian point of view provides a unifying framework; by understanding the Hamiltonian perspective, one knows in advance (within bounds) what answers to expect and what kinds of procedures can be performed. The material is organized into five lectures, on the following topics: rudiments of few-degree-of-freedom Hamiltonian systems illustrated by passive advection in two-dimensional fluids; functional differentiation, two action principles of mechanics, and the action principle and canonical Hamiltonian description of the ideal fluid; noncanonical Hamiltonian dynamics with examples; tutorial on Lie groups and algebras, reduction-realization, and Clebsch variables; and stability and Hamiltonian systems.

  13. PARR-2: reactor description and experiments

    International Nuclear Information System (INIS)

    Wyne, M.F.; Meghji, J.H.

    1990-12-01

    PARR-2 is a miniature neutron source reactor (MNSR) research reactor has been designed at the rate of 27 kW. Reactor assembly comprises of peaking characteristics with a self limiting flux. In this report reactor description with its assembly and instrumentation control system has been explained. The reactor engineering and physics experiments which can be performed on this reactor are explained in this report. PARR-2 is fueled with HEU fuel pins which are about 90% enriched in U-235. Specific requirements for the safety of the reactor, its building and the personnel, normal instrumentation as required in an industrial environment is sufficient. (A.B.)

  14. Description of the Nuclear Training Centre

    International Nuclear Information System (INIS)

    Wagadarikar, V.K.

    1974-01-01

    The Department of Atomic Energy, Government of India has developed an on-going programme for constructing and operating heavy water moderated, natural uranium fuelled power stations of the CANDU-type. With the view to train personnel required for operation and maintenance of these stations, a Nuclear Training Centre has been set up at the site of the Rajasthan Atomic Power Station. A description of the nuclear training centre with its facilities is given. The training programme for engineers, operators, mechanical, electrical and control maintainers etc. is given in detail, along with the actual syllabi for respective courses. Examples of the typical field check list are provided. (K.B.)

  15. The gravitational description of coarse grained microstates

    Energy Technology Data Exchange (ETDEWEB)

    Alday, Luis F. [Institute for Theoretical Physics and Spinoza Institute, Utrecht University, 3508 TD Utrecht (Netherlands); Boer, Jan de [Instituut voor Theoretische Fysica, Valckenierstraat 65, 1018XE Amsterdam (Netherlands); Messamah, Ilies [Instituut voor Theoretische Fysica, Valckenierstraat 65, 1018XE Amsterdam (Netherlands)

    2006-12-15

    In this paper we construct a detailed map from pure and mixed half-BPS states of the D1-D5 system to half-BPS solutions of type IIB supergravity. Using this map, we can see how gravity arises through coarse graining microstates, and we can explicitly confirm the microscopic description of conical defect metrics, the M = 0 BTZ black hole and of small black rings. We find that the entropy associated to the natural geometric stretched horizon typically exceeds that of the mixed state from which the geometry was obtained.

  16. Research team training: moving beyond job descriptions.

    Science.gov (United States)

    Nelson, LaRon E; Morrison-Beedy, Dianne

    2008-08-01

    Providing appropriate training to research team members is essential to the effective implementation and overall operation of a research project. It is important to identify job requirements beyond those listed in the job description in order to fully assess basic and supplementary training needs. Training needs should be identified prior to and during the conduct of the study. Methods for delivering the training must also be identified. This article describes the identification of training needs and methods in the design of a research team training program using examples from an HIV prevention intervention trial with adolescent girls.

  17. Theoretical Description of the Fission Process

    International Nuclear Information System (INIS)

    Witold Nazarewicz

    2003-01-01

    The main goals of the project can be summarized as follows: Development of effective energy functionals that are appropriate for the description of heavy nuclei. Our goal is to improve the existing energy density (Skyrme) functionals to develop a force that will be used in calculations of fission dynamics. Systematic self-consistent calculations of binding energies and fission barriers of actinide and trans-actinide nuclei using modern density functionals. This will be followed by calculations of spontaneous fission lifetimes and mass and charge divisions using dynamic adiabatic approaches based on the WKB approximation. Investigate novel microscopic (non-adiabatic) methods to study the fission process

  18. Value-centric business development: descriptive and prescriptive research into five different companies

    DEFF Research Database (Denmark)

    Kukushkin, Merili; Otto, Tauno; Howard, Thomas J.

    2015-01-01

    -centric business was proposed and a practical method for building a value-centric product, service, and business model was developed. In the last stage of the research (Descriptive Study 2), the method was tested at four case companies from different fields. The paper describes the data collection, analysis......The companies that discover changes and possibilities within the value system first and make use of them are considered to be prime movers and often are more successful than those who adapt late. Research has been done on multiple levels for understanding value-centric business from a practical...... perspective as well as from a theoretical perspective. In the first stage of the research (Descriptive Study 1), practical experience and knowledge were gained simultaneously from a case company and from literature-based case analysis. As output of a prescriptive study, a specification of a proactive value...

  19. Syndromic surveillance in Vanuatu since Cyclone Pam: a descriptive study

    Directory of Open Access Journals (Sweden)

    George Worwor

    2016-12-01

    Full Text Available In 2012, Vanuatu designed and implemented a syndromic surveillance system based on the guidelines developed by the Pacific Community and the World Health Organization to provide early warning of outbreaks and other important public health events. Four core syndromes were endorsed for surveillance: acute fever and rash, prolonged fever, influenza-like illness and acute watery diarrhoea. In March 2015, Vanuatu was struck by Cyclone Pam, after which several important changes and improvements to the country's syndromic surveillance were made. To date, there has been no formal evaluation of whether regular reports are occurring or that core syndromes are being documented. We therefore carried out a descriptive study in the 11 sentinel sites in Vanuatu conducting syndromic surveillance between July and December 2015. There was a total of 53 822 consultations which were higher in the first 13 weeks (n = 29 622 compared with the last 13 weeks (n = 24 200. During the six months, there were no cases of acute fever and rash or prolonged fever. There were cases with influenza-like illness from week 27 to 35, but no case was reported after week 35. Acute watery diarrhoea occurred in one or two cases per week during the whole study period. For these two core syndromes, there were generally more females than males, and about one third were children aged under 5 years. In conclusion, Vanuatu implemented changes to its new syndromic surveillance system from July to December 2015, although laboratory components had not yet been incorporated. The laboratory components are working in 2016 and will be the subject of a further report.

  20. The Athena data dictionary and description language

    International Nuclear Information System (INIS)

    Bazan, Alain; Bouedo, Thierry; Ghez, Philippe; Marino, Massimo; Tull, Craig

    2003-01-01

    Athena is the ATLAS off-line software framework, based upon the GAUDI architecture from LHCb. As part of ATLAS' continuing efforts to enhance and customize the architecture to meet our needs, we have developed a data object description tool suite and service for Athena. The aim is to provide a set of tools to describe, manage, integrate and use the Event Data Model at a design level according to the concepts of the Athena framework (use of patterns, relationships,...). Moreover, to ensure stability and reusability this must be fully independent from the implementation details. After an extensive investigation into the many options, we have developed a language grammar based upon a description language (IDL, ODL) to provide support for object integration in Athena. We have then developed a compiler front end based upon this language grammar, JavaCC, and a Java Reflection API-like interface. We have then used these tools to develop several compiler back ends which meet specific needs in ATLAS such as automatic generation of object converters, and data object scripting interfaces. We present here details of our work and experience to date on the Athena Definition Language and Athena Data Dictionary. (authors)

  1. Improved description of metal oxide stability

    DEFF Research Database (Denmark)

    Jauho, Thomas Stenbæk; Olsen, Thomas; Bligaard, Thomas

    2015-01-01

    transition-metal oxides. The mean absolute error relative to experiments is 0.21 eV and 0.38 eV per oxygen atom for rAPBE and RPA, respectively, and thus the rAPBE method greatly improves the description of metal-oxygen bonds across a wide range of oxides. The failure of the RPA can be partly attributed......The renormalized adiabatic PBE (rAPBE) method has recently been shown to comprise a significant improvement over the random phase approximation (RPA) for total energy calculations of simple solids and molecules. Here we consider the formation energies of 19 group I and II metal oxides and a few...... to the lack of error cancellation between the correlation energy of the oxide on the one hand and the bulk metal and oxygen molecule on the other hand, which are all separately predicted much too negative by the RPA. We ascribe the improved performance of the rAPBE to its significantly better description...

  2. The appropriateness of XML for diagnostic description

    International Nuclear Information System (INIS)

    Neto, A.; Lister, J.B.; Fernandes, H.; Yonekawa, I.; Varandas, C.A.F.

    2007-01-01

    A standard for the self-description of fusion plasma diagnostics will be required in the near future. The motivation is to maintain and organize the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money. Since there is no existing standard to organize this kind of information, every EU Association stores and organizes each experiment in different ways. This can lead to severe problems when the particular organization schema is poorly documented. Standardization is the key to solve these problems. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalization (information at least in English and a local language). This problem will be met on the ITER project, for which a solution is essential. A strong candidate solution is the Extensible Markup Language (XML). In this paper, a review of the current status of XML related technologies will be presented

  3. Quantum gravity from descriptive set theory

    International Nuclear Information System (INIS)

    El Naschie, M.S.

    2004-01-01

    We start from Hilbert's criticism of the axioms of classical geometry and the possibility of abandoning the Archimedean axiom. Subsequently we proceed to the physical possibility of a fundamental limitation on the smallest length connected to certain singular points in spacetime and below which measurements become meaningless, Finally we arrive at the conclusion that maximising the Hawking-Bekenstein informational content of spacetime makes the existence of a transfinite geometry for physical 'spacetime' not only plausible but probably inevitable. The main part of the paper is then concerned with a proposal for a mathematical description of a transfinite, non-Archimedean geometry using descriptive set theory. Nevertheless, and despite all abstract mathematics, we remain quite close to similar lines of investigation initiated by physicists like A. Wheeler, D. Finkelstein and G. 'tHooft. In particular we introduce a logarithmic gauge transformation linking classical gravity with the electro weak via a version of informational entropy. That way we may claim to have accomplished an important step towards a general theory of quantum gravity using ε (∞) and complexity theory and finding that α G =(2) α-bar ew -1 congruent with (1.7)(10) 38 where α G is the dimensionless Newton gravity constant, and α ew ≅128 is the fine structure constant at the electro weak scale

  4. Comprehensive description of the Orion laser facility

    Science.gov (United States)

    Hopps, Nicholas; Oades, Kevin; Andrew, Jim; Brown, Colin; Cooper, Graham; Danson, Colin; Daykin, Simon; Duffield, Stuart; Edwards, Ray; Egan, David; Elsmere, Stephen; Gales, Steve; Girling, Mark; Gumbrell, Edward; Harvey, Ewan; Hillier, David; Hoarty, David; Horsfield, Colin; James, Steven; Leatherland, Alex; Masoero, Stephen; Meadowcroft, Anthony; Norman, Michael; Parker, Stefan; Rothman, Stephen; Rubery, Michael; Treadwell, Paul; Winter, David; Bett, Thomas

    2015-06-01

    The Orion laser facility at the atomic weapons establishment (AWE) in the UK has been operational since April 2013, fielding experiments that require both its long and short pulse capability. This paper provides a full description of the facility in terms of laser performance, target systems and diagnostics currently available. Inevitably, this is a snapshot of current capability—the available diagnostics and the laser capability are evolving continuously. The laser systems consist of ten beams, optimised around 1 ns pulse duration, which each provide a nominal 500 J at a wavelength of 351 nm. There are also two short pulse beams, which each provide 500 J in 0.5 ps at 1054 nm. There are options for frequency doubling one short pulse beam to enhance the pulse temporal contrast. More recently, further contrast enhancement, based on optical parametric amplification (OPA) in the front end with a pump pulse duration of a few ps, has been installed. An extensive suite of diagnostics are available for users, probing the optical emission, x-rays and particles produced in laser-target interactions. Optical probe diagnostics are also available. A description of the diagnostics is provided.

  5. Forsmark - site descriptive model version 0

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-10-01

    During 2002, the Swedish Nuclear Fuel and Waste Management Company (SKB) is starting investigations at two potential sites for a deep repository in the Precambrian basement of the Fennoscandian Shield. The present report concerns one of those sites, Forsmark, which lies in the municipality of Oesthammar, on the east coast of Sweden, about 150 kilometres north of Stockholm. The site description should present all collected data and interpreted parameters of importance for the overall scientific understanding of the site, for the technical design and environmental impact assessment of the deep repository, and for the assessment of long-term safety. The site description will have two main components: a written synthesis of the site, summarising the current state of knowledge, as documented in the databases containing the primary data from the site investigations, and one or several site descriptive models, in which the collected information is interpreted and presented in a form which can be used in numerical models for rock engineering, environmental impact and long-term safety assessments. The site descriptive models are devised and stepwise updated as the site investigations proceed. The point of departure for this process is the regional site descriptive model, version 0, which is the subject of the present report. Version 0 is developed out of the information available at the start of the site investigation. This information, with the exception of data from tunnels and drill holes at the sites of the Forsmark nuclear reactors and the underground low-middle active radioactive waste storage facility, SFR, is mainly 2D in nature (surface data), and is general and regional, rather than site-specific, in content. For this reason, the Forsmark site descriptive model, version 0, as detailed in the present report, has been developed at a regional scale. It covers a rectangular area, 15 km in a southwest-northeast and 11 km in a northwest-southeast direction, around the

  6. COG Software Architecture Design Description Document

    Energy Technology Data Exchange (ETDEWEB)

    Buck, R M; Lent, E M

    2009-09-21

    This COG Software Architecture Design Description Document describes the organization and functionality of the COG Multiparticle Monte Carlo Transport Code for radiation shielding and criticality calculations, at a level of detail suitable for guiding a new code developer in the maintenance and enhancement of COG. The intended audience also includes managers and scientists and engineers who wish to have a general knowledge of how the code works. This Document is not intended for end-users. This document covers the software implemented in the standard COG Version 10, as released through RSICC and IAEA. Software resources provided by other institutions will not be covered. This document presents the routines grouped by modules and in the order of the three processing phases. Some routines are used in multiple phases. The routine description is presented once - the first time the routine is referenced. Since this is presented at the level of detail for guiding a new code developer, only the routines invoked by another routine that are significant for the processing phase that is being detailed are presented. An index to all routines detailed is included. Tables for the primary data structures are also presented.

  7. The appropriateness of XML for diagnostic description

    Energy Technology Data Exchange (ETDEWEB)

    Neto, A. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal)], E-mail: andre.neto@cfn.ist.utl.pt; Lister, J.B. [CRPP-EPFL, Association EURATOM-Confederation Suisse, 1015 Lausanne (Switzerland); Fernandes, H. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal); Yonekawa, I. [JAEA, Japan Atomic Energy Agency Naka (Japan); Varandas, C.A.F. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal)

    2007-10-15

    A standard for the self-description of fusion plasma diagnostics will be required in the near future. The motivation is to maintain and organize the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money. Since there is no existing standard to organize this kind of information, every EU Association stores and organizes each experiment in different ways. This can lead to severe problems when the particular organization schema is poorly documented. Standardization is the key to solve these problems. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalization (information at least in English and a local language). This problem will be met on the ITER project, for which a solution is essential. A strong candidate solution is the Extensible Markup Language (XML). In this paper, a review of the current status of XML related technologies will be presented.

  8. Initial rheological description of high performance concretes

    Directory of Open Access Journals (Sweden)

    Alessandra Lorenzetti de Castro

    2006-12-01

    Full Text Available Concrete is defined as a composite material and, in rheological terms, it can be understood as a concentrated suspension of solid particles (aggregates in a viscous liquid (cement paste. On a macroscopic scale, concrete flows as a liquid. It is known that the rheological behavior of the concrete is close to that of a Bingham fluid and two rheological parameters regarding its description are needed: yield stress and plastic viscosity. The aim of this paper is to present the initial rheological description of high performance concretes using the modified slump test. According to the results, an increase of yield stress was observed over time, while a slight variation in plastic viscosity was noticed. The incorporation of silica fume showed changes in the rheological properties of fresh concrete. The behavior of these materials also varied with the mixing procedure employed in their production. The addition of superplasticizer meant that there was a large reduction in the mixture's yield stress, while plastic viscosity remained practically constant.

  9. Health Topic XML File Description: MedlinePlus

    Science.gov (United States)

    ... page: https://medlineplus.gov/xmldescription.html Health Topic XML File Description: MedlinePlus To use the sharing features on this page, please enable JavaScript. Description of XML Tags Definitions of every possible tag in the ...

  10. Test case for a near-surface repository

    International Nuclear Information System (INIS)

    Elert, M.; Jones, C.; Nilsson, L.B.; Skagius, K.; Wiborgh, M.

    1998-01-01

    A test case is presented for assessment of a near-surface disposal facility for radioactive waste. The case includes waste characterization and repository design, requirements and constraints in an assessment context, scenario development, model description and test calculations

  11. Description of highly perturbed bands in rare earth nuclei

    International Nuclear Information System (INIS)

    Joshi, P.C.; Sood, P.C.

    1976-01-01

    Recently some highly perturbed positive parity bands have been populated in odd-mass rare earth nuclei. The energy spacings and sometimes even the spin sequences are drastically different from the usual strong coupling rotational model picture. The levels belonging to 'odd and even' I+1/2 are found to make separate groupings. The levels belonging to odd values of I+1/2 are seen to be very much favoured in comparison to the levels for which I+1/2 is even. In some cases only the favoured levels have been identified. These bands have been studied in the frame-work of rotation aligned coupling scheme in which the odd neutron in the unique parity orbital (in this case the isub(13/2) orbital) is strongly decoupled from the body fixed symmetry axis by the Coriolis force so as to make the projection of its angular momentum α on the rotation axis approximately a good quantum number. A description of the energy levels is suggested by assigning the quantum number α-j to the favoured levels and α-j-1 to the unfavoured levels. The intraband transitions of the favoured and unfavoured bands are examined in comparison with those in the adjacent ground state bands in even-even nuclei. (author)

  12. 48 CFR 14.202-5 - Descriptive literature.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Descriptive literature. 14... CONTRACTING METHODS AND CONTRACT TYPES SEALED BIDDING Solicitation of Bids 14.202-5 Descriptive literature. (a) Policy. Contracting officers must not require bidders to furnish descriptive literature unless it is...

  13. 48 CFR 514.202-5 - Descriptive literature.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Descriptive literature... CONTRACTING METHODS AND CONTRACT TYPES SEALED BIDDING Solicitation of Bids 514.202-5 Descriptive literature... FAR 52.211-6 satisfies the requirement for descriptive literature. [74 FR 47739, Sept. 17, 2009] ...

  14. 22 CFR 1203.735-406 - Submission of position description.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Submission of position description. 1203.735-406 Section 1203.735-406 Foreign Relations UNITED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY EMPLOYEE... accompanied by a full description of the employee's principal governmental duties. The description should be...

  15. The Audio Description as a Physics Teaching Tool

    Science.gov (United States)

    Cozendey, Sabrina; Costa, Maria da Piedade

    2016-01-01

    This study analyses the use of audio description in teaching physics concepts, aiming to determine the variables that influence the understanding of the concept. One education resource was audio described. For make the audio description the screen was freezing. The video with and without audio description should be presented to students, so that…

  16. 47 CFR 79.3 - Video description of video programming.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Video description of video programming. 79.3... CLOSED CAPTIONING AND VIDEO DESCRIPTION OF VIDEO PROGRAMMING § 79.3 Video description of video programming. (a) Definitions. For purposes of this section the following definitions shall apply: (1...

  17. 27 CFR 19.168 - Description of plant.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Description of plant. 19..., DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Qualification of Distilled Spirits Plants § 19.168 Description of plant. (a) The application for registration shall include a description of each...

  18. Adding Audio Description: Does It Make a Difference?

    Science.gov (United States)

    Schmeidler, Emilie; Kirchner, Corinne

    2001-01-01

    A study involving 111 adults with blindness examined the impact of watching television science programs with and without audio description. Results indicate respondents gained and retained more information from watching programs with description. They reported that the description makes the program more enjoyable, interesting, and informative.…

  19. Formal description of the OSI session layer: session service

    NARCIS (Netherlands)

    van Sinderen, Marten J.; van Eijk, P.H.J.; Vissers, C.A.; Diaz, M.

    1989-01-01

    The LOTOS formal description of the OSI session service is presented on basis of specification samples from the full description, giving account of how specification styles and session service architectural elements are reflected in the description. Both information (data types) and process

  20. 7 CFR 800.55 - Descriptions by grade.

    Science.gov (United States)

    2010-01-01

    ... grade in any advertising, price quotation, other negotiation of sale, contract of sale, invoice, bill of... will not be considered to be a description by grade. (d) False or misleading descriptions. In any sale... United States to any place outside thereof, knowingly using a false or misleading description of grain by...