WorldWideScience

Sample records for center observational case

  1. China Establishes First Space Debris Observation Center

    Institute of Scientific and Technical Information of China (English)

    HeYing

    2005-01-01

    At the beginning of March 2005, China established its first space debris observation center, Space Object and Debris Observation and Research Center of the Chinese Academy of Sciences (CAS) at the CAS Purple Mountain Observatory (PMO) in Nanjing, Jiangsu Province. The center would set up an earlywarning system for China's space flight.

  2. VERITAS Observations of the Galactic Center Ridge

    CERN Document Server

    ,

    2015-01-01

    Due to its extraordinarily high concentration of known relativistic particle accelerators such as pulsar wind nebula, supernova remnants, dense molecular cloud regions, and the supermassive black hole (Sgr A*); the center of the Milky Way galaxy has long been an ideal target for high energy (HE, 0.1-100 GeV) and very high energy ( VHE, 50 GeV-50 TeV) gamma-ray emission. Indeed, detections of Sgr A* and other nearby regions of gamma-ray emission have been reported by EGRET and Fermi-LAT in the HE band, as well as CANGAROO, Whipple, HESS, VERITAS, and MAGIC in the VHE band. Here we report on the results of extended observations of the region with VERITAS between 2010-2014. Due to the visibility of the source for VERITAS in the Northern Hemisphere, these observations provide the most sensitive probe of gamma-ray emission above 2 TeV in one of the most complicated and interesting regions of our home galaxy.

  3. Stennis Space Center observes Disability Awareness Day

    Science.gov (United States)

    2009-01-01

    Members of STARC, a non-profit organization in Slidell, La., that seeks to help people with disabilities lead meaningful, productive lives, pose with their appreciation awards during Disability Awareness Day at Stennis Space Center on Oct. 15. The group members received appreciation awards for their dedicated service to the rocket engine testing facility. Disability Awareness Day was hosted by the Stennis Diversity Council and included guest speakers from several area agencies.

  4. Spitzer IRS Observations of the Galactic Center

    International Nuclear Information System (INIS)

    We present Spitzer IRS R ∼ 600 spectra (10 - 38 μm) of 38 positions in the Galactic Center (GC), all at the same Galactic longitude of and including the Arches Cluster. Our positions include the Arched Filaments, regions near the Quintuplet Cluster, the ''Bubble'' lying along the same line-of-sight as the molecular cloud MO.13-0.13, and the diffuse interstellar gas along the line of sight at higher Galactic latitudes. From measurements of the [O IV], [Ne II], [Ne III], [Si II], [S III], [Fe II], [Fe III], and H2 S(0), S(1), and S(2) lines we determine the gas excitation and ionic abundance ratios. The main source of excitation is photoionization, with the Arches Cluster ionizing the Arched Filaments and the Quintuplet Cluster ionizing the gas nearby and at lower Galactic latitudes including the far side of the Bubble. In addition, strong shocks ionize gas to O+3 and destroy dust grains, releasing iron into the interstellar medium (ISM); the shock effects are particularly noticeable in the center of the Bubble but the highly ionized gas is present in all positions. The H2 lines are formed both in photodissociation regions in the GC and along the line of sight to the GC

  5. Observation of Coherence in the Photosystem II Reaction Center

    CERN Document Server

    Fuller, Franklin D; Senlik, S Seckin; Wilcox, Daniel E; Ogilvie, Jennifer P

    2013-01-01

    Photosynthesis powers life on our planet. The basic photosynthetic architecture comprises antenna complexes to harvest solar energy and reaction centers to convert the energy into a stable charge separated state. In oxygenic photosynthesis, the initial charge separation event occurs in the photosystem II reaction center; the only known natural enzyme that uses solar energy to split water. Energy transfer and charge separation in photosynthesis are rapid and have high quantum efficiencies. Recently, nonlinear spectroscopic experiments have suggested that electronic coherence may play a role in energy transfer efficiency in antenna complexes. Here we report the observation of coherence in the photosystem II reaction center by two dimensional electronic spectroscopy. The frequencies of the observed coherences match exciton difference frequencies and/or known vibrational modes of the photosystem II reaction center. These observations raise questions about the possible role of electronic and/or vibrational coheren...

  6. Underreporting of fatal cases to a regional poison control center.

    OpenAIRE

    Blanc, P D; Kearney, T E; Olson, K.R.

    1995-01-01

    We assessed fatal drug overdose and poisoning case surveillance by a regional poison control center, comparing it with medical examiner determinations of death by poisoning over the same 2-year period and from the same catchment area. We studied 358 fatal cases of poisoning or drug overdose reported by a medical examiner and 10 fatal cases of poisoning or drug overdose reported by a poison control center, analyzing demographics and other case-associated factors with with possible successful p...

  7. Optimizing X Center experience : case study: Company X

    OpenAIRE

    Lehtinen, Timo

    2014-01-01

    This Master’s thesis explores customer experience management and customer experience optimization. The aim is to optimize customer experience in the case company’s X Center. The thesis studies customer experience and customer experience management as a core factor in holding successful X Center events. The study is conducted in cooperation with Company X. Company X launched a new concept called X Center in Finland 2011. X Center is a place where custom-ers and company representatives can ...

  8. The Integrated Ocean Observing System Data Assembly Center

    Science.gov (United States)

    Bouchard, R. H.; Henderson, D.; Burnett, W.; Hervey, R. V.; Crout, R.

    2008-05-01

    The Integrated Ocean Observing System (IOOS) is the U.S. contribution to the Global Ocean Observing System and the Global Earth Observing System of Systems (GEOSS). As the Integrated Ocean Observing System Data Assembly Center (IOOS DAC), the National Oceanic and Atmospheric Administration`s (NOAA) National Data Buoy Center (NDBC) collects data from ocean observing systems and performs quality control on the data. Once the IOOS DAC performs the quality control, it distributes them in real-time: (1) in World Meteorological Organization alphanumeric data formats via the Global Telecommunications System (GTS) that provides instant availability to national and international users (2) in text files via its website (http://www.ndbc.noaa.gov) that provide easy access and use, and (3) in netCDF format via its OPeNDAP/DODS Server (http://dods.ndbc.noaa.gov) that provides higher resolution data than available in WMO alphanumeric or text file formats. The IOOS DAC routinely checks and distributes data from about 200 NDBC stations that include meteorological and oceanographic observations from buoys and coastal stations, water-level estimations from tsunameters (DART), and climate monitoring from buoys (Tropical Atmosphere Ocean array (TAO)). The IOOS DAC operates continuously - 24 hours per day, 7 days per week. In addition to data from NDBC`s platforms, the IOOS DAC applies its scientific expertise and data management and communications capabilities to facilitate partnerships for the exchange and application of data and to coordinate and leverage regional assets and resources from about 350 IOOS Partner stations. The IOOS DAC through its quality control process provides feedback to its partners on the quality of their observation that can lead to improved quality of the observations. The NDBC-IOOS Data Partnerships span the Western Hemisphere with data collection from the Beaufort Sea to the Peru Current, from the International Date Line to the central Atlantic Ocean, and

  9. The ATA Galactic Center Survey: SETI Observations in 2009

    Science.gov (United States)

    Backus, Peter R.; Allen Telescope Array Team

    2010-01-01

    We report on SETI observations of a region near the Galactic Center during 2009 with the Allen Telescope Array. The survey covers galactic longitude 357° to 7° and latitude ± 1° with a grid of 3500 positions corresponding to a synthesized beam of 8’ by 3'. For each position, we searched the "Water Hole” portion of the microwave spectrum (1420 - 1720 MHz) with a resolution of 0.7 Hz for continuous and pulsed signals with frequency drift rates of up to ±1 Hz/sec and bandwidths less than 10 Hz. In order to preserve the coherence of narrow band signals, we avoid pointing within 60° of the Sun. In its current stage, the Allen Telescope Array (ATA-42) is an array of 42 six-meter dishes with three dual-polarization beamformers. The beams observe independent positions within the field of view at the same frequency allowing each to serve as an "off” position for the other beam. This is a new approach to RFI mitigation. While SETI observations proceed, two independently tunable correlators are used to image the field of view. These "commensal” observations are discussed in another poster in this session ("The ATA Galactic Center Survey: Slow Radio Transients” by P. Williams). The first phase of the ATA was funded through generous grants from the Paul G. Allen Family Foundation. UC Berkeley, the SETI Institute, the National Science Foundation (Grant No. 0540599), Sun Microsystems, Xilinx, Nathan Myhrvold, Greg Papadopoulos, and other corporations and individual donors contributed additional funding.

  10. Transient Events in Archival VLA Observations of the Galactic Center

    Science.gov (United States)

    Chiti, Anirudh; Chatterjee, S.; Wharton, R.; Cordes, J. M.; Lazio, J.; Kaplan, D. L.; Bower, G. C.; Croft, S.

    2014-01-01

    A number of different classes of stars, sub-stellar objects, and stellar remnants exhibit variability at radio wavelengths on time scales ranging from sub-seconds to hours. The direction toward the Galactic center not only has the highest stellar densities in the Galaxy, but also appears to have a range of interstellar scattering properties that may aid in the detection of new, radio-selected transient events. We have examined all archival VLA observations of the Galactic center field from 1985 to 2005 at 5 GHz and 8.4 GHz for a total of 214 hours of integration time, spanning 99 observations at 5 GHz with a typical area of 4.41E-4 square degrees and 116 observations at 8.4 GHz with a typical area of 8E-4 square degrees. We used a pipeline to search for transient events down to the shortest time scales allowed by the data (typically 10 seconds) by generating model-subtracted visibility data for each observation and then imaging the residual visibilities over short time intervals to search for outlier events. We present one radio transient event and at least 7 other promising candidates with significances ranging from 5.6 to 10.2 sigma that have passed all our tests, and discuss the possible source classes for these candidates and the event rate implications. We acknowledge support from the National Science Foundation for this work. Part of this research was carried out at the Jet Propulsion Laboratory, California Institute of Technology, under a contract with the National Aeronautics and Space Administration. The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities, Inc.

  11. Center determination for trailed sources in astronomical observation images

    Science.gov (United States)

    Du, Jun Ju; Hu, Shao Ming; Chen, Xu; Guo, Di Fu

    2014-11-01

    Images with trailed sources can be obtained when observing near-Earth objects, such as small astroids, space debris, major planets and their satellites, no matter the telescopes track on sidereal speed or the speed of target. The low centering accuracy of these trailed sources is one of the most important sources of the astrometric uncertainty, but how to determine the central positions of the trailed sources accurately remains a significant challenge to image processing techniques, especially in the study of faint or fast moving objects. According to the conditions of one-meter telescope at Weihai Observatory of Shandong University, moment and point-spread-function (PSF) fitting were chosen to develop the image processing pipeline for space debris. The principles and the implementations of both two methods are introduced in this paper. And some simulated images containing trailed sources are analyzed with each technique. The results show that two methods are comparable to obtain the accurate central positions of trailed sources when the signal to noise (SNR) is high. But moment tends to fail for the objects with low SNR. Compared with moment, PSF fitting seems to be more robust and versatile. However, PSF fitting is quite time-consuming. Therefore, if there are enough bright stars in the field, or the high astronometric accuracy is not necessary, moment is competent. Otherwise, the combination of moment and PSF fitting is recommended.

  12. Observation of color center peaks in calcium fluoride

    Energy Technology Data Exchange (ETDEWEB)

    Aoki, T. [LeRoy Eyring Center for Solid State Science, Arizona State University, Tempe, AZ 85287-1704, USA (United States); Garvie, L.A.J. [School of Earth and Space Exploration, Arizona State University, Tempe, AZ 85287-1404 (United States); Rez, P., E-mail: Peter.Rez@asu.edu [Department of Physics, Arizona State University, Tempe, AZ 85287-1504 (United States)

    2015-06-15

    Alkali halides such as calcium fluoride all have color center defects that absorb light in the visible region. Using a moncochromator equipped, aberration corrected, scanning transmission electron microscope (STEM) we recorded spectra showing the time evolution of the generation of F and H centers in calcium fluoride. The final stage of electron beam irradiation is the formation of metallic calcium nanoparticles. High resolution low loss spectra for the Vacuum Ultraviolet region were also recorded. - Highlights: • Color center defects clearly identified by high resolution EELS of CaF{sub 2}. • Both F Centers and H Centers produced by electron beam irradiation. • Ultimately metallic calcium is left as evidenced by plasmon and density of states. • High resolution low loss (VUV) spectra also recorded.

  13. Observation of color center peaks in calcium fluoride

    International Nuclear Information System (INIS)

    Alkali halides such as calcium fluoride all have color center defects that absorb light in the visible region. Using a moncochromator equipped, aberration corrected, scanning transmission electron microscope (STEM) we recorded spectra showing the time evolution of the generation of F and H centers in calcium fluoride. The final stage of electron beam irradiation is the formation of metallic calcium nanoparticles. High resolution low loss spectra for the Vacuum Ultraviolet region were also recorded. - Highlights: • Color center defects clearly identified by high resolution EELS of CaF2. • Both F Centers and H Centers produced by electron beam irradiation. • Ultimately metallic calcium is left as evidenced by plasmon and density of states. • High resolution low loss (VUV) spectra also recorded

  14. Beyond active learning: a case study of teaching practices in an occupation-centered curriculum.

    Science.gov (United States)

    Hooper, Barbara

    2006-01-01

    Although occupation-centered curricula are highly promoted, the teaching processes that convey such designs remain unclear. This case study elucidated occupation-centered teaching practices. Interview and observational data were collected over 8 weeks, and analysis involved coding transcriptions, data matrices, concept maps, journaling, and writing. Participants augmented active learning strategies with strategies that linked course topics to the subject of occupation. The use of linking strategies suggested that: (a) course content was treated as two-tiered; (b) neither content nor instructional processes were inherently occupation-centered; and (c) subject-centered education strengthens social learning theories. Although curricula may appear occupation-centered based on a curriculum description and course content, ultimately "linking opportunities" in the classroom constitute an essential feature that demarcates a program as occupation-centered.

  15. Climate Prediction Center (CPC) U.S. Daily Precipitation Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Observational reports of daily precipitation (1200 UTC to 1200 UTC) are made by members of the NWS Automated Surface Observing Systems (ASOS) network; NWS...

  16. Stennis Space Center observes 2009 Energy Awareness Day

    Science.gov (United States)

    2009-01-01

    Stennis Space Center employees Maria Etheridge (l to r), Linda Sauland Maurice Prevost visit a Coast Electric Power Association display featuring energy-efficient light bulbs during 2009 Energy Awareness Day activities on Oct. 20. The exhibit was one of several energy-efficiency and energy-awareness displays on-site for employees to visit. Vendors included Mississippi Power Company, Coast Electric Power Association, Mississippi Development Authority - Energy Division,Jacobs FOSC Environmental, Southern Energy Technologies, and Siemens Building Technologies.

  17. Triploidy--Observations in 154 Diandric Cases.

    Directory of Open Access Journals (Sweden)

    Nanna Brink Scholz

    Full Text Available Hydatidiform moles (HMs are abnormal human pregnancies with vesicular chorionic villi, imposing two clinical challenges; miscarriage and a risk of gestational trophoblastic neoplasia (GTN. The parental type of most HMs are either diandric diploid (PP or diandric triploid (PPM. We consecutively collected 154 triploid or near-triploid samples from conceptuses with vesicular chorionic villi. We used analysis of DNA markers and/or methylation sensitive-MLPA and collected data from registries and patients records. We performed whole genome SNP analysis of one case of twinning (PP+PM.In all 154 triploids or near-triploids we found two different paternal contributions to the genome (P1P2M. The ratios between the sex chromosomal constitutions XXX, XXY, and XYY were 5.7: 6.9: 1.0. No cases of GTN were observed. Our results corroborate that all triploid human conceptuses with vesicular chorionic villi have the parental type P1P2M. The sex chromosomal ratios suggest approximately equal frequencies of meiosis I and meiosis II errors with selection against the XYY conceptuses or a combination of dispermy, non-disjunction in meiosis I and meiosis II and selection against XYY conceptuses. Although single cases of GTN after a triploid HM have been reported, the results of this study combined with data from previous prospective studies estimate the risk of GTN after a triploid mole to 0% (95% CI: 0-1,4%.

  18. NACO/SAM observations of sources at the Galactic Center

    CERN Document Server

    Sanchez-Bermudez, J; Alberdi, A; Pott, J U

    2012-01-01

    Sparse aperture masking (SAM) interferometry combined with Adaptive Optics (AO) is a technique that is uniquely suited to investigate structures near the diffraction limit of large telescopes. The strengths of the technique are a robust calibration of the Point Spread Function (PSF) while maintaining a relatively high dynamic range. We used SAM+AO observations to investigate the circumstellar environment of several bright sources with infrared excess in the central parsec of the Galaxy. For our observations, unstable atmospheric conditions as well as significant residuals after the background subtraction presented serious problems for the standard approach of calibrating SAM data via interspersed observations of reference stars. We circumvented these difficulties by constructing a synthesized calibrator directly from sources within the field-of-view. When observing crowded fields, this novel method can boost the efficiency of SAM observations because it renders interspersed calibrator observations unnecessary...

  19. Earth Resources Observation and Science (EROS) Center's Earth as Art Image Gallery

    Data.gov (United States)

    National Aeronautics and Space Administration — The Earth Resources Observation and Science (EROS) Center manages this collection of Landsat 7 scenes created for aesthetic purposes rather than scientific...

  20. Climate Prediction Center (CPC) U.S. Pan Evaporation Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Observational reports of daily pan evaporation (1200 UTC to 1200 UTC) are made by members of the NWS Cooperative Network (COOP) or supplemental networks of NOAA's...

  1. Acid rain at Kennedy Space Center, Florida - Recent observations

    Science.gov (United States)

    Madsen, B. C.

    1981-01-01

    During the period July, 1977 to September, 1979, rainfall was collected in the vicinity of the Kennedy Space Center and subjected to appropriate chemical analysis for purposes of characterization of general composition and acidity. Results obtained form the basis for future comparisons, should significant alteration of the chemical composition of rain occur during the space shuttle era. Acidity extremes calculated on a monthly basis from event samples collected from five sites within a 200 sq km area varied from pH 5.1 in November, 1977, and April, 1978 to pH 4.3 in July, 1978 and July, 1979. Weighted average pH for the entire period was 4.55. Acidity was due to the presence of sulfuric and nitric acids. The mole ratio of excess SO4(-2):NO3(-) was typically greater than one. Monthly weighted average Cl(-) concentrations ranged from 20-240 micromoles/liter. The Cl(-):Na(+) ratio was slightly lower than that present in sea water.

  2. Brain fag: New perspectives from case observations.

    Science.gov (United States)

    Ebigbo, Peter O; Lekwas, Elekwachi Chimezie; Chukwunenyem, Nweze Felix

    2015-06-01

    Brain fag was originally described as a culture-bound syndrome among West African students. The term "brain fag" literally means "brain fatigue." Available literature indicates that brain fag symptoms usually present in formal academic settings when African students are required to transit to a reliance on written literature (as opposed to more traditional oral forms of information transmission) and to adapt to westernized, individualistic systems of education that, at times, oppose the values of relatively collectivistic African societies. Based on detailed observation of two typical and two nontypical cases of brain fag, the authors suggest that the syndrome may not be solely related to tensions in the academic sphere, but may function more generally as an expression of psychological distress that results from societal pressures that exceed the coping capacity of the individual. The brain fag symptoms, including lack of concentration, sensations of internal heat in the head and body, heaviness, and multiple somatic complaints, may constitute a defensive process which helps prevent a full-fledged decompensation. PMID:25468825

  3. Earth Resources Observation and Science (EROS) Center's Journey of Lewis and Clark Gallery

    Data.gov (United States)

    National Aeronautics and Space Administration — The Earth Resources Observation and Science (EROS) Center manages the this gallery of Landsat-derived images of one of the most remarkable and productive scientific...

  4. Earth Resources Observation and Science (EROS) Center's Earth as Art Image Gallery 2

    Data.gov (United States)

    National Aeronautics and Space Administration — The Earth Resources Observation and Science (EROS) Center manages this collection of forty-five new scenes developed for their aesthetic beauty, rather than for...

  5. Earth Resources Observation and Science (EROS) Center's Earth as Art Image Gallery 3

    Data.gov (United States)

    National Aeronautics and Space Administration — The Earth Resources Observation and Science (EROS) Center manages the Earth as Art Three exhibit, which provides fresh and inspiring glimpses of different parts of...

  6. Earth Resources Observation and Science (EROS) Center's Landsat State Mosaics Gallery

    Data.gov (United States)

    National Aeronautics and Space Administration — The Earth Resources Observation and Science (EROS) Center manages the this gallery of images of the 50 U.S. states plus Puerto Rico as derived by Landsat data.

  7. Epidemiological profile of leprosy cases in a Family Health Center

    Directory of Open Access Journals (Sweden)

    Viviane Bezerra de Souza

    2013-03-01

    Full Text Available Objective: To reveal the clinical and epidemiological characteristics of patients diagnosed with leprosy between the years 2007 and 2008, in a Family Primary Healthcare Unit in the city of Fortaleza-CE, Brazil.Methods: Documentary, quantitative and descriptive study. The research sample consisted of all medical records of patients examined and diagnosed with leprosy in the period from 2007 to 2008, totaling an amount of 55. Data was transcribed, tabulated, numbered and presented in tables and charts. Results: It was observed a concentration of cases in economically active age group; females (37 - 67%; race brown (36 - 65.5%; low schooling level, mostly incomplete primary education (25 - 45.5%. The cure rate in 2007 was 95.5% (21 cases and, in 2008, 57.2% (19 cases. The number of cases with multibacillary clinical forms was high, revealing the late diagnosis, leading to maintained transmission of the disease. Conclusion: Understanding the epidemiological profile and clinical characteristics of patients diagnosed with leprosy is of fundamental importance for the development of strategies directed towards this group, seeking public policies that meet the needs of health professionals and strengthen the activities of grievance prevention and health promotion among the population.

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

    OpenAIRE

    Heimo, Taina

    2010-01-01

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

  9. [Poisoning with Jatropha curcas: 24 cases reported to Paris and Marseille Poisons Centers].

    Science.gov (United States)

    Langrand, J; Médernach, C; Schmitt, C; Blanc-Brisset, I; Villa, A F; de Haro, L; Garnier, R

    2015-03-01

    Jatropha curcas L. is an inedible plant belonging to the Euphorbiaceae family that is growing in subtropical zones of all continents. We report a series of 24 cases of poisoning with J. curcas seeds or fruits reported to poison centers in Paris and Marseille between December 2000 and June 2014. Fifteen adults and 9 children ingested J. curcas seeds or fruits. All patients experienced gastrointestinal disorders, within the first hours following ingestion: nausea, vomiting, diarrhea and abdominal pain. Laboratory investigations performed in 10 patients revealed minor abnormalities: CK elevation (8 cases), dehydration (5 cases) with moderate elevation of serum creatinine levels (3 cases), and mildly increased serum bilirubin (8 cases). Complete remission of all clinical signs was observed within 48 hours in the 20 cases for which the outcome was known. Previously published cases of J. curcas poisoning were very similar to ours: As in our series, gastrointestinal disorders were always present. They were sometimes associated with neurological or cardiovascular signs, and hepatic or renal disorders; these were generally interpreted as complications of severe gastroenteritis, although direct toxic effects could not be formally excluded. In most cases, simple supportive measures were sufficient to ensure complete recovery within 24-48 hours. J Curcas poisoning incidence is certainly increasing because the plant is cultivated to produce biodiesel and is now largely present in most subtropical countries. As a consequence, local health professionals should be informed of the toxic properties of this plant. PMID:25925815

  10. [Poisoning with Jatropha curcas: 24 cases reported to Paris and Marseille Poisons Centers].

    Science.gov (United States)

    Langrand, J; Médernach, C; Schmitt, C; Blanc-Brisset, I; Villa, A F; de Haro, L; Garnier, R

    2015-03-01

    Jatropha curcas L. is an inedible plant belonging to the Euphorbiaceae family that is growing in subtropical zones of all continents. We report a series of 24 cases of poisoning with J. curcas seeds or fruits reported to poison centers in Paris and Marseille between December 2000 and June 2014. Fifteen adults and 9 children ingested J. curcas seeds or fruits. All patients experienced gastrointestinal disorders, within the first hours following ingestion: nausea, vomiting, diarrhea and abdominal pain. Laboratory investigations performed in 10 patients revealed minor abnormalities: CK elevation (8 cases), dehydration (5 cases) with moderate elevation of serum creatinine levels (3 cases), and mildly increased serum bilirubin (8 cases). Complete remission of all clinical signs was observed within 48 hours in the 20 cases for which the outcome was known. Previously published cases of J. curcas poisoning were very similar to ours: As in our series, gastrointestinal disorders were always present. They were sometimes associated with neurological or cardiovascular signs, and hepatic or renal disorders; these were generally interpreted as complications of severe gastroenteritis, although direct toxic effects could not be formally excluded. In most cases, simple supportive measures were sufficient to ensure complete recovery within 24-48 hours. J Curcas poisoning incidence is certainly increasing because the plant is cultivated to produce biodiesel and is now largely present in most subtropical countries. As a consequence, local health professionals should be informed of the toxic properties of this plant.

  11. 2011 Year in review--Earth Resources Observation and Science Center

    Science.gov (United States)

    Johnson, Rebecca, (compiler)

    2012-01-01

    The USGS Earth Resources Observation and Science (EROS) Center's 2011 Year in Review is an annual report recounting the broad scope of the Center's 2011 accomplishments. The report covers preparations for the Landsat Data Continuity Mission (LDCM) launch, the ever-increasing use of free Landsat data, monitoring the effects of natural hazards, and more to emphasize the importance of innovation in using satellite data to study change over time.

  12. LIVER TRANSPLANTATION. A SINGLE CENTER EXPERIENCE OF 100 CASES

    Directory of Open Access Journals (Sweden)

    A. M. Granov

    2012-01-01

    Full Text Available A single center experience of first 100 liver transplantations (LTs is summarized. Analysis of trends in cadaver donor population and waiting list status changes, and also of early and late postoperative complications are presented. 100 LTs were performed for 95 patients (pts, retransplantation – 4 pts; one patient received 3 liver transplants (female – 55 pts, male – 40 pts, mean age – 39.9 ± 12.1 years. Cumulative 1-year survival rate of pts by Kaplan–Meyer was 91%, 3-year – 83%. Biliary complications were revealed in 9% of pts during 2–9 months after LT. 77 pts have been regularly observed in outpatient clinic, mean age – 44 ± 9.2 years, male – 35, fema- le – 42, follow-up period – 1 months up to 13 years after LT. 3.9% remained invalid with limitation of ability to work, 61.8% have been working, 22.3% were capable to work, retirees were 10.5%. Development of preoperati- ve planning, adequate organ selection will allow to improve the results of LT. Study of hematopoietic stem cells role will expand tools of prognosis of posttransplant complications. 

  13. Observations of Undergraduate Geoscience Instruction in the US: Measuring Student Centered Teaching

    Science.gov (United States)

    Teasdale, R.; Manduca, C. A.; Mcconnell, D. A.; Bartley, J. K.; Bruckner, M. Z.; Farthing, D.; Iverson, E. A. R.; Viskupic, K. M.

    2014-12-01

    The Reformed Teaching Observation Protocol (RTOP; Swada, et al., 2002) has been used by a trained team of On the Cutting Edge (CE) observers to characterize the degree of student-centered teaching in US college and university geoscience classrooms. Total RTOP scores are derived from scores on 25 rubric items used to characterize teaching practices in categories of lesson design, content delivery, student-instructor and student-student interactions. More than 200 classroom observations have been completed by the RTOP team in undergraduate courses at a variety of US institution types (e.g., community colleges, research universities). A balanced mix of early career, mid-career, and veteran faculty are included, and the study examines class sizes ranging from small (80 students). Observations are limited to one class session and do not include laboratories or field activities. Data include RTOP scores determined by a trained observer during the classroom observation and an online survey in which the observed instructors report on their teaching practices. RTOP scores indicate that the observed geoscience classes feature varying degrees of student-centered teaching, with 30% of observed classes categorized as teacher-centered (RTOP scores ≤30), 45% of observed classes categorized as transitional classrooms (RTOP scores 31-49) and 25% are student-centered (RTOP scores ≥ 50). Instructor self-report survey data and RTOP scores indicate that geoscience faculty who have participated in one or more CE professional development event and use the CE website have an average RTOP score of 49, which is significantly higher (> 15 points) than the average score of faculty who have not participated in CE events and have not used the website. Approximately 60% of student-centered classes (those with high RTOP scores) use some traditional lecture nearly every day, but are also are likely to include an in-class activity or group discussion (e.g. Think-Pair-Share). More than 50% of

  14. Student-centered Role-based Case Study Model to Improve Learning in Decision Support Systems

    Directory of Open Access Journals (Sweden)

    Farrukh Nadeem

    2014-10-01

    Full Text Available One of the important learning objectives of our bachelor course on "Techniques in Decision Support Systems" is to develop understanding of core decision making process in real-life business situations. The conventional teaching methods are unable to explain complexities of real-life business. Although the classroom discussions can be effective to understand general factors, such as opportunity cost, return on investment, etc. affecting business decisions, the effects of factors like dynamic business environment, incomplete information, time pressure etc. can not be truly explained through such simple discussions. In this paper, we describe our experience of adopting student-centered, role-based, case study to deal with this situation. The interactive case-based study not only provided students with experiential learning, but also gave them liberty to test their thoughts. As a result, we observed improved students' learning as well as improved grades. In addition, this approach made classes more dynamic and interesting.

  15. Idiopathic airway-centered interstitial fibrosis: report of two cases

    Institute of Scientific and Technical Information of China (English)

    YI Xiang-hua; CHU Hai-qing; CHENG Xiao-ming; LUO Ben-fang; LI Hui-ping

    2007-01-01

    @@ Airway-centered interstitial fibrosis (ACIF), a novel form of diffuse interstitial lung disease (ILD) of unknown cause, was recently presented.1 There is no final conclusion on its property and denomination, and it might be a new type of idiopathic interstitial pneumonia (ⅡP).

  16. TeV Gamma-ray Observations of The Galactic Center Ridge By VERITAS

    CERN Document Server

    Archer, A; Bird, R; Buchovecky, M; Buckley, J H; Bugaev, V; Byrum, K; Cardenzana, J V; Cerruti, M; Chen, X; Ciupik, L; Collins-Hughes, E; Connolly, M P; Eisch, J D; Falcone, A; Feng, Q; Finley, J P; Fleischhack, H; Flinders, A; Fortson, L; Furniss, A; Gillanders, G H; Griffin, S; Grube, J; Gyuk, G; Hakansson, N; Hanna, D; Holder, J; Humensky, T B; Hutten, M; Johnson, C A; Kaaret, P; Kar, P; Kelley-Hoskins, N; Kertzman, M; Kieda, D; Krause, M; Krennrich, F; Kumar, S; Lang, M J; McArthur, S; McCann, A; Meagher, K; Millis, J; Moriarty, P; Mukherjee, R; Nieto, D; Ong, R A; Park, N; Pelassa, V; Pohl, M; Popkow, A; Pueschel, E; Quinn, J; Ragan, K; Ratliff, G; Reynolds, P T; Richards, G T; Roache, E; Rousselle, J; Santander, M; Sembroski, G H; Shahinyan, K; Smith, A W; Staszak, D; Telezhinsky, I; Tucci, J V; Tyler, J; Vassiliev, V V; Wakely, S P; Weiner, O M; Weinstein, A; Wilhelm, A; Williams, D A; Zitzer, B; Yusef-Zadeh, F

    2016-01-01

    The Galactic Center Ridge has been observed extensively in the past by both GeV and TeV gamma-ray instruments revealing a wealth of structure, including a diffuse component as well as the point sources G0.9+0.1 (a composite supernova remnant) and Sgr A* (believed to be associated with the supermassive black hole located at the center of our Galaxy). Previous very high energy (VHE) gamma-ray observations with the H.E.S.S. experiment have also detected an extended TeV gamma-ray component along the Galactic plane in the >300 GeV gamma-ray regime. Here we report on observations of the Galactic Center Ridge from 2010-2014 by the VERITAS telescope array in the >2 TeV energy range. From these observations we 1.) provide improved measurements of the differential energy spectrum for Sgr A* in the >2 TeV gamma-ray regime, 2.) provide a detection in the >2 TeV gamma-ray emission from the composite SNR G0.9+0.1 and an improved determination of its multi-TeV gamma-ray energy spectrum, 3.) report on the detection of VER J1...

  17. Organizational affiliation and effectiveness: the case of rape crisis centers.

    Science.gov (United States)

    Byington, D B; Martin, P Y; DiNitto, D M; Maxwell, M S

    1991-01-01

    Many rape crisis centers (RCCs) that were founded as autonomous organizations have affiliated with other organizations. The relationship of affiliation type and effectiveness is examined in a sample of 25 RCCs in Florida. Effectiveness is defined in terms of range of services for rape victims and involvement in rape prevention (social change) activities. The data show that 23 RCCs are affiliated with six types of organizations and two are free-standing. Each affiliation type has advantages and disadvantages but, overall, free-standing RCCs appear to be most effective and RCCs affiliated with community mental health centers, least effective. Of the seven types, free-standing agencies are most involved in rape prevention activities aimed at social change. PMID:10114294

  18. Case Study: Sandia National Laboratories Center for Integrated Nanotechnologies (CINT)

    Science.gov (United States)

    Toussaint, Norm; Gerbo, Tom

    2005-08-01

    The Center for Integrated Nanotechnologies (CINT), located at Sandia National Laboratories in Albuquerque, New Mexico, is one of five new Department of Energy Nanoscale Science Research Centers (NSRC). The CINT vision is to become a world leader in nanoscale science by developing the scientific principles that govern the design, performance, and integration of nanoscale materials, with emphasis on exploring the path from scientific discovery to the integration of nanostructures into the micro and macro worlds. The CINT design team faced the challenge of creating a state-of-the art research facility that is functional, flexible, and reflects the local history and environment. Drawing inspiration from Pre-Columbian Chacoan culture, the resulting design integrates scientific spaces with "communal" spaces to encourage the cross-discipline interaction that is essential to scientific research, particularly in the area of nanotechnology. Careful attention to design also produced a facility that conserves resources in the demanding Southwestern climate.

  19. Very-high energy observations of the galactic center region by VERITAS in 2010-2012

    Energy Technology Data Exchange (ETDEWEB)

    Archer, A.; Beilicke, M.; Buckley, J. H.; Bugaev, V.; Chen, W. [Department of Physics, Washington University, St. Louis, MO 63130 (United States); Barnacka, A. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Benbow, W.; Cerruti, M. [Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645 (United States); Berger, K. [Department of Physics and Astronomy and the Bartol Research Institute, University of Delaware, Newark, DE 19716 (United States); Bird, R. [School of Physics, University College Dublin, Belfield, Dublin 4 (Ireland); Biteau, J. [Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, CA 95064 (United States); Byrum, K. [Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439 (United States); Cardenzana, J. V; Dickinson, H. J.; Eisch, J. D. [Department of Physics and Astronomy, Iowa State University, Ames, IA 50011 (United States); Chen, X. [Institute of Physics and Astronomy, University of Potsdam, D-14476 Potsdam-Golm (Germany); Ciupik, L. [Astronomy Department, Adler Planetarium and Astronomy Museum, Chicago, IL 60605 (United States); Connolly, M. P. [School of Physics, National University of Ireland Galway, University Road, Galway (Ireland); Cui, W. [Department of Physics and Astronomy, Purdue University, West Lafayette, IN 47907 (United States); Dumm, J., E-mail: beilicke@physics.wustl.edu [School of Physics and Astronomy, University of Minnesota, Minneapolis, MN 55455 (United States); and others

    2014-08-01

    The Galactic center is an interesting region for high-energy (0.1-100 GeV) and very-high-energy (E > 100 GeV) γ-ray observations. Potential sources of GeV/TeV γ-ray emission have been suggested, e.g., the accretion of matter onto the supermassive black hole, cosmic rays from a nearby supernova remnant (e.g., Sgr A East), particle acceleration in a plerion, or the annihilation of dark matter particles. The Galactic center has been detected by EGRET and by Fermi/LAT in the MeV/GeV energy band. At TeV energies, the Galactic center was detected with moderate significance by the CANGAROO and Whipple 10 m telescopes and with high significance by H.E.S.S., MAGIC, and VERITAS. We present the results from three years of VERITAS observations conducted at large zenith angles resulting in a detection of the Galactic center on the level of 18 standard deviations at energies above ∼2.5 TeV. The energy spectrum is derived and is found to be compatible with hadronic, leptonic, and hybrid emission models discussed in the literature. Future, more detailed measurements of the high-energy cutoff and better constraints on the high-energy flux variability will help to refine and/or disentangle the individual models.

  20. Very-high energy observations of the Galactic center region by VERITAS in 2010-2012

    CERN Document Server

    ,

    2014-01-01

    The Galactic center is an interesting region for high-energy (0.1-100 GeV) and very-high-energy (E > 100 GeV) gamma-ray observations. Potential sources of GeV/TeV gamma-ray emission have been suggested, e.g., the accretion of matter onto the supermassive black hole, cosmic rays from a nearby supernova remnant (e.g. SgrA East), particle acceleration in a plerion, or the annihilation of dark matter particles. The Galactic center has been detected by EGRET and by Fermi/LAT in the MeV/GeV energy band. At TeV energies, the Galactic center was detected with moderate significance by the CANGAROO and Whipple 10 m telescopes and with high significance by H.E.S.S., MAGIC, and VERITAS. We present the results from three years of VERITAS observations conducted at large zenith angles resulting in a detection of the Galactic center on the level of 18 standard deviations at energies above ~2.5TeV. The energy spectrum is derived and is found to be compatible with hadronic, leptonic and hybrid emission models discussed in the ...

  1. The Center for Civil-Military Relations / Spanish Case Study

    OpenAIRE

    Thomas C. Bruneau

    2000-01-01

    The Center for Civil-Military Relations at the Naval Post-Graduate School (CCMR, Monterey, CA) is an implementing organization of the U.S. Department of Defense's Expanded-International Military Education and Training Program and has amassed both scholarly and practical expertise educating civilian and military defense professionals from more than 40 countries. CCMR was established in 1994 and is sponsored by the Defense Security Cooperation Agency (DSCA). CCMR conducts civi...

  2. Earth Observations to Assess Impact of Hurricane Katrina on John C. Stennis Space Center

    Science.gov (United States)

    Graham, William D.; Ross, Kenton W.

    2007-01-01

    The peril from hurricanes to Space Operations Centers is real and is forecast to continue; Katrina, Rita, and Wilma of 2005 and Charley, Frances, Ivan, and Jeanne of 2004 are sufficient motivation for NASA to develop a multi-Center plan for preparedness and response. As was demonstrated at SSC (Stennis Space Center) in response to Hurricane Katrina, NASA Centers are efficiently activated as local command centers, playing host to Federal and State agencies and first responders to coordinate and provide evacuation, relocation, response, and recovery activities. Remote sensing decision support provides critical insight for managing NASA infrastructure and for assisting Center decision makers. Managers require geospatial information to manage the federal city. Immediately following Katrina, SSC s power and network connections were disabled, hardware was inoperative, technical staff was displaced and/or out of contact, and graphical decision support tools were non-existent or less than fully effective. Despite this circumstance, SSC EOC (Emergency Operations Center) implemented response operations to assess damage and to activate recovery plans. To assist Center Managers, the NASA ASP (Applied Sciences Program) made its archive of high-resolution data over the site available. In the weeks and months after the immediate crisis, NASA supplemented this data with high-resolution, post-Katrina imagery over SSC and much of the affected coastal areas. Much of the high-resolution imagery was made available through the Department of Defense Clear View contract and was distributed through U.S. Geological Survey Center for Earth Resources Observation and Science "Hurricane Katrina Disaster Response" Web site. By integrating multiple image data types with other information sources, ASP applied an all-source solutions approach to develop decision support tools that enabled managers to respond to critical issues, such as expedient access to infrastructure and deployment of resources

  3. Observing principles of medical ethics during family planning services at Tehran urban healthcare centers in 2007

    OpenAIRE

    Saeed Motevallizadeh; Hossein Malek Afzali; Bagher Larijani

    2011-01-01

    Background: Family planning has been defined in the framework of mothers and children plan as one of Primary Healthcare (PHC) details. Besides quantity, the quality of services, particularly in terms of ethics, such as observing individuals’ privacy, is of great importance in offering family planning services. Objective: A preliminary study to gather information about the degree of medical ethics offered during family planning services at Tehran urban healthcare centers. Materials and Methods...

  4. Dark matter origin of the gamma ray emission from the galactic center observed by HESS

    CERN Document Server

    Cembranos, J A R; Maroto, A L

    2012-01-01

    We show that the gamma ray spectrum observed with the HESS array of Cherenkov telescopes coming from the Galactic Center (GC) region and identified with the source HESS J1745-290, is well fitted by the secondary photons coming from dark matter (DM) annihilation over a diffuse power-law background. The amount of photons and morphology of the signal localized within a region of few parsecs, require compressed DM profiles as those resulting from baryonic contraction, which offer $\\sim 10^3$ enhancements in the signal over DM alone simulations. The fitted background from HESS data is consistent with recent Fermi-LAT observations of the same region.

  5. Sea-Change in Ocean Observations on Moored Buoys from the National Data Buoy Center (NDBC)

    Science.gov (United States)

    Bouchard, R. H.; Elliott, J.; Pounder, D.; Kern, K.

    2014-12-01

    The presentation will provide the technical specifications, the systems engineering processes, and preliminary results from laboratory and field tests, as the National Data Buoy Center (NDBC) undertakes a fundamental and broad transformation (sea-change) of its ocean observing systems on moored buoys. This transformation is necessary to gain efficiencies in maintaining operational ocean observation networks and to increase their reliability, which will reduce maintenance costs. The presentation will also compare and contrast existing and planned systems. The Self-Contained Ocean Observations Payload (SCOOP) takes advantage of the advances in communications and small, efficient, multi-purpose sensors to reduce the size and costs of systems and expand the suite of available real-time ocean observations. The communications will allow NDBC to increase the precision and decrease the latency of the observations. The hallmark of SCOOP is the modularity of the payloads that allow NDBC to host specialized systems, for the oceanographic research community, which may include observing ocean acidification and algal blooms, and tracking marine life, alongside its standard suite of meteorological, oceanographic, and wave systems. SCOOP will include cameras, primarily to document vandalism incidents, but they can also serve to corroborate many of the automatic observations. The two-year integration project - focused on recapitalization of NDBC's network of Hurricane Weather buoys - is aided by NDBC's 40 years of experience with marine observations and its continually improving approach to testing. Testimony to the rigor of NDBC's development and test procedures is that the World Meteorological Organization and the Intergovernmental Ocean Commission have designated NDBC as the first Regional Marine Instrumentation Center (RMIC). Integral to the fielding of these new systems is a Mission Control Center (MCC) performing the real-time, specialized monitoring and analyses and

  6. The IRIS Data Management Center: Enabling Access to Observational Time Series Spanning Decades

    Science.gov (United States)

    Ahern, T.; Benson, R.; Trabant, C.

    2009-04-01

    The Incorporated Research Institutions for Seismology (IRIS) is funded by the National Science Foundation (NSF) to operate the facilities to generate, archive, and distribute seismological data to research communities in the United States and internationally. The IRIS Data Management System (DMS) is responsible for the ingestion, archiving, curation and distribution of these data. The IRIS Data Management Center (DMC) manages data from more than 100 permanent seismic networks, hundreds of temporary seismic deployments as well as data from other geophysical observing networks such as magnetotelluric sensors, ocean bottom sensors, superconducting gravimeters, strainmeters, surface meteorological measurements, and in-situ atmospheric pressure measurements. The IRIS DMC has data from more than 20 different types of sensors. The IRIS DMC manages approximately 100 terabytes of primary observational data. These data are archived in multiple distributed storage systems that insure data availability independent of any single catastrophic failure. Storage systems include both RAID systems of greater than 100 terabytes as well as robotic tape robots of petabyte capacity. IRIS performs routine transcription of the data to new media and storage systems to insure the long-term viability of the scientific data. IRIS adheres to the OAIS Data Preservation Model in most cases. The IRIS data model requires the availability of metadata describing the characteristics and geographic location of sensors before data can be fully archived. IRIS works with the International Federation of Digital Seismographic Networks (FDSN) in the definition and evolution of the metadata. The metadata insures that the data remain useful to both current and future generations of earth scientists. Curation of the metadata and time series is one of the most important activities at the IRIS DMC. Data analysts and an automated quality assurance system monitor the quality of the incoming data. This insures data

  7. [10th case of lobomycosis observed in French Guiana].

    Science.gov (United States)

    Roche, J C; Monod, L

    1976-01-01

    Lobomycosis a disease specific to the South-American continent; it is rare but not exceptional, since 11 cases have already been observed in French Guyana. A propos of the 10th case, the authors recall the circumstances of the discovery and the basic elements of the microscopical diagnosis. The actual progress in the in vivo culture techniques should allow a better knowledge of the pathogen agent in the future.

  8. Hubble Space Telescope/NICMOS Observations of Massive Stellar Clusters near the Galactic Center

    CERN Document Server

    Figer, D F; Morris, M; Serabyn, E; Rich, R M; McLean, I S; Figer, Donald F.; Kim, Sungsoo S.; Morris, Mark; Serabyn, Eugene; Lean, Ian S. Mc

    1999-01-01

    We report Hubble Space Telescope (HST) Near-infrared Camera and Multi-object Spectrometer (NICMOS) observations of the Arches and Quintuplet clusters, two extraordinary young clusters near the Galactic Center. For the first time, we have identified main sequence stars in the Galactic Center with initial masses well below 10 Msun. We present the first determination of the initial mass function (IMF) for any population in the Galactic Center, finding an IMF slope which is significantly more positive (Gamma approx -0.65) than the average for young clusters elsewhere in the Galaxy (Gamma approx -1.4). The apparent turnoffs in the color-magnitude diagrams suggest cluster ages which are consistent with the ages implied by the mixture of spectral types in the clusters; we find tau(age) approx 2+/-1 Myr for the Arches cluster, and tau(age) approx 4+/-1 Myr for the Quintuplet. We estimate total cluster masses by adding the masses of observed stars down to the 50% completeness limit, and then extrapolating down to a lo...

  9. HMI/ SCADA standards in the design of data center interfaces: A network operations center case study

    Directory of Open Access Journals (Sweden)

    Said Filali-Yachou

    2015-01-01

    Full Text Available En este artículo se presenta la evaluación de las interfaces de la sala del Centro de Operaciones NOC (Network Operations Cent er del NAP (Network Access Point de Canarias, siguiendo estándares y normativas HMI, así como la guía ergonómica de supervisión GEDI S. En base a los resultados obtenid os, se presenta un prototipo de mejora de la interfaz actual.El Centro de Operaciones NOC del Instituto Tecnológico y de Energías Renovables (ITER se encarga de monit orizar las diversas infraestructuras del Data Center como son l a climatización, suminis tro eléctrico, protec ción contra incendio s, seguridad, centros técnicos, parques eólicos, plantas fotovo ltaicas, así como las distintas infraestructura s desplegadas alrededor del c able submarino perteneciente al consorcio de Cana-Link (el cabl e que une la Península y Canarias, el anillo terrestre y la Red IRIS. Para unificar algunos de estos sistemas y facilitar la tarea diaria de supervisión, se emplea un software SC ADA especializad o en la gestió n de edificios.

  10. SABRE observations of Pi2 pulsations: case studies

    Directory of Open Access Journals (Sweden)

    E. G. Bradshaw

    Full Text Available The characteristics of substorm-associated Pi2 pulsations observed by the SABRE coherent radar system during three separate case studies are presented. The SABRE field of view is well positioned to observe the differences between the auroral zone pulsation signature and that observed at mid-latitudes. During the first case study the SABRE field of view is initially in the eastward electrojet, equatorward and to the west of the substorm-enhanced electrojet current. As the interval progresses, the western, upward field-aligned current of the substorm current wedge moves westward across the longitudes of the radar field of view. The westward motion of the wedge is apparent in the spatial and temporal signatures of the associated Pi2 pulsation spectra and polarisation sense. During the second case study, the complex field-aligned and ionospheric currents associated with the pulsation generation region move equatorward into the SABRE field of view and then poleward out of it again after the third pulsation in the series. The spectral content of the four pulsations during the interval indicate different auroral zone and mid-latitude signatures. The final case study is from a period of low magnetic activity when SABRE observes a Pi2 pulsation signature from regions equatorward of the enhanced substorm currents. There is an apparent mode change between the signature observed by SABRE in the ionosphere and that on the ground by magnetometers at latitudes slightly equatorward of the radar field of view. The observations are discussed in terms of published theories of the generation mechanisms for this type of pulsation. Different signatures are observed by SABRE depending on the level of magnetic activity and the position of the SABRE field of view relative to the pulsation generation region. A twin source model for Pi2 pulsation generation provides the clearest explanation of the signatures observed.

  11. Case Series of Synthetic Cannabinoid Intoxication from One Toxicology Center

    Directory of Open Access Journals (Sweden)

    Kenneth D. Katz

    2016-05-01

    Full Text Available Synthetic cannabinoid use has risen at alarming rates. This case series describes 11 patients exposed to the synthetic cannabinoid, MAB-CHMINACA who presented to an emergency department with life-threatening toxicity including obtundation, severe agitation, seizures and death. All patients required sedatives for agitation, nine required endotracheal intubation, three experienced seizures, and one developed hyperthermia. One developed anoxic brain injury, rhabdomyolysis and died. A significant number were pediatric patients. The mainstay of treatment was aggressive sedation and respiratory support. Synthetic cannabinoids pose a major public health risk. Emergency physicians must be aware of their clinical presentation, diagnosis and treatment.

  12. Mycetoma: experience of 482 cases in a single center in Mexico.

    Directory of Open Access Journals (Sweden)

    Alexandro Bonifaz

    2014-08-01

    Full Text Available Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013. A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11% were actinomycetomas and 38 cases (7.88% were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years. The main affected localization was lower and upper limbs (70.74% and 14.52% respectively. Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported. The main clinical presentation was as tumor-like soft tissue swelling with draining sinuses (97.1%. Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21% and Actinomadura madurae (8.7%; meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.

  13. Mycetoma: experience of 482 cases in a single center in Mexico.

    Science.gov (United States)

    Bonifaz, Alexandro; Tirado-Sánchez, Andrés; Calderón, Luz; Saúl, Amado; Araiza, Javier; Hernández, Marco; González, Gloria M; Ponce, Rosa María

    2014-08-01

    Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumor-like soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.

  14. Transient Events in Archival Very Large Array Observations of the Galactic Center

    CERN Document Server

    Chiti, Anirudh; Wharton, Robert; Cordes, James; Lazio, T Joseph W; Kaplan, David L; Bower, Geoffrey C; Croft, Steve

    2016-01-01

    The Galactic center has some of the highest stellar densities in the Galaxy and a range of interstellar scattering properties that may aid in the detection of new radio-selected transient events. Here we describe a search for radio transients in the Galactic center using over 200 hours of archival data from the Very Large Array (VLA) at 5 and 8.4 GHz. Every observation of SgrA* from 1985$-$2005 has been searched using an automated processing and detection pipeline sensitive to transients with timescales between 30 seconds and five minutes with a typical detection threshold of $\\sim$100 mJy. Eight possible candidates pass tests to filter false-positives from radio-frequency interference, calibration errors, and imaging artifacts. Two events are identified as promising candidates based on the smoothness of their light curves. Despite the high quality of their light curves, these detections remain suspect due to evidence of incomplete subtraction of the complex structure in the Galactic center, and apparent cont...

  15. Observation of two-center interference effects for electron impact ionization of N2

    Science.gov (United States)

    Chaluvadi, Hari; Nur Ozer, Zehra; Dogan, Mevlut; Ning, Chuangang; Colgan, James; Madison, Don

    2015-08-01

    In 1966, Cohen and Fano (1966 Phys. Rev. 150 30) suggested that one should be able to observe the equivalent of Young’s double slit interference if the double slits were replaced by a diatomic molecule. This suggestion inspired many experimental and theoretical studies searching for double slit interference effects both for photon and particle ionization of diatomic molecules. These effects turned out to be so small for particle ionization that this work proceeded slowly and evidence for interference effects were only found by looking at cross section ratios. Most of the early particle work concentrated on double differential cross sections for heavy particle scattering and the first evidence for two-center interference for electron-impact triple differential cross section (TDCS) did not appear until 2006 for ionization of H2. Subsequent work has now firmly established that two-center interference effects can be seen in the TDCS for electron-impact ionization of H2. However, in spite of several experimental and theoretical studies, similar effects have not been found for electron-impact ionization of N2. Here we report the first evidence for two-center interference for electron-impact ionization of N2.

  16. Exploratory trials, confirmatory observations: A new reasoning model in the era of patient-centered medicine

    Directory of Open Access Journals (Sweden)

    Sacristán José A

    2011-04-01

    Full Text Available Abstract Background The prevailing view in therapeutic clinical research today is that observational studies are useful for generating new hypotheses and that controlled experiments (i.e., randomized clinical trials, RCTs are the most appropriate method for assessing and confirming the efficacy of interventions. Discussion The current trend towards patient-centered medicine calls for alternative ways of reasoning, and in particular for a shift towards hypothetico-deductive logic, in which theory is adjusted in light of individual facts. A new model of this kind should change our approach to drug research and development, and regulation. The assessment of new therapeutic agents would be viewed as a continuous process, and regulatory approval would no longer be regarded as the final step in the testing of a hypothesis, but rather, as the hypothesis-generating step. The main role of RCTs in this patient-centered research paradigm would be to generate hypotheses, while observations would serve primarily to test their validity for different types of patients. Under hypothetico-deductive logic, RCTs are considered "exploratory" and observations, "confirmatory". Summary In this era of tailored therapeutics, the answers to therapeutic questions cannot come exclusively from methods that rely on data aggregation, the analysis of similarities, controlled experiments, and a search for the best outcome for the average patient; they must also come from methods based on data disaggregation, analysis of subgroups and individuals, an integration of research and clinical practice, systematic observations, and a search for the best outcome for the individual patient. We must look not only to evidence-based medicine, but also to medicine-based evidence, in seeking the knowledge that we need.

  17. Centering the Peripheral: A Case for Poetry in Africa

    Directory of Open Access Journals (Sweden)

    Joseph Muleka

    2014-01-01

    Full Text Available This paper grapples with a frequently asked question: Is there a case for poetry in Africa? Though not necessarily a polemical rooting for recognition of African oral poetry, the paper stands in contention with assertions that have tended to dismiss the said artworks as non-poetry, while at the same time attempting to confer superiority of the written poetry over the oral. In particular, the paper contests the arguments by some pioneer researchers into African literature that posited that what was usually touted as poetry in Africa did not qualify as true poetry, but rather, simply songs and chants. In an attempt to address the nitty-gritty of this subject the paper tackles the crucial question of what constitutes poetry and whether there is a significant difference between a song and a poem. The paper employs the theory of ethno-poetics which takes interest in the aesthetic components and poetic structuring of oral poems. Ethnopoetics gives guidelines on how to organize an oral text in lines to render its fullest charge of texture: rhythm, nuance, phrasing and other components that allow full poetic meaning. It is intended that the poetic restructuring will particularly help realize the poetic qualities in African poetic works. Besides, the paper also tries to popularize “narrato-centric” approach, an application we used earlier during a discussion on theory in the study of oral literature. The approach encourages the study of oral literature material that puts emphasis on performance and the dynamics dictating the performer and his role in the performance.

  18. Pseudobulbar Paralysis Treated by Acupuncture - Clinical Observation in 36 Cases

    Institute of Scientific and Technical Information of China (English)

    杜琳

    2001-01-01

    @@Pseudobulbar paralysis is a kind of common clinical syndromes of cerebral vascular diseases, which is manifested as dyslalia, dysphagia and choking. By several-year clinical observations, 36 cases were treated with satisfactory therapeutic effects as reported in the following. Clinical Data Of 36 in-patients, there were 24 males and 12 females, aged from 44 to 81 years, averaging 64.92 years. Of 36 cases, 24 were at the acute stage and 12 at the recovery stage. All the cases were diagnosed as cerebral vascular diseases by cranial CT scan and MRI, of which, 4 were cerebral infarction, 26 lacunar cerebral infarction, 5 cerebral hemorrhage and 1 mixed type. Of 36 cases, 15 were the first attack of wind-stroke, 15 the second attack, 5 the third attack and 1 the forth attack. There were 26 patients with hypertension among 36 cases, of which, 8 patients suffered from hypertension within 10 years, 6 for more than 10 years, 9 for more than 20 years and 3 for more than 30 years. All the 36 cases were associated with dysphagia and agreeable to Standard on Diagnosis and Evaluation of Therapeutic Effects of Wind-stroke issued by the State Scientific Committee 85-919-01-01, 1995.

  19. Center to limb observations and modeling of the Ca I 4227 A line

    CERN Document Server

    Supriya, H D; Nagendra, K N; Stenflo, J O; Bianda, M; Ramelli, R; Ravindra, B; Anusha, L S

    2014-01-01

    The observed center-to-limb variation (CLV) of the scattering polarization in different lines of the Second Solar Spectrum can be used to constrain the height variation of various atmospheric parameters, in particular the magnetic fields via the Hanle effect. Here we attempt to model non-magnetic CLV observations of the $Q/I$ profiles of the Ca I 4227 A line recorded with the ZIMPOL-3 at IRSOL. For modeling, we use the polarized radiative transfer with partial frequency redistribution with a number of realistic 1-D model atmospheres. We find that all the standard FAL model atmospheres, used by us, fail to simultaneously fit the observed ($I$, $Q/I$) at all the limb distances ($\\mu$). However, an attempt is made to find a single model which can provide a fit at least to the CLV of the observed $Q/I$ instead of a simultaneous fit to the ($I$, $Q/I$) at all $\\mu$. To this end we construct a new 1-D model by combining two of the standard models after modifying their temperature structures in the appropriate heigh...

  20. Observational manifestations of solar magneto-convection -- center-to-limb variation

    CERN Document Server

    Carlsson, M; Nordlund, A; Scharmer, G; Carlsson, Mats; Stein, Robert F.; Nordlund, Ake; Scharmer, Goran

    2004-01-01

    We present the first center-to-limb G-band images synthesized from high resolution simulations of solar magneto-convection. Towards the limb the simulations show "hilly" granulation with dark bands on the far side, bright granulation walls and striated faculae, similar to observations. At disk center G-band bright points are flanked by dark lanes. The increased brightness in magnetic elements is due to their lower density compared with the surrounding intergranular medium. One thus sees deeper layers where the temperature is higher. At a given geometric height, the magnetic elements are cooler than the surrounding medium. In the G-band, the contrast is further increased by the destruction of CH in the low density magnetic elements. The optical depth unity surface is very corrugated. Bright granules have their continuum optical depth unity 80 km above the mean surface, the magnetic elements 200-300 km below. The horizontal temperature gradient is especially large next to flux concentrations. When viewed at an ...

  1. Crop Production for Advanced Life Support Systems - Observations From the Kennedy Space Center Breadboard Project

    Science.gov (United States)

    Wheeler, R. M.; Sager, J. C.; Prince, R. P.; Knott, W. M.; Mackowiak, C. L.; Stutte, G. W.; Yorio, N. C.; Ruffe, L. M.; Peterson, B. V.; Goins, G. D.

    2003-01-01

    The use of plants for bioregenerative life support for space missions was first studied by the US Air Force in the 1950s and 1960s. Extensive testing was also conducted from the 1960s through the 1980s by Russian researchers located at the Institute of Biophysics in Krasnoyarsk, Siberia, and the Institute for Biomedical Problems in Moscow. NASA initiated bioregenerative research in the 1960s (e.g., Hydrogenomonas) but this research did not include testing with plants until about 1980, with the start of the Controlled Ecological Life Support System (CELSS) Program. The NASA CELSS research was carried out at universities, private corporations, and NASA field centers, including Kennedy Space Center (KSC). The project at KSC began in 1985 and was called the CELSS Breadboard Project to indicate the capability for plugging in and testing various life support technologies; this name has since been dropped but bioregenerative testing at KSC has continued to the present under the NASA s Advanced Life Support (ALS) Program. A primary objective of the KSC testing was to conduct pre-integration tests with plants (crops) in a large, atmospherically closed test chamber called the Biomass Production Chamber (BPC). Test protocols for the BPC were based on observations and growing procedures developed by university investigators, as well as procedures developed in plant growth chamber studies at KSC. Growth chamber studies to support BPC testing focused on plant responses to different carbon dioxide (CO2) concentrations, different spectral qualities from various electric lamps, and nutrient film hydroponic culture techniques.

  2. Primary care nursing role and care coordination: an observational study of nursing work in a community health center.

    Science.gov (United States)

    Anderson, Daren R; St Hilaire, Daniel; Flinter, Margaret

    2012-05-01

    Care coordination is a core element of the Patient-Centered Medical Home and requires an effective, well educated nursing staff. A greater understanding of roles and tasks currently being carried out by nurses in primary care is needed to help practices determine how best to implement care coordination and transform into PCMHs. We conducted an observational study of primary care nursing in a Community Health Center by creating a classification schema for nursing responsibilities, directly observing and tracking nurses' work, and categorizing their activities. Ten nurses in eight different practice sites were observed for a total of 61 hours. The vast majority of nursing time was spent in vaccine and medication administration; telephone work; and charting and paper work, while only 15% of their time was spent in activity that was classified broadly as care coordination. Care coordination work appeared to be subsumed by other daily tasks, many of which could have been accomplished by other, lesser trained members of the health care team. Practices looking to implement care coordination need a detailed look at work flow, task assignments, and a critical assessment of staffing, adhering to the principal of each team member working to the highest level of his or her education and license. Care coordination represents a distinct responsibility that requires dedicated nursing time, separate from the day to day tasks in a busy practice. To fully support these new functions, reimbursement models are needed that support such non visit-based work and provide incentives to coordinate and manage complex cases, achieve improved clinical outcomes and enhance efficiency of the health system. This article describes our study methods, data collection, and analysis, results, and discussion about reorganizing nursing roles to promote care coordination. PMID:22686111

  3. Infrared-excess Source DSO/G2 Near the Galactic Center: Theory vs. Observations

    CERN Document Server

    Zajacek, Michal; Peissker, Florian; Karssen, Grischa D; Karas, Vladimir

    2015-01-01

    We monitored the Dusty S-cluster object (DSO/G2) during its closest approach to the Galactic Center supermassive black hole in 2014 with ESO VLT/SINFONI. We report on our findings, i.e. ionized-hydrogen emission from the DSO that remains spatially compact before and after the peribothron passage. The detection of DSO/G2 object as a compact single-peak emission line source is in contradiction with the original hypothesis of a core-less cloud that is necessarily tidally stretched, hence producing double-peak emission line profile around the pericentre passage. This strengthens the evidence that the DSO/G2 source is a dust-enshrouded young star. The accretion of material from the circumstellar disc onto the stellar surface can contribute significantly to the emission of Br$\\gamma$ line as well as to the observed large line width of the order of 10 angstroms.

  4. Cosmological evolution of supermassive black holes in galactic centers unveiled by hand X-ray observations

    International Nuclear Information System (INIS)

    We review the current understanding of the cosmological evolution of supermassive black holes in galactic centers elucidated by X-ray surveys of active galactic nuclei (AGNs). Hard X-ray observations at energies above 2 keV are the most efficient and complete tools to find “obscured” AGNs, which are dominant populations among all AGNs. Combinations of surveys with various flux limits and survey area have enabled us to determine the space number density and obscuration properties of AGNs as a function of luminosity and redshift. The results have essentially solved the origin of the X-ray background in the energy band below ∼10 keV. The downsizing (or anti-hierarchical) evolution that more luminous AGNs have the space-density peak at higher redshifts has been discovered, challenging theories of galaxy and black hole formation. Finally, we summarize unresolved issues on AGN evolution and prospects for future X-ray missions. (author)

  5. Cosmological evolution of supermassive black holes in galactic centers unveiled by hard X-ray observations.

    Science.gov (United States)

    Ueda, Yoshihiro

    2015-01-01

    We review the current understanding of the cosmological evolution of supermassive black holes in galactic centers elucidated by X-ray surveys of active galactic nuclei (AGNs). Hard X-ray observations at energies above 2 keV are the most efficient and complete tools to find "obscured" AGNs, which are dominant populations among all AGNs. Combinations of surveys with various flux limits and survey area have enabled us to determine the space number density and obscuration properties of AGNs as a function of luminosity and redshift. The results have essentially solved the origin of the X-ray background in the energy band below ∼10 keV. The downsizing (or anti-hierarchical) evolution that more luminous AGNs have the space-density peak at higher redshifts has been discovered, challenging theories of galaxy and black hole formation. Finally, we summarize unresolved issues on AGN evolution and prospects for future X-ray missions. PMID:25971656

  6. Observation of cooperatively enhanced atomic dipole forces from NV centers in optically trapped nanodiamonds

    CERN Document Server

    Juan, M L; Besga, B; Brennen, G; Molina-Terriza, G; Volz, T

    2015-01-01

    Since the early work by Ashkin in 1970, optical trapping has become one of the most powerful tools for manipulating small particles, such as micron sized beads or single atoms. The optical trapping mechanism is based on the interaction energy of a dipole and the electric field of the laser light. In atom trapping, the dominant contribution typically comes from the allowed optical transition closest to the laser wavelength, whereas for mesoscopic particles it is given by the bulk polarizability of the material. These two different regimes of optical trapping have coexisted for decades without any direct link, resulting in two very different contexts of applications: one being the trapping of small objects mainly in biological settings, the other one being dipole traps for individual neutral atoms in the field of quantum optics. Here we show that for nanoscale diamond crystals containing artificial atoms, so-called nitrogen vacancy (NV) color centers, both regimes of optical trapping can be observed at the same...

  7. Cosmological evolution of supermassive black holes in galactic centers unveiled by hard X-ray observations.

    Science.gov (United States)

    Ueda, Yoshihiro

    2015-01-01

    We review the current understanding of the cosmological evolution of supermassive black holes in galactic centers elucidated by X-ray surveys of active galactic nuclei (AGNs). Hard X-ray observations at energies above 2 keV are the most efficient and complete tools to find "obscured" AGNs, which are dominant populations among all AGNs. Combinations of surveys with various flux limits and survey area have enabled us to determine the space number density and obscuration properties of AGNs as a function of luminosity and redshift. The results have essentially solved the origin of the X-ray background in the energy band below ∼10 keV. The downsizing (or anti-hierarchical) evolution that more luminous AGNs have the space-density peak at higher redshifts has been discovered, challenging theories of galaxy and black hole formation. Finally, we summarize unresolved issues on AGN evolution and prospects for future X-ray missions.

  8. Observation of Diamond Nitrogen-Vacancy Center Photoluminescence under High Vacuum in a Magneto-Gravitational Trap

    Science.gov (United States)

    Ji, Peng; Hsu, Jen-Feng; Lewandowski, Charles W.; Dutt, M. V. Gurudev; D'Urso, Brian

    2016-05-01

    We report the observation of photoluminescence from nitrogen-vacancy (NV) centers in diamond nanocrystals levitated in a magneto-gravitational trap. The trap utilizes a combination of strong magnetic field gradients and gravity to confine diamagnetic particles in three dimensions. The well-characterized NV centers in trapped diamond nanocrystals provide an ideal built-in sensor to measure the trap magnetic field and the temperature of the trapped diamond nanocrystal. In the future, the NV center spin state could be coupled to the mechanical motion through magnetic field gradients, enabling in an ideal quantum interface between NV center spin and the mechanical motion. National Science Foundation, Grant No. 1540879.

  9. [Meningitis epidemic: assessment of surveillance and treatment of cases in the health centers of a Burkina Faso district].

    Science.gov (United States)

    Yaméogo, T M; Kyelem, C G; Poda, G E A; Sombié, I; Ouédraogo, M S; Millogo, A

    2011-02-01

    Meningococcal meningitis remains a periodical threat in the African meningitis belt. The countries concerned, such as Burkina Faso, provided guidelines for its surveillance, diagnosis, treatment, and prevention during outbreaks. The objective of this study is to assess the quality of the surveillance system and case management during an outbreak in Fada N'Gourma district. A retrospective study of the meningitis outbreak in 2007 was conducted by literature review and interviews of health caretakers across 27 health centers (CSPS) and three units in the regional hospital in the district.We reported all data available about surveillance and case management, and then we compared it with the guidelines of the Ministry of Health. The case definition and notification forms were available in all centers and units. During the outbreak, 861 cases were recorded, but only 89% was notified at the upper level and 87% of notification forms were available. The age is marked on all the forms, while the interval between the onset of symptoms and consultation is noted only in 90.7%. The forms were distributed weekly at the district level. Cerebrospinal fluid (CSF) Gram coloration was performed for a limited number of cases (150/349 samples, 42.9%); it showed Gram-negative diplococcus in 86%. Culture was performed for a limited number of patients (7 cases). According to the results of a central level laboratory study, the outbreak was due to Group A Neisseria meningitidis. The case management guidelines were available in all the centers and units which were supervised during the outbreak. Anti-biotherapy was appropriate in 93.6% of the cases. A shortage of antibiotics (free prepositioning) was observed in 7 centers (23.3%). The mortality rate was 3.5%. This assessment shows an under-notification of cases, despite the existence of a surveillance system and supervision, a weak laboratory contribution in germ identification, appropriate case management, and shortage of antibiotics during

  10. SINGLE-PULSE RADIO OBSERVATIONS OF THE GALACTIC CENTER MAGNETAR PSR J1745–2900

    Energy Technology Data Exchange (ETDEWEB)

    Yan, Zhen; Shen, Zhi-Qiang; Wu, Ya-Jun; Zhao, Rong-Bing; Fan, Qing-Yuan; Hong, Xiao-Yu; Jiang, Dong-Rong; Li, Bin; Liang, Shi-Guang; Ling, Quan-Bao; Liu, Qing-Hui; Qian, Zhi-Han; Zhang, Xiu-Zhong; Zhong, Wei-Ye; Ye, Shu-Hua [Shanghai Astronomical Observatory, Chinese Academy of Sciences, Shanghai 200030 (China); Wu, Xin-Ji [Department of Astronomy, Peking University, Beijing 100871 (China); Manchester, R. N. [CSIRO Astronomy and Space Science, P.O. Box 76, Epping, NSW 1710 (Australia); Weltevrede, P. [Jodrell Bank Centre for Astrophysics, School of Physics and Astronomy, University of Manchester, Manchester M13 9PL (United Kingdom); Yuan, Jian-Ping [Key Laboratory of Radio Astronomy, Chinese Academy of Sciences (China); Lee, Ke-Jia, E-mail: yanzhen@shao.ac.cn [Kavli Institute for Astronomy and Astrophysics, Peking University, Beijing 100871 (China)

    2015-11-20

    In this paper, we report radio observations of the Galactic Center magnetar PSR J1745–2900 at six epochs between 2014 June and October. These observations were carried out using the new Shanghai Tian Ma Radio Telescope at a frequency of 8.6 GHz. Both the flux density and integrated profile of PSR J1745–2900 show dramatic changes from epoch to epoch, showing that the pulsar was in its “erratic” phase. On MJD 56836, the flux density of this magnetar was about 8.7 mJy, which was 10 times larger than that reported at the time of discovery, enabling a single-pulse analysis. The emission is dominated by narrow “spiky” pulses that follow a log-normal distribution in peak flux density. From 1913 pulses, we detected 53 pulses whose peak flux densities are 10 times greater than that of the integrated profile. They are concentrated in pulse phase at the peaks of the integrated profile. The pulse widths at the 50% level of these bright pulses were between 0.°2 and 0.°9, much narrower than that of the integrated profile (∼12°). The observed pulse widths may be limited by interstellar scattering. No clear correlation was found between the widths and peak flux density of these pulses and no evidence was found for subpulse drifting. Relatively strong spiky pulses are also detected in the other five epochs of observation, showing the same properties as those detected in MJD 56836. These strong spiky pulses cannot be classified as “giant” pulses but are more closely related to normal pulse emission.

  11. Massive Young Stellar Objects in the Galactic Center. 1; Spectroscopic Identification from Spitzer/IRS Observations

    Science.gov (United States)

    An, Deokkeun; Ramirez, Solange V.; Sellgren, Kris; Arendt, Richard G.; Boogert, A. C. Adwin; Robitaille, Thomas P.; Schultheis, Mathias; Cotera, Angela S.; Smith, Howard A.; Stolovy, Susan R.

    2011-01-01

    We present results from our spectroscopic study, using the Infrared Spectrograph (IRS) onboard the Spitzer Space Telescope, designed to identify massive young stellar objects (YSOs) in the Galactic Center (GC). Our sample of 107 YSO candidates was selected based on IRAC colors from the high spatial resolution, high sensitivity Spitzer/IRAC images in the Central Molecular Zone (CMZ), which spans the central approximately 300 pc region of the Milky Way Galaxy. We obtained IRS spectra over 5 micron to 35 micron using both high- and low-resolution IRS modules. We spectroscopically identify massive YSOs by the presence of a 15.4 micron shoulder on the absorption profile of 15 micron CO2 ice, suggestive of CO2 ice mixed with CH30H ice on grains. This 15.4 micron shoulder is clearly observed in 16 sources and possibly observed in an additional 19 sources. We show that 9 massive YSOs also reveal molecular gas-phase absorption from C02, C2H2, and/or HCN, which traces warm and dense gas in YSOs. Our results provide the first spectroscopic census of the massive YSO population in the GC. We fit YSO models to the observed spectral energy distributions and find YSO masses of 8 - 23 solar Mass, which generally agree with the masses derived from observed radio continuum emission. We find that about 50% of photometrically identified YSOs are confirmed with our spectroscopic study. This implies a preliminary star formation rate of approximately 0.07 solar mass/yr at the GC.

  12. Aligning Incentives in Orthopaedics: Opportunities and Challenges—the Case Medical Center Experience

    OpenAIRE

    Marcus, Randall E.; Zenty, Thomas F.; Adelman Esq., Harlin G.

    2009-01-01

    For 30 years, the orthopaedic faculty at Case Western Reserve University worked as an independent private corporation within University Hospitals Case Medical Center (Hospital). However, by 2002, it became progressively obvious to our orthopaedic practice that we needed to modify our business model to better manage the healthcare regulatory changes and decreased reimbursement if we were to continue to attract and retain the best and brightest orthopaedic surgeons to our practice. In 2002, our...

  13. SOFIA/FORCAST Observations of the Arched Filamentary Region in the Galactic Center

    Science.gov (United States)

    Hankins, Matthew; Lau, Ryan M.; Morris, Mark; Herter, Terry L.

    2016-06-01

    Abstract: We present 19.7, 25.2, 31.5, and 37.1 μm maps of the Thermal Arched Filament region in the Galactic Center taken with the Faint Object Infrared Camera for the SOFIA Telescope (FORCAST) with an angular resolution of 3.2-3.8". We calculate the integrated infrared luminosity of the Arched Filaments and show that they are consistent with being heated by the nearby Arches cluster. Additionally, using our observations, we infer dust temperatures (75 – 90 K) across the Arched Filaments which are remarkably consistent over large spatial scales (∼ 25 pc). We discuss the possible geometric effects needed to recreate this temperature structure. Additionally, we compare the observed morphology of the Arches in the FORCAST maps with the Paschen-α emission in the region to study what fraction of the infrared emission may be coming from dust in the HII region versus the PDR beneath it. Finally, we use Spitzer/IRAC 8 μm data to look for spatial variations in PAH abundance in the rich UV environment of the young (~2-4 Myr) and massive Arches cluster.

  14. Reenacted Case Scenarios for Undergraduate Healthcare Students to Illustrate Person-Centered Care in Dementia

    Science.gov (United States)

    Bradley, Sandra L.; De Bellis, Anita; Guerin, Pauline; Walters, Bonnie; Wotherspoon, Alison; Cecchin, Maggie; Paterson, Jan

    2010-01-01

    Healthcare practitioners have suggested that interpreting person-centered care for people who have dementia to undergraduate students requires guidance in practical application. This article describes the production of a written and digital interdisciplinary educational resource for tertiary students. It uses real-life case scenarios provided by…

  15. Fighting Obsolescence in the Nuclear Power Industry. Motor Control Centers-solutions and Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Portillo, J.; Torralba Piqueras, A.

    2014-07-01

    Motor Control Centers (MCCs) are vital to the operation and control of nuclear power plants. A significant and growing problem within the global nuclear industry is the aging of MCC components. Obsolescence of various components within the MCCs such as molded case circuit breakers, starters, relays, heaters, transformers, etc., are impacting the reliability of MCCs to perform their intended safety function. (Author)

  16. Observing principles of medical ethics during family planning services at Tehran urban healthcare centers in 2007

    Directory of Open Access Journals (Sweden)

    Saeed Motevallizadeh

    2011-01-01

    Full Text Available Background: Family planning has been defined in the framework of mothers and children plan as one of Primary Healthcare (PHC details. Besides quantity, the quality of services, particularly in terms of ethics, such as observing individuals’ privacy, is of great importance in offering family planning services.Objective: A preliminary study to gather information about the degree of medical ethics offered during family planning services at Tehran urban healthcare centers.Materials and Methods: A questionnaire was designed for study. In the first question regarding informed consent, 47 clients who were advised about various contraception methods were asked whether advantages and disadvantages of the contraceptive methods have been discussed by the service provider. Then a certain rank was measured for either client or method in 2007. Finally, average value of advantage and disadvantage for each method was measured. In questions about autonomy, justice and beneficence, yes/no answers have been expected and measured accordingly.Results: Health care providers have stressed more on the advantages of pills and disadvantages of tubectomy and have paid less attention to advantages of injection ampoules and disadvantages of pills in first time clients. While they have stressed more on the advantages and disadvantages of tubectomy and less attention to advantages of condom and disadvantages of vasectomy in second time clients. Clients divulged their 100% satisfaction in terms of observing turns and free charges services.Observance degree of autonomy was 64.7% and 77.3% for first time and second- time clients respectively.Conclusion: Applying the consultant’s personal viewpoint for selecting a method will breach an informed consent for first and second time clients. System has good consideration to justice and no malfeasance

  17. Observations on the radiochemical control of radiopharmaceuticals at tajoura nuclear research center (TNRC)

    International Nuclear Information System (INIS)

    Production of radioisotopes for the radiopharmaceutical purposes is the main task of Tajoura nuclear center. During the analysis of the 131I- radioactive solution which was produced using the so-called dry method, the following has been observed : in order to reduce the cost and the time of analytical cycle or time used for the radiochemical purity (RCP), a spot test has been used to indicate the position of the radioactivity in the chromatogram rather than using autoradiographing or the x-ray films. This method was based on the reaction between I2 and starch to give a blue color at different Rf values I2 is liberated by I- oxidation (H2O2) or by IO-3 reaction with SCN- in the presence of HCl. A simple and fast test for the estimation of the content in the radioactive sample has been elaborated.This method was based on the reduction of Te (IV) or (VI) to Te metal using SnCI2 in a alkaline media. The detection limit of the elaborated method was found to be 131 I- buffer solution, and 16.0 m S for Na CI saline solution were obtained

  18. Connecting teens to caring adults in a school-based health center: a case study.

    Science.gov (United States)

    Blacksin, Beth A; Kelly, Patricia J

    2015-01-01

    The traditional medical care system is generally unable to provide the broad health and wellness services needed by many adolescents, especially those from low-income and racial/ethnic minority communities. Using a theoretical framework adapted from Bronfenbrenner's ecological model of multiple influencers, this case study examined how a school-based health center was able to provide a network of connections for adolescents to caring adults within the school and the local community. Contributors to this network were the creation of a student-centered community with access to adolescent-friendly services, providers acting as connectors, and care of the whole adolescent.

  19. Etiological spectrum of recurrent jaundice in adults: A retrospective observational study from a tertiary care center

    Directory of Open Access Journals (Sweden)

    Gouranga Santra

    2016-01-01

    Full Text Available Introduction: Studies regarding etiological spectrum of recurrent jaundice are rare. We conducted this study to identify the causes of recurrent jaundice in a tertiary care center. Materials and Methods: Frequency of different causes of recurrent jaundice was assessed from 130 patients attended General Medicine Department over a period of 3 years. Recurrent jaundice was considered when patients had more than one episodes of jaundice with serum bilirubin ≥3 mg/dl since childhood. Recurrent jaundice was diagnosed from past medical records, records of follow-up visits, and current clinical presentation. Causes were identified from past and present medical records of history, clinical and laboratory examinations. Results: Causes of recurrent jaundice included prehepatic (30%, hepatic (59.23%, and posthepatic (10.77 % disorders. Prehepatic disorders were Gilbert′s syndrome (GS, megaloblastic anemia, autoimmune haemolytic anemia, Wilson′s disease, G6PD deficiency, etc. Hepatic disorders were exacerbations of alcoholic hepatitis, hepatitis B and C, autoimmune hepatitis, congestive cardiac failure, sarcoidosis, benign recurrent intrahepatic cholestasis, eclampsia, pregnancy induced cholestasis, falciparum malaria, drug induced liver injury (DILI, etc. Posthepatic causes were choledocholithiasis, recurrent pancreatitis, periampullary carcinoma, choledochal cyst, ascariasis, hemobilia, HIV cholangiopathy, autoimmune pancreatitis, etc. Prehepatic jaundice cases were younger. The highest level of total bilirubin was seen in alcoholic hepatitis, DILI, and hepatitis B. Alcoholic hepatitis was the most common cause of recurrent jaundice (19.23%. GS was the most common prehepatic cause. Mean age was lowest in GS and highest in DILI. Conclusion: Etiological spectrum of recurrent jaundice includes many prehepatic, hepatic or posthepatic disorders. A larger study may enlarge the spectrum.

  20. Massive vectors and loop observables: the $g-2$ case

    CERN Document Server

    Biggio, Carla; Di Luzio, Luca; Ridolfi, Giovanni

    2016-01-01

    We discuss the use of massive vectors for the interpretation of some recent experimental anomalies. In order for loop observables, such as for example the muon $g-2$, to be finite (and hence to be predictable in terms of a renormalizable Lagrangian) the massive vector must be embedded into a spontaneously broken extended gauge symmetry. The latter, however, typically imposes strong constraints on the mass of the new vector boson and for the muon $g-2$ it basically rules out, barring the case of abelian gauge extensions, the explanation of the discrepancy in terms of a single vector extension of the standard model. We finally comment on the use of massive vectors for $B$-meson decay and di-photon anomalies.

  1. RARE CASES OF HYPERTROPHIC CARDIOMYOPATHY: VARIANTS AND CLINICAL OBSERVATIONS

    Directory of Open Access Journals (Sweden)

    V. Yu. Zimina

    2015-09-01

    Full Text Available Hypertrophic cardiomyopathy belongs to a group of hereditary diseases due to sarcomere gene mutation. This abnormality is characterized by the development of symmetric or asymmetric hypertrophy of left ventricular myocardium with its normal contractile function or hypercontractility. Authors provide a brief overview of variants of hypertrophic cardiomyopathy and phenocopies of this disease, when structural changes in the heart are not the result of classic sarcomere gene mutation. In patients with some phenocopies concentric left ventricular hypertrophy can transform into its dilatation with reduced contractility. Such variant of hypertrophic cardiomyopathy is presented in the first clinical observation. The second case shows that hypertrophic cardiomyopathy can be one of the symptoms of the disease with other reasons for poor outcome.

  2. Stellar populations from adaptive optics observations four test cases

    CERN Document Server

    Bedding, T R; Courbin, F; Sams, B J

    1997-01-01

    We describe a first attempt to apply adaptive optics to the study of resolved stellar populations in galaxies. Advantages over traditional approaches are (i) improved spatial resolution and point-source sensitivity through adaptive optics, and (ii) use of the near-infrared region, where the peak of the spectral energy distribution for old populations is found. Disadvantages are the small area covered and the need for excellent seeing. We made observations with the ADONIS system at the European Southern Observatory of the peculiar elliptical galaxy NGC 5128; the irregular galaxy IC 5152 (a possible outer member of the Local Group); the Sc galaxy NGC 300 (a member of the Sculptor group); and the Sgr window in the bulge of the Milky Way. These different fields give excellent test cases for the potential of adaptive optics. In the first two cases, we failed to obtain photometry of individual stars, which would have required excellent seeing. For NGC 300 we measured magnitudes for nine individual supergiants (H = ...

  3. Clinical observations of odontomas in Japanese children: 39 cases including one recurrent case.

    Science.gov (United States)

    Tomizawa, M; Otsuka, Y; Noda, T

    2005-01-01

    Retrospective investigations of odontomas in Japanese children and one recurrent case were carried out. Thirty-nine cases of odontoma in 38 children were treated in the Paediatric Dentistry Clinic of Niigata University Dental Hospital between September 1979 and December 2002. The patients consisted of 23 males and 15 females and their ages ranged from 1 year 2 months to 14 years old. The chief complaints were delayed tooth eruption in 19 cases (five: primary teeth, 14: permanent teeth), retention of primary teeth in 11, incidentally found on the radiographic examination in eight cases, and swelling of the jaw in one case. Thirty-four cases (87%) were associated with tooth eruption disturbances. The most frequently affected region was the maxillary anterior region. Treatment consisted of surgical removal of odontomas in all cases, after which if the impacted teeth did not erupt, exposure of the crown and/or orthodontic traction was performed. Pathological diagnoses were compound odontoma in 30 cases, complex odontoma (n = 7), and compound and complex odontoma (n = 2). A retrospective study of the radiographs revealed the developing process of odontomas in four cases and odontoma disturbed tooth eruption since the early uncalcified developing stage. A recurrent case was a boy aged 6 years 5 months in whom the first surgical removal of odontoma was performed at the age of 1 year 8 months. Recurrence of an odontoma is very rare, but in very young children odontomas are in the early developing stages, containing uncalcified portions, so it is important to perform periodical observations until the succedaneous teeth erupt.

  4. [Infectious endocarditis in the University Hospital Center of Brazzaville. A study of 32 cases].

    Science.gov (United States)

    Bouramoué, C; Azika-Mbiambina, M E

    1990-12-01

    Thirty-eight cases of infective endocarditis (IE) were observed between 1976 and 1989 (1.3% of all cardiac disease). Thirty two cases were retained for study based on Von Reyn's criteria: 28 native valve endocarditis (27 left and 1 right heart valves) of which 18 occurred on previously undiseased valves (56.3%); 4 cases of left heart prosthetic valve endocarditis. The average age of the patients was 27.5 +/- 14 years and the group comprised 24 women and 8 men (p less than 0.001). Blood cultures were negative in 13 cases, revealed a Gram negative pathogen in 8 cases, a streptoccocus in 3 cases. Blood cultures were not performed in 2 cases. The IE was acute in 18 cases (56.7%) and subacute in 14 cases (43.7%). The dominant clinical signs were of massive and sometimes acute valvular regurgitation (mitral: 21 cases; aortic: 10 cases; mitral and aortic: 3 cases; tricuspid: 1 case). Twenty-six patients had cardiac failure (81.2%): LVF: 15 cases, congestive cardiac failure: 10 cases, RVF: 1 case. The other complications were embolic: cerebral (3 cases), mesenteric (1 case), pulmonary (4 cases). Antibiotic therapy was prescribed in all patients; surgery was required in 9 cases. There were 12 fatalities (37.5%), 10 in the medically treated group and 2 in the surgical group (p less than 0.05). The results show that the prognosis of IE in underdeveloped regions remains poor. Effective strategies of early diagnosis and treatment are urgently required to reduce the high mortality. Prophylaxis of IE should commence with measures to counter the portals of entry of the pathogens and the valvular sequellae of acute rhumatic fever. PMID:2126713

  5. The etiological diagnosis and outcome in patients of acute febrile encephalopathy: A prospective observational study at tertiary care center

    Directory of Open Access Journals (Sweden)

    Aniyang Modi

    2012-01-01

    Full Text Available Background: Acute febrile encephalopathy (AFE is a clinical term used to an altered mental state that either accompanies or follows a short febrile illness and is characterized by a diffuse and nonspecific brain insult manifested by a combination of coma, seizures, and decerebration. Objective: To identify the etiological diagnosis and outcome in adult patients with AFE. Settings and Design: A prospective observational study was done in patients aged 14 years or above who were admitted with AFE at a tertiary care center in northwest India. Materials and Methods: The non-infectious causes of unconsciousness were excluded and then only a diagnosis of AFE was considered. Cerebrospinal fluid (CSF analysis and imaging of brain was done to determine the possible etiology. Outcome was assessed at 1 month of follow-up after discharge by using modified Rankin Scale (mRS. Data were analyzed and presented as mean, median, and percentages. A P value of 3 in 14 patients with AVE (P 3 in six patients with AVE and in the rest it was ≤1 (P < 0.001. Conclusions: In this study, pyogenic meningitis was the leading cause of AFE, followed by AVE and cerebral malaria. The outcome in cases with AVE can be fatal or more disabling than other etiologies.

  6. World Calibration Center for SF6 – supporting the quality system of the global atmosphere observation

    Directory of Open Access Journals (Sweden)

    W. Yun

    2012-10-01

    Full Text Available According to the World Meteorological Organization (WMO Global Atmosphere Watch (GAW Strategic Plan: 2008–2015 (WMO, 2009a WMO/GAW pays attention to systematical improvement of the quality of observations at global or regional monitoring sites. To ensure the comparability and compatibility of the measurements worldwide it is essential to maintain a traceability chain to the primary standard in the different laboratories around the world as well as to establish a quality control system. Sulfur hexafluoride (SF6, is reported to be very rare in the atmosphere at the global averaged annual mole fraction of about 7 ppt, it is one of the greenhouse gases regulated by Kyoto protocol and is increasing at a rate of 0.22 ppt yr−1. Development of a working (or transfer standard with very low concentration of SF6 requires expert technologies and several knowhow of gas metrology. In order to meet the Data Quality Objective (DQO, the KMA has cooperated with the Korea Research Institute of Standards and Science (KRISS, which is the National Metrology Institute in South Korea. So long as the Central Calibration Laboratory (CCL for SF6 was established, the Korea Meteorological Administration (KMA is now trying to take another step forward to systematically support GAW stations in improving their traceability and quality system for SF6, thereby making a contribution to the WMO/GAW. Through hosting the World Calibration Center for SF6, which is one of GAW facilities, KMA will contribute to harmonization of the global SF6 observations in the long run. This work performed to demonstrate some measurement results on SF6 which complies with the DQOs and is traceable to the WMO mole fraction scale for SF6. In order to produce a working standard which is traceable to the WMO scale, we developed highly precise method of a Gas Chromatography/Electron Capture Detector (GC/ECD calibrated against the five cylinders (from NOAA, 2011 of the WMO scale. For all analysis the

  7. World Calibration Center for SF6 - supporting the quality system of the global atmosphere observation

    Science.gov (United States)

    Lee, J.; Moon, D.; Min, D.; Yun, W.

    2012-10-01

    According to the World Meteorological Organization (WMO) Global Atmosphere Watch (GAW) Strategic Plan: 2008-2015 (WMO, 2009a) WMO/GAW pays attention to systematical improvement of the quality of observations at global or regional monitoring sites. To ensure the comparability and compatibility of the measurements worldwide it is essential to maintain a traceability chain to the primary standard in the different laboratories around the world as well as to establish a quality control system. Sulfur hexafluoride (SF6), is reported to be very rare in the atmosphere at the global averaged annual mole fraction of about 7 ppt, it is one of the greenhouse gases regulated by Kyoto protocol and is increasing at a rate of 0.22 ppt yr-1. Development of a working (or transfer) standard with very low concentration of SF6 requires expert technologies and several knowhow of gas metrology. In order to meet the Data Quality Objective (DQO), the KMA has cooperated with the Korea Research Institute of Standards and Science (KRISS), which is the National Metrology Institute in South Korea. So long as the Central Calibration Laboratory (CCL) for SF6 was established, the Korea Meteorological Administration (KMA) is now trying to take another step forward to systematically support GAW stations in improving their traceability and quality system for SF6, thereby making a contribution to the WMO/GAW. Through hosting the World Calibration Center for SF6, which is one of GAW facilities, KMA will contribute to harmonization of the global SF6 observations in the long run. This work performed to demonstrate some measurement results on SF6 which complies with the DQOs and is traceable to the WMO mole fraction scale for SF6. In order to produce a working standard which is traceable to the WMO scale, we developed highly precise method of a Gas Chromatography/Electron Capture Detector (GC/ECD) calibrated against the five cylinders (from NOAA, 2011) of the WMO scale. For all analysis the measurement

  8. Assessment of diagnosis of inflammatory breast cancer cases at two cancer centers in Egypt and Tunisia

    OpenAIRE

    Schairer, Catherine; Soliman, Amr S; Omar, Sherif; Khaled, Hussein; Eissa, Saad; Ayed, Farhat Ben; Khalafallah, Samir; Ayoub, Wided Ben; Kantor, Elizabeth D.; Merajver, Sofia; Swain, Sandra M; Gail, Mitchell; Brown, Linda Morris

    2013-01-01

    The diagnosis of inflammatory breast cancer (IBC) is largely clinical and therefore inherently somewhat subjective. The objective of this study was to evaluate the diagnosis of IBC at two centers in North Africa where a higher proportion of breast cancer is diagnosed as IBC than in the United States (U.S.). Physicians prospectively enrolled suspected IBC cases at the National Cancer Institute (NCI) – Cairo, Egypt, and the Institut Salah Azaiz (ISA), Tunisia, recorded extent and duration of si...

  9. Feminist health care in a hostile environment: a case study of the Womancare Health Center.

    Science.gov (United States)

    Hyde, Cheryl A

    2008-01-01

    This article presents a case study of the Womancare Health Center in order to illustrate the development of and challenges to the feminist health movement in the United States. Specific attention is placed on the legislative, fiscal, and direct actions by the New Right against this organization. Analysis focuses on the means through which Womancare survived. The repercussions of constant intimidation and harassment for women's health programs and for health care policy overall are discussed.

  10. Business Improvement through People : The IKEA Distribution Center Älmhult Case

    OpenAIRE

    Laucirica, Alberto Gaston

    2009-01-01

    During September 2008 the Swedish company IKEA performed its annual employee survey called VOICE. As part of this survey, IKEA Distribution Center in Älmhult (DCÄ) was assessed with a result of 521 points out of 1000 points. The present work analyzes the impact of Human Resources Management practices included in VOICE on the Organizational Performance. The research was performed based on a Phenomenological design, applying the Case Study Strategy over DCÄ. The Conceptual Framework used as gui...

  11. Lyme Neuroborreliosis: Preliminary Results from an Urban Referral Center Employing Strict CDC Criteria for Case Selection

    OpenAIRE

    Stuart Orsher; Younger, David S.

    2010-01-01

    Lyme neuroborreliosis or “neurological Lyme disease” was evidenced in 2 of 23 patients submitted to strict criteria for case selection of the Centers for Disease Control and Prevention employing a two-tier test to detect antibodies to Borrelia burgdorferi at a single institution. One patient had symptomatic polyradiculoneuritis, dysautonomia, and serological evidence of early infection; and another had symptomatic small fiber sensory neuropathy, distal polyneuropathy, dysautonomia, and serolo...

  12. [Medical fault or professional negligence? Case studies in two recovery nutrition centers in Niger].

    Science.gov (United States)

    Halidou Doudou, M; Manzo, M L; Guero, D

    2014-12-01

    In developing countries such as Niger, the risk of medical malpractice is ubiquitous in health, jeopardizing patient safety. The aim of this work was to contribute to patients' safety and respect of code of ethics and conduct in the exercise of the medical profession. The reported cases involved two children under 5 years who were admitted to nutrition rehabilitation centers, died as a result of medical malpractice. In Niger, there are no statistics on this phenomenon and a few cases found have always been considered "accident" or "fate." The establishment of an observatory collections of such information should improve their frequency, consequences and propose a prevention plan. PMID:25449444

  13. Financial Literacy and the Success of Small Businesses: An Observation from a Small Business Development Center

    OpenAIRE

    Pearl Dahmen; Eileen Rodríguez

    2014-01-01

    Small business is the backbone of the U.S. economy; when the financial literacy skills of entrepreneurs fall short of those needed to operate a successful business, it is more than the individual business at risk. In 2012, 14 small businesses requesting growth-acceleration consulting services from the Florida Small Business Development Center at the University of South Florida were assessed financially as part of the service provided by the Center. Financial ratios were used to analyze the bu...

  14. Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

    Science.gov (United States)

    Hernández-Puiggròs, Patricia; Tesedo Nieto, Javier; Acín Lázaro, María Pilar; Carrera González, Alfredo; Soler, Miguel José Arranz; Maldonado Vega, Sergio

    2016-01-01

    Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1–10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.

  15. A cross-case analysis of three Native Science Field Centers

    Science.gov (United States)

    Augare, Helen J.; Davíd-Chavez, Dominique M.; Groenke, Frederick I.; Little Plume-Weatherwax, Melissa; Lone Fight, Lisa; Meier, Gene; Quiver-Gaddie, Helene; Returns From Scout, Elvin; Sachatello-Sawyer, Bonnie; St. Pierre, Nate; Valdez, Shelly; Wippert, Rachel

    2015-12-01

    Native Science Field Centers (NSFCs) were created to engage youth and adults in environmental science activities through the integration of traditional Native ways of knowing (understanding about the natural world based on centuries of observation including philosophy, worldview, cosmology, and belief systems of Indigenous peoples), Native languages, and Western science concepts. This paper focuses on the Blackfeet Native Science Field Center, the Lakota Native Science Field Center, and the Wind River Native Science Field Center. One of the long-term, overarching goals of these NSFCs was to stimulate the interest of Native American students in ways that encouraged them to pursue academic and career paths in science, technology, engineering, and mathematics (STEM) fields. A great deal can be learned from the experiences of the NSFCs in terms of effective educational strategies, as well as advantages and challenges in blending Native ways of knowing and Western scientific knowledge in an informal science education setting. Hopa Mountain—a Bozeman, Montana-based nonprofit—partnered with the Blackfeet Community College on the Blackfeet Reservation, Fremont County School District #21 on the Wind River Reservation, and Oglala Lakota College on the Pine Ridge Reservation to cooperatively establish the Native Science Field Centers. This paper presents a profile of each NSFC and highlights their program components and accomplishments.

  16. From Evaluation to Collaborative Reflection: Teacher Candidate Perceptions of a Digital Learner-Centered Classroom Observation Form

    Science.gov (United States)

    Flores, Raymond; Krutka, Daniel G.; Mason, Katherine; Bergman, Daniel J.

    2014-01-01

    In efforts to promote a more learner-centered approach to supervision, faculty members at a Midwestern U.S. university piloted a new digital classroom observation form. Participants included middle/secondary teacher candidates (N = 28) in their final semester of their programs. The overall goal of this study was to gather teacher candidates'…

  17. Water-column Observations During a Seafloor Eruption on the Northeast Lau Spreading Center

    Science.gov (United States)

    Baker, E. T.; Walker, S. L.; Resing, J.; Baumberger, T.; Lilley, M. D.; Lupton, J. E.; Lavelle, J. W.; Rubin, K. H.; Embley, R. W.; Greene, R.

    2009-12-01

    Midocean ridge eruptions offer rare opportunities to study the creation of new ocean crust and the accelerated release of heat and chemicals into the ocean. Only 7 such events have been documented since the first observation of eruption-induced fluid discharge in 1986. Their hallmark is “event plumes,” symmetrical boluses of hydrothermally rich water typically ~0.5 km thick and 5-20 km in diameter. Past sampling of such plumes has occurred from 10 days to months after an eruption. In Nov. 2008 on the Northeast Lau Spreading Center, we detected not a typical event plume but a uniquely different series of young, apparently eruption-generated plumes. At 0700 UTC on 20 Nov., a CTD tow detected layers of thin (0.6), oxidation-reduction potential (ORP or “Eh”) (>250 mv), temperature (ΔT >0.7°C), and H2 (6873 nM) anomalies, plus abundant glass shards (>50μm). These characteristics imply a very young plume. 21 hours later, another tow mapped abundant plume layers extending from 900 m depth to the seafloor, marking the probable eruption site as 15.39°S, 174.25°W. High H2 (up to 9031 nM) and low 3He (68 δ(3He)%) in the shallowest plumes suggests their source was magma-seawater contact. In contrast, low H2 (33 nM) and high 3He (up to 146 δ(3He)%) in the deeper plumes implies their source was a more evolved hydrothermal fluid. CO2 values were high in all plumes. By 24 Nov. shallow plumes were absent above the eruption site, with only weak remnants found a few km south. By 27 Nov. no plumes shallower than 1450 m were found within our ~5 km sampling radius. Bottom-water temperature anomalies over the eruption site declined during the same time frame. Three near-bottom tows (15-50 mab) consistently identified bottom waters with significant ΔT between 15.405° and 15.380°S (~4 km) along the ridge crest. Maximum ΔT seen on the first tow (0400 21 Nov.) was ~0.7°C, declining to ~0.3°C after 18 hrs. By 1000 27 Nov. the zone of enhanced ΔT had constricted to ~2 km

  18. Data availability and the role of the earth resources observation systems data center

    Science.gov (United States)

    Watkins, A. H.

    1975-01-01

    With the launch of LANDSAT-1 in July 1972, and the follow-on launch of LANDSAT-2 in January of this year, routine availability of satellite imagery and electronic data of the earth's resources has become a reality. Federal data centers provide LANDSAT data to resource managers and the general public. These data centers have to date provided almost 500,000 frames of LANDSAT data at a cost of more than $2,000,000. Data from the LANDSAT satellite program, along with data and information from the Skylab manned program, are available over any location to anyone for the cost of reproduction.

  19. Cusps in the center of galaxies: a real conflict with observations or a numerical artefact of cosmological simulations?

    OpenAIRE

    Baushev, A. N.; Del Valle, L; Campusano, L. E.; Escala, A.; Muñoz, R. R.; Palma, G. A.

    2016-01-01

    Galaxy observations and N-body cosmological simulations produce conflicting dark matter halo density profiles for galaxy central regions. While simulations suggest a cuspy and universal profile (UDP) of this region, the majority of observations favor variable profiles with a core in the center. In this paper, we investigate the convergency of standard N-body simulations, especially in the cusp region, following the approach proposed by (Baushev, 2015). We simulate the well known Hernquist mod...

  20. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    The Woodlands is a HUD Title VII New Town located near Houston, including 22,000 acres; the plan for the new town consists of 6 residential villages, a town center (Metro), and a Trade Center for larger-scale industrial use. Included within the program for each village are schools and commercial activities, as well as employment activities. The Woodlands is planned to be developed over a 26-year period (commenced in 1972) with an ultimate population of 150,000. Following a summary chapter, Chapter II presents background material on The Woodlands and results of the study are summarized. Chapter III describes the project team and its organizational structure. Chapter IV outlines and documents the methodology that was employed in developing, analyzing, and evaluating the case study. The next chapter describes and analyzes the conventional plan, documents the process by which energy-conserving methods were selected, and evaluates the application of these methods to the Metro Center Study area. Chapter VI discusses constraints to implementation and is followed by a final chapter that presents the general conclusions from the case study and suggests directions for further investigation.

  1. Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients.

    Science.gov (United States)

    García García, Juan Antonio; Hernández-Puiggròs, Patricia; Tesedo Nieto, Javier; Acín Lázaro, María Pilar; Carrera González, Alfredo; Soler, Miguel José Arranz; Maldonado Vega, Sergio

    2016-01-01

    Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1-10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p < 0.001, and health status (VAS) from 40.6 to 61.9, p < 0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement. PMID:27516902

  2. Family-Centered Management of Sensory Challenges of Children With Autism: Single-Case Experimental Design.

    Science.gov (United States)

    Bulkeley, Kim; Bundy, Anita; Roberts, Jacqueline; Einfeld, Stewart

    2016-01-01

    We explored the effectiveness of a sensory-based, family-centered coaching approach to changing problematic routines for young children with autism. Three mothers of young children with autism, atypical sensory processing, and global developmental delay each participated in a single-case experimental ABA design study. Mothers selected a problematic daily routine linked to sensory challenges as the focus of four intervention sessions provided in the home. Changes in mothers' perceptions of the children's behavior were the primary outcome, measured daily on a visual analog scale. Visual and descriptive analyses were undertaken. The sensory-based, family-centered coaching approach showed promise for changing sensory-related problem behaviors of young children with autism, but the degree and maintenance of the intervention effect varied among participants. PMID:27548868

  3. Lionfish string experiences of an inland poison center: a retrospective study of 23 cases.

    Science.gov (United States)

    Trestrail, J H; al-Mahasneh, Q M

    1989-04-01

    From January 1979 through March 1988, our regional poison center, located many hundreds of miles from the nearest coastal salt water, documented 23 cases of envenomation by "Lionfish" (members of genus Pterois). All cases involved specimens which were maintained in the homes of amateur aquarists. A study of patient epidemiology showed the following: patient's sex 91.3% male, 8.7% female; patients ages ranged from 17 to 50 years with an average age for males of 29.8 years and 35 years for females; the site of the envenomation accident was always in the home; the only part of the body envenomated was the hand or finger; and all of the patients were symptomatic. Symptoms noted included sharp pain, swelling, redness, bleeding, nausea, numbness, joint pain, anxiety, headache, disorientation, and dizziness. One patient had a complication of cellulitis. Treatment provided included immersion of the effected area in hot water at 40 C for 60 to 90 min, analgesics, tetanus toxoid, and antibiotics. There were no deaths noted and treatment proved effective in all cases. This paper also discusses the natural history, clinical effects, and current treatment for envenomations from these beautiful but dangerous venomous fish, which can cause poisoning exposures that are likely to be encountered by poison centers anywhere in the world. PMID:2929130

  4. Student-Centered Teaching Meets New Media: Concept and Case Study

    Directory of Open Access Journals (Sweden)

    Andreas Holzinger

    2002-10-01

    Full Text Available There exists empirical evidence proving that students who are given the freedom to explore areas based on their personal interests, and who are accompanied in their learning by a supportive, understanding facilitator, not only achieve superior academic results but also develop socially and grow personally. However, pure Student-Centered Teaching is more demanding in terms of communication, organization, as well as the provision of learning material. Thus, the basic idea underlying our paradigm is to combine Student-Centered Teaching with eLearning in order to exploit the advantages of the two approaches. We refer to this combined style as Student-Centered eLearning (SCeL. Strongly simplified, the computer takes over the task of providing information, while presence phases can be used for giving the content more meaning by means of transparent, open, respectful and empathic interactions within the group. Our case study indicates that Student-Centered eLearning has the potential of reducing the increased demands of Student-Centered Teaching in the long run, while fully retaining all its benefits, such as deeper learning processes, personal growth, social skills, and a higher degree of flexibility. Furthermore, the maturity for life-long learning is cultivated. In this paper we introduce our concept and derive first hypotheses on the conditions under which our paradigm appears most effective. While potential continuations of our studies are manifold, we intend to employ SCeL in the course of the new curriculum of the medical faculty of GrazUniversity where a Virtual Medical Campus (http://vmc.uni-graz.at is currently being developed.

  5. Evaluating the Impact of AIRS Observations on Regional Forecasts at the SPoRT Center

    Science.gov (United States)

    Zavodsky, Bradley

    2011-01-01

    NASA Short-term Prediction Research and Transition (SPoRT) Center collaborates with operational partners of different sizes and operational goals to improve forecasts using targeted projects and data sets. Modeling and DA activities focus on demonstrating utility of NASA data sets and capabilities within operational systems. SPoRT has successfully assimilated the Atmospheric Infrared Sounder (AIRS) radiance and profile data. A collaborative project is underway with the Joint Center for Satellite Data Assimilation (JCSDA) to use AIRS profiles to better understand the impact of AIRS radiances assimilated within Gridpoint Statistical Interpolation (GSI) in hopes of engaging the operational DA community in a reassessment of assimilation methodologies to more effectively assimilate hyperspectral radiances.

  6. Technology Transfer and Knowledge Management in Technological Innovation Center: A Case Study in Brazil

    OpenAIRE

    Luan Carlos Santos Silva; Joao Luiz Kovaleski; Silvia Gaia; Manon Garcia; Pedro Paulo de Andrade Junior

    2013-01-01

    The purpose of this paper was to analyze the knowledge management in the process of technology transfer in a technological innovation center, known in Brazil as NIT. The used methodology included a qualitative approach. It was a case study of a Nucleus which is in a State University located in the south of Bahia state, Brazil. The results showed that this specific Nucleus presents a fine infrastructure regarding the legal regulation, based on the Federal Law of Innovation no 10.973 and on the...

  7. Evaluation of 809 Cases Applicated to A Rabies Vaccination Center of Diyarbakır Government Hospital

    Directory of Open Access Journals (Sweden)

    Hakan Temiz

    2008-09-01

    Full Text Available In this study; 809 cases applicated to rabies vaccination center ofDiyarbakır Government Hospital between May 2006 and May 2007 wereevaluated. Human diploid cell vaccine was applicated as 3 doses in 708cases (%87.5 and 5 doses in 101 cases (%12.5. In 66 cases (%8.2 rabiesantiserum was also used. The sites of injury were head-neck in 45 cases(%5.6, body-arm-leg in 563 (%69.6 cases and hand in 201 (%24.8 cases.477 cases (%59 were evaluated as superficial and 332 cases (%41 wereevaluated as deep injury. 626 cases (%77.4 had dog bite, 142 cases (%17.6had cat bite. While 689 cases (%85.2 visited the rabies vaccination center atthe first day of injury, 115 cases (%14.2 visited in 2-5 days and 5 cases(%0.6 visited after 5 days. In conclusion; the sensitivity and the rate of theearly visit of the vaccination center because of suspicious animal contactare high and when compared with developed countries there must be a greateffort in reducing the incidence of suspicious bites.

  8. NaCo/SAM observations of sources at the Galactic Center

    Science.gov (United States)

    Sanchez-Bermudez, J.; Schödel, R.; Alberdi, A.; Pott, J. U.

    2012-07-01

    Sparse aperture masking (SAM) interferometry combined with Adaptive Optics (AO) is a technique that is uniquely suited to investigate structures near the diffraction limit of large telescopes. The strengths of the technique are a robust calibration of the Point Spread Function (PSF) while maintaining a relatively high dynamic range. We used SAM+AO observations to investigate the circumstellar environment of several bright sources with infrared excess in the central parsec of the Galaxy. For our observations, unstable atmospheric conditions as well as significant residuals after the background subtraction presented serious problems for the standard approach of calibrating SAM data via interspersed observations of reference stars. We circumvented these difficulties by constructing a synthesized calibrator directly from sources within the field-of-view. When observing crowded fields, this novel method can boost the efficiency of SAM observations because it renders interspersed calibrator observations unnecessary. Here, we presented the first NaCo/SAM images reconstructed using this method.

  9. Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature

    International Nuclear Information System (INIS)

    Primary cutaneous follicle center lymphoma is an indolent primary cutaneous B-cell lymphoma originating from the follicle center cells, composed of a combination of centrocytes (small and large cleaved cells) and centroblasts (large noncleaved cells) with a follicular, follicular/diffuse, or diffuse growth pattern. Lesions are mostly located on the head, neck and trunk. A case is presented of a 56-year-old male patient with primary cutaneous follicle center lymphoma, with lesions involving the skin of the back, shoulders, presternal area and right forearm. As the patient presented a disseminated cutaneous form of the disease that involved several anatomical regions, complete work-up was followed by superficial fractionated radiotherapy of eight fields in VI expositions, with total irradiation dose of 1400 cGy upon the following fields: right and left pectoral region, left and right shoulders, right suprascapular region, and proximal third of the right forearm. Total irradiation dose applied upon each field for the lesions located on the left and right side of the back was 1500 cGy. This therapy resulted in significant reduction of visible tumor. The patient was regularly followed up on outpatient basis for 12 months of radiotherapy, being free from local recurrence and systemic spread of the disease

  10. Financial Literacy and the Success of Small Businesses: An Observation from a Small Business Development Center

    Directory of Open Access Journals (Sweden)

    Pearl Dahmen

    2014-01-01

    Full Text Available Small business is the backbone of the U.S. economy; when the financial literacy skills of entrepreneurs fall short of those needed to operate a successful business, it is more than the individual business at risk. In 2012, 14 small businesses requesting growth-acceleration consulting services from the Florida Small Business Development Center at the University of South Florida were assessed financially as part of the service provided by the Center. Financial ratios were used to analyze the business’s financial condition. While performing the financial analysis of these firms, we also surveyed the business owners to determine their level of financial understanding and their use of financial statements in making management decisions. We found a strong association between the small businesses' financial strength and the business owners’ habits of mind with regard to their financial statements: for 7/14 of the businesses, the business owner did not regularly review financial statements, and 6/7 of those businesses were experiencing financial difficulties; conversely, 7/14 of the businesses in the study were experiencing financial difficulties, and for 6/7 of them, the business owner did not regularly review the financial statements.

  11. L- and M-band imaging observations of the Galactic Center region

    CERN Document Server

    Viehmann, T; Schödel, R; Moultaka, J; Straubmeier, C; Pott, J U

    2004-01-01

    We present near-infrared H-, K-, L- and M-band photometry of the Galactic Center from images obtained at the ESO VLT in May and August 2002, using the NAOS/CONICA (H and K) and the ISAAC (L and M) instruments. The large field of view (70" x 70") of the ISAAC instrument and the large number of sources identified (L-M data for 541 sources) allows us to investigate colors, infrared excesses and extended dust emission. Our new L-band magnitude calibration reveals an offset to the traditionally used calibrations, which we attribute to the use of the variable star IRS7 as a flux calibrator. Together with new results on the extinction towards the Galactic Center (Scoville et al. 2003; Raab 2000), our magnitude calibration results in stellar color properties expected from standard stars and removes any necessity to modify the K-band extinction. The large number of sources for which we have obtained L-M colors allows us to measure the M-band extinction to A_M=(0.056+-0.006)A_V (approximately =A_L), a considerably high...

  12. A Catalog of X-ray Point Sources from Two Megaseconds of Chandra Observations of the Galactic Center

    CERN Document Server

    Muno, M P; Baganoff, F K; Bandyopadhyay, R M; Bower, G C; Brandt, W N; Broos, P S; Cotera, A; Eikenberry, S S; Garmire, G P; Hyman, S D; Kassim, N E; Lang, C C; Lazio, T J W; Law, C; Mauerhan, J C; Morris, M R; Nagata, T; Nishiyama, S; Park, S; Ramírez, S V; Stolovy, S R; Wijnands, R; Wang, Q D; Wang, Z; Yusef-Zadeh, F

    2008-01-01

    We present a catalog of 9017 X-ray sources identified in Chandra observations of a 2 by 0.8 degree field around the Galactic center. We increase the number of known X-ray sources in the region by a factor of 2.5. The catalog incorporates all of the ACIS-I observations as of 2007 August, which total 2.25 Msec of exposure. At the distance to the Galactic center (8 kpc), we are sensitive to sources with luminosities >4e32 erg/s (0.5-8.0 keV; 90% confidence) over an area of one square degree, and up to an order of magnitude more sensitive in the deepest exposure (1.0 Msec) around Sgr A*. The positions of 60% of our sources are accurate to <1" (95% confidence), and 20% have positions accurate to <0.5". We search for variable sources, and find that 3% exhibit flux variations within an observation, 10% exhibit variations from observation-to-observation. We also find one source, CXOUGC J174622.7-285218, with a periodic 1745 s signal (1.4% chance probability), which is probably a magnetically-accreting cataclysm...

  13. Farmer Entrepreneurship in New Zealand - Some Observations from Case Studies

    OpenAIRE

    Gow, Neil G.

    2005-01-01

    1984 was a watershed in New Zealand agriculture which led to a flowering of entrepreneurial activity by some New Zealand farmers. A change of government and a national economic crisis lead to a complete and drastic review and subsequent restructuring of the agricultural sector. Farmers were forced to recognize that they could no longer rely on government support but had to meet the market. This paper reflects on research carried out at Lincoln University that has focused on case histories of ...

  14. Spitzer IRS Observations of the Galactic Center: Shocked Gas in the Radio Arc Bubble

    CERN Document Server

    Simpson, Janet P; Cotera, Angela S; Erickson, Edwin F; Hollenbach, David J; Kaufman, Michael J; Rubin, Robert H

    2007-01-01

    We present Spitzer IRS spectra (R ~600, 10 - 38 micron) of 38 positions in the Galactic Center (GC), all at the same Galactic longitude and spanning plus/minus 0.3 degrees in latitude. Our positions include the Arches Cluster, the Arched Filaments, regions near the Quintuplet Cluster, the ``Bubble'' lying along the same line-of-sight as the molecular cloud G0.11-0.11, and the diffuse interstellar gas along the line-of-sight at higher Galactic latitudes. From measurements of the [O IV], [Ne II], [Ne III], [Si II], [S III], [S IV], [Fe II], [Fe III], and H_2 S(0), S(1), and S(2) lines we determine the gas excitation and ionic abundance ratios. The Ne/H and S/H abundance ratios are ~ 1.6 times that of the Orion Nebula. The main source of excitation is photoionization, with the Arches Cluster ionizing the Arched Filaments and the Quintuplet Cluster ionizing the gas nearby and at lower Galactic latitudes including the far side of the Bubble. In addition, strong shocks ionize gas to O^{+3} and destroy dust grains, ...

  15. A Detailed Observational Study of Molecular Loops 1 and 2 in the Galactic Center

    CERN Document Server

    Torii, Kazufumi; Fujishita, Motosuji; Kawase, Tokuichi; Yamamoto, Hiroaki; Kawamura, Akiko; Mizuno, Norikazu; Onishi, Toshikazu; Mizuno, Akira; Machida, Mami; Takahashi, Kunio; Nozawa, Satoshi; Matsumoto, Ryoji; Fukui, Yasuo

    2009-01-01

    Fukui et al. (2006) discovered two molecular loops in the Galactic center that are likely created by the magnetic flotation due to the Parker instability. Following the discovery, we present here a detailed study of the two loops based on NANTEN 12CO(J=1-0) and 13CO(J=1-0) datasets. The two loops are located in (l, b) ~ (357, 1) deg. at a velocity range of -20 - -180 km/s with a projected total length of ~ 600 pc and heights of ~250 - 300 pc from the Galactic disk at a distance of 8.5 kpc. They show bright foot points in the 12CO emission in the edges of the loops at b ~ 0.8 - 1.0 deg.. These foot points are characterized by velocity dispersions of 50 - 100 km/s. The loops also show large-scale velocity gradients of ~30 - 50 km/s per ~100 pc. The loops also have counterparts of the HI gas and IRAS emissions. The HI gas with weaker intensity fills the inner part of the loops where there is no significant 12CO and 13CO emission. We estimate total mass and kinetic energy of the loops are ~1.5 - 2.5 x 10^6 Msun a...

  16. FERMI-LAT OBSERVATIONS OF HIGH-ENERGY γ-RAY EMISSION TOWARD THE GALACTIC CENTER

    Energy Technology Data Exchange (ETDEWEB)

    Ajello, M. [Department of Physics and Astronomy, Clemson University, Kinard Lab of Physics, Clemson, SC 29634-0978 (United States); Albert, A.; Blandford, R. D.; Bloom, E. D.; Bottacini, E.; Caliandro, G. A.; Cameron, R. A. [W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305 (United States); Atwood, W. B.; Caputo, R. [Santa Cruz Institute for Particle Physics, Department of Physics and Department of Astronomy and Astrophysics, University of California at Santa Cruz, Santa Cruz, CA 95064 (United States); Barbiellini, G. [Istituto Nazionale di Fisica Nucleare, Sezione di Trieste, I-34127 Trieste (Italy); Bastieri, D.; Buson, S. [Istituto Nazionale di Fisica Nucleare, Sezione di Padova, I-35131 Padova (Italy); Bechtol, K. [Dept. of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 (United States); Bellazzini, R. [Istituto Nazionale di Fisica Nucleare, Sezione di Pisa, I-56127 Pisa (Italy); Bissaldi, E. [Istituto Nazionale di Fisica Nucleare, Sezione di Bari, I-70126 Bari (Italy); Bonino, R. [Istituto Nazionale di Fisica Nucleare, Sezione di Torino, I-10125 Torino (Italy); Brandt, T. J. [NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Bregeon, J. [Laboratoire Univers et Particules de Montpellier, Université Montpellier, CNRS/IN2P3, Montpellier (France); Bruel, P. [Laboratoire Leprince-Ringuet, École polytechnique, CNRS/IN2P3, Palaiseau (France); Buehler, R., E-mail: tporter@stanford.edu, E-mail: smurgia@uci.edu [Deutsches Elektronen Synchrotron DESY, D-15738 Zeuthen (Germany); and others

    2016-03-01

    The Fermi Large Area Telescope (LAT) has provided the most detailed view to date of the emission toward the Galactic center (GC) in high-energy γ-rays. This paper describes the analysis of data taken during the first 62 months of the mission in the energy range 1–100 GeV from a 15° × 15° region about the direction of the GC. Specialized interstellar emission models (IEMs) are constructed to enable the separation of the γ-ray emissions produced by cosmic ray particles interacting with the interstellar gas and radiation fields in the Milky Way into that from the inner ∼1 kpc surrounding the GC, and that from the rest of the Galaxy. A catalog of point sources for the 15° × 15° region is self-consistently constructed using these IEMs: the First Fermi-LAT Inner Galaxy Point Source Catalog (1FIG). The spatial locations, fluxes, and spectral properties of the 1FIG sources are presented, and compared with γ-ray point sources over the same region taken from existing catalogs. After subtracting the interstellar emission and point-source contributions a residual is found. If templates that peak toward the GC are used to model the positive residual the agreement with the data improves, but none of the additional templates tried account for all of its spatial structure. The spectrum of the positive residual modeled with these templates has a strong dependence on the choice of IEM.

  17. Direct observation of titanium-centered octahedra in titanium-antimony-tellurium phase-change material.

    Science.gov (United States)

    Rao, Feng; Song, Zhitang; Cheng, Yan; Liu, Xiaosong; Xia, Mengjiao; Li, Wei; Ding, Keyuan; Feng, Xuefei; Zhu, Min; Feng, Songlin

    2015-11-27

    Phase-change memory based on Ti0.4Sb2Te3 material has one order of magnitude faster Set speed and as low as one-fifth of the Reset energy compared with the conventional Ge2Sb2Te5 based device. However, the phase-transition mechanism of the Ti0.4Sb2Te3 material remains inconclusive due to the lack of direct experimental evidence. Here we report a direct atom-by-atom chemical identification of titanium-centered octahedra in crystalline Ti0.4Sb2Te3 material with a state-of-the-art atomic mapping technology. Further, by using soft X-ray absorption spectroscopy and density function theory simulations, we identify in amorphous Ti0.4Sb2Te3 the titanium atoms preferably maintain the octahedral configuration. Our work may pave the way to more thorough understanding and tailoring of the nature of the Ti-Sb-Te material, for promoting the development of dynamic random access memory-like phase-change memory as an emerging storage-class memory to reform current memory hierarchy.

  18. 77 FR 11136 - Proposed Collection; Comment Request; a Multi-Center International Hospital-Based Case-Control...

    Science.gov (United States)

    2012-02-24

    ... International Hospital-Based Case-Control Study of Lymphoma in Asia (AsiaLymph) (NCI) SUMMARY: In compliance... the Office of Management and Budget (OMB) for review and approval. Proposed Collection: Title: A Multi-Center International Hospital- Based Case-Control Study of Lymphoma in Asia (AsiaLymph) (NCI). Type...

  19. Observational evidences for the existence of 17.4 keV decaying degenerate sterile neutrinos near the Galactic Center

    CERN Document Server

    Chan, Man Ho

    2010-01-01

    We show that the existence of a degenerate halo of sterile neutrinos with rest mass of 17.4 keV near the Galactic Center can account for both the excess 8.7 keV emission observed by the $Suzaku$ mission and the power needed ($10^{40}$ erg s$^{-1}$) to maintain the high temperature of the hot gas (8 keV) near the Galactic Center. The required decay rate and mixing angle of the sterile neutrinos are $\\Gamma \\ge 5 \\times 10^{-20}$ s$^{-1}$ and $\\sin^22 \\theta \\sim 10^{-3}-10^{-4}$ respectively. These values are consistent with a low reheating temperature in the inflation model, and suggest the exciting possibility that the sterile - active neutrino oscillation can be visible in near future experiments.

  20. Audit of a Scientific Data Center for Certification as a Trustworthy Digital Repository: A Case Study

    Science.gov (United States)

    Downs, R. R.; Chen, R. S.

    2011-12-01

    Services that preserve and enable future access to scientific data are necessary to ensure that the data that are being collected today will be available for use by future generations of scientists. Many data centers, archives, and other digital repositories are working to improve their ability to serve as long-term stewards of scientific data. Trust in sustainable data management and preservation capabilities of digital repositories can influence decisions to use these services to deposit or obtain scientific data. Building on the Open Archival Information System (OAIS) Reference Model developed by the Consultative Committee for Space Data Systems (CCSDS) and adopted by the International Organization for Standardization as ISO 14721:2003, new standards are being developed to improve long-term data management processes and documentation. The Draft Information Standard ISO/DIS 16363, "Space data and information transfer systems - Audit and certification of trustworthy digital repositories" offers the potential to evaluate digital repositories objectively in terms of their trustworthiness as long-term stewards of digital resources. In conjunction with this, the CCSDS and ISO are developing another draft standard for the auditing and certification process, ISO/DIS 16919, "Space data and information transfer systems - Requirements for bodies providing audit and certification of candidate trustworthy digital repositories". Six test audits were conducted of scientific data centers and archives in Europe and the United States to test the use of these draft standards and identify potential improvements for the standards and for the participating digital repositories. We present a case study of the test audit conducted on the NASA Socioeconomic Data and Applications Center (SEDAC) and describe the preparation, the audit process, recommendations received, and next steps to obtain certification as a trustworthy digital repository, after approval of the ISO/DIS standards.

  1. Statistical Machines for Trauma Hospital Outcomes Research: Application to the PRospective, Observational, Multi-Center Major Trauma Transfusion (PROMMTT Study.

    Directory of Open Access Journals (Sweden)

    Sara E Moore

    Full Text Available Improving the treatment of trauma, a leading cause of death worldwide, is of great clinical and public health interest. This analysis introduces flexible statistical methods for estimating center-level effects on individual outcomes in the context of highly variable patient populations, such as those of the PRospective, Observational, Multi-center Major Trauma Transfusion study. Ten US level I trauma centers enrolled a total of 1,245 trauma patients who survived at least 30 minutes after admission and received at least one unit of red blood cells. Outcomes included death, multiple organ failure, substantial bleeding, and transfusion of blood products. The centers involved were classified as either large or small-volume based on the number of massive transfusion patients enrolled during the study period. We focused on estimation of parameters inspired by causal inference, specifically estimated impacts on patient outcomes related to the volume of the trauma hospital that treated them. We defined this association as the change in mean outcomes of interest that would be observed if, contrary to fact, subjects from large-volume sites were treated at small-volume sites (the effect of treatment among the treated. We estimated this parameter using three different methods, some of which use data-adaptive machine learning tools to derive the outcome models, minimizing residual confounding by reducing model misspecification. Differences between unadjusted and adjusted estimators sometimes differed dramatically, demonstrating the need to account for differences in patient characteristics in clinic comparisons. In addition, the estimators based on robust adjustment methods showed potential impacts of hospital volume. For instance, we estimated a survival benefit for patients who were treated at large-volume sites, which was not apparent in simpler, unadjusted comparisons. By removing arbitrary modeling decisions from the estimation process and concentrating

  2. Crop production data for bioregenerative life support: Observations from testing at NASA's Kennedy Space Center

    Science.gov (United States)

    Wheeler, R. M.; Mackowiak, C. L.; Stutte, G. W.; Yorio, N. C.; Ruffe, L. M.; Sager, J. C.; Knott, W. M.

    NASA s Biomass Production Chamber BPC at Kennedy Space Center was decommissioned ca 1998 but in the preceding decade several crop tests were conducted that have not been reported in the open literature These included monoculture studies with wheat soybean potato and tomato For each of these studies 20 m 2 of crops were grown in an atmospherically closed chamber 113 m 3 vol using a nutrient film hydroponic technique along with elevated CO 2 1000 or 1200 mu mol mol -1 Canopy light PAR levels ranged from 30 to 85 mol m -2 d -1 depending on the crop and selected photoperiod Total biomass DM productivities reached 40 g m -2 d -1 for wheat 16 g m -2 d -1 for soybean 33 g m -2 d -1 for potato and 20 g m -2 d -1 for tomato Edible biomass DM productivities reached 13 g m -2 d -1 for wheat 6 g m -2 d -1 for soybean 20 g m -2 d -1 for potato and 10 g m -2 d -1 for tomato The highest radiation use efficiencies for biomass were 0 60 g DM mol -1 PAR for wheat 0 50 g mol -1 for soybean 0 95 g mol -1 for potato and 0 51 g mol -1 for tomato The highest radiation use efficiencies for edible biomass were 0 22 g DM mol -1 for wheat 0 18 g mol -1 for soybean 0 58 g mol -1 for potato and 0 25 g mol -1 for tomato Use of transplanting cycles or spacing techniques to reduce open gaps between plants early in growth would have improved productivities and radiation use efficiencies for soybeans potatoes and

  3. Analysis of the Service Quality of Medical Centers Using Servqual Model (Case:Shaheed Rahnemoon Hospital

    Directory of Open Access Journals (Sweden)

    H Zare Ahmadabadi

    2007-07-01

    Full Text Available Introduction: Many organizations, especially service oriented ones, relative to their goals and mission, have a special view towards quality phenomena and its management. Methods: This paper analyzes medical service quality in one case; The internal section of Shaheed Rahnemoon Hospital Based on the basis of gap analysis model and Servqual technique. A questionnaire was designed and applied to measure expectations and perceptions of patients and personnel of the hospital. Results: On application of non-parametric statistical tests, we propose certain recommendations. These tests drive on five conceptual dimensions of service quality including intangibility, responsiveness, reliability, assurance and empathy. Results show that patients in this section were satisfied from the service provider’s responsiveness, but there are significant differences between expectations and perceptions in other dimensions. Conclusion: The service quality analysis models are useful for managers of medical centers to distinguish gaps between the two sides of service representation; patients and medical centers personnel. Ultimately, they can reinforce strengths and control weaknesses.

  4. Three-body scattering problem in the fixed center approximation: the case of attraction

    CERN Document Server

    Kudryavtsev, Alexander E; Romanov, Alexander I

    2016-01-01

    We study scattering of a light particle on a bound pair of heavy particles (e.g., the deuteron) within the fixed center approximation in the case of light-heavy attraction, solving the integral equation for the three-body Green's function both in the coordinate and in the momentum space. The results for the three-body scattering amplitude appear to be ambiguous -- they depend on a single real parameter. This parameter may be fixed by a three-body input, e.g., the three-body scattering length. We also solve the integral equation for the three-body Green function in the momentum space, introducing a finite cut-off. We show that all three approaches are equivalent. We also discuss how our approach to the problem matches with the introduction of three-body contact interaction as done by other authors.

  5. Lyme Neuroborreliosis: Preliminary Results from an Urban Referral Center Employing Strict CDC Criteria for Case Selection

    Directory of Open Access Journals (Sweden)

    David S. Younger

    2010-01-01

    Full Text Available Lyme neuroborreliosis or “neurological Lyme disease” was evidenced in 2 of 23 patients submitted to strict criteria for case selection of the Centers for Disease Control and Prevention employing a two-tier test to detect antibodies to Borrelia burgdorferi at a single institution. One patient had symptomatic polyradiculoneuritis, dysautonomia, and serological evidence of early infection; and another had symptomatic small fiber sensory neuropathy, distal polyneuropathy, dysautonomia, and serological evidence of late infection. In the remaining patients symptoms initially ascribed to Lyme disease were probably unrelated to B. burgdorferi infection. Our findings suggest early susceptibility and protracted involvement of the nervous system most likely due to the immunological effects of B. burgdorferi infection, although the exact mechanisms remain uncertain.

  6. Observing a column-dependent zeta in dense interstellar sources: the case of the Horsehead Nebula

    CERN Document Server

    Rimmer, P B; Morata, O; Roueff, E

    2011-01-01

    Context: Observations of small carbon-bearing molecules such as CCH, C4H, c-C3H2, and HCO in the Horsehead Nebula have shown these species to have higher abundances towards the edge of the source than towards the center. Aims: Given the determination of a wide range of values for zeta (s-1), the total ionization rate of hydrogen atoms, and the proposal of a column-dependent zeta(N_H), where N_H is the total column of hydrogen nuclei, we desire to determine if the effects of zeta(N_H) in a single object with spatial variation can be observable. We chose the Horsehead Nebula because of its geometry and high density. Method: We model the Horsehead Nebula as a near edge-on photon dominated region (PDR), using several choices for zeta, both constant and as a function of column. The column-dependent zeta functions are determined by a Monte Carlo model of cosmic ray penetration, using a steep power-law spectrum and accounting for ionization and magnetic field effects. We consider a case with low-metal elemental abun...

  7. A review of 151 cases of pediatric noncystic fibrosis bronchiectasis in a tertiary care center

    Directory of Open Access Journals (Sweden)

    Banjar Hanaa

    2007-01-01

    Full Text Available Objective: This study was conducted to review the etiological factors and diseases associated with pediatric noncystic fibrosis bronchiectasis in a tertiary care center in Saudi Arabia. Materials and Methods: A retrospective review of all patients with confirmed noncystic fibrosis (Non-CF bronchiectasis by chest X-ray and/or CT chest in a pulmonary clinic during the period 1993-2005 at a tertiary care center in Riyadh. Results: A total of 151 cases were diagnosed as Non-CF bronchiectasis. Seventy-five (49.7% were male, 76 (50.3% were female; 148 (98% are alive and 3 (2% died. The southwestern regions constituted 72 (50% of the cases. There was a period of (5 ± 3.2 years between the start of symptoms and diagnosis of bronchiectasis. More than two-thirds of the patients had cough, tachypnea, wheezing, sputum production and failure to thrive. Ninety-one (60% had associated diseases: Pulmonary diseases in 48 (32%, immunodeficiency in 27 (18%, central nervous system anomalies in 10 (7%, cardiac in 10 (7% and asthma in 103 (68% of the patients. Left lower lobe was commonly involved in 114 (76% patients. Sixty-eight (67% were found to have sinusitis. More than two-thirds of patients had two or more associated diseases. Forty-nine (32% developed gastroesophageal reflux. Hemophilus influenza was cultured in 56 (37%, strept pneumoniae in 25 (17% and pseudomonas aeruginosa in 24 (16% of the patients. Eighty percent of the patients who had pulmonary function test had abnormal changes. Disease progression was related to development of symptoms before 5 years of age, persistent atelectasis and right lower lobe involvement ( P < 0.05. Conclusion: Non-CF bronchiectasis should be included in the differential diagnosis of recurrent chest infection in Saudi Arabia. Early diagnosis and identification of associated diseases is needed to prevent progression of the disease.

  8. Personality traits affect teaching performance of attending physicians: results of a multi-center observational study.

    Directory of Open Access Journals (Sweden)

    Renée A Scheepers

    Full Text Available BACKGROUND: Worldwide, attending physicians train residents to become competent providers of patient care. To assess adequate training, attending physicians are increasingly evaluated on their teaching performance. Research suggests that personality traits affect teaching performance, consistent with studied effects of personality traits on job performance and academic performance in medicine. However, up till date, research in clinical teaching practice did not use quantitative methods and did not account for specialty differences. We empirically studied the relationship of attending physicians' personality traits with their teaching performance across surgical and non-surgical specialties. METHOD: We conducted a survey across surgical and non-surgical specialties in eighteen medical centers in the Netherlands. Residents evaluated attending physicians' overall teaching performance, as well as the specific domains learning climate, professional attitude, communication, evaluation, and feedback, using the validated 21-item System for Evaluation of Teaching Qualities (SETQ. Attending physicians self-evaluated their personality traits on a 5-point scale using the validated 10-item Big Five Inventory (BFI, yielding the Five Factor model: extraversion, conscientiousness, neuroticism, agreeableness and openness. RESULTS: Overall, 622 (77% attending physicians and 549 (68% residents participated. Extraversion positively related to overall teaching performance (regression coefficient, B: 0.05, 95% CI: 0.01 to 0.10, P = 0.02. Openness was negatively associated with scores on feedback for surgical specialties only (B: -0.10, 95% CI: -0.15 to -0.05, P<0.001 and conscientiousness was positively related to evaluation of residents for non-surgical specialties only (B: 0.13, 95% CI: 0.03 to 0.22, p = 0.01. CONCLUSIONS: Extraverted attending physicians were consistently evaluated as better supervisors. Surgical attending physicians who display high levels of

  9. A case of administrative conflict: observations on the dynamic framework.

    Science.gov (United States)

    Thienhaus, O J

    1989-01-01

    A situation is described of suddenly erupting conflict in an interdisciplinary meeting of psychiatric hospital staff. The conflict is related to the systemic impact of recent changes in psychiatric hospital practice. The observed affect and interpersonal dynamics are reviewed in the context of different conceptual frameworks. These include Maslow's hierarchy of needs model, the group focal conflict paradigm and the concept of scapegoating. The use and integration of these three approaches toward understanding affectively laden administrative conflict are discussed. Specific reference is made to the utilization of such understanding in developing leadership skills in a multi-disciplinary mental health setting.

  10. A NuSTAR OBSERVATION OF THE CENTER OF THE COMA CLUSTER

    Energy Technology Data Exchange (ETDEWEB)

    Gastaldello, Fabio; Molendi, S. [IASF-Milano, INAF, Via Bassini 15, I-20133 Milan (Italy); Wik, Daniel R.; Zhang, W. W. [Astrophysics Science Division, NASA/Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Westergaard, N. J.; Hornstrup, A.; Ferreira, D. D. M.; Christensen, F. E. [DTU Space, National Space Institute, Technical University of Denmark, Elektrovej 327, DK-2800 Lyngby (Denmark); Madejski, G. [Kavli Institute for Particle Astrophysics and Cosmology, SLAC National Accelerator Laboratory, Menlo Park, CA 94025 (United States); Boggs, S. E.; Craig, W. W. [Space Sciences Laboratory, University of California, Berkeley, CA 94720 (United States); Grefenstette, B. W.; Harrison, F. A.; Madsen, K. K. [Cahill Center for Astronomy and Astrophysics, California Institute of Technology, Pasadena, CA 91125 (United States); Hailey, C. J. [Columbia Astrophysics Laboratory, Columbia University, New York, NY 10027 (United States); Stern, D., E-mail: gasta@lambrate.inaf.it [Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109 (United States)

    2015-02-20

    We present the results of a 55 ks NuSTAR observation of the core of the Coma Cluster. The global spectrum can be explained by thermal gas emission, with a conservative 90% upper limit to non-thermal inverse Compton (IC) emission of 5.1 × 10{sup –12} erg cm{sup –2} s{sup –1} in a 12' × 12' field of view. The brightness of the thermal component in this central region does not allow more stringent upper limits on the IC component when compared with non-imaging instruments with much larger fields of view where claims of detections have been made. Future mosaic NuSTAR observations of Coma will further address this issue. The temperature map shows a relatively uniform temperature distribution with a gradient from the hot northwest side to the cooler southeast, in agreement with previous measurements. The temperature determination is robust given the flat effective area and low background in the 3-20 keV band, making NuSTAR an ideal instrument to measure high temperatures in the intracluster medium.

  11. 1-6 Years Aged Childrens Mothers First Aid for Burns Observation in Mardin City Center

    Directory of Open Access Journals (Sweden)

    Betul Battaloglu Inanc

    2013-05-01

    Full Text Available        Aim: In this study, we aimed to determine the mothers’ knowledge levels about burns and first aid. When they encounter burns, what will they do in the first instance and emergency application. At the end of this research correct information given to mothers. Aimed to supply the deficiency information. Material and Method: 25-49 age group of mothers who have 1-6 years aged childrens’ in the study were choisen ramdomly. After being informed about the study, only volunteries for questionnaires were used. There were a thousand mothers. Results: Children’ 21.6 % have burns. 81.4% burns were in their house , 18.6 % burns were out of their house. Often burns case were 2-4 years aged group children. 89.6 % mothers found themselves have no true knowledge about first aid for burns. Discussion: Mothers’ knowledge more deficient about the first aid for the burns. In this regard mothers’ lack of knowledge must be correct with the training activities to be applied. Prime necessity of the mothers were informed about the right applications.

  12. Direct observation of the active center for methane dehydroaromatization using an ultrahigh field 95Mo NMR spectroscopy.

    Science.gov (United States)

    Zheng, Heng; Ma, Ding; Bao, Xinhe; Hu, Jian Zhi; Kwak, Ja Hun; Wang, Yong; Peden, Charles H F

    2008-03-26

    The use of an ultrahigh magnetic field spectrometer and 95Mo isotope enrichment facilitate the direct observation of the local structure of Mo species on Mo/zeolite catalysts by 95Mo NMR. Top trace: The experimental 95Mo NMR spectrum of 6Mo/HZSM-5. Bottom traces: The simulated overall spectrum (orange), the spectral component corresponding to MoO3 (purple), and the component corresponding to the exchanged Mo species (green). The exchanged Mo species proved to be the active center for the methane dehydroaromatization (MDA) reaction.

  13. User guide: Earth resources observation and science (EROS) center science processing architecture (ESPA) on demand interface

    Science.gov (United States)

    Jenkerson, Calli

    2013-01-01

    Landsat data have been produced, archived, and distributed by the U.S. Geological Survey (USGS) since 1972. Scientists and users rely on these data for historical study of land surface change, but shoulder the burden of post-production processing to create applications-ready data sets. In compliance with guidelines established through the Global Climate Observing System, USGS has embarked on production of higher-level Landsat data products to support land surface change study. Terrestrial variables such as surface reflectance and land surface temperature will be offered as Climate Data Records (CDR). Derivations of spectral indices from surface reflectance are also produced, to further ease user application in land remote sensing science. Higher level products, such as leaf area index, burned area extent, snow covered area, and surface water extent representing Essential Climate Variables (ECV) will be available soon.

  14. User-Centered Design for Interactive Maps: A Case Study in Crime Analysis

    Directory of Open Access Journals (Sweden)

    Robert E. Roth

    2015-02-01

    Full Text Available In this paper, we address the topic of user-centered design (UCD for cartography, GIScience, and visual analytics. Interactive maps are ubiquitous in modern society, yet they often fail to “work” as they could or should. UCD describes the process of ensuring interface success—map-based or otherwise—by gathering input and feedback from target users throughout the design and development of the interface. We contribute to the expanding literature on UCD for interactive maps in two ways. First, we synthesize core concepts on UCD from cartography and related fields, as well as offer new ideas, in order to organize existing frameworks and recommendations regarding the UCD of interactive maps. Second, we report on a case study UCD process for GeoVISTA CrimeViz, an interactive and web-based mapping application supporting visual analytics of criminal activity in space and time. The GeoVISTA CrimeViz concept and interface were improved iteratively by working through a series of user→utility→usability loops in which target users provided input and feedback on needs and designs (user, prompting revisions to the conceptualization and functional requirements of the interface (utility, and ultimately leading to new mockups and prototypes of the interface (usability for additional evaluation by target users (user… and so on. Together, the background review and case study offer guidance for applying UCD to interactive mapping projects, and demonstrate the benefit of including target users throughout design and development.

  15. Cytopathology of neoplastic meningitis: A series of 66 cases from a tertiary care center

    Directory of Open Access Journals (Sweden)

    Gurdeep Singh

    2013-01-01

    Full Text Available Background: Neoplastic meningitis (NM is a condition characterized by leptomeningeal involvement by metastatic carcinoma. Detection of exfoliated malignant cells in cerebrospinal fluid (CSF due to meningeal metastasis is frequently associated with diverse neurologic presentations. Materials and Methods: In this retrospective study of all cases of NM diagnosed in CSF samples over a 20-year period at a tertiary care referral center, the cytomorphologic features were reviewed. Results: Sixty six cases of NM were identified of which 36 already had an established diagnosis of malignancy while in 30 patients, there was no previously known tumor. The most common known primary in the former group was breast followed by ovary. Single cell pattern, cellular cannibalism, moderate cytoplasm and rounded nuclei were seen in breast and lung tumors. Papillary architecture and cytoplasmic vacuolation were seen in the ovarian primaries. Melanin pigment was seen in malignant melanoma. Conclusion: CSF cytology is an important tool for diagnosis of NM. Cytomorphologic features helped in diagnosis and for prediction of the primary site. Correct identification of this condition is important as it has therapeutic and prognostic implications.

  16. Implications of task environment and corporate context on marketing measurement systems in shopping centers - a constructive case study

    OpenAIRE

    Lehtonen, Lotta

    2013-01-01

    Abstract Objectives of the study The objective of this thesis was to understand how marketing performance assessment can be organized in shopping centers. The purpose was to develop a recommendation of a marketing performance measurement system for the case company by identifying which marketing metrics were perceived relevant in the specific corporate context and how the marketing metrics fit the shopping center task environment. The empirical research also addressed perceived barrie...

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

    OpenAIRE

    Hackel, Jennifer M.

    2013-01-01

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

  18. Radio Continuum Observations of the Galactic Center: Photoevaporative Proplyd-like Objects near Sgr A*

    CERN Document Server

    Yusef-Zadeh, F; Wardle, M; Cotton, W; Schödel, R; Royster, M J

    2015-01-01

    We present radio images within 30$''$ of Sgr A* based on recent VLA observations at 34 GHz with 7.8 microJy sensitivity and resolution $\\sim88\\times46$ milliarcseconds (mas). We report 44 partially resolved compact sources clustered in two regions in the E arm of ionized gas that orbits Sgr A*. These sources have size scales ranging between ~50 and 200 mas (400 to 1600 AUs), and a bow-shock appearance facing the direction of Sgr A*. Unlike the bow-shock sources previously identified in the near-IR but associated with massive stars, these 34 GHz sources do not appear to have near-IR counterparts at 3.8 $\\mu$m. We interpret these sources as a candidate population of photoevaporative protoplanetary disks (proplyds) that are associated with newly formed low mass stars with mass loss rates ~10^{-7} - 10^{-6} solar mass per year and are located at the edge of a molecular cloud outlined by ionized gas. The disks are externally illuminated by strong Lyman continuum radiation from the ~100 OB and WR massive stars dist...

  19. Cusps in the center of galaxies: a real conflict with observations or a numerical artefact of cosmological simulations?

    CERN Document Server

    Baushev, A N; Campusano, L E; Escala, A; Muñoz, R R; Palma, G A

    2016-01-01

    Galaxy observations and N-body cosmological simulations produce conflicting dark matter halo density profiles for galaxy central regions. While simulations suggest a cuspy and universal profile (UDP) of this region, the majority of observations favor variable profiles with a core in the center. In this paper, we investigate the convergency of standard N-body simulations, especially in the cusp region, following the approach proposed by (Baushev, 2015). We simulate the well known Hernquist model using the SPH code Gadget-3 and consider the full array of dynamical parameters of the particles. We find that, although the cuspy profile is stable, all integrals of motion characterizing individual particles suffer strong unphysical variations along the whole halo, revealing an effective interaction between the test bodies. This result casts doubts on the reliability of the velocity distribution function obtained in the simulations. Moreover, we find unphysical Fokker-Planck streams of particles in the cusp region. T...

  20. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    Appendix II of The Woodlands Metro Center Energy Study near Houston consists of the following: Metro Center Program, Conventional Plan Building Prototypes and Detail Parcel Analysis, Energy Plan Building Prototypes, and Energy Plan Detail Parcel Analysis.

  1. R&D Characteristics and Organizational Structure: Case Studies of University-Industry Research Centers

    Science.gov (United States)

    Hart, Maureen McArthur

    2013-01-01

    Within the past few decades, university-industry research centers have been developed in large numbers and emphasized as a valuable policy tool for innovation. Yet little is known about the heterogeneity of organizational structure within these centers, which has implications regarding policy for and management of these centers. This dissertation…

  2. Offering Women Childbirth Choices: A Case for Nurse-Midwives and Free-Standing Birth Centers.

    Science.gov (United States)

    Heffron, Marsha S.

    2002-01-01

    Describes the use of Certified Nurse Midwives and birth centers, examining how they present a safe, alternative maternity care option for low-risk women and discussing safety issues to consider with alternative childbirth experiences, birth center licensure and accreditation, cost effectiveness of freestanding birth centers, and client…

  3. Building a Student-Centered Culture in Times of Natural Disaster: A Case Study

    Science.gov (United States)

    Hlinka, Karen Ramey

    2013-01-01

    Increased rates of student success and persistence have been positively linked to community colleges with student-centered cultures. A student-centered culture is one in which policies and practices promote a consistent message of concern and respect while expecting high standards of academic accomplishment. Developing a student-centered culture…

  4. The Begun Center for Violence Prevention Research and Education at Case Western Reserve University

    Science.gov (United States)

    Flannery, Daniel J.; Singer, Mark I.

    2015-01-01

    Established in the year 2000, the Begun Center for Violence Prevention Research and Education is a multidisciplinary center located at a school of social work that engages in collaborative, community-based research and evaluation that spans multiple systems and disciplines. The Center currently occupies 4,200 sq. ft. with multiple offices and…

  5. Does slow energy transfer limit the observed time constant for radical pair formation in photosystem II reaction centers?

    Science.gov (United States)

    Rech, T; Durrant, J R; Joseph, D M; Barber, J; Porter, G; Klug, D R

    1994-12-13

    We have used spectrally photoselective femtosecond transient absorption spectroscopy on photosystem II reaction centers to show that there are at least two pools of chlorin molecules/states which can transfer excitation energy to P680, the primary electron donor in photosystem II. It has previously been shown that one chlorin pool equilibrates with P680 in 100 fs [Durrant et al. (1992) Proc. Natl. Acad. Sci. U.S.A. 89, 11632-11636], and we report here the observation of energy transfer from a second more weakly coupled chlorin pool. The effect of the weakly coupled pool is to increase the apparent time constant for radical pair formation from 21 ps when P680 is selectively excited to 27 ps when the accessory chlorins are excited. We conclude that it is possible to observe both radical pair formation somewhat slowed by an energy transfer step and radical pair formation not limited by this slow energy transfer, depending upon which chromophores are initially excited. These observations provide evidence that when using photoselective excitation of P680, the observed 21 ps time constant for radical pair formation is not limited by a slow energy transfer step. PMID:7993905

  6. Application of the Study Model of \\\\\\"Knowledge Management Infrastructure in Organizations\\\\\\" in Information Centers: The case of the Regional Information Center for Science and Technology (RICeST

    Directory of Open Access Journals (Sweden)

    Abdolhossein Farajpahlou

    2012-02-01

    Full Text Available Information centers are duly obliged to move in line with their parent organizations’ goals and missions in creating knowledge. In the age of information and communication revolution, and in a knowledge-based economy, organizations that are involved in creation of knowledge have an important role in communication and diffusion of knowledge. In the mean time, libraries and information centers change from being mere depository sources to knowledge institutions. The current research aimed to study the present state of knowledge management infrastructures of the Regional Information Center for Science and Technology (RICeST as a national and regional information center. The statistic population of this study was consisted of 87 staff. Data was collected by means of questionnaires, observation and interviews. The results showed the required infrastructure for KM activities were almost there, among different aspects of which, budgeting had a better situation in the institution under study. In regards with establishment of knowledge management, RICeST was paying more attention to information and communication technology and knowledge network via applications such as the Internet and extranets. Another fact was that in the RICeST, emphasis was on learning and on human resources as the substantial sources in creation of knowledge. Among other aspects, “organizational culture” was in a lower state compared with other aspects in the RICeST.

  7. Tarsal lameness of dairy bulls housed at two artificial insemination centers: 24 cases (1975-1987).

    Science.gov (United States)

    Bargai, U; Cohen, R

    1992-10-01

    Degenerative joint disease of the tarsi was diagnosed in 20 of 24 Holstein bulls with tarsal lameness at 2 artificial insemination centers from 1975 to 1987. Each of the 2 centers housed about 100 bulls/yr. Of the 24 bulls with tarsal lameness, 22 were from the artificial insemination center designated as A, and 2 were from the center designated as B. Examination of the housing and management procedures revealed that center A had concrete floors with cuboidal-shaped yards, whereas center B had deep sand flooring, with long, narrow yards. The only other difference between the 2 centers was that center A used 1- and 2-year-old bulls as teasers for older, heavier bulls to mount, whereas center B used bulls that were at least 6 years old to withstand the stress placed on their hind limbs by the weight of bulls undergoing semen collection. Radiographic lesions of tarsi of bulls from both centers ranged from distention of the tibiotarsal joint pouch to hypertrophic degenerative osteoarthritis of the distal, intertarsal, and tarsometatarsal joints. It was concluded that the concrete flooring and the semen collecting practices were responsible for the high prevalence of tarsal lameness and degenerative joint disease of the tarsi in bulls housed at center A.

  8. Building an outpatient imaging center: A case study at genesis healthcare system, part 2.

    Science.gov (United States)

    Yanci, Jim

    2006-01-01

    In the second of 2 parts, this article will focus on process improvement projects utilizing a case study at Genesis HealthCare System located in Zanesville, OH. Operational efficiency is a key step in developing a freestanding diagnostic imaging center. The process improvement projects began with an Expert Improvement Session (EIS) on the scheduling process. An EIS session is a facilitated meeting that can last anywhere from 3 hours to 2 days. Its intention is to take a group of people involved with the problem or operational process and work to understand current failures or breakdowns in the process. Recommendations are jointly developed to overcome any current deficiencies, and a work plan is structured to create ownership over the changes. A total of 11 EIS sessions occurred over the course of this project, covering 5 sections: Scheduling/telephone call process, Pre-registration, Verification/pre-certification, MRI throughput, CT throughput. Following is a single example of a project focused on the process improvement efforts. All of the process improvement projects utilized a quasi methodology of "DMAIC" (Define, Measure, Analyze, Improve, and Control). PMID:17172093

  9. Trends and Characteristics of HIV Infection among Suspected Tuberculosis Cases in Public Health Centers in Korea: 2001–2013

    OpenAIRE

    Kee, Meekyung; Lee, Kyoung-Ho; Lee, Sae-Young; Kang, Chun; Chu, Chaeshin

    2014-01-01

    Objectives The Republic of Korea reports approximately 35,000 new tuberculosis (TB) patients each year, and the number of HIV-infected individuals is steadily increasing. Public health centers (PHCs) conduct TB diagnosis and treatment for risk groups in communities. This study aimed to identify possible trends and characteristics of HIV infection among suspected TB cases in PHCs. Methods Study subjects were suspected TB cases in PHCs who agreed to be tested for HIV from 2001 to 2013. Trends i...

  10. Radiosurgery for skull base meningiomas: a study on 230 cases in Iranian Gamma Knife Center

    Directory of Open Access Journals (Sweden)

    Ali Bitara M

    2010-06-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Meningiomas are among the most common tumors of the brain. Skull base meningiomas comprise s major part of brain meningiomas. They are difficult to treat because of proximity to major vital neuro-vascular structures which makes their surgical resection hazardous and fraught with a high rate of complications. Radiosurgery is considered as an alternative efficient way to treat them, which targets the tumor and its supplying vasculature. The standard treatment consists of tumor eradication and its supplying vessels through homogeneous dose of 201 rays of cobalt 60 source."n"nMethods: In a case-series study, we report 230 meningiomas referred to Iraninan Gamma Knife Center, treated by radiosurgery with type C Gamma Knife. Radio-surgery was performed at a mean dose of 15 Gy and 50% isodose."n"nResults: Two hundred and thirty of all meningioma cases refered to our institute were skull base lesions. Eighty (35% were new case and the rest were previously treated microsurgically one or more times. None of the patients died after treatment and the most common post-operative complications were headache (30 patients and peri-tumoral edema (12 patients."n"nConclusion: Tumoral control is defined as reduced tumor volume

  11. New methods for solving a vertex p-center problem with uncertain demand-weighted distance: A real case study

    Directory of Open Access Journals (Sweden)

    Javad Nematian

    2015-04-01

    Full Text Available Vertex and p-center problems are two well-known types of the center problem. In this paper, a p-center problem with uncertain demand-weighted distance will be introduced in which the demands are considered as fuzzy random variables (FRVs and the objective of the problem is to minimize the maximum distance between a node and its nearest facility. Then, by introducing new methods, the proposed problem is converted to deterministic integer programming (IP problems where these methods will be obtained through the implementation of the possibility theory and fuzzy random chance-constrained programming (FRCCP. Finally, the proposed methods are applied for locating bicycle stations in the city of Tabriz in Iran as a real case study. The computational results of our study show that these methods can be implemented for the center problem with uncertain frameworks.

  12. Building America Case Study: New Town Builders' Power of Zero Energy Center, Denver, Colorado (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a 'Power of Zero Energy Center' linked to its model home in the Stapleton community of Denver. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. The case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  13. New Whole-House Solutions Case Study: New Town Builders' Power of Zero Energy Center - Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a "Power of Zero Energy Center" linked to its model home in the Stapleton community. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. This case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  14. Launch Complex 39 Observation Gantry Area (SWMU# 107) Annual Long-Term Monitoring Report (Year 1) Kennedy Space Center, Florida

    Science.gov (United States)

    Johnson, Jill W.; Towns, Crystal

    2015-01-01

    This document has been prepared by Geosyntec Consultants, Inc. (Geosyntec) to present and discuss the findings of the 2014 and 2015 Long-Term Monitoring (LTM) activities that were completed at the Launch Complex 39 (LC39) Observation Gantry Area (OGA) located at the John F. Kennedy Space Center (KSC), Florida (Site). The remainder of this report includes: (i) a description of the Site location; (ii) summary of Site background and previous investigations; (iii) description of field activities completed as part of the annual LTM program at the Site; (iv) groundwater flow evaluation; (v) presentation and discussion of field and analytical results; and (vi) conclusions and recommendations. Applicable KSC Remediation Team (KSCRT) Meeting minutes are included in Attachment A. This Annual LTM Letter Report was prepared by Geosyntec Consultants (Geosyntec) for NASA under contract number NNK12CA13B, Delivery Order NNK13CA39T project number PCN ENV2188.

  15. Turning Processes: The Change of Representations in Consultee-Centered Case Consultation. Linkoping Studies in Education and Psychology No. 74.

    Science.gov (United States)

    Hylander, Ingrid

    This study investigates sudden changes in the consultee-centered case consultation method. Three types of sudden changes in consultation were identified: (1) turnings, (2) turning points, and (3) shifts. The first part of this study explores the turning of the consultee's representation of his/her interaction to the client. The second part…

  16. From Teacher-Centered Instruction to Peer Tutoring in the Heterogeneous International Classroom: A Danish Case of Instructional Change

    Science.gov (United States)

    Lueg, Klarissa; Lueg, Rainer

    2014-01-01

    This case study documents a seminar redesign from a teacher-centered instruction format to collaborative "reciprocal peer tutoring" (RPT) at Aarhus University, Denmark. Departing from concepts by Bourdieu and Vertovec, we argue that teaching concepts should meet the needs of students within Higher Education (HE). Our student sample is…

  17. Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

    OpenAIRE

    Orhan Akinci; Yavuz Akalin; Ali Otuzbir; Alpaslan Oztürk

    2016-01-01

    Bilateral anterior shoulder dislocations are  rarely seen and usually occur due to the same mechanism arising from traumatic injuries. In here, we discussed three cases of traumatic bilateral anterior shoulder dislocation , one had an additional patella fracture, and the other one had bilateral tuberculum majus fracture. All of the patients were female and our first case that presented here was 65-year-old and given a closed reduction for isolated bilateral anterior shoulder dislocation that ...

  18. Extension of centered hydrodynamical schemes to unstructured deforming conical meshes : the case of circles

    Directory of Open Access Journals (Sweden)

    Bernard-Champmartin Aude

    2013-01-01

    Full Text Available In a prior work [CEMRACS10], a curvilinear bi-dimensional finite volume extension of Lagrangian centered schemes GLACE [GLACE] on unstructured cells, whose edges are parameterized by rational quadratic Bézier curves was proposed and we showed numerical results for this scheme. Now, we extend the EUCCLHYD scheme [EUCCLHYD] to these cells. To simulate flows with evolving large deformations, we write a formalism allowing the time evolution of the conic parameter. As an example, this allows an edge changing from an ellipse segment to a hyperbolic one. In this framework, we consider the case of a mesh whose edges are circle segments with non fixed centers. We show that this formalism extends also the previous work [GLACE CIRCLE] (which is equivalent to [CEMRACS10] when conic edges are all circles. This is a necessary first step toward general conical deformation. Dans un travail précédent [CEMRACS10], une extension volume fini bi-dimensionnelle curviligne du schéma Lagrangien centré GLACE [GLACE] sur des cellules non structurées dont les bords sont paramétrés par des courbes de Bézier quadratiques rationnelles a été proposée. Maintenant, nous proposons une extension du schéma EUCCLHYD [EUCCLHYD] à ce type de cellules et pour lequel nous montrons quelques résultats numériques. Pour pouvoir suivre un écoulement subissant de grandes variations de forme, nous écrivons un formalisme qui permet l’évolution en temps du paramètre de chaque conique. Ainsi, un bord de maille peut d’un segment d’ellipse devenir en cours de calcul un segment d’hyperbole. Dans ce cadre, nous considérons le cas particulier d’un maillage dont les bords de cellules sont des arcs de cercle avec des centres non fixes. Nous montrons que ce formalisme constitue également une extension directe d’un travail précédent [GLACE CIRCLE] (qui équivaut à [CEMRACS10] dans le cas où les bords coniques sont tous des cercles. Ce résultat constitue une

  19. Donor safety in living donor liver transplantation: a single-center analysis of 300 cases.

    Directory of Open Access Journals (Sweden)

    Jianyong Lei

    Full Text Available AIM: To evaluate the safety to donors of living-donor liver transplantation. METHODS: This study included 300 consecutive living liver tissue donors who underwent operations at our center from July 2002 to December 2012. We evaluated the safety of donors with regard to three aspects complications were recorded prospectively and stratified by grade according to Clavien's classification, and the data were compared in two stages (the first 5 years' experience (pre-January 2008 and the latter 5 years' experience (post-January 2008; laboratory tests such as liver function and blood biochemistry were performed; and the health-related quality of life was evaluated. RESULTS: There was no donor mortality at our center, and the overall morbidity rate was 25.3%. Most of the complications of living donors were either grade I or II. There were significantly fewer complications in the latter period of our study than in the initial period (19.9% vs 32.6%, P<0.001, and biliary complications were the most common complications, with an incidence of 9%. All of the liver dysfunction was temporary; however, the post-operative suppression of platelet count lasted for years. Although within the normal range, eight years after operation, 22 donors showed lower platelet levels (189 × 10(9/L compared with the pre-operative levels (267 × 10(9/L (P<0.05. A total of 98.4% of donors had returned to their previous levels of social activity and work, and 99.2% of donors would donate again if it was required and feasible. With the exception of two donors who experienced grade III complications (whose recipients died and a few cases of abdominal discomfort, fatigue, chronic pain and scar itching, none of the living donors were affected by physical problems. CONCLUSION: With careful donor selection and specialized patient care, low morbidity rates and satisfactory long-term recovery can be achieved after hepatectomy for living-donor liver transplantation.

  20. Evaluation of a Teleform-based data collection system: A multi-center obesity research case study

    Science.gov (United States)

    Jenkins, Todd M.; Boyce, Tawny Wilson; Akers, Rachel; Andringa, Jennifer; Liu, Yanhong; Miller, Rosemary; Powers, Carolyn; Buncher, C. Ralph

    2016-01-01

    Utilizing electronic data capture (EDC) systems in data collection and management allows automated validation programs to preemptively identify and correct data errors. For our multi-center, prospective study we chose to use TeleForm, a paper-based data capture software that uses recognition technology to create case report forms (CRFs) with similar functionality to EDC, including custom scripts to identify entry errors. We quantified the accuracy of the optimized system through a data audit of CRFs and the study database, examining selected critical variables for all subjects in the study, as well as an audit of all variables for 25 randomly selected subjects. Overall we found 6.7 errors per 10,000 fields, with similar estimates for critical (6.9/10,000) and non-critical (6.5/10,000) variables – values that fall below the acceptable quality threshold of 50 errors per 10,000 established by the Society for Clinical Data Management. However, error rates were found to widely vary by type of data field, with the highest rate observed with open text fields. PMID:24709056

  1. The Risk Factors and Pregnancy Outcomes of 48 Cases of Heterotopic Pregnancy from a Single Center.

    Science.gov (United States)

    Jeon, Ji Hyun; Hwang, Yu Im; Shin, Im Hee; Park, Chan Woo; Yang, Kwang Moon; Kim, Hye Ok

    2016-07-01

    The purpose of this study was to investigate risk factors that are associated with heterotopic pregnancy (HP) following in vitro fertilization (IVF)-embryo transfer (ET) and to demonstrate the outcomes of HP after the surgical treatment of ectopic pregnancies. Forty-eight patients from a single center, who were diagnosed with HP between 1998 and 2012 were included. All of the patients had received infertility treatments, such as Clomid with timed coitus (n = 1, 2.1%), superovulation with intrauterine insemination (n = 7, 14.6%), fresh non-donor IVF-ET (n = 33, 68.8%), and frozen-thawed cycles (n = 7, 14.6%). Eighty-four additional patients were randomly selected as controls from the IVF registry database. HP was diagnosed at 7.5 ± 1.2 weeks (range 5.4-10.3) gestational age. In six cases (12.5%), the diagnosis was made three weeks after the patients underwent treatment for abortion. There were significant differences in the history of ectopic pregnancy (22.5% vs. 3.6%, P = 0.002). There were no significant differences in either group between the rates of first trimester intrauterine fetal loss (15.0% vs. 13.1%) or live birth (80.0% vs. 84.1%) after the surgical treatment for ectopic pregnancy. The risk factors for HP include a history of ectopic pregnancy (OR 7.191 [1.591-32.513], P = 0.010), abortion (OR 3.948 [1.574-9.902], P = 0.003), and ovarian hyperstimulation syndrome (OHSS) (OR 10.773 [2.415-48.060], P = 0.002). In patients undergoing IVF-ET, history of ectopic pregnancy, abortion, and OHSS may be risk factors for HP as compared to the control group of other IVF patients. The surgical treatment of HP does not appear to affect the rates of first trimester fetal loss or live birth. PMID:27366008

  2. Challenges in the Management and Stewardship of Airborne Observational Data at the National Center for Atmospheric Research (NCAR) Earth Observing Laboratory (EOL)

    Science.gov (United States)

    Aquino, J.; Daniels, M. D.

    2015-12-01

    The National Science Foundation (NSF) provides the National Center for Atmospheric Research (NCAR) Earth Observing Laboratory (EOL) funding for the operation, maintenance and upgrade of two research aircraft: the NSF/NCAR High-performance Instrumented Airborne Platform for Environmental Research (HIAPER) Gulfstream V and the NSF/NCAR Hercules C-130. A suite of in-situ and remote sensing airborne instruments housed at the EOL Research Aviation Facility (RAF) provide a basic set of measurements that are typically deployed on most airborne field campaigns. In addition, instruments to address more specific research requirements are provided by collaborating participants from universities, industry, NASA, NOAA or other agencies (referred to as Principal Investigator, or PI, instruments). At the 2014 AGU Fall Meeting, a poster (IN13B-3639) was presented outlining the components of Airborne Data Management included field phase data collection, formats, data archival and documentation, version control, storage practices, stewardship and obsolete data formats, and public data access. This talk will cover lessons learned, challenges associated with the above components, and current developments to address these challenges, including: tracking data workflows for aircraft instrumentation to facilitate identification, and correction, of gaps in these workflows; implementation of dataset versioning guidelines; and assignment of Digital Object Identifiers (DOIs) to data and instrumentation to facilitate tracking data and facility use in publications.

  3. The Case of the Radio Communication Project in Nepal: A Culture-Centered Rejoinder

    Science.gov (United States)

    Dutta, Mohan Jyoti; Basnyat, Iccha

    2008-01-01

    In this rebuttal to Linn's critique (see EJ802887), the authors state that, while Linn provides a thoughtful critique of the culture-centered approach by questioning its feasibility, he missed the idea that the very concept of effectiveness is brought under scrutiny by the culture-centered approach, with the focus being on examining the universal…

  4. INTEGRAL/IBIS observations of the Galactic center region at the epoch of the short Fermi/LAT flare

    DEFF Research Database (Denmark)

    Fiocchi, M.; Sanchez-Fernandez, C.; Natalucci, L.;

    2011-01-01

    The Galactic Center was in the IBIS/ISGRI field-of-view during the epoch of the gamma-ray flare observed recently by Fermi/LAT (ATEL#3162). During the 20s interval of the flare IBIS/ISGRI did not detect any emission from SAX J1747.0-2853, located at ~10degrees off-axis, with a 3sigma upper limit of...... ~250mCrab in the 20-60 keV band. We have also analyzed two separate time slots of 6 and 7 pointings, respectively: (a) 2011 Feb. 10, 11:41-18:41 UT, and (b) 2011 Feb. 12, 04:09-10:09 UT. The retrieved data belong to the near-real time INTEGRAL archive. The first period includes the gamma-ray flare, the...... is most probably SAX J1750.8-2900. For this detection, we encourage follow-up observations to identify the source of emission seen with IBIS/ISGRI. Finally, we thank the ISDC for providing us the results of their quick look analysis....

  5. Managing the Shopping Center Ambience Attributes by Using Importance-Performance Analysis: The Case from Serbia

    Directory of Open Access Journals (Sweden)

    Jelica Marković

    2014-06-01

    Full Text Available This paper examined customers’ perceived importance and performance of shopping center ambience on the examples of the Mercator shopping center and Sad Novi Bazaar shopping center in Novi Sad, Serbia. The shopping center ambience was examined through exterior and interior attributes. It was found that a number of them are very important to customers and their shopping behavior. According to the present research, the most important exterior attributes are: address and location, parking availability, congestion and traffic, exterior display windows and entrances. The most important interior attributes are: cleanliness, temperature, merchandise, lighting, music, scents, absence of tobacco smoke, width of aisles and P.A. usage. The paper also provided information for two studied shopping centers with ambience attributes that performed well or not and everything was presented on the importance-performance grids, which can serve managers as guidelines for further development.

  6. VizieR Online Data Catalog: XMM-Newton Observation Log (XMM-Newton Science Operation Center, 2012)

    Science.gov (United States)

    Xmm-Newton Science Operation Center, (2002-2014)>

    2002-06-01

    The XMM-Newton observatory is a cornerstone mission of the European Space Agency (ESA) Horizon 2000 program. This spacecraft, the largest ever flown by ESA for a scientific program, was launched on December 10, 1999, carrying a payload funded by ESA member states and the USA (NASA). The scientific payload comprises three CCD imaging cameras (European Photon Imaging Cameras, EPIC), sensitive in the 0.1-15 keV band, and two Reflecting Grating Spectrometers (RGS), sensitive in the 0.3-2.1 keV band, and characterized by a resolving power E/ΔE = 100 to 800. The X-ray instruments are complemented by an Optical Monitor, sensitive in the 150-650nm band, which allows simultaneous multiwavelength monitoring of celestial sources. The XMM-Newton observational program is determined on the bases of the proposals sent in response to Announcement of Opportunities, and selected by peer review panels. The XMM-Newton Science Archive (XSA) contains all the science data of all the performed observations. Its user interface (http:xmm.vilspa.esa.es/xsa) allows a user to retrieve them after the 1-year proprietary period has expired. Calibration observations are normally not covered by proprietary rights; their data being therefore public. Target of Opportunity and Discretionary Time observations have a 6-months proprietary period. For each archived observation, the XSA stores Observation Data Files (ODF) and Pipeline Processing System (PPS) products, if available, as well as the XMM-Newton EPIC serendipitous catalogue, the OM source catalogue and the Slew Survey Source Catalogue (see the catalogues documentation at http://xmm.esac.esa.int/xsa). The ODF comprises raw telemetry files, reformatted in FITS format, and contains uncalibrated information. The PPS products are a collection of top-level, validated scientific and cross-correlation products, routinely generated by the Science Survey Center, University of Leicester, UK (http://xmmssc-www.star.le.ac.uk). The content of the XSA is

  7. Gastric leptomeningeal carcinomatosis: Multi-center retrospective analysis of 54 cases

    Institute of Scientific and Technical Information of China (English)

    Sung Yong Oh; Su-Jin Lee; Jeeyun Lee; Suee Lee; Sung-Hyun Kim; Hyuk-Chan Kwon; Gyeong-Won Lee; Jung Hun Kang; In Gyu Hwang; Joung-Soon Jang; Ho Yeong Lim; Young Suk Park; Won Ki Kang; Hyo-Jin Kim

    2009-01-01

    AIM: To identify the clinical features and outcomes of infrequently reported leptomeningeal carcinomatosis (LMC) of gastric cancer.METHODS: We analyzed 54 cases of cytologically con- firmed gastric LMC at four institutions from 1994 to 2007.RESULTS: The male-to-female ratio was 32:22, and the patients ranged in age from 28 to 78 years (median,48.5 years). The majority of patients had advanced disease at initial diagnosis of gastric cancer. The clinical or pathologic tumor, node and metastasis stage of the primary gastric cancer was Ⅳ in 38 patients (70%).The median interval from diagnosis of the primary malignancy to the diagnosis of LMC was 6.3 mo, ranging between 0 and 73.1 mo. Of the initial endoscopic findings for the 45 available patients, 23 (51%) of the patients were Bormann type Ⅲ and 15 (33%) patients were Bormann type Ⅳ. Pathologically, 94% of cases proved to be poorly differentiated adenocarcinomas.Signet ring cell component was also observed in 40% of patients. Headache (85%) and nausea/vomiting (58%) were the most common presenting symptoms of LMC. A gadolinium-enhanced magnetic resonance imaging was conducted in 51 patients. Leptomeningeal enhancement was noted in 45 cases (82%). Intrathecal (IT) chemotherapy was administered to 36 patientsprimarily methotrexate alone (61%), but also in combination with hydrocortisone/± Ara-C (39%). The median number of IT treatments was 7 (range, 1-18). Concomitant radiotherapy was administered to 18 patients,and concomitant chemotherapy to seven patients. Seventeen patients (46%) achieved cytological negative conversion. Median overall survival duration from the diagnosis of LMC was 6.7 wk (95% CI: 4.3-9.1 wk). In the univariate analysis of survival duration, hemoglobin,IT chemotherapy, and cytological negative conversion showed superior survival duration ( P = 0.038, P = 0.010, and P = 0.002, respectively). However, in our multivariate analysis, only cytological negative conversion was predictive of

  8. The Role of Endocrine and Endometrial Factors in Cases of Recurrent Miscarriage: A Tertiary Center Experience

    Directory of Open Access Journals (Sweden)

    Ahmet Uysal

    2014-03-01

    Full Text Available Aim: To investigate endocrinologic and endometrial factors in cases of recurrent abortions. Material and Method: In cases of recurrent abortions, clinical and ultrasonographic features, genetic, anatomic and immunologic factors, hormonal profiles and endometrial samplings were assessed. Chromosomal abnormalities and uterine anomalies were excluded. Results: In 8 (14% of 57 cases with recurrent abortions, there were low progesterone levels. In 1 (1.75% case there was a high androgen level. In 2 (3.5% cases there was hyperprolactinemia and in another 2 (3.5% cases there were high insulin levels. In 4 (7% cases two scores of OGTT were high. In 51 cases where endometrial sampling was performed, only one (1.75% case had delayed endometrial development. Discussion: We conclude that recurrent abortions have a complex etiology related to endocrinologic and endometrial factors.

  9. Prevalence of skin changes in diabetes mellitus and its correlation with internal diseases: A single center observational study

    Directory of Open Access Journals (Sweden)

    Kaushik Ghosh

    2015-01-01

    Full Text Available Background and Aim: This single-center observational cross-sectional study has been done in an attempt to find out the prevalence of various skin manifestations in diabetes patients (DM and their correlation with diabetes control and complications. Materials and Methods: Skin manifestations present over 12 months among those attend diabetes clinic were included in the study. Apart from demographic data and type, patients were also screened for micro vascular complications and control of diabetes over last 3 months. Results and Discussion: Sixty (n = 60 diabetes patisents (Type 1 DM, 9 patients and Type 2 DM 51 patients have been found to have various skin lesions. Thirty-one (51.67% patients presented with infectious conditions, vascular complications were present in 21 (35% and dermatomes belonging to the miscellaneous group were present in 50 (83.33% patients. Pyoderma, diabetic dermopathy, and pruritus without skin lesions were found to be most common manifestations in infective, vascular and miscellaneous group, respectively. Higher level of HB1 AC was found in patient with diabetic bulla (10.5 ± 0, scleredema (9.75 ± 0.77, lichen planus (9.3 ± 1.6, and acanthosis nigricans (9.15 ± 0.89. Patients with psoriasis and vitiligo had statistically significant lower level of glycosylated hemoglobin (P =< 0.001 and 0.03, respectively. However, no association of any kind of skin manifestation with DM with other microangiopathic complications was found in this study.

  10. ASTER Observations of 2000-2007 Thermal Features at Pavlof Volcano and Mt. Hague (Emmons Lake Volcanic Center), Alaska

    Science.gov (United States)

    Wessels, R. L.; Schneider, D.; Ramsey, M.; Mangan, M. T.

    2007-12-01

    Emmons Lake Volcanic Center (ELVC) is a 15 km by 30 km area of nested calderas, stratovolcanoes, lava domes, hyaloclastite rings, and cinder cones aligned along the arc axis. Pavlof Volcano is the most active volcano along the ELVC, with more than 40 historic eruptions since 1790. The most recent eruption of Pavlof Volcano began in August 2007 after almost 11 years of quiescence. Mount Hague is a prominent intracaldera vent with no known historical eruptions that lies approximately 7 kilometers to the southwest of Pavlof. The southern crater of Mount Hague commonly fluctuates between a crater-filling lake to a dry crater floor with vigorously steaming fumaroles. Mount Hague has another fumarole field on the southeast flank at nearly the same elevation as the crater floor. To better document the behavior of persistent thermal features at these remote volcanoes, we have compiled temperature and dimension data using a seven-year long time series of satellite data. Over 25 daytime and 40 nighttime clear thermal infrared (TIR) images (90 m resolution) from the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) have recorded variations in the thermal activity at both volcanic vents since July 2000. All cloud-free ASTER TIR observations document persistent low- temperature features at both Pavlof Volcano and Mount Hague during this period. The size and temperature of each thermal feature varies throughout the study period. The data show that the 2518 m summit of Pavlof Volcano is occasionally snow-free in early summer whereas neighboring peaks at lower elevations are still snow-clad. FLIR data acquired near the summit of Pavlof in 2004 show that the majority of warm ground was at 20°C to 40°C. These warm areas commonly persist snow-free into the winter. Temperature variations observed at Mt Hague crater usually correlate to the size of the ephemeral crater lake. As the lake grows, the pixel-integrated ASTER TIR temperature increases. Measurements

  11. Human-Centered Approaches in Geovisualization Design: Investigating Multiple Methods Through a Long-Term Case Study

    OpenAIRE

    Lloyd, D; Dykes, J.

    2011-01-01

    Working with three domain specialists we investigate human-centered approaches to geovisualization following an ISO13407 taxonomy covering context of use, requirements and early stages of design. Our case study, undertaken over three years, draws attention to repeating trends: that generic approaches fail to elicit adequate requirements for geovis application design; that the use of real data is key to understanding needs and possibilities; that trust and knowledge must be built and develo...

  12. Colorectal cancer: A case control study of dietary factors, King Faisal specialist hospital and researh center, Riyadh, Saudi Arabia

    OpenAIRE

    Nashar, Reem M.; Khalid S Almurshed

    2008-01-01

    Objective: This study was designed to assess various dietary factors and the nutritional status of hospitalized patients with colorectal cancer. Materials and Methods: A case-controlled study of fifty newly-admitted patients at King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia diagnosed with colorectal cancer were interviewed to collect data on various dietary factors and their nutritional status. Their data were compared with a sex-matched control group aged fifty. ...

  13. Geodetic observations and modeling of magmatic inflation at the Three Sisters volcanic center, central Oregon Cascade Range, USA

    Science.gov (United States)

    Dzurisin, Daniel; Lisowski, Michael; Wicks, Charles W.; Poland, Michael P.; Endo, Elliot T.

    2006-01-01

    Tumescence at the Three Sisters volcanic center began sometime between summer 1996 and summer 1998 and was discovered in April 2001 using interferometric synthetic aperture radar (InSAR). Swelling is centered about 5 km west of the summit of South Sister, a composite basaltic-andesite to rhyolite volcano that last erupted between 2200 and 2000 yr ago, and it affects an area ∼20 km in diameter within the Three Sisters Wilderness. Yearly InSAR observations show that the average maximum displacement rate was 3–5 cm/yr through summer 2001, and the velocity of a continuous GPS station within the deforming area was essentially constant from June 2001 to June 2004. The background level of seismic activity has been low, suggesting that temperatures in the source region are high enough or the strain rate has been low enough to favor plastic deformation over brittle failure. A swarm of about 300 small earthquakes (Mmax = 1.9) in the northeast quadrant of the deforming area on March 23–26, 2004, was the first notable seismicity in the area for at least two decades. The U.S. Geological Survey (USGS) established tilt-leveling and EDM networks at South Sister in 1985–1986, resurveyed them in 2001, the latter with GPS, and extended them to cover more of the deforming area. The 2001 tilt-leveling results are consistent with the inference drawn from InSAR that the current deformation episode did not start before 1996, i.e., the amount of deformation during 1995–2001 from InSAR fully accounts for the net tilt at South Sister during 1985–2001 from tilt-leveling. Subsequent InSAR, GPS, and leveling observations constrain the source location, geometry, and inflation rate as a function of time. A best-fit source model derived from simultaneous inversion of all three datasets is a dipping sill located 6.5 ± 2.5 km below the surface with a volume increase of 5.0 × 106 ± 1.5 × 106m3/yr (95% confidence limits). The most likely cause of tumescence is a pulse of

  14. Clinical Observation on Acupuncture Treatment in 35 Cases of Diabetic Gastroparesis

    Institute of Scientific and Technical Information of China (English)

    王玲

    2004-01-01

    In order to observe the therapeutic effects of acupuncture on diabetic gastroparesis, 80 cases were divided randomly into 3 groups. In addition to the routine treatment for diabetes, 35 cases in the treatment group were additionally treated with acupuncture, and 25 cases in the control group 1 with domperidone, while 20 cases in the control group 2 with nothing. The three groups were all observed for 25 days. The results turned out to be that the total effective rate in the treatment group reached 94.2%, that in the control group 1, 72%, and in the control group 2, 40%, the treatment group showing a better therapeutic effect than the other two control groups (P<0.05, P<0.01). It can be concluded that in addition to the routine treatment for controlling blood sugar, acupuncture can give quite good therapeutic effects on diabetic gastroparesis.

  15. Usability Testing, User-Centered Design, and LibGuides Subject Guides: A Case Study

    Science.gov (United States)

    Sonsteby, Alec; DeJonghe, Jennifer

    2013-01-01

    Usability testing has become a routine way for many libraries to ensure that their Web presence is user-friendly and accessible. At the same time, popular subject guide creation systems, such as LibGuides, decentralize Web content creation and put authorship into the hands of librarians who may not be trained in user-centered design principles. At…

  16. MARKETING POLICIES THROUGH THE INTERNET: THE CASE OF SKIING CENTERS IN GREECE

    Directory of Open Access Journals (Sweden)

    Panagiotis LEFAKIS

    2012-09-01

    Full Text Available Lately, Internet constitutes a major tool for transactions in every aspect and supports innovative marketing policies. Broadband Internet has become “the key to success” for businesses, as it offers various advantages and benefits through Internet marketing (e-marketing policies. In Greece, mountainous areas are usually covered with snow during winter months; so, skiing centers have become an important asset for winter tourism. The Internet evolution and the development of network infrastructure enhance marketing policies for winter tourism activities. This paper studies the use of marketing policies in Greek skiing centers through the Internet, such as promotional activities, website interactivity, accommodation & entertainment information, online weather forecast, guest book, etc Therefore, the paper aims to optimize and evaluate skiing centers in Greece, qualitatively and quantitatively according to e-marketing policies used as criteria, based on the multicriteria method of PROMETHEE II and further to classify them in groups. Finally we identify and describe the optimum group of skiing centers to be used as a model with enhanced customer communication services.

  17. Examining Health Information Technology Implementations: Case of the Patient-Centered Medical Home

    Science.gov (United States)

    Behkami, Nima A.

    2012-01-01

    It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This dissertation examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to…

  18. A Case Study: An ACT Stress Management Group in a University Counseling Center

    Science.gov (United States)

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  19. The Northwest Indiana Center for Data and Analysis: A Case Study of Academic Library Community Engagement

    Science.gov (United States)

    Sandberg, Scott; Morris, Cele; Sutherland, Timothy

    2013-01-01

    This paper details community engagement activity of an academic library coordinated within a broader university strategic plan. The Anderson Library at Indiana University Northwest (IU-Northwest) supports a service called the Northwest Indiana Center for Data and Analysis. Created in 1996 with funding made available from the Indiana University…

  20. A Place of Her Own: The Case for University-Based Centers for Women Entrepreneurs

    Science.gov (United States)

    Riebe, Mary

    2012-01-01

    The author describes the benefits of university-based women entrepreneur centers as an educational and outreach strategy and argues for their establishment and support by universities interested in educating women entrepreneurs and advancing women-owned businesses. Based on extensive research on women business owners and firsthand experience with…

  1. Patterns of Tight and Loose Coupling in a Competitive Marketplace: The Case of Learning Center Franchises

    Science.gov (United States)

    Aurini, Janice Danielle

    2012-01-01

    The concept of coupling--the relationship between the environment, administrative goals, and instructional practices of education organizations--is a staple in New Institutional research. Yet processes of coupling have remained elusive. Drawing on ethnographic research of the "Ontario Learning Center" (OLC) franchise, along with interviews of…

  2. CLINICAL OBSERVATION ON TREATMENT OF 120CASES OF PERIPHERY FACIAL PARALYSIS WITH PENETRATION NEEDLING

    Institute of Scientific and Technical Information of China (English)

    王芳妮

    2000-01-01

    In the present study,the therapeutic effect of penetration needling was observed in 120cases facial paralysis patients and compared with that of the routine needling in another105cases.Re-sults showed that though no significant difference was found between these two groups in the therapeu-tic effect,the acupoints used were fewer in penetration needling group and its effect on tear and poste-rior-auricular pain was superior to that of routine needling.

  3. Crisis-related observations in competition: a case study in basketball.

    Science.gov (United States)

    Bar-Eli, M; Sachs, S; Tenenbaum, G; Pie, J S; Falk, B

    1996-10-01

    This study presents a unique observational approach to basketball, based on the theory of psychological performance crisis in competition. The approach used takes into account the responses of a player' s actions to significant social factors such as team-mates, spectators, the coach and the referees. The contribution of this approach beyond traditional observational techniques is discussed. In our investigation, a single case design was used, in which a professional basketball player was observed during 10 home and 3 away games of the regular season. The relations between the observations and the crisis concept are discussed in detail. In addition, some relevant methodological and applied aspects are presented. PMID:8960655

  4. Technology Transfer Challenges: A Case Study of User-Centered Design in NASA's Systems Engineering Culture

    Science.gov (United States)

    Quick, Jason

    2009-01-01

    The Upper Stage (US) section of the National Aeronautics and Space Administration's (NASA) Ares I rocket will require internal access platforms for maintenance tasks performed by humans inside the vehicle. Tasks will occur during expensive critical path operations at Kennedy Space Center (KSC) including vehicle stacking and launch preparation activities. Platforms must be translated through a small human access hatch, installed in an enclosed worksite environment, support the weight of ground operators and be removed before flight - and their design must minimize additional vehicle mass at attachment points. This paper describes the application of a user-centered conceptual design process and the unique challenges encountered within NASA's systems engineering culture focused on requirements and "heritage hardware". The NASA design team at Marshall Space Flight Center (MSFC) initiated the user-centered design process by studying heritage internal access kits and proposing new design concepts during brainstorming sessions. Simultaneously, they partnered with the Technology Transfer/Innovative Partnerships Program to research inflatable structures and dynamic scaffolding solutions that could enable ground operator access. While this creative, technology-oriented exploration was encouraged by upper management, some design stakeholders consistently opposed ideas utilizing novel, untested equipment. Subsequent collaboration with an engineering consulting firm improved the technical credibility of several options, however, there was continued resistance from team members focused on meeting system requirements with pre-certified hardware. After a six-month idea-generating phase, an intensive six-week effort produced viable design concepts that justified additional vehicle mass while optimizing the human factors of platform installation and use. Although these selected final concepts closely resemble heritage internal access platforms, challenges from the application of the

  5. Clinical Observation of 126 Cases of Sutureless Phacoemulsification with PMMA Intraocular Lens Implantation

    Institute of Scientific and Technical Information of China (English)

    Yanshuang Yan; Zhengxing Mao

    2000-01-01

    Objective: To observe the safety and effect of sutureless phacoemulsification with PMMA intraocular lens (IOL) implantation.Methods: One-hundred and twenty-six cases (126 eyes) of sutureless phacoemulsification with PMMA intraocular lens (IOL) implantation were retrospected and evaluated. The surgeries were performed through a limbal tunnel incision. PMMA IOLs with 5.5mm or 6.0mm in diameter were implanted.Results: The follow-up was 3~20 months. Visual acuity of 0. 5 or better was obtained in 120 cases (95.2%), and that of 1.0 or better was obtained in 89 cases (70. 6% ).Intra-operative complications included posterior capsule rupture in 9 cases (7. 1% ) and iris injury in 7 cases(5.6% ). Postoperative complications included early corneal edema in 96 cases(76.2% ), transient intraocular pressure elevation in 5 cases(4. 3%),remnant of cortex in 1 case and leakage of incision in 1 case. M1 were properly managed with good results.Conclusion: Sutureless phacoemulsification with PMMA IOL implantation is safe even in grass-root hospitals where cataracts are harder.

  6. Clinical Observation of Tuina Therapy in Treating 47 Cases of Vertigo

    Institute of Scientific and Technical Information of China (English)

    耿中文

    2008-01-01

    In order to observe the clinical effect of Tuina therapy for vertigo, 47 cases of the patients with vertigo were treated by massaging Triple Energizer Meridian and Gallbladder Meridian on the head, and the results showed cure in 36 cases, improvement in 11 cases and the total effective rate was 100%.%为观察推拿治疗眩晕的临床疗效,以推拿头部三焦经及胆经为主,治疗眩晕患者47例,结果痊愈36例,好转11例,总有效率100%.

  7. The Little Rascals Day Care Center Case: Commentary on Clinical Testimony on Prominent Public Trials.

    Science.gov (United States)

    Summit, Ronald C.

    1994-01-01

    Comments on some of the philosophical and moral problems inherent in prosecuting a child sexual abuse case. This particular case was complicated by the multiple victims and multiple perpetrators. Both medical and psychological clinical expert witnesses need to be aware of and respectful of the ground rules of the courtroom. (JPS)

  8. The Recovery Care and Treatment Center: A Database Design and Development Case

    Science.gov (United States)

    Harris, Ranida B.; Vaught, Kara L.

    2008-01-01

    The advantages of active learning methodologies have been suggested and empirically shown by a number of IS educators. Case studies are one such teaching technique that offers students the ability to think analytically, apply material learned, and solve a real-world problem. This paper presents a case study designed to be used in a database design…

  9. MARKETING POLICIES THROUGH THE INTERNET: THE CASE OF SKIING CENTERS IN GREECE

    OpenAIRE

    Panagiotis LEFAKIS; Christos BATZIOS; Theodoros KOUTROUMANIDIS; Zacharoula ANDREOPOULOU; Christiana KOLIOUSKA; Georgios TSEKOUROPOULOS

    2012-01-01

    Lately, Internet constitutes a major tool for transactions in every aspect and supports innovative marketing policies. Broadband Internet has become “the key to success” for businesses, as it offers various advantages and benefits through Internet marketing (e-marketing) policies. In Greece, mountainous areas are usually covered with snow during winter months; so, skiing centers have become an important asset for winter tourism. The Internet evolution and the development of network infrastru...

  10. The evolving organizational structure of academic health centers: the case of the University of Florida.

    Science.gov (United States)

    Barrett, Douglas J

    2008-09-01

    The organizational structures of academic health centers (AHCs) vary widely, but they all exist along a continuum of integration--that is, the degree to which the academic and clinical missions operate under a single administrative and governance structure. This author provides a brief overview of the topic of AHC integration, including the pros and cons of more integrated or less integrated models. He then traces the evolution of the University of Florida (UF) Health Science Center, which was created in the 1950s as a fully integrated AHC and which now operates under a more distributed management and governance model. Starting as a completely integrated AHC, UF's Health Science Center reached a time of maximal nonintegration (or dys-integration) in the late 1990s and at the beginning of this decade. Circumstances are now pushing the expanding clinical and academic enterprises to be more together as they face the challenges of market competition, federal research budget constraints, and reengineering clinical operations to reduce costs, enhance access, and improve quality and patient safety. Although formal organizational integration may not be possible or appropriate for any number of legal or political reasons, the author suggests that AHCs should strive for "functional integration" to be successful in the current turbulent environment.

  11. Variability in prostate and seminal vesicle delineations defined on magnetic resonance images, a multi-observer, -center and -sequence study

    DEFF Research Database (Denmark)

    Nyholm, Tufve; Jonsson, Joakim; Söderström, Karin;

    2013-01-01

    was to investigate the intra- and inter-physician delineation variability for prostate and seminal vesicles, and to investigate the influence of different MR sequence settings used clinically at the five centers participating in the study. METHODS: MR series from five centers, each providing five patients, were used....... Two physicians from each center delineated the prostate and the seminal vesicles on each of the 25 image sets. The variability between the delineations was analyzed with respect to overall, intra- and inter-physician variability, and dependence between variability and origin of the MR images, i.......e. the MR sequence used to acquire the data. RESULTS: The intra-physician variability in different directions was between 1.3 - 1.9 mm and 3 -- 4 mm for the prostate and seminal vesicles respectively (1 std). The inter-physician variability for different directions were between 0.7 -- 1.7 mm...

  12. FIRST CASE OF AUTOCHTHONOUS HUMAN VISCERAL LEISHMANIASIS IN THE URBAN CENTER OF RIO DE JANEIRO: CASE REPORT

    Directory of Open Access Journals (Sweden)

    Guilherme Almeida Rosa da Silva

    2014-01-01

    Full Text Available Visceral leishmaniasis is an anthropozoonosis that is caused by protozoa of the genus Leishmania, especially Leishmania (Leishmania infantum, and is transmitted to humans by the bite of sandflies of the genus Lutzomyia, such as Lutzomyia longipalpis. There are many reservoirs, including Canis familiaris. It is a chronic infectious disease with systemic involvement that is characterized by three phases: the initial period, the state period and the final period. The main symptoms are fever, malnutrition, hepatosplenomegaly, and pancytopenia. This article reports a case of a patient diagnosed with visceral leishmaniasis in the final period following autochthonous transmission in the urban area of Rio de Janeiro. The case reported here is considered by the Municipal Civil Defense and Health Surveillance of Rio de Janeiro to be the first instance of autochthonous visceral leishmaniasis in humans in the urban area of this city. The patient was discharged and is undergoing a follow-up at the outpatient clinic, demonstrating clinical improvement.

  13. Observation of e(+)e(-) -> eta J/psi at center-of-mass energy root s=4.009 GeV

    NARCIS (Netherlands)

    Ablikim, M.; Achasov, M. N.; Ambrose, D. J.; An, F. F.; An, Q.; An, Z. H.; Bai, J. Z.; Ban, Y.; Becker, J.; Bennett, J. V.; Bertani, M.; Bian, J. M.; Boger, E.; Bondarenko, O.; Boyko, I.; Briere, R. A.; Bytev, V.; Cai, X.; Cakir, O.; Calcaterra, A.; Cao, G. F.; Cetin, S. A.; Chang, J. F.; Chelkov, G.; Chen, G.; Chen, H. S.; Chen, J. C.; Chen, M. L.; Chen, S. J.; Chen, Y. B.; Cheng, H. P.; Chu, Y. P.; Cronin-Hennessy, D.; Dai, H. L.; Dai, J. P.; Dedovich, D.; Deng, Z. Y.; Denig, A.; Denysenko, I.; Destefanis, M.; Ding, W. M.; Ding, Y.; Dong, L. Y.; Dong, M. Y.; Du, S. X.; Fang, J.; Fang, S. S.; Fava, L.; Feldbauer, F.; Feng, C. Q.; Ferroli, R. B.; Fu, C. D.; Fu, J. L.; Gao, Y.; Geng, C.; Goetzen, K.; Gong, W. X.; Gradl, W.; Greco, M.; Gu, M. H.; Gu, Y. T.; Guan, Y. H.; Guo, A. Q.; Guo, L. B.; Guo, Y. P.; Han, Y. L.; Harris, F. A.; He, K. L.; He, M.; He, Z. Y.; Held, T.; Heng, Y. K.; Hou, Z. L.; Hu, H. M.; Hu, J. F.; Hu, T.; Huang, G. M.; Huang, J. S.; Huang, X. T.; Huang, Y. P.; Hussain, T.; Ji, C. S.; Ji, Q.; Ji, X. B.; Ji, X. L.; Jiang, L. L.; Jiang, X. S.; Jiao, J. B.; Jiao, Z.; Jin, D. P.; Jin, S.; Jing, F. F.; Kalantar-Nayestanaki, N.; Kavatsyuk, M.; Kuehn, W.; Lai, W.; Lange, J. S.; Li, C. H.; Li, Cheng; Li, Cui; Li, D. M.; Li, F.; Li, G.; Li, H. B.; Li, J. C.; Li, K.; Li, Lei; Li, Q. J.; Li, S. L.; Li, W. D.; Li, W. G.; Li, X. L.; Li, X. N.; Li, X. Q.; Li, X. R.; Li, Z. B.; Liang, H.; Liang, Y. F.; Liang, Y. T.; Liao, G. R.; Liao, X. T.; Liu, B. J.; Liu, C. L.; Liu, C. X.; Liu, C. Y.; Liu, F. H.; Liu, Fang; Liu, Feng; Liu, H.; Liu, H. B.; Liu, H. H.; Liu, H. M.; Liu, H. W.; Liu, J. P.; Liu, K. Y.; Liu, Kai; Liu, P. L.; Liu, Q.; Liu, S. B.; Liu, X.; Liu, X. H.; Liu, Y. B.; Liu, Z. A.; Liu, Zhiqiang; Liu, Zhiqing; Loehner, H.; Lu, G. R.; Lu, H. J.; Lu, J. G.; Lu, Q. W.; Lu, X. R.; Lu, Y. P.; Luo, C. L.; Luo, M. X.; Luo, T.; Luo, X. L.; Lv, M.; Ma, C. L.; Ma, F. C.; Ma, H. L.; Ma, Q. M.; Ma, S.; Ma, T.; Ma, X. Y.; Ma, Y.; Maas, F. E.; Maggiora, M.; Malik, Q. A.; Mao, Y. J.; Mao, Z. P.; Messchendorp, J. G.; Min, J.; Min, T. J.; Mitchell, R. E.; Mo, X. H.; Morales, C. Morales; Motzko, C.; Muchnoi, N. Yu; Muramatsu, H.; Nefedov, Y.; Nicholson, C.; Nikolaev, I. B.; Ning, Z.; Olsen, S. L.; Ouyang, Q.; Pacetti, S.; Park, J. W.; Pelizaeus, M.; Peng, H. P.; Peters, K.; Ping, J. L.; Ping, R. G.; Poling, R.; Prencipe, E.; Qi, M.; Qian, S.; Qiao, C. F.; Qin, X. S.; Qin, Y.; Qin, Z. H.; Qiu, J. F.; Rashid, K. H.; Rong, G.; Ruan, X. D.; Sarantsev, A.; Schaefer, B. D.; Schulze, J.; Shao, M.; Shen, C. P.; Shen, X. Y.; Sheng, H. Y.; Shepherd, M. R.; Song, W. M.; Song, X. Y.; Spataro, S.; Spruck, B.; Sun, D. H.; Sun, G. X.; Sun, J. F.; Sun, S. S.; Sun, Y. J.; Sun, Y. Z.; Sun, Z. J.; Sun, Z. T.; Tang, C. J.; Tang, X.; Tapan, I.; Thorndike, E. H.; Toth, D.; Ullrich, M.; Varner, G. S.; Wang, B.; Wang, B. Q.; Wang, K.; Wang, L. L.; Wang, L. S.; Wang, M.; Wang, P.; Wang, P. L.; Wang, Q.; Wang, Q. J.; Wang, S. G.; Wang, X. L.; Wang, Y. D.; Wang, Y. F.; Wang, Y. Q.; Wang, Z.; Wang, Z. G.; Wang, Z. Y.; Wei, D. H.; Weidenkaff, P.; Wen, Q. G.; Wen, S. P.; Wiedner, U.; Wu, L. H.; Wu, N.; Wu, S. X.; Wu, W.; Wu, Z.; Xia, L. G.; Xiao, Z. J.; Xie, Y. G.; Xiu, Q. L.; Xu, G. F.; Xu, G. M.; Xu, H.; Xu, Q. J.; Xu, X. P.; Xu, Z. R.; Xue, F.; Xue, Z.; Yan, L.; Yan, W. B.; Yan, Y. H.; Yang, X.; Yang, Y.; Yang, Y. X.; Ye, H.; Ye, M.; Ye, M. H.; Yu, B. X.; Yu, C. X.; Yu, J. S.; Yu, S. P.; Yuan, C. Z.; Yuan, Y.; Zafar, A. A.; Zallo, A.; Zeng, Y.; Zhang, B. X.; Zhang, B. Y.; Zhang, C. C.; Zhang, D. H.; Zhang, H. H.; Zhang, H. Y.; Zhang, J. Q.; Zhang, J. W.; Zhang, J. Y.; Zhang, J. Z.; Zhang, S. H.; Zhang, X. J.; Zhang, X. Y.; Zhang, Y.; Zhang, Y. H.; Zhang, Y. S.; Zhang, Z. P.; Zhang, Z. Y.; Zhao, G.; Zhao, H. S.; Zhao, J. W.; Zhao, K. X.; Zhao, Lei; Zhao, Ling; Zhao, M. G.; Zhao, Q.; Zhao, S. J.; Zhao, T. C.; Zhao, X. H.; Zhao, Y. B.; Zhao, Z. G.; Zhemchugov, A.; Zheng, B.; Zheng, Y. H.; Zhong, B.; Zhong, J.; Zhou, L.; Zhou, X. K.; Zhou, X. R.; Zhu, C.; Zhu, K.; Zhu, K. J.; Zhu, S. H.; Zhu, X. L.; Zhu, X. W.; Zhu, Y. C.; Zhu, Y. M.; Zhu, Y. S.; Zhu, Z. A.; Zhuang, J.; Zou, B. S.; Zou, J. H.; Werner, M.J.; Zheng, J.P.

    2012-01-01

    Using a 478 pb(-1) data sample collected with the BESIII detector operating at the Beijing Electron Positron Collider storage ring at a center-of-mass energy of root s = 4.009 GeV, the production of e(+)e(-) -> eta J/psi is observed for the first time with a statistical significance of greater than

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

    Science.gov (United States)

    Reid, Graham J; Brown, Judith Belle

    2008-07-01

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

  15. Unusual Association of Hemophagocytic Lymphohistiocytosis in Systemic Lupus Erythematosus: Cases Reported at Tertiary Care Center

    Science.gov (United States)

    Gupta, Devika; Mohanty, Supreet; Thakral, Deepshi; Bagga, Arvind; Wig, Naveet; Mitra, Dipendra Kumar

    2016-01-01

    Case series Patients: Female, 10 • Female, 15 Final Diagnosis: Secondary hemophagocytic lymphohistiocytosis Symptoms: Arthralgia • CNS manifestations • fever • pancytopenia • rash Medication: — Clinical Procedure: — Specialty: Hematology Objective: Rare co-existence of disease or pathology Background: Hemophagocytic lymphohistiocytosis (HLH) in the background of systemic lupus erythematosus (SLE) is rare. Inability to discriminate between these two entities may be fatal for the patient. Here we report two cases of SLE with secondary HLH, one of which manifested HLH as the initial presentation, and the significance of HLH’s timely diagnosis. Case Report: We describe two cases of SLE secondarily affected by HLH, which were diagnosed by various laboratory parameters and detection of profoundly reduced NK cell activity by using flow cytometry. Both our cases on investigation showed hyperferritinemia, hypertriglyceridemia, hypofibrinogenemia, and marked reduction or complete absence of NK cell activity. Conclusions: Association of secondary HLH with SLE is rare, and when it occurs, differentiating it from lupus flare requires a high degree of suspicion and awareness of this association. Both have overlapping clinical features, but HLH is characterized by hyperferritinemia, hypofibrinogenemia, hypertriglyceridemia, and a decrease in erythrocyte sedimentation rate (ESR) and NK cell activity unlike SLE. Therefore, early diagnosis of HLH in the background of SLE facilitates timely selection of an appropriate treatment modality to prevent fatal complications. PMID:27733745

  16. Building research administration applications for the academic health center: a case study.

    Science.gov (United States)

    Guard, J Roger; Brueggemann, Ralph F; Highsmith, Robert F; Marine, Stephen A; Riep, Josette R; Schick, Leslie C

    2005-11-01

    The academic health center information environment is saturated with information of varying quality and overwhelming quantity. The most significant challenge is transforming data and information into knowledge. The University of Cincinnati Medical Center's (UCMC) focus is to develop an information architecture comprising data structures, Web services, and user interfaces that enable individuals to manage the information overload so that they can create new knowledge. UCMC has accomplished much of what is reported in this article with the help of a four-year Integrated Advanced Information Management Systems (IAIMS) operation grant awarded by the National Library of Medicine in 2003. In the UCMC vision for knowledge management, individuals have reliable, secure access to information that is filtered, organized, and highly relevant for specific tasks and personal needs. Current applications and tool sets will evolve to become the next generation knowledge management applications or smart digital services. When smart digital services are implemented, silo applications will disappear. A major focus of UCMC's IAIMS grant is research administration. Testing and building out existing and new research administration applications and digital services is underway. The authors review UCMC's progress and results in developing a software architecture, tools, and services for research administration. Included are sections on the evolution to full integration, the impact of the work at UCMC to date, lessons learned during this research and development process, and future plans and needs.

  17. Reflection nebulae in the Galactic Center: the case for soft X-ray imaging polarimetry

    CERN Document Server

    Marin, F; Soffitta, P; Karas, V; Kunneriath, D

    2015-01-01

    The origin of irradiation and fluorescence of the 6.4 keV bright giant molecular clouds surrounding Sgr A*, the central supermassive black hole of our Galaxy, remains enigmatic. Testing the theory of a past active period of Sgr A* requires X-ray polarimetry. In this paper, we show how modern imaging polarimeters could revolutionize our understanding of the Galactic Center. Through Monte Carlo modeling, we produce a 4-8 keV polarization map of the Galactic Center, focusing on the polarimetric signature produced by Sgr B1, Sgr B2, G0.11-0.11, Bridge E, Bridge D, Bridge B2, MC2, MC1, Sgr C3, Sgr C2, and Sgr C1. We estimate the resulting polarization, include polarized flux dilution by the diffuse plasma emission detected toward the GC, and simulate the polarization map that modern polarimetric detectors would obtain assuming the performances of a mission prototype. The eleven reflection nebulae investigated in this paper present a variety of polarization signatures, ranging from nearly unpolarized to highly pola...

  18. Sociocognitive determinants of observed and self-reported compliance to hand hygiene guidelines in child day care centers

    NARCIS (Netherlands)

    Zomer, T.P.; Erasmus, V.; Empelen, P. van; Looman, C.; Beeck, E.F. van; Tjon-A-Tsien, A.; Richardus, J.H.; Voeten, H.A.C.M.

    2013-01-01

    Background: Although hand hygiene (HH) has proven to be an effective measure to prevent infections, HH compliance is generally low. We assessed sociocognitive determinants of caregivers' HH behavior in child day care centers (DCCs) to develop an effective HH intervention. Methods: Caregivers' compli

  19. Sonographic Findings of Benign Breast Diseases, A Study of 111 Cases in Iranian Center for Breast Cancer

    Directory of Open Access Journals (Sweden)

    N. sedighi

    2005-08-01

    Full Text Available Introduction & Background: Benign lesions are very common in breast. The most important consideration for physicians is to differentiate benign processes from malignant ones .Hence the clinicians and radi-ologists both wish to differentiate them even before surgical procedures. The Iranian Center for Breast Cancer linked to Jahad Daneshgahi Center is a referral place for patients with breast complaints. Patients & Methods: Retrospective study of sonographic findings of 111 patients with benign patho-logic diagnosis revealed 72.1% accuracy for sonogra-phy in diagnosing benign masses. In 31 cases (27.9%, the sonographic diagnosis was incorrect. Among the different benign lesions, the most common lesions were cysts, fibradenomas, and fibrocystic changes with respective sonographic accuracy of 100%, 90%, and 62.5%. Results: It shows that sonography has a high sensitiv-ity for diagnosis of benign breast lesions and this sen-sitivity is higher in cysts and fibradenomas which are the most common benign pathologies of breast. Conclusion: As a result, in this center sonography is an imaging modality for evaluating benign breast le-sion especially in young patients with dense breasts and palpable masses. Its unique role in diagnosis of the cysts is valuable especially to avoid repeated biopsies.

  20. Meckel's diverticulum: a case report from the University Hospital Center Yaoundé, Cameroon

    Directory of Open Access Journals (Sweden)

    Arthur Essomba

    2009-10-01

    Full Text Available To the best of our knowledge there is no reported case of Meckel's diverticulum (MD in Cameroon. The prevalence of MD in the general population is 2-3 %. The aim of this paper is to recapitulate the role of this pathology in acute abdomens and abdominal pain of uncertain aetiology in young patients and to review the medical literature.

  1. Management of groundwater in urban centers: A case study; Greater Dammam Metropolitan Area

    International Nuclear Information System (INIS)

    Effective management of groundwater resources in urban centers of arid regions is vital for sustainable development and groundwater protection especially with rapid growth of water demands under water stress conditions. Greater Dammam Metropolitan Area is a good example of rapid growing urban center due to comprehensive development and population growth. The water demand has increased by many times during the last three decades. Groundwater from local aquifers namely Dammam and Umm Er Radhuma, supplies more than 85% of the total water demands. The aquifers have been subjected to extensive and increasing groundwater pumping especially during last three decades. Negative impacts such as significant decline in water levels have been experienced in the area. A new groundwater management scheme in terms of improving the long-term water pumping policies is required for protection of the aquifers groundwater productivity. A special numerical simulation model of the multi-aquifer system including Dammam and Umm Er Radhuma aquifers has been developed to assess the behavior of the aquifer system under long term water stresses in Dammam Metropolitan Area. The developed numerical simulation model has been utilized to predict the responses of the aquifer system in terms of decline in terms of water level under different pumping schemes from the two aquifers during the next 30 years. The model results have postulated the importance of Umm Er Radhuma (UER) aquifer as a major water supply source to Dammam Metropolitan Area, as well as potential recharge source of more than 30% of the total water pumped from Dammam aquifer. These findings have been utilized in improving present and future groundwater management and conservation for the study area. Similar techniques can be used to improve the groundwater management in other parts of the country as well as other arid regions. (author)

  2. Minimally invasive esophagectomy for cancer: Single center experience after 44 consecutive cases

    Directory of Open Access Journals (Sweden)

    Bjelović Miloš

    2015-01-01

    Full Text Available Introduction. At the Department of Minimally Invasive Upper Digestive Surgery of the Hospital for Digestive Surgery in Belgrade, hybrid minimally invasive esophagectomy (hMIE has been a standard of care for patients with resectable esophageal cancer since 2009. As a next and final step in the change management, from January 2015 we utilized total minimally invasive esophagectomy (tMIE as a standard of care. Objective. The aim of the study was to report initial experiences in hMIE (laparoscopic approach for cancer and analyze surgical technique, major morbidity and 30-day mortality. Methods. A retrospective cohort study included 44 patients who underwent elective hMIE for esophageal cancer at the Department for Minimally Invasive Upper Digestive Surgery, Hospital for Digestive Surgery, Clinical Center of Serbia in Belgrade from April 2009 to December 2014. Results. There were 16 (36% middle thoracic esophagus tumors and 28 (64% tumors of distal thoracic esophagus. Mean duration of the operation was 319 minutes (approximately five hours and 20 minutes. The average blood loss was 173.6 ml. A total of 12 (27% of patients had postoperative complications and mean intensive care unit stay was 2.8 days. Mean hospital stay after surgery was 16 days. The average number of harvested lymph nodes during surgery was 31.9. The overall 30-day mortality rate within 30 days after surgery was 2%. Conclusion. As long as MIE is an oncological equivalent to open esophagectomy (OE, better relation between cost savings and potentially increased effectiveness will make MIE the preferred approach in high-volume esophageal centers that are experienced in minimally invasive procedures.

  3. Competitive service centers location in the cities with aim to reduce traffic (Case study: Health centers location in the city if Isfahan

    Directory of Open Access Journals (Sweden)

    Hamid Moradi

    2011-03-01

    Full Text Available Abstract   Distribution of goods and services in cities is of utmost importance. Selecting appropriate venues for different service centers in a city not only enables the citizens to access these services much more easily, but also reduces the traffic load caused by trips made to reach them. Unfortunately, the lack of a correct urban planning has led to inappropriate formation of many cities around the world in terms of the locations assumed for different service centers. Since the private sector has been given the responsibility to construct most of these centers, changing their current locations may be restricted due to legal obligations. Therefore, it seems necessary for the government to construct new service centers with high competitive facilities to attract customers and to compete with those built by the private sector. In this paper, the selection of appropriate locations to construct new service centers has been studied. Such locations have been selected in a way to fulfill goals such as rapid and easy accessibility for the customers and reduction of traffic drawbacks caused by the related trips. In this regard, a model for service centers with restricted capacity has been designed and a parallel simulated annealing algorithm has been proposed to solve it. Finally, the proposed algorithm has been utilized to locate the health centers around the city of Isfahan and its efficiency has been investigated. The findings highlight the accuracy and speed of the proposed algorithm in location of the health centers of Isfahan.

  4. Spatial and temporal dynamics of visual search tasks distinguish subtypes of unilateral spatial neglect: Comparison of two cases with viewer-centered and stimulus-centered neglect.

    Science.gov (United States)

    Mizuno, Katsuhiro; Kato, Kenji; Tsuji, Tetsuya; Shindo, Keiichiro; Kobayashi, Yukiko; Liu, Meigen

    2016-08-01

    We developed a computerised test to evaluate unilateral spatial neglect (USN) using a touchscreen display, and estimated the spatial and temporal patterns of visual search in USN patients. The results between a viewer-centered USN patient and a stimulus-centered USN patient were compared. Two right-brain-damaged patients with USN, a patient without USN, and 16 healthy subjects performed a simple cancellation test, the circle test, a visuomotor search test, and a visual search test. According to the results of the circle test, one USN patient had stimulus-centered neglect and a one had viewer-centered neglect. The spatial and temporal patterns of these two USN patients were compared. The spatial and temporal patterns of cancellation were different in the stimulus-centered USN patient and the viewer-centered USN patient. The viewer-centered USN patient completed the simple cancellation task, but paused when transferring from the right side to the left side of the display. Unexpectedly, this patient did not exhibit rightward attention bias on the visuomotor and visual search tests, but the stimulus-centered USN patient did. The computer-based assessment system provided information on the dynamic visual search strategy of patients with USN. The spatial and temporal pattern of cancellation and visual search were different across the two patients with different subtypes of neglect.

  5. Challenges for Study Centers in an Electronic Age: A Case Study of the Center for Distance Education at the University of Oldenburg, Germany.

    Science.gov (United States)

    Bernath, Ulrich; Kleinschmidt, Axel; Walti, Christine; Zawacki, Olaf

    2003-01-01

    The Center for Distance Education at the University of Oldenburg began offering online tutorials with mentors in the 1990s. Virtual study centers using Lotus Learning Space as the online learning management system were created in 1999. Appropriate technical support, technology training, and preparation of mentors to be online teachers were…

  6. Cultures of education and rituals of transition from home to the infant toddler center. Observing interactions and professional development

    Directory of Open Access Journals (Sweden)

    Chiara Bove

    2014-04-01

    Full Text Available At the infant-toddler center, the rituals of transition that mark children’s arrival and going home times offer interesting kaleidoscopes for the study of interactive dynamics with the associated meanings and implicit educational models. Numerous pedagogical studies have investigated the meanings of these events, for the most part drawing on the monocultural model of classical attachment theory to analyze interactions between adults and children. Far less research has approached these rituals using triadic, systemic and intercultural categories of analysis in order to explore not only educators’ actions but also what is going on in their minds. In this paper, we discuss examples from a recent study on rituals of transition in the multicultural context of an infant toddler center, combining description of the timing, behaviors and interactive styles of children and adults, with analysis of the thoughts and representations of the educators.

  7. Nasopharyngeal cancer mimicking otitic barotrauma in a resource-challenged center: a case report

    Directory of Open Access Journals (Sweden)

    Daniel Adekunle

    2011-10-01

    Full Text Available Abstract Introduction Nasopharyngeal cancer commonly manifests with cervical lymphadenopathy, recurrent epistaxis and progressive nasal obstruction. Neuro-ophthalmic and otologic manifestations can also occur. Isolated otologic presentations of nasopharyngeal cancer are rare and the diagnosis of nasopharyngeal cancer may not be foremost in the list of differentials. Case presentation We present the case of a 29-year-old Nigerian woman with bilateral conductive hearing loss and tinnitus after air travel. There were no other symptoms. The persistence of the symptoms after adequate treatment for otitic barotrauma necessitated re-evaluation, which led to a diagnosis of nasopharyngeal cancer. Conclusion Isolated otologic manifestations of nasopharyngeal cancer are rare in regions with low incidence of the disease. There is a need for it to be considered as a possible differential in patients presenting with bilateral serous otitis media.

  8. Case study: Delivery and payment reform in congestive heart failure at two large academic centers.

    Science.gov (United States)

    George, Meaghan; Bencic, Sara; Bleiberg, Sarah; Alawa, Nawara; Sanghavi, Darshak

    2014-07-01

    To help support implementation of aligning clinical redesign with payment reforms in practices and institutions throughout the country, we present two cases from Duke University Health System ("Duke") and University of Colorado Hospital ("Colorado"). The studies provide practical solutions for not only implementing clinical redesign, but also an understanding of how those clinical innovations can be aligned with alternative payment models. The cases will explore the following questions: What challenges or problems encouraged the organization to redesign CHF care? How did the organization select and then align care innovations with payment reforms, including bundled payments and shared savings? What did the organization identify as key success factors and/or challenges? How did these changes impact the organization׳s clinical outcomes or financial position? Finally, what lessons would the organization share with others attempting to implement similar strategies? PMID:26250378

  9. Fish bone foreign body presenting with an acute fulminating retropharyngeal abscess in a resource-challenged center: a case report

    Directory of Open Access Journals (Sweden)

    Oyewole Ezekiel O

    2011-04-01

    Full Text Available Abstract Introduction A retropharyngeal abscess is a potentially life-threatening infection in the deep space of the neck, which can compromise the airway. Its management requires highly specialized care, including surgery and intensive care, to reduce mortality. This is the first case of a gas-forming abscess reported from this region, but not the first such report in the literature. Case presentation We present a case of a 16-month-old Yoruba baby girl with a gas-forming retropharyngeal abscess secondary to fish bone foreign body with laryngeal spasm that was managed in the recovery room. We highlight specific problems encountered in the management of this case in a resource-challenged center such as ours. Conclusion We describe an unusual presentation of a gas-forming organism causing a retropharyngeal abscess in a child. The patient's condition was treated despite the challenges of inadequate resources for its management. We recommend early recognition through adequate evaluation of any oropharyngeal injuries or infection and early referral to the specialist with prompt surgical intervention.

  10. EFFECT OF NEBULIZED COLISTIN ON THE VENTILATOR CIRCUIT: A PROSPECTIVE PILOT CASE-CONTROL STUDY FROM A SINGLE CANCER CENTER

    Directory of Open Access Journals (Sweden)

    Iyad M Ghonimat

    2015-04-01

    Full Text Available Nebulized colistin (NC is used for the treatment of pneumonia due to multidrug-resistant Gram-negative bacteria. In this one-year case-control study, our objective was to evaluate the effect of NC on the ventilator circuit (VC components. The case group consisted of 25 mechanically-ventilated patients who received NC, while the control group was 25 mechanically-ventilated patients who did not receive NC. Respiratory therapists inspected the VC every 4 hrs and whenever a ventilator alarm was reported. The VC component was changed if the alarm did not subside after necessary measures were performed. Patients from both groups were treated at the adult ICU in King Hussein Cancer Center (KHCC. In the case group, 22(88% patients required changing at least one of the circuit components (flow sensor, exhalation membrane, or nebulizer kit. The median number of changes (range per patient of the flow sensor, exhalation membrane, and nebulizer kit were: 2(1-3, 2(1-6, and 1(1-2, respectively. Large amounts of white crystals, which resembled the colistin powder, were reported on the replaced VC components. The flow sensor was changed in 2 control patients, but white crystals were absent. Crystals obtained from one case subject were confirmed to be colistin by chromatographic mass spectroscopy. Further studies are needed to evaluate the effect of crystal formation on the efficacy of NC and clinical outcomes.

  11. FINANCIAL SHARED SERVICES CENTER FOR CHINESE COMPANY INTERNATIONALIZING : Case company: X

    OpenAIRE

    Ma, Chao

    2015-01-01

    With economic globalization, more and more Chinese companies take the strategies of internationalization. But how to manage the bigger financial issues becomes a new challenge for those companies. The management mode of Financial Shared Services provides a good choice for the Chinese companies. The main objective of this thesis was to investigate the current situation of Financial Shared Services in China and help Chinese companies to measure this management mode. More specifically, the case ...

  12. Three-year observation of the patients with bullous pemphigoid: 29 cases

    Directory of Open Access Journals (Sweden)

    Özlem Ekiz

    2013-12-01

    Full Text Available Background and Design: Bullous pemphigoid (BP is a chronic, autoimmune, subepidermal blistering disease. The aim of this study was to determine the clinico-epidemiologic data’s of patients diagnosed as BP in our clinic and compare these data with other studies in our country and in the world. Material and Method: We researched the documents of BP cases diagnosed by clinical and histopathological examinations from January 2009 to January 2013, retrospectively. We evaluated clinical and dermographical characteristics of all patients such as age, sex, existence of oral mucosal lesions, association of pruritus, duration of disease, presence of triggering factors, features of skin lesions, results of direct immunofluorescence (DIF investigation, drug intake, recurrence and mortality rates and causes of detected mortality. Results: Of the 29 patients included in the study %48,3 were female, %51,7 were male. The average age was 70,17 and the mean duration of disease was 15.41 months. In five cases oral mucosal involvement and in 24 cases pruritus was detected. Drugs in three cases and malignity in one case were assessed as triggering factors. The results of DIF investigation revealed the linear IgG and C3 deposition at the dermoepidermal junction in 12 cases, C3 deposition in 10 cases. The initial treatment was topical corticosteroid in 11, tetracycline and nicotinamide combination in six, systemic corticosteroid in 10 individuals. After initial therapy recurrence appeared in 7 patients in one year. Mortality during hospitalization was observed in 2 cases. Conclusions: We presented the clinical and epidemiological features of patients diagnosed as BP in our clinics in the last three years. Because of having different ethnical originated, heterogeneous population of our city, we believe that our investigation will contribute to having opinion about epidemiology of BP in our country. Nevertheless, prospective, long term and multicentre studies based on

  13. Clinical Observation on Treatment of 60 Cases of Osteoarthritis of Knee Joint by Electroacupuncture

    Institute of Scientific and Technical Information of China (English)

    DAI Qi-ping; QIU Min-lei; SHAO ping; HU dong; WU Xue-fei

    2003-01-01

    Purpose To observe therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4 ) and Dubi (ST 35) in treating osteoarthritis of knee joint. Method All the 120 cases were randomly divided into electroacupuncture and control groups, 60 cases in each group,and they were given electroacupuncture and Ritalin slowreleased tablet respectively, and pain, mobility and swelling degree of knee joint were observed before and after treatments. Results In treatment group, the average score increased by 18, while in control group, it increased by 12.33 ( P < 0. 05 ) after treatment. Conclusion Therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint was better than that of administration of Ritalin slow-released tablet.

  14. Observation on 42 cases of inflammation of soft tissue treated by nitrogen molecular laser

    Science.gov (United States)

    Zhou, Shu-mei; Zhang, Yan; Yin, Wen-yu

    1993-03-01

    This article reports a satisfactory result through the observation of 42 cases of soft tissue inflammation treated by nitrogen molecular laser including 22 cases that failed under treatment of antibiotic and ultraviolet ray. Of the 42 cases reviewed, 34 patients recovered. The average of recovery days was 13.8 days; 8 patients made obvious progress in recovering. Compared with the therapeutic results of ultraviolet ray, nitrogen molecular laser could get the same results with ultraviolet ray in an acute stage of inflammation, and it could shorten the course of disease and raise the cure rate for chronic soft tissue inflammation and delay in wound healing. The following is a brief introduction of the comparison between nitrogen molecular laser and the antibiotic and ultraviolet ray.

  15. Hurricane Public Health Research Center at Louisiana State University a Case of Academia Being Prepared

    Science.gov (United States)

    van Heerden, I. L.

    2006-12-01

    Recent floods along the Atlantic and Gulf seaboards and elsewhere in the world before Katrina had demonstrated the complexity of public health impacts including trauma; fires; chemical, sewerage, and corpse contamination of air and water; and diseases. We realized that Louisiana's vulnerability was exacerbated because forty percent of the state is coastal zone in which 70% of the population resides. Ninety percent of this zone is near or below sea level and protected by man-made hurricane-protection levees. New Orleans ranked among the highest in the nation with respect to potential societal, mortality, and economic impacts. Recognizing that emergency responders had in the past been unprepared for the extent of the public health impacts of these complex flooding disasters, we created a multi-disciplinary, multi-campus research center to address these issues for New Orleans. The Louisiana Board of Regents, through its millennium Health Excellence Fund, awarded a 5-year contract to the Center in 2001. The research team combined the resources of natural scientists, social scientists, engineers, and the mental health and medical communities. We met annually with a Board of Advisors, made up of federal, state, local government, and non-governmental agency officials, first responders and emergency managers. Their advice was invaluable in acquiring various datasets and directing aspects of the various research efforts. Our center developed detailed models for assessment and amelioration of public health impacts due to hurricanes and major floods. Initial research had showed that a Category 3 storm would cause levee overtopping, and that most levee systems were unprotected from the impacts of storm-induced wave erosion. Sections of levees with distinct sags suggested the beginnings of foundation and subsidence problems. We recognized that a slow moving Cat 3 could flood up to the eaves of houses and would have residence times of weeks. The resultant mix of sewage, corpses

  16. The socially responsible company as a strategic second-order observer: An Indian case

    OpenAIRE

    Krichewsky, Damien

    2014-01-01

    The emergence of Corporate Social Responsibility (CSR) as a global component of business-society relationships has triggered many controversial debates in which CSR is either advocated as a source of virtuous business or disregarded as mere “window dressing.” This paper proposes an alternative perspective on the CSR phenomenon based on N. Luhmann’s social systems theory, which guides a study of CSR in India combining macroscopic observations and the case of the cement manufacturer Lafarge Ind...

  17. Transformational leadership, transnational culture and political competence in globalizing health care services: a case study of Jordan's King Hussein Cancer Center

    Directory of Open Access Journals (Sweden)

    Pappas Gregory

    2007-11-01

    Full Text Available Abstract Background Following the demise of Jordan's King Hussein bin Talal to cancer in 1999, the country's Al-Amal Center was transformed from a poorly perceived and ineffectual cancer care institution into a Western-style comprehensive cancer center. Renamed King Hussein Cancer Center (KHCC, it achieved improved levels of quality, expanded cancer care services and achieved Joint Commission International accreditation under new leadership over a three-year period (2002–2005. Methods An exploratory case research method was used to explain the rapid change to international standards. Sources including personal interviews, document review and on-site observations were combined to conduct a robust examination of KHCC's rapid changes. Results The changes which occurred at the KHCC during its formation and leading up to its Joint Commission International (JCI accreditation can be understood within the conceptual frame of the transformational leadership model. Interviewees and other sources for the case study suggest the use of inspirational motivation, idealized influence, individualized consideration and intellectual stimulation, four factors in the transformational leadership model, had significant impact upon the attitudes and motivation of staff within KHCC. Changes in the institution were achieved through increased motivation and positive attitudes toward the use of JCI continuous improvement processes as well as increased professional training. The case study suggests the role of culture and political sensitivity needs re-definition and expansion within the transformational leadership model to adequately explain leadership in the context of globalizing health care services, specifically when governments are involved in the change initiative. Conclusion The KHCC case underscores the utility of the transformational leadership model in an international health care context. To understand leadership in globalizing health care services, KHCC

  18. Drug reps and the academic medical center: a case for management rather than prohibition.

    Science.gov (United States)

    Huddle, Thomas S

    2008-01-01

    Abstract:Academic physicians and bioethicists are increasingly voicing objections to "drug rep" detailing. Leaders in academic medical centers are considering proposals to ban the small gifts of detailing within their walls. Such bans would be a mistake, as the small gifts are unlikely to act as bribes and do not create unacceptable conflicts of interest for physicians. Drug rep detailing does influence physician behavior, but this influence has not been shown to be harmful. Calls for a ban are premised on empirical evidence for harm that is inconclusive at best, and emerging literature in economics suggests that detailing may well be socially beneficial. A preponderance of harm over benefit is not, however, the primary source of the animus against detailing, which stems from moral considerations that are independent of its social consequences. However, pharmaceutical advertising, including detailing, is a morally legitimate aspect of the world of medical practice that we in academic medicine ought to be preparing our trainees to encounter and properly sift. PMID:18453729

  19. Long-term outcome on kidney retransplantation: a review of 100 cases from a single center.

    Science.gov (United States)

    Barocci, S; Valente, U; Fontana, I; Tagliamacco, A; Santori, G; Mossa, M; Ferrari, E; Trovatello, G; Centore, C; Lorenzi, S; Rolla, D; Nocera, A

    2009-05-01

    Renal transplantation has become an effective form of treatment for end-stage renal failure. Unfortunately, as a consequence of immunological and nonimmunological pathogenic mechanisms, chronic allograft nephropathy is responsible for the loss of a large proportion of kidney grafts after several years and return to dialysis. We have reported herein our 24 years of experience with second kidney transplantations. Of 1,302 kidney transplantations between January 1983 and June 2007 performed in our transplantation center, 100 were second transplantations. Kidney retransplantation was performed in 74 men and 26 women of overall mean age of 35.4 +/- 12.6 years. Cadaveric donor grafts were transplanted in 92 patients, whereas the remaining 8 were living-related donor kidneys. At 1, 5, and 10 years after kidney transplantation, patient survival rates were 100%, 96%, and 92%, respectively, whereas graft survival rates were 85%, 72%, and 53%, respectively. Immunosuppressive therapy included induction therapy with polyclonal anti-lymphocyte antibodies (ALG/ATG) or (starting from 1999) monoclonal anti CD 25 antibody. Our results demonstrated good outcomes for kidney retransplantations with allocation based on anti- HLA antibody identification together with induction immunosuppression.

  20. Acquired hemophilia a: retrospective analysis of 49 cases from a single Chinese hemophilia center.

    Science.gov (United States)

    Yang, Yanhui; Xue, Feng; Shi, Hao; Wang, Hongmei; Zhang, Lei; Ji, Linxiang; Yang, Renchi

    2015-01-01

    Acquired hemophilia A (AHA) is a rare bleeding disorder caused by the autoantibody directed against factor VIII in patients without previous history of a bleeding disorder. We retrospectively analyzed the characteristics and outcomes of 49 patients with AHA diagnosed in our center from February 1994 to October 2012. Twenty-four patients with acute bleeding episodes were treated with prothrombin complex concentrate (PCC) at a relative low dose of 30 to -50 U/kg/d and achieved good outcomes without any adverse reaction. Corticosteroids alone or in combination with cyclophosphamide were used as the first-line therapy to eradicate the inhibitors. In 39 evaluable patients, 35 (89.7%) achieved complete remission (CR). This study demonstrates that when bypassing agents such as recombinant activated factor VII and activated PCCs are not affordable or available, low dose PCC is effective and safe to control acute bleeding in patients with AHA. First-line therapy achieved good outcomes with a CR rate of 89.7%.

  1. Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.

    Science.gov (United States)

    Mittring, Nadine; Pérard, Marion; Witt, Claudia M

    2013-01-01

    The offer of "integrative oncology" is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type ("best of both worlds" and "linking"). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

  2. Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers

    Directory of Open Access Journals (Sweden)

    Burns Barbara J

    2008-02-01

    Full Text Available Abstract Background Behavioral health services for children and adolescents in the U.S. are lacking in accessibility, availability and quality. Evidence-based interventions for emotional and behavioral disorders can improve quality, yet few studies have systematically examined their implementation in routine care settings. Methods Using quantitative and qualitative data, we evaluated a multi-faceted implementation strategy to implement cognitive-behavioral therapy (CBT for depressed adolescents into two publicly-funded mental healthcare centers. Extent of implementation during the study's duration and variables influencing implementation were explored. Results Of the 35 clinicians eligible to participate, 25 (71% were randomized into intervention (n = 11 or usual care (n = 14. Nine intervention clinicians completed the CBT training. Sixteen adolescents were enrolled in CBT with six of the intervention clinicians; half of these received at least six CBT manually-based sessions. Multiple barriers to CBT adoption and sustained use were identified by clinicians in qualitative interviews. Conclusion Strategies to implement evidence-based interventions into routine clinical settings should include multi-method, pre-implementation assessments of the clinical environment and address multiple barriers to initial uptake as well as long-term sustainability.

  3. THE CASE AGAINST A MASSIVE BLACK-HOLE AT THE GALACTIC-CENTER

    NARCIS (Netherlands)

    SANDERS, RH

    1992-01-01

    MANY of the compact near-infrared sources observed in the central parsec of our Galaxy have been shown to be very massive, luminous blue stars with strong helium lines and fast winds, perhaps similar to Wolf-Rayet stars1-3; and the complex near-infrared source IRS16, which appears to be the central

  4. Migration, sexual exploitation, and women's health: a case report from a community health center.

    Science.gov (United States)

    Miller, Elizabeth; Decker, Michele R; Silverman, Jay G; Raj, Anita

    2007-05-01

    An estimated 50,000 women and children are annually trafficked into the United States, resulting in complex health and social consequences and significant risk for violence. This article presents a case of a trafficked woman identified in the U.S. health system and describes the vulnerabilities to forced prostitution as a result of trafficking and the challenges in providing an effective and comprehensive response to meet safety and health care needs. Health care providers are in a unique position to identify and support U.S. sex trafficking victims; thus, education and training for health care professionals on trafficking is needed. PMID:17478673

  5. Castleberry's: 2007 Botulism Recall; A Case Study by The Food Industry Center

    OpenAIRE

    Seltzer, Jonathan M.; Rush, Jeff; Kinsey, Jean D.

    2008-01-01

    This case summarizes the available information on the 2007 Castleberry’s recall and food recalls in general, and raises questions prompted by a recall of this magnitude. A massive, nationwide recall of Castleberry’s canned food due to botulism in the summer of 2007 illustrates the complexity of the food industry. Product from a single production line at a single plant, packed under 90 labels (the company’s own store brands and foodservice), spurred a recall of tens of millions of cans of food...

  6. The way forward in capacity building in developing countries: space research center at Minoufiyia University, Egypt, as case study

    Science.gov (United States)

    Mosalam Shaltout, M. A.

    With the starting the year 2002 the Menoufiyia University Council taked an Issue by construction Space Research Center, as a first Center for Space Research in the Egyptian Universities (20 Universities), as a part from the Desert Environment Research Institute for temporal time, then after the growth, it will be independent center. The green area of Egypt (Nile Valley and Delta) are 4% only from the total area of Egypt, the remain 96% is desert area. The most useful thing is to study the desert from space. For that the suggested projects to be performed in this new center are: 1. Monitoring the storage tanks of the underground water in the Egyptian Desert (Sahara) by artificial satellites as GRACE of NASA and DLR. 2. Building 32 meter Radio telescope at Abu-Simbel in the South of Egypt as part of the European VLBI network (EVN) to cover the gab between the radio telescope in the western Europe and the radio telescope at Hartebessthock in South Africa. The cooperation of International interested institutions is being explored for this important project of Egypt. 3. Solar activity and the climatic changes through the 21st century as clarified by global solar radiation data at Khargha Oases at the western desert of Egypt. 4. Testing of the Martian exploration instruments for 2005 space trips to Mars in the western desert of Egypt, as it is the driest area in the world, where are similarity between the dry atmosphere of Sahara and the atmosphere of Mars, also in the soil, and dry valleys. In collaboration with NASA and ESA. 5. Studding the eastern structure, due to meteoric impact in the western desert of Egypt since 28 Million years. Also, studding the meteors chemistry, for meteors found in the Egyptian desert, and the origin of life as meteor (Nachlet) in collaboration with NASA and ESA. 6. Solar energy and humidity distribution over Sahara from artificial Satellite Meteostat observations.

  7. North-South Partnership in Space Research and Application: Space Research Center at Minufiyia University, Egypt, as Case Study

    Science.gov (United States)

    Shaltout, M.

    With the starting the year 2002 the Minufiyia University Council taked an Issue by construction Space Research Center, as a first Center for Space Research in the Egyptian Universities (20 Universities), as a part from the Desert Environment Research Institute for temporal time, then after the growth, it will be independent center. The green area of Egypt (Nile Valley and Delta) are 4% only from the total area of Egypt, the remain 96% is desert area. The most useful thing is to study the desert from space. For that the suggested projects to be performed in this new center are: 1.Monitoring the storage tanks of the underground water in the Egyptian Desert (Sahara) by artificial satellites as GRACE of NASA and DLR. 2.Building 32 meter Radio telescope at Abu-Simbel in the South of Egypt as part of the European VLBI network (EVN) to cover the gab between the radio telescope in the western Europe and the radio telescope at Hartebessthock in South Africa. The cooperation of International interested institutions is being explored for this important project of Egypt. 3.Solar activity and the climatic changes through the 21st century as clarified by global solar radiation data at Khargha Oases at the western desert of Egypt. 4.Testing of the Martian exploration instruments for 2003 and 2005 space trips to Mars in the western desert of Egypt, as it is the driest area in the worl d, where are similarity between the dry atmosphere of Sahara and the atmosphere of Mars, also in the soil, and dry valleys. In collaboration with NASA and ESA. 5.Studding the eastern structure, due to meteoric impact in the western desert of Egypt since 28 Million years. Also, studding the meteors chemistry, for meteors found in the Egyptian desert, and the origin of life as meteor (Nachlet) in collaboration with NASA and ESA. Solar energy and humidity distribution over Sahara from artificial Satellite Meteostat observations.

  8. [Ebstein's malformation in the fetus with cardiomegaly. To treat or to observe?--a case report].

    Science.gov (United States)

    Sliwa, Jacek; Respondek-Liberska, Maria; Maroszyńska, Iwona; Krasomski, Grzegorz

    2010-02-01

    Ebstein's malformation is a rare congenital cardiac defect characterized by an abnormal formation and/or displacement of the leaflets of the tricuspid valve. Prognosis for a neonate is poor in case of cardiomegaly due to coexistence of lung hypoplasia. This paper presents a case of a fetus with Ebstein's malformation with massive cardiomegaly (HA/CA = 0.62) in a 27-year-old patient in her first pregnancy. The cardiac defect was diagnosed in the 22nd week of pregnancy. Due to the fact that the patient decided to continue her pregnancy, and taking into consideration single reports of transplacental Digoxin therapy an attempt to apply Digoxin therapy was made. The mother and the fetus were monitored in two centers, in Rzeszów and in Łódź. In the course of a 12-week transplacental therapy, 8 fetal echocardiography examinations were performed and the following parameters improved: HA/CA (0.62-0.5), CVPS (5/10-7/10) SF RA (0%-11%), SF RV (18%-28%). There was also a conversion of the oxygen test from negative to positive, which seems to document that prevention of the lung hypoplasia was achieved. The neonate died on the 8th day of postnatal life before a cardiac surgery attempt. PMID:20232713

  9. Acute pancreatitis induced by transarterial chemoembolization:a single-center experience of over 1500 cases

    Institute of Scientific and Technical Information of China (English)

    Wong Hoi She; Albert CY Chan; Tan To Cheung; Kenneth SH Chok; See Ching Chan; Ronnie TP Poon; Chung Mau Lo

    2016-01-01

    BACKGROUND: Acute pancreatitis is a relatively rare but po-tentially lethal complication after transarterial chemotherapy. This study aimed to review the complications such as acute pancreatitis after transarterial chemotherapy with or without embolization for hepatocellular carcinoma. METHODS: A total of 1632 patients with hepatocellular car-cinoma who had undergone transarterial chemoembolization from January 2000 to February 2014 in a single-center were reviewed retrospectively. We investigated the potential com-plications of transarterial chemoembolization, such as acute pancreatitis and acute pancreatitis-related complications. RESULTS: Of the 1632 patients with hepatocellular carcinoma who had undergone 5434 transarterial chemoembolizations, 1328 were male and 304 female. The median age of these pa-tients was 61 years. Most (79.6%) of the patients suffered from HBV-related hepatocellular carcinoma. The median tumor size was 5.2 cm. Of the 1632 patients, 145 patients underwent transarterial chemoembolization with doxorubicin elut-ing bead, making up a total of 538 episodes. The remaining patients underwent transarterial chemoembolization with cisplatin. Seven (0.4%) patients suffered from acute pancre-atitis post-chemoembolization. Six patients had chemoembo-lization with doxorubicin and one had chemoembolization with cisplatin. Patients who received doxorubicin eluting bead had a higher risk of acute pancreatitis [6/145 (4.1%) vs 1/1487 (0.1%), P CONCLUSIONS: Acute pancreatitis after transarterial chemo-embolization could result in serious complications, especially after treatment with doxorubicin eluting bead. Continuation of current treatment with transarterial chemoembolization after acute pancreatitis is feasible providing the initial attack is completely resolved.

  10. Data-driven Ontology Development: A Case Study at NASA's Atmospheric Science Data Center

    Science.gov (United States)

    Hertz, J.; Huffer, E.; Kusterer, J.

    2012-12-01

    Well-founded ontologies are key to enabling transformative semantic technologies and accelerating scientific research. One example is semantically enabled search and discovery, making scientific data accessible and more understandable by accurately modeling a complex domain. The ontology creation process remains a challenge for many anxious to pursue semantic technologies. The key may be that the creation process -- whether formal, community-based, automated or semi-automated -- should encompass not only a foundational core and supplemental resources but also a focus on the purpose or mission the ontology is created to support. Are there tools or processes to de-mystify, assess or enhance the resulting ontology? We suggest that comparison and analysis of a domain-focused ontology can be made using text engineering tools for information extraction, tokenizers, named entity transducers and others. The results are analyzed to ensure the ontology reflects the core purpose of the domain's mission and that the ontology integrates and describes the supporting data in the language of the domain - how the science is analyzed and discussed among all users of the data. Commonalities and relationships among domain resources describing the Clouds and Earth's Radiant Energy (CERES) Bi-Directional Scan (BDS) datasets from NASA's Atmospheric Science Data Center are compared. The domain resources include: a formal ontology created for CERES; scientific works such as papers, conference proceedings and notes; information extracted from the datasets (i.e., header metadata); and BDS scientific documentation (Algorithm Theoretical Basis Documents, collection guides, data quality summaries and others). These resources are analyzed using the open source software General Architecture for Text Engineering, a mature framework for computational tasks involving human language.

  11. Explanation of observable secular variations of gravity and alternative methods of determination of drift of the center of mass of the Earth

    Science.gov (United States)

    Barkin, Yury

    2010-05-01

    The summary. On the basis of geodynamic model of the forced relative displacement of the centers of mass of the core and the mantle of the Earth the secular variations of a gravity and heights of some gravimetry stations on a surface of the Earth have ben studied. At the account of secular drift of the center of mass of the Earth which on our geodynamic model is caused by the unidirectional drift of the core of the Earth relatively to the mantle, the full explanation is given to observable secular variations of a gravity at stations Ny-Alesund (Norway), Churchill (Canada), Medicine (Italy), Sayowa (Antarctica), Strastburg (France), Membach (Belgium), Wuhan (China) and Metsahovi (Finland). Two new methods of determination of secular drift of the center of mass of the Earth, alternative to classical method of a space geodesy are offered: 1) on the basis of gravimetry data about secular trends of a gravity at the stations located on all basic regions of the Earth; 2) on the basis of the comparative analysis of altimetry and coastal data about secular changes of sea level also in basic regions of ocean. 1. Secular drift of the center of mass of the core and the center of mass of the Earth. A secular drift of the center of mass of the Earth to the North relatively to special center O on an axis of rotation of the Earth for which the coefficient of third zonal harmonic J3' = 0, has been predicted in the author work [1]. A drift in a direction to a geographical point (pole P) 70°0 N and 104°3 E has been established for the first time theoretically - as a result of the analysis of the global directed redistribution of masses of the Earth, explaining the observed secular drift of the pole of an axis of rotation of the Earth and not tidal acceleration of its axial rotation [2]. In [1] velocity of drift it has been estimated in 1-2 cm/yr. For specified center O the figure of a planet is as though deprived of pure-shaped form (J3' = 0). And in this sense the point O can be

  12. Comparison of use and role of adrenaline and amiodarone in cardiac arrest:Case of emergency center in Kosovo

    Institute of Scientific and Technical Information of China (English)

    Basri Lenjani; Nehat Baftiu; Ilaz Bunjaku; Kadir Hyseni; Arianit Jakupi

    2013-01-01

    Objective: To investigate application of cardiopulmonary resuscitation (CPR) measures within the golden minutes in Europe. Methods: The collected data belong to the patients with cardiac arrest that have been recorded in patients’ protocol logbook at the Emergency Clinic. During the 2010-2011 in the Emergency Center of the CUCK in Prishtina have been treated a total of 269 patients with cardiac arrest, of whom 159 or 59.1% have been treated in 2010, and 110 patients or 40.9% in 2011. Cardiac arrest cases were present during all days of the week, but most frequently cases have been reported on Monday with 32.0% of cases, and on Friday with 24.5% of cases. All patients with cardiac arrest have been treated with physiological solution. Results: In 245 or 91.1% patients adrenaline has been applied; in 64 or 23.8% amiodarone has been applied; in 12 or 4.5% cases atropine has been applied, 11 or 4.1% of cases were treated with NaHCO3; 7 or 2.6% of cases were treated with lidocaine; and 6 or 2.2% of cases were treated with dopamine. All survivors from cardiac arrest have received appropriate medical assistance within 10 minutes from attack, which implies that if cardiac arrest occurs near an health care institution (with an opportunity to provide the emergent health care) the rate of survival is higher. Conclusions: Anti-arrhythmic drugs as with vasopressors, the evidence that anti-arrhythmic drugs are of benefit in cardiac is limited. No anti-arrhythmic drug given during human cardiac arrest has been shown to increase survival to hospital discharge, although amiodarone has been shown to increase survival to hospital admission after shock-refractory VF/VT. There are no data on the use of amiodarone for shock-refractory VF/VT when single shocks are used. Despite the lack of human long-term outcome data, the balance of evidence is in favour of the use of some anti-arrhythmic drugs for the management of arrhythmias in cardiac arrest.

  13. Relationships among Shopping Quality and Corporate Social Responsibility of Shopping Centers and Consumer Satisfaction: Case from Novi Sad (Serbia

    Directory of Open Access Journals (Sweden)

    Ivana Blešić

    2014-02-01

    Full Text Available Taking into consideration satisfied customer as necessary for business maintenance, companies are trying to discover determinants which have the biggest influence on their consumer satisfaction. Here are presented two factors that have influence on consumer satisfaction in shopping centers: quality of shopping and corporate social responsibility. In this research, each of these factors had six elements. The results of the regression analysis are that “Value for money in stores” (beta=0.387, p=0.000 has the greatest impact on satisfaction when shopping quality performance is concerned, and that “Retailer support for (national/local cultural and sport events“ (beta=0.333, p<0.001 has the greatest impact on satisfaction in the case of CSR performance. Further analysis showed the difference in consumer perception of corporate social responsibility, depending on their occupation and level of education. It is also important to mention that consumers with environment and empathic concern have higher scores perception of CSR. However, there is not statistically important difference in consumer perception of shopping quality in shopping centers

  14. Center for Disease Control's Diethylstilbestrol Update: a case for effective operationalization of messaging in social marketing practice.

    Science.gov (United States)

    Mattson, Marifran; Basu, Ambar

    2010-07-01

    The Center for Disease Control's (CDC) Diethylstilbestrol (DES) Update, a campaign to educate people who may have been exposed to the drug DES, is framed on the premises of the social marketing model, namely formative research, audience segmentation, product, price, placement, promotion, and campaign evaluation. More than that, the campaign takes a critical step in extending the social marketing paradigm by highlighting the need to situate the messaging process at the heart of any health communication campaign. This article uses CDC's DES Update as a case study to illustrate an application of a message development tool within social marketing. This tool promotes the operationalization of messaging within health campaigns. Ultimately, the goal of this project is to extend the social marketing model and provide useful theoretical guidance to health campaign practitioners on how to accomplish stellar communication within a social marketing campaign. PMID:19116422

  15. H.E.S.S. observations of the Galactic Center region and their possible dark matter interpretation

    CERN Document Server

    Aharonian, F A; Bazer-Bachi, A R; Beilicke, M; Benbow, W; Berge, D; Bernlöhr, K; Boisson, C; Bolz, O; Borrel, V; Braun, I; Breitling, F; Brown, A M; Buhler, R; Büsching, I; Carrigan, S; Chadwick, P M; Chounet, L M; Cornils, R; Costamante, L; Degrange, B; Dickinson, H J; Djannati-Ata, A; O'Connor-Drury, L; Dubus, G; Egberts, K; Emmanoulopoulos, D; Espigat, P; Feinstein, F; Ferrero, E; Fiasson, A; Fontaine, G; Funk, Seb; Funk, S; Gallant, Y A; Giebels, B; Glicenstein, J F; Goret, P; Hadjichristidis, C; Hauser, D; Hauser, M; Heinzelmann, G; Henri, G; Hermann, G; Hinton, J A; Hofmann, W; Holleran, M; Horns, D; Jacholkowska, A; De Jager, O C; Khelifi, B; Komin, N; Konopelko, A; Kosack, K; Latham, I J; Le Gallou, R; Lemiere, A; Lemoine-Goumard, M; Lohse, T; Martin, J M; Martineau-Huynh, O; Marcowith, A; Masterson, C; McComb, T J L; De Naurois, Mathieu; Nedbal, D; Nolan, S J; Noutsos, A; Orford, K J; Osborne, J L; Ouchrif, M; Panter, M; Pelletier, G; Pita, S; Pühlhofer, G; Punch, M; Raubenheimer, B C; Raue, M; Rayner, S M; Reimer, A; Reimer, O; Ripken, J; Rob, L; Rolland, L; Rowell, G; Sahakian, V V; Sauge, L; Schlenker, S; Schlickeiser, R; Schwanke, U; Sol, H; Spangler, D; Spanier, F; Steenkamp, R; Stegmann, C; Superina, G; Tavernet, J P; Terrier, R; Theoret, C G; Tluczykont, M; Van Eldik, C; Vasileiadis, G; Venter, C; Vincent, P; Völk, H J; Wagner, S J; Ward, M; al, et

    2006-01-01

    The detection of gamma-rays from the source HESS J1745-290 in the Galactic Center (GC) region with the H.E.S.S. array of Cherenkov telescopes in 2004 is presented. After subtraction of the diffuse gamma-ray emission from the GC ridge, the source is compatible with a point-source with spatial extent less than 1.2'(stat.) (95% CL). The measured energy spectrum above 160 GeV is compatible with a power-law with photon index of 2.25 +/- 0.04(stat.) +/- 0.10 (syst.) and no significant flux variation is detected. These measurements are discussed in the framework of dark matter annihilation. It is found that the bulk of the VHE emission must have non-dark-matter origin. Loose constraints on the velocity-weighted annihilation cross section are derived assuming the presence of an astrophysical non-dark-matter gamma-ray contribution.

  16. Direct Observation of the Active Center for Methane Dehydroaromatization Using an Ultrahigh Field 95Mo NMR Spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Heng; Ma, Ding; Bao, Xinhe; Hu, Jian Zhi; Kwak, Ja Hun; Wang, Yong; Peden, Charles HF

    2008-03-26

    Direct conversion of methane to value-added chemicals remains a challenge from both scientific and industrial points of view. In 1993, Wang et al. reported that methane can be transformed into aromatics on Mo/HZSM-5 catalysts under non-oxidative condition.1 Although remarkable progress has been made in the studies of the methane dehydroaromatization (MDA) reaction since that time, the reaction mechanism is still being debated,2 mainly due to the lack of understanding of the active center on Mo/HZSM-5 catalysts.3 It has been hypothesized that molybdenum may migrate into zeolitic channels and anchor on Brönsted acid sites during the synthesis. However, it is unclear whether the active molybdenum species are small crystallites or isolated exchanged species.

  17. Idiopathic Chronic Eosinophilic Pneumonia: Retrospective Analysis of 17 Cases from a Single Center in Turkey

    Directory of Open Access Journals (Sweden)

    Sibel Arınç

    2016-08-01

    Full Text Available Objective: Idiopathic chronic eosinophilic pneumonia (ICEP is a rare eosinophilic lung disorder with an unknown etiology and is characterized by subacute or chronic respiratory and general symptoms, alveolar and/or peripheral eosinophilia, and the accumulation of eosinophils in the lungs. We aimed to present diagnostic test results and follow-up outcomes of 17 patients who were diagnosed with ICEP in our hospital in light of literature. Methods: Between 2008 and 2013, we examined 17 cases of ICEP. We evaluated clinical and laboratory findings together with the long-term follow-up data. Results: The patients had a mean age of 40.8 years at presentation, and the female/male ratio was 0.8. The most common symptoms were cough (94%, shortness of breath (76%, and high fever (35%. Bronchoalveolar lavage eosinophil percentages of the patients ranged from 3% to 80%. Nine (53% patients experienced recurrence. Six patients were maintained on low dose steroid due to repeating relapses. Among these patients, 7 (77.7% had a total IgE level of above 500/IU/mL. Conclusion: Relapses are common in ICEP after the withdrawal of corticosteroid treatment or during dose reduction. We point out the importance of the close monitoring of patients for identifying relapse. A higher total IgE level during diagnosis may serve as a predictor of recurrence.

  18. A Service-Oriented Healthcare Message Alerting Architecture in an Asia Medical Center: A Case Study

    Directory of Open Access Journals (Sweden)

    Jin-Shin Lai

    2009-06-01

    Full Text Available This paper illustrates how our development team has used some information technologies to let physicians obtain an instant abnormal laboratory result report for critical patient care services. We have implementeda healthcare message alerting system (HMAS on a healthcare short message service (HSMS engine and the distributed healthcare-oriented service environment (DiHOSE in the National Taiwan University Hospital (NTUH. The HSMS engine has a general interface for all applications which could easily send any kind of alerting messages. Fundamentally, the DiHOSE uses HL7 standard formats to process the information exchange behaviors and can be flexibly extended for reasonable user requirements. The disease surveillance subsystem is an integral part of NTUH new hospital information system which is based on DiHOSE and the disease surveillance subsystem would send alerting messages through the HSMS engine. The latest cell phone message alerting subsystem, a case study, in NTUH proved that the DiHOSE could integrate the user required functions without much work. We concluded that both HSMS and DiHOSE can generalize and extend application demands efficiently.

  19. Pattern of Care Before Presentation Among the Psychiatric Emergency Cases at a Tertiary Health Care Center in Nigeria

    Science.gov (United States)

    Aina, Israel Odunmayowa; Otakpor, Alex Ndubisi; Israel-Aina, Yetunde Tinuola

    2016-01-01

    Objective: To determine the pattern of care sought in cases of psychiatric emergency before presentation to a tertiary health care center. Method: Consecutive recruitment of 180 emergency psychiatric cases, which comprised a total of 156 patients, presenting to the accident and emergency unit of the University of Benin Teaching Hospital (UBTH), Edo State, Nigeria, was conducted from June 2008 to January 2009. A structured instrument was used to gather the patients’ information including their sociodemographic characteristics, their care before presentation, and the relations accompanying them to the hospital. Results: The mean ± SD patient age was 33.82 ± 12.64 years, with an age range of 18–73 years and a modal age of 23 years. The male to female ratio was 1:1.05. Of the patients, 121 (77.6%) were not married, while 35 (22.4%) were married. Most identified as Christian (96.2%). The majority of the patients (70.0%) presented to the hospital through self-referral. Eighty (44.4%) of the patients had not sought any treatment before coming to UBTH. Forty-seven patients (26.1%) had sought care in churches, 39 (21.7%) had sought treatment in other hospitals, and 12 (6.7%) had sought traditional care before presenting to UBTH. Seventy-four patients (41.1%) were accompanied by parents and 44 (24.4%) were accompanied by siblings, while the spouse accompanied 23 (12.8%) patients. Conclusions: Most patients with psychiatric emergencies at UBTH prefer to present directly to the tertiary health care center in Benin City, and they are usually supported by their immediate family members. PMID:27486541

  20. Clinical Observation of 82 Cases of Enuresis Treated by Ginger-partitioned Moxibustion plus Cupping Therapy

    Institute of Scientific and Technical Information of China (English)

    ZHU Wei-ping; HUANG Guo-qi

    2003-01-01

    Purpose: To observe the clinical therapeutic effect in the treatment of enuresis by ginger-partitioned moxibustion plus cupping therapy. Methods: Ginger-par -titioned moxibustion was applied on Guanyuan (CV 4)and bilateral Zusanli (ST 36) and cupping therapy was applied on Shenque (CV 8) in the treatment of 82 cases of enuresis, in comparison with 76 cases treated by Chinese herbal medicine. Results: The effective rate was 84.1% in the treatment by ginger-partitioned moxibustion plus cupping therapy and was 64.5% in the treatment by Chinese herbal medicine. Conclusion: Ginger-partitio -ned moxibustion plus cupping therapy was better than Chinese herbal medicine in the treatment of enuresis (P <0.05).

  1. CLINICAL OBSERVATION ON TREATMENT OF 61 CASES OF INSOMNIA WITH AURICULAR PLASTER THERAPY

    Institute of Scientific and Technical Information of China (English)

    张家彤; 王月

    2003-01-01

    Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in thetreatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females weretreated with Ershenmen (MA-TF 1), Zhen (MA-AT), Yuanzhong (MA-AT), Nao Dian and E (MA-AT), combined withother otopoints according to symptoms. The otopoint was stuck with a piece of plaster adhered with vaccaria seeds andpressured by the patient him- or her-self. The treatment was given twice a week, with 7 times being a therapeuticcourse. Results: After 1 - 2 courses of treatment, 19 (31.15%) cases were cured, 34 (55.74 % ) had improvementand 8 (13.11%) had no changes, with the total effective rate being 86.9%. Conclusion: Auricular plaster therapyworks well in the treatment of insomnia patient.

  2. CLINICAL OBSERVATION ON TREATMENT OF 100 CASES OF NEURASTHENIA BY OTOPOINT PELLET-PRESSING THERAPY

    Institute of Scientific and Technical Information of China (English)

    YANG Guorong; HAN Jianhua

    2002-01-01

    This paper is aimed at observing the therapeutic effect of otopoint pellet-pressing therapy [auricular application of vaccaria seed (Wang Bu Liu Xing) ] in the treatment of neurasthenia. Main otopoints used are Pizhixia (MA-AT 1 ), Chuiqian (MA-L), Ershenmen ( MA-TF-1 ), Zhen (MA-AT), etc.. After application of plaster-adlered vaccaria seed at the otopoint, the patient is asked to press the otopoint 2- 3 times daily, 3- 5 min every time. After 2 courses ( 10 sessions) of treatment, of the 100 cases, 49 are cured, 37 have remarkable improvement and the rest 14 cases are relieved. Clinical practice shows that this therapy is effective for various kinds of neurasthenia.

  3. The Evaluation of Amyloidosis Cases with Renal Involvement: A Single-Center Experience

    Directory of Open Access Journals (Sweden)

    Yavuz AYAR

    2015-09-01

    Full Text Available OBJECTIVE: Amyloidosis is a chronic disease associated with proteinuria and can progress to renal failure. The diagnosis and treatment of the underlying cause is therefore important. In this study at a university hospital, the diagnosis of amyloidosis patients with renal biopsies was evaluated retrospectively. MATERIAL and METHODS: 69 (42 males, 27 females, mean age: 51.7 ± 14.8 years patients were diagnosed with amyloidosis with renal biopsy. Indications for biopsy was nephrotic syndrome in 42 patients (60.9%, nephritic syndrome in 27 (39.1% and renal dysfunction with proteinuria in 31 (44.9%. RESULTS: The most common causes of secondary amyloidosis were Familial Mediterranean Fever in 17 of the 62 patients, chronic inflammatory diseases in 17 patients and chronic infection in 13 patients. No cause was determined in 12 patients. Multiple myeloma was present in 5 patients with primary amyloidosis. At the time of diagnosis with amyloidosis, 19 patients were stage 1, 15 stage 2, 5 stage 3A, 12 stage 3B, 10 stage 4 and 8 stage 5. The baseline hemoglobin, serum albumin, creatinine, sodium, potassium, calcium, phosphorus, AST, ALT, PTH, SAA, CRP levels, average daily urinary protein excretion and baseline GFR values were not significantly different in primary and secondary amyloidosis patients. The treatment was medical in 62.3% of the patients, dialysis in 31.9% and renal transplantation in 5.8%. CONCLUSION: The reliability of renal biopsy in the diagnosis of amyloidosis is high. However, genetic studies for the diagnosis of idiopathic cases and special histological staining methods should be considered.

  4. Effects of donepezil on behavioural manifestations of thalamic infarction: a single case observation

    Directory of Open Access Journals (Sweden)

    Rodrigo eRiveros

    2011-03-01

    Full Text Available Objective: To examine the effect of donepezil for the treatment of cognitive and behavioural disorders associated with thalamic lesions in a 45 years old male who suffered an infarct in the left thalamus. Background: Recent studies suggest that donepezil may improve executive functions impairments due to subcortical ischemic lesionsMethod: The crossover effects of donepezil were analyzed in a single case of thalamic infarction with cognitive and behavioural alterations. Results: Significant behavioural modifications related to improved performances in executive functions were observed with the treatment. Conclusions: The results suggest that donepezil may have significant effect on executive functions that can alter behavioural outcomes after thalamic infarctions

  5. Milliarcsecond angular resolution of reddened stellar sources in the vicinity of the Galactic Center. II. Additional observations

    CERN Document Server

    Richichi, A; Mason, E

    2008-01-01

    We present lunar occultation observations obtained in August 2006 with the recently demonstrated burst mode of the ISAAC instrument at the ESO VLT. The results presented here follow the previously reported observations carried out in March 2006 on a similar but unrelated set of sources. Interstellar extinction in the inner regions of the galactic bulge amounts to tens of magnitudes at visual wavelengths. As a consequence, the majority of sources in that area are poorly studied and large numbers of potentially interesting sources such as late-type giants with circumstellar shells, stellar masers, infrared stars, remain excluded from the typical investigations which are carried out in less problematic regions. Also undetected are a large numbers of binaries. By observing LO events in this region, we gain the means to investigate at least a selected number of sources with an unprecedented combination of sensitivity and angular resolution. The LO technique permits to achieve mas resolution with a sensitivity of K...

  6. Pleural Effusion in Spinal Deformity Correction Surgery- A Report of 28 Cases in a Single Center.

    Directory of Open Access Journals (Sweden)

    Weiqiang Liang

    Full Text Available To analyze the occurrence, risk factors, treatment and prognosis of postoperative pleural effusion after spinal deformity correction surgery.The clinical and imaging data of 3325 patients undergoing spinal deformity correction were collected from the database of our hospital. We analyzed the therapeutic process of the 28 patients who had postoperative pleural effusion, and we identified the potential risk factors using logistic regression.Among the 28 patients with postoperative pleural effusion, 24 (85.7% suffered from hemothorax, 2 (7.1% from chylothorax, and 2 (7.1% from subarachnoid-pleural fistula. The pleural effusion occurred on the convex side in 19 patients (67.9%, on the concave side in 4 patients (14.3%, and on both sides in 4 patients (14.3%. One patient with left hemothorax was diagnosed with kyphosis. The treatment included conservative clinical observation for 5 patients and chest tube drainage for 23 patients. One patient also underwent thoracic duct ligation and pleurodesis. All of these treatments were successful. Logistic regression analysis showed that adult patients(≥18 years old, congenital scoliosis, osteotomy and thoracoplasty were risk factors for postoperative pleural effusion in spinal deformity correction surgery.The incidence of postoperative pleural effusion in spinal deformity correction surgery was approximately 0.84% (28/3325, and hemothorax was the most common type. Chest tube drainage treatment was usually successful, and the prognosis was good. Adult patients(≥18 years old, congenital scoliosis, and had undergone osteotomy or surgery with thoracoplasty were more likely to suffer from postoperative pleural effusion.

  7. [Asymptomatic hyper-creatine-phosphokinasemia: a veritable disease? Observation in some cases].

    Science.gov (United States)

    D'Amore, Massimo; Favia, Ivana; D'Amore, Simona; Scagliusi, Pasquale; Minenna, Giovanna

    2005-01-01

    Myopathy is a pathology of the muscle function, without clinical and instrumental signs that are involved the central nervous system and the peripheral one. In all pathologies causing a damage of the muscle fibres, a release of enzymes as GOT, GPT, LDH, aldolase, CPK occurs. The most significant enzyme for the muscle damage is CPK. Studies state that an increase of the CPKemia is not always an expression of muscle damages, but there are physiological changes in relation to the age, physical activities and racial variations. By the way, it is necessary to focus our attention on this matter. Authors, starting from the observation of lots of cases under their studies, have described two of them, that up to their careful observation could reveal significant.

  8. Reconstruction of the history of the Galactic Center from X-ray and gamma-ray observations.

    Science.gov (United States)

    Chernyakova, Maria

    2016-07-01

    In the centre of our Galaxy lies a super-massive black hole, identified with the radio source Sagittarius A. In this talk I will discuss imaging, spectral, and timing analysis of data from 74 months of observations of the Galactic centre by Fermi/LAT γ-ray telescope complemented by sub-MeV data from approximately ten years of INTEGRAL/PICsIT observations. I will show that the source spectrum is consistent with a model of inverse Compton scattering by high-energy electrons. In this a model, the GeV bump in the spectrum originates from an episode of injection of high-energy particles, which happened ~300 years ago. This injection episode coincides with the known activity episode of the Galactic centre region, previously identified using X-ray observations. This conclusion was derived from the detection of reflected X-ray emission from the giant molecular clouds in the Galactic centre region. However, the interpretation of the reflected emission spectra cannot be done correctly without detailed modelling of the reflection process. I will also discuss the Monte Carlo simulation code in we have developed to fully model the complex processes involved in the emerging reflection spectra. Application of our code to XMM-Newton, Chandra and INTERGRAL observations of Sgr B2, alow us to constrain the position and density of the cloud and the incident luminosity of the central source.

  9. Determinants Associated with Pregnancy Complications in Pregnant Women; (Case Study in Abepura, Jayapura City Health Center 2015

    Directory of Open Access Journals (Sweden)

    Rodinda Sihombing

    2016-03-01

    Full Text Available According to the World Health Organization (WHO in 2014, about 800 mothers die worldwide each day from complications related to pregnancy or childbirth. Each year approximately 20,000 women in Indonesia die from causes related to pregnancy and labor. The purpose of this study was to determine the incidence of pregnancy complications determinant in Abepura, Jayapura City Health Center in 2015. This study was an observational study design with "cross-sectional study", which is one type of the analytic study design. The sample in this study is the third trimester pregnant women who visited antenatal at health centers Abepura totaling 155 people using accidental sampling technique. All data in this study were collected through interviews using questionnaires. Analysis of the data in this study include univariate, bivariate (chi square and multivariate (logistic regression. Chi-square test results demonstrated an association iron tablet intake (p = 0.022; RP = 2, maternal age (p = 0.018; RP = 2.6, parity (p = 0.03; RP = 1.9, a history of pregnancy complications (p = 0.0001; RP = 2.9, and a history of birth complications (p = 0.002; RP = 2.6 and the incidence of pregnancy complications. While the history of infectious disease has no relationship with the incidence of pregnancy complications (p = 0.214; RP = 1.4. Multivariate analysis showed that maternal age and previous pregnancy complications are dominant factors on the incidence of pregnancy complications.

  10. The First Laser Guide Star Adaptive Optics Observations of the Galactic Center: Sgr A*'s Infrared Color and the Extended Red Emission in its Vicinity

    CERN Document Server

    Ghez, A M; Bouchez, A; Le Mignant, D; Van Dam, M A; Wizinowich, P; Matthews, K; Morris, M; Becklin, E E; Campbell, R D; Chin, J C Y; Hartman, S K; Johansson, E M; Lafon, R E; Stomski, P J; Summers, D M

    2005-01-01

    (Abridged) We present the first Laser Guide Star Adaptive Optics (LGS-AO) observations of the Galactic center. LGS-AO has dramatically improved the quality, robustness, and versatility with which high angular resolution infrared images of the Galactic center can be obtained with the W. M. Keck II 10-meter telescope. Specifically, Strehl ratios of 0.7 and 0.3 at L'[3.8 micron] and K'[2.1 micron], respectively, are achieved in these LGS-AO images. During our observations, the infrared counterpart to the central supermassive black hole, Sgr A*-IR, showed significant infrared intensity variations, with observed L' magnitudes ranging from 12.6 to 14.5 mag. The faintest end of our L' detections, 1.3 mJy (dereddened), is the lowest level of emission yet observed for this source by a factor of 3. No significant variation in the location of SgrA*-IR is detected as a function of either wavelength or intensity. Near a peak in its intensity, we obtained the first measurement of SgrA*-IR's K'-L' color (3.0 +- 0.2 mag, obs...

  11. Cerebral oxygenation monitoring in patients with bilateral carotid stenosis undergoing urgent cardiac surgery: Observational case series

    Directory of Open Access Journals (Sweden)

    Dincer Aktuerk

    2016-01-01

    Full Text Available Background: Patients with significant bilateral carotid artery stenosis requiring urgent cardiac surgery have an increased risk of stroke and death. The optimal management strategy remains inconclusive, and the available evidence does not support the superiority of one strategy over another. Materials and Methods: A number of noninvasive strategies have been developed for minimizing perioperative stroke including continuous real-time monitoring of cerebral oxygenation with near-infrared spectroscopy (NIRS. The number of patients presenting with this combination (bilateral significant carotid stenosis requiring urgent cardiac surgery in any single institution will be small and hence there is a lack of large randomized studies. Results: This case series describes our early experience with NIRS in a select group of patients with significant bilateral carotid stenosis undergoing urgent cardiac surgery (n = 8. In contrast to other studies, this series is a single surgeon, single center study, where the entire surgery (both distal ends and proximal ends was performed during single aortic clamp technique, which effectively removes several confounding variables. NIRS monitoring led to the early recognition of decreased cerebral oxygenation, and corrective steps (increased cardiopulmonary bypass flow, increased pCO 2 , etc., were taken. Conclusion: The study shows good clinical outcome with the use of NIRS. This is our "work in progress," and we aim to conduct a larger study.

  12. Clinical Observation in 102 Cases of Chronic Pelvic Inflammation Treated with Qi Jie Granules

    Institute of Scientific and Technical Information of China (English)

    章勤; 何嘉琳; 何少山; 许萍

    2004-01-01

    Objective: To observe the therapeutic effects of Qi Jie Granule (芪竭颗粒) on chronic pelvic inflammation. Method: The therapeutic effect, T-lymphocytic subgroups and indexes of blood rheology were observed when 102 cases of chronic pelvic inflammation in the treatment group were treated with Qi Jie Granule, and another 70 cases were treated with Qian Jin Pian as the controls. Results: The total effective rate was 96.08% in the treatment group, but 84.29% in the control group with a significant difference between the two groups (P<0.01). Qi Jie Granule was also found effective in improving blood viscosity and regulating T-lymphocytic subgroups, and the difference before and after the treatment was also very significant (P<0.05 or P<0.01). Conclusion: The nature of chronic pelvic inflammation is qi deficiency and blood stasis in accordance with the theory of traditional Chinese medicine (TCM). As a drug that is indicated for chronic pelvic inflammation, its mechanism may be related to the improved blood circulation, accelerated inflammatory absorption and regulated immune function.

  13. Case studies of particle formation events observed in boreal forests: implications for nucleation mechanisms

    Directory of Open Access Journals (Sweden)

    F. Yu

    2008-03-01

    Full Text Available Aerosol nucleation events observed worldwide may have significant climatic and health implications. However, the specific nucleation mechanisms remain ambiguous. Here, we report case studies of six nucleation events observed during an intensive field campaign at a boreal forest site (Hyytiälä, Finland in spring 2005. The present analysis is based on comprehensive kinetic simulations using an ion-mediated nucleation (IMN model in which the key physical and chemical parameters are constrained by a variety of recent measurements. Out of roughly 30 nucleation event days sampled during the campaign, four were initially selected on the basis of indications that the observed air masses were relatively homogeneous. It happens that all four of these days exhibited medium to high electrical overcharging of the nucleated nanoparticles. In each of these well-defined cases, reasonable agreement is found between the predictions and field data for a range of variables, including critical nucleation sizes, size-dependent overcharging ratios, and the concentrations of 1.8–3 nm stable clusters and 3–6 nm particles, and their diurnal variations. However, to extend the scope of the study, one case of weak electrical overcharging, and one of clear undercharging, of the nucleated particles were also selected. These electrical states represented less than about 20% of the total event-days recorded, and among this smaller sample there were no days on which the sampled air masses appeared reasonable uniform over the entire nucleation event. Thus, it is perhaps not surprising that the consistency between model simulations and measurements during these more anomalous periods was less satisfying. We tentatively conclude that the outcomes in these cases were influenced by, among other things, the significant variability in the sampled air masses and the possible role of species other than sulfuric acid in the nucleation process. Statistically, roughly 80% of the

  14. Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort study

    Directory of Open Access Journals (Sweden)

    Chapko Michael

    2007-04-01

    Full Text Available Abstract Background To compare VA inpatient and outpatient utilization and expenditures of veterans seeking primary care in community-based outpatient clinics (CBOCs and VA medical centers (VAMCs in fiscal years 2000 (FY00 and 2001. Methods The sample included 25,092 patients who obtained primary care exclusively from 108 CBOCs in FY00, 26,936 patients who obtained primary care exclusively from 72 affiliated VAMCs in FY00, and 11,450 "crossover" patients who obtained primary care in CBOCs and VAMCs in FY00. VA utilization and expenditure data were drawn from the VA's system-wide cost accounting system. Veteran demographic characteristics and a 1999 Diagnostic Cost Group risk score were obtained from VA administrative files. Outpatient utilization (primary care, specialty care, mental health, pharmacy, radiology and laboratory and inpatient utilization were estimated using count data models and expenditures were estimated using one-part or two-part models. The second part of two-part models was estimated using generalized linear regressions. Results CBOC patients had a slightly more primary care visits per year than VAMC patients (p Conclusion CBOCs provided veterans improved access to primary care and other services, but expenditures were contained because CBOC patients who sought health care had fewer visits and hospital stays than comparable VAMC patients. These results suggest a more complex pattern of health care utilization and expenditures by CBOC patients than has been found in prior studies. This study also illustrates that CBOCs continue to be a critical primary care and mental health access point for veterans.

  15. Heterotopic pancreas: a clinicopathological study of 184 cases from a single high-volume medical center in China.

    Science.gov (United States)

    Zhang, Yifen; Sun, Xitai; Gold, Jason S; Sun, Qi; Lv, Ying; Li, Qiang; Huang, Qin

    2016-09-01

    Heterotopic pancreas (HP) is often an incidental finding during operative or endoscopic procedures and described in case reports and small series in the literature. Large clinicopathological studies with a systematic analysis remain lacking. Herein, we identified 184 (0.18%; 184/99 544) consecutive histology-proven HP cases of 89 770 surgical resections and 9774 upper endoscopic biopsies carried out at a single medical center in China. Each case was diagnosed by unequivocal identification of pancreatic acini at a location outside the pancreas. The patients' median age was 49 years (range, 14-82) with a slight female predominance (male/female ratio, 0.94). Clinical presentation at diagnosis was nonspecific. Preoperatively, most (54.9%; 101/184) HP lesions were misdiagnosed. Only 26 HP lesions (14.1%) were correctly diagnosed, all in the stomach except for 1 in the duodenum; 57 (31%) were detected during operative procedures for other conditions. The most frequent location of HP was, in descending order, the stomach (97; 52.7%), small intestine (48; 26%), lesser and greater curvature omentum (18; 10%), spleen and hilar region (5; 2.7%), porta hepatis (2; 1%), gallbladder (1; 0.5%), peridistal esophageal tissue (4; 2.2%), and mesentery (7; 3.8%). The size of HP varied from smaller than 0.5 cm (35.3%), 0.6 to 1 cm (34.8%), to larger than 1.1 cm (29.9%). Because of difficulty in preoperative diagnosis, careful workup for upper gastrointestinal diseases with HP as a differential diagnosis may increase the chance of accurate diagnosis and appropriate patient management. PMID:27195908

  16. Risk factors, microbiological findings, and clinical outcomes in cases of microbial keratitis admitted to a tertiary referral center in ireland.

    LENUS (Irish Health Repository)

    Saeed, Ayman

    2012-02-01

    AIM: To identify the risk factors for, and to report the microbiological findings and clinical outcomes of, severe microbial keratitis (MK). METHODS: This was a retrospective study of all cases of presumed MK admitted to a tertiary referral center over a 2-year period (September 2001 to August 2003). Data recorded included demographic data, details relating to possible risk factors, results of microbiological studies, clinical findings at presentation, and clinical and visual outcomes. RESULTS: Ninety patients were admitted with a diagnosis of presumed MK during the study period. The mean age of patients was 45 +\\/- 32 years, and the male to female ratio was 47:43 (52.2%:47.7%). Predisposing risk factors for MK included contact lens wear (37; 41.1%), anterior segment disease (19; 21.1%), ocular trauma (13; 14.4%), systemic disease (5; 5.6%), and previous ocular surgery (1; 1.1%). Cultured organisms included gram-negative bacteria (17; 51.5%), gram-positive bacteria (11, 33.3%), acanthamoeba (2; 6.1%), and fungi (1; 3%). Visual acuity improved significantly after treatment [mean best-corrected visual acuity (+\\/-standard deviation) at presentation: 0.76 (+\\/-0.11); mean best-corrected visual acuity at last follow-up: 0.24 (+\\/-0.07); P < 0.001]. Secondary surgical procedures were required in 18 (20%) cases, and these included punctal cautery (1; 1.1%), tissue glue repair of corneal perforation (2; 2.2%), tarsorrhaphy (9; 9.9%), Botulinum toxin-induced ptosis (1; 1.1%), penetrating keratoplasty (3; 3.3%), and evisceration (2; 2.2%). CONCLUSIONS: Contact lens wear remains a significant risk factor for severe MK. MK remains a threat to vision and to the eye, but the majority of cases respond to prompt and appropriate antimicrobial therapy.

  17. [Noma and Burkitt disease; a particular association about three observations seen in the Teaching Hospital Center Yalgado Ouedraogo (Burkina Faso)].

    Science.gov (United States)

    Konsem, T; Millogo, M; Gare, J; Ouedraogo, D; Ouoba, K

    2014-08-01

    Cancrum oris is a gangrenous stomatitis arising from a periodontal infection and leading to severe soft tissue and bone destruction. The pathology involves numerous factors including local thrombosis, vascularitis, necrotizing gingivitis, immunodeficiency, Gram negative and anaerobic infection. It is usually a disease of infants and malnourished children in tropical areas often occurring after a debilitating disease like measles [3]. Burkitt lymphoma is a highly aggressive non-Hodgkin lymphoma first described by Burkitt in 1958 in African children from areas holoendemic for malaria. It is the first cancer of African child [6]. The association between Burkitt lymphoma and cancrum oris is non common. We report in the present study three cases of this association at the Academic Hospital Yalgado Ouedraogo of Ouagadougou. This association poses a problem of late diagnosis with difficulties in therapeutic management.

  18. XMM-Newton and Chandra Observations of the Filled-center Supernova Remnant G63.7+1.1

    Science.gov (United States)

    Matheson, H.; Safi-Harb, S.; Kothes, R.

    2016-07-01

    Pulsar wind nebulae (PWNe) provide unique opportunities to study relativistic pulsar winds and their interaction with the surrounding medium. G63.7+1.1 is an intriguing supernova remnant studied so far only at radio wavelengths and classified as a PWN candidate based on its nonthermal radio emission. We present the first X-ray study of G63.7+1.1, obtained with XMM-Newton and the Chandra X-ray Observatory, with the goal of detecting and studying the candidate PWN in X-rays and searching for the neutron star candidate. The peak of the X-ray emission lies approximately 1.‧2 from the peak of the 21 cm continuum emission and is offset from the center of the X-ray nebula. The diffuse X-ray emission is irregularly shaped (4.‧2 × 3.‧2), unlike the nearly symmetric 8‧-diameter radio nebula. Its X-ray spectrum is fit with a power-law model, yielding a photon index of {1.75}-0.3+0.4, a column density of (1.6 ± 0.5) × 1022 cm‑2, and an X-ray luminosity of ˜2 × 1033 erg s‑1 (0.5–10.0 keV) at a kinematic distance of 6 kpc. Several point-like sources were detected within the limit of the X-ray nebula. We present a study of their spectra, identifying 3XMM J194753.4+274357 (CXO J194753.3+274351) as a candidate for the location of the neutron star powering the nebula. Located in a dense environment, we estimate that G63.7+1.1 is old enough (≥8 kyr) for the reverse shock to have interacted with the PWN. This, together with the large size estimated from radio studies (˜14 pc) and the offset between the radio and X-ray peaks, suggests an evolved nebula, with the radio nebula being a “relic” PWN.

  19. Clinical Observation of 46 Cases of Scapulohumeral Periarthritis Treated by Acupuncture

    Institute of Scientific and Technical Information of China (English)

    PAN Feng-qin; KUAI Le

    2003-01-01

    Forty-six cases of scapulohumeral periarthritis were treated by selecting the acupoints far from the affected part plus acupuncture differentiation of symptoms and signs, in comparison with 34 cases treated by simple acupuncture differentiation of symptoms and signs. The result showed that cure occurred in 21 cases,marked effectiveness in 19 cases, improvement in 3 cases and ineffectiveness in 1 case in the treatment group. In control group, cure occurred in 10 cases, marked effectiveness in 15 cases, improvement in 8 cases and ineffectiveness in 3 cases. There was a significant difference in the therapeutic effect between the two groups (P<0.05).

  20. WFIP2 - The Second Wind Forecast Improvement Project: Observing Systems And Case Studies

    Science.gov (United States)

    Wilczak, J. M.; Cline, J.; Banta, R. M.; Benjamin, L.; Benjamin, S.; Berg, L. K.; Bianco, L.; Bickford, J.; Brewer, A.; Choukulkar, A.; Clawson, K.; Clifton, A.; Cook, D. R.; Djalalova, I.; Fernando, H.; Friedrich, K.; Kenyon, J.; Kosovic, B.; King, C. W.; Marquis, M.; McCaa, J. R.; McCaffrey, K.; Olson, J. B.; Pichugina, Y. L.; Sharp, J.; Shaw, W. J.; Wade, K.; Wharton, S.; Lundquist, J. K.; Lantz, K. O.; Long, C. N.

    2015-12-01

    The second Wind Forecast Improvement Project (WFIP2) is a DOE and NOAA funded public-private partnership whose goal is to improve NWP model forecast skill for turbine-height winds in regions with complex terrain. WFIP2 partners include DOE National Laboratories (PNNL, ANL, NREL, LLNL), NOAA Laboratories (ESRL, ARL), Vaisala Inc., NCAR, the University of Notre Dame and University of Colorado, and the Bonneville Power Administration. A core element of WFIP2 is an 18 month field program located in the Pacific Northwest, focusing on the Columbia River Gorge and Basin in eastern Oregon and Washington states, with instrument deployment occurring in the summer and autumn of 2015. The approach taken is to collect an extensive set of new meteorological observations, especially within the atmospheric boundary layer, use these to observe and understand relevant atmospheric processes, develop and test new model physical parameterization schemes, and ultimately transfer these improved models to NOAA/NWS operations and to the wider meteorological community. Observing systems that will be deployed for WFIP2 include: 11 wind profiling radars 17 sodars 5 wind profiling lidars 4 scanning lidars 4 radiometers 10 microbarographs ceilometer 28 sonic anemometers Numerical models that are being used for WFIP2 are WRF-based models including the NOAA RAP (Rapid Refresh) and High Resolution Rapid Refresh (HRRR), as well as the NAM and GFS. Science issues that are being addressed include gap flow, mountain waves, mountain wakes, convective storm outflows, the mix-out of stable cold pools, and boundary layer turbulence profiling. An overview of WFIP2 will be given with an emphasis on the suite of instrumentation deployed and their observational capabilities. Several case studies of interesting meteorological events from the first several months of the field program will be presented, including comparisons with model forecasts.

  1. Clinical Observation on the Effects of Bo's Abdominal Acupuncture in 40 Cases of Chronic Fatigue Syndrome

    Institute of Scientific and Technical Information of China (English)

    HUANG Yong; LIAO Xiao-ming; LI xiao-xi; SONG Yuan-bin

    2008-01-01

    objective;To observe the curative effect of Bo's abdominal acupuncture on chronic fatigue syndrome(CFS).Methods;Forty cases with CFS were treated by Bo's abdominal acupuncture at me points for conducting qi back to its origin and 4 points on the abdomen once a dav for 2 weeks.Scores for symptoms and scores for fatigue questionnaires were compared before and after treatment.Results;After treatment,the clinical symptoms of patients were differently alleviated,and scores for symptoms,mental condition and neural feeling in questionnaires on fatigue were obviously reduced(P<0.01-0.05).Conclusion;Bo's abdominal acupuncture has a good curative effect on general disease with complex symptoms,especially on lassitude,anorlexia,insomnia,amnesia,diarrhea,and general pain.

  2. [Diagnosis of Mycobacterium ulcerans infection by PCR: report of 3 cases observed in French Guiana].

    Science.gov (United States)

    Ménard, A; Couppié, P; Sainte-Marie, D; Pradinaud, R

    2003-01-01

    Mycobacterium ulcerans infection is the third most important mycobacterial infection in the world. It has been described in many different countries including French Guiana. The diagnosis of M. ulcerans infection by culture is often difficult because culture is hard to perform in endemic areas and their sensitivity is not reliable. As a result the diagnosis of this infection is often delayed. However, molecular methods are now available to diagnose rapidly infections by M. ulcerans and distinguish it from other mycobacteria. We report three cases of skin infection due to M. ulcerans observed in French Guiana. Diagnosis was initially made by polymerase chain reaction and was confirmed later by culture (in two patients) and inoculation to mice (in one patient). A faster diagnosis of M. ulcerans infection should lead to a better prognosis of this infection.

  3. Knowledge Management Concepts For Training By Project An observation of the case of project management education

    CERN Document Server

    Michel, Christine

    2009-01-01

    Project management education programmes are often proposed in higher education to give students competences in project planning (Gantt's chart), project organizing, human and technical resource management, quality control and also social competences (collaboration, communication), emotional ones (empathy, consideration of the other, humour, ethics), and organizational ones (leadership, political vision, and so on). This training is often given according a training-by-project type of learning with case studies. This article presents one course characterized by a pedagogical organization based upon Knowledge Management (KM) concepts: knowledge transfer and construction throughout a learning circle and social interactions. The course is supported by a rich and complex tutor organization. We have observed this course by using another KM method inspired from KADS with various return of experience formalized into cards and charts. Our intention is, according to the model of Argyris and Sch\\"on (Smith, 2001), to gai...

  4. Clinical Observation in 86 Cases of Acne Vulgaris Treated with Compound Oldenlandis Mixture

    Institute of Scientific and Technical Information of China (English)

    刘瓦林; 沈冬; 宋坪; 许铣

    2003-01-01

    86 cases of acne vulgaris were treated with Fu Fang She She Cao He Ji (复方蛇舌草合剂 CompoundPrepared from Chinese Angelica and Flavescent Sophora Root) as the controls, to observe the therapeuticeffect of the former. The results showed that the cure plus markedly effective rate was 73.26% in thetreatment group, and 47.06% in the control group, with a significant difference in the cure plus markedlyeffective rate between the two groups (P<0.01), and also in the total effective rate between the two groupssignificant (P<0.05). It may be concluded that the Compound Oldenlandis Mixture is a better agent for theillness.

  5. Using Satellite Measurements to Investigate Regional-scale Chemistry: The Case for Geostationary Observations

    Science.gov (United States)

    Fishman, Jack; Wozniak, Amy; Creilson, Jack

    2007-01-01

    One of the recommendations of the Decadal Survey that was recently released by the National Academy of Science was that of a geostationary platform from which to obtain trace gas measurements. The use of such a platform is particularly advantageous when applied to understanding the formation of regional air pollution. This study demonstrates the challenges of trying to utilize information from instruments on satellites in low-earth orbit (LEO). We also demonstrate the advantage gained through a simulation that would provide hourly observations. In this case study, we take advantage of the high resolution Level-2 orbital data available from the Ozone Monitoring Instrument (OMI), in conjunction with assimilated stratospheric column ozone fields, to evaluate if meaningful tropospheric ozone information can be obtained on a regional scale. We focus on a period on late June 2005 when a widespread pollution episode enveloped the Houston metropolitan area as well as a large region in southeast Texas.

  6. The Preventive Effect of Head Injury by Helmet Type in Motorcycle Crashes: A Rural Korean Single-Center Observational Study.

    Science.gov (United States)

    Sung, Kang-Min; Noble, Jennifer; Kim, Sang-Chul; Jeon, Hyeok-Jin; Kim, Jin-Yong; Do, Han-Ho; Park, Sang-O; Lee, Kyeong-Ryong; Baek, Kwang-Je

    2016-01-01

    Introduction. The goal of this study was to determine the preventive effect on head injury by helmet type: full face helmet (FFH), open face helmet (OFH), and half-coverage helmet (HCH). Methods. This is a retrospective observational study of motorcycle crash victims between June 2012 and May 2015 in a rural town in Korea. We performed multiple linear regression to predict the effect of each type of helmet compared to unhelmeted status in preventing head injury using dependent variables based on the Abbreviated Injury Scale (AIS) and applied logistic regression modeling to compare the incidence of head injury. Results. Of the 738 patients, the number of FFH patients was 33.5%, followed by unhelmeted (27.8%), OFH (17.6%), and HCH (13.0%) patients. The FFH and OFH group had a lower head maximum AIS than unhelmeted group (coefficient: -0.368, 95% CI: -0.559 to -0.177 and coefficient: -0.235, 95% CI: -0.459 to -0.010, resp.) and only FFHs experienced a reduction effect of severe and minor head injury (OR: 0.206, 95% CI: 0.080 to 0.533 and OR: 0.589, 95% CI: 0.377 to 0.920, resp.). Conclusions. FFHs and OFHs reduce the risk of head injury, and FFHs have a more preventive effect on head injury in motorcycle crashes. PMID:27340652

  7. Treatment of Diabetic Retinopathy with Acupuncture plus Herbal Decoction: Clinical Observation of 40 Cases

    Institute of Scientific and Technical Information of China (English)

    HU Yong-he; WU Shen-tao; LI Jing; HAN Chou-ping

    2004-01-01

    The clinical effect on treatment of diabetic retinopathy with acupuncture plus herbal decoction has been observed. Eighty cases were randomly divided into treatment group and control group by the odd and even serial numbers. Forty cases in the treatment group were treated with needling Taiyang (Ex-HN 5), Yangbai (GB 14) toward Yuyao (Ex-HN 4) and Cuanzhu (BL 2) plus the herbal decoction called "Mingmu Wuzi Decoction". Forty cases in the control group were treated with intravenous drip of Venorutin and oral administration of dipyridamole and vitamin E. And the result showed the total effective rate of 92.5% in the treatment group and that of 55.0% in the control group with significant difference (P<0.01), which suggested that acupuncture plus herbal decoction had better therapeutic effect than western medications alone.%观察针刺结合口服中药汤剂治疗糖尿病视网膜病变临床疗效.将80例患者按单双号随机分成治疗组40例,予针刺太阳、阳白透鱼腰、攒竹等穴和服用中药"明目五子汤";对照组40例子静脉滴注维脑路通及口服双密达莫、维生素E,进行对照观察.治疗组总有效率为92.5%,对照组总有效率为55.0%,疗效相比差异有显著性意义(P<0.01).针刺结合中药汤剂有较好疗效,且优于单纯西药治疗.

  8. Clinical observation of the effect of tacrolimus (Prograf) against renal allograft rejection in 294 cases

    Institute of Scientific and Technical Information of China (English)

    YU Li-xin; YE Gui-rong; DENG Wen-feng; FU Shao-jie; DU Chuan-fu; MIAO Yun; YAO Bing

    2002-01-01

    Objective: To study the effect of tacrolimus (Prograf, FK506) in preventing renal allograft rejection. Methods: The curative effect, therapy index, toxicity and side effects of FK506 were observed in 294renal transplant recipients among whom 268 received FK506 24 h after the operation and the other 26 with cyclosporine (CsA) developed acute rejection after transplantation and were given FK506 to replace methylprednisolone (MP) when the latter did not result. All the patients were given oral mycophenolate mofetil (MMF, 1.0 g/d) and meticorten (Pred, 30 mg/d) 24 h later after operation. Results: In the 268 recipients previously mentioned, the incidence of acute rejection was 10. 45%, glycometabolism disorder 9.33%, nervous system disturbance 1.59%, liver function abnormality 2.99%, nephrotoxicity 1.87%, gastrointestinal disorder 17. 5%, cytomegalovirus (CMV) viremia 2.99%, and non-CMV pulmonary infection 1. 59%(4/268), with 1 fatal case for cerebral hemorrhage with normal allograft function and another 2 non-fatal cases in which function loss resulted in removal of the allografts. The blood trough concentrations of FK506were between 5 and 20μg/L. In the 26 cases of steroid-resistant rejection, 23 (88. 46%, 23/26) were reversed and the rest 3 required plasma exchange and application of OKT3 before recovery. Conclusion: As a safe and effective immunosuppressant, FK506 can reduce the incidence of allograft rejection in kidney transplant recipients with little side effects or toxicity, which is particularly applicable in patients with steroid-resistant rejection or CsA nephrotoxicity. Attention should to be paid to glycometabolism disorder due to FK506, however, the long-term effects of FK506 need further investigation.

  9. In search of service innovations by public libraries in Chinese urban centers:A case study of Dongguan Library

    Institute of Scientific and Technical Information of China (English)

    LI; Donglai

    2010-01-01

    This article introduces several of the more significant service delivery innovations and their resulting accomplishments instigated by Dongguan Library(thereafter abbreviated as DGL)in recent years.The textual exposition of this paper is based on a case study of DGL by this author about its user-centered vision,mission,immediate objectives and the exhibited service performance within a contextual environment of collegial support from its professional peers.After a five-year period of intensive efforts on such focused professional development and practice,DGL has completed its information service mapping and information delivery for the entire municipality of Dongguan on a 7-day and twentyfour-hour(7/24)basis.This singular feast of accomplishment seems to suggest the moral that any significant development of scale of a municipal library has to be in keeping pace closely with the progress of the society at large in general and with the changing information demands of its local clientele in particular.

  10. Insulation Failure of the Linox Defibrillator Lead: A Case Report and Retrospective Review of a Single Center Experience.

    Science.gov (United States)

    Howe, Andrew J; McKeag, Nicholas A; Wilson, Carol M; Ashfield, Kyle P; Roberts, Michael J

    2015-06-01

    Implantable cardioverter defibrillator (ICD) lead insulation failure and conductor externalization have been increasingly reported. The 7.8F silicon-insulated Linox SD and Linox S ICD leads (Biotronik, Berlin, Germany) were released in 2006 and 2007, respectively, with an estimated 85,000 implantations worldwide. A 39-year-old female suffered an out-of-hospital ventricular fibrillation (VF) arrest with successful resuscitation. An ICD was implanted utilizing a single coil active fixation Linox(Smart) S lead (Biotronik, Berlin, Germany). A device-triggered alert approximately 3 years after implantation confirmed nonphysiological high rate sensing leading to VF detection. A chest X-ray showed an abnormality of the ICD lead and fluoroscopic screening confirmed conductor externalization proximal to the defibrillator coil. In view of the combined electrical and fluoroscopic abnormalities, urgent lead extraction and replacement were performed. A review of Linox (Biotronik) and Vigila (Sorin Group, Milan, Italy) lead implantations within our center (n = 98) identified 3 additional patients presenting with premature lead failure, 2 associated with nonphysiological sensed events and one associated with a significant decrease in lead impedance. All leads were subsequently removed and replaced. This case provides a striking example of insulation failure affecting the Linox ICD lead and, we believe, is the first to demonstrate conductor externalization manifesting both electrical and fluoroscopic abnormalities. PMID:25711237

  11. Human-centered approaches in geovisualization design: investigating multiple methods through a long-term case study.

    Science.gov (United States)

    Lloyd, David; Dykes, Jason

    2011-12-01

    Working with three domain specialists we investigate human-centered approaches to geovisualization following an ISO13407 taxonomy covering context of use, requirements and early stages of design. Our case study, undertaken over three years, draws attention to repeating trends: that generic approaches fail to elicit adequate requirements for geovis application design; that the use of real data is key to understanding needs and possibilities; that trust and knowledge must be built and developed with collaborators. These processes take time but modified human-centred approaches can be effective. A scenario developed through contextual inquiry but supplemented with domain data and graphics is useful to geovis designers. Wireframe, paper and digital prototypes enable successful communication between specialist and geovis domains when incorporating real and interesting data, prompting exploratory behaviour and eliciting previously unconsidered requirements. Paper prototypes are particularly successful at eliciting suggestions, especially for novel visualization. Enabling specialists to explore their data freely with a digital prototype is as effective as using a structured task protocol and is easier to administer. Autoethnography has potential for framing the design process. We conclude that a common understanding of context of use, domain data and visualization possibilities are essential to successful geovis design and develop as this progresses. HC approaches can make a significant contribution here. However, modified approaches, applied with flexibility, are most promising. We advise early, collaborative engagement with data – through simple, transient visual artefacts supported by data sketches and existing designs – before moving to successively more sophisticated data wireframes and data prototypes. PMID:22034371

  12. Obstacles and Solutions of Commercialization of University Research: Case Study of Small Businesses Development Center of University of Tehran

    Directory of Open Access Journals (Sweden)

    Jahangir Yadolahi FARSI

    2011-12-01

    Full Text Available With the entrepreneurship mission incorporated into the education and research missions of universities, their role in the economic and social development in societies has increased. Thus, subjects revolving around academic entrepreneurship and knowledge commercialization have drawn the attention of many researchers and politicians in different countries in the world. In Iran, too, the knowledge commercialization phenomenon is in its prime and is in its early stages of taking shape and development. Therefore, this paper aims to identify obstacles and solutions in the commercialization of university research in Iran. The qualitative research method has been used in the form of a case study. The research data collection tools consist of semi-structured interviews. As a compliment of data collection tools, some evidence and documents were also studies. The research statistical population includes all the individuals engaged in knowledge commercialization in the University of Tehran. Twenty six interviews were conducted before data saturation reached. The results of the qualitative research indicate that the organizational, environmental/institutional and internal university research commercialization impeding factors are critical obstacles in the Small Business Development Center (SBDC of the University of Tehran and policy makers should devise proper strategies in light of these factors.

  13. Human-centered approaches in geovisualization design: investigating multiple methods through a long-term case study.

    Science.gov (United States)

    Lloyd, David; Dykes, Jason

    2011-12-01

    Working with three domain specialists we investigate human-centered approaches to geovisualization following an ISO13407 taxonomy covering context of use, requirements and early stages of design. Our case study, undertaken over three years, draws attention to repeating trends: that generic approaches fail to elicit adequate requirements for geovis application design; that the use of real data is key to understanding needs and possibilities; that trust and knowledge must be built and developed with collaborators. These processes take time but modified human-centred approaches can be effective. A scenario developed through contextual inquiry but supplemented with domain data and graphics is useful to geovis designers. Wireframe, paper and digital prototypes enable successful communication between specialist and geovis domains when incorporating real and interesting data, prompting exploratory behaviour and eliciting previously unconsidered requirements. Paper prototypes are particularly successful at eliciting suggestions, especially for novel visualization. Enabling specialists to explore their data freely with a digital prototype is as effective as using a structured task protocol and is easier to administer. Autoethnography has potential for framing the design process. We conclude that a common understanding of context of use, domain data and visualization possibilities are essential to successful geovis design and develop as this progresses. HC approaches can make a significant contribution here. However, modified approaches, applied with flexibility, are most promising. We advise early, collaborative engagement with data – through simple, transient visual artefacts supported by data sketches and existing designs – before moving to successively more sophisticated data wireframes and data prototypes.

  14. Clinical Features of Systemic Lupus Erythematosus Patients Complicated With Evans Syndrome: A Case-Control, Single Center Study.

    Science.gov (United States)

    Zhang, Lili; Wu, Xiuhua; Wang, Laifang; Li, Jing; Chen, Hua; Zhao, Yan; Zheng, Wenjie

    2016-04-01

    The aim of the study was to investigate the clinical features of systemic lupus erythematous (SLE) complicated with Evans syndrome (ES). We conducted a retrospective case-control study to compare the clinical and laboratory features of age- and gender-matched lupus patients with and without ES in 1:3 ratios. In 5724 hospitalized SLE patients, we identified 27 (0.47%, 22 women and 5 men, average age 34.2 years) SLE patients complicated with ES. Fifteen patients (55.6%) presented with hematologic abnormalities initially, including 6 (22.2%) cases of isolated ITP, 4 (14.8%) cases of isolated AIHA, and 5 (18.5%) cases of classical ES. The median intervals between hematological presentations the diagnosis of SLE was 36 months (range 0-252). ES developed after the SLE diagnosis in 4 patients (14.8%), and concomitantly with SLE diagnosis in 8 patients (29.6%). Systemic involvements are frequently observed in SLE patients with ES, including fever (55.6%), serositis (51.9%), hair loss (40.7%), lupus nephritis (37%), Raynaud phenomenon (33.3%), neuropsychiatric (33.3%) and pulmonary involvement (25.9%), and photosensitivity (25.9%). The incidence of photosensitivity, hypocomplementemia, elevated serum IgG level, and lupus nephritis in patients with ES or without ES was 25.9% vs 6.2% (P = 0.007), 88.9% vs 67.1% (P = 0.029), 48.1% vs 24.4% (P = 0.021), and 37% vs 64.2% (P = 0.013), respectively. Twenty-five (92.6%) patients achieved improvement following treatment of glucocorticoids and immunosuppressants as well as splenectomy, whereas 6 patients experienced the relapse and 1 patient died from renal failure during the follow-up. ES is a relatively rare complication of SLE. Photosensitivity, hypocomplementemia, and elevated serum IgG level were frequently observed in ES patients, but lupus nephritis was less observed. More than half of patients presented with hematological manifestation at onset, and progress to typical lupus over months to years. Therefore

  15. Agreement between the Government of the Republic of Chile and ESO for Establishing a New Center for Observation in Chile - ALMA

    Science.gov (United States)

    2002-10-01

    On October 21, 2002, the Minister of Foreign Affairs of the Republic of Chile, Mrs. María Soledad Alvear and the ESO Director General, Dr. Catherine Cesarsky , signed an Agreement that authorizes ESO to establish a new center for astronomical observation in Chile . This new center for astronomical observation will be for the Atacama Large Millimeter Array (ALMA) , the largest ground based astronomical project for the next decades. On this occasion, Minister Alvear stated that "we want to have ALMA working as soon as possible, which will constitute a pride not only to Chilean scientists but for the whole country and in particular, for the community of the Antofagasta Region" . ESO Director General Cesarsky said that "signing this agreement between the Government of Chile and ESO is a historical step in the astronomical collaboration between Chile and ESO and it will allow Chile to host, once again, a project of worldwide interest and impact" . ALMA is a joint project on equal basis between ESO and AUI (Associated Universities, Inc.). These organizations represent the scientific interests of Europe on one side and the United States with Canada on the other side. Chilean astronomers are closely involved with the project and 10% of the observing time will be reserved for Chilean science. ALMA will be built in the Andes, on the Plateau of Chajnantor (see the Chajnantor Photo Gallery ), 5000 metres above sea level and 60 km East of the town of San Pedro de Atacama. The array will be comprised of 64 antennas with unprecedent sensitivity and angular resolution that will allow studying the origin of galaxies, stars and planets, opening new horizons for astronomy, and being able to observe galaxies across the universe where stars are being formed. The agreement now signed between ESO and the Government of the Republic of Chile recognizes the interest that the ALMA Project has for Chile, as it will deepen and strengthen the cooperation in scientific and technological matters

  16. How selection and weighting of astrometric observations influence the impact probability. Asteroid (99942) Apophis case

    CERN Document Server

    Krolikowska, Malgorzata; Soltan, Andrzej M

    2009-01-01

    The aim is to show that in case of low probability of asteroid collision with Earth, the appropriate selection and weighing of the data are crucial for the impact investigation, and to analyze the impact possibilities using extensive numerical simulations. By means of the Monte Carlo special method a large number of ``clone'' orbits have been generated. A full range of orbital elements in the 6-dimensional parameter space, e.g. in the entire confidence region allowed by the observational material has been examined. On the basis of 1000 astrometric observations of (99942) Apophis, the best solution for the geocentric encounter distance of 6.065\\pm 0.081 R_{Earth} were derived for the close encounter with the Earth on April 13, 2029. The present uncertainties allow for the special configurations (``keyholes'') during these encounter which may lead to the very close encounters in the future approaches of Apophis. Two groups of keyholes are connected with the close encounter with the Earth in 2036 (within the min...

  17. Guillain-Barre Syndrome, Influenza Vaccination, and Antecedent Respiratory and Gastrointestinal Infections: A Case-Centered Analysis in the Vaccine Safety Datalink, 2009-2011.

    Directory of Open Access Journals (Sweden)

    Sharon K Greene

    Full Text Available Guillain-Barré Syndrome (GBS can be triggered by gastrointestinal or respiratory infections, including influenza. During the 2009 influenza A (H1N1 pandemic in the United States, monovalent inactivated influenza vaccine (MIV availability coincided with high rates of wildtype influenza infections. Several prior studies suggested an elevated GBS risk following MIV, but adjustment for antecedent infection was limited.We identified patients enrolled in health plans participating in the Vaccine Safety Datalink and diagnosed with GBS from July 2009 through June 2011. Medical records of GBS cases with 2009-10 MIV, 2010-11 trivalent inactivated influenza vaccine (TIV, and/or a medically-attended respiratory or gastrointestinal infection in the 1 through 141 days prior to GBS diagnosis were reviewed and classified according to Brighton Collaboration criteria for diagnostic certainty. Using a case-centered design, logistic regression models adjusted for patient-level time-varying sources of confounding, including seasonal vaccinations and infections in GBS cases and population-level controls.Eighteen confirmed GBS cases received vaccination in the 6 weeks preceding onset, among 1.27 million 2009-10 MIV recipients and 2.80 million 2010-11 TIV recipients. Forty-four confirmed GBS cases had infection in the 6 weeks preceding onset, among 3.77 million patients diagnosed with medically-attended infection. The observed-versus-expected odds that 2009-10 MIV/2010-11 TIV was received in the 6 weeks preceding GBS onset was odds ratio = 1.54, 95% confidence interval (CI, 0.59-3.99; risk difference = 0.93 per million doses, 95% CI, -0.71-5.16. The association between GBS and medically-attended infection was: odds ratio = 7.73, 95% CI, 3.60-16.61; risk difference = 11.62 per million infected patients, 95% CI, 4.49-26.94. These findings were consistent in sensitivity analyses using alternative infection definitions and risk intervals for prior

  18. The characteristics of hydrothermal plumes observed in the Precious Stone Mountain hydrothermal field, the Galapagos spreading center

    Science.gov (United States)

    Chen, S.; Tao, C.; Li, H.; Zhou, J.; Deng, X.; Tao, W.; Zhang, G.; Liu, W.; He, Y.

    2014-12-01

    The Precious Stone Mountain hydrothermal field (PSMHF) is located on the southern rim of the Galapagos Microplate. It was found at the 3rd leg of the 2009 Chinese DY115-21 expedition on board R/V Dayangyihao. It is efficient to learn the distribution of hydrothermal plumes and locate the hydrothermal vents by detecting the anomalies of turbidity and temperature. Detecting seawater turbidity by MAPR based on deep-tow technology is established and improved during our cruises. We collected data recorded by MAPR and information from geological sampling, yielding the following results: (1)Strong hydrothermal turbidity and temperature anomalies were recorded at 1.23°N, southeast and northwest of PSMHF. According to the CTD data on the mooring system, significant temperature anomalies were observed over PSMHF at the depth of 1,470 m, with anomalies range from 0.2℃ to 0.4℃, which gave another evidence of the existence of hydrothermal plume. (2)At 1.23°N (101.4802°W/1.2305°N), the nose-shaped particle plume was concentrated at a depth interval of 1,400-1,600 m, with 200 m thickness and an east-west diffusion range of 500 m. The maximum turbidity anomaly (0.045 △NTU) was recorded at the depth of 1,500 m, while the background anomaly was about 0.01△NTU. A distinct temperature anomaly was also detected at the seafloor near 1.23°N. Deep-tow camera showed the area was piled up by hydrothermal sulfide sediments. (3) In the southeast (101.49°W/1.21°N), the thickness of hydrothermal plume was 300 m and it was spreading laterally at a depth of 1,500-1,800 m, for a distance about 800 m. The maximum turbidity anomaly of nose-shaped plume is about 0.04 △NTU at the depth of 1,600 m. Distinct temperature anomaly was also detected in the northwest (101.515°W/1.235°N). (4) Terrain and bottom current were the main factors controlling the distribution of hydrothermal plume. Different from the distribution of hydrothermal plumes on the mid-ocean ridges, which was mostly

  19. An observational case study of ozone and precursors inflow to South East England during an anticyclone.

    Science.gov (United States)

    Hopkins, J R; Boddy, R K; Hamilton, J F; Lee, J D; Lewis, A C; Purvis, R M; Watson, N J

    2006-12-01

    Summertime photochemical air pollution episodes within the United Kingdom have been proposed via modelling studies to be strongly influenced by regional scale inflow of air from the continental European boundary layer. We present a vertically resolved case study using measurements made from the NERC/Met Office BAe 146 research aircraft on 18th August 2005 over the South East of England and the North Sea during a weak anticyclone centred over Northern Europe. The vertical distribution of ozone, CO, NO(x), peroxyacetyl nitrate (PAN) and a wide range of both nonmethane hydrocarbons (NMHC) and oxygenated volatile organic compounds (OVOCs) were determined between 500 ft (approximately 152 m) and 7000 ft (approximately 2134 m) over the East Anglia coastline and 50 km inland. In excess of 80 ppbV ozone was observed within inflowing boundary layer air over the North Sea coast in a broad N-S sloping feature around 60 km wide. The inflowing feature of European origin was also observed further inland within the boundary layer albeit with lower, more variable, ozone mixing ratios. The increased variability in ozone over land was a product of titration by fresh surface emissions of NO via rapid upward transport in thermals, a hypothesis supported by the observed vertical wind speed component. Fast boundary layer mixing over land was further illustrated by a uniform distribution in reactive alkenes. A comparison between aircraft and surface O(3) UK AUN (Automatic Urban Network) measurements showed good agreement with the inland site, Sibton, but marked differences with the coastal monitoring site at Weybourne, potentially due to gradients established by ocean deposition in stably stratified marine air. PMID:17133276

  20. National Defense University's Influence on U.S. National Security Policy: Case Study about the Center for the Study of Weapons of Mass Destruction

    Science.gov (United States)

    Rondeau, Ann E.

    2010-01-01

    This dissertation touches on a series of events leading to an aspect of United States public policy dealing with weapons of mass destruction (WMD). After exploring the literature that describes the understanding of public policy, this paper uses the case study method to understand why and how a single research center and a particular set of…

  1. Clinical Observation of 40 Cases of Acne Treated by Acupuncture plus Herbal Drugs

    Institute of Scientific and Technical Information of China (English)

    CAI An-he; DAI Xi-ping; ZHANG Hai-bo; HUANG Guo-qi

    2003-01-01

    Acne is divided into the patterns of wind and heat in the lung meridian and accumulation of dampness and heat. Forty cases of acne were treated by acupuncture plus herbal drugs (acupuncture and drug group, A) and 30 cases were treated by simple acupuncture as the control group (acupuncture group, B). The results showed basic cure in 31 cases, remarkable effect in 5 cases, effect in 3 cases, failure in 1 case and the total effective rate of 97.5% in Group A, and basic cure in 16 cases, remarkable effect in 6 cases, effect in 3 cases, failure in 5 cases and the total effective rate of 83.3% in Group B. There was no significant difference ( P > 0.05 ) in the therapeutic effect and there was a significant difference (P < 0. 01 ) in the curative rate in the two groups. The therapeutic effect was obviously better in Group A than in Group B.

  2. Resilience paradigm's contributions to socio educational work. The case of the center Zabaloetxe for unaccompanied migrant children

    Directory of Open Access Journals (Sweden)

    José Miguel Martín de Castro

    2016-06-01

    Full Text Available In this article it has been carried out an approach to resilience and affectivity as key elements to socio-educational intervention. Its theoretical and qualitative research are based on the intervention of the educator and his ability as a resilience tutor within a center for unaccompanied migrant children. From a qualitative perspective, participant observation and 9 interviews held with 3 female and 6 male educators had been used. The analysis and interpretation of the results show some evidences linked to the detection of risk factors and protection, characteristics of the educational intervention in the reception phase, and the environment as key issues in the period of representation and relation, and finally on the socio-educative bases of the resilience teaching action. Some of the conclusions take in account the results of this investigation are the following: resilience shares with education a key factor such as the importance of the quality of the human environment and the interactions manifested within this last one, and as an educational bond is created, there is a space for its own stimulation. It is also set out the necessity of continuing with the research within this field linked to the resilience and the social education.

  3. Clinical Observations on 30 Cases of Chronic Simple Pharyngitis Treated by Acupuncture plus Cupping Method

    Institute of Scientific and Technical Information of China (English)

    程玲; 张春燕; 甘志豪

    2006-01-01

    Objective:In order to investigate the clinical efficacy of acupuncture plus cupping method for treating chronic pharyngitis. Methods: Sixty patients with chronic simple pharyngitis were randomly divided into two groups. Thirty cases in the treatment group were treated by acupuncture plus cupping method and 30 cases in the control group by routine anti-inflammatory and antiviral therapy. The clinical effects were observed in the two groups. Results: The total effective rate was 93.3% in the treatment group and 80.0% in the control group. The therapeutic effect was significantly better in the treatment group than in the control group (P<0.05). Conclusion: Acupuncture plus cupping method has a good effect for chronic simple pharyngitis.%目的:观察针刺加拔罐治疗慢性咽炎的临床疗效.方法:将慢性咽炎患者60例随机分为两组,治疗组30例,采用针罐治疗;对照组30例,采用常规的抗炎、抗病毒治疗.观察两组的临床疗效.结果:治疗组总有效28/30,对照组为24/30.治疗组疗效明显优于对照组(P《0.05).结论:针刺加拔罐治疗慢性咽炎的疗效好.

  4. Clinical characteristics and prognostic factors of splenic abscess: A review of 67 cases in a single medical center of Taiwan

    Institute of Scientific and Technical Information of China (English)

    Kuo-Chin Chang; Chuan-Mo Lee; Tsung-Hui Hu; Seng-Kee Chuah; Chi-Sin Changchien; Tung-Lung Tsai; Sheng-Nan Lu; Yi-Chun Chiu; Yaw-Sen Chen; Chih-Chi Wang; Jui-Wei Lin

    2006-01-01

    AIM: To analyze 67 cases of splenic abscess in a medical center of Taiwan during a period of 19 years.METHODS: From January 1986 to December 2004, a total of 67 patients with splenic abscess were enrolled for the retrospective study. The clinical characteristics,underlying diseases, organism spectra, therapeutic methods, APACHE Ⅱ scores, and mortality rates were analyzed.RESULTS: There were 41 males and 26 females with the mean age of 54.1± 14.1 years. Multiple splenic abscesses (MSA) account for 28.4% and solitary splenic abscess in 71.6% of the patients. Twenty-six of sixtyseven patients (35.8%) had extrasplenic abscesses, with leading site of liver (34.6%). Microbiological cultures were positive in 58 patients (86.6%), with 71.8% in blood culture and 93.5% in abscess culture. Gram negative bacillus (GNB) infection predominated (55.2%),with leading pathogen ofKlebsiella pneumoniae (22.4%),followed by gram positive coccus (GPC) infection (31%).Splenectomy was performed in 26 patients (38.8%),percutaneous drainage or aspiration in 21 (31.3%),and antibiotic therapy alone in 20 patients (29.9%).Eventually, 12 of 67 patients expired (17.9 %). By statistics, spleen infected with GNB was likely to develop multiple abscesses compared with infection with GPC(P=0.036). Patients with GNB infection (P= 0.009) andmultiple abscesses (P= 0.011) experienced a higher mortality rate than patients with GPC infection and solitary abscess. The mean APACHE Ⅱ score of 12 expired patients (16.3 ±3.2) was significantly higher than that of the 55 survivals (7.2 ± 3.8) (P< 0.001).CONCLUSION: MSA, GNB infection, and high APACHEⅡ scores are poor prognostic factors. Early surgical intervention should be encouraged when these risk factors are present.

  5. NASA Earth Observing System Data and Information System (EOSDIS): A U.S. Network of Data Centers Serving Earth Science Data: A Network Member of ICSU WDS

    Science.gov (United States)

    Behnke, Jeanne; Ramapriyan, H. K. " Rama"

    2016-01-01

    NASA's Earth Observing System Data and Information System (EOSDIS) has been in operation since August 1994, and serving a diverse user community around the world with Earth science data from satellites, aircraft, field campaigns and research investigations. The ESDIS Project, responsible for EOSDIS is a Network Member of the International Council for Sciences (ICSU) World Data System (WDS). Nine of the 12 Distributed Active Archive Centers (DAACs), which are part of EOSDIS, are Regular Members of the ICSUWDS. This poster presents the EOSDIS mission objectives, key characteristics of the DAACs that make them world class Earth science data centers, successes, challenges and best practices of EOSDIS focusing on the years 2014-2016, and illustrates some highlights of accomplishments of EOSDIS. The highlights include: high customer satisfaction, growing archive and distribution volumes, exponential growth in number of products distributed to users around the world, unified metadata model and common metadata repository, flexibility provided to uses by supporting data transformations to suit their applications, near-real-time capabilities to support various operational and research applications, and full resolution image browse capabilities to help users select data of interest. The poster also illustrates how the ESDIS Project is actively involved in several US and international data system organizations.

  6. Clinical profile of medicolegal cases presenting to the eye casualty in a tertiary care center in India

    Directory of Open Access Journals (Sweden)

    Koushik Tripathy

    2016-01-01

    Full Text Available Purpose: The purpose of this study was to analyze the clinical profile of medicolegal cases (MLCs presenting to the eye casualty in a tertiary care hospital. Materials and Methods: Retrospective review of records. The cases were grouped according to the Ocular Trauma Classification Group classification system. Results: Out of 188 MLCs, 164 (87.2% were male. Mean age (±standard deviation was 31.6 (±12.7 years. Age ranged from 7 to 75 years. Twenty-six (13.8% patients had bilateral involvement. The fist was the most common mode of injury, which was seen in 109 (58% cases. A total of 27 (14.3% patients had associated extraocular injury. No evidence of ocular or orbital trauma (malingering could be found in 13 (7% patients. Mechanical trauma was present in 169 (90% patients with injury to globe in 129 (69% patients and injury to lid or orbit without damage to the globe in 40 (21% patients. Chemical injury was observed in 6 (3% patients. Closed globe injury (CGI was seen in 116 eyes and open globe injury (OGI was noted in 29 eyes. The most common type of injury, zone, pupil, and grade of injury in CGI were Type A or contusion (79%, Zone I (72%, Pupil B (absence of relative afferent pupillary defect in 95%, and Grade A [visual acuity (VA ≥20/40] in 68% of the eyes, respectively. The most common type of injury, zone, pupil, and grade of injury in OGI were Type B or penetrating (48%, Zone II (38%, Pupil B (59%, and Grade D (VA 4/200-light perception (42%, respectively. Conclusions: The most common form and mode of ocular injury in MLC were closed globe injury and fist, respectively. The most common type of injury in CGI and OGI was contusion and penetrating injury, respectively.

  7. Endoscopically observable white nodule caused by distal intramural lymphatic spread of rectal cancer: a case report

    Directory of Open Access Journals (Sweden)

    Tsumura Ayako

    2012-10-01

    Full Text Available Abstract This report describes a case of rectal cancer with endoscopically observable white nodules caused by distal intramural lymphatic spread. A 57-year-old female presented to our hospital with frequent diarrhea and hemorrhoids. Computed tomography showed bilateral ovarian masses and three hepatic tumors diagnosed as rectal cancer metastases, and also showed multiple lymph node involvement. The patient was preoperatively diagnosed with stage IV rectal cancer. Colonoscopy demonstrated that primary rectal cancer existed 15 cm from the anal verge and that there were multiple white small nodules on the anal side of the primary tumor extending to the dentate line. Biopsies of the white spots were performed, and they were identified as adenocarcinoma. The patient underwent Hartmann’s procedure because of the locally advanced primary tumor. The white nodules were ultimately diagnosed as being caused by intramural lymphatic spreading because lymphatic permeation was strongly positive at the surrounding area. Small white nodules near a primary rectal cancer should be suspected of being intramural spreading. Endoscopic detection of white nodules may be useful for the diagnosis of distal intramural spread.

  8. The Clinical Observation on one case of Patient with Progressive Muscular Dystrophies

    Directory of Open Access Journals (Sweden)

    Yoo, Chang-Kil

    2000-12-01

    Full Text Available After observing a patient diagnosed with Progressive Muscular Dystropies from the August, 31, 2000 to the January, 2001, the following results are obtained. Method and Result: Under our assumption that the Korean Bee Venom Therapy is a good method to treat Progress Muscular Dystropies. Korean Bee Venom Therapy was applied on the following acupuncture points: BL23(Shinsu:腎兪, BL26(Guanyuanshu:關元兪, ST36(Chok-Samni:足三里, LI4(Hapkok:合谷, LV3(Taechung:太, SP10(Hyolhae:血海, SI9(Sojang-Kyonjong:貞. In addition CFC(Carthami Flos;紅花: and Cervi Pantotrichum Cornu; Herbal-Acupuncture is also treated on the other acupuncture points. For herbal medication was given to the patient based on the Sasang Constitution, Taeyangin Ogapijangchuk-tang. Following these treatments in this case of Progressive Muscular Dystropies, the skeletal muscle functions made remarkable improvement. Conclusion: Based on the clinical results, traditional Korean Medical treatment is believed to be effective for treating Progressive Muscular Dystropies, and further studies should be conducted to provide more valuable information.

  9. EXPLOSIVE EVENTS ON A SUBARCSECOND SCALE IN IRIS OBSERVATIONS: A CASE STUDY

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Zhenghua; Xia, Lidong; Fu, Hui [Shandong Provincial Key Laboratory of Optical Astronomy and Solar-Terrestrial Environment, Institute of Space Sciences, Shandong University, Weihai, 264209 Shandong (China); Madjarska, Maria S.; Doyle, J. G. [Armagh Observatory, College Hill, Armagh BT61 9DG (United Kingdom); Galsgaard, Klaus, E-mail: huangzhenghua@gmail.com [Niels Bohr Institute, DK-2100 Copenhagen (Denmark)

    2014-12-20

    We present a study of a typical explosive event (EE) at subarcsecond scale witnessed by strong non-Gaussian profiles with blue- and redshifted emission of up to 150 km s{sup –1} seen in the transition region Si IV 1402.8 Å, and the chromospheric Mg II k 2796.4 Å and C II 1334.5 Å observed by the Interface Region Imaging Spectrograph (IRIS) at unprecedented spatial and spectral resolution. For the first time an EE is found to be associated with very small-scale (∼120 km wide) plasma ejection followed by retraction in the chromosphere. These small-scale jets originate from a compact bright-point-like structure of ∼1.''5 size as seen in the IRIS 1330 Å images. SDO/AIA and SDO/HMI co-observations show that the EE lies in the footpoint of a complex loop-like brightening system. The EE is detected in the higher temperature channels of AIA 171 Å, 193 Å, and 131 Å, suggesting that it reaches a higher temperature of log T = 5.36 ± 0.06 (K). Brightenings observed in the AIA channels with durations 90-120 s are probably caused by the plasma ejections seen in the chromosphere. The wings of the C II line behave in a similar manner to the Si IV'S, indicating close formation temperatures, while the Mg II k wings show additional Doppler-shifted emission. Magnetic convergence or emergence followed by cancellation at a rate of 5 × 10{sup 14} Mx s{sup –1} is associated with the EE region. The combined changes of the locations and the flux of different magnetic patches suggest that magnetic reconnection must have taken place. Our results challenge several theories put forward in the past to explain non-Gaussian line profiles, i.e., EEs. Our case study on its own, however, cannot reject these theories; thus, further in-depth studies on the phenomena producing EEs are required.

  10. Dust-grain scattering of X-rays observed during the lunar occultation of a transient X-ray source near the Galactic center

    International Nuclear Information System (INIS)

    Extended X-ray emission surrounding point X-ray sources has been detected in the energy band 1-10 keV during lunar occultation observations of the Galactic center region. These extended X-rays are most likely due to X-ray scattering by interstellar dust grains. The spatial size and the intensity of the extended emission around the transient X-ray source GS 1741.2-2859/1741.6-2849 have been studied extensively. The spatial size is consistent with the typical grain size of about 0.06 micron. The intensity is used to obtain the energy dependence of the scattering optical depth to the source, which suggests the existence of iron in the grains. The ratio of the iron column density contained in the grains to the hydrogen column density of the neutral gas is roughly consistent with the cosmic abundance of iron. 30 refs

  11. CLINICAL OBSERVATION ON 40 CASES OF ANKYLOSING SPONDYLITIS TREATED WITH ACUPUNCTURE AND CHINESE DRUGS

    Institute of Scientific and Technical Information of China (English)

    JIA Hong-ling; ZHANG Yong-chen

    2005-01-01

    Objective: To observe the clinical therapeutic effect of acupuncture plus Chinese herbal medicines for ankylosing spondylitis (AS). Methods: A total of 80 cases of AS patients were evenly and randomly divided into treatment group and control group. In treatment group, patients were treated with acupuncture of Jiaji (夹脊EX-B 2) and oral administration of Yishen Tongdu Wan (益肾通督丸,Bolus for Reinforcing the Kidney and Dredging Governor Vessesl) and those of control group treated with oral administration of Sulfasalazin (0.5 g, twice daily). Before and after treatment, the thoracic-dilaion scale, Schober test, Bath ankylosing spondylitis disease activity index (BASDAI), Bath ankylosing spondylitis functional index (BASFI), erythrocyte sedimentation rate (ESR) and C-reaction protein (CRP) were detected separately. Results: After 6 months of treatment, of the both 40 cases in treatment and control groups, 27 (67.5%) and 13 (32.5%) were improved remarkably, 11 (27.5%) and 16 (40.0%) effective, and 2 (5.0%) and 11 (27.5%) failed, with the effective rates being 95.0% and 72.5% separately. The therapeutic effect of treatment group was significantly superior to that of control group (P<0.05). After treatment, the thoracic-dilaion scale and Schober test values increased significantly (P<0.05), while BASDAI, BASFI, ESR and CRP lowered considerably (P<0.01, P<0.05). Comparison between two groups indicated that after treatment, the decreased values of BASDAI, BASFI, ESR and CRP of treatment group were significantly lower than those of control group (P<0.01), while those of the thoracic-dilaion scale and Schober test of treatment group were significantly higher than those of control group (P<0.05, P<0.01). Results displayed that both acupuncture combined with Chinese drugs and Sulfasalazin could lower BASDAI, BASFI, ESR and CRP, raise the thoracic-dilaion scale and Schober test values considerably in AS patients, and the therapeutic effect of combined acupuncture and

  12. Monitoring soil wetness variations by means of satellite passive microwave observations: the HYDROPTIMET study cases

    Directory of Open Access Journals (Sweden)

    T. Lacava

    2005-01-01

    . This analysis allows us to evaluate the reliability and the efficiency of the proposed technique in identifying different amounts of soil wetness variations in different observational conditions. In particular, the proposed indicator was able to document the actual effects of meteorological events, in terms of space-time evolution of soil wetness changes, for all the analysed HYDROPTIMET test cases. Moreover, in some circumstances, the SWVI was able to identify the presence of a sort of 'early' signal in terms of soil wetness variations, which may be regarded as a timely indication of an anomalous value of soil water content. This evidence suggests the opportunity to use such an index in the pre-operational phases of the modern flood warning systems, in order to improve their forecast capabilities and their reliability.

  13. Clinical Observation on Therapeutic Effects of Acupuncture Treatment for 100 Cases of Type Ⅱ Diabetes

    Institute of Scientific and Technical Information of China (English)

    YANG Dan; HUANG Guo-qi

    2004-01-01

    Purpose: To observe the therapeutic effect of acupuncture treatment for diabetes. Method:Based upon proper diet, 100 cases of patients with diabetes were treated with Pishu (BL 20), Shenshu (BL 23), Feishu (BL 13), Weiwanxiashu (Extra), Zusanli (ST 36), Sanyinjiao (SP 6), Hegu (LI 4), and Xuehai (SP 10) by electric acupuncture, with acupoints added or deducted upon syndrome differentiation.Results: Fasting blood sugar decreased in the patients after the treatments, with a significant difference (P<0.05) in comparison with before treatment. And the patients with obvious symptoms decreased from 85% before the treatment to 4% after the treatment. Conclusions: Acupuncture treatment can reduce fasting blood sugar in the patients with diabetes and is also remarkably effective in improving the clinical symptoms.%目的:观察针刺治疗糖尿病的疗效.方法:对100例患者在适当饮食控制的基础上,电针脾俞、肾俞、肺俞、胃脘下俞、足三里、内关、三阴交、合谷和血海,并辨证加减.结果:治疗后患者空腹血糖值下降,与治疗前比有显著差异(P<0.05);症状明显者由治疗前的85%下降到治疗后的4%.结论:针刺能降低糖尿病患者空腹血糖,在改善临床症状方面亦有明显效果.

  14. Congenital heart block related to maternal autoantibodies: descriptive analysis of a series of 18 cases from a single center.

    Science.gov (United States)

    Doti, Pamela I; Escoda, Ona; Cesar-Díaz, Sergi; Palasti, Silvia; Teixidó, Irene; Sarquella-Brugada, Georgia; Gómez, Olga; Martínez, Josep M; Espinosa, Gerard

    2016-02-01

    The objective of this study was to describe the clinical and immunological characteristics of maternal autoimmune-mediated fetal congenital heart block (CHB) in a cohort of pregnant women from an autoimmune disease pregnancy clinic. This is a retrospective observational study of all women presenting with CHB in our autoimmune disease pregnancy clinic from January 1997 to December 2014. In addition, perinatal outcome is also described. Fourteen patients accounting for 18 fetuses with CHB were identified. The median age was 32.5 years (range, 22-40). Seven (50 %) patients had Sjögren's syndrome, and the remaining seven were asymptomatic carriers of autoantibodies. All patients had anti-Ro/SSA antibodies, and 11/13 (85 %) had anti-La/SSB antibodies. The median gestational age at the time of CHB was 22 weeks (range 18-28). Complete third degree CHB was detected in 12 (67 %). Seven cases of CHB were treated with dexamethasone, two with ritodrine, and one with the association of dexamethasone, ritodrine, and terbutaline. In 9 (50 %) cases that presented with, or developed, very poor prognosis factors, such as a ventricular rate below 50-55 bpm and/or the presence of fetal hydrops, parents opted for the termination of pregnancy, after dedicated counseling. Finally, there were nine newborns (seven males [78 %]) with median age at delivery of 37 weeks (range, 32-39). A definitive epicardial pacemaker was placed in six newborns, four of them within 2 weeks of life. CHB is a severe complication related to maternal anti-Ro/SSA and anti-La/SSB antibodies. Our results confirm previous data showing that therapy is ineffective, and most of the surviving patients will require neonatal pacemaker.

  15. Acute leukemia of adults. Ultrastructural, cytochemical and histologic observations in 100 cases.

    Science.gov (United States)

    Glick, A D; Paniker, K; Flexner, J M; Graber, S E; Collins, R D

    1980-04-01

    In order to establish guidelines for categorization of acute leukemia, marrow histology, special stains, and electron microscopy were performed in 100 adult leukemia cases. Differential counts for each stain were performed, and the results were combined with those obtained by electron microscopy for final classification. Myeloid (non-lymphoid) leukemia was most common (83 cases), and there were 13 lymphoid cases, two cases of erythroleukemia, and two undifferentiated leukemias. Histologic studies of marrow particles revealed significant admixtures of lymphocytes, plasma cells, and abnormal erythroid elements, particularly in acute myelomonocytic leukemia. Interpretations of cytochemical results were confirmed by ultrastructural studies in 90% of the cases. Clinically significant discrepancies between cytochemical and ultrastructural interpretations were rarely found. Only two myeloid and five lymphoid cases did not mark typically with any cytochemical stain. The single most reliable special stain was the periodic acid-Schiff stain, whereas the stain most difficult to interpret was the alpha-naphthyl acetate esterase stain. Sudan black stain was particularly helpful in demonstrating Auer rods. Five of six cases unclassified by cytochemistry were categorized by electron microscopy. Although patterns of cytochemical staining were delineated for each type of leukemia, significant intragroup variation in cytochemical reactions was recognized. This study indicates that ultrastructural examination should be routinely used for categorization of cases with equivocal cytochemical findings and for analysis of unclassified cases.

  16. Characteristics of Epstein-Barr virus-associated gastric cancer: A study of 235 cases at a comprehensive cancer center in U.S.A

    Directory of Open Access Journals (Sweden)

    Yu Yingyan

    2009-02-01

    Full Text Available Abstract Background Epstein-Barr virus (EBV has been shown to be associated with gastric cancer. However, inconsistent findings have been reported regarding the distribution of EBV infected cells (in normal gastric epithelium vs. intestinal metaplastic cells vs. in neoplastic cells and the characteristics of EBV-associated gastric cancer. Lymph node positive EBV-associated gastric cancer has not been systematically studied. The aims of this study were to evaluate EBV-associated gastric cancer, to assess the distribution of EBV infected cells including all positive lymph nodes, and to define the characteristics of EBV-associated gastric cancer. Design The study included primary gastric cancer patients who underwent surgical resection with no preoperative treatment at M.D. Anderson Cancer Center between 1987 and 2006. Formalin-fixed paraffin-embedded tissue from these resection specimens were assessed for EBV by in situ hybridization, the gold standard for EBV detection in tissue. EBV status was analyzed along with clinicopathologic parameters including age, gender, tumor type, lymph node status, and pathologic stage of the tumor. Results Among 235 patients, 12 had intranuclear expression of EBV. EBV staining was seen only in tumor cells and no detectable EBV was observed in normal gastric mucosa, intestinal metaplasia or stromal cells. Eight of 12 patients with EBV-associated gastric cancer had regional lymph node metastasis. Of note, metastatic tumor cells in all of the involved lymph nodes of these 8 cases contained EBV. The epidemiologic data showed 11 of the 12 patients with EBV-associated gastric cancer were men, ranging in age from 54 to 78 years (mean age, 60 years; median age, 62.1 years. The age distribution for non-EBV associated gastric cancer patients ranged from 21 to 93 years (mean age, 67 years; median age, 66.4 years. Conclusion Our study demonstrated that EBV is present exclusively in gastric cancer cells. The detection of EBV in

  17. Synoptic study of the seasonal variability of dust cases observed by the TOMS satellite over northern Saudi Arabia

    Science.gov (United States)

    Awad, Adel M.; Mashat, Abdul-Wahab S.; Alamoudi, Ahmad O.; Assiri, Mazen E.

    2016-05-01

    The aerosol index (AI) from the Total Ozone Mapping Spectrometer (TOMS) satellite and meteorological parameters from National Center for Environmental Prediction and the National Center for Atmospheric Research (NCEP/NCAR) reanalysis datasets were used to examine seasonal dust cases in northern Saudi Arabia. Considering all seasons, winter has the fewest dust cases, whereas summer has the most dust cases. Synoptically, surface high-pressure systems in the eastern and western regions are important for the occurrence of dust cases over the northern Arabian Peninsula. When the eastern high pressure prevails, the effects of the Indian low-pressure system on the Arabian Peninsula are weakened or become nonexistent. The extension of the western high-pressure system toward the southeast provides an opportunity for a low-pressure system over Southeast Africa to connect with the Indian low-pressure system, which increases the width of the low-pressure trough and affects the Arabian Peninsula by increasing the amount of dust over the region. At 850 hPa, the weather systems typically rotate clockwise between winter and autumn. In winter, cyclonic systems prevail in the northern region, while anticyclonic systems prevail in the south. The systems are oriented toward the northeast in spring, the west in summer, and the southeast in autumn. Moreover, northern cyclones at 500 hPa shrink as they move northward and the maximum wind speed at 250 hPa decreases from winter to summer. Furthermore, the case study confirms that a change in the relative strength of the pressure systems and a change in the orientation of the isobars (contours) affect the amount of dust over the area. When the orientation of the isobar (contour) lines become strictly north to south or east to west, the amount of dust decreases and vice versa.

  18. Observation and studies of jet quenching in PbPb collisions at nucleon-nucleon center-of-mass energy = 2.76 TeV

    Energy Technology Data Exchange (ETDEWEB)

    Chatrchyan, Serguei [Yerevan Physics Inst. (Armenia); et al.

    2011-08-01

    Jet production in PbPb collisions at a nucleon-nucleon center-of-mass energy of 2.76 TeV was studied with the CMS detector at the LHC, using a data sample corresponding to an integrated luminosity of 6.7 inverse microbarns. Jets are reconstructed using the energy deposited in the CMS calorimeters and studied as a function of collision centrality. With increasing collision centrality, a striking imbalance in dijet transverse momentum is observed, consistent with jet quenching. The observed effect extends from the lower cut-off used in this study (jet transverse momentum = 120 GeV/c) up to the statistical limit of the available data sample (jet transverse momentum approximately 210 GeV/c). Correlations of charged particle tracks with jets indicate that the momentum imbalance is accompanied by a softening of the fragmentation pattern of the second most energetic, away-side jet. The dijet momentum balance is recovered when integrating low transverse momentum particles distributed over a wide angular range relative to the direction of the away-side jet.

  19. Observation of the intermediate vector bosons W+- and Z0 in proton-antiproton collisions at 546 GeV center of mass energy. UA2 experiment

    International Nuclear Information System (INIS)

    The Standard Model of electromagnetic and weak interactions predicts the existence of the intermediate vector bosons W+- and Z0 and gives precise predictions for their masses. Antiproton accumulation by stochastic cooling and the operation of the CERN SPS accelerator in collider mode made accessible pantip at 546 GeV center of mass energy. This thesis presents the observation of the intermediate vector bosons through their decays Z0 → e+e-, W → eν. During running periods 1982 and 1983, 8 decays Z0 → e+e- and 32 decays W → eν with an electron of Psub(T) > 25 GeV/c were observed in UA2 experiment. Cross sections of W+- and Z0 production and the weak interaction parameters: Msub(W), Msub(Z), sin2thetasub(W) and rho are determined. These results are in agreement with Standard Model predictions, thus confirming theory in a spectacular way. An upper limit to the total width of the Z0 is given. An upper limit to the number of additional neutrinos is inferred. Radiative decays of the intermediate vector bosons are discussed

  20. How are the temporary workers? Quality of life and burn-out in a call center temporary employment in Italy: a pilot observational study

    Directory of Open Access Journals (Sweden)

    Alice Mannocci

    2014-06-01

    Full Text Available OBJECTIVES. The aim of this study was to quantify the level of health related quality of life and burnout in a call centers sample of precarious workers. METHODS. An observational study was carried out in Italy. A self-reported anonymous questionnaire was administered to temporary workers in order to estimate burn-out and quality of life levels. RESULTS. 227 questionnaires were collected. 78% of the sample was female and the mean age was 35.48 years (SD = 9.91. Among the participants, 40% were smokers, 42% regularly drinkers, 65% changed the body weight (more than 5 kg, in 1 year. The mental component score (MCS was significantly better in subject that have a regularly life style, for example in those no change their body weight (p = 0.001, sleep more than 7 hours (p = 0.018 and followed a diet (p = 0.035. The DP (depersonalization is significant higher in former smokers (p = 0.031, in underweight subjects (p = 0.025 and in the group that have a precarious employment of over 2 years (p = 0.013. CONCLUSIONS. This investigation shows that in this particular category of atypical workers depressive symptoms and quality of life were lower than the general population. It is important to underline that the interpretation of the results is limited partly by the observational character of the study.

  1. Observation of $e^{+}e^{-} \\to \\eta J/\\psi$ at center-of-mass energy $sqrt{s}=4.009$ GeV

    CERN Document Server

    Ablikim, M; Ambrose, D J; An, F F; An, Q; An, Z H; Bai, J Z; Ban, Y; Becker, J; Bertani, M; Bian, J M; Boger, E; Bondarenko, O; Boyko, I; Briere, R A; Bytev, V; Cai, X; Cakir, O; Calcaterra, A; Cao, G F; Cetin, S A; Chang, J F; Chelkov, G; Chen, G; Chen, H S; Chen, J C; Chen, M L; Chen, S J; Chen, Y B; Cheng, H P; Chu, Y P; Cronin-Hennessy, D; Dai, H L; Dai, J P; Dedovich, D; Deng, Z Y; Denig, A; Denysenko, I; Destefanis, M; Ding, W M; Ding, Y; Dong, L Y; Dong, M Y; Du, S X; Fang, J; Fang, S S; Fava, L; Feldbauer, F; Feng, C Q; Ferroli, R B; Fu, C D; Fu, J L; Gao, Y; Geng, C; Goetzen, K; Gong, W X; Gradl, W; Greco, M; Gu, M H; Gu, Y T; Guan, Y H; Guo, A Q; Guo, L B; Guo, Y P; Han, Y L; Harris, F A; He, K L; He, M; He, Z Y; Held, T; Heng, Y K; Hou, Z L; Hu, H M; Hu, J F; Hu, T; Huang, G M; Huang, J S; Huang, X T; Huang, Y P; Hussain, T; Ji, C S; Ji, Q; Ji, X B; Ji, X L; Jiang, L L; Jiang, X S; Jiao, J B; Jiao, Z; Jin, D P; Jin, S; Jing, F F; Kalantar-Nayestanaki, N; Kavatsyuk, M; Kuehn, W; Lai, W; Lange, J S; Li, C H; Li, Cheng; Li, Cui; Li, D M; Li, F; Li, G; Li, H B; Li, J C; Li, K; Li, Lei; Li, Q J; Li, S L; Li, W D; Li, W G; Li, X L; Li, X N; Li, X Q; Li, X R; Li, Z B; Liang, H; Liang, Y F; Liang, Y T; Liao, G R; Liao, X T; Liu, B J; Liu, C L; Liu, C X; Liu, C Y; Liu, F H; Liu, Fang; Liu, Feng; Liu, H; Liu, H B; Liu, H H; Liu, H M; Liu, H W; Liu, J P; Liu, K Y; Liu, Kai; Liu, P L; Liu, Q; Liu, S B; Liu, X; Liu, X H; Liu, Y B; Liu, Z A; Liu, Zhiqiang; Liu, Zhiqing; Loehner, H; Lu, G R; Lu, H J; Lu, J G; Lu, Q W; Lu, X R; Lu, Y P; Luo, C L; Luo, M X; Luo, T; Luo, X L; Lv, M; Ma, C L; Ma, F C; Ma, H L; Ma, Q M; Ma, S; Ma, T; Ma, X Y; Ma, Y; Maas, F E; Maggiora, M; Malik, Q A; Mao, Y J; Mao, Z P; Messchendorp, J G; Min, J; Min, T J; Mitchell, R E; Mo, X H; Morales, C Morales; Motzko, C; Muchnoi, N Yu; Muramatsu, H; Nefedov, Y; Nicholson, C; Nikolaev, I B; Ning, Z; Olsen, S L; Ouyang, Q; Pacetti, S; Park, J W; Pelizaeus, M; Peng, H P; Peters, K; Ping, J L; Ping, R G; Poling, R; Prencipe, E; Qi, M; Qian, S; Qiao, C F; Qin, X S; Qin, Y; Qin, Z H; Qiu, J F; Rashid, K H; Rong, G; Ruan, X D; Sarantsev, A; Schaefer, B D; Schulze, J; Shao, M; Shen, C P; Shen, X Y; Sheng, H Y; Shepherd, M R; Song, X Y; Spataro, S; Spruck, B; Sun, D H; Sun, G X; Sun, J F; Sun, S S; Sun, Y J; Sun, Y Z; Sun, Z J; Sun, Z T; Tang, C J; Tang, X; Tapan, I; Thorndike, E H; Toth, D; Ullrich, M; Varner, G S; Wang, B; Wang, B Q; Wang, K; Wang, L L; Wang, L S; Wang, M; Wang, P; Wang, P L; Wang, Q; Wang, Q J; Wang, S G; Wang, X L; Wang, Y D; Wang, Y F; Wang, Y Q; Wang, Z; Wang, Z G; Wang, Z Y; Wei, D H; Weidenkaff, P; Wen, Q G; Wen, S P; Werner, M; Wiedner, U; Wu, L H; Wu, N; Wu, S X; Wu, W; Wu, Z; Xia, L G; Xiao, Z J; Xie, Y G; Xiu, Q L; Xu, G F; Xu, G M; Xu, H; Xu, Q J; Xu, X P; Xu, Z R; Xue, F; Xue, Z; Yan, L; Yan, W B; Yan, Y H; Yang, H X; Yang, Y; Yang, Y X; Ye, H; Ye, M; Ye, M H; Yu, B X; Yu, C X; Yu, J S; Yu, S P; Yuan, C Z; Yuan, Y; Zafar, A A; Zallo, A; Zeng, Y; Zhang, B X; Zhang, B Y; Zhang, C C; Zhang, D H; Zhang, H H; Zhang, H Y; Zhang, J Q; Zhang, J W; Zhang, J Y; Zhang, J Z; Zhang, S H; Zhang, X J; Zhang, X Y; Zhang, Y; Zhang, Y H; Zhang, Y S; Zhang, Z P; Zhang, Z Y; Zhao, G; Zhao, H S; Zhao, J W; Zhao, K X; Zhao, Lei; Zhao, Ling; Zhao, M G; Zhao, Q; Zhao, S J; Zhao, T C; Zhao, X H; Zhao, Y B; Zhao, Z G; Zhemchugov, A; Zheng, B; Zheng, J P; Zheng, Y H; Zhong, B; Zhong, J; Zhou, L; Zhou, X K; Zhou, X R; Zhu, C; Zhu, K; Zhu, K J; Zhu, S H; Zhu, X L; Zhu, X W; Zhu, Y C; Zhu, Y M; Zhu, Y S; Zhu, Z A; Zhuang, J; Zou, B S; Zou, J H

    2012-01-01

    Using a 478 pb$^{-1}$ data sample collected with the BESIII detector operating at the BEPCII storage ring at a center-of-mass energy of $\\sqrt{s}=4.009$ GeV, the production of $e^{+}e^{-}\\to \\eta J\\psi$ is observed for the first time with a statistical significance of greater than $10\\sigma$. The Born cross section is measured to be $(32.1\\pm 2.8 \\pm 1.3)$ pb, where the first error is statistical and the second systematic. Assuming the $\\eta J\\psi$ signal is from a hadronic transition of the $\\psi(4040)$, the fractional transition rate is determined to be ${\\cal B}(\\psi(4040)\\to \\eta J\\psi)=(5.2\\pm 0.5\\pm 0.2\\pm 0.5)\\times 10^{-3}$, where the first, second, and third errors are statistical, systematic, and the uncertainty from the $\\psi(4040)$ resonant parameters, respectively. The production of $e^{+}e^{-} \\to \\pi^0 J\\psi$ is searched for, but no significant signal is observed, and ${\\cal B}(\\psi(4040)\\to \\pi^0 J\\psi) < 2.8 \\times 10^{-4}$ is obtained at the 90% confidence level.

  2. Observation on dengue cases from a virus diagnostic laboratory of a tertiary care hospital in north India

    OpenAIRE

    Om Prakash; Desh Deepak Singh; Geetika Mishra; Shantanu Prakash; Arvind Singh; Shikha Gupta; Jasmeet Singh; Danish Nasar Khan; Parul Jain; Anamika Vishal; Manoj Kumar Pandey; Amita Jain

    2015-01-01

    Background & objectives: The epidemiology of dengue fever (DF) is complex in the Indian subcontinent as all the four serotypes are circulating. This study reports observations on dengue cases from a virus diagnostic laboratory of a north Indian tertiary care hospital catering to areas in and around Lucknow, Uttar Pradesh. Methods: Serum samples were obtained from suspected cases of dengue referred to the virus diagnostic laboratory during 2011 to 2013, and detailed history was taken on a ...

  3. Identification of the origin of chromosomal aberrations by laser microdissection: Double minutes observed in two cases derive from different chromosomes

    Energy Technology Data Exchange (ETDEWEB)

    Rajcan-Separovic, E. [Univ. of Ottawa (Canada); Wang, H.S.; Janes, L. [Children`s Hospital of Eastern Ontario, Ottawa (Canada)

    1994-09-01

    Single copies of tiny chromosome fragments appearing as double minutes were observed in high frequency in amniotic fluid cultures of two mothers who underwent prenatal testing because of advanced age. In case 1, the minutes were C band and NOR negative, while in case 2 they were C band positive, NOR negative. In both cases centromeric DNA sequences were detected on double minutes by fluorescence in situ hybridization (FISH) using all human centromeric probe (ONCOR). We applied the laser microdissection method to diagnose the origin of double minutes. The diagnostic procedures consisted of microdissection of double minutes from single cells, polymerase chain reaction (PCR) amplification of the dissected DNA and subsequent FISH using PCR products as a probe pool on metaphase chromosomes from the patient`s amniocytes and fibroblasts from a karyotypically normal newborn. Using this strategy we observed strong FISH signals on double minutes and centromeres of a D and G group chromosome in case 1 amniocyytes, while in case 2 the signal was present on double minutes and a C group chromosome centromere. Hybridization of amniocyte chromosome spreads with centromeric {alpha}-satellite probes for the candidate chromosomes 13/21 and 14/22 (ONCOR) in case 1 revealed FISH signals on double minutes only with the 13/21 probe. In case 2, {alpha}-satellite probes for candidate chromosomes 10 and 12 (ONCOR) were used, and only the probe for chromosome 12 hybridized to double minutes. With the laser microdissection method we were thus able to diagnose and confirm that the double minutes observed in human amniocytes derived from centromeres of chromosomes 13/21 in case 1, and from centomeres of chromosome 12 in case 2. This demonstrates the utility of laser microdissection for identification of chromosomal abnormalities of unknown origin.

  4. Cumulative occupational lumbar load and lumbar disc disease – results of a German multi-center case-control study (EPILIFT)

    OpenAIRE

    Michaelis Martina; Luttmann Alwin; Linhardt Oliver; Hofmann Friedrich; Haerting Johannes; Grifka Joachim; Elsner Gine; Ditchen Dirk; Ellegast Rolf; Jäger Matthias; Bergmann Annekatrin; Seidler Andreas; Petereit-Haack Gabriela; Schumann Barbara; Bolm-Audorff Ulrich

    2009-01-01

    Abstract Background The to date evidence for a dose-response relationship between physical workload and the development of lumbar disc diseases is limited. We therefore investigated the possible etiologic relevance of cumulative occupational lumbar load to lumbar disc diseases in a multi-center case-control study. Methods In four study regions in Germany (Frankfurt/Main, Freiburg, Halle/Saale, Regensburg), patients seeking medical care for pain associated with clinically and radiologically ve...

  5. [Role of iatrogenic spondylodiscitis among pyogenic spondylodiscitis. 136 cases observed between 1980 and 1989].

    Science.gov (United States)

    Meys, E; Deprez, X; Hautefeuille, P; Flipo, R M; Duquesnoy, B; Delcambre, B

    1991-12-01

    The authors report 136 cases of spondylodiscitis due to ordinary organisms seen between 1980 and 1989 and note the increasing incidence of iatrogenic forms which during the past three years accounted for 50 per cent of cases. 60 per cent of these cases of iatrogenic spondylodiscitis complicated a medical of surgical procedure involving the spine (form by direct inoculation). In 40 per cent of cases, the organism came from a site of infection located at a distance (from by blood-borne spread). The clinical picture in cases of primary spondylodiscitis and of iatrogenic disease by blood-borne spread is essentially similar. That of iatrogenic forms by direct inoculation is different: most often young subjects, virtually exclusive involvement of the lumbar spine, fever and inflammatory syndrome less common. Escherichia coli and Staphylococcus aureus were the organisms most often responsible for primary spondylodiscitis (23 and 21.7 per cent of case respectively). Streptococci were in third position only (15.6 per cent of cases). Staphylococcus aureus remained predominant in iatrogenic spondylodiscitis (34 per cent of cases), while Escherichia coli and streptococci were significantly rarer than in primary forms and there was the appearance of Pseudomonas aeruginosa and Staphylococcus albus. No organism was found in 23 per cent of cases of primary spondylodiscitis. This figure reached 44% of iatrogenic forms by direct inoculation. Because of their increasing incidence, these cases of apparently aseptic spondylodiscitis, frequently complicating a procedure involving the spine, are modifying the picture of infectious spondylodiscitis. No doubt worthy of separate identification, they raise the problem of the significance of the concept of aseptic spondylodiscitis. PMID:1780664

  6. Improving the quality of health services organization structure by reengineering: circular design and clinical case impact in an academic medical center.

    Science.gov (United States)

    Lartin-Drake, J M; Curran, C; Gillis-Donovan, J; Kruger, N R; Ziegenfuss, J T; Ostrem, J; Zanotti, M

    1996-01-01

    Innovation to improve the quality of structure and process in health care organization is reported in this case example of change in an academic medical center. Interactive planning and the circular organization design concept were the driving principles and methods. This report presents the needs for and initial obstructions to change, planning and project design work, a description of the change process, and illustrative accomplishments to date--two cases, one of conscious sedation policy and one of nuisance pages. Evaluative criteria for judging the progress and lessons of the project regarding key design characteristics also are included.

  7. Institutionalizing provider-initiated HIV testing and counselling for children: an observational case study from Zambia.

    Directory of Open Access Journals (Sweden)

    Jane N Mutanga

    Full Text Available BACKGROUND: Provider-initiated testing and counselling (PITC is a priority strategy for increasing access for HIV-exposed children to prevention measures, and infected children to treatment and care interventions. This article examines efforts to scale-up paediatric PITC at a second-level hospital located in Zambia's Southern Province, and serving a catchment area of 1.2 million people. METHODS AND PRINCIPAL FINDINGS: Our retrospective case study examined best practices and enabling factors for rapid institutionalization of PITC in Livingstone General Hospital. Methods included clinical observations, key informant interviews with programme management, and a desk review of hospital management information systems (HMIS uptake data following the introduction of PITC. After PITC roll-out, the hospital experienced considerably higher testing uptake. In a 36-month period following PITC institutionalization, of total inpatient children eligible for PITC (n = 5074, 98.5% of children were counselled, and 98.2% were tested. Of children tested (n = 4983, 15.5% were determined HIV-infected; 77.6% of these results were determined by DNA polymerase chain reaction (PCR testing in children under the age of 18 months. Of children identified as HIV-infected in the hospital's inpatient and outpatient departments (n = 1342, 99.3% were enrolled in HIV care, including initiation on co-trimoxazole prophylaxis. A number of good operational practices and enabling factors in the Livingstone General Hospital experience can inform rapid PITC institutionalization for inpatient and outpatient children. These include the placement of full-time nurse counsellors at key areas of paediatric intake, who interface with patients immediately and conduct testing and counselling. They are reinforced through task-shifting to peer counsellors in the wards. Nurse counsellor capacity to draw specimen for DNA PCR for children under 18 months has significantly enhanced early

  8. Tortuous Common Carotid Artery: A Report of Four Cases Observed in Cadaveric Dissections

    Directory of Open Access Journals (Sweden)

    Joe Iwanaga

    2016-01-01

    Full Text Available A tortuous common carotid artery poses a high risk of injury during tracheotomy. Preoperative diagnosis is therefore important to avoid serious complications. We found four cases of tortuous common carotid artery during an anatomical dissection course for students. The first case was a 91-year-old woman who had bilateral tortuous common carotid arteries without arteriosclerosis. Case 2 was a 78-year-old woman who had bilateral tortuous common carotid arteries without arteriosclerosis. Case 3 was an 86-year-old woman who died from bladder cancer and who also had a right tortuous common carotid artery without arteriosclerosis. Case 4 was an 89-year-old woman who had bilateral tortuous common carotid arteries and a tortuous brachiocephalic artery with severe arteriosclerosis. Case 4 was also examined using computed tomography to evaluate the arteriosclerosis. Computed tomography revealed severe calcification of the vascular wall, which was confirmed in the aortic arch and origins of its branches. In all four cases, the tortuosity was located below the level of the thyroid gland. Based on prior study results indicating that fusion between the carotid sheath and visceral fascia was often evident at the level of the thyroid gland, we speculated that the major region in which tortuosity occurs is at the same level or inferior to the level of the thyroid gland.

  9. A Selection Model to Logistic Centers Based on TOPSIS and MCGP Methods: The Case of Airline Industry

    Directory of Open Access Journals (Sweden)

    Kou-Huang Chen

    2014-01-01

    Full Text Available The location selection of a logistics center is a crucial decision relating to cost and benefit analysis in airline industry. However, it is difficult to be solved because there are many conflicting and multiple objectives in location problems. To solve the problem, this paper integrates fuzzy technique for order preference by similarity to an ideal solution (TOPSIS and multichoice goal programming (MCGP to obtain an appropriate logistics center from many alternative locations for airline industry. The proposed method in this paper will offer the decision makers (DMs to set multiple aspiration levels for the decision criteria. A numerical example of application is also presented.

  10. Clinical Observation on Intractable Insomnia Treated by Point Pressure in 42 Cases

    Institute of Scientific and Technical Information of China (English)

    张庆萍

    2002-01-01

    @@ The author have in recent years treated 42 cases of intractable insomnia (with a history of over 2 years) by point pressure, yielding quite satisfactory results when compared with those treated with clonazepam. This is reported as follows.

  11. EUMYCETOMA BY Madurella grisea: REPORT OF THE FIRST CASE OBSERVED IN THE SOUTHERN BRAZILIAN REGION

    Directory of Open Access Journals (Sweden)

    SEVERO Luiz Carlos

    1999-01-01

    Full Text Available The first case of eumycetoma by Madurella grisea occurred in Southern Brazilian Region is herein related. In addition, Brazilian literature on this subject was reviewed and, the geographic distribution of this eumycetoma is presented.

  12. Acute hepatitis with observed increased blood phenytoin level:a case study

    Institute of Scientific and Technical Information of China (English)

    Beuy Joob; Viroj Wiwanitkit

    2014-01-01

    Acute hepatitis is a common problem in medical practice.This problem can be fatal if there is no proper management.For management, the investigation for the cause is necessary.In the case report, the authors present an interesting male case presenting with unexplained acute hepatitis.The routine laboratory investigation cannot reveal the cause of hepatitis.The additional toxicological drug test can reveal the unexplained increased level of phenytoin.

  13. Clinical Observation on 930 Child Epilepsy Cases Treated with Anti-epilepsy Capsules

    Institute of Scientific and Technical Information of China (English)

    马融; 李少川; 李新民; 胡思源; 孙希焕; 刘玉珍; 张喜莲; 李向农; 马秀华

    2003-01-01

    1090 cases of child epilepsy were divided randomly into two groups: the treatment group (930 cases treated with anti-epilepsy capsules) and the control group (160 cases treated with luminal). The results showed that in the treatment group, 534 cases were markedly effective, 241 effective, 96 improved, 46 ineffective, and 13 aggravated, with a total effective rate of 83.33%; while in the control group, 64 cases were markedly effective, 19 effective, 38 improved, 29 ineffective, and 10 aggravated, with a total effective rate of 51.88%. The treatment group showed an obviously higher total effective rate than that in the control group (P<0.01). After treatment, cases in the two groups all had lower frequency of epilepsy attacks and shorter duration of each attack as compared with that before treatment (P<0.01), but the situation was obviously better in the treatment group. The anti-epilepsy capsules had very good effect on various types of epilepsy, especially on autonomic epilepsy and on epilepsies due to wind, phlegm, or terror as differentiated in TCM. After treatment, the recovery rate shown by EEG examination was 54.3% in the treatment group, while 38.4% in the control group, the former being obviously higher than the latter (P<0.01).

  14. Prioritising between direct observation of therapy and case-finding interventions for tuberculosis: use of population impact measures

    Directory of Open Access Journals (Sweden)

    Buchan Iain

    2006-12-01

    Full Text Available Abstract Background Population impact measures (PIMs have been developed as tools to help policy-makers with locally relevant decisions over health risks and benefits. This involves estimating and prioritising potential benefits of interventions in specific populations. Using tuberculosis (TB in India as an example, we examined the population impact of two interventions: direct observation of therapy and increasing case-finding. Methods PIMs were calculated using published literature and national data for India, and applied to a notional population of 100 000 people. Data included the incidence or prevalence of smear-positive TB and the relative risk reduction from increasing case finding and the use of direct observation of therapy (applied to the baseline risks over the next year, and the incremental proportion of the population eligible for the proposed interventions. Results In a population of 100 000 people in India, the directly observed component of the Directly Observed Treatment, Short-course (DOTS programme may prevent 0.188 deaths from TB in the next year compared with 1.79 deaths by increasing TB case finding. The costs of direct observation are (in international dollars I$5960 and of case finding are I$4839 or I$31702 and I$2703 per life saved respectively. Conclusion Increasing case-finding for TB will save nearly 10 times more lives than will the use of the directly observed component of DOTS in India, at a smaller cost per life saved. The demonstration of the population impact, using simple and explicit numbers, may be of value to policy-makers as they prioritise interventions for their populations.

  15. Reflective Practice Through Journal Writing 
And Peer Observation: A Case Study

    OpenAIRE

    B. Samrajya LAKSHMI

    2014-01-01

    Journal writing and Peer Observation in an educational context have become popular techniques, with several different types of applications. They have now been used quite widely in both language teaching and in teacher training. However, despite its reported advantages in both teaching and research, there are not many Peer Observation and Diary studies available based on the writing of experienced language teachers. The Teacher participants maintain Journal writing and Peer Observation as a m...

  16. Causal Inference in Repeated Observational Studies: A Case Study of eBay Product Releases

    OpenAIRE

    von Brzeski, Vadim; Taddy, Matt; Draper, David

    2015-01-01

    Causal inference in observational studies is notoriously difficult, due to the fact that the experimenter is not in charge of the treatment assignment mechanism. Many potential con- founding factors (PCFs) exist in such a scenario, and if one seeks to estimate the causal effect of the treatment on a response, one needs to control for such factors. Identifying all relevant PCFs may be difficult (or impossible) given a single observational study. Instead, we argue that if one can observe a sequ...

  17. New Tools for Learning: A Case of Organizational Problem Analysis Derived from Debriefing Records in a Medical Center

    Science.gov (United States)

    Holzmann, Vered; Mischari, Shoshana; Goldberg, Shoshana; Ziv, Amitai

    2012-01-01

    Purpose: This article aims to present a unique systematic and validated method for creating a linkage between past experiences and management of future occurrences in an organization. Design/methodology/approach: The study is based on actual data accumulated in a series of projects performed in a major medical center. Qualitative and quantitative…

  18. IDENTIFICATION OF EXAMPLES OF GOOD PRACTICE IN ABSORPTION OF STRUCTURAL FUNDS, CASE STUDY PROJECT "CHRISTIAN DAY CENTER"

    Directory of Open Access Journals (Sweden)

    CEAUSESCU IONUT

    2016-08-01

    Full Text Available The main purpose of this study is to capture the practical point of view, the main issues in examples of best practices in the application for funding for the project "Christian Day Center- Support for young people and adults with disabilities" project benefited the City Council Târgu Jiu, is a project which was realized in the Regional Operational Programme, Priority Axis 3 DMI 3.2 - "Rehabilitation / modernization / development and equipping of social services", the total value of the project was 3,373,722.72 lei, of which non-repayable funding over was worth 2,592,251.08 lei. Through its general objective, the project "Day Center Christian - Support for young people and adults with disabilities" aims to contribute to improving the quality of infrastructure for social services by ensuring equal access of citizens of Tg-Jiu such services. Christian Day Center- support for young people and adults with physical disabilities, musculoskeletal, neuro, somatic and visual has already proposed to the idea of the project, to be a center which will ensure the social inclusion of these vulnerable and contribute to increasing the quality of life, improve communication and information on the rights and benefits of social services to improve the management and organization of the system of providing social services and facilitating the participation of all stakeholders in the development of social services.

  19. Commercialization as a recommended approach to hospital restructuring. Case study of Łańcut Medical Center

    Directory of Open Access Journals (Sweden)

    Wiktor Patena

    2015-10-01

    Full Text Available Our society is on the brink of health care system reorganization and implementation of new medical technology. Hospitals have to be a core component of the medical revolution so they have to be prepared for the upcoming leap in their development. If Poland wants to be a pioneer in providing new medical solutions, the current ineffective system has to be changed. The necessary action should be taken to deal with the financial problems Polish hospitals have faced for over 20 years. The current structure of hospitals - SPZOZ, is old-fashioned and cannot adapt to a turbulent social and economic environment. The hospitals should be commercialized and restructured. Being capitalized companies will give incentives and new tools to deal with financial problems. The article presents an example of the commercialized hospital in Łańcut. We make the observations that commercialization increases: a hospital’s profitability, its employment productivity, its capital investment spending and leverage. The case proves that the transformation of hospitals to capital companies proposed by the Ministry of Health may be an appropriate approach and it does work once a reasonable management board is in charge. However, the legal structure alteration should be treated as the first step in the overall restructuring process. The article highlights the problem of managers of Polish hospitals who do not only struggle with financial shortages, but barely know which business model they should follow after commercialization to successfully run the restructuring process. Having examined the LMC the authors are crafting a prelude to the overall research on already commercialized hospitals to find an appropriate business model.

  20. Teacher's Perceptions of Sheltered Instruction Observation Protocol for Teaching Young English Language Learners: A Qualitative Case Study

    Science.gov (United States)

    Rodriguez Moux, Shirley

    2010-01-01

    This qualitative case study explored the use of sheltered instruction observation protocol (SIOP) instructional practices to promote the language development and learning of elementary English language learners (ELLs) in an immersion setting in 1st and 2nd grades. The SIOP model was developed for middle school ELLs, and there is scant information…

  1. Structural abnormalities and persistent complaints after an ankle sprain are not associated: An observational case control study in primary care

    NARCIS (Netherlands)

    J. van Ochten (John); M.C.E. Mos (Marinka C E); N. Van Putte-Katier (Nienke); E.H.G. Oei (Edwin); P.J.E. Bindels (Patrick); S.M. Bierma-Zeinstra (Sita); M. van Middelkoop (Marienke)

    2014-01-01

    textabstractBackground Persistent complaints are very common after a lateral ankle sprain. Aim To investigate possible associations between structural abnormalities on radiography and MRI, and persistent complaints after a lateral ankle sprain. Design and setting Observational case control study on

  2. Ectopic Germinal Centers and IgG4-Producing Plasmacytes Observed in Synovia of HLA-B27+ Ankylosing Spondylitis Patients with Advanced Hip Involvement

    Directory of Open Access Journals (Sweden)

    Xiugao Feng

    2015-01-01

    Full Text Available Introduction. Ectopic lymphoid neogenesis and the presence of IgG4-positive plasmacytes have been confirmed in chronic inflammatory sclerosing diseases. This study aims to investigate hip synovial tissues of ankylosing spondylitis (AS patients for IgG4-positive plasma cells and ectopic lymphoid tissues with germinal centers (GCs. Methods. Synovial samples were collected from 7 AS patients who received total hip replacement and were evaluated using immunohistochemistry for the presence of CD20+ B-cells, CD3+ T-cells, CD21+ follicular dendritic cells (FDC, and CD38+ plasma cells. Furthermore, immunoglobulin G (IgG and IgG4, IgA, IgM, and complement components C3d and C4d in synovia were evaluated. Both synovial CD21+ FDCs and IgG4-producing plasmacytes were analyzed. Results. All seven patients had severe fibrosis. Massive infiltrations of lymphocytes were found in 5 out of 7 patients’ synovia. Ectopic lymphoid tissues with CD21+ FDC networks and IgG4-positive plasma cells were observed coincidentally in two patients’ synovia. Conclusion. The pathophysiological mechanism of AS patients’ hip damage might be related to the coincidental presence of ectopic lymphoid tissue with FDCs network and IgG4-positive plasma cells identified here for the first time in AS patients’ inflamed synovial tissue.

  3. Reflective Practice through Journal Writing and Peer Observation: A Case Study

    Science.gov (United States)

    Lakshmi, B. Samrajya

    2014-01-01

    Journal writing and Peer Observation in an educational context have become popular techniques, with several different types of applications. They have now been used quite widely in both language teaching and in teacher training. However, despite its reported advantages in both teaching and research, there are not many Peer Observation and Diary…

  4. Clinical Observation on Electroacupuncture Treatment of 30 Cases of Chronic Hepatitis B

    Institute of Scientific and Technical Information of China (English)

    Qiu Weiwei; Chang Jie; Shen Su-e; Shi Binbin; Pan Xuefei

    2007-01-01

    Objective: To probe into the methods and therapeutic effects of electroacupuncture (EA) on hepatitis B.Methods: 60 hospitalized cases of mild or moderate hepatitis B were randomly divided into a treatment group (30 cases) and a control group (30 cases). EA was applied at the points selected according to the differentiation of symptoms and signs. The treatment was given once daily for 30 minutes, and 2 weeks of treatments constituted a therapeutic course, with 2-3 courses on average in the treatment group.Conventional treatment for liver protection was given in the control group. Results: As compared with the control group, the duration of the treatment for recovery of the hepatic functions was significantly shorter,and the IL-8 level significantly lower in the treatment group. Conclusion: In treating hepatitis B, EA is effective in improving symptoms, recovering hepatic functions, and regulating immune functions to certain extent.

  5. Histological observation of complete closure of anterior capsulotomy in 2 cases.

    Science.gov (United States)

    Tanaka, Sai-Ichi; Saika, Shizuya; Tamura, Manabu; Ohnishi, Yoshitaka

    2004-06-01

    We report the histological finding of complete closure of the anterior capsulotomy window in 2 cases. The cases were successfully treated with surgery after neodymium:YAG laser anterior capsulotomy failed. Histology and immunohistochemistry were performed to determine the pathogenesis. Histology revealed the presence of elongated, fibroblast-like lens epithelial cells in association with extracellular matrix accumulation, which were positive for collagen types, fibronectin, and osteopontin. The cells were labeled with anti-alpha-smooth muscle actin antibody. The finding indicates that phenotypic modulation in lens epithelial cell to contractile cell type and accumulation of matrix are involved in closure of the anterior capsulotomy window.

  6. Observation on Clinical Therapeutic Effect of Electroacupuncture plus Tuina on 90 Cases of Scapulohumeral Periarthritis

    Institute of Scientific and Technical Information of China (English)

    LIU Huan-lan; KUAI Le

    2003-01-01

    Ninety cases of scapulohumeral periarthritis were treated by electroacupuncture plus Tuina and the effective rate was 94.4%. The effective rate was 81.9% in the control group (treated by Frozen Shoulder Decoction added by other herbal drugs) of 83 cases. The result indicated that the treatments of the two groups were effective, but the therapeutic effect of the treatment group was better than that of the control group. In the treatment group, the cure rate was higher, the duration of treatment was shorter and the sequelae of conglutination and rigidity of the shoulder joint, muscular atrophy and so on were reduced.

  7. The Plan for Donations or "Don'tations": The Case of the Alumni-Funded Entrepreneurship Center

    Science.gov (United States)

    Olsen, Mona Anita Kristiansen

    2012-01-01

    This case was developed for use in a course on entrepreneurial education that focuses on leadership. Background from Blue Stone University, including information on its mission, organizational structure, metrics, entrepreneurial programs, and stakeholders, is presented. This case explores how a school within a university approached the creation of…

  8. Clinical Observation of Combined Acupuncture and Medications in Treating 90 Cases of Facial Palsy

    Institute of Scientific and Technical Information of China (English)

    WU Chun-huan; XIAO Yuan-chun

    2008-01-01

    @@ Peripheral facial palsy, namely Bell palsy, is one ofthe common diseases in the department ofacupuncture. Facial palsy, popularly called wry mouthand eye, is primarily manifested by the motormalfunction of the muscles of the expression on theaffected side. The author adopted combinedacupuncture and medications to treat 90 cases offacial palsy from June 2005 to June 2007, andattained good effects. It is now reported as follows.

  9. Do Case Rates Affect Physicians' Clinical Practice in Radiation Oncology?: An Observational Study.

    Science.gov (United States)

    Loy, Bryan A; Shkedy, Clive I; Powell, Adam C; Happe, Laura E; Royalty, Julie A; Miao, Michael T; Smith, Gary L; Long, James W; Gupta, Amit K

    2016-01-01

    Case rate payments combined with utilization monitoring may have the potential to improve the quality of care by reducing over and under-treatment. Thus, a national managed care organization introduced case rate payments at one multi-site radiation oncology provider while maintaining only fee-for-service payments at others. This study examined whether the introduction of the payment method had an effect on radiation fractions administered when compared to clinical guidelines. The number of fractions of radiation therapy delivered to patients with bone metastases, breast, lung, prostate, and skin cancer was assessed for concordance with clinical guidelines. The proportion of guideline-based care ascertained from the payer's claims database was compared before (2011) and after (2013) the payment method introduction using relative risks (RR). After the introduction of case rates, there were no significant changes in guideline-based care in breast, lung, and skin cancer; however, patients with bone metastases and prostate cancer were significantly more likely to have received guideline-based care (RR = 2.0 and 1.1, respectively, pcase rate payments, while the over-treatment rate remained steady at 9%, with no significant change (p = 0.20). These findings suggest that the introduction of case rate payments did not adversely affect the rate of guideline-based care at the provider examined. Additional research is needed to isolate the effect of the payment model and assess implications in other populations.

  10. Observation on Therapeutic Results in Tuina Treatment of 56 Cases of Infantile Constipation

    Institute of Scientific and Technical Information of China (English)

    WANG Yong-mei; SU Chun-lan

    2004-01-01

    将56例小儿便秘患者分为胃肠积热型,气机不畅型和气阴两虚型,取大肠、中脘、八卦、七节骨、承山、足三里和迎香,应用小儿推拿手法治疗.痊愈45例,有效9例,无效2例,总有效率96.5%.%After 56 cases of infantile constipation were divided into the pattern of stagnation of heat in the stomach and intestines, pattern of obstruction of qi activity and pattern of deficiency in both qi and yin, the treatments were given by infantile Tuina techniques on the infantile points of Dachang (Extra),Zhongwan (CV 12), Bagua (Extra), Qijiegu (Extra), Chengshan (BL 57), Zusanli (ST 36) and Yingxiang (LI 20). The results showed cure in 45 cases, effectiveness in 9 cases, failure in 2 cases and the total effective rate was 96.5%.

  11. Linking theories of change and observed reality: the Shea value chain partnership case in Burkina

    NARCIS (Netherlands)

    Drost, S.; Wijk, van J.; Vellema, S.

    2012-01-01

    This case study found out how a public-private partnership in Burkina Faso helped female shea nut producers to link up with the cosmetic industry. Empirical data collected from October-December 2011 revealed that the shea value chain partnership between a international shea processing company, a dev

  12. Do Case Rates Affect Physicians' Clinical Practice in Radiation Oncology?: An Observational Study.

    Directory of Open Access Journals (Sweden)

    Bryan A Loy

    Full Text Available Case rate payments combined with utilization monitoring may have the potential to improve the quality of care by reducing over and under-treatment. Thus, a national managed care organization introduced case rate payments at one multi-site radiation oncology provider while maintaining only fee-for-service payments at others. This study examined whether the introduction of the payment method had an effect on radiation fractions administered when compared to clinical guidelines. The number of fractions of radiation therapy delivered to patients with bone metastases, breast, lung, prostate, and skin cancer was assessed for concordance with clinical guidelines. The proportion of guideline-based care ascertained from the payer's claims database was compared before (2011 and after (2013 the payment method introduction using relative risks (RR. After the introduction of case rates, there were no significant changes in guideline-based care in breast, lung, and skin cancer; however, patients with bone metastases and prostate cancer were significantly more likely to have received guideline-based care (RR = 2.0 and 1.1, respectively, p<0.05. For the aggregate of all cancers, the under-treatment rate significantly declined (p = 0.008 from 4% to 0% after the introduction of case rate payments, while the over-treatment rate remained steady at 9%, with no significant change (p = 0.20. These findings suggest that the introduction of case rate payments did not adversely affect the rate of guideline-based care at the provider examined. Additional research is needed to isolate the effect of the payment model and assess implications in other populations.

  13. Dynamics of center-periphery patterns in knowledge networks - the case of China's biotech science and technology system

    CERN Document Server

    Hennemann, Stefan; Liefner, Ingo

    2011-01-01

    Science and technology systems - and their epistemic communities - are usually hierarchical and composed of a number of strong, large, leading organizations, along with a number of smaller and less influential ones. Moreover, these hierarchical patterns have a spatial structure: the leading organizations are concentrated in a few places, creating a science and technology center, whereas the majority of locations are peripheral. In the example of biotech research in China, we found dynamic changes in center-periphery patterns. These results are based on a network analysis of evolving co-authorship networks from 2001 to 2009 that were built combining national and international databases. Therefore, our results are not only relevant for evaluating the spatial structure and dynamics in the Chinese biotech system and its integration into the global knowledge network, but also revive a discussion on persistence and processes of change in the systems theory for sciencebased industries.

  14. Sharing Knowledge in a Shared Services Center Context: An Explanatory Case Study of the Dialectics of Formal and Informal Practices

    OpenAIRE

    Vieru, Dragos; Arduin, Pierre-Emmanuel

    2016-01-01

    International audience This study focuses on how knowledge sharing across boundaries of merging entities during an information system (IS) implementation project in a shared services center (SSC) context affects the resulting system functionality. Although the literature stresses the growing adoption of the SSC as an outsourcing model, there is a lack of studies that examine shared services as a dynamic process of knowledge sharing across the organizational boundaries. We draw on a socioma...

  15. Applying a User-Centered, Rapid-Prototyping Methodology with Quantified Self: a case study with triathletes

    OpenAIRE

    De Croon, Robin; De Buyser, Tom; Klerkx, Joris; Duval, Erik

    2014-01-01

    This paper discusses how we applied a user-centered, rapid-prototyping methodology to design and evaluate a Quantified Self dashboard for triathletes. Quantified Self barriers as discussed by Li and Forlizzi and Choe et al. are taken into account. A dashboard is designed for and evaluated with in total 25 triathletes and fourteen regular persons. Our results confirm that this methodology is successful and a well designed dashboard can be used to help users analyze their own data.

  16. Relationships among Shopping Quality and Corporate Social Responsibility of Shopping Centers and Consumer Satisfaction: Case from Novi Sad (Serbia)

    OpenAIRE

    Ivana Blešic; Aleksandra Dragin; Jelica Markovic; Slobodan Cerovic and Lukrecija Deri

    2014-01-01

    Taking into consideration satisfied customer as necessary for business maintenance, companies are trying to discover determinants which have the biggest influence on their consumer satisfaction. Here are presented two factors that have influence on consumer satisfaction in shopping centers: quality of shopping and corporate social responsibility. In this research, each of these factors had six elements. The results of the regression analysis are that “Value for money in stores” (beta=0.387, p...

  17. Relationships among Shopping Quality and Corporate Social Responsibility of Shopping Centers and Consumer Satisfaction: Case from Novi Sad (Serbia)

    OpenAIRE

    Ivana Blešić; Aleksandra Dragin; Jelica Marković; Slobodan Čerović; Lukrecija Deri

    2014-01-01

    Taking into consideration satisfied customer as necessary for business maintenance, companies are trying to discover determinants which have the biggest influence on their consumer satisfaction. Here are presented two factors that have influence on consumer satisfaction in shopping centers: quality of shopping and corporate social responsibility. In this research, each of these factors had six elements. The results of the regression analysis are that “Value for money in stores”...

  18. Review and Prospects of Diversiifed Approaches to Constructing Learning Centers--A Case Study of Guangzhou Open University

    Institute of Scientific and Technical Information of China (English)

    WANG Lu; GONG Hong-wu; LI Wen-fei

    2014-01-01

    Guangzhou Open University (GZOU) has been considering the system construction as an important approach to extending the Radio and TV university (RTVU) education to the grass-root stratum and establishing bases for developing tal-ents. For years, in addition to local RTVUs, GZOU has established an array of learning centers by cooperating with more than 100 partners from a variety of industries, enterprises, secondary and higher vocational schools, social organizations, groups and other training institutions. Such learning centers have taken on different characteristics corresponding to the school’s three developmental phases, that is, period before 1999, when the Open Education Pilot Project was launched; that between 1999 and 2006, when the Conclusive Evaluation was implemented; and the one after 2006. At present, the constitution of Learning Center in GZOU System holds out some notable features as follows: diversity of collaborators and cooperative modes, and ex-tensiveness of function and orientation. These strengths would facilitate the GZOU’s endeavor to transform itself from a local RTVU into the Open University.

  19. Clinical Observation on the Effect of Earlobe-Bleeding plus Body Acupuncture in 85 Cases of Common Acne

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Objective: To observe the clinical effect of earlobe-bleeding plus body acupuncture for common acne. Methods: The earlobe-bleeding plus local and body acupuncture based on syndrome differentiation was adopted for 85 cases of common acne. Results: Of the 85 cases treated, 61 were cured, 12 markedly effective, 9 improved, and 3 failed. The total effective rate was 96.47%. Conclusions: The therapy can treat both the Biao-symptom and Ben-root of common acne, short in course and effective in result.

  20. Three-year observation of the patients with bullous pemphigoid: 29 cases

    OpenAIRE

    Özlem Ekiz; Bilge Bülbül Şen; Emine Nur Rifaioğlu; Tuğba Şen; Esin Atik; Asena Çiğdem Doğramacı

    2013-01-01

    Background and Design: Bullous pemphigoid (BP) is a chronic, autoimmune, subepidermal blistering disease. The aim of this study was to determine the clinico-epidemiologic data’s of patients diagnosed as BP in our clinic and compare these data with other studies in our country and in the world. Material and Method: We researched the documents of BP cases diagnosed by clinical and histopathological examinations from January 2009 to January 2013, retrospectively. We evaluated clinical and de...

  1. How does a psychiatrist infer from an observed condition to a case of mental disorder?

    OpenAIRE

    Lemoine, Maël

    2012-01-01

    International audience The main thesis of this paper is that mental health practitioners can legitimately infer that a patient's given condition is a case of mental disorder without having diagnosed any specific mental disorder. The article shows how this is justifiable by relying either on psychopathological reasoning, on 'intentional' analysis or possibly on other modes of reasoning. In the end, it highlights the clinical and philosophical consequences of the plurality of modes of 'infer...

  2. Clinical Observation on Acupuncture Treatment of Cerebrovascular Dementia- A Report of 32 Cases

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@Cerebrovascular dementia is a common disease in the middle-aged and old people. Its incidence makes up about 10-20% of all kinds of dementia. It is mainly caused by general degeneration of the brain function resulted from cerebral arteriosclerosis and cerebral infarction. The author has treated 32 cases of cerebrovascular dementia with acupuncture in the recent years with satisfactory therapeutic results. A report follows.

  3. Linking theories of change and observed reality: the Shea value chain partnership case in Burkina

    OpenAIRE

    Drost, S.; Wijk, van, C.; Vellema, S.

    2012-01-01

    This case study found out how a public-private partnership in Burkina Faso helped female shea nut producers to link up with the cosmetic industry. Empirical data collected from October-December 2011 revealed that the shea value chain partnership between a international shea processing company, a development organisation, and a local service provider, enabled the connection between the dynamics of the shea market in Burkina Faso, wherein the demand for shea kernels by international and local b...

  4. Observation on the Therapeutic Effects of Acupuncture for 60 Cases of Simple Obesity

    Institute of Scientific and Technical Information of China (English)

    王红玉

    2002-01-01

    @@ Simple obesity refers to a disease characterized by body overweight due to excessive calorie intake and over accumulation of adipose tissue in the body. With the improvement of life conditions, obesity has become a factor that impairs the health of the people. From 1997 to 1998, the author had treated 60 cases of simple obesity with acupuncture and obtained satisfactory results. The results of treatment are reported as follows.

  5. A novel observation of pubic osteomyelitis due to Streptococcus viridans after dental extraction: a case report

    Directory of Open Access Journals (Sweden)

    Naqvi Naseem

    2008-07-01

    Full Text Available Abstract Introduction Pubic osteomyelitis should be suspected in athletic individuals with sudden groin pain, painful restriction of hip movements and fever. It is an infrequent and confusing disorder, which is often heralded by atypical gait disturbance and diffuse pain in the pelvic girdle. The most common pathogen is Staphylococcus aureus but, on occasions, efforts to identify infectious agents sometimes prove negative. Pubic osteomyelitis due to Streptococcus viridans has not been reported previously in the literature. Case presentation We describe the case of a fit 24-year-old athlete, who had a wisdom tooth extracted 2 weeks prior to the presentation, which could have served as a port of entry and predisposed the patient to transient bacteraemia. Conclusion S. viridans is well known for causing infective endocarditis of native damaged heart valves, but to the best of the authors' knowledge it has not been reported previously as a cause of pubic osteomyelitis. We believe that this case should alert physicians to the association between dental procedures and osteomyelitis of the pubis secondary to S. viridans.

  6. SUrvey of Guideline Adherence for Treatment of Systolic Heart Failure in Real World (SUGAR: a multi-center, retrospective, observational study.

    Directory of Open Access Journals (Sweden)

    Byung-Su Yoo

    Full Text Available BACKGROUND: Clinical practice guidelines have been slowly and inconsistently applied in clinical practice, and certain evidence-based, guideline-driven therapies for heart failure (HF have been significantly underused. The purpose of this study was to survey guideline compliance and its effect on clinical outcomes in the treatment of systolic HF in Korea. METHOD AND RESULTS: The SUrvey of Guideline Adherence for Treatment of Systolic Heart Failure in Real World (SUGAR trial was a multi-center, retrospective, observational study on subjects with systolic HF (ejection fraction <45% admitted to 23 university hospitals. The guideline adherence indicator (GAI was defined as a performance measure on the basis of 3 pharmacological classes: angiotensin-converting enzyme inhibitor (ACEI or angiotensin receptor II blocker (ARB, beta-blocker (BB, and aldosterone antagonist (AA. Based on the overall adherence percentage, subjects were divided into 2 groups: those with good guideline adherence (GAI ≥50% and poor guideline adherence (GAI <50%. We included 1319 regional participants as representatives of the standard population from the Korean national census in 2008. Adherence to drugs at discharge was as follows: ACEI or ARB, 89.7%; BB, 69.2%; and AA, 65.9%. Overall, 82.7% of the patients had good guideline adherence. Overall mortality and re-hospitalization rates at 1 year were 6.2% and 37.4%, respectively. Survival analysis by log-rank test showed a significant difference in event-free survival rate of mortality (94.7% vs. 89.8%, p = 0.003 and re-hospitalization (62.3% vs. 56.4%, p = 0.041 between the good and poor guideline-adherence groups. CONCLUSIONS: Among patients with systolic HF in Korea, adherence to pharmacologic treatment guidelines as determined by performance measures, including prescription of ACEI/ARB and BB at discharge, was associated with improved clinical outcomes.

  7. Applications of NASA and NOAA Satellite Observations by NASA's Short-term Prediction Research and Transition (SPoRT) Center in Response to Natural Disasters

    Science.gov (United States)

    Molthan, Andrew L.; Burks, Jason E.; McGrath, Kevin M.; Jedlovec, Gary J.

    2012-01-01

    NASA s Short-term Prediction Research and Transition (SPoRT) Center supports the transition of unique NASA and NOAA research activities to the operational weather forecasting community. SPoRT emphasizes real-time analysis and prediction out to 48 hours. SPoRT partners with NOAA s National Weather Service (NWS) Weather Forecast Offices (WFOs) and National Centers to improve current products, demonstrate future satellite capabilities and explore new data assimilation techniques. Recently, the SPoRT Center has been involved in several activities related to disaster response, in collaboration with NOAA s National Weather Service, NASA s Applied Sciences Disasters Program, and other partners.

  8. Observation level combination of SLR and VLBI with c5++: A case study for TIGO

    Science.gov (United States)

    Hobiger, Thomas; Otsubo, Toshimichi; Sekido, Mamoru

    2014-01-01

    A multi-technique space geodetic analysis software named c5++ has been developed and allows one to combine data on the observation level. With SLR and VLBI modules being ready and tested, this software has been used to compute coordinate time series of the geodetic fundamental station TIGO, located near Concepción, Chile. It can be shown that the combination of space geodetic data on the observation level leads to a significant improvement of station position repeatability, which is an important measure for the stability of a station in the terrestrial reference frame. Moreover, it could be demonstrated that the geophysical signal of the post-seismic tectonic plate movement is usually more complete than detected by any of the two single-technique solutions. In addition, it has been confirmed that so-called nuisance parameters, which are relying on data from a single technique, are not biased when combing observations from different space geodetic techniques.

  9. Comparing regional modeling (CHIMERE) and satellite observations of aerosols (PARASOL): Methodology and case study over Mexico

    Science.gov (United States)

    Stromatas, Stavros

    2010-05-01

    S. Stromatas (1), S. Turquety (1), H. Chepfer (1), L. Menut (1), B. Bessagnet (2), JC Pere (2), D. Tanré (3) . (1) Laboratoire de Météorologie Dynamique, CNRS/IPSL, École Polytechnique, 91128 Palaiseau Cedex, France, (2) INERIS, Institut National de l'Environnement Industriel et des Risques, Parc technologique ALATA, 60550 Verneuil en Halatte, FRANCE, (3) Laboratoire d'Optique Atmosphérique/CNRS Univ. des Sciences et Tech. de Lille, 59650 - Villeneuve d'Ascq, France. Atmospheric suspended particles (aerosols) have significant radiative and environmental impacts, affecting human health, visibility and climate. Therefore, they are regulated by air quality standards worldwide, and monitored by regional observation networks. Satellite observations vastly improve the horizontal and temporal coverage, providing daily distributions. Aerosols are currently estimated using aerosol optical depth (AOD) retrievals, a quantitative measure of the extinction of solar radiation by aerosol scattering and absorption between the point of observation and the top of the atmosphere. Even though remarkable progresses in aerosol modeling by chemistry-transport models (CTM) and measurement experiments have been made in recent years, there is still a significant divergence between the modeled and observed results. However, AOD retrievals from satellites remains a highly challenging task mostly because it depends on a variety of different parameters such as cloud contamination, surface reflectance contributions and a priori assumptions on aerosol types, each one of them incorporating its own difficulties. Therefore, comparisons between CTM and observations are often difficult to interpret. In this presentation, we will discuss comparisons between regional modeling (CHIMERE CTM) over Mexico and satellite observations obtained by the POLDER instrument embarked on PARASOL micro-satellite. After a comparison of the model AOD with the retrieved L2 AOD, we will present an alternative

  10. Fetal outcome of trisomy 18 diagnosed after 22 weeks of gestation: Experience of 123 cases at a single perinatal center.

    Science.gov (United States)

    Nagase, Hiromi; Ishikawa, Hiroshi; Toyoshima, Katsuaki; Itani, Yasufumi; Furuya, Noritaka; Kurosawa, Kenji; Hirahara, Fumiki; Yamanaka, Michiko

    2016-01-01

    To investigate the pregnancy outcome of the fetuses with trisomy 18, we studied 123 cases of trisomy 18 who were born at our hospital from 1993 to 2009. Among them, 95.9% were diagnosed with trisomy 18 prenatally. Prenatal ultrasound findings showed fetal growth restriction in 77.2%, polyhydramnios in 63.4% and congenital heart defects in 95.1%. For 18 cases, cesarean section (C-section) was chosen, and for 75 cases, transvaginal delivery was chosen. Premature delivery occurred in 35.5%. Stillbirths occurred in 50 cases (40.7%). Fetal demise before onset of labor occurred in 30 cases and fetal demise during labor occurred in 20 cases which was 26.7% of vaginal deliveries. Among the 73 live-born infants, the survival rate for 24 h, 1 week, 1 month and 1 year were 63%, 43%, 33% and 3%. The median survival time was 3.5 days. There was no significant difference between the survival time of C-section and that of vaginal delivery. However, for the births involving breech presentation, the survival time of C-section was significantly longer than that of vaginal delivery. When the fetus is diagnosed with trisomy 18, the parents have to make many choices. These findings constitute critical information in prenatal counseling to the couples whose fetuses have been found to have trisomy 18, especially when they choose palliative approaches in the perinatal management. PMID:26104883

  11. SWIFT AND FERMI OBSERVATIONS OF X-RAY FLARES: THE CASE OF LATE INTERNAL SHOCK

    Energy Technology Data Exchange (ETDEWEB)

    Troja, E. [Center for Research and Exploration in Space Science and Technology, NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Piro, L. [INAF-IAPS, Via Fosso del Cavaliere 100, I-00133 Rome (Italy); Vasileiou, V. [Laboratoire Univers et Particules de Montpellier, Universite Montpellier 2, and CNRS/IN2P3, Montpellier (France); Omodei, N. [W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305 (United States); Burgess, J. M.; Connaughton, V. [University of Alabama in Huntsville, NSSTC, 320 Sparkman Drive, Huntsville, AL 35805 (United States); Cutini, S. [ASI Science Data Center, via Galileo Galilei, I-00044 Frascati (Italy); McEnery, J. E., E-mail: eleonora.troja@nasa.gov, E-mail: luigi.piro@iaps.inaf.it, E-mail: Vlasios.Vasileiou@lupm.in2p3.fr [Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States)

    2015-04-10

    Simultaneous Swift and Fermi observations of gamma-ray bursts (GRBs) offer a unique broadband view of their afterglow emission, spanning more than 10 decades in energy. We present the sample of X-ray flares observed by both Swift and Fermi during the first three years of Fermi operations. While bright in the X-ray band, X-ray flares are often undetected at lower (optical), and higher (MeV to GeV) energies. We show that this disfavors synchrotron self-Compton processes as the origin of the observed X-ray emission. We compare the broadband properties of X-ray flares with the standard late internal shock model, and find that in this scenario, X-ray flares can be produced by a late-time relativistic (Γ > 50) outflow at radii R ∼ 10{sup 13}-10{sup 14} cm. This conclusion holds only if the variability timescale is significantly shorter than the observed flare duration, and implies that X-ray flares can directly probe the activity of the GRB central engine.

  12. Gravitational wave observations may constrain gamma-ray burst models: the case of GW 150914 - GBM

    CERN Document Server

    Veres, P; Goldstein, A; Mészáros, P; Burns, E; Connaughton, V

    2016-01-01

    The possible short gamma-ray burst (GRB) observed by {\\it Fermi}/GBM in coincidence with the first gravitational wave (GW) detection, offers new ways to test GRB prompt emission models. Gravitational wave observations provide previously unaccessible physical parameters for the black hole central engine such as its horizon radius and rotation parameter. Using a minimum jet launching radius from the Advanced LIGO measurement of GW~150914, we calculate photospheric and internal shock models and find that they are marginally inconsistent with the GBM data, but cannot be definitely ruled out. Dissipative photosphere models, however have no problem explaining the observations. Based on the peak energy and the observed flux, we find that the external shock model gives a natural explanation, suggesting a low interstellar density ($\\sim 10^{-3}$ cm$^{-3}$) and a high Lorentz factor ($\\sim 2000$). We only speculate on the exact nature of the system producing the gamma-rays, and study the parameter space of a generic Bl...

  13. REFLECTIVE PRACTICE THROUGH JOURNAL WRITING AND PEER OBSERVATION: A Case Study

    Directory of Open Access Journals (Sweden)

    B. Samrajya LAKSHMI

    2014-10-01

    Full Text Available Journal writing and Peer Observation in an educational context have become popular techniques, with several different types of applications. They have now been used quite widely in both language teaching and in teacher training. However, despite its reported advantages in both teaching and research, there are not many Peer Observation and Diary studies available based on the writing of experienced language teachers. The Teacher participants maintain Journal writing and Peer Observation as a means of reflective practice. They consider these practices as a mirror, which reflects the teacher’s own image as a practioner. The post-reflection discussion reveals that the teacher participants believe in reflective practice as an effective means of self-evaluation and of developing sensitivity to students’ learning. This paper examines Peer Observation and journal writing of two teachers working on the same language programme in terms of a variety of topic headings, and suggests that reflective practice can be a useful tool for both classroom research and teachers’ professional development.

  14. A case for integrating the Patient and Family Centered Care Methodology and Practice in Lean healthcare organizations.

    Science.gov (United States)

    DiGioia, Anthony M; Greenhouse, Pamela K; Chermak, Tanya; Hayden, Margaret A

    2015-12-01

    Many healthcare organizations using Lean are becoming interested in the Patient and Family Centered Care Methodology and Practice (PFCC M/P). We suggest that integrating the two approaches can accelerate the pace of improvement and provide a powerful mechanism to keep the patient and family as the primary focus of improvement activities. We describe the two approaches and note the ways in which they are complementary. We then discuss the ways in which integrating the PFCC M/P adds value to patients, families, providers, and organizations and accelerates transformation. Finally, we suggest ways to implement PFCC M/P within Lean healthcare organizations.

  15. An Observational Case Study of Near-peer Teaching in Medical and Pharmacy Experiential Training

    Science.gov (United States)

    Sharif-Chan, Bayan; Tankala, Dipti; Leong, Christine; Austin, Zubin

    2016-01-01

    Objective. To compare peer teaching in a medical and a pharmacy clinical teaching unit and to provide suggestions for future research in pharmacy near-peer teaching. Methods. This exploratory observational study used principles of ethnographic methodology for data collection and analysis. Observations were collected in a large downtown teaching hospital. An average of 4-6 hours per day were spent observing a team of medical trainees from the Faculty (School) of Medicine in the general internal medicine (unit for two weeks, followed by a team of pharmacy trainees in an ambulatory hemodialysis (HD) unit for two weeks. Data was collected through field notes and informal interviews that were audiotaped and subsequently transcribed. Data was interpreted by the observer and reviewed weekly by two impartial pharmacists. Results. Five major themes emerged: (1) influence of peer teaching hierarchy; (2) educational distance between peer learners and teachers; (3) effect of the clinical teaching unit size on peer learning; (4) trainees’ perception of their teaching role in the clinical teaching unit; and (5) influence of daily schedule and workload on peer teaching. As opposed to pharmacy, a hierarchy and pyramidal structure of peer teaching was observed in medical experiential training. There appeared to be no effect of educational distance on near peer teaching; however, perception of teaching role and influence of daily schedule affected near-peer teaching. Conclusion. Through initial comparisons of medical and pharmacy clinical teaching units, this study provides a reflection of elements that may be necessary to successfully implement near-peer teaching in pharmacy experiential training. Future studies in this area should assess learning outcomes and participant satisfaction, preceptor workload, and impact on patient care. PMID:27756922

  16. Community health centers and primary care access and quality for chronically-ill patients – a case-comparison study of urban Guangdong Province, China

    OpenAIRE

    Shi, Leiyu; Lee, De-Chih; Liang, Hailun; Zhang, Luwen; Makinen, Marty; Blanchet, Nathan; Kidane, Ruth; Lindelow, Magnus; Wang, Hong; Wu, Shaolong

    2015-01-01

    Objective Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the ‘gate-keeper’ CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and quality of care for patients with chronic illness. Methods The case-comparison design was used to study nine health care organizations in Guan...

  17. Looking into how effective web-based youth centers are in promoting equality and participation using E-House as a case study

    OpenAIRE

    Osazee, Nancy

    2015-01-01

    In recent years, the number of services offering web-based youth work in Finland has increased. The goal of this thesis was to find out if youth work done online met one of the main goal of the Finnish youth work which is to support and promote equality and active citizenship (participation). As it is virtually impossible to look into all web-based youth centers in Finland, this thesis was made as a case study focusing only on one web-based youth house (E-House). The study was made as a q...

  18. OBSERVATION ON THE THERAPEUTIC EFFECT OF AURICULAR PLASTER FOR TREATMENT OF 135 CASES OF MOTION SICKNESS

    Institute of Scientific and Technical Information of China (English)

    饶忠东; 温明; 等

    2002-01-01

    In he present paper,the therapeutic effects of aurcular plaster(otopoint-pellet pressing therapy)and Western medicine(Dramamine)were compared in the treatment of 200 cases of motion sickness who were randomly divided into auricular plaster group(n=135) and western medicine(control)group(n=65).Results indicated that the markedly effective rates and total effective rates of auricular plaster group and control group were 51.1% and 23.1%,94.1%and 81.6% respectively,and the therapeutic effect of the former group was significantly superior th that of the control group(P<0.01).

  19. Clinical Observation on Treatment of Auditory Hallucinosis by Electroacupuncture--A Report of 30 Cases

    Institute of Scientific and Technical Information of China (English)

    Lin Hong; Li Cheng

    2005-01-01

    @@ Auditory hallucinosis, a kind of hallucinations in sensory disturbance, is very common in psychopathic clinic. Patients with this disorder could hear sounds of different variety or nature in the absence of any appropriate external stimulus. It is especially true in patients with schizophrenia, organic psychonosema,and alcoholic psychonosema. At present, the neuroleptic agents are often used to relieve auditory hallucinosis during treatment of the mental disease,and there is not a therapy that is effective in treating auditory hallucinosis. With electro-acupuncture, the authors have treated 30 cases of auditory hallucinosis with satisfactory results. A report follows.

  20. CLINICAL OBSERVATION ON TREATMENT OF 80 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC BY COMBINATION OF ACUPUNCTURE AND MEDICINE

    Institute of Scientific and Technical Information of China (English)

    RUAN Yongdui; ZHOU Weixiong; ZHENG Zhi; HE Xuewu

    2002-01-01

    150 cases of prolapse of lumbar intervetebral disc were randomly divided into treatment and control groups. 80 cases in treatment group were treated with combination of acupuncture, oral administration of Chinese medicinal herbs, traction, point-injection and intravenous drip of energy dehydration mixture; 70 cases in control group were managed by combination of acupuncture, oral administration of herbal medicines, traction, acupoint-injection (without energy dehydration mixture). The results showed that the curative rate and the total effective rate of the treatment group were 91.25 % and 98.75% separately, while those of the control group 62.86 % and 92.86 % respectively. Comparison of the curative rate between the 2 groups showed a remarkable significance ( P < 0.01 ). The observation demonstrated that combined treatment of prolapse of lumbar intervertebral disc with traditional Chinese and Western medicine is an effective approach.

  1. Acupuncture plus Three-step Analgesic Ladder Principle for Cancer Pain Relief:Clinical Observation on 24 Cases

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yi; ZHONG Yi; HUANG Qin-feng; HAN Chou-ping

    2007-01-01

    To observe the therapeutic efficacy of acupuncture plus three-step analgesic ladder for cancer pain relief.Method:Thirty-siX cases with cancer pain were randomized into a treatment group and a control group.Twenty-four cases in the treatment group were treated with acupuncture plus three-step analgesic ladder approach and 12 cases in the control group were treated with three-step analgesic ladder approach alone.Result:The total effective rate and marked effect rate of the treatment group were 95.8%and 54.2% respectively,while those of the control group were 83.3%and 25.0%respectively,indicating a significant statistical difference (P<0.05) in terms of the therapeutic efficacy of the two groups and acupuncture plus three-step analgesic ladder approach can further improve the therapeutic efficacy.

  2. CLINICAL OBSERVATION ON 36 CASES OF SCAPULOHUMERAL PERIARTHRITIS TREATED BY ABDOMINAL ACUPUNCTURE AND BODY-ACUPUNCTURE

    Institute of Scientific and Technical Information of China (English)

    睢明河

    2001-01-01

    Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis patients were randomly divided into abdominal acupuncture plus body acupuncture (AABA) group (n= 36) and simple body acupuncture (BA) group (n=32). In AABA group, abdominal acupuncture points used were Zhongwan(CV 12), Shangqu (KI 17) (on the healthy side) and Huaroumen-sanjiao (on the affected side); and body acupoints employed were Jianyu (LI 15), Jianliao(TE 14), Binao (LI 14), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) on the affected side. In BA group, the body acupoints used were the same to those mentioned above. The acupuncture needles were retained for 20 min. Acupuncture treatment was given once daily, with 10 sessions being a therapeutic course and the interval between two courses being one week. 2 courses of treatment were conducted altogether. Results: Following 2 courses of treatment, in AABA and BA groups, 6 (16.7%) and 1 (3.1%) cases were cured, 19 (52.8%) and 12 (37.5%) had remarkable improvement, 11 (30.6%) and 17 (53.1%) had improvement, 0 and 2 (6.25%) had no effect respectively. There was a significant difference between two groups in the therapeutic effect (P<0.05) .Conclusion: The therapeutic effect of abdominal acupuncture plus body acupuncture is superior to that of simple body acupuncture in treatment of scapulohumeral periarthritis.

  3. The Aplication of a Method in Determining Coast Line Recreation Potential: Case of the Center District of Tekirdag

    Directory of Open Access Journals (Sweden)

    A. B. Korkut

    2009-09-01

    Full Text Available The province of Tekirdağ, due to its geographical setting, is situated in a place of transition connecting our country to Europe. The coastal zone of Tekirdağ, which attracts attention with its natural, cultural and historical riches, has a very intensive use. Today, as a result of rapid urbanization, industrialization and increasing population densities, open and green areas functioning as the lungs of cities are decreasing every day and consequently biological order is changing, the balance between structured areas and natural surrounding is deteriorating and the various use of coastline is changing. The coastline plays an important role in satisfying the need of the population of the administrative center of Tekirdağ for open areas and in providing the users with their recreational needs within their daily life. In this study, the aim has been to examine the present situation of the coastline of the center district of Tekirdağ, which has an important function in terms of urban open and green areas, to present the recreational potential use of the area by the way of an application method and to provide sustainability of natural and cultural sources and the precautions to be taken. Through research, Tekirdağ coastline were found to be 65% of the recreation potential. Accordingly, the recreation potential of this area the "high" was considered to be.

  4. [Neighborhood Systematic Social Observation; The Case of Chile and its Perspectives for Social Work.

    Science.gov (United States)

    Sanhueza, Guillermo E; Delva, Jorge; Andrade, Fernando H; Grogan-Kaylor, Andrew; Bares, Cristina; Castillo, Marcela

    2011-12-01

    The study of neighborhood characteristics and their effects on individuals has become an area of increasing attention by scholars from various disciplines in developed countries. Although there are various methods to study neighborhoods and their impact on human populations, one of the most used is the Systematic Social Observation -Observación Sistemática de Vecindarios (OSV), in Spanish-because it allows the collection of information about various features of the physical, social, environmental and economic characteristics of neighborhoods. The purpose of this article is to (i) briefly present some research on neighborhood effects influential in the U.S., ii) describe how they Systematic Social Observation was designed and implemented in the city of Santiago, Chile, iii) discuss some facilitators and obstacles of the implementation process and, finally iv) list possible contributions and limitations this approach would offer the profession of social work in Chile.

  5. A Clinical Observation on the Case of Cauda Equina Syndrome Using Scolopendrid Pharmacopuncture

    OpenAIRE

    Lee Hwi-yong; Cho Yi-hyun; You Jeong-seok; Yook Tae-han; Hong Kwon-eui

    2008-01-01

    Objective : This study was investigated on the Scolopendrid Pharmacopuncture of Caude equina syndrome which has been described as a complex of low back pain, bilateral sciatica, saddle anesthesia and motor weakness in the lower extremity that progress to paraplegia with baldder and bowel incontinence. Methods & Results : Clinical observation was done on Cauda equina syndrome in the Department of Acupuncture & Moxibustion, Woosuk jeonju Oriental Medical Hospital frome May 30 to July 13. The...

  6. State Estimation based on the Concept of Continuous Symmetry and Observability Analysis: The Case of Calibration

    OpenAIRE

    Martinelli A.

    2011-01-01

    International audience This paper considers the problem of state estimation in autonomous navigation from a theoretical perspective. In particular, the investigation regards problems where the information provided by the sensor data is not sufficient to carry out the state estimation (i.e. the state is not observable). For these systems, the concept of continuous symmetry is introduced. Detecting the continuous symmetries of a given system has a very practical importance. It allows us to d...

  7. The Materiality of Method: The Case of the Mass Observation Archive

    OpenAIRE

    Liz Moor; Emma Uprichard

    2014-01-01

    The Mass Observation Archive presents numerous methodological issues for social researchers. The data are idiosyncratic, difficult to analyze, and the sample design is nonsystematic. Such issues seriously challenge conventional social research protocols. This article highlights a further characteristic of the archive: its unwieldy materiality. Focusing on the sensory experiences of the archive and its particular type of data, the article shows how the experience of getting ‘dirty with dataâ...

  8. Explosive events on sub-arcsecond scale in IRIS observations: a case study

    CERN Document Server

    Huang, Zhenghua; Xia, Lidong; Doyle, J G; Galsgaard, Klaus; Fu, Hui

    2014-01-01

    We present study of a typical explosive event (EE) at sub-arcsecond scale witnessed by strong non-Gaussian profiles with blue- and red-shifted emission of up to 150 km/s seen in the transition-region Si IV 1402.8 \\AA, and the chromospheric Mg II k 2796.4 \\AA\\ and C II 1334.5 \\AA\\ observed by the Interface Region Imaging Spectrograph at unprecedented spatial and spectral resolution. For the first time a EE is found to be associated with very small-scale ($\\sim$120 km wide) plasma ejection followed by retraction in the chromosphere. These small-scale jets originate from a compact bright-point-like structure of $\\sim$1.5" size as seen in the IRIS 1330 \\AA\\ images. SDO/AIA and SDO/HMI co-observations show that the EE lies in the footpoint of a complex loop-like brightening system. The EE is detected in the higher temperature channels of AIA 171 \\AA, 193 \\AA\\ and 131 \\AA\\ suggesting that it reaches a higher temperature of log T$=5.36\\pm0.06$ (K). Brightenings observed in the AIA channels with durations 90--120 sec...

  9. A second case of outbursts in a pulsating white dwarf observed by Kepler

    CERN Document Server

    Hermes, J J; Bell, Keaton J; Chote, P; Gaensicke, B T; Kawaler, Steven D; Clemens, J C; Dunlap, B H; Winget, D E; Armstrong, D J

    2015-01-01

    We present observations of a new phenomenon in pulsating white dwarf stars: large-amplitude outbursts at timescales much longer than the pulsation periods. The cool (Teff = 11,010 K), hydrogen-atmosphere pulsating white dwarf PG 1149+057 was observed nearly continuously for more than 78.8 d by the extended Kepler mission in K2 Campaign 1. The target showed 10 outburst events, recurring roughly every 8 d and lasting roughly 15 hr, with maximum flux excursions up to 45% in the Kepler bandpass. We demonstrate that the outbursts affect the pulsations and therefore must come from the white dwarf. Additionally, we argue that these events are not magnetic reconnection flares, and are most likely connected to the stellar pulsations and the relatively deep surface convection zone. PG 1149+057 is now the second cool pulsating white dwarf to show this outburst phenomenon, after the first variable white dwarf observed in the Kepler mission, KIC 4552982. Both stars have the same effective temperature, within the uncertain...

  10. Adjusting altimetric sea surface height observations in coastal regions. Case study in the Greek Seas

    Directory of Open Access Journals (Sweden)

    Mintourakis Ioannis

    2014-09-01

    Full Text Available When processing satellite altimetry data for Mean Sea Surface (MSS modelling in coastal environments many problems arise. The degradation of the accuracy of the Sea Surface Height (SSH observations close to the coastline and the usually irregular pattern and variability of the sea surface topography are the two dominant factors which have to be addressed. In the present paper, we study the statistical behavior of the SSH observations in relation to the range from the coastline for many satellite altimetry missions and we make an effort to minimize the effects of the ocean variability. Based on the above concepts we present a process strategy for the homogenization of multi satellite altimetry data that takes advantage ofweighted SSH observations and applies high degree polynomials for the adjustment and their uniffcation at a common epoch. At each step we present the contribution of each concept to MSS modelling and then we develop a MSS, a marine geoid model and a grid of gravity Free Air Anomalies (FAA for the area under study. Finally, we evaluate the accuracy of the resulting models by comparisons to state of the art global models and other available data such as GPS/leveling points, marine GPS SSH’s and marine gravity FAA’s, in order to investigate any progress achieved by the presented strategy

  11. The role of the observational approach in RI planning: WAG 5 case study

    International Nuclear Information System (INIS)

    A Remedial Investigation (RI) Plan was developed for the Oak Ridge National Laboratory (ORNL) Waste Area Grouping (WAG) 5 in March 1988 and submitted to the Environmental Protection Agency (EPA) Region IV and the State of Tennessee for review and approval. The observational approach was evaluated by the ORNL Environmental Restoration (ER) Program and accepted by EPA as an accelerated and cost-effective approach to the RI/Feasibility Study (FS) process for remediation of WAG 5. The traditional approach used in preparing the 1988 RI Plan focused on data completeness, included a typical range of RI data-gathering activities for determining the nature and extent of contamination at WAG 5, and used multiple iterations of sampling activities to deal with uncertainties without consideration of potential deviations. In fall 1991, a revised Field Sampling Plan (FSP) was developed that used the observational approach to integrate site characterization with site remediation needs. This approach recognized the uncertainties of site characterization/remedial planning and developed contingency plans for dealing with them. The observational approach emphasizes data sufficiency to support remedial planning decisions for WAG 5

  12. Evaluation of left ventricular mass and function, lipid profile, and insulin resistance in Egyptian children with growth hormone deficiency: A single-center prospective case-control study

    Directory of Open Access Journals (Sweden)

    Kotb Abbass Metwalley

    2013-01-01

    Full Text Available Background: Growth hormone deficiency (GHD in adults is associated with a cluster of cardiovascular risk factors that may contribute to an increased mortality for cardiovascular disease. In children, relatively few studies have investigated the effect of GHD and replacement therapy on cardiac performance and metabolic abnormalities that may place them at a higher risk of cardiovascular disease (CVD at an early age. Aim: This study was aimed to assess the left ventricular function, lipid profile, and degree of insulin resistance in Egyptian children with GHD before and after 1 year of GH replacement therapy. Settings and Design: Prospective case-control study, single-center study. Materials and Methods: Thirty children with short stature due to GHD were studied in comparison to 20 healthy age- and sex-matched children. All subjects were subjected to history, clinical examination, auxological assessment, and echocardiography to assess the left ventricular function. Blood samples were collected for measuring IGF-1, lipid profile (Total, LDL, HDL cholesterol, triglyceride, and atherogenic index (AI, fasting blood sugar, and fasting insulin levels. In addition, basal and stimulated GH levels were measured in children with suspected GHD. Statistical Analysis Used: Student′s t-test was used for parametric data, and the Mann-Whitney U-test was used for non-parametric data. Results: Total, LDL cholesterol, triglyceride, AI, and insulin were significantly higher in children with GHD than in healthy controls at baseline. After 12 months of GH replacement therapy, total, LDL cholesterol, triglyceride, AI and insulin were significantly decreased, while homeostatic model assessment for insulin resistance index (HOMA-IR was significantly increased compared to both pre-treatment and control values. At baseline, the left ventricular mass (LVM and left ventricular mass index (LVMi were significantly lower in GHD children than in controls. After 12 months of GH

  13. [Poisoning with drugs, household products and plants in the case load of the Swiss Toxicologic Information Center].

    Science.gov (United States)

    Meier, P J; Gossweiler, B; Jaspersen-Schib, J R; Lorent, J P

    1992-02-01

    Intoxications with drugs, household products and plants include approximately 70% of all cases reported to the STIZ. Among drugs the most frequent severe intoxications occur with benzodiazepines and antidepressives; therefore, the toxicological risk of these substances are investigated in more detail. In children, accidental intoxications with household products are most frequent. In these cases special emphasis must be put on preventive measures. Plants only rarely lead to severe intoxications; however, if toxic symptoms do occur, the analysis of their causality and overall risk for the patient can be a difficult task and frequently requires the involvement of a plant specialist. PMID:1553628

  14. Is procalcitonin increased in cases of invasive amoebiasis? A retrospective, observational study.

    Science.gov (United States)

    Recipon, Guillaume; Piver, Éric; Caille, Agnès; Le Pape, Patrice; Pihet, Marc; Pagès, Jean-Christophe; Chandenier, Jacques; Desoubeaux, Guillaume

    2015-12-01

    Procalcitonin (PCT) levels are commonly used for diagnostic guidance in routine bacterial infections. By contrast, little data are currently available regarding PCT in parasitic diseases, and its role in cases of invasive amoebiasis has not yet been described. For this purpose, 35 adult patients with a proven diagnosis of invasive or digestive amoebiasis were included in a 4-year study period. Serum PCT was retrospectively assessed. Results were analysed with regard to the usual inflammatory biomarkers, like C-reactive protein (CRP). PCT was significantly higher in patients with proven invasive amoebiasis than in digestive amoebiasis (mean value: 4.03 μg/L versus 0.07 μg/L, respectively; P < 0.001), but the SD was greater than with CRP, and the effect was less than that demonstrated in bacterial infections. By contrast, PCT was not shown to be elevated during digestive amoebiasis. PMID:26388549

  15. Observations on the Efficacy of Combined Acupuncture and Medicine in Treating 50 Cases of Pseudobulbar Paralysis

    Institute of Scientific and Technical Information of China (English)

    王少贞; 邵命海

    2006-01-01

    Objective: To investigate the curative effect of combined acupuncture and medicine on pseudobulbar paralysis. Method:The patients were allocated into an acupuncture group of 50 cases and a control group of 48 cases by completely random sampling. The acupuncture group received western medicine combined with acupuncture and the control group received simple Western medicine. Results:The effective rate was 92.0% in the acupuncture group and 62.5% in the control group. There was a very significant difference in curative effect between the two groups(P< 0.01). Conclusion: The curative effect of combined acupuncture and medicine on pseudobulbar paralysis is significantly better than that of simple Western medicine.%目的:观察针药结合治疗假性延髓麻痹的疗效.方法:采用完全随机抽样法分为针刺组50例,对照组48例.针刺组在西医治疗的同时,应用针刺进行综合治疗;对照组单纯接受西医药物治疗.结果:针刺组有效率为92.0%,对照组为62.5%.两组疗效差异具有非常显著性意义(P<0.01).结论:针药结合治疗假性延髓麻痹效果明显优于单纯西药治疗.

  16. Pro-poor Adaptation to Climate Change in Urban Centers: Case Studies of Vulnerability and Resilience in Kenya and Nicaragua

    OpenAIRE

    Moser, Caroline; Norton, Andrew; Stein, Alfredo; Georgieva, Sophia

    2010-01-01

    The objective of this economic sector work (ESW) is to address these gaps by piloting a methodology capable of quickly and cost-effectively introducing into adaptation planning processes an appreciation of the significance of climate change impacts for poor people in informal urban settlements. Specifically in the two case study sites (Mombasa in Kenya and Esteli in Nicaragua) sought to: a...

  17. Knowledge engineering tools for reasoning with scientific observations and interpretations: a neural connectivity use case

    Directory of Open Access Journals (Sweden)

    Bota Mihail

    2011-08-01

    Full Text Available Abstract Background We address the goal of curating observations from published experiments in a generalizable form; reasoning over these observations to generate interpretations and then querying this interpreted knowledge to supply the supporting evidence. We present web-application software as part of the 'BioScholar' project (R01-GM083871 that fully instantiates this process for a well-defined domain: using tract-tracing experiments to study the neural connectivity of the rat brain. Results The main contribution of this work is to provide the first instantiation of a knowledge representation for experimental observations called 'Knowledge Engineering from Experimental Design' (KEfED based on experimental variables and their interdependencies. The software has three parts: (a the KEfED model editor - a design editor for creating KEfED models by drawing a flow diagram of an experimental protocol; (b the KEfED data interface - a spreadsheet-like tool that permits users to enter experimental data pertaining to a specific model; (c a 'neural connection matrix' interface that presents neural connectivity as a table of ordinal connection strengths representing the interpretations of tract-tracing data. This tool also allows the user to view experimental evidence pertaining to a specific connection. BioScholar is built in Flex 3.5. It uses Persevere (a noSQL database as a flexible data store and PowerLoom® (a mature First Order Logic reasoning system to execute queries using spatial reasoning over the BAMS neuroanatomical ontology. Conclusions We first introduce the KEfED approach as a general approach and describe its possible role as a way of introducing structured reasoning into models of argumentation within new models of scientific publication. We then describe the design and implementation of our example application: the BioScholar software. This is presented as a possible biocuration interface and supplementary reasoning toolkit for a larger

  18. Atherosclerotic Renal Artery Stenosis Prevalence and Correlations in Acute Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Interventions: Data From Nonrandomized Single‐Center Study (REN‐ACS)—A Single Center, Prospective, Observational Study

    OpenAIRE

    Burlacu, Alexandru; SIRIOPOL, Dimitrie; VORONEANU, Luminita; Nistor, Ionut; Hogas, Simona; Nicolae, Ana; Nedelciuc, Igor; TINICA, Grigore; Covic, Adrian

    2015-01-01

    Background We are the first to evaluate the prevalence of renal artery stenosis (RAS) in consecutive patients with acute myocardial infarction (AMI) referred for primary percutaneous coronary intervention from a single tertiary center. As a novelty, we assessed hydration and metabolic status and measured arterial stiffness. We elaborated a predicting model for RAS in AMI. Methods and Results One hundred and eighty‐one patients with AMI underwent concomitantly primary percutaneous coronary int...

  19. In operandi observation of dynamic annealing: A case study of boron in germanium nanowire devices

    Energy Technology Data Exchange (ETDEWEB)

    Koleśnik-Gray, Maria M.; Krstić, Vojislav, E-mail: vojislav.krstic@fau.de [Department of Physics, Chair for Applied Physics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Staudtstr. 7, 91058 Erlangen (Germany); Centre for Research on Adaptive Nanostructures and Nanodevices (CRANN), and AMBER at CRANN, Trinity College Dublin, College Green, Dublin 2 (Ireland); School of Physics, Trinity College Dublin, College Green, Dublin 2 (Ireland); Sorger, Christian; Weber, Heiko B. [Department of Physics, Chair for Applied Physics, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Staudtstr. 7, 91058 Erlangen (Germany); Biswas, Subhajit; Holmes, Justin D. [Materials Chemistry and Analysis Group, Department of Chemistry, Tyndall Institute, University College Cork, Cork (Ireland); Centre for Research on Adaptive Nanostructures and Nanodevices (CRANN), and AMBER at CRANN, Trinity College Dublin, College Green, Dublin 2 (Ireland)

    2015-06-08

    We report on the implantation of boron in individual, electrically contacted germanium nanowires with varying diameter and present a technique that monitors the electrical properties of a single device during implantation of ions. This method gives improved access to study the dynamic annealing ability of the nanowire at room temperature promoted by its quasi-one-dimensional confinement. Based on electrical data, we find that the dopant activation efficiency is nontrivially diameter dependent. As the diameter decreases, a transition from a pronounced dynamic-annealing to a radiation-damage dominated regime is observed.

  20. In operandi observation of dynamic annealing: A case study of boron in germanium nanowire devices

    International Nuclear Information System (INIS)

    We report on the implantation of boron in individual, electrically contacted germanium nanowires with varying diameter and present a technique that monitors the electrical properties of a single device during implantation of ions. This method gives improved access to study the dynamic annealing ability of the nanowire at room temperature promoted by its quasi-one-dimensional confinement. Based on electrical data, we find that the dopant activation efficiency is nontrivially diameter dependent. As the diameter decreases, a transition from a pronounced dynamic-annealing to a radiation-damage dominated regime is observed

  1. Clinical Observations of Mind-regulating Acupuncture in Treating 100 Cases of Peripheral Facial Paralysis

    Institute of Scientific and Technical Information of China (English)

    刘月芝; 杨玲

    2007-01-01

    Objective: To investigate the clinical effect of mind-regulating acupuncture therapy on peripheral facial paralysis. Methods: Two hundred subjects were divided into observation group (treated by mind-regulating acupuncture therapy) and control group (treated by points of Yang-ming meridians) with one hundred in each group. The points of Yang-ming meridians were mainly selected for control group, observation group were treated by points with the function of regulating mind besides the points of control group, for two courses with 10 treatments in course. Results: The cure rate was 65.0% and total effective rate was 99.0% in observation group, while in control group, the cure rate was 55.0% and total effective rate was 91.0%, the curative effect in observation group was prior to control group (P<0.05). Conclusion:The therapy of mind-regulating acupuncture gives a quicker response, a shorter course of treatment and a higher cure rate.%目的:观察调神法针刺治疗周围性面瘫的临床疗效.方法:200例患者随机分为观察组(调神法组)与对照组(取阳明经为主组)各100例.对照组取阳明经穴位为主,观察组在此基础上加调神穴位,10次为1疗程,观察2个疗程.结果:观察组治愈率65.0%,总有效率99.0%;对照组治愈率55.0%,总有效率91.0%,观察组疗效优于对照组(P<0.05).结论:调神法治疗周围性面瘫起效快,疗程短,治愈率高.

  2. Debris Flow Monitoring System and Observed Event in Taiwan: A Case Study at Aiyuzi River

    Institute of Scientific and Technical Information of China (English)

    HSIAO Taichung; LEE Bingjean; CHOU Tienyin; LIEN Huipain; CHANG Yinghuei

    2007-01-01

    Since 2002, the Soil and Water Conservation Bureau, which is responsible for the conservation and administrative management of hillside in Taiwan, has been cooperating with Feng Chia University. Together, they have successfully carried out the establishment and maintenance of 13 fixed debris flow monitoring stations over the island and 2 mobile debris flow monitoring stations. During July 2004, a powerful southwest air current brought by Mindulle Typhoon caused serious flood in central and southern Taiwan. This paper aims to describe the establishment of debris flow monitoring systems in Taiwan and the observation of the debris flow event during Mindulle Typhoon at Aiyuzi River in Shenmu Village, Nantou County by the monitoring station.

  3. [Ultraviolet Mie lidar observations of aerosol extinction in a dust storm case over Macao].

    Science.gov (United States)

    Liu, Qiao-jun; Cheng, A Y S; Zhu, Jian-hua; Fong, S K; Chang, S W; Tam, K S; Viseu, A

    2012-03-01

    Atmospheric aerosol over Macao was monitored by using a 355 nm Mie scattering lidar during the dust event on March 22nd, 2010. Vertical profiles of aerosol extinction coefficients were obtained and correlated with local PM10 concentration. The near-surface aerosol extinction coefficients have good agreement with PM10 concentration values. The aerosol extinction vertical profiles showed that there were distinct layers of dust aerosol concentration. The source and tracks of dust aerosol were analyzed by back-trajectory simulation. Observations showed that this lidar could run well even in dust storm episode, and it would help to further the study on aerosol properties over Macao. PMID:22582620

  4. Chronic idiopathic thrombocytopenic purpura in adult Chinese patients: a retrospective single-centered analysis of 1791 cases

    Institute of Scientific and Technical Information of China (English)

    LI Hong-qiang; ZHANG Lei; ZHAO Hui; JI Lin-xiang; YANG Ren-chi

    2005-01-01

    Background Adult chronic idiopathic thrombocytopenic purpura (ITP) is a common hematologic disease characterized by persistent thrombocytopenia. So far, there were only a few reports on adult Chinese patients with chronic ITP. This study aimed at defining the treatment outcome and prognostic factors for chronic ITP based on a large cohort of Chinese patients followed up for over 25 years at a single center.Methods The medical records of 1791 patients aged 14 years or older who were diagnosed as having chronic ITP at our hospital from 1974 to 1999 were retrospectively analyzed.Conclusions Adult Chinese chronic ITP patients can have long-term remission after steroid therapy and splenectomies. Primary steroid refractoriness is a prognostic factor predicting poor subsequent response to a splenectomy.

  5. Physicians’ Critical Thinking and Patients’ Satisfaction Level: a Case Study of Tabriz Sina Treatment and Educational Center

    Directory of Open Access Journals (Sweden)

    Bahram Jalilzadeh Amin

    2014-12-01

    Full Text Available Introduction: Critical thinking is rational and sound thinking that involves investigation and review of opinions followed by actions and decision-making based on reasons with accurate and rational results. In our modern, complex world, we encounter multiple changes and competition in society, especially when it comes to using the latest technology; society must progress in this trend. Medical science is not exempt in this regard, considering that critical thinking is necessary in fulfilling its goals. This research aims to investigate the physicians’ critical thinking and patient satisfaction level in the Tabriz Sina Treatment and Educational Center.Methods: This study is both descriptive and analytical, and the statistical population involves all physicians and the patients of the Tabriz Sina Treatment and Educational Center in 2013. About 30 physicians and 170 patients were selected randomly, and data were collected using the Watson and Glaser critical thinking questionnaire, as well as the Mogimi and Ramazan patient satisfaction questionnaire. The data were then analyzed by Pearson correlation and regression analysis. Results: The results showed that there was a significant and positive relationship between critical thinking and patient satisfaction in all dimensions except identification. Changes in critical thinking dimensions also changed patient satisfaction. The regression test showed that the critical thinking independent variable effect on the dependent variable was 0.558, which indicated a relatively strong correlation between these variables.Conclusion: Although the critical thinking of the physicians and medical staff is important in patient satisfaction, there is no progress towards these goals in the health system. Healthcare authorities should try to empower critical thinking in order to achieve organizational goals.

  6. What is driving CO2 emissions in a typical manufacturing center of South China? The case of Jiangsu Province

    International Nuclear Information System (INIS)

    Investigating CO2 emissions of China's manufacturing centers contributes to local and global CO2 mitigation targets. This study considers Jiangsu Province as a representation of manufacturing centers in South China. Effects of material efficiency improvements, technology development, consumption structure changes and consumption volume growth in Jiangsu Province on its CO2 emissions during 1997-2007 are investigated using structural decomposition analysis based on environmental input-output table. In order to reduce CO2 emissions, Jiangsu Province should not only rely on material efficiency improvements and technology development, but also rely on consumption structure changes. For consumption structure changes in detail, Jiangsu Province should not only focus on fixed capital formation and urban residential consumption, but also focus on international and intranational imports and exports. For the implementation of material efficiency improvements and technology development, Jiangsu Province should focus on technology innovation and international technology transfer. For the implementation of consumption structure changes, Jiangsu Province should mainly focus on identified sectors for each separate final demand category: five sectors for urban residential consumption, three sectors for fixed capital formation, four sectors for international exports, five sectors for intranational exports, three sectors for international imports and four sectors for intranational imports. - Highlights: → Effects of four factors on Jiangsu Province's CO2 emission changes are analyzed. → Key factors are identified for Jiangsu Province to achieve CO2 mitigation targets. → Key areas for consumption structure changes are analyzed. → Technology innovation and technology transfer should be concerned. → Identified sectors for each final demand category should be concerned.

  7. Specific differential phase observations of multicell convection during natural and triggered lightning strikes at the International Center for Lightning Research and Testing

    Science.gov (United States)

    Hyland, P.; Biggerstaff, M. I.; Uman, M. A.; Hill, J. D.; Krehbiel, P. R.; Rison, W.

    2012-12-01

    During the summers of 2011-2012, a C-band polarimetric Shared Mobile Atmospheric Research and Teaching (SMART) radar from the University of Oklahoma was deployed to Keystone Heights, FL to study the relationship between cloud structure and the propagation of triggered and natural lightning channels. The radar was operated in Range-Height-Indicator (RHI) volume scanning mode over a narrow azimuthal sector that provided high spatial vertical resolution every 90 seconds over the rocket launch facility at the International Center for Lightning Research and Testing (ICLRT) at Camp Blanding, FL. In this presentation, we will focus on observations collected in 2011. Seven successful triggers (with return strokes) out of 20 attempts were sampled by the SMART-R from June to August. Most of the trigger attempts occurred during the dissipating stages of convection with steady ground electric field values. Specific differential phase (KDP) showed evidence of ice crystal alignment due to strong electric fields within the upper portions of the convection over ICLRT around the time of launch attempts. Consecutive RHI sweeps over ICLRT revealed changes in KDP that suggested the building of electric fields and subsequent relaxation after a triggered flash. KDP signatures relative to other radar variables will also be investigated to determine the microphysical and convective nature of the storms in which natural and triggered lightning strikes occurred. Lightning Mapping Array (LMA) sources of the triggered flash channels showed a preference for horizontal propagation just above the radar bright band associated with the melting layer. This finding agrees with several past studies that used balloon soundings and found intense layers of charge near the 0°C isotherm. The propagation path also seemed to be related to the vertical distribution of KDP in some of the triggered flashes. A preferred path through areas of generally positive values of KDP suggests that triggered lightning

  8. Microphysical Observations and Mesoscale Model Simulation of a Warm Fog Case during FRAM Project

    Science.gov (United States)

    Gultepe, I.; Milbrandt, J. A.

    2007-06-01

    The objective of this work is to apply a new microphysical parameterization for fog visibility for potential use in numerical weather forecast simulations, and to compare the results with ground-based observations. The observations from the Fog Remote Sensing And Modeling (FRAM) field which took place during the winter of 2005 2006 over southern Ontario, Canada (Phase I) were used in the analysis. The liquid water content (LWC), droplet number concentration (N d ), and temperature (T) were obtained from the fog measuring device (FMD) spectra and Rosemount probe, correspondingly. The visibility (Vis) from a visibility meter, liquid water path from microwave radiometers (MWR), and inferred fog properties such as mean volume diameter, LWC, and N d were also used in the analysis. The results showed that Vis is nonlinearly related to both LWC and N d . Comparisons between newly derived parameterizations and the ones already in use as a function of LWC suggested that if models can predict the total N d and LWC at each time step using a detailed microphysics parameterization, Vis can then be calculated for warm fog conditions. Using outputs from the Canadian Mesoscale Compressible Community (MC2) model, being tested with a new multi-moment bulk microphysical scheme, the new Vis parameterization resulted in more accurate Vis values where the correction reached up to 20 50%.

  9. Cluster AgeS Experiment (CASE): Deficiency of observed dwarf novae in globular clusters

    CERN Document Server

    Pietrukowicz, P; Schwarzenberg-Czerny, A; Thompson, I B; Pych, W; Krzeminski, W; Mazur, B

    2008-01-01

    We present the results of a search for dwarf novae (DNe) in globular clusters (GCs). It is based on the largest available homogeneous sample of observations, in terms of the time span, number of observations and number of clusters. It includes 16 Galactic GCs and yielded two new certain DNe: M55-CV1 and M22-CV2. All previously known systems located in our fields were recovered, too. We surveyed M4, M5, M10, M12, M22, M30, M55, NGC 288, NGC 362, NGC 2808, NGC 3201, NGC 4372, NGC 6362, NGC 6752, omega Cen (NGC 5139) and 47 Tuc (NGC 104). The discovery of two DNe, namely M55-CV1 and M22-CV2, was already reported by Kaluzny et al. (2005) and Pietrukowicz et al. (2005), respectively. In the remaining 14 GCs we found no certain new DNe. Our result raises the total number of known DNe in the Galactic globular clusters to 12 DNe, distributed among 7 clusters. Our survey recovered all three already known erupting cataclysmic variables (CVs) located in our fields, namely M5-V101, M22-CV1, and V4 in the foreground of M3...

  10. Mind-tranquilizing Needling Technique & Insomnia: Therapeutic Efficacy Observation of 63 Cases

    Institute of Scientific and Technical Information of China (English)

    WANG Xiao-ling

    2006-01-01

    Objective: To investigate the clinical efficacy of treating insomnia with mind-tranquilizing acupuncture. Method: Sixty-three patients were randomly divided into a treatment group of 32 cases and a control group of 31 cases. The treatment group received mind-tranquilizing acupuncture and the control group, oral depression-relieving and mind-calming herbal granules, for 30 days. Results: The response rate was 87.5% in the treatment group and 77.4% in the control group. There were significant differences in falling-sleep time, lasting period and times of nocturnal waking (P < 0.05) and a very significant difference in dream improvement (P< 0.01) between the two groups. There were no significant differences in afterwaking conditions and sleep evaluation (P> 0.05). Conclusion: Clinically mind-tranquilizing acupuncture has a better effect on insomnia than depression-relieving and mind-calming herbal granules.%目的观察镇静安神针法治疗失眠症的临床疗效.方法:将63例患者随机分为治疗组32例,对照组31例.治疗组采用镇静安神针法治疗,对照组内服中药解郁安神颗粒.治疗30日.结果治疗组总有效率为87.5%,对照组总有效率为77.4%.失眠指标(入睡时间、持续时间、夜醒次数)的改善,两组有显著性差异(P<0.05);做梦情况的改善,有极显著性差异(P<0.01);醒后状态和睡眠评价的改善,无显著性差异(P>0.05).结论:镇静安神针法治疗失眠症的临床疗效优于中药解郁安神颗粒.

  11. Enactment of Scientific Inquiry: Observation of Two Cases at Different Grade Levels in China Mainland

    Science.gov (United States)

    Wang, Lei; Zhang, Ronghui; Clarke, David; Wang, Weizhen

    2014-04-01

    Enactment of scientific inquiry in classroom has attracted a great attention of science educators around the world. In this study, we examined two competent teachers' (one Grade 9 chemistry teacher and one Grade 4 science teacher) enactment of scientific inquiry in selected teaching units to reveal the characteristics of enacted inquiry at different grade levels by analyzing lesson sequence videos. The coding schemes for enacted inquiry consist of ontological properties and instructional practices. Pre-topic and post-topic teacher interviews and the two teachers' responses to a questionnaire were adopted to identify the factors influencing teacher's enactment. The results indicate that the two case teachers' enactment involved a range of inquiry activities. The enacted inquiry at fourth-grade level covered all the inquiry elements, tending to engage students in the whole procedure of inquiry. The ninth-grade chemistry class placed emphasis on the elements "making plans" to solve problems in authentic context. Important factors influencing the enactment include teacher's understanding about scientific inquiry, textbooks, assessment, students and resource. Implications for inquiry enactment and instruction improvement have been provided.

  12. Talar body fatigue stress fractures: three cases observed in elite female gymnasts

    International Nuclear Information System (INIS)

    To introduce and emphasize the clinical and radiological findings of three talar body fatigue stress fractures in competitive athletes. Clinical and radiographic skeletal records of 24,562 athletes taken between 1962 and 2002 were retrospectively reviewed. Among these, 6851 files related to acute foot and ankle injuries or chronic post-traumatic sequelae were found. There were 925 (3.76%) stress fatigue fractures selected from the whole collection. Among these there were three cases (0.32%) of talar body stress fractures diagnosed in elite female gymnasts 15 - 17 years old. The negative first radiograph become positive 4-6 weeks later. Scintigraphy was positive at an early stage and consistent for the diagnosis. CT and MRI gave positive results 1-2 weeks after the beginning of symptoms which were always greatly diagnostic. The sports medicine literature lacks reports of talar body fatigue stress fractures. The poor initial sensitivity of radiography makes it problematic to establish an early diagnosis. A wise combination of scintigraphy, CT and MRI has therefore to be relied upon. Familiarity with this rare location for a stress fracture may prevent delayed diagnosis and long-lasting damage, both of which are important factors in competitive athletes. (orig.)

  13. LHC Phenomenology of the Type II Seesaw: Observability of Neutral Scalars in the Nondegenerate Case

    CERN Document Server

    Han, Zhi-Long; Liao, Yi

    2015-01-01

    This is a sequel to our previous work on LHC phenomenology of the type II seesaw model in the nondegenerate case (arXiv:1502.05242 [hep-ph]). In this work, we further study the pair and associated production of the neutral scalars $H^0/A^0$. We restrict ourselves to the so-called negative scenario characterized by the mass order $M_{H^{\\pm\\pm}}>M_{H^\\pm}>M_{H^0/A^0}$, in which the $H^0/A^0$ production receives significant enhancement from cascade decays of the charged scalars $H^{\\pm\\pm},~H^\\pm$. We consider three important signal channels $b\\bar{b}\\gamma\\gamma$, $b\\bar{b}\\tau^+\\tau^-$, $b\\bar{b}\\ell^+\\ell^-\\cancel{E}_T$ and perform detailed simulations. We find that at 14 TeV LHC with an integrated luminosity of 3000/fb, a $5\\sigma$ mass reach of 151 GeV, 150 GeV, and 180 GeV respectively is possible in the three channels from the pure Drell-Yan $H^0A^0$ production, while the cascade-decay enhanced $H^0/A^0$ production can push the mass limit further to 164 GeV, 177 GeV, and 200 GeV. The neutral scalars in t...

  14. X Her and TX Psc: Two cases of ISM interaction with stellar winds observed by Herschel

    CERN Document Server

    Jorissen, A; Van Eck, S; Ottensamer, R; Kerschbaum, F; Ueta, T; Bergman, P; Blommaert, J A D L; Decin, L; Groenewegen, M A T; Hron, J; Nowotny, W; Olofsson, H; Posch, Th; Sjouwerman, L O; Vandenbussche, B; Waelkens, C

    2011-01-01

    The asymptotic giant branch (AGB) stars X Her and TX Psc have been imaged at 70 and 160 microns with the PACS instrument onboard the Herschel satellite, as part of the large MESS (Mass loss of Evolved StarS) Guaranteed Time Key Program. The images reveal an axisymmetric extended structure with its axis oriented along the space motion of the stars. This extended structure is very likely to be shaped by the interaction of the wind ejected by the AGB star with the surrounding interstellar medium (ISM). As predicted by numerical simulations, the detailed structure of the wind-ISM interface depends upon the relative velocity between star+wind and the ISM, which is large for these two stars (108 and 55 km/s for X Her and TX Psc, respectively). In both cases, there is a compact blob upstream whose origin is not fully elucidated, but that could be the signature of some instability in the wind-ISM shock. Deconvolved images of X Her and TX Psc reveal several discrete structures along the outermost filaments, which coul...

  15. The Lorca Earthquake observed by GPS: a Test Case for GPS Seismology

    Energy Technology Data Exchange (ETDEWEB)

    Mendoza, L.; Kehm, A.; Koppert, A.; Martin Dvaila, J.; Garate, J.; Becker, M.

    2012-07-01

    1 Hz GPS data recorded by the GNSS network of the Consejeria de Agricultura y Agua of the Murcia Region during the Mw 5.1 Lorca earthquake on May 11th 2011 is used as a test case. A Precise Point Positioning (PPP) approach is applied to analyse the earthquake-induced motion of the station LORC, located close to the epicenter. The results are validated using a conventional Double Differences (DD) processing. After applying sidereal and regional filters, the detected transient motion is about 20 millimeters in each component and clearly above noise level. The results from the two different processings are compared in view of the accuracy and applicability. The PPP approach described here can potentially be used for real-time analysis e.g. based on NTRIP streaming data. It may be used to set up an early warning system, as well as to gain real-time knowledge of ongoing earthquakes, extending the already-existing seismic information obtained from classical measurements. (Author) 33 refs.

  16. Talar body fatigue stress fractures: three cases observed in elite female gymnasts

    Energy Technology Data Exchange (ETDEWEB)

    Rossi, F. [National Institute of Sports Medicine of the Italian Olympic Committee, Rome (Italy); Dragoni, S. [National Institute of Sports Medicine of the Italian Olympic Committee, Rome (Italy); Istituto Nazionale di Medicina dello Sport, Rome (Italy)

    2005-07-01

    To introduce and emphasize the clinical and radiological findings of three talar body fatigue stress fractures in competitive athletes. Clinical and radiographic skeletal records of 24,562 athletes taken between 1962 and 2002 were retrospectively reviewed. Among these, 6851 files related to acute foot and ankle injuries or chronic post-traumatic sequelae were found. There were 925 (3.76%) stress fatigue fractures selected from the whole collection. Among these there were three cases (0.32%) of talar body stress fractures diagnosed in elite female gymnasts 15 - 17 years old. The negative first radiograph become positive 4-6 weeks later. Scintigraphy was positive at an early stage and consistent for the diagnosis. CT and MRI gave positive results 1-2 weeks after the beginning of symptoms which were always greatly diagnostic. The sports medicine literature lacks reports of talar body fatigue stress fractures. The poor initial sensitivity of radiography makes it problematic to establish an early diagnosis. A wise combination of scintigraphy, CT and MRI has therefore to be relied upon. Familiarity with this rare location for a stress fracture may prevent delayed diagnosis and long-lasting damage, both of which are important factors in competitive athletes. (orig.)

  17. Langerhans cell histiocytosis: unusual skeletal manifestations observed in thirty-four cases

    Energy Technology Data Exchange (ETDEWEB)

    Hindman, B.W.; Thomas, R.D.; Young, Lionel W. [Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354 (United States); Yu, Leisure [Department of Orthopedic Surgery, Loma Linda University Medical Center, Loma Linda, CA 92354 (United States)

    1998-04-01

    Objective. Unusual manifestations are occasionally encountered in Langerhans cell histiocytosis and may be a source of confusion. The objective of this study was to determine the frequency of occurrence of the unusual manifestations in our case material. Design and patients. Thirty-four children, average age 4.4 years (range 3 months to 16 years) with 262 skeletal lesions of biopsy-proven Langerhans cell histiocytosis (LCH) were retrospectively reviewed to determine the frequency of occurrence of unusual manifestations defined either as an atypical location of a skeletal lesion or an atypical radiographic appearance of the lesion. Results. Twenty-four unusual lesions were found in this retrospective review. Among these were epiphyseal lesions, transphyseal lesions, extracranial `button` sequestra, posterior vertebral arch lesions, dural extension of vertebral lesions, and fluid-fluid levels. The finding of fluid-fluid levels has not previously been described in the radiologic literature. Involvement of unusual sites included clavicles and small bones of the hands and feet. Conclusions. Radiographic, computed tomographic, and magnetic resonance imaging of LCH yield a variety of unusual manifestations. Recognition of these varied appearances of LCH may prevent confusion of such appearances with other pathologic processes. When the unusual manifestation occurs as the initial finding of the disease, LCH should be included in the differential diagnosis. (orig.) With 7 figs., 10 refs.

  18. Training Diaries during Altitude Training Camp in Two Olympic Champions: An Observational Case Study

    Directory of Open Access Journals (Sweden)

    Lorenzo Pugliese, Fabio R. Serpiello, Grégoire P. Millet, Antonio La Torre

    2014-09-01

    Full Text Available Traditionally, Live High-Train High (LHTH interventions were adopted when athletes trained and lived at altitude to try maximising the benefits offered by hypoxic exposure and improving sea level performance. Nevertheless, scientific research has proposed that the possible benefits of hypoxia would be offset by the inability to maintain high training intensity at altitude. However, elite athletes have been rarely recruited as an experimental sample, and training intensity has almost never been monitored during altitude research. This case study is an attempt to provide a practical example of successful LHTH interventions in two Olympic gold medal athletes. Training diaries were collected and total training volumes, volumes at different intensities, and sea level performance recorded before, during and after a 3-week LHTH camp. Both athletes successfully completed the LHTH camp (2090 m maintaining similar absolute training intensity and training volume at high-intensity (> 91% of race pace compared to sea level. After the LHTH intervention both athletes obtained enhancements in performance and they won an Olympic gold medal. In our opinion, LHTH interventions can be used as a simple, yet effective, method to maintain absolute, and improve relative training intensity in elite endurance athletes.

  19. Langerhans cell histiocytosis: unusual skeletal manifestations observed in thirty-four cases

    International Nuclear Information System (INIS)

    Objective. Unusual manifestations are occasionally encountered in Langerhans cell histiocytosis and may be a source of confusion. The objective of this study was to determine the frequency of occurrence of the unusual manifestations in our case material. Design and patients. Thirty-four children, average age 4.4 years (range 3 months to 16 years) with 262 skeletal lesions of biopsy-proven Langerhans cell histiocytosis (LCH) were retrospectively reviewed to determine the frequency of occurrence of unusual manifestations defined either as an atypical location of a skeletal lesion or an atypical radiographic appearance of the lesion. Results. Twenty-four unusual lesions were found in this retrospective review. Among these were epiphyseal lesions, transphyseal lesions, extracranial 'button' sequestra, posterior vertebral arch lesions, dural extension of vertebral lesions, and fluid-fluid levels. The finding of fluid-fluid levels has not previously been described in the radiologic literature. Involvement of unusual sites included clavicles and small bones of the hands and feet. Conclusions. Radiographic, computed tomographic, and magnetic resonance imaging of LCH yield a variety of unusual manifestations. Recognition of these varied appearances of LCH may prevent confusion of such appearances with other pathologic processes. When the unusual manifestation occurs as the initial finding of the disease, LCH should be included in the differential diagnosis. (orig.)

  20. Case study of stratospheric gravity waves of convective origin over Arctic Scandinavia. VHF radar observations and numerical modelling

    Energy Technology Data Exchange (ETDEWEB)

    Rechou, A. [La Reunion Univ., St. Denis Messag, Ile de La Reunion (France). Lab. de l' Atmosphere et des Cyclones; Arnault, J.; Dalin, P.; Kirkwood, S. [Swedish Institute of Space Physics, Kiruna (Sweden)

    2013-03-01

    Orography is a well-known source of gravity and inertia-gravity waves in the atmosphere. Other sources, such as convection, are also known to be potentially important but the large amplitude of orographic waves over Scandinavia has generally precluded the possibility to study such other sources experimentally in this region. In order to better understand the origin of stratospheric gravity waves observed by the VHF radar ESRAD (Esrange MST radar) over Kiruna, in Arctic Sweden (67.88 N, 21.10 E), observations have been compared to simulations made using the Weather Research and Forecasting model (WRF) with and without the effects of orography and clouds. This case study concerns gravity waves observed from 00:00 UTC on 18 February to 12:00 UTC on 20 February 2007. We focus on the wave signatures in the static stability field and vertical wind deduced from the simulations and from the observations as these are the parameters which are provided by the observations with the best height coverage. As is common at this site, orographic gravity waves were produced over the Scandinavian mountains and observed by the radar. However, at the same time, southward propagation of fronts in the Barents Sea created short-period waves which propagated into the stratosphere and were transported, embedded in the cyclonic winds, over the radar site. (orig.)

  1. Subclinical high altitude pulmonary edema:A clinical observation of 12 cases in Yushu

    Institute of Scientific and Technical Information of China (English)

    Li Shuzhi; Zheng Bihai; Wu Tianyi; Chen Huixing; Zhang Ming

    2013-01-01

    During the Yushu Earthquake on April 14,2010,a high incidence of acute high altitude illness was observed in the mountain rescuers,and 0.73 % of these patients suffered from high altitude pulmonary edema,of which 12 patients developed subclinical pulmonary edema and concomitantly contracted acute mountain sickness.Symptoms and signs were atypically high heart rate with high respiratory rate,striking cyanosis,and significantly low oxygen saturation,whereas no moist rates were heard on auscultation,and Chest X-ray showed peripheral with a patchy distribution of mottled infiltrations in one or both lung fields.We believe that subclinical high altitude pulmonary edema is an earliest stage of pulmonary edema at high altitude.The possible pathogenesis and the diagnosis were discussed.

  2. Lifestyle factors and lumbar disc disease : results of a German multi-center case-control study (EPILIFT).

    OpenAIRE

    Schumann, Barbara; Bolm-Audorff, Ulrich; Bergmann, Annekatrin; Ellegast, Rolf; Elsner, Gine; Grifka, Joachim; Haerting, Johannes; Jäger, Matthias; Michaelis, Martina; Seidler, Andreas

    2010-01-01

    INTRODUCTION: In the large-scale case-control study EPILIFT, we investigated the dose-response relationship between lifestyle factors (weight, smoking amount, cumulative duration of different sports activities) and lumbar disc disease. METHODS: In four German study regions (Frankfurt am Main, Freiburg, Halle/Saale, Regensburg), 564 male and female patients with lumbar disc herniation and 351 patients with lumbar disc narrowing (chondrosis) aged 25 to 70 years were prospectively recruited. Fro...

  3. Research on 2041 Cases of High Inpatient Expenditure and Influence Factors during 3 Years in a Single Center

    Science.gov (United States)

    Wu, Suo-Wei; Pan, Qi; Wei, Liang-Yu; Li, Chao; Wang, Qin; Song, Jing-Chen; Chen, Tong

    2016-01-01

    Background: The study was to explore the causes of high inpatient expenditure through analyzing the distribution characteristics as well as the influence factors of high inpatient expenditure cases during 3 years within a Grade-A tertiary hospital through various aspects and multiple angles, thus identifying the major influence factors for high medical expenditure to develop further research. Methods: We retrospectively studied 2041 inpatient cases which cost more than RMB 100,000 Yuan per case in a Grade-A tertiary hospital from 2013 to 2015. We analyzed the compositions of the medical cost to evaluate the major factors that cause the high inpatient expenditure. All the data and materials were collected from medical record system, and the statistical methods included t-test, variance of analysis, and multivariate linear regression. Results: The average cost of the 2,041 cases was RMB 152,173 Yuan for medicines and materials of medical costs, which respectively accounted for 33.03% and 32.32% of the total cost; and the average length of hospital stay was 28.39 days/person. Diseases of skeletal and muscular system, circulatory system, and tumor were the top three disease categories of high inpatient expenditure, which accounted for 39.00%, 33.46%, and 18.03%, respectively. Complications, criticality of the disease, gender of the patients, the occurrence of death, and the excessive length of hospital stay all had great impacts on average medical expenditure, while age, hospital infection, and surgery showed no significant impact on average medical cost. Conclusions: The main factors for high inpatient expenditure included the inadequate use of high-value medicines and materials, lacking cost control measures within the hospital, the excessive length of hospital stay for inpatients, and the unnecessary treatment for the patients. PMID:27647192

  4. The Path to Buried Treasure: Paving the Way to the FLAMINGOS-2 Galactic Center Survey with IR and X-ray Observations

    CERN Document Server

    Bandyopadhyay, Reba M; Dewitt, Curtis; Gosling, Andrew J; Muno, Michael P

    2008-01-01

    I describe the IR and X-ray campaign we have undertaken to determine the nature of the faint discrete X-ray source population discovered by Chandra in the Galactic Center. These results will provide the input to the FLAMINGOS-2 Galactic Center Survey (F2GCS). With FLAMINGOS-2's multi-object IR spectrograph we will obtain 1000s of IR spectra of candidate X-ray source counterparts, allowing us to efficiently identify the nature of these sources, and thus dramatically increase the number of known X-ray binaries and CVs in the Milky Way.

  5. Training Diaries during Altitude Training Camp in Two Olympic Champions: An Observational Case Study.

    Science.gov (United States)

    Pugliese, Lorenzo; Serpiello, Fabio R; Millet, Grégoire P; La Torre, Antonio

    2014-09-01

    Traditionally, Live High-Train High (LHTH) interventions were adopted when athletes trained and lived at altitude to try maximising the benefits offered by hypoxic exposure and improving sea level performance. Nevertheless, scientific research has proposed that the possible benefits of hypoxia would be offset by the inability to maintain high training intensity at altitude. However, elite athletes have been rarely recruited as an experimental sample, and training intensity has almost never been monitored during altitude research. This case study is an attempt to provide a practical example of successful LHTH interventions in two Olympic gold medal athletes. Training diaries were collected and total training volumes, volumes at different intensities, and sea level performance recorded before, during and after a 3-week LHTH camp. Both athletes successfully completed the LHTH camp (2090 m) maintaining similar absolute training intensity and training volume at high-intensity (> 91% of race pace) compared to sea level. After the LHTH intervention both athletes obtained enhancements in performance and they won an Olympic gold medal. In our opinion, LHTH interventions can be used as a simple, yet effective, method to maintain absolute, and improve relative training intensity in elite endurance athletes. Key PointsElite endurance athletes, with extensive altitude training experience, can maintain similar absolute intensity during LHTH compared to sea level.LHTH may be considered as an effective method to increase relative training intensity while maintaining the same running/walking pace, with possible beneficial effects on sea level performance.Training intensity could be the key factor for successful high-level LHTH camp. PMID:25177197

  6. Incontinentia pigmenti--ophthalmological observation of a series of cases and review of the literature.

    LENUS (Irish Health Repository)

    O'Doherty, M

    2012-02-01

    AIM: The aims of this study were to make an inventory of the disease in Ireland, to acquire better knowledge of the relationship between genetic makeup and phenotypic ocular presentation and, finally, through literature review and personal experience, to establish clear guidelines on best practice in the management of children with this rare condition both in terms of screening and follow-up. METHODS: All patients who attended the dermatology and genetic clinic in Our Lady\\'s Hospital for Sick Children, Crumlin, with incontinentia pigmenti (IP) were contacted and invited to attend the eye clinic for ocular assessment. Children who were already attending the ophthalmic services before commencement of the study had their charts reviewed for assessment. RESULTS: 11 of 19 patients agreed to attend the clinic for ocular assessment. Of these patients, nine had genetic testing. The mean age of the patients at the examination was 8 years (3 months to 29 years). In 10 patients, IP was the result of a spontaneous mutation, whereas the condition was inherited from an affected mother in one patient. Of the 11 patients with IP, 5 have visually significant ocular findings (47%). We describe the case history of four of these children briefly to outline the severity of this condition. CONCLUSION: Our patients had a significant percentage of ocular abnormalities (47%). We have outlined an examination schedule for patients with and without retinal pathology and recommend fluorescein angiography in patients with retinal pathology to fully determine the extent of ischaemia. Like other studies, early treatment with peripheral retinal photocoagulation to reduce the risk of retinal detachment is recommended in this study.

  7. Analysis of risk factors for valve replacements in 5128 cases from a single heart center in China

    Institute of Scientific and Technical Information of China (English)

    GUO Li-xin; MENG Xu; ZHANG Zhao-guang; BAI Tao

    2010-01-01

    Background Numerous studies have developed a "severity score" or "risk index" for short-term mortality associated with coronary artery bypass grafting (CABG). Due to the different distribution of disease types, the number of valve surgeries in the US and Europe is relatively small. Thus, a risk-scoring system for valve surgeries was developed later and used less than that for the CABG surgery. We retrospectively reviewed 5128 cases of heart valve replacement, to quantitatively assess the risk factors for hospital mortality, and establish risk models for the hospital mortality of cardiac valve replacement patients.Methods A total of 1549 cases of aortic valve replacement, 2460 cases of mitral valve replacement, and 1119 cases of combined aortic valve and mitral valve replacement that were recorded from January 2005 to December 2009 in the cardiac surgery database at Beijing Anzhen Hospital were selected for this study. The cases were randomly assigned to a indicators were selected as possible influencing factors for hospital mortality. Single-factor analysis was performed to screen these factors, and then multi-factor analysis was used to determine the risk factors for hospital mortality in the three surgeries and to establish risk models.Results In the multi-factor analysis, age, body surface area, etiology, cardiopulmonary bypass time, preoperative cardiothoracic ratio, cardiac functional classification, and preoperative creatinine were risk factors for aortic valve replacement. Etiology, preoperative history of heart failure, cardiopulmonary bypass time, preoperative cardiothoracic ratio, and preoperative left ventricular end systolic diameter were risk factors for mitral valve replacement. Age, body mass index, cardiopulmonary bypass time, and cardiac function classification were risk factors for combined aortic valve and mitral valve replacement. The risk models showed good predictive ability (Hosmer-Lemeshow test: P=0.981 in the model for aortic valve

  8. Observation of Dust Aging Processes During Transport from Africa into the Caribbean - A Lagrangian Case Study

    Science.gov (United States)

    Weinzierl, B.; Sauer, D. N.; Walser, A.; Dollner, M.; Reitebuch, O.; Gross, S.; Chouza, F.; Ansmann, A.; Toledano, C.; Freudenthaler, V.; Kandler, K.; Schäfler, A.; Baumann, R.; Tegen, I.; Heinold, B.

    2014-12-01

    Aerosol particles are regularly transported over long distances impacting air quality, health, weather and climate thousands of kilometers downwind of the source. During transport, particle properties are modified thereby changing the associated impact on the radiation budget. Although mineral dust is of key importance for the climate system many questions such as the change of the dust size distribution during long-range transport, the role of wet and dry removal mechanisms, and the complex interaction between mineral dust and clouds remain open. In June/July 2013, the Saharan Aerosol Long-range Transport and Aerosol-Cloud-Interaction Experiment (SALTRACE: http://www.pa.op.dlr.de/saltrace) was conducted to study the transport and transformation of Saharan mineral dust. Besides ground-based lidar and in-situ instruments deployed on Cape Verde, Barbados and Puerto Rico, the DLR research aircraft Falcon was equipped with an extended aerosol in-situ instrumentation, a nadir-looking 2-μm wind lidar and instruments for standard meteorological parameters. During SALTRACE, five large dust outbreaks were studied by ground-based, airborne and satellite measurements between Senegal, Cape Verde, the Caribbean, and Florida. Highlights included the Lagrangian sampling of a dust plume in the Cape Verde area on 17 June which was again measured with the same instrumentation on 21 and 22 June 2013 near Barbados. Between Cape Verde and Barbados, the aerosol optical thickness (500 nm) decreased from 0.54 to 0.26 and the stratification of the dust layers changed significantly from a rather homogenous structure near Africa to a 3-layer structure with embedded cumulus clouds in the Caribbean. In the upper part of the dust layers in the Caribbean, the aerosol properties were similar to the observations near Africa. In contrast, much more variability in the dust properties was observed between 0.7 and 2.5 km altitude probably due to interaction of the mineral dust with clouds. In our

  9. A Clinical Observation on the Case of Cauda Equina Syndrome Using Scolopendrid Pharmacopuncture

    Directory of Open Access Journals (Sweden)

    Lee Hwi-yong

    2008-06-01

    Full Text Available Objective : This study was investigated on the Scolopendrid Pharmacopuncture of Caude equina syndrome which has been described as a complex of low back pain, bilateral sciatica, saddle anesthesia and motor weakness in the lower extremity that progress to paraplegia with baldder and bowel incontinence. Methods & Results : Clinical observation was done on Cauda equina syndrome in the Department of Acupuncture & Moxibustion, Woosuk jeonju Oriental Medical Hospital frome May 30 to July 13. The patient was treated with Scolopendrid Pharmacopuncture at Shinsu(B23, Gihaesu(B24, Taejangsu(B25, Gwanweonsu(b26, Dangryo(b31, Charyo(b32, Jang-gang(gv1 and Hoe-eum(cv1 with Oriental Medicine treatment. We evaluated SF-36, the bladder incontinence, bowel incontinence, sensibility by sting skin, before and after treatmeat. Conclusion : 1. At the early time, gait disturbance was treated well, but discomfort of bladder incontinence, bilateral sciatica, saddle anesthesia and motor weakness was remained. 2. The symptoms of Cauada equina syndrome, especially bladder incontinence and bilateral sciatica, was recurred in short duration by scolopendrid Pharmacopuncture and oriental medicine treatment.

  10. An observation on correlation between rainfall and the prevalence of clinical cases of dengue in Thailand

    Directory of Open Access Journals (Sweden)

    Viroj Wiwanitkit

    2006-06-01

    Full Text Available Background & objectives: An investigation was carried out in Thailand to study the correlationbetween rainfall and prevalence of dengue infection during 2002–03, which can be used for preventionand control of the disease.Methods: Rainfall data (2002–03 collected from Ministry of Public Health were utilised fortransformation of the infection and the rainfall data were derived from Royal Irrigation Department,Thailand. The correlation between the rainfall and the prevalence of dengue was assessed byregression analysis.Results: The least square equation plot prevalence (y versus rainfall (x is y = 3.0x + 4.6 (r = 0.78,p < 0.05 (r = 0.68, p < 0.05.Interpretation & conclusion: The study indicated that the prevalence of dengue infection in Thailandmay depend on rainfall. Therefore, the surveillance and control of mosquito should be intensifiedduring the period with high rainfall is recommended. However, the other confounding factors likeambient temperature and humidity which also determine the transmission of dengue should belooked into, before concluding that the increased prevalence is a result of rainfall alone. Further,similar studies to assess the correlation between the rainfall and prevalence of infection in the othercountries are required to confirm these observations.

  11. Normal-Pressure Hydrocephalus Case Report: Self-Documented Over 8 Years with the Author's Observations.

    Science.gov (United States)

    Elsabbagh, Omer

    2016-01-01

    Normal-pressure hydrocephalus is an almost curable disease, but the results of management are still not encouraging owing to the deceptive nature of the disease and its sensitivity to treatment. This has made the management of the disease controversial. The following self-documented report clarifies this. I have reported my experience in a scientific manner so that my colleagues can understand thoroughly certain facts related to intracranial hypertension. Achieving the optimal adjustment of the valve is a real challenge. I describe in detail the adjustment criteria I discovered. I believe that the use of biofeedback waves are almost the best way to make a proper adjustment of the valve, that is, if waves come from this machine and show increased tension of the facial muscles (high spiky waves) the valve adjustment has to be reduced without risking overdrainage. I have been observing my symptoms in some detail, which led me to a better understanding of the clinical pictures related to cerebrospinal fluid changes. I hope that uncovering my story can help with further research and improve management in this important and interesting field. PMID:27165936

  12. Feeding Versus Feedback in AGNs from Near-Infrared IFU Observations: The Case of Mrk79

    CERN Document Server

    Riffel, Rogemar A; Winge, Claudia

    2013-01-01

    We have mapped the gaseous kinematics and the emission-line flux distributions and ratios from the inner ~680pc radius of the Seyfert 1 galaxy Mrk79, using two-dimensional (2D) near-IR J- and Kl-band spectra obtained with the Gemini instrument NIFS at a spatial resolution of ~100pc and velocity resolution of ~40km/s. The molecular hydrogen flux distribution presents two spiral arms extending by ~700pc, one to the north and another to the south of the nucleus, with an excitation indicating heating by X-rays from the central source. The low velocity dispersion (sigma~50km/s) and rotation pattern supports a location of the H2 gas in the disk of the galaxy. Blueshifts observed along the spiral arm in the far side of the galaxy and redshifts in the spiral arm in the near side, suggest that the spiral arms are feeding channels of H2 to the inner 200pc. From channel maps along the H2 l2.1218um emission-line profile we estimate a mass inflow rate of ~4E-3 M_Sun/year, which is one order of magnitude smaller than the m...

  13. Feeding Versus Feedback in AGNs from Near-Infrared IFU Observations: The Case of Mrk 766

    CERN Document Server

    Júnior, A J Schönell; Storchi-Bergmann, Thaisa; Winge, Claudia

    2014-01-01

    We have mapped the emission-line flux distributions and ratios as well as the gaseous kinematics of the inner 450 pc radius of the Seyfert 1 galaxy Mrk 766 using integral field near-IR J- and Kl-band spectra obtained with the Gemini nifs at a spatial resolution of 60 pc and velocity resolution of 40 km/s. Emission-line flux distributions in ionized and molecular gas extend up to ~ 300 pc from the nucleus. Coronal [S IX]{\\lambda}1.2523{\\mu}m line emission is resolved, being extended up to 150 pc from the nucleus. At the highest flux levels, the [Fe II]{\\lambda}1.257{\\mu}m line emission is most extended to the south-east, where a radio jet has been observed.The emission-line ratios [Fe II]{\\lambda}1.2570{\\mu}m/Pa{\\beta} and $H_2${\\lambda}2.1218{\\mu}m/Br{\\gamma} show a mixture of Starburst and Seyfert excitation; the Seyfert excitation dominates at the nucleus, to the north-west and in an arc-shaped region between 0.2" and 0.6" to the south-east at the location of the radio jet. A contribution from shocks at thi...

  14. Hump nosed viper bite inSri Lanka-descriptive observational study of 1543 cases

    Institute of Scientific and Technical Information of China (English)

    Wijewantha HS; Sellahewa KH

    2010-01-01

    Objective:To identify the clinical manifestations of hump nosed viper envenomation and to recognize the available treatment methods to prevent complications.Methods: Descriptive observational study involving a series of1 543 patients admitted with hump nosed viper bite to 5 major hospitals in Sri Lanka was conducted. Data collection was done consecutively during February1990 and February2008. ExceptHypnale, identification of the biting snake was made by the corresponding author after visual examination of the dead or live snakes, which were brought to hospital.Results: Sixty seven(4.34%) patients developed systemic effects and two (0.1%) patients died due to effects of envenomation or complications of treatment. Systemic effects varied from coagulopathy, nephropathy to some neurological manifestations. Fifty nine (3.8%) patients had only coagulopathy and they received either, intravenous isotonic saline to ensure adequate urine out put i.e.0.5 mL/kg /hour or15 mL/kg of fresh frozen plasma(FFP). None of the patients that had coagulopathy developed renal failure. Contamination of the sample by mildly venomous species ofHypnale may have contributed to the low incidence of systemic complications.Conclusions: It is likely that early hydration with normal saline orFFP can prevent acute renal failure. FFP showed a tendency for early correction of coagulopathy. Role of FFP in hump nosed viper envenomation is worth studying in randomized double blind controlled clinical trials.

  15. Measuring star formation with resolved observations: the test case of M33

    CERN Document Server

    Boquien, M; Aalto, S; Boselli, A; Braine, J; Buat, V; Combes, F; Israel, F; Kramer, C; Lord, S; Relano, M; Rosolowsky, E; Stacey, G; Tabatabaei, F; van der Tak, F; van der Werf, P; Verley, S; Xilouris, M

    2015-01-01

    Context. Measuring star formation at a local scale is important to constrain star formation laws. Yet, it is not clear whether and how the measure of star formation is affected by the spatial scale at which a galaxy is observed. Aims. We want to understand the impact of the resolution on the determination of the spatially resolved star formation rate (SFR) and other directly associated physical parameters such as the attenuation. Methods. We have carried out a multi-scale, pixel-by-pixel study of the nearby galaxy M33. Assembling FUV, Halpha, 8, 24, 70, and 100 micron maps, we have systematically compared the emission in individual bands with various SFR estimators from a resolution of 33 pc to 2084 pc. Results. We have found that there are strong, scale-dependent, discrepancies up to a factor 3 between monochromatic SFR estimators and Halpha+24 micron. The scaling factors between individual IR bands and the SFR show a strong dependence on the spatial scale and on the intensity of star formation. Finally, str...

  16. Normal-Pressure Hydrocephalus Case Report: Self-Documented Over 8 Years with the Author's Observations.

    Science.gov (United States)

    Elsabbagh, Omer

    2016-01-01

    Normal-pressure hydrocephalus is an almost curable disease, but the results of management are still not encouraging owing to the deceptive nature of the disease and its sensitivity to treatment. This has made the management of the disease controversial. The following self-documented report clarifies this. I have reported my experience in a scientific manner so that my colleagues can understand thoroughly certain facts related to intracranial hypertension. Achieving the optimal adjustment of the valve is a real challenge. I describe in detail the adjustment criteria I discovered. I believe that the use of biofeedback waves are almost the best way to make a proper adjustment of the valve, that is, if waves come from this machine and show increased tension of the facial muscles (high spiky waves) the valve adjustment has to be reduced without risking overdrainage. I have been observing my symptoms in some detail, which led me to a better understanding of the clinical pictures related to cerebrospinal fluid changes. I hope that uncovering my story can help with further research and improve management in this important and interesting field.

  17. Tailoring Systems Engineering Processes in a Conceptual Design Environment: A Case Study at NASA Marshall Spaceflight Center's ACO

    Science.gov (United States)

    Mulqueen, John; Maples, C. Dauphne; Fabisinski, Leo, III

    2012-01-01

    This paper provides an overview of Systems Engineering as it is applied in a conceptual design space systems department at the National Aeronautics and Space Administration (NASA) Marshall Spaceflight Center (MSFC) Advanced Concepts Office (ACO). Engineering work performed in the NASA MFSC's ACO is targeted toward the Exploratory Research and Concepts Development life cycle stages, as defined in the International Council on Systems Engineering (INCOSE) System Engineering Handbook. This paper addresses three ACO Systems Engineering tools that correspond to three INCOSE Technical Processes: Stakeholder Requirements Definition, Requirements Analysis, and Integration, as well as one Project Process Risk Management. These processes are used to facilitate, streamline, and manage systems engineering processes tailored for the earliest two life cycle stages, which is the environment in which ACO engineers work. The role of systems engineers and systems engineering as performed in ACO is explored in this paper. The need for tailoring Systems Engineering processes, tools, and products in the ever-changing engineering services ACO provides to its customers is addressed.

  18. Transport of NMHCs and halocarbons observed by CARIBIC: A case study

    Science.gov (United States)

    Baker, A. K.; Brenninkmeijer, C. A. M.; Oram, D. E.; O'Sullivan, D. A.; Schuck, T. J.; Slemr, F.

    2009-04-01

    The CARIBIC project (Civil Aircraft for the Regular Investigation of the Atmosphere Based on an Instrument Container) involves the monthly deployment of an instrument container equipped to make atmospheric measurements from onboard a long-range commercial airliner. Since December 2004, flights for the second phase of CARIBIC have been aboard a Lufthansa Airbus A340-600 traveling between Frankfurt, Germany and destinations in Asia, North America and South America. The instrument package housed in the container is fully automated and during each flight carries out a variety of real-time trace gas and aerosol measurements, and also collects 28 air samples, which are analyzed upon return to the laboratory. Routine measurements made from the sampling flasks include greenhouse gases, nonmethane hydrocarbons (NMHCs), and halocarbons; results of air sample analysis form the basis for the data discussed here. While the majority of CARIBIC samples represent background free tropospheric air and air representative of the upper troposphere/lower stratosphere, the aircraft also, less frequently, encounters air parcels influenced by more recent emissions. Here we present a case study of a round-trip flight between Frankfurt and Toronto, Canada during September 2007. During this flight, different air masses of unique origin were encountered; a number of samples were influenced by transport from the Gulf of Mexico, while others had source regions in Central and Southeast Asia. Samples from the Gulf of Mexico exhibited enhancements in C3-C6 alkanes, as well as a number of halogenated compounds with oceanic sources, such as methyl iodide and bromoform, while Asian samples had enhanced levels of combustion products (CO, acetylene, benzene) and anthropogenic halocarbons (methlyene chloride, chloroform, perchloroethylene). Additionally, a number of samples also showed stratospheric influence, and these samples were characterized by relatively depleted levels of many of the compounds

  19. Tool for evaluating the evolution Space Weather Regional Warning Centers under the innovation point of view: the Case Study of the Embrace Space Weather Program Early Stages

    Science.gov (United States)

    Denardini, Clezio Marcos

    2016-07-01

    We have developed a tool for measuring the evolutional stage of the space weather regional warning centers using the approach of the innovative evolution starting from the perspective presented by Figueiredo (2009, Innovation Management: Concepts, metrics and experiences of companies in Brazil. Publisher LTC, Rio de Janeiro - RJ). It is based on measuring the stock of technological skills needed to perform a certain task that is (or should) be part of the scope of a space weather center. It also addresses the technological capacity for innovation considering the accumulation of technological and learning capabilities, instead of the usual international indices like number of registered patents. Based on this definition, we have developed a model for measuring the capabilities of the Brazilian Study and Monitoring Program Space Weather (Embrace), a program of the National Institute for Space Research (INPE), which has gone through three national stages of development and an international validation step. This program was created in 2007 encompassing competence from five divisions of INPE in order to carry out the data collection and maintenance of the observing system in space weather; to model processes of the Sun-Earth system; to provide real-time information and to forecast space weather; and provide diagnostic their effects on different technological systems. In the present work, we considered the issues related to the innovation of micro-processes inherent to the nature of the Embrace program, not the macro-economic processes, despite recognizing the importance of these. During the development phase, the model was submitted to five scientists/managers from five different countries member of the International Space Environment Service (ISES) who presented their evaluations, concerns and suggestions. It was applied to the Embrace program through an interview form developed to be answered by professional members of regional warning centers. Based on the returning

  20. ISTSOS, SENSOR OBSERVATION MANAGEMENT SYSTEM: A REAL CASE APPLICATION OF HYDRO-METEOROLOGICAL DATA FOR FLOOD PROTECTION

    Directory of Open Access Journals (Sweden)

    M. Cannata

    2014-01-01

    Full Text Available istSOS (Istituto scienze della Terra Sensor Observation Service is an implementation of the Sensor Observation Service standard from Open Geospatial Consortium (OGC. The development of istSOS started in 2009 in order to provide a simple implementation of the Sensor Observation Service (SOS standard for the management, provision and integration of hydro-meteorological data collected in Canton Ticino (Southern Switzerland. istSOS is entirely written in Python and is based on reliable open source software like PostgreSQL/PostGIS and Apache/mod_wsgi. The authors during this presentation want to illustrate the latest software enhancements together with a real case in a production environment. Latest software enhancement includes the development of a RESTful service and of a Web-based graphical user interface that allows hydrologists a better interaction with measurements. This includes the ability of new services creation, addition of new sensors and relative metadata, visualization and manipulation of stored observations, registration of new measures and setting of system properties like observable properties and data quality codes. The study will show a real case application of the system for the provision of data to interregional partners and to a hydrological model for lake level forecasting and flooding hazard assessment. The hydrological model uses a combination of WPS (Web Processing Service and SOS for the generation of model input data. This system is linked with a dedicated geo-portal used by the civil protection for the management, alert and protection of population and assets of the Locarno area (Verbano Lake flooding. Practical considerations and technical issues will be presented and discussed.

  1. [Medical care for asylum seekers and refugees at the University Medical Center Hamburg-Eppendorf--A case series].

    Science.gov (United States)

    Sothmann, Peter; Schmedt auf der Günne, Nina; Addo, Marylyn; Lohse, Ansgar; Schmiedel, Stefan

    2016-01-01

    As the number of refugees rises, medical care for refugees, asylum seekers and people with unclear residence status becomes a priority task for our health system. While access to health care is restricted for these groups of people in many German states, Hamburg provides unrestricted access to healthcare for refugees by handing out health insurance cards on arrival. Daily practice shows, however, that adequate medical care is still not always easy to achieve. In this case series we demonstrate that barriers to health care still exist on many levels. We discuss these barriers and further propose strategies to improve and to secure access to adequate health care.

  2. Evaluation of service quality by using fuzzy MCDM: A case study in Iranian health-care centers

    Directory of Open Access Journals (Sweden)

    Leili Afkham

    2012-01-01

    Full Text Available Service quality plays an important role in health care systems since hospitals are responsible for people's lives. This study presents an effective approach for evaluating and comparing service qualities of four hospitals. Service quality consists of different attributes and many of them are intangible and difficult to measure. Therefore, we propose a fuzzy method to resolve the ambiguity of the concepts, which are associated with human judgments. SERVQUAL model is used to evaluate the respondents' judgments of service quality and multi attribute decision making approach is implemented for the comparison among hospitals. The paper use analytical hierarchy process (AHP for obtaining criteria weight and TOPSIS for ranking the cases.

  3. Science Fairs and Observational Science: A Case History from Earth Orbit

    Science.gov (United States)

    Lowman, Paul D., Jr.; Smith, David E. (Technical Monitor)

    2002-01-01

    Having judged dozens of science fairs over the years, I am repeatedly disturbed by the ground rules under which students must prepare their entries. They are almost invariably required to follow the "scientific method," involving formulating a hypothesis, a test of the hypothesis, and then a project in which this test is carried out. As a research scientist for over 40 years, I consider this approach to science fairs fundamentally unsound. It is not only too restrictive, but actually avoids the most important (and difficult) part of scientific research: recognizing a scientific problem in the first place. A well-known example is one of the problems that, by his own account, stimulated Einstein's theory of special relativity: the obvious fact that when an electric current is induced in a conductor by a magnetic field , it makes no difference whether the field or the conductor is actually (so to speak) moving. There is in other words no such thing as absolute motion. Physics was transformed by Einstein's recognition of a problem. Most competent scientists can solve problems after they have been recognized and a hypothesis properly formulated, but the ability to find problems in the first Place is much rarer. Getting down to specifics, the "scientific method" under which almost all students must operate is actually the experimental method, involving controlled variables, one of which, ideally, is changed at a time. However, there is another type of science that can be called observational science. As it happens, almost all the space research I have carried out since 1959 has been this type, not experimental science.

  4. Clinical Observation on Acupuncture Treatment of 30 Cases with Apoplectic Pseudobulbar Palsy

    Institute of Scientific and Technical Information of China (English)

    彭拥军; 李忠仁; 杨永清; 黄国琪

    2006-01-01

    目的:探讨影响针刺治疗中风假性球麻痹(PBP)患者疗效的因素.方法:将60例风痰阻络型中风假性球麻痹住院患者随机分为治疗组和对照组,对疗效进行观察.结果与结论:针刺效果优于对照组(P<0.05).研究中发现随着脑卒中发生次数的增多,发生重度吞咽困难的机率有增高的趋势,发生吞咽困难的时间相继提前,提示对脑卒中进行早期治疗和预防的重要性.%Objective: To investigate the factors influencing the therapeutic effect in acupuncture treatment of apoplectic pseudobulbar palsy (PBP). Methods: Sixty patients with apoplectic pseudobulbar palsy in pattern of obstruction of wind and phlegm in the meridians were randomly divided into the treatment group and control group, to observe the therapeutic effect. Results and Conclusion: The therapeutic effect was significantly better in the treatment group than in the control group (P<0.05). It has been found in the study that with increase in the occurrence of cerebral apoplexy, the incidence rate of severe dysphagia increased and dysphagia took place progressively earlier, indicating the importance of early treatment and prevention of cerebral apoplexy.

  5. Satellite observations of aerosol transport from East Asia to the Arctic: three case studies

    Directory of Open Access Journals (Sweden)

    M. Di Pierro

    2010-11-01

    Full Text Available Vertical profiles of aerosols obtained with the CALIOP lidar onboard CALIPSO are used in conjunction with the GEOS-Chem chemical transport model and NOAA's HYSPLIT trajectory model to document three aerosol export events from East Asia to the Arctic that occurred in the year 2007. During each of these events CALIOP sampled the pollution plumes multiple times over periods of five to seven days. Meridional transport to the Arctic was rapid, taking 3–4 days and was accompanied by net diabatic heating of ~5 °C/day and precipitation in its ascending stage. Once in the Arctic transport was nearly isentropic with slow subsidence and radiative cooling at a rate of 1–1.5 °C/day. We find close agreement between modeled and observed plume in terms of length, altitude, thickness and, within the measurement uncertainties, extinction coefficient. In one event the satellite algorithm misclassifies the aerosol layer as ice clouds as a result of the relatively high depolarization ratio (0.06, likely caused by a somewhat high dust component in the aerosol mixture. The misclassification is more severe at daytime (67% of layers are misclassified than at nighttime (32%. The two most intense export events occurred in early spring within a three-week time span and are strongly related to a persisting blocking anticyclone that was located in the NW Pacific. Using 500 hPa geopotential height anomalies of these two events along with several others in 2007–2009 we develop a meteorological index that captures 40–60% of the variance of Asian transport events to the Arctic in winter and spring.

  6. Estimating Allee dynamics before they can be observed: polar bears as a case study.

    Directory of Open Access Journals (Sweden)

    Péter K Molnár

    Full Text Available Allee effects are an important component in the population dynamics of numerous species. Accounting for these Allee effects in population viability analyses generally requires estimates of low-density population growth rates, but such data are unavailable for most species and particularly difficult to obtain for large mammals. Here, we present a mechanistic modeling framework that allows estimating the expected low-density growth rates under a mate-finding Allee effect before the Allee effect occurs or can be observed. The approach relies on representing the mechanisms causing the Allee effect in a process-based model, which can be parameterized and validated from data on the mechanisms rather than data on population growth. We illustrate the approach using polar bears (Ursus maritimus, and estimate their expected low-density growth by linking a mating dynamics model to a matrix projection model. The Allee threshold, defined as the population density below which growth becomes negative, is shown to depend on age-structure, sex ratio, and the life history parameters determining reproduction and survival. The Allee threshold is thus both density- and frequency-dependent. Sensitivity analyses of the Allee threshold show that different combinations of the parameters determining reproduction and survival can lead to differing Allee thresholds, even if these differing combinations imply the same stable-stage population growth rate. The approach further shows how mate-limitation can induce long transient dynamics, even in populations that eventually grow to carrying capacity. Applying the models to the overharvested low-density polar bear population of Viscount Melville Sound, Canada, shows that a mate-finding Allee effect is a plausible mechanism for slow recovery of this population. Our approach is generalizable to any mating system and life cycle, and could aid proactive management and conservation strategies, for example, by providing a priori

  7. Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion: a case series

    Institute of Scientific and Technical Information of China (English)

    Seok-Woo Chang; Tae-Seok Oh; WooCheol Lee; Gary Shun-Pan Cheung; Hyeon-Cheol Kim

    2013-01-01

    One-step apexification using mineral trioxide aggregate (MTA) has been reported as an alternative treatment modality with more benefits than the use of long-term calcium hydroxide for teeth with open apex. However, orthograde placement of MTA is a challenging procedure in terms of length control. This case series describes the sequence of events following apical extrusion of MTA into the periapical area during a one-step apexification procedure for maxillary central incisor with an infected immature apex. Detailed long-term observation revealed complete resolution of the periapical radiolucent lesion around the extruded MTA. These cases revealed that direct contact with MTA had no negative effects on healing of the periapical tissues. However, intentional MTA overfilling into the periapical lesion is not to be recommended.

  8. Clinical Observation on Treatment of 63 Cases of Enuresis by Scalp Acupuncture,Body Acupuncture plus Moxibustion with BOX

    Institute of Scientific and Technical Information of China (English)

    LU Ze-qiang; KUAI Le

    2007-01-01

    To observe the clinical therapeutic effect of scalp acupuncture,body acupuncture plus moxibustion with box in treating enuresis.Methods:Ninety-three patients were divided into treatment group of 63 cases and control group of 30 cases.Scalp acupuncture,body acupuncture plus moxibustion with box were used in treatment group.Routine western medicine therapy was used in control group.Results and Conclusion:The cured rate was 69.8% and the total effective rate was 95.3% in the treatment group and 33.3% and 76.7% in the control group.The therapeutic effect in treatment group was superior to that in control group(P<0.05).

  9. Prophylactic use of Saccharomyces boulardii probiotics in preventing antibiotic-associated diarrhea: a single center hospital-based case-control study in Serbia

    Directory of Open Access Journals (Sweden)

    Nikola Panic

    2015-12-01

    Full Text Available Background. Antibiotic-associated diarrhea (AAD develops through the loss of normal bacterial intestinal flora. We have conducted a case-control study in order to assess whether prophylactic administration of Saccharomyces boulardii (S. boulardii prevents occurrence of AAD among adult hospitalized patients. Methods. Single-center hospital based case-control study was conducted in University Clinic “Dr Dragisa Misovic-Dedinje”, Belgrade, Serbia. Hospital records were screened in order to identify all the patients developing AAD in period January 1. 2010 – August 31. 2015. For every case, one age and gender matched control was randomly selected among patients hospitalized at the same time at the same department who were administered with antibiotics and did not develop AAD. For both cases and controls data were extracted on demographics, medical history, indication for use of antibiotics, antibiotics used, and prophylactic use of S.boulardii probiotics. The relationship between occurrence of AAD and putative risk factors were measured using the odds ratios (ORs and their 95% confidence interval (CI derived from logistic regression analysis. Results. Number of 59 cases and 59 controls were included in the study. Most of AAD cases were associated with old age (mean age of 78.05, and almost half (49.15% were hospitalized on geriatrics department. Most prescribed class of antibiotics among cases was III generation cephalosporins (50.85%, followed by fluoroquinolones (28.81% and trimethoprim-sulfamethoxazole (20.34%. Significantly more cases than controls were treated with carbapenems (16.95% vs. 5.08% respectively, p=0.04. Significantly less cases were administered with prophylactic S. boulardii probiotics (18.64% vs. 42.37% p=0.005. We identified prophylactic use of S. boulardii to act protectively against development of AAD from both univariate (OR: 0.31, 95% CI: 0.14-0.72 and multivariate analysis (OR:0.36, 95% CI: 0.14-0.80. Use of

  10. Virus-Associated Hemophagocytic Syndrome in Renal Transplant Recipients: Report of 2 Cases from a Single Center

    Directory of Open Access Journals (Sweden)

    Koji Nanmoku

    2015-01-01

    Full Text Available Virus-associated hemophagocytic syndrome (HPS is a potentially fatal complication of immunosuppression for transplantation. However, it presents with heterogeneous clinical symptoms (fever, disturbed consciousness, and hepatosplenomegaly and laboratory findings (pancytopenia, elevated hepatic enzyme levels, abnormal coagulation, and hyperferritinemia, impeding diagnosis. Case 1: A 39-year-old female developed fever 4 years after ABO-incompatible living-related renal transplantation. Laboratory findings revealed thrombocytopenia, elevated hepatic enzymes, Epstein-Barr virus (EBV DNA seropositivity, and hyperferritinemia. EBV-associated HPS was confirmed by bone marrow aspiration. Steroid pulse therapy and etoposide were ineffective. Disseminated intravascular coagulation resulted in multiple organ failure, and the patient died 32 days after disease onset. Case 2: A 67-year-old male was admitted with rotavirus enteritis a month after living-unrelated renal transplantation. He developed sudden-onset high fever, disturbance of consciousness, and tachypnea 8 days after admission. Laboratory findings revealed elevated hepatic enzyme levels, hyperkalemia, and hyperferritinemia. Emergency continuous hemodiafiltration ameliorated the fever, and steroid pulse therapy improved abnormal laboratory values. Varicella-zoster virus meningitis was confirmed by spinal tap. Acyclovir improved consciousness, and he was discharged 87 days after admission. Fatal virus-associated HPS may develop in organ transplant patients receiving immunosuppressive therapy. Pathognomonic hyperferritinemia is useful for differential diagnosis.

  11. New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases

    Directory of Open Access Journals (Sweden)

    Muhammad Shafique

    2013-01-01

    Full Text Available Aim. Large food bits can get stuck in the esophagus and must be removed by endoscopy. In some cases, this can be difficult or unsafe. We describe a new and safe treatment for such patients. Materials and Methods. 100 consecutive patients were referred to Akershus University Hospital with impacted food in the esophagus. In 36 patients (36%, the food passed spontaneously. In 59 (92% of the remaining 64 patients, the food was removed by endoscopic intervention. In the last five patients, endoscopic removal was judged difficult or unsafe. These patients received the new treatment: one capsule Creon 10000 IU dissolved in 30 mL of Coca-Cola administered by a nasooesophageal tube four times daily for 2-3 days. Results. Of the 59 patients treated with endoscopic procedure, complications occurred in four (7%: three bleedings and one perforation of the esophagus. In five patients treated with Coca-Cola and Creon, the food had either passed or was soft after 2-3 days and could easily be removed. Conclusion. The treatment of choice of impacted food in the esophagus is endoscopic removal. In cases where this is difficult, we recommend treatment with Coca-Cola and Creon for 2-3 days before complications occur.

  12. [Noma and HIV infection: apropos of a case at the National Hospital Center in Bobo-Dioulasso (Burkina Faso)].

    Science.gov (United States)

    Ki-Zerbo, G A; Guigma, Y

    2001-12-01

    Noma (Cancrum oris) is a gangrenous stomatitis arising from a periodontal infection and leading to severe soft tissue and bone destruction. The pathology involves numerous factors including local thrombosis, vascularitis, necrotizing gingivitis, immunodeficiency, gram negative and anaerobic infection. It is usually a disease of infants and malnourished children in tropical areas often occurring after a debilitating disease like measles. Recently, cases have been reported in adults especially elderly patients or during immunodeficiency states. Reconstructive surgery is often necessary to deal with destruction and sequel but is rarely accessible in developing countries. We report one case of noma (cancrum oris) in an HIV seropositive patient at the National Hospital in Bobo-Dioulasso. The noma was inaugural of AIDS in a 40 years old labourer coming back from Ivory Coast and no major opportunistic infection was associated. The course was fulminant leading to extensive facial gangrene with recurrent bacterial infections. The disease was fatal in this depressive, malnourished and diarrhoeic patient despite local surgical treatment, prolonged antibiotherapy and supportive care. Pathogenic mechanisms, management and preventive issues are discussed.

  13. A case study on processes in team building and performance improvement at Government Health Centers in Rajasthan, India

    Directory of Open Access Journals (Sweden)

    Bhaskar Purohit

    2015-01-01

    Full Text Available Introduction: Public healthcare system in India suffers from poor performance mainly due to the severe shortage and high absenteeism of healthcare providers. The performance is further affected due to low productivity and competencies of the already existing healthcare providers. While management training (with a special focus on human resource issues to address the shortage to healthcare providers has gained some importance in recent past, there has been a very limited focus on how to use the exiting workforce effectively. With this backdrop, training health providers in issues pertaining to team effectiveness becomes very crucial. The case study discusses some of the dimensions of team building, as well as processes involved in performance improvement including problem identification, prioritization, and problem-solving process as demonstrated by health system improvement teams (HSIT′s. Materials and Methods: HSIT′s have been constituted and are functional at 238 secondary level facilities in Rajasthani. The case writer interacted with five HSIT′s from two districts in Rajasthan. We were able to speak to about four to five members from each team for all the five facilities. The information for the case was gathered in two ways. The first was use of an instrument on team building that was given to each member of the team to gauge their individual perception about various team building aspects. The second was with the help of group discussions that were done with all the team members for each all the five teams. All those who were present and willing to be part of the discussion were given instruments and were included in group discussions. As this was an exploratory case study, the sample size was small and, therefore, the findings from group discussion and instruments have been presented together without any quantification of the data. Results: The findings of the case study indicate moderate team empowerment. While HSIT′s were clear

  14. Measuring star formation with resolved observations: the test case of M 33

    Science.gov (United States)

    Boquien, M.; Calzetti, D.; Aalto, S.; Boselli, A.; Braine, J.; Buat, V.; Combes, F.; Israel, F.; Kramer, C.; Lord, S.; Relaño, M.; Rosolowsky, E.; Stacey, G.; Tabatabaei, F.; van der Tak, F.; van der Werf, P.; Verley, S.; Xilouris, M.

    2015-06-01

    Context. Measuring star formation on a local scale is important to constrain star formation laws. It is not clear yet, however, whether and how the measure of star formation is affected by the spatial scale at which a galaxy is observed. Aims: We wish to understand the impact of the resolution on the determination of the spatially resolved star formation rate (SFR) and other directly associated physical parameters such as the attenuation. Methods: We carried out a multi-scale, pixel-by-pixel study of the nearby galaxy M 33. Assembling FUV, Hα, 8 μm, 24 μm, 70 μm, and 100 μm maps, we have systematically compared the emission in individual bands with various SFR estimators from a resolution of 33 pc to 2084 pc. Results: There are strong, scale-dependent, discrepancies of up to a factor 3 between monochromatic SFR estimators and Hα+24 μm. The scaling factors between individual IR bands and the SFR show a strong dependence on the spatial scale and on the intensity of star formation. Finally, strong variations of the differential reddening between the nebular emission and the stellar continuum are seen, depending on the specific SFR (sSFR) and on the resolution. At the finest spatial scales, there is little differential reddening at high sSFR. The differential reddening increases with decreasing sSFR. At the coarsest spatial scales the differential reddening is compatible with the canonical value found for starburst galaxies. Conclusions: Our results confirm that monochromatic estimators of the SFR are unreliable at scales smaller than 1 kpc. Furthermore, the extension of local calibrations to high-redshift galaxies presents non-trivial challenges because the properties of these systems may be poorly known. The maps (FITS files) and the data cube used in this article are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/578/A8

  15. The Weather Radar Toolkit, National Oceanic and Atmospheric Administration (NOAA) National Climatic Data Center's support of interoperability and the Global Earth Observation System of Systems (GEOSS)

    Science.gov (United States)

    Ansari, S.; Del Greco, S.

    2006-12-01

    In February 2005, 61 countries around the World agreed on a 10 year plan to work towards building open systems for sharing geospatial data and services across different platforms worldwide. This system is known as the Global Earth Observation System of Systems (GEOSS). The objective of GEOSS focuses on easy access to environmental data and interoperability across different systems allowing participating countries to measure the "pulse" of the planet in an effort to advance society. In support of GEOSS goals, NOAA's National Climatic Data Center (NCDC) has developed radar visualization and data exporter tools in an open systems environment. The NCDC Weather Radar Toolkit (WRT) loads Weather Surveillance Radar 1988 Doppler (WSR-88D) volume scan (S-band) data, known as Level-II, and derived products, known as Level-III, into an Open Geospatial Consortium (OGC) compliant environment. The application is written entirely in Java and will run on any Java- supported platform including Windows, Macintosh and Linux/Unix. The application is launched via Java Web Start and runs on the client machine while accessing these data locally or remotely from the NCDC archive, NOAA FTP server or any URL or THREDDS Data Server. The WRT allows the data to be manipulated to create custom mosaics, composites and precipitation estimates. The WRT Viewer provides tools for custom data overlays, Web Map Service backgrounds, animations and basic filtering. The export of images and movies is provided in multiple formats. The WRT Data Exporter allows for data export in both vector polygon (Shapefile, Well-Known Text) and raster (GeoTIFF, ESRI Grid, VTK, NetCDF, GrADS) formats. By decoding the various Radar formats into the NetCDF Common Data Model, the exported NetCDF data becomes interoperable with existing software packages including THREDDS Data Server and the Integrated Data Viewer (IDV). The NCDC recently partnered with NOAA's National Severe Storms Lab (NSSL) to decode Sigmet C-band Doppler

  16. First LOFAR observations at very low frequencies of cluster-scale non-thermal emission: the case of Abell 2256

    CERN Document Server

    van Weeren, R J; Rafferty, D A; Pizzo, R; Bonafede, A; Bruggen, M; Brunetti, G; Ferrari, C; Orru, E; Heald, G; McKean, J P; Tasse, C; de Gasperin, F; Birzan, L; van Zwieten, J E; van der Tol, S; Shulevski, A; Jackson, N; Offringa, A R; Conway, J; Intema, H T; Clarke, T E; van Bemmel, I; Miley, G K; White, G J; Hoeft, M; Cassano, R; Macario, G; Morganti, R; Wise, M W; Horellou, C; Valentijn, E A; Wucknitz, O; Kuijken, K; Ensslin, T A; Anderson, J; Asgekar, A; Avruch, I M; Beck, R; Bell, M E; Bell, M R; Bentum, M J; Bernardi, G; Best, P; Boonstra, A -J; Brentjens, M; van de Brink, R H; Broderick, J; Brouw, W N; Butcher, H R; van Cappellen, W; Ciardi, B; Eisloffel, J; Falcke, H; Fender, R; Garrett, M A; Gerbers, M; Gunst, A; Hassall, J P Hamaker T; Hessels, J W T; Koopmans, L V E; Kuper, G; van Leeuwen, J; Maat, P; Millenaar, R; Munk, H; Nijboer, R; Noordam, J E; Pandey, V N; Pandey-Pommier, M; Polatidis, A; Reich, W; Scaife, A M M; Schoenmakers, A; Sluman, J; Stappers, B W; Steinmetz, M; Swinbank, J; Tagger, M; Tang, Y; Vermeulen, R; de Vos, M

    2012-01-01

    Abell 2256 is one of the best known examples of a galaxy cluster hosting large-scale diffuse radio emission that is unrelated to individual galaxies. It contains both a giant radio halo and a relic, as well as a number of head-tail sources and smaller diffuse steep-spectrum radio sources. The origin of radio halos and relics is still being debated, but over the last years it has become clear that the presence of these radio sources is closely related to galaxy cluster merger events. Here we present the results from the first LOFAR Low band antenna (LBA) observations of Abell 2256 between 18 and 67 MHz. To our knowledge, the image presented in this paper at 63 MHz is the deepest ever obtained at frequencies below 100 MHz in general. Both the radio halo and the giant relic are detected in the image at 63 MHz, and the diffuse radio emission remains visible at frequencies as low as 20 MHz. The observations confirm the presence of a previously claimed ultra-steep spectrum source to the west of the cluster center w...

  17. Targeting the environmental assessment of veterinary drugs with the multi-species-soil system (MS{center_dot}3) agricultural soil microcosms: the ivermectin case study

    Energy Technology Data Exchange (ETDEWEB)

    Carbonell-Martin, G.; Pro-Gonzalez, J.; Aragones-Grunert, P.; Babib-Vich, M. M.; Fernandez-Rorija, C.; Tarazona-Lafarga, J. V.

    2011-07-01

    The environmental risk assessment of the veterinary pharmaceutical ivermectin is receiving significant attention. This paper assesses the capacity of the MS{center_dot}3 soil microcosm as a tool for targeting the environmental impact assessment of veterinary drugs, using ivermectin as model. Two screening MS{center_dot}3 were performed using different European soils; one with a soil collected in an agricultural station near to Madrid, Spain and a second with a soil collected in a farm area close to York, UK. Soils were fortified with ivermectin at the following ranges: 0.01-10 mg kg{sup -}1 and 0.1-100 mg kg{sup -}1 in the Madrid and York studies, respectively. The effects on earthworms, plants and soil microorganisms were assessed in the Madrid soil. Toxicity tests on aquatic organisms (algae, cladocerans and in vitro fish cell line RTLW1) were also conducted with the leachates. No effects were observed in earthworms and plants at any tested concentration; reduction in the respiration rate (< 5%) of soil microorganisms was detected. Earthworm/soil bioconcentration factors decreased with the increase in soil concentrations and were higher for the York soil. Effects on daphnids were observed in tested leachates; based on measured levels of ivermectin in the leachates an EC50 of about 0.5{mu}gL{sup -}1 can be estimated. Comparisons based on toxicity data and equilibrium partitioning confirmed that the main risk is expected to be related to the high sensitivity of cladocerans. The results confirm that MS{center_dot}3 systems are cost-effective tools for assessing the impact of veterinary pharmaceuticals when applied to agricultural land, as previously demonstrated for antimicrobials. (Author) 39 refs.

  18. Shared Service Center vs. Shared Service Network: A Multiple Case Study Analysis of Factors Impacting on Shared Service Configurations

    Science.gov (United States)

    Becker, Jörg; Niehaves, Björn; Krause, Andreas

    Shared services have proven to be a key element when it comes to increasing government efficiency by collaboration. Here, we seek to investigate into the shared services phenomenon in the context of government reforms. For this purpose, an interview and document analysis-based multiple case study has been conducted in Germany. The qualitative analysis covers two shared service implementations on the local government level and identifies important preconditions for shared service emergence, namely cost pressure as motive, the existence of key actors promoting the topic and the existence of prior cooperation. Moreover, it is shown that the structure of such previous cooperation determines, if shared services are being organised in a centralised (shared service centre) or decentralised format (shared service network).

  19. EDITORIAL: `Bridging Gravitational Wave Astronomy and Observational Astrophysics', Proceedings of the 13th Gravitational Wave Data Analysis Workshop (GWDAW13) (San Juan, Puerto Rico, 19-22 January 2009), sponsored by the Center for Gravitational Wave Astronomy, The University of Texas at Brownsville and The National Astronomy and Ionosphere Center `Bridging Gravitational Wave Astronomy and Observational Astrophysics', Proceedings of the 13th Gravitational Wave Data Analysis Workshop (GWDAW13) (San Juan, Puerto Rico, 19-22 January 2009), sponsored by the Center for Gravitational Wave Astronomy, The University of Texas at Brownsville and The National Astronomy and Ionosphere Center

    Science.gov (United States)

    Díaz, Mario; Jenet, Fredrick; Mohanty, Soumya

    2009-10-01

    The 13th Gravitational Wave Data Analysis Workshop took place in San Juan, Puerto Rico on the 19-22 January 2009. This annual event has become the established venue for presenting and discussing new results and techniques in this crucial subfield of gravitational wave astronomy. A major attraction of the event is that scientists working with all possible instruments gather to discuss their projects and report on the status of their observations. The Center for Gravitational Wave Astronomy at the University of Texas at Brownsville, USA (a National Aeronautics and Space Administration University Research Center and a National Science Foundation Center for Research Excellence in Science and Technology) jointly with the National Astronomy and Ionosphere Center (which operates the Arecibo Observatory) were the proud sponsors of the gathering this time. As in previous years, GWDAW13 was well attended by more than 100 participants from over 10 countries worldwide As this issue is going to press GEO, LIGO and VIRGO are undergoing new scientific runs of their instruments with the LIGO detectors holding the promise of increasing their operational sensitivity twofold as compared with the observations finished a couple of years ago. This new cycle of observations is a major milestone compared to the previous observations which have been accomplished. Gravitational waves have not been observed yet, but the instrumental sensitivity achieved has started producing relevant astrophysical results. In particular, very recently (Nature, 20 August 2009) a letter from the LIGO Scientific Collaboration http://www.ligo.org and the VIRGO Collaboration http://www.virgo.infn.it has set the most stringent limits yet on the amount of gravitational waves that could have come from the Big Bang in the gravitational wave frequency band where current gravitational wave detectors can observe. These results have put new constraints on the physical characteristics of the early universe. The proximity

  20. Writing is more than just writing: A case study of effective feedback within an intercultural writing center

    OpenAIRE

    Yoshida, Hiromi

    2013-01-01

     The purpose of this study is to examine a ‘popular’ tutor’s beliefs on feedback and herregular tutee’s receptivity toward the feedback in order to investigate factors involved ingiving ‘good’ feedback within intercultural settings. The data was gathered byinterviewing a pair of L1 tutor and L2 tutee and observing their tutorial sessions. Theresults revealed the importance of three points: building a ‘safe house’ for both the tutorand the tutee, respecting the tutee’s ‘writer’s identity,’ and...

  1. 我国图书馆和信息中心营销案例研究%Marketing of Libraries and Information Centers in China: A Case Study

    Institute of Scientific and Technical Information of China (English)

    杜元清

    1997-01-01

    Institute for Astronautics Information (IAI) is a typical information center in China, operating in the environment of a market-economy at a primary stage. A detailed case study is provided for people to have a closer look of what are happening in Chinese library and information community. To promote IAI's products and services, 4 categories of things are done including (1) making a list of what IAI can practically do; (2) user identification and analysis; (3) pricing of IAI's products and serv ices; and (4) marketing to raise awareness of IAI. The purposes of marketing and 11 effective ways of promotion are discussed. Problems to be solved concerning future library and information services are presented.

  2. Making lemonade from lemons: a case study on loss of space at the Dolph Briscoe, Jr. Library, University of Texas Health Science Center at San Antonio.

    Science.gov (United States)

    Tobia, Rajia C; Feldman, Jonquil D

    2010-01-01

    The setting for this case study is the Dolph Briscoe, Jr. Library, University of Texas Health Science Center at San Antonio, a health sciences campus with medical, dental, nursing, health professions, and graduate schools. During 2008-2009, major renovations to the library building were completed including office space for a faculty development department, multipurpose classrooms, a 24/7 study area, study rooms, library staff office space, and an information commons. The impetus for changes to the library building was the decreasing need to house collections in an increasingly electronic environment, the need for office space for other departments, and growth of the student body. About 40% of the library building was remodeled or repurposed, with a loss of approximately 25% of the library's original space. Campus administration proposed changes to the library building, and librarians worked with administration, architects, and construction managers to seek renovation solutions that meshed with the library's educational mission.

  3. Invasive amebiasis and ameboma formation presenting as a rectal mass: An uncommon case of malignant masquerade at a western medical center

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A 54-year-old man presented with rectal pain and bleeding secondary to ulcerated, necrotic rectal and cecal masses that resembled colorectal carcinoma upon colonoscopy. These masses were later determined to be benign amebomas caused by invasive Entamoeba histolytica, which regressed completely with medical therapy. In Western countries, the occurrence of invasive protozoan infection with formation of amebomas is very rare and can mistakenly masquerade as a neoplasm. Not surprisingly, there have been very few cases reported of this clinical entity within the United States. Moreover, we report a patient that had an extremely rare occurrence of two synchronous lesions, one involving the rectum and the other situated in the cecum. We review the current literature on the pathogenesis of invasive E. Histolytica infection and ameboma formation, as well as management of this rare disease entity at a western medical center.

  4. Clinical Observation on Treatment of 43 Cases of Diabetic Vesical Pathological Changes by Needle-warming Moxibustion

    Institute of Scientific and Technical Information of China (English)

    LIU Bo; DENG Xiao-hua; CHEN Hong-tao; SU Chang-ming; HUANG Guo-qi

    2004-01-01

    By the needle-warming moxibustion, 43 cases of diabetic vesical pathological changes,together with 43 cases in the control group, were treated for 30 days, to observe the times of urination,volume of urine and residual urine inside the bladder before and after treatment every day. It has been indicated in observation that needle-warming acupuncture therapy can decrease the time of urination every day, elevate the urine volume each time and decrease the residual urine in the bladder, with a significant difference (P>0.05) in comparison with before the treatment.%运用温针灸治疗糖尿病性膀胱病变43例,设对照组43例,共治疗30d.分别于治疗前后观察每日排尿次数、每次尿量、膀胱残余尿量.观察结果表明温针灸疗法能够减少每日排尿次数,提高每次尿量,减少膀胱残余尿量,同治疗前相比差异显著(P>0.05).

  5. Epstein-Barr Virus-Negative Post-Transplant Lymphoproliferative Diseases: Three Distinct Cases from a Single Center

    Directory of Open Access Journals (Sweden)

    Şule Mine Bakanay

    2014-03-01

    Full Text Available Three cases of Epstein-Barr virus (EBV-negative post-transplant lymphoproliferative disease that occurred 6 to 8 years after renal transplantation are reported. The patients respectively had gastric mucosa-associated lymphoid tissue lymphoma, gastric diffuse large B-cell lymphoma, and atypical Burkitt lymphoma. Absence of EBV in the tissue samples was demonstrated by both in situ hybridization for EBV early RNA and polymerase chain reaction for EBV DNA. Patients were treated with reduction in immunosuppression and combined chemotherapy plus an anti-CD20 monoclonal antibody, rituximab. Despite the reduction in immunosuppression, patients had stable renal functions without loss of graft functions. The patient with atypical Burkitt lymphoma had an abnormal karyotype, did not respond to treatment completely, and died due to disease progression. The other patients are still alive and in remission 5 and 3 years after diagnosis, respectively. EBV-negative post-transplant lymphoproliferative diseases are usually late-onset and are reported to have poor prognosis. Thus, reduction in immunosuppression is usually not sufficient for treatment and more aggressive approaches like rituximab with combined chemotherapy are required.

  6. Epstein-barr virus-negative post-transplant lymphoproliferative diseases: three distinct cases from a single center.

    Science.gov (United States)

    Bakanay, Sule Mine; Kaygusuz, Gülşah; Topçuoğlu, Pervin; Sengül, Sule; Tunçalı, Timur; Keven, Kenan; Kuzu, Işınsu; Uysal, Akın; Arat, Mutlu

    2014-03-01

    Three cases of Epstein-Barr virus (EBV)-negative post-transplant lymphoproliferative disease that occurred 6 to 8 years after renal transplantation are reported. The patients respectively had gastric mucosa-associated lymphoid tissue lymphoma, gastric diffuse large B-cell lymphoma, and atypical Burkitt lymphoma. Absence of EBV in the tissue samples was demonstrated by both in situ hybridization for EBV early RNA and polymerase chain reaction for EBV DNA. Patients were treated with reduction in immunosuppression and combined chemotherapy plus an anti-CD20 monoclonal antibody, rituximab. Despite the reduction in immunosuppression, patients had stable renal functions without loss of graft functions. The patient with atypical Burkitt lymphoma had an abnormal karyotype, did not respond to treatment completely, and died due to disease progression. The other patients are still alive and in remission 5 and 3 years after diagnosis, respectively. EBV-negative post-transplant lymphoproliferative diseases are usually late-onset and are reported to have poor prognosis. Thus, reduction in immunosuppression is usually not sufficient for treatment and more aggressive approaches like rituximab with combined chemotherapy are required.

  7. On the question of proportionality of the count of observed Scrapie cases and the size of holding

    Directory of Open Access Journals (Sweden)

    Del Rio Vilas Victor J

    2009-05-01

    size and the number of cases of classical scrapie within holding. Reporting artefacts and speculative biological effects are hypothesized as the underlying causes of the observed curved relationship. The lack of adjustment for these artefacts might well render ineffective the current strategies for the control of the disease.

  8. Hastings Center

    Science.gov (United States)

    ... Public Events October 19, Hastings Center Seminar, Garrison : Human Genetic Engineering: Wh at Can We Do? What Should We ... Public Events October 19, Hastings Center Seminar, Garrison : Human Genetic Engineering: Wh at Can We Do? What Should We ...

  9. Excel Center

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Citigroup,one of the World top 500 companies,has now settled in Excel Center,Financial Street. The opening ceremony of Excel Center and the entry ceremony of Citigroup in the center were held on March 31.Government leaders of Xicheng District,the Excel CEO and the heads of Asia-Pacific Region leaders of Citibank all participated in the ceremony.

  10. Assimilation of Doppler Radar Observations with an Ensemble Square Root Filter:A Squall Line Case Study

    Institute of Scientific and Technical Information of China (English)

    QIN Yanyan; GONG Jiandong; LI Zechun; SHENG Rifeng

    2014-01-01

    The effectiveness of using an Ensemble Square Root Filter (EnSRF) to assimilate real Doppler radar observations on convective scale is investigated by applying the technique to a case of squall line on 12 July 2005 in midwest Shandong Province using the Weather Research and Forecasting (WRF) model. The experimental results show that: (1) The EnSRF system has the potential to initiate a squall line accurately by assimilation of real Doppler radar data. The convective-scale information has been added into the WRF model through radar data assimilation and thus the analyzed fields are improved noticeably. The model spin-up time has been shortened, and the precipitation forecast is improved accordingly. (2) Compared with the control run, the deterministic forecast initiated with the ensemble mean analysis of EnSRF produces more accurate prediction of microphysical fields. The predicted wind and thermal fields are reasonable and in accordance with the characteristics of convective storms. (3) The propagation direction of the squall line from the ensemble mean analysis is consistent with that of the observation, but the propagation speed is larger than the observed. The effective forecast period for this squall line is about 5-6 h, probably because of the nonlinear development of the convective storm.

  11. Herschel PACS and SPIRE observations of blazar PKS 1510-089: a case for two blazar zones

    CERN Document Server

    Nalewajko, Krzysztof; Madejski, Greg M; Exter, Katrina; Szostek, Anna; Szczerba, Ryszard; Kidger, Mark R; Lorente, Rosario

    2012-01-01

    We present the results of observations of blazar PKS 1510-089 with the Herschel Space Observatory PACS and SPIRE instruments, together with multiwavelength data from Fermi/LAT, Swift, SMARTS and SMA. The source was found in a quiet state, and its far-infrared spectrum is consistent with a power-law with a spectral index of alpha ~ 0.7. Our Herschel observations were preceded by two 'orphan' gamma-ray flares. The near-infrared data reveal the high-energy cut-off in the main synchrotron component, which cannot be associated with the main gamma-ray component in a one-zone leptonic model. This is because in such a model the luminosity ratio of the External-Compton and synchrotron components is tightly related to the frequency ratio of these components, and in this particular case an unrealistically high energy density of the external radiation would be implied. Therefore, we consider a well-constrained two-zone blazar model to interpret the entire dataset. In this framework, the observed infrared emission is asso...

  12. Herschel PACS and SPIRE Observations of Blazar PKS 1510-089: A Case for Two Blazar Zones

    Science.gov (United States)

    Nalewajko, Krzysztof; Sikora, Marek; Madejski, Greg M.; Exter, Katrina; Szostek, Anna; Szczerba, Ryszard; Kidger, Mark R.; Lorente, Rosario

    2012-11-01

    We present the results of observations of blazar PKS 1510-089 with the Herschel Space Observatory PACS and SPIRE instruments, together with multiwavelength data from Fermi/LAT, Swift, SMARTS, and Submillimeter Array. The source was found in a quiet state, and its far-infrared spectrum is consistent with a power law with a spectral index of α ~= 0.7. Our Herschel observations were preceded by two "orphan" gamma-ray flares. The near-infrared data reveal the high-energy cutoff in the main synchrotron component, which cannot be associated with the main gamma-ray component in a one-zone leptonic model. This is because in such a model the luminosity ratio of the external-Compton (EC) and synchrotron components is tightly related to the frequency ratio of these components, and in this particular case an unrealistically high energy density of the external radiation would be implied. Therefore, we consider a well-constrained two-zone blazar model to interpret the entire data set. In this framework, the observed infrared emission is associated with the synchrotron component produced in the hot-dust region at the supra-parsec scale, while the gamma-ray emission is associated with the EC component produced in the broad-line region at the sub-parsec scale. In addition, the optical/UV emission is associated with the accretion disk thermal emission, with the accretion disk corona likely contributing to the X-ray emission.

  13. Job center

    Science.gov (United States)

    To better meet the needs of AGU members, a program has been started to increase the effectiveness of the Job Center activity at the Spring and Fall Meetings. As a result, participation in the Job Center at the 1988 AGU Spring Meeting in Baltimore increased substantially compared to previous Spring Meetings. The number of employers, applicants, and interviews scheduled more than doubled compared to the 1987 Spring Job Center.In order to make the meeting Job Centers even better, a survey is being conducted of employers and applicants who participated in the 1988 Spring Job Center. Evaluation of this survey will be useful in continuing increased participation in and the effectiveness of the Job Center at the 1988 Fall Meeting. Past participants and those interested in the future of the Job Center are encouraged to forward comments and suggestions to AGU, Member Programs Division, 2000 Florida Ave., N.W., Washington, DC 20009.

  14. Cognitive bias salience in patients with schizophrenia in relation to social functioning: A four-case observation study.

    Science.gov (United States)

    Gurovich, Isaac Ya; Papsuev, Oleg O; Shmukler, Alexander B; Movina, Larisa G; Storozhakova, Yanina A; Kiryanova, Elena M

    2016-03-01

    Neurocognition and social cognition are the core deficits influencing social outcomes in patients with schizophrenia. These deficits are present in the prodromal phase, throughout the illness and in first-degree relatives. They are considered in the framework of neurodevelopmental or neurodegenerative models as well as candidates for endophenotypes of schizophrenia. Four clinical cases with patients reflecting different cognitive profiles were chosen to demonstrate heterogeneity of cognitive biases and their influence on social function in vivo. The patients had undergone a number of neurocognitive and social cognitive measures. Better functioning was observed in patients with less affected domains of emotional processing and theory of mind, while neurocognitive statuses were incongruent to levels of social functioning. Further investigation on large samples concerning capacity for empathy and its role in social functioning is needed.

  15. X-ray Observations of Bow Shocks around Runaway O Stars. The case of $\\zeta$ Oph and BD+433654

    CERN Document Server

    Toalá, J A; González-Gaán, A; Guerrero, M A; Ignace, R; Pohl, M

    2016-01-01

    Non-thermal radiation has been predicted within bow shocks around runaway stars by recent theoretical works. We present X-ray observations towards the runaway stars $\\zeta$ Oph (Chandra and Suzaku) and BD+433654 (XMM-Newton) to search for the presence of non-thermal X-ray emission. We found no evidence of non-thermal emission spatially coincident with the bow shocks, nonetheless, diffuse emission is detected in the vicinity of $\\zeta$ Oph. After a careful analysis of its spectral characteristics we conclude that this emission has a thermal nature with a plasma temperature of $T \\approx 2 \\times10^{6}$ K. The cometary shape of this emission seems to be in line with recent predictions of radiation-hydrodynamic models of runaway stars. The case of BD+433654 is puzzling as non-thermal emission has been reported in a previous work for this source.

  16. Erdheim-Chester Disease as a Mimic of IgG4-Related Disease: A Case Report and a Review of a Single-Center Cohort.

    Science.gov (United States)

    Gianfreda, Davide; Musetti, Claudio; Nicastro, Maria; Maritati, Federica; Cobelli, Rocco; Corradi, Domenico; Vaglio, Augusto

    2016-05-01

    Immunoglobulin-G4 (IgG4)-related disease (IgG4RD) is a fibro-inflammatory disorder characterized by tissue-infiltrating IgG4 plasma cells, and, often, high serum IgG4. Several autoimmune, infectious, or proliferative conditions mimic IgG4RD. Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis, characterized by foamy histiocytic infiltration, fibrosis, and chronic inflammation. ECD and IgG4RD manifestations may overlap.A patient presented with huge fibrous retroperitoneal masses causing compression on neighboring structures; the case posed the challenge of the differential diagnosis between IgG4RD and ECD mainly because of a prominent serum and tissue IgG4 response.Retroperitoneal biopsy led to the diagnosis of ECD; the V600E BRAF mutation was found. Treatment with the BRAF inhibitor vemurafenib was started.Treatment failed to induce mass regression and the patient died after 3 months of therapy. Prompted by this case, we examined serum and tissue IgG4 in a series of 15 ECD patients evaluated at our center, and found that approximately one-fourth of the cases have increased IgG4 in the serum and often in the tissue.The differential diagnosis between IgG4RD and ECD can be challenging, as some ECD patients have prominent IgG4 responses. This suggests the possibility of common pathogenic mechanisms between ECD and IgG4RD. PMID:27227923

  17. Second malignancies following Hodgkin's disease treatment in Tunisia. Retrospective study of 26 cases observed at the institute Salah-Azaiz

    International Nuclear Information System (INIS)

    Purpose. - To collect second cancers in patients treated for Hodgkin disease (HD) during adolescence and young adulthood at Salah Azaiz Institute of Tunis. Method and patients. - We consider as second cancer all tumours other than HD observed in patients after treatment for HD. Results. - Twenty-five patients among 614 treated for HD between 1975 and 1991 developed 26 secondary tumours (4.2%). There were 17 males and eight females (sex ratio 2:1). Mean age at the diagnosis of HD was 32.5 years (12-56). HD was stage 11 (eight cases), stage 111 (14) and stage IV in three. The first treatment was combined chemotherapy and radiotherapy in 22 cases and only chemotherapy in three cases (stage IV). Radiotherapy was delivered with Cobalt 60 by large fields. Mean dose was 41.3 Gy (2 Gy/fraction in 21 and 3.3 in one). Chemotherapy was MOPP (13), MOPP and vinblastine (four), MOPP-ABVD (five), ABVD (two) and vinblastine only in one. Mean delay of second tumours was 114.5 months (40-276). There was five acute myeloid leukaemia, two digestive non-Hodgkin lymphomas, five nodal high-grade lymphomas, three breast cancers (one in man associated with thyroid cancer), five lung cancers (three non-small cell and two of small cell type), two gastric tumours and one rectal cancer, one synovialosarcoma of the knee and one malignant Schwannoma of the neck. Median survival was 12.5 months (2-18). Twenty-one patients died and four are still alive with 8, 12, 24 and 48 months of follow-up. Conclusion. - Second cancer risk after treatment for HD is not low. Risk factors and preventive strategies are discussed. (authors)

  18. Observer's observables. Residual diffeomorphisms

    CERN Document Server

    Duch, Paweł; Świeżewski, Jedrzej

    2016-01-01

    We investigate the fate of diffeomorphisms when the radial gauge is imposed in canonical general relativity. As shown elsewhere, the radial gauge is closely related to the observer's observables. These observables are invariant under a large subgroup of diffeomorphisms which results in their usefulness for canonical general relativity. There are, however, some diffeomorphisms, called residual diffeomorphisms, which might be "observed" by the observer as they do not preserve her observables. The present paper is devoted to the analysis of these diffeomorphisms in the case of the spatial and spacetime radial gauges. Although the residual diffeomorphisms do not form a subgroup of all diffeomorphisms, we show that their induced action in the phase space does form a group. We find the generators of the induced transformations and compute the structure functions of the algebras they form. The obtained algebras are deformations of the algebra of the Euclidean group and the algebra of the Poincar\\'e group in the spat...

  19. Implementing Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons Learned and Effects Observed.

    Science.gov (United States)

    Schubert, Cathy C; Myers, Laura J; Allen, Katie; Counsell, Steven R

    2016-07-01

    In a randomized clinical trial, Geriatric Resources for Assessment and Care of Elders (GRACE), a model of care that works in collaboration with primary care providers (PCPs) and patient-centered medical homes to provide home-based geriatric care management focusing on geriatric syndromes and psychosocial problems commonly found in older adults, improved care quality and reduced acute care use for high-risk, low-income older adults. To assess the effect of GRACE at a Veterans Affairs (VA) Medical Center (VAMC), veterans aged 65 and older from Marion County, Indiana, with PCPs from four of five VAMC clinics who were not on hospice or dialysis were enrolled in GRACE after discharge home from an acute hospitalization. After an initial home-based transition visit to GRACE enrollees, the GRACE team returned to conduct a geriatric assessment. Guided by 12 protocols and input from an interdisciplinary panel and the PCP, the GRACE team developed and implemented a veteran-centric care plan. Hospitalized veterans from the fifth clinic, who otherwise met enrollment criteria, served as a usual-care comparison group. Demographic, comorbidity, and usage data were drawn from VA databases. The GRACE and comparison groups were similar in age, sex, and burden of comorbidity, although predicted risk of 1-year mortality in GRACE veterans was higher. Even so, GRACE enrollment was associated with 7.1% fewer emergency department visits, 14.8% fewer 30-day readmissions, 37.9% fewer hospital admissions, and 28.5% fewer total bed days of care, saving the VAMC an estimated $200,000 per year after program costs during the study for the 179 veterans enrolled in GRACE. Having engaged, enthusiastic VA leadership and GRACE staff; aligning closely with the medical home; and accommodating patient acuity were among the important lessons learned during implementation. PMID:27305428

  20. Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008-2012

    Directory of Open Access Journals (Sweden)

    Agon Y Mekaj

    2015-01-01

    Full Text Available Background: Chronic subdural hematoma (CSDH is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3% were males and 31 (22.7% females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%. The head trauma has been responsible for CSDH in 88 patients (64.3%, while the main symptom was headache (92 patients or 67.1%. One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%. The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety.

  1. Outcome of combined modality treatment including neoadjuvant chemotherapy of 128 cases of locally advanced breast cancer: Data from a tertiary cancer center in northern India

    Directory of Open Access Journals (Sweden)

    V Raina

    2011-01-01

    Full Text Available Background: Breast cancer is now the most common cancer in many parts of India and the incidence varies from 12 to 31/100000, and is rising. Locally advanced breast cancer (LABC accounts for 30 - 35% of all cases of breast cancers in India. LABC continues to present a challenge and imposes a major health impact in our country. Materials and Methods: We carried out a analysis of our LABC patients who received neoadjuvant chemotherapy (NACT at our hospital over a 10-year period, from January 1995 to December 2004. We analyzed the response to NACT, disease-free survival (DFS, and overall survival (OS. Results: Patients with stages IIIA, IIIB, and IIIC were included. LABC comprised of 26.24% (609 patients of new patients. One hundred and twenty-eight (31.1% patients received NACT. Median age was 48 years and estrogen receptor was positive in 64%. Chemotherapy protocol was an FEC (5-Fluorouracil, Epirubicin, Cyclophosphamide regimen in the following doses: Cyclophosphamide 600 mg/m2, 5-FU 600 mg/m2, and Epirubicin 75 mg/m2 given every three weeks, six doses, followed by modified radical mastectomy (MRM and locoregional radiotherapy. The overall response rate (complete response (CR + partial response (PR was 84.4%, clinical CR (cCR was 13.3% and pathological CR (pCR was 7.8%. Median DFS and OS were 33 and 101 months, respectively. The disease-free survival (DFS and overall survival (OS at five years were 41 and 58%, respectively. Conclusions: This study analyzes the outcome in patients who received NACT, in the largest number of LABC patients from a single center in India, and our results are comparable to the results reported from other centers.

  2. The Role of Large-Coherent-Eddy Transport in the Atmospheric Surface Layer Based on CASES-99 Observations

    Science.gov (United States)

    Sun, Jielun; Lenschow, Donald H.; LeMone, Margaret A.; Mahrt, Larry

    2016-07-01

    The analysis of momentum and heat fluxes from the Cooperative Atmosphere-Surface Exchange Study 1999 (CASES-99) field experiment is extended throughout the diurnal cycle following the investigation of nighttime turbulence by Sun et al. (J Atmos Sci 69:338-351, 2012). Based on the observations, limitations of Monin-Obukhov similarity theory (MOST) are examined in detail. The analysis suggests that strong turbulent mixing is dominated by relatively large coherent eddies that are not related to local vertical gradients as assumed in MOST. The HOckey-Stick Transition (HOST) hypothesis is developed to explain the generation of observed large coherent eddies over a finite depth and the contribution of these eddies to vertical variations of turbulence intensity and atmospheric stratification throughout the diurnal cycle. The HOST hypothesis emphasizes the connection between dominant turbulent eddies and turbulence generation scales, and the coupling between the turbulence kinetic energy and the turbulence potential energy within the turbulence generation layer in determining turbulence intensity. For turbulence generation directly influenced by the surface, the HOST hypothesis recognizes the role of the surface both in the vertical variation of momentum and heat fluxes and its boundary effect on the size of the dominant turbulence eddies.

  3. Performance in L1 and L2 observed in Arabic-Hebrew bilingual aphasic following brain tumor: A case constitutes double dissociation

    OpenAIRE

    Raphiq Ibrahim

    2008-01-01

    Raphiq IbrahimUniversity of Haifa and Rambam Medical Center, Haifa, IsraelAbstract: This study aimed to verify the existence of a double first language (L1)/second language (L2) dissociation. In recent work, I described a case study of a Arabic-Hebrew aphasic patient (MH) with disturbances in the two languages, with Hebrew (L2) being more impaired. In this case, an Arabic-Hebrew bilingual patient (MM) with a similar cultural background who suffered brain damage following a left hemisphere tum...

  4. Functional Centering

    CERN Document Server

    Hahn, M

    1996-01-01

    Based on empirical evidence from a free word order language (German) we propose a fundamental revision of the principles guiding the ordering of discourse entities in the forward-looking centers within the centering model. We claim that grammatical role criteria should be replaced by indicators of the functional information structure of the utterances, i.e., the distinction between context-bound and unbound discourse elements. This claim is backed up by an empirical evaluation of functional centering.

  5. Monitoring the Use of Antibiotics by the ATC/DDD Method and DU 90%: Observational Studies in Community Health Service Centers in North Gorontalo District

    Directory of Open Access Journals (Sweden)

    Sarini Pani

    2015-12-01

    Full Text Available Irrational use of antibiotics may lead to increase morbidity and mortality. Monitoring of antibiotics was required to support government programs, especially The Department of Health stating the use of antibiotics for non-respiratory diseases pneumonia was less than 20%. The evaluation of antibiotics use in this research applied ATC / DDD methods and DU 90%. The antibiotic used for non-pneumonia ARI were 9 types and the antibiotics contained DU 90% were three types namely amoxicillin 500 mg (2,723 DDD/1000 patients-year, ciprofloxacin (0,378 DDD/1000 patients-day and cefadroxil (0,202 DDD/1000 patients-day. Quantitative data analysis using the ATC / DDD indicated that the most used antibiotic was amoxicillin (500 mg 2723 DDD / 1000 patients-day and the least was amoxicillin (125 mg / 5 ml 1.5 DDD / 1000 patients-day. The effects of short-term use of antibiotic prescribing in primary medical care could increase the resistance. Qualitative studies were needed to determine the pattern of irrational antibiotic use in community health service center and to develop the intervention model.

  6. Effects of long-term sustained naltrexone release onthe optic center in opioid-dependent patients Case-control study in four provinces of China

    Institute of Scientific and Technical Information of China (English)

    Shengxi He; Longchuan Yu; Shaowei Jia; Qing Chen; Dongmei Wang; Shu Hu

    2011-01-01

    Very little is known about visual functional recovery following long-term naltrexone administration in opioid-dependent patients. In the present study, a portable event-related potential (ERP) working system was utilized to collect and record ERP in opioid-dependent patients and normal controls in visual half-field testing. In addition, the influence of long-term sustained naltrexone release on the visual nervous system was observed in opioid-dependent patients. Results revealed a significant main group effect in reaction time to visual signal stimulations. The reaction time of normal controls was shortest, but longest in opioid-dependent patients. The reaction time of long-term sustained naltrexone release group and compulsory detoxification group was similar to normal controls. A significant main group effect was also observed in P100 latency, and P100 latency in normal controls and the compulsory detoxification group was significantly decreased compared with the opioid-dependent patients. P100 amplitude at the Oz-electrode resulted in a significant main group effect. In particular, normal controls exhibited significant differences compared with long-term sustained release naltrexone and compulsory detoxification groups. These findings demonstrated that long-term sustained naltrexone release effectively ameliorated optic center function and improved visual sensitivity and reactions in opioid-dependent patients.

  7. Oil Reserve Center Established

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Like other countries,China has started to grow its strategic oil reserve in case oil supplies are cut On December 18,2007,the National Development and Reform Commission(NDRC),China’s top economic planner,announced that the national oil reserve center has been officially launched.The supervisory system over the oil reserves has three levels: the energy department of the NDRC,the oil reserve center,and the reserve bases.

  8. Clinical observations associated with proven and unproven cases in the ESCRS study of prophylaxis of postoperative endophthalmitis after cataract surgery.

    LENUS (Irish Health Repository)

    Barry, Peter

    2012-02-01

    PURPOSE: To describe cases of postoperative endophthalmitis in the European Society of Cataract & Refractive Surgeons (ESCRS) study of the prophylaxis of endophthalmitis, compare characteristics of unproven cases and cases proven by culture or polymerase chain reaction, and compare the characteristics with those in other reported series. SETTING: Twenty-four ophthalmology units in Austria, Belgium, Germany, Italy, Poland, Portugal, Spain, Turkey, and the United Kingdom. METHODS: Univariable and multivariable logistic regression models were used to analyze data for statistical association of signs and symptoms in cases with proven or unproven endophthalmitis. Specific data describing characteristics of the cases were compared between the 2 types of cases. RESULTS: Data from 29 endophthalmitis cases were analyzed. Swollen lids and pain were statistically associated with proven cases of endophthalmitis on univariable regression analysis. Multivariable analysis indicated that swollen lids and an opaque vitreous were associated with proven cases. Five cases of endophthalmitis occurred in the cefuroxime-treated groups. No case of streptococcal infection occurred in the cefuroxime-treated groups. However, cases of infection due to streptococci showed striking differences in visual acuity and were associated with earlier onset. Characteristics in the 29 cases parallel results in previous studies, such as the Endophthalmitis Vitrectomy Study, although the addition of a control group in the ESCRS study elicited additional findings. CONCLUSION: Swollen lids, pain, and an opaque vitreous were statistically associated with proven endophthalmitis cases in the ESCRS study.

  9. Distribution center

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Distribution center is a logistics link fulfill physical distribution as its main functionGenerally speaking, it's a large and hiahly automated center destined to receive goods from various plants and suppliers,take orders,fill them efficiently,and deliver goods to customers as quickly as possible.

  10. Evidence of ice crystal growth within mixed phase clouds along fall streaks - a radar observation case study

    Science.gov (United States)

    Pfitzenmaier, Lukas; Dufournet, Yann; Unal, Christine; Russchenberg, Herman

    2016-04-01

    Mixed phase clouds contain both ice particles and super-cooled cloud water droplets in the same volume of air. Currently, one of the main challenges is to observe and understand how ice particles grow by interacting with liquid water within the mixed-phase clouds. In the mid latitudes this process is one of the most efficient processes for precipitation formation. The case study presented here is based on observations obtained with the Transportable Atmospheric RAdar (TARA), S-band precipitation radar profiler, from Delft University of Technology during the Analysis of the Composition of mixed-phase Clouds with Extended Polarization Techniques campaign (ACCEPT) at Cabauw The Netherlands, autumn 2014. The high temporal (3 seconds) and spatial resolutions (21 m) as well as the Doppler and polarimetric capabilities of TARA are used to estimate size and shape information of the measured hydrometeors. In addition, the unique 3 beam configuration of TARA provides 3-D dynamical information within the cloud system. Based on the dynamical information it is possible to retrieve the fall steak signatures of falling ice particles within radar measurements. Those signatures allow to follow particle population from their generation (at cloud top) to their disintegration. So this technique offers a new perspective for cloud microphysical evolution studies. Using retrieved profiles of radar moments and spectral information along the fall streaks, microphysical information are estimated leading to a better understanding of the influence of super-cooled liquid layer on ice crystals growth under ambient conditions. A synergetic setup of instruments during the ACCEPT campaign was used to liquid layers within the cloud system. So several type of ice crystal growth processes could be detected and will be presented and discussed.

  11. GREEN BANK TELESCOPE AND SWIFT X-RAY TELESCOPE OBSERVATIONS OF THE GALACTIC CENTER RADIO MAGNETAR SGR J1745–2900

    Energy Technology Data Exchange (ETDEWEB)

    Lynch, Ryan S.; Archibald, Robert F.; Kaspi, Victoria M.; Scholz, Paul, E-mail: rlynch@physics.mcgill.ca [Department of Physics, McGill University, 3600 University Street, Montreal, Quebec, H3A 2T8 (Canada)

    2015-06-20

    We present results from eight months of Green Bank Telescope 8.7 GHz observations and nearly 18 months of Swift X-ray telescope observations of the radio magnetar SGR J1745–2900. We tracked the radio and X-ray flux density, polarization properties, profile evolution, rotation, and single-pulse behavior. We identified two main periods of activity. The first is characterized by approximately 5.5 months of relatively stable evolution in radio flux density, rotation, and profile shape, while in the second these properties varied substantially. Specifically, a third profile component emerged and the radio flux also became more variable. The single pulse properties also changed, most notably with a larger fraction of pulses with pulse widths ∼5–20 ms in the erratic state. Bright single pulses are well described by a log-normal energy distribution at low energies, but with an excess at high energies. The 2–10 keV flux decayed steadily since the initial X-ray outburst, while the radio flux remained stable to within ∼20% during the stable state. A joint pulsar timing analysis of the radio and X-ray data shows a level of timing noise unprecedented in a radio magnetar, though during the time covered by the radio data alone the timing noise was at a level similar to that observed in other radio magnetars. While SGR J1745–2900 is similar to other radio magnetars in many regards, it differs by having experienced a period of relative stability in the radio that now appears to have ended, while the X-ray properties evolved independently.

  12. Should U.S. academic health centers play a leadership role in global health initiatives? Observations from three years in China.

    Science.gov (United States)

    Kolars, J C

    2000-04-01

    Based on his work in Shanghai, China, the author believes that U.S. academic health centers (AHCs) should take a leadership role in global health initiatives. While acknowledging that most AHCs already have focused projects involving research or education with foreign institutions, he proposes a greater coordination of these projects into programs that, in some areas, could also be linked to clinical delivery systems where care may be provided. These AHC "platforms" overseas would be structured as a partnership between an AHC in the United States and one in the foreign country where the platform is located, to promote their missions of education, research, and service. For example, U.S. AHCs benefit, and are often dependent upon, international trainees who seek further clinical or research training in the United States. However, the identification of suitable candidates and career guidance, so the students' career choices could benefit their home countries, are often lacking. Thus, the United States is often viewed as facilitating a "brain drain" of future leaders in academic medicine from developing areas of the world. The author proposes a way to lessen this problem by shifting more on-site training to settings in the students' home countries, which could occur if AHCs were willing to develop overseas platforms. U.S. students would also benefit from access to medical training in foreign lands for both the cultural perspectives they offer and the unique diseases and medical situations encountered. He also suggests that shared platforms would lead to greater research opportunities for institutions in the United States and abroad. He argues for increased efforts at coordinating these activities with the rising demand for Western clinical services by multinational companies and U.S. expatriate communities overseas. The potential pitfalls of such initiatives as well as the need for permanent relationships are discussed. In conclusion, he believes that AHCs have an

  13. Pattern of Adverse Drug Reactions in Children Attending the Department of Pediatrics in a Tertiary Care Center: A Prospective Observational Study

    Science.gov (United States)

    Digra, Kishour Kumar; Pandita, Aakash; Saini, GS; Bharti, Rajni

    2015-01-01

    AIM To study the pattern of various adverse drug reactions (ADRs) occurring in children attending the Department of Pediatrics, SMGS Hospital, Jammu over 1 year. SUBJECTS AND METHODS This was a prospective study, with study population of patients attending Department of Pediatrics over a period of 1 year. A structured format was used to enroll the participants. A pilot study was conducted to test the suitability of the format and feasibility of the study. The study was carried out to review various pattern of ADRs by using the Naranjo probability scale, and severity was assessed by using the Hartwig severity scale. ADRs were classified according to the classification used by the Adverse Drug Reaction Monitoring Center, Central Drugs Standard Control Organization, New Delhi, India. RESULTS In the present study, 104 patients were found to have developed acute drug reactions. Among these, 83.6% were type B, 14.42% type A, and 1.92% were type U. Furthermore, 25.96% ADRs were due to anticonvulsants, followed by antibiotics (22.11%), antipyretics (11.53%), vaccination (8.65%), steroids (6.73%), decongestants (5.67%), snake antivenom and antiemetics (3.84%), and fluids, insulin, and antacids (1.92%). The patients’ dermatological system was involved in 67.30%, followed by the central nervous system (CNS) in 11.53% patients. Renal system was involved in 6.73% patients. Cardiac, musculoskeletal, metabolic, and other systems were involved in 4.80%, 3.84%, 2.88%, and 0.96%, respectively. According to the Hartwig severity scale of ADRs, 64.4% patients had moderate ADRs, 29.8% patients had severe ADRs, and 5.76% had mild ADRs. In the present study, 64.4% patients expressed moderate severity, whereas 29.8% expressed high severity and 5.76% expressed mild ADRs. CONCLUSION ADRs were seen in 71% of the patients between 1 and 5 years of age, 26% in the age group of 5–10 years, and 3% were more than 10 years old. Anticonvulsants (25.96%) and antibiotics (22.11%) were responsible

  14. Acinic cell carcinoma arising in the glossopalatine glands: a report of two cases with electron microscopic observations.

    Science.gov (United States)

    Inoue, T; Shimono, M; Yamamura, T; Saito, I; Watanabe, O; Kawahara, H

    1984-04-01

    Two cases of acinic cell carcinoma arising in the glossopalatine glands were examined with the electron microscope by means of conventional thin sectioning and freeze-fracturing. Light and electron microscopic observation revealed that the tumors consisted of three types of cells: serous-type, ductlike, and vacuolated cells. Serous-type cells had numerous secretory granules, some of which were discharged into the intercellular spaces. Ductlike cells were smaller, usually lacked secretory granules, and were similar to intercalated duct cells. Vacuolated cells had electron-opaque vacuoles in the cytoplasm. Our findings supported the hypothesis that acinic cell carcinoma may represent a neoplasm of multipotential duct cells which have differentiated mainly into granulated serous cells. Freeze-fracture images of this tumor revealed that tight junctions were composed of ten or more interlinked strands with elongation of basal frontier strands. These findings suggested that the junctional morphology of the tumor resembled that of developing salivary glands and was associated with the degree of cellular differentiation.

  15. A Retrospective Observational Case Series of Low-Flow Venovenous Extracorporeal Carbon Dioxide Removal Use in Patients with Respiratory Failure.

    Science.gov (United States)

    Moss, Caroline E; Galtrey, Eleanor J; Camporota, Luigi; Meadows, Chris; Gillon, Stuart; Ioannou, Nicholas; Barrett, Nicholas A

    2016-01-01

    We aimed to describe the use of venovenous extracorporeal carbon dioxide removal (ECCO2R) in patients with hypercapnic respiratory failure. We performed a retrospective case note review of patients admitted to our tertiary regional intensive care unit and commenced on ECCO2R from August 2013 to February 2015. Fourteen patients received ECCO2R. Demographic data, physiologic data (including pH and partial pressure of carbon dioxide in arterial blood [PaCO2]) when starting ECCO2R (t = 0), at 4 hourly intervals for the first 24 hours, then at 24 hour intervals until cessation of ECCO2R, and overall outcome were recorded. Patients are reported separately depending on whether the indication for ECCO2R was an exacerbation of chronic obstructive pulmonary disease (COPD; n = 5), or acute respiratory distress syndrome (ARDS) and persisting hypercapnoea (n = 9). Patients were managed with ECCO2R (Hemolung, ALung Inc, Pittsburgh, PA). Median duration of ECCO2R was 5 days. Four complications related to ECCO2R were reported, none resulting in serious adverse outcomes. Ten patients were discharged from intensive care unit (ICU) alive. A statistically significant improvement in pH (p = 0.012) was demonstrated. Our observational series of ECCO2R shows that this technique can be safely used to achieve therapeutic goals in patients requiring lung protection, and in COPD, in line with current publications in this area. PMID:27195746

  16. Chronological observation in early radiation myelopathy of the cervical spinal cord; Gadolinium-enhanced MRI findings in two cases

    Energy Technology Data Exchange (ETDEWEB)

    Hirota, Saeko; Yoshida, Shoji; Soejima, Toshinori (Hyogo Medical Center for Adults, Akashi (Japan)) (and others)

    Gd-enhanced MR images of two patients with clinically and histopathologically diagnosed chronic progressive radiation myelitis (CPRM) were observed chronologically. One of them had had nasopharyngeal cancer and received radiotherapy at a dose of 100 Gy to the C1-2 level of the spinal cord. She developed CPRM 25 months after the termination of radiotherapy. The other had had malignant lymphoma originating from the tonsil and received chemoradiotherapy. The dose delivered to her cervical spinal cord was 40 Gy, and she developed CPRM 30 months later. Gd-enhanced MRI in the early phase revealed a small crescent-shaped nidus with or without a very small central nonenhanced area in both cases. Enhancement was not great. At that time, patients noticed only the inability to perceive pain and temperature or paresthesia in the opposite side. In a few months, MRI revealed a much more strongly enhanced and larger nidus with enlargement of a central nonenhanced area accompanied by long segmental cord enlargement. The patients' neurological symptoms had also progressed, with hemiparesis developing, for example. (author).

  17. A multi-line ammonia survey of the Galactic center region with the Tsukuba 32 m telescope. I. Observations and data

    Science.gov (United States)

    Arai, Hitoshi; Nagai, Makoto; Fujita, Shinji; Nakai, Naomasa; Seta, Masumichi; Yamauchi, Aya; Kaneko, Hiroyuki; Hagiwara, Kenzaburo; Mamyoda, Koh-ichi; Miyamoto, Yusuke; Horie, Masa-aki; Ishii, Shun; Koide, Yusuke; Ogino, Mitsutoshi; Maruyama, Masaki; Hirai, Katsuaki; Oshiro, Wataru; Nagai, Satoshi; Akiyama, Daiki; Konakawa, Keita; Nonogawa, Hiroaki; Salak, Dragan; Terabe, Yuki; Nihonmatsu, Yoshiki; Funahashi, Fumiyoshi

    2016-10-01

    We present survey data of six NH3 (J, K) = (1, 1), (2, 2), (3, 3), (4, 4), (5, 5), and (6, 6) lines, simultaneously observed with the Tsukuba 32 m telescope, in the main part of the central molecular zone of the Galaxy. The total number of on-source positions was 2655. The three lower transitions were detected with S/N > 3 at 2323 positions (93% of all the on-source positions). Among 2323, the S/N 's of (J, K) = (4, 4), (5, 5), and (6, 6) exceeded 3.0 at 1426(54%), 1150(43%), and 1359(51%) positions, respectively. Simultaneous observations of the lines enabled us to accurately derive intensity ratios with less systematic errors. Boltzmann plots indicate that there are two temperature components: cold (˜20 K) and warm (˜100 K). Typical intensity ratios of Tmb(2, 2)/Tmb(1, 1), Tmb(4, 4)/Tmb(2, 2), Tmb(5, 5)/Tmb(4, 4), and Tmb(6, 6)/Tmb(3, 3) were 0.71, 0.45, 0.65, and 0.17, respectively. These line ratios correspond to the diversity of the rotational temperature, which results from mixing of the two temperature components.

  18. A Multi-Line Ammonia Survey of the Galactic Center Region with the Tsukuba 32-m Telescope - I. Observations and Data

    CERN Document Server

    Arai, Hitoshi; Fujita, Shinji; Nakai, Naomasa; Seta, Masumichi; Yamauchi, Aya; Kaneko, Hiroyuki; Hagiwara, Kenzaburo; Mamyoda, Koh-ichi; Miyamoto, Yusuke; Horie, Masa-aki; Ishii, Shun; Koide, Yusuke; Ogino, Mitsutoshi; Maruyama, Masaki; Hirai, Katsuaki; Oshiro, Wataru; Nagai, Satoshi; Akiyama, Daiki; Konakawa, Keita; Nonogawa, Hiroaki; Salak, Dragan; Terabe, Yuki; Nihonmatsu, Yoshiki; Funahashi, Fumiyoshi

    2016-01-01

    We present survey data of the NH3 (J, K) = (1, 1)--(6, 6) lines, simultaneously observed with the Tsukuba 32-m telescope, in the main part of the central molecular zone of the Galaxy. The total number of on-source positions was 2655. The lowest three transitions were detected with S/N > 3 at 2323 positions (93% of all the on-source positions). Among 2323, the S/N of (J, K ) = (4, 4), (5, 5), and (6, 6) exceeded 3.0 at 1426 (54%), 1150 (43%), and 1359 (51%) positions, respectively. Simultaneous observations of the lines enabled us to accurately derive intensity ratios with less systematic errors. Boltzmann plots indicate there are two temperature components: cold ($\\sim$ 20 K) and warm ($\\sim$ 100 K). Typical intensity ratios of Tmb(2,2)/Tmb(1,1), Tmb(4,4)/Tmb(2,2), Tmb(5,5)/Tmb(4,4), and Tmb(6,6)/Tmb(3,3) were 0.71, 0.45, 0.65, and 0.17, respectively. These line ratios correspond to diversity of rotational temperature, which results from mixing of the two temperature components.

  19. From Isolation to Insulation: The Impact of Campus Culture on the Existence of Two Cultural Centers

    Science.gov (United States)

    Pinchback-Hines, Cynthia Juanesta

    2013-01-01

    This case study examined how the campus culture influences the existence of a Black cultural center and a multicultural center at a predominantly White university. A qualitative ethnography was conducted using focus group interviews, personal interviews, archival research, and anecdotal observation. The results of the study identified five themes:…

  20. U.S. Environmental Protection Agency national network of research centers: A case study in socio-political influences on research

    Energy Technology Data Exchange (ETDEWEB)

    Morehouse, K. [Environmental Protection Agency, Washington, DC (United States)

    1995-12-01

    During the 15 years that the U.S. Environmental Protection Agency (EPA) has supported university-based research centers, there have been many changes in mission, operating style, funding level, eligibility, and selection process. Even the definition of the term {open_quotes}research center{close_quotes} is open to debate. Shifting national priorities, political realities, and funding uncertainties have powered the evolution of research centers in EPA, although the agency`s basic philosophy on the purpose and value of this approach to research remains essentially unchanged. Today, EPA manages 28 centers, through the Office of Exploratory Research. These centers are administered under three distinct programs. Each program has its own mission and goals which guide the way individual centers are selected and operated. This paper will describe: (1) EPA`s philosophy of reserach centers, (2) the complicated history of EPA research centers, (3) coordination and interaction among EPA centers and others, (4) opportunities for collaboration, and (5) plans for the future.

  1. Energy efficient data centers

    Energy Technology Data Exchange (ETDEWEB)

    Tschudi, William; Xu, Tengfang; Sartor, Dale; Koomey, Jon; Nordman, Bruce; Sezgen, Osman

    2004-03-30

    Data Center facilities, prevalent in many industries and institutions are essential to California's economy. Energy intensive data centers are crucial to California's industries, and many other institutions (such as universities) in the state, and they play an important role in the constantly evolving communications industry. To better understand the impact of the energy requirements and energy efficiency improvement potential in these facilities, the California Energy Commission's PIER Industrial Program initiated this project with two primary focus areas: First, to characterize current data center electricity use; and secondly, to develop a research ''roadmap'' defining and prioritizing possible future public interest research and deployment efforts that would improve energy efficiency. Although there are many opinions concerning the energy intensity of data centers and the aggregate effect on California's electrical power systems, there is very little publicly available information. Through this project, actual energy consumption at its end use was measured in a number of data centers. This benchmark data was documented in case study reports, along with site-specific energy efficiency recommendations. Additionally, other data center energy benchmarks were obtained through synergistic projects, prior PG&E studies, and industry contacts. In total, energy benchmarks for sixteen data centers were obtained. For this project, a broad definition of ''data center'' was adopted which included internet hosting, corporate, institutional, governmental, educational and other miscellaneous data centers. Typically these facilities require specialized infrastructure to provide high quality power and cooling for IT equipment. All of these data center types were considered in the development of an estimate of the total power consumption in California. Finally, a research ''roadmap'' was developed

  2. Senior Centers

    Medline Plus

    Full Text Available ... Karen Albers] We provide a wide variety of activities -- physical, health, mental health programs with Senior Plus, cognitive ... of games. [Narrator] Many senior centers also offer exercise programs. [Karen Albers] We offer aerobics, tai chi, ...

  3. Senior Centers

    Medline Plus

    Full Text Available ... Living independently at home is something many older adults would like to do as long as they can. Senior centers, adult day care, transportation, and meals programs are long- ...

  4. Senior Centers

    Medline Plus

    Full Text Available ... variety of social and recreational activities. [Karen Albers] We provide a wide variety of activities -- physical, health, ... senior centers also offer exercise programs. [Karen Albers] We offer aerobics, tai chi, tap dancing, ballroom dancing, ...

  5. Senior Centers

    Medline Plus

    Full Text Available ... transportation, and meals programs are long-term care services available in the community which make it easier ... about senior centers and other long-term care services available in your community, contact the Eldercare Locator ...

  6. Senior Centers

    Medline Plus

    Full Text Available ... of games. [Narrator] Many senior centers also offer exercise programs. [Karen Albers] We offer aerobics, tai chi, ... chi, tap dancing, ballroom dancing, square dancing, chair exercise, arthritis classes, yoga, and lots of dancing. [Narrator] ...

  7. Clinical Observation on 46 Cases of Infantile Repeated Respiratory Tract Infection Treated by Mild-Moxibustion over Acupoints on Back

    Institute of Scientific and Technical Information of China (English)

    龙训; 常奇; 寿琼

    2001-01-01

    @@Repeated respiratory tract infection is a frequently-occurring disease during childhood. At present, western medicine doctors generally adopt anti-infectives and immunomodulators to treat the disease, while traditional Chinese medicine doctors mainly administer decoction of Chinese herbs. The authors treated 46 cases of repeated respiratory tract infection from March 1990 to April 1996 by applying mild-moxibustion over points on the back with satisfactory therapeutic results. A report follows. Clinical Data All the 86 cases were outpatients in our hospital with duration of common cold for over 10 days and characterized by relapse of respiratory tract infection. There were over 7-time relapse of respiratory tract infection on each case within a year. Eighty-six cases were randomly divided into treatment group (46 cases) and control group (40 cases). Of the 46 cases in the treatment group, 22 were boys and 24 girls. 17 cases (36.9%) were 6 months to 4 years old, 18 (39.1%) 4 to 6 years, and 11 (23.9%) 6 to 12 years. Among the 40 cases in the control group, 19 cases were boys and 21 girls.

  8. The Galactic Center

    OpenAIRE

    R. Genzel; Karas, V.

    2007-01-01

    In the past decade high resolution measurements in the infrared employing adaptive optics imaging on 10m telescopes have allowed determining the three dimensional orbits stars within ten light hours of the compact radio source at the center of the Milky Way. These observations show the presence of a three million solar mass black hole in Sagittarius A* beyond any reasonable doubt. The Galactic Center thus constitutes the best astrophysical evidence for the existence of black holes which have ...

  9. Estimating sub-monthly TWS using MODIS and GRACE satellite observations, a case study over Tonlé Sap floodplain

    Science.gov (United States)

    Steele-Dunne, S. C.; Tangdamrongsub, N.; Ditmar, P.; Gunter, B. C.; Sutanudjaja, E.

    2015-12-01

    Knowledge of Terrestrial Water Storage (TWS) can provide valuable information that can be used to improve our understanding of the hydrological cycle and the impact of extreme climate events. Global TWS observations are currently only available from the Gravity Recovery And Climate Experiment satellite mission (GRACE) at monthly time scales. In this study, we present a new approach to derive the sub-monthly TWS variation over a regularly inundated area by using MODIS reflectance data in addition to GRACE solutions. In the "training" phase, monthly TWS are computed from filtered GRACE solutions. A signal restoration method is applied to correct for signal leakage caused by filtering. In parallel, a time-series of mean monthly inundated area estimates is computed based on the Normalized Difference Water Index (NDWI), derived from MODIS data. The training phase completes by finding an empirical relationship between the inundated area and the GRACE-based TWS variations, using a regression analysis. Then, the estimated parameters can be used to convert inundated area estimates into TWS variations without a further need in GRACE data. This approach has 3 major advantages over the usage of GRACE data alone. First, it can be used to cross-validate GRACE and MODIS reflectance data in order to identify and eliminate unreliable estimates. Second, it can provide sub-monthly (e.g., 8-day) TWS variations without loss of spatial resolution. Lastly, it can be used to fill gaps in TWS estimates based on GRACE data and to extend the time-series of TWS estimates beyond the time interval when GRACE data are available. The methodology is demonstrated using the Tonlé Sap floodplain located in Central Cambodia as a test case. The analysis shows an excellent agreement between the 8-day NDWI-based TWS estimates averaged over monthly intervals and the GRACE-based monthly TWS variations. The approach developed would have similar application in other areas that experience regular large

  10. CLINICAL OBSERVATION ON 96 CASES OF PRIMARY DYSMENORRHEA TREATED BY MEDICINE-SEPARATED MOXIBUSTION AND INVESTIGATION ON ITS MECHANISMS

    Institute of Scientific and Technical Information of China (English)

    WANG Song-mei; LI Xing-guo; ZHANG Li-quan

    2005-01-01

    Objective: To observe the therapeutic effect of medicine-separated moxibustion for primary dysmenorrhea and its influence on plasma hormone level. Methods: Ninety-six patients suffering from primary dysmenorrhea were randomly and evenly divided into treatment group treated with medicine-separated moxibustion of Shenque (神阙CV 8, 3-5 cones every time, beginning 1 week before onset of menstruation and stopping on the 3rd day after onset, with 10 sessions being a therapeutic course, 3 courses all together), and control group treated with oral administration of Yueyueshu (月月舒menstruation-smoothing granule, 10 g/time, b.i.d, 3 courses altogether). Menses prostaglandin E2 (PGF2α) and plasma oxytocin (OT) during menstruation were determined by radioimmunoassay. Results: After the treatment, of the two 48 cases in treatment and control groups, 18 and 5 were cured, 24 and 9 had marked improvement in their symptoms, 6 and 26 had improvement, 0 and 8 failed in the treatment, with the total effective rates being 100.0% and 83.3% respectively, the therapeutic effect of treatment group was markedly superior to that of control group (P<0.05). After the treatment, the contents of menses PGF2α in treatment group and plasma OT in both groups were significantly lower than those of pre-treatment (P<0.01). The therapeutic effect of moxibustion was significantly better than that of medication in lowering plasma OT. Conclusion: Medicine-separated moxibustion works well in treating primary dysmenorrhea, and moxibustion induced decrease of menses PGF2α and plasma OT may contribute to its effect in relieving dysmenorrhea.

  11. Implementation of a collaborative care model for the treatment of depression and anxiety in a community health center: results from a qualitative case study

    Directory of Open Access Journals (Sweden)

    Eghaneyan BH

    2014-11-01

    Full Text Available Brittany H Eghaneyan,1 Katherine Sanchez,2 Diane B Mitschke2 1Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA; 2School of Social Work, The University of Texas at Arlington, Arlington, TX, USA Background: The collaborative care model is a systematic approach to the treatment of depression and anxiety in primary care settings that involves the integration of care managers and consultant psychiatrists, with primary care physician oversight, to more proactively manage mental disorders as chronic diseases, rather than treating acute symptoms. While collaborative care has been shown to be more effective than usual primary care in improving depression outcomes in a number of studies, less is known about the factors that support the translation of this evidence-based intervention to real-world program implementation. The purpose of this case study was to examine the implementation of a collaborative care model in a community based primary care clinic that primarily serves a low-income, uninsured Latino population, in order to better understand the interdisciplinary relationships and the specific elements that might facilitate broader implementation. Methods: An embedded single-case study design was chosen in order to thoroughly examine the components of one of several programs within a single organization. The main unit of analysis was semi-structured interviews that were conducted with seven clinical and administrative staff members. A grounded theory approach was used to analyze the interviews. Line-by-line initial coding resulted in over 150 initial codes, which were clustered together to rebuild the data into preliminary categories and then divided into four final categories, or main themes. Results: Four unique themes about how the implementation of a collaborative care model worked in this setting emerged from the interviews: organizational change, communication, processes and outcomes of the program, and barriers to

  12. Clinical Observation on the Method of Supplementing Qi, Clearing away Heat and Promoting Blood Circulation for Treating 53 Cases of Gastritis Related to Pyrolic Helicobacterium

    Institute of Scientific and Technical Information of China (English)

    汪悦

    2003-01-01

    According to the clinical experience of professor Shan Zhaowei (单兆伟), the author has successfully developed Qingyou Yangwei Capsule (清幽养胃胶囊capsules for eliminating pyrolic Helicobacterium and nourishing the stomach) for treating the gastritis. Clinical research has shown that the capsule has a good curative effect on chronic gastritis related to pyrolic Helicobacterium. Among the 53 cases in the treatment group, clinical observation showed cure in 6 cases, obvious effect in 18 cases, effect in 24 cases, no effect on 5 cases, with a total effective rate of 90.5%. Of the 50 cases in the control group, cure was found in 5 cases, obvious effect in 13 cases, effect in 20 cases, no effect in 12 cases, the total effective rate being 76%. The total effective rate in the treatment group was higher than that in the control group. The rate of eliminating pyrolic Helicobacterium in the treatment group was 66.04%, similar to that in the control group. In a follow-up visit 6 months later, the recurrence rate in the treatment group was 13.33%, obviously lower than that of 41.66% in the control group.

  13. Could Education Contribute to Reduce Prevalence of HIV among Injecting Drug Users? A Case Study of IDUs from the Rehabilitation Center for Drugs Users

    Science.gov (United States)

    Rajbhandari, Mani Man Singh

    2008-01-01

    This study primarily focuses on Injecting Drug Users (IDUs) from the Narconon Nepal for drugs rehabilitation and prevention center. The study attempt to explore the changing behavior of IDUs from the education received from the rehabilitation center which contributes to reduce the prevalence of HIV among IDUs. The data were collected through semi…

  14. The applied observation of ultrasonography on before and after anti-early pregnancy with mifepristone (reports of 660 cases)

    International Nuclear Information System (INIS)

    Objective: To estimate the clinical significance of ultrasonography on before and after anti-early pregnancy with mifepristone. Methods: 660 cases of premedical abortion were ultrasonic diagnosed to know the status of inner-uterus pregnancy and exclude the taboo of medical abortion; after-medical abortion ultrasonic were performed to find rudimental embryo in uterus, recuperation of uterus, etc. Results: 88.18% of cases are full abortion; 10.15% of cases are semi-abortion; 1.7% of cases are unsuccessful abortion. Conclusions: It is a quick and safe method to use ultrasonography before and after medical abortion. (authors)

  15. Different dose combinations of bortezomib and dexamethasone in the treatment of relapsed or refractory myeloma: an open-label,observational, multi-center study in China

    Institute of Scientific and Technical Information of China (English)

    YUAN Zhen-gang; JIN Jie; HUANG Xiao-jun; LI Yan; CHEN Wen-ming; LIU Zhuo-gang; CHEN Xie-qun; SHEN Zhi-xiang; HOU Jian

    2011-01-01

    Background Although previous clinical study revealed that bortezomib combined with dexamethasone had improved the outcomes of relapsed or refractory multiple myeloma (RRMM), the optimal dose combinations of bortezomib and dexamethasone remain unknown. This trial aimed to observe the efficacy and safety of different dose combinations of bortezomib and dexamethasone in the treatment of RRMM patients in China.Methods A total of 168 patients with relapsed multiple myeloma (MM) who were refractory to at lest two prior treatments were enrolled in this multicenter, open-label, non-randomized, prospective clinical trial. Twenty patients received 1.3 mg/m2 of bortezomib twice weekly for 2 weeks of a 3-week cycle for up to 8 cycles and oral or intravenous dexamethasone 20 mg on the day of and after each bortezomib dose (group 1); 66 patients received less than 1.3 mg/m2(0.7-1.0 mg/m2) of bortezomib and dexamethasone 20 mg on the same schedule (group 2); 37 patients received 1.3 mg/m2 of bortezomib and dexamethasone 40 mg (group 3) and 45 patients received less than 1.3 mg/m2 (0.7-1.0 mg/m2)of bortezomib and dexamethasone 40 mg (group 4). The response was evaluated according to the criteria of the European Group for Blood and Marrow Transplantation and confirmed by an independent review committee. Adverse events were graded according to the National Cancer Institute Common Toxicity Criteria, version 3.0. Results The median age of groups 1 to 4 was 61,62, 56, and 60 years, respectively. Most patients were in stages Ⅱ/Ⅲ of MM and the most common subtype was IgG The rate of overall response to bortezomib and dexamethasone of group 1 to 4 was 72.2% (13/18), 73.8% (48/65), 78.8% (26/33) and 78.0% (32/41) (P=0.91), including a complete response rate of 22.2% (4/18), 20.0% (13/65), 33.3% (11/33) and 29.3% (12/41) (P=0.67), respectively. There was no statistical significance in time to progression and overall survival among these 4 groups (P >0.05). The most

  16. 以家庭为中心的护理模式用于小儿肠造口护理的效果观察%To Observe the Effect of Family Centered Care Model for Pediatric Intestinal Stoma Nursing

    Institute of Scientific and Technical Information of China (English)

    宋静芬

    2016-01-01

    目的:探讨以家庭为中心的护理模式在小儿肠造口护理中的应用效果。方法将86例肠造口患儿按照随机数字表法分为研究组(以家庭为中心护理模式)与对照组(整体护理模式)。结果研究组造口袋更换时间、造口袋更换间隔时间均优于对照组,差异具有统计学意义(P<0.05);研究组患儿并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论小儿肠造口护理中实施以家庭为中心的护理模式,能取得较好临床效果。%Objective To explore the effect of family centered nursing model for pediatric patients with intestinal stoma.Methods According to the random number table method, 86 cases of children with intestinal stoma were divided into study group (the family centered nursing mode) and control group (the whole nursing mode).ResultsThe change time and the change interval time of the replacement of the pocket in the study group were better than thosein the control group, the difference was statistically signiifcant (P<0.05), the incidence rate of complications in the study group was lower than that in the control group, the difference was statistically significant (P<0.05).ConclusionThe implementation of the family centered care model in pediatric patients with intestinal stoma can achieve good clinical effect.

  17. Challenging Our Assumptions: Helping a Baby Adjust to Center Care.

    Science.gov (United States)

    Elliot, Enid

    2003-01-01

    Contends that assumptions concerning infants' adjustment to child center care need to be tempered with attention to observation, thought, and commitment to each individual baby. Describes the Options Daycare program for pregnant teens and young mothers. Presents a case study illustrating the need for openness in strategy and planning for…

  18. A Case Based Analysis Preparation Strategy for Use in a Classroom Management for Inclusive Settings Course: Preliminary Observations

    Science.gov (United States)

    Niles, William J.; Cohen, Alan

    2012-01-01

    Case based instruction (CBI) is a pedagogical option in teacher preparation growing in application but short on practical means to implement the method. This paper presents an analysis strategy and questions developed to help teacher trainees focus on classroom management issues embedded in a set of "real" cases. An analysis of teacher candidate…

  19. Inter-observer agreement according to three methods of evaluating mammographic density and parenchymal pattern in a case control study

    DEFF Research Database (Denmark)

    Winkel, Rikke Rass; von Euler-Chelpin, My Catarina; Nielsen, Mads;

    2015-01-01

    impact reproducibility has on relative risk estimates of breast cancer. METHODS: This retrospective case-control study included 122 cases and 262 age- and time matched controls (765 breasts) based on a 2007 screening cohort of 14,736 women with negative screening mammograms from Bispebjerg Hospital...

  20. OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE COMBINED WITH TDP IRRADIATION AND MASSAGE FOR 600 CASES OF MASTITIS

    Institute of Scientific and Technical Information of China (English)

    WANG Jiu; JIANG Hua

    2002-01-01

    In the present paper, the authors report their results about clinical treatment of 600 cases of mastitis with acupuncture plus TDP irradiation. Main points Tanzhong (CV 17), Quchi (LI L1) and Jiaji (EX-B 2) were punctured, supplemented with other acupoints according to the concrete symptoms and signs and TDP irradiation for 30min. For example, in the treatment of mastitis patients with high fever, bilateral Hegu (LI 4) and Taichong (LR 3)were punctured in combination with pricking blood and cupping methods. After 1 - 10 sessions of treatment (once daily), all the 600 cases were effective, with 510 cases (85%) being cured, 83 cases ( 13.8% ) remarkably effective,and with 7 cases ( 1.2 % ) effective.