WorldWideScience

Sample records for characteristic driven treatment

  1. Vibrational characteristics of fast turbine-driven sets for NPP

    International Nuclear Information System (INIS)

    Monogarov, Yu.I.; Tomashevskij, A.V.; Kirilina, V.N.; Turapin, V.G.; Kvaktun, I.M.; Rogozina, N.V.; Borodulin, M.V.

    1993-01-01

    Vibrational characteristics of fast turbine-driven sets for NPPs are discussed. Results of vibrational tests of these turboaggregates, which include foundations dynamic tests (unloaded one) up to the insolation of aggregate foundations and shaft lead of the turbine aggregate at the final stage of installation as well as vibrational characteristics of the turbogenerator in start-up modes and under load are considered. Operational reliability of the K-1000-60/3000+TB-1000-type aggregates is noted

  2. Offenders: Characteristics and Treatment.

    Science.gov (United States)

    Becker, Judith V.

    1994-01-01

    Reviews what is known about child sex offenders and their treatment. The author discusses the role of paraphilia in child molestation and reviews what is known about juvenile and incest offenders and recidivism rates. What is known about recidivism of untreated offenders and treatment practices is also summarized. Recommendations conclude the…

  3. Operational Characteristics of an Accelerator Driven Fissile Solution System

    International Nuclear Information System (INIS)

    Kimpland, Robert Herbert

    2016-01-01

    Operational characteristics represent the set of responses that a nuclear system exhibits during normal operation. Operators rely on this behavior to assess the status of the system and to predict the consequences of off-normal events. These characteristics largely refer to the relationship between power and system operating conditions. The static and dynamic behavior of a chain-reacting system, operating at sufficient power, is primarily governed by reactivity effects. The science of reactor physics has identified and evaluated a number of such effects, including Doppler broadening and shifts in the thermal neutron spectrum. Often these reactivity effects are quantified in the form of feedback coefficients that serve as coupling coefficients relating the neutron population and the physical mechanisms that drive reactivity effects, such as fissile material temperature and density changes. The operational characteristics of such nuclear systems usually manifest themselves when perturbations between system power (neutron population) and system operating conditions arise. Successful operation of such systems requires the establishment of steady equilibrium conditions. However, prior to obtaining the desired equilibrium (steady-state) conditions, an approach from zero-power (startup) must occur. This operational regime may possess certain limiting system conditions that must be maintained to achieve effective startup. Once steady-state is achieved, a key characteristic of this operational regime is the level of stability that the system possesses. Finally, a third operational regime, shutdown, may also possess limiting conditions of operation that must be maintained. This report documents the operational characteristics of a ''generic'' Accelerator Driven Fissile Solution (ADFS) system during the various operational regimes of startup, steady-state operation, and shutdown. Typical time-dependent behavior for each operational regime will be

  4. Operational Characteristics of an Accelerator Driven Fissile Solution System

    Energy Technology Data Exchange (ETDEWEB)

    Kimpland, Robert Herbert [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-11-28

    Operational characteristics represent the set of responses that a nuclear system exhibits during normal operation. Operators rely on this behavior to assess the status of the system and to predict the consequences of off-normal events. These characteristics largely refer to the relationship between power and system operating conditions. The static and dynamic behavior of a chain-reacting system, operating at sufficient power, is primarily governed by reactivity effects. The science of reactor physics has identified and evaluated a number of such effects, including Doppler broadening and shifts in the thermal neutron spectrum. Often these reactivity effects are quantified in the form of feedback coefficients that serve as coupling coefficients relating the neutron population and the physical mechanisms that drive reactivity effects, such as fissile material temperature and density changes. The operational characteristics of such nuclear systems usually manifest themselves when perturbations between system power (neutron population) and system operating conditions arise. Successful operation of such systems requires the establishment of steady equilibrium conditions. However, prior to obtaining the desired equilibrium (steady-state) conditions, an approach from zero-power (startup) must occur. This operational regime may possess certain limiting system conditions that must be maintained to achieve effective startup. Once steady-state is achieved, a key characteristic of this operational regime is the level of stability that the system possesses. Finally, a third operational regime, shutdown, may also possess limiting conditions of operation that must be maintained. This report documents the operational characteristics of a “generic” Accelerator Driven Fissile Solution (ADFS) system during the various operational regimes of startup, steady-state operation, and shutdown. Typical time-dependent behavior for each operational regime will be illustrated, and key system

  5. Phase-space treatment of the driven quantum harmonic oscillator

    Indian Academy of Sciences (India)

    2017-02-22

    Feb 22, 2017 ... Phase-space treatment of the driven quantum harmonic oscillator. DIÓGENES CAMPOS1,2,∗. 1Universidad La Gran .... whereas some other treatments deal with the coordi- nate representation of the Schrödinger ...... Im[ +(q,p,t)] a structure of leaves that gradually appears over time and, for the values of (q ...

  6. [Kleptomania: clinical characteristics and treatment].

    Science.gov (United States)

    Grant, Jon E; Odlaug, Brian L

    2008-05-01

    Kleptomania, a disabling impulse control disorder, is characterized by the repetitive and uncontrollable theft of items that are of little use to the afflicted person. Despite its relatively long history, kleptomania remains poorly understood to the general public, clinicians, and sufferers. This article reviews the literature for what is known about the clinical characteristics, family history, neurobiology, and treatment options for individuals with kleptomania. Kleptomania generally has its onset in late adolescence or early adulthood and appears to be more common among women. Lifetime psychiatric comorbidity is frequent, mainly with other impulse control (20-46%), substance use (23-50%) and mood disorders (45-100%). Individuals with kleptomania suffer significant impairment in their ability to function socially and occupationally. Kleptomania may respond to cognitive behavioral therapy and various pharmacotherapies (lithium, anti-epileptics, and opioid antagonists). Kleptomania is a disabling disorder that results in intense shame, as well as legal, social, family, and occupational problems. Large scale treatment studies are needed.

  7. Characteristics of Buoyancy Driven Natural Ventilation through Horizontal Openings

    DEFF Research Database (Denmark)

    Li, Zhigang

    and smoke. Air flow through vertical openings has been widely investigated but little is known about the flow in the horizontal openings, especially when they are driven by buoyancy. A literature survey shows that the brine-water system and the scale model are normally used forthe research work of air flow...... for opening ratios L/D range from 0.027 to 4.455. The basic nature of air flow through the openings, including air flow rate, air velocity, temperature difference between the rooms and the dimensions of the horizontal openings, are measured. Smoke visualizations show that the air flow patterns are highly...... combined one vertical opening, the measurements are made for opening ratios AT/AB in the range from 0.11 to 25. The smoke visualizations show that three flow modes can be identified depending on the different AT/AB value: bidirectional flow through the bottom opening, unidirectional flow through the two...

  8. Characteristic signatures of quantum criticality driven by geometrical frustration.

    Science.gov (United States)

    Tokiwa, Yoshifumi; Stingl, Christian; Kim, Moo-Sung; Takabatake, Toshiro; Gegenwart, Philipp

    2015-04-01

    Geometrical frustration describes situations where interactions are incompatible with the lattice geometry and stabilizes exotic phases such as spin liquids. Whether geometrical frustration of magnetic interactions in metals can induce unconventional quantum critical points is an active area of research. We focus on the hexagonal heavy fermion metal CeRhSn, where the Kondo ions are located on distorted kagome planes stacked along the c axis. Low-temperature specific heat, thermal expansion, and magnetic Grüneisen parameter measurements prove a zero-field quantum critical point. The linear thermal expansion, which measures the initial uniaxial pressure derivative of the entropy, displays a striking anisotropy. Critical and noncritical behaviors along and perpendicular to the kagome planes, respectively, prove that quantum criticality is driven be geometrical frustration. We also discovered a spin flop-type metamagnetic crossover. This excludes an itinerant scenario and suggests that quantum criticality is related to local moments in a spin liquid-like state.

  9. Opportunity of characteristic's improvement for accelerator driven systems

    CERN Document Server

    Kiselev, G V

    2001-01-01

    Review of sentences on the investigation into different variations of electronuclear plants be directed to the improvement in characteristics of the plants in an effort to the efficient disposal of long-lived components of radioactive wastes is presented. Attention is drown to the fact that subcritical reactor with complicated neutron valve can be used. This permits for drop in demand to current of proton accelerator. Briefly description of the process scheme with the indication of problems is given

  10. Physiology-driven adaptive virtual reality stimulation for prevention and treatment of stress related disorders.

    Science.gov (United States)

    Cosić, Kresimir; Popović, Sinisa; Kukolja, Davor; Horvat, Marko; Dropuljić, Branimir

    2010-02-01

    The significant proportion of severe psychological problems related to intensive stress in recent large peacekeeping operations underscores the importance of effective methods for strengthening the prevention and treatment of stress-related disorders. Adaptive control of virtual reality (VR) stimulation presented in this work, based on estimation of the person's emotional state from physiological signals, may enhance existing stress inoculation training (SIT). Physiology-driven adaptive VR stimulation can tailor the progress of stressful stimuli delivery to the physiological characteristics of each individual, which is indicated for improvement in stress resistance. Following an overview of physiology-driven adaptive VR stimulation, its major functional subsystems are described in more detail. A specific algorithm of stimuli delivery applicable to SIT is outlined.

  11. Research on Longitudinal Vibration Characteristic of the Six-Cable-Driven Parallel Manipulator in FAST

    Directory of Open Access Journals (Sweden)

    Zhihua Liu

    2013-01-01

    Full Text Available The first adjustable feed support system in FAST is a six-cable-driven parallel manipulator. Due to flexibility of the cables, the cable-driven parallel manipulator bears a concern of possible vibration caused by wind disturbance or internal force from the fine drive system. The purpose of this paper is to analyze vibration characteristic of the six-cable-driven parallel manipulator in FAST. The tension equilibrium equation of the six-cable-driven parallel manipulator is set up regarding the cables as catenaries. Then, vibration equation is established considering the longitudinal vibration of the cables. On this basis, the natural frequencies are depicted in figures since both analytical and numerical solutions are ineffective. Influence of the sags of the cables on the natural frequencies is discussed. It is shown that the sags of the cables will decrease the natural frequencies of the six-cable-driven parallel manipulator. Simplification to acquire the natural frequencies is proposed in this paper. The results justify effectiveness of the simplification to calculate the first-order natural frequencies. Distribution of the first-order natural frequencies in the required workspace is provided based on the simplification method. Finally, parameters optimization is implemented in terms of natural frequencies for building the six-cable-driven parallel manipulator in FAST.

  12. Research on influence factor about the dynamic characteristic of armored vehicle hydraulic-driven fan system

    Science.gov (United States)

    Chao, Zhiqiang; Mao, Feiyue; Liu, Xiangbo; Li, Huaying; Han, Shousong

    2017-01-01

    In view of the large power of armored vehicle cooling system, the demand for high fan speed control and energy saving, this paper expounds the basic composition and principle of hydraulic-driven fan system and establishes the mathematical model of the system. Through the simulation analysis of different parameters, such as displacement of motor and working volume of fan system, the influences of performance parameters on the dynamic characteristic of hydraulic-driven fan system are obtained, which can provide theoretical guidance for system optimization design.

  13. Characteristics of Child Sexual Abuse Treatment Programs.

    Science.gov (United States)

    Keller, Robert A.; And Others

    1989-01-01

    This article presents the findings from a nationwide survey of 553 child sexual abuse treatment programs. The survey focused on program context, client, and service characteristics. Most programs were affiliated with a larger agency, focused on treating victims, and relied on a combination of individual, family, dyad, and group therapy approaches.…

  14. Characteristics, Complications, and Treatment of Acute Pericarditis.

    Science.gov (United States)

    Kloos, Janet A

    2015-12-01

    Acute pericarditis occurs most frequently after a viral attack. Other causes are autoimmune conditions, infection, chest trauma, cardiac surgery, or cardiac procedure. The presenting symptom is retrosternal chest pain. A pericardial rub is characteristic. Diffuse upward sloping ST segments are found with electrocardiogram. Pericardial effusions may be demonstrated with an echocardiogram. High-dose nonsteroidal antiinflammatory medications are the primary treatment. Adding colchicine reduces recurrence. It responds well to pharmacologic therapy within 1 to 2 weeks. Monitoring for complications is essential. The most serious complication is cardiac tamponade. For this, prompt diagnosis and treatment can be life-saving. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. A Requirements-Driven Optimization Method for Acoustic Treatment Design

    Science.gov (United States)

    Berton, Jeffrey J.

    2016-01-01

    Acoustic treatment designers have long been able to target specific noise sources inside turbofan engines. Facesheet porosity and cavity depth are key design variables of perforate-over-honeycomb liners that determine levels of noise suppression as well as the frequencies at which suppression occurs. Layers of these structures can be combined to create a robust attenuation spectrum that covers a wide range of frequencies. Looking to the future, rapidly-emerging additive manufacturing technologies are enabling new liners with multiple degrees of freedom, and new adaptive liners with variable impedance are showing promise. More than ever, there is greater flexibility and freedom in liner design. Subject to practical considerations, liner design variables may be manipulated to achieve a target attenuation spectrum. But characteristics of the ideal attenuation spectrum can be difficult to know. Many multidisciplinary system effects govern how engine noise sources contribute to community noise. Given a hardwall fan noise source to be suppressed, and using an analytical certification noise model to compute a community noise measure of merit, the optimal attenuation spectrum can be derived using multidisciplinary systems analysis methods. The subject of this paper is an analytical method that derives the ideal target attenuation spectrum that minimizes noise perceived by observers on the ground.

  16. Characteristics of ICF Relevant Hohlraums Driven by X-Rays from a Z-Pinch

    International Nuclear Information System (INIS)

    BOWERS, R.L.; CHANDLER, GORDON A.; HEBRON, DAVID E.; LEEPER, RAMON J.; MATUSKA, W.; MOCK, RAYMOND CECIL; NASH, THOMAS J.; OLSON, RICHARD E.; PETERSON, D.L.; PETERSON, R.R.; RUGGLES, LAURENCE E.; RUIZ, CARLOS L.; SANFORD, THOMAS W. L.; SIMPSON, WALTER W.; VESEY, ROGER A.

    1999-01-01

    Radiation environments characteristic of those encountered during the low-temperature foot pulse and subsequent higher-temperature early-step pulses (without the foot pulse) required for indirect-drive ICF ignition on the National ignition Facility have been produced in hohlraums driven by x-rays from a z-pinch. These environments provide a platform to better understand the dynamics of full-scale NIF hohlraums, ablator material, and capsules prior to NIF completion. Radiation temperature, plasma fill, and wall motion of these hohlraums are discussed

  17. Psoriasis: characteristics, psychosocial effects and treatment options.

    LENUS (Irish Health Repository)

    Ryan, Sheila

    2012-02-01

    Psoriasis is a complex chronic non-infectious inflammatory skin disease with a variety of different presentations. The classic presentation is of well-defined red plaques with silver scale. The characteristic scale makes the disorder highly visible and intrusive on the patient\\'s lifestyle. The visible nature of the disease ensures that psoriasis has both physical and psychosocial effects. In normal skin, epidermal cell reproduction and proliferation takes 28 days. In psoriasis this process is considerably accelerated to approximately 4 days, resulting in the deposit of immature cells on the skin. While the exact cause of this process is unknown, certain environmental and genetic factors are known to be triggers. Disease management depends on disease severity, psychosocial effects and the patient\\'s lifestyle. To effectively treat this disease the nurse must be skilled in psoriasis management, and in patient education and motivation. This article reviews the characteristics, aetiology, psychosocial effects and treatment strategies of psoriasis.

  18. Electromechanical coupling vibration characteristics of an AC servomotor-driven translational flexible manipulator

    Directory of Open Access Journals (Sweden)

    Jin-yong Ju

    2016-11-01

    Full Text Available The nonstationary transition status of the motor start-up phase creates great threat against the stable operation of the flexible manipulator system. This article investigates the electromechanical coupling dynamics and vibration response characteristics for a flexible manipulator of an alternating current servomotor-driven linear positioning platform with considering the start-up dynamic characteristics of the motor. Based on the constructed global electromechanical coupling effect and the Lagrange–Maxwell equations, the dynamic model of the whole system is established. The electromechanical coupling vibration mechanism of the flexible manipulator is obtained by analyzing the multiphysical process and multiparameter coupling phenomenon of the whole system. The result demonstrates that the nonstationary transition status of the motor initialization phase is mainly manifested during the disturbance of the three-phase stator current. As the speed of the linear positioning platform increases, the current disturbance, arousing the change of the servo driving force of the linear positioning platform, has dominant frequency shift and frequency amplitude decrease. Then, the vibration response of the flexible manipulator is markedly affected and the variation of the high-order modes vibration response is more obvious. The analysis result is significant for improving the dynamic performance of the motor-driven flexible robot manipulator system.

  19. A community-driven hypertension treatment group in rural Honduras.

    Science.gov (United States)

    Reiger, Sheridan; Harris, Jeffrey R; Chan, Kwun Chuen Gary; Oqueli, Hector Lopez; Kohn, Marlana

    2015-01-01

    We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control. This is a program evaluation using quasi-experimental design and no control group. Using data from the 86 members of the hypertension treatment group, we analyzed baseline and follow-up surveys of members, along with 30 months of clinical records of treatment, medication adherence, and blood pressure readings. Our initial hypertension needs assessment revealed that at baseline, community hypertensives relied on the local Ministry of Health clinic as their source of anti-hypertensive medications and reported that irregular supply interfered with medication adherence. At baseline, hypertension group members were mainly female, overweight or obese, physically active, non-smoking, and non-drinking. After 30 months of managing the treatment group, we found a significant increase in medication adherence, from 54.8 to 76.2% (p<0.01), and hypertension control (<140/90 mmHg), from 31.4 to 54.7% (p<0.01). We also found a mean monthly decrease of 0.39 mmHg in systolic blood pressure (p<0.01). At the end of the 30-month observation period, the local Ministry of Health system had increased provision of low-cost anti-hypertensive medications and adopted the hypertension treatment group's treatment protocols. Formation of a self-funded, community-based hypertension treatment group in a rural, resource-poor community is feasible, and group participation may improve treatment, medication adherence, and hypertension control and can serve as a political driver for improving hypertension treatment services provided by the public

  20. [Richter syndrome: clinical characteristics and treatment experiences].

    Science.gov (United States)

    Li, Zeng-jun; Xu, Yan; Zhang, Pei-hong; Liu, Wei; Yi, Shu-hua; Zou, De-hui; Qi, Jun-yuan; Zhao, Yao-zhong; Qiu, Lu-gui

    2012-12-11

    To summarize the clinical characteristics of Richter syndrome and explore the methods of successful treatment and timely diagnosis. Five patients with Richter syndrome in the last three years (from January 2009 to December 2011) were analyzed retrospectively at our hospital, including their clinical features and therapy before and after transformation. There were 4 males and 1 female with a median age on a diagnosis of chronic lymphocytic leukemia (CLL) at 47 (44 - 68) years. The median duration from a diagnosis of CLL to transformation was 52 (5 - 90) months. As for cytogenetic abnormalities, 3/4 patients had 17p deletion by fluorescence in situ hybridization (FISH). The clinical manifestations on transformation included regional enlargement of lymph node (n = 2) and systemic enlargement of lymph nodes (n = 3). All diagnoses were confirmed by lymph node biopsy and all transformed into diffuse large B cell lymphoma (classical transformation). The subgroups were germinal center B-cell like (GCB) (n = 3) and non-GCB (n = 1). After transformation, one patient underwent sibling allo-stem cell transplantation and survived 24 months until April 2012. Another patient with auto-stem cell transplantation relapsed and died 12 months later. One patient lost the treatment opportunity due to worsening condition. Another 2 patients gained partial remission after therapy and survived 20 and 8 months respectively. Richter syndrome may occur during a late stage of CLL. Such a high-risk cytogenetic abnormality as del17p may be correlated with transformation. Early identification and optimal therapy may extend the survival of Richter syndrome. Allo-stem cell transplantation remains a curable option.

  1. Channel-width dependent pressure-driven flow characteristics of shale gas in nanopores

    Directory of Open Access Journals (Sweden)

    Jie Chen

    2017-04-01

    Full Text Available Understanding the flow characteristics of shale gas especially in nanopores is extremely important for the exploitation. Here, we perform molecular dynamics (MD simulations to investigate the hydrodynamics of methane in nanometre-sized slit pores. Using equilibrium molecular dynamics (EMD, the static properties including density distribution and self-diffusion coefficient of the confined methane are firstly analyzed. For a 6 nm slit pore, it is found that methane molecules in the adsorbed layer diffuse more slowly than those in the bulk. Using nonequilibrium molecular dynamics (NEMD, the pressure-driven flow behavior of methane in nanopores is investigated. The results show that velocity profiles manifest an obvious dependence on the pore width and they translate from parabolic flow to plug flow when the width is decreased. In relatively large pores (6 – 10 nm, the parabolic flow can be described by the Navier-Stokes (NS equation with appropriate boundary conditions because of its slip flow characteristic. Based on this equation, corresponding parameters such as viscosity and slip length are determined. Whereas, in small pores (∼ 2 nm, the velocity profile in the center exhibits a uniform tendency (plug flow and that near the wall displays a linear increase due to the enhanced mechanism of surface diffusion. Furthermore, the profile is analyzed and fitted by a piecewise function. Under this condition, surface diffusion is found to be the root of this anomalous flow characteristic, which can be negligible in large pores. The essential tendency of our simulation results may be significant for revealing flow mechanisms at nanoscale and estimating the production accurately.

  2. Landfill leachate treatment by solar-driven AOPs

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, Elisangela M.R. [Universidade Federal do Ceara, Campus do Pici, Centro de Tecnologia, Departamento de Engenharia Hidraulica e Ambiental, Laboratorio de Saneamento (LABOSAN), Avenida da Universidade, 2853 - Benfica, 60020-181 Fortaleza (Brazil); Vilar, Vitor J.P.; Boaventura, Rui A.R. [LSRE - Laboratory of Separation and Reaction Engineering, Departamento de Engenharia Quimica, Faculdade de Engenharia da Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto (Portugal); Fonseca, Amelia; Saraiva, Isabel [Efacec Ambiente, SA, Rua Eng. Frederico Ulrich - Guardeiras, Apartado 3003, 4471-907 Moreira da Maia (Portugal)

    2011-01-15

    Sanitary landfill leachate resulting from the rainwater percolation through the landfill layers and waste material decomposition is a complex mixture of high-strength organic and inorganic compounds which constitutes serious environmental problems. In this study, different heterogeneous (TiO{sub 2}/UV, TiO{sub 2}/H{sub 2}O{sub 2}/UV) and homogenous (H{sub 2}O{sub 2}/UV, Fe{sup 2+}/H{sub 2}O{sub 2}/UV) photocatalytic processes were investigated as an alternative for the treatment of a mature landfill leachate. The addition of H{sub 2}O{sub 2} to TiO{sub 2}/UV system increased the reduction of the aromatic compounds from 15% to 61%, although mineralization was almost the same. The DOC and aromatic content abatement is similar for the H{sub 2}O{sub 2}/UV and TiO{sub 2}/H{sub 2}O{sub 2}/UV processes, although the H{sub 2}O{sub 2} consumption is three times higher in the H{sub 2}O{sub 2}/UV system. The low efficiency of TiO{sub 2}/H{sub 2}O{sub 2}/UV system is presumably due to the alkaline leachate solution, for which the H{sub 2}O{sub 2} becomes highly unstable and self-decomposition of H{sub 2}O{sub 2} occurs. The efficiency of the TiO{sub 2}/H{sub 2}O{sub 2}/UV system increased 10 times after a preliminary pH correction to 4. The photo-Fenton process is much more efficient than heterogeneous (TiO{sub 2}, TiO{sub 2}/H{sub 2}O{sub 2}/UV) or homogeneous (H{sub 2}O{sub 2}/UV) photocatalysis, showing an initial reaction rate more than 20 times higher, and leading to almost complete mineralization of the wastewater. However, when compared with TiO{sub 2}/H{sub 2}O{sub 2}/UV with acidification, the photo-Fenton reaction is only two times faster. The optimal initial iron dose for the photo-Fenton treatment of the leachate is 60 mg Fe{sup 2+} L{sup -1}, which is in agreement with path length of 5 cm in the photoreactor. The kinetic behaviour of the process (60 mg Fe{sup 2+} L{sup -1}) comprises a slow initial reaction, followed by a first-order kinetics (k = 0.020 LkJ{sub UV

  3. Characteristics and diagnosis of a new type radio frequency driven in vacuum arc ion source

    International Nuclear Information System (INIS)

    Zakhary, S.G.

    2001-01-01

    The discharge mechanism of this source is based on the use of mixed discharge formed by the use of both RF-driven (15 MHz-300W) and vacuum arc to create discharge plasma of higher intensity. The basic construction of the source is in the form of a cylindrical anode which is immersed in non homogeneous axial magnetic field of 500Gauss measured at the source center. The anode is terminated from its both ends with two cathodes, thus allowing the electrons to be oscillate between the two cathodes. An internal antenna is used to couple the RF power to the plasma through a matching circuit formed from an inductor connected in parallel with capacitor, in order to insure maximum power transfer to the plasma. The oscillating electrons thus absorb energy from both RF and DC fields in the gaps between the cathodes and the anode due to the arc discharge. In order to investigate and optimize the source characteristics, the influence of the discharge pressure, magnetic field, discharge voltage and RF power on the source characteristics have been studied. The source is considered self extracted ion current and could deliver ion currents of ∼10A for thin beam (diameter ∼4mm.) and ∼20 mA for broad beam (diameter ∼6cm.) at ∼200V extraction voltage. The plasma is diagnosed using double Langumier probes. The plasma intensity could reach ∼8x10 11 elec./cm 3 and the plasma temperature ∼14 eV. Lower ignition voltage (50 up to 200V) and higher plasma intensity feature the characteristics of this source. The beam diagnostics (for thin beam) of this source are measured, which include: the beam profiles, beam emittance, energy spread and distribution of the ion species in the ion beam. The increase of the anode voltage affects decrease of the beam emittance, while the energy spread increases with the decrease of the discharge pressure. The beam emittance is found to be around 200 up to 400 mm.m.rad. and the energy spread of the ions in the ion beam is around 40 up to 80 eV. The

  4. Flow Characteristics of Lid-Driven Cavities with Particle Suspensions using an Eulerian-Lagrangian Modeling Approach

    Science.gov (United States)

    Adesemowo, Morakinyo; Shelton, John

    2016-11-01

    Previous experimental and numerical investigations involving lid-driven cavity flows with particle suspensions have primarily focused on particle tracking and the visualization of complex three-dimensional structures that compose the flow field. However, these particle suspensions and their resulting particle-particle interactions could also be viewed as a system of time-dependent perturbation equations to the steady-state Navier-Stokes equations and could affect both the stability and steady-state characteristics of the two-dimensional lid-driven cavity system. In this investigation, an Eulerian-Lagrangian approach to modeling particle suspensions in the lid-driven cavity is utilized in FV-CFD simulations to investigate the effect particle density, area fraction, and Reynolds number have on the two-dimensional flow characteristics of a laminar fluid. Observations have indicated that the development of the primary vortex in the lid-driven cavity varies according to the area fraction of particle suspensions in the system; transitioning from development via an adverse pressure gradient at the top-right corner of the cavity towards particle-laden behavior where particle-particle interactions dominate the development of the primary vortex. Dynamic responses were also observed for particle systems of less dense particles. Finally, a comparison between flows perturbed using disturbance velocities and from particle interactions was performed.

  5. Analysis of External Treatment Methods and Technical Characteristics of External Treatment

    Science.gov (United States)

    Zhang, Rui; Miao, Mingsan; Bai, Ming

    2018-01-01

    Chinese medicine external therapy is a treatment method of Chinese medicine with Chinese characteristics. The effect of traditional Chinese medicine external treatment, convenient operation, external treatment and technology has great prospects for development. The traditional Chinese medicine external treatment method and technical characteristics were analyzed.

  6. [Apnea of prematurity - characteristic and treatment].

    Science.gov (United States)

    Goryniak, Aleksandra; Szczęśniak, Angelika; Śleboda, Daria; Dołęgowska, Barbara

    2017-01-01

    Apnea of prematurity (AOP) can affect even 85-100% of premature newborns and is related to lack of full maturity of organs. AOP is manifesting by 15-20 seconds cessations of breathing accompanied by bradycardia and oxygen desaturation, what can lead to hypoxia or death. Therefore it is very important to implement the effective and safe treatment immediately after birth. Widely used caffeine citrate, which stimulates the respiratory system, improving the working of the respiratory muscles. However the metabolism of caffeine citrate is difficult in preterm infants due to the immaturity of the hepatic enzyme system, what can lead to the occurrence of side effects and toxicity. To avoid the toxic effects of caffeine, and at the same time the lack of efficacy associated with administration of too low doses, this therapy should be monitored by measuring the concentration of caffeine in the plasma of treated infants. This would provide the maintenance of therapeutic levels of caffeine and optimization of the treatment.

  7. Chronic migraine--classification, characteristics and treatment

    DEFF Research Database (Denmark)

    Diener, Hans-Christoph; Dodick, David W; Goadsby, Peter J

    2012-01-01

    According to the revised 2nd Edition of the International Classification of Headache Disorders, primary headaches can be categorized as chronic or episodic; chronic migraine is defined as headaches in the absence of medication overuse, occurring on =15 days per month for =3 months, of which...... headaches on =8 days must fulfill the criteria for migraine without aura. Prevalence and incidence data for chronic migraine are still uncertain, owing to the heterogeneous definitions used to identify the condition in population-based studies over the past two decades. Chronic migraine is severely...... disabling and difficult to manage, as affected patients experience substantially more-frequent headaches, comorbid pain and affective disorders, and fewer pain-free intervals, than do those with episodic migraine. Data on the treatment of chronic migraine are scarce because most migraine-prevention trials...

  8. Improving sewage wastewater characteristics using radiation treatment

    International Nuclear Information System (INIS)

    El-Motaium, R.A.; Sabry, A.; El-Ammari, M.F.

    2005-01-01

    Raw and treated sewage wastewater, collected from El-Gabal El-Asfar wastewater treatment plant (WWTP), irradiated and non-irradiated, were tested in order to determine the lethal radiation dose for total coliform and the effect of radiation on biological oxygen demand (BOD) and chemical oxygen demand (COD). Various gamma radiation and electron beam doses (0, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0 KGy) were used in this study. A negative relationship between the radiation dose and the total coliform population was recorded. The increase in the radiation dose was accompanied by a decrease in total coliform count. The lethal doses of gamma radiation for total coliform in raw and treated sewage wastewater were 1.5 and 1.0 KGy, respectively, whereas the lethal doses of the electron beam for total coliform in raw and treated sewage wastewater were 3.0 and 2.0 KGy, respectively. Gamma radiation resulted in a reduction of BOD and COD by about 70% whereas the electron beam resulted in 55% reduction in BOD and COD at a dose of 4 KGy. The different sources of radiation (gamma and electron beam) used in this study caused variations in the magnitude of total coliform elimination. At any radiation dose received, gamma radiation proved to be more efficient than electron beam in total coliform elimination

  9. Energy Conversion and Transmission Characteristics Analysis of Ice Storage Air Conditioning System Driven by Distributed Photovoltaic Energy System

    Directory of Open Access Journals (Sweden)

    Yongfeng Xu

    2016-01-01

    Full Text Available In order to reduce the investment and operation cost of distributed PV energy system, ice storage technology was introduced to substitute batteries for solar energy storage. Firstly, the ice storage air conditioning system (ISACS driven by distributed photovoltaic energy system (DPES was proposed and the feasibility studies have been investigated in this paper. And then, the theoretical model has been established and experimental work has been done to analyze the energy coupling and transferring characteristics in light-electricity-cold conversion process. In addition, the structure optimization analysis was investigated. Results revealed that energy losses were high in ice making process of ice slide maker with only 17.38% energy utilization efficiency and the energy efficiency and exergy efficiency of ISACS driven by DPES were 5.44% and 67.30%, respectively. So the immersed evaporator and cointegrated exchanger were adopted for higher energy utilization efficiency and better financial rewards in structure optimization. The COP and exergy efficiency of ice maker can be increased to 1.48 and 81.24%, respectively, after optimization and the energy utilization efficiency of ISACS driven by DPES could be improved 2.88 times. Moreover, ISACS has the out-of-the-box function of ordinary air conditioning system. In conclusion, ISACS driven by DPES will have good application prospects in tropical regions without power grid.

  10. Transmission Characteristics on Wire-Driven Links of a Bridge Transported Servo Manipulator for the ACP Equipment Maintenance

    International Nuclear Information System (INIS)

    Park, Byung Suk; Jin, Jae Hyun; Song, Tae Gil; Kim, Sung Hyun; Yoon, Ji Sup

    2004-01-01

    A bridge transported servo manipulator (BTSM) system for the advanced spent fuel conditioning process (ACP) has been developed to overcome the limitation of access, which is a drawback of mechanical master-slave manipulators (MSM) for the equipment maintenance. The servo manipulator is composed of a slave manipulator attached to the telescoping tube sets equipped with the overhead bridge installed at a hot cell and a master manipulator installed at an out-of-hot cell. Each manipulator has 7 degrees-of-freedom (DOF): a body rotation, an upper-arm tilt, a lower-arm tilt, a lower-arm rotation, a wrist pan and tilt, and a grasp motion. A wire-driven mechanism for a lower-arm rotation, a wrist pan and tilt, and a grasp motion of the manipulator has been adopted to increase the handling capacity compared to the manipulator weight and decrease the friction. The main disadvantage of the wire-driven mechanism is that if one link is in motion, other links can be affected. In this paper, the transmission characteristics among the wire-driven links have been formulated to overcome this drawback. The unexpected behaviors are confirmed by analyses of transmission characteristics as well as experiments. Also, the experimental results show that the unexpected behaviors are greatly decreased by the proposed compensation equations

  11. Evaluation of emission characteristics and compliance of emission standards for in-use petrol driven vehicles in Delhi.

    Science.gov (United States)

    Sarin, S M; Singh, A; Sharma, N; Sharma, K; Shanmugum, P

    2001-01-01

    The tail pipe CO (carbon monoxide) and HC (hydrocarbon) emission characteristics of in-use petrol driven vehicles were evaluated between November 1996 through September 1997 in Delhi. A total of 4300 vehicles were checked at CRRI Pollution Checking Centre. Approximately 90% of the total vehicles meet the prescribed CO emission standards even without following routine I/M practices. The age of the vehicles appeared to have influence on the emission characteristics. The non-compliance level was found to be higher for older vehicles. Insignificant correlation was observed between CO and HC emissions for all categories of in-use petrol driven vehicles. The emission reduction (gain) in CO and HC emissions was observed for two wheelers equipped with four-stroke engines and four wheelers fitted with catalytic converters over their respective conventional vehicles. The observed high compliance levels indicate that existing tail pipe emission standards are lenient and need to be reviewed. The emission standards are proposed for different categories of in-use petrol driven vehicles.

  12. Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

    Science.gov (United States)

    Dowling, Nicki A.; Cosic, Sanja

    2011-01-01

    Previous research examining the factors associated with problem gambling treatment outcomes has examined client factors and to date, treatment characteristics, therapist factors, and client-therapist interactions have essentially remained unexplored. This study aimed to investigate how client engagement variables (client-rated therapeutic…

  13. Evaluation of Cellulosic Fabrics Surface Characteristics after Different Treatments

    OpenAIRE

    Vitalija MASTEIKAITĖ; Ulzan SMAILOVA; Maira NURZHASAROVA; Virginija SACEVIČIENĖ; Tadas KLEVECKAS

    2014-01-01

    Various clothes treatments during their manufacture and wear change the fabrics physical and surface characteristics. The different testing methods for fabrics quality evaluation are used in this research. The aim of this work is to examine the effect of enzyme treatment, laundering and abrasion on the appearance of different cellulosic fabrics. Six cotton and cotton blend woven fabrics used for faded garments production were chosen for this examination. Treatments such, as enzyme wash, domes...

  14. Plasma characteristics of a large RF-driven negative hydrogen ion source

    International Nuclear Information System (INIS)

    Takanashi, Toshihiko; Takeiri, Yasuhiko; Kaneko, Osamu; Oka, Yoshihide; Tsumori, Katsuyoshi; Kuroda, Tsutomu

    1996-01-01

    A large rf-driven negative hydrogen ion source has been developed for a neutral beam injection (NBI) system in future experimental fusion devices. Dimensions of the rf plasma generator are 30 x 30 x 20 cm 3 . An induction coil antenna is fully immersed into the plasma generator. The rf-driven plasma with an electron density of 1.5 x 10 12 cm -3 was generated at 28 kW rf power at a frequency of 2 MHz. The electron temperature in the extraction region decreases as the line-integrated magnetic filter field strength increases. An electron temperature in the extraction region of 1 eV, which is suitable for generating negative ions, was obtained at a line-integrated filter field strength of 1030 G cm. Negative hydrogen ions are extracted from a single aperture of 13 mm in diameter in a pure-volume operation. An extracted negative ion current of 5.5 mA was obtained at 13.1 mTorr gas pressure and 15 kW rf power. This negative ion current corresponds to a power efficiency of 5.0 (mA/cm 2 )/(W/cm 3 ), which is superior to that in filament-arc negative ion sources. (author)

  15. Magnetic-field flux density and spectral characteristics of motor-driven personal appliances.

    Science.gov (United States)

    Wilson, B W; Hansen, N H; Davis, K C

    1994-01-01

    Flux density and spectral measurements were carried out on magnetic fields generated by several types of motor-driven personal appliances used near the body. Among the units tested were several for which the average flux densities, as determined at the surfaces of the appliance, exceeded 0.4 mT. Time-rates-of-change (dB/dt) for several units exceeded 1000 T/s, and several units exhibited high-frequency components in the low-MHz range. Use of such appliances, although normally of short duration, can represent exposure to magnetic fields of relatively high flux density, which may also have high-frequency components. Compared to other household and commercial sources of magnetic fields, those generated by certain motor-driven personal appliances may represent a significant contribution to time-weighted average exposure and may represent an important source of local induced currents in the body. Furthermore, high-frequency transients that represent only a minor contribution to time-weighted average exposure may generate significant instantaneous induced currents.

  16. Optimum performance characteristics of a solar-driven Stirling heat engine system

    International Nuclear Information System (INIS)

    Liao, Tianjun; Lin, Jian

    2015-01-01

    Graphical abstract: T–S diagram of the SHE cycle. - Highlights: • Based on Lagrange multiplier method, the optimal performance are investigated. • The energy balance between the absorber and the hot side of Stirling heat engine is considered. • The effects of major parameters on the optimal performance are investigated. - Abstract: A solar-driven Stirling heat engine system composed of a Stirling heat engine, a solar collector, and a heat sink is presented, in which the radiation and convection heat losses of the solar collector, the heat-leak between the thermal absorber and heat sink, the regenerative losses of the Stirling heat engine, and the energy balance between the thermal absorber and the high isothermal process of the Stirling heat engine are taken into consideration. Based on the irreversible thermodynamics and Lagrange multiplier method, the maximum power output and the corresponding optimal efficiency of the system are determined and the absorber temperature that maximizes the optimal system efficiency is calculated numerically. The influences of some system parameters such as the concentrating ratio, the volume ratio during the regenerative processes and irreversibilities of heat exchange processes on the optimal efficiency are analyzed in details. The results obtained here may provide a new idea to design practical solar-driven Stirling heat engine system

  17. Technoeconomic Optimization of Waste Heat Driven Forward Osmosis for Flue Gas Desulfurization Wastewater Treatment

    Energy Technology Data Exchange (ETDEWEB)

    Gingerich, Daniel B [Carnegie Mellon Univ., Pittsburgh, PA (United States); Bartholomew, Timothy V [Carnegie Mellon Univ., Pittsburgh, PA (United States); Mauter, Meagan S [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    2017-06-26

    With the Environmental Protection Agency’s recent Effluent Limitation Guidelines for Steam Electric Generators, power plants are having to install and operate new wastewater technologies. Many plants are evaluating desalination technologies as possible compliance options. However, the desalination technologies under review that can reduce wastewater volume or treat to a zero-liquid discharges standard have a significant energy penalty to the plant. Waste heat, available from the exhaust gas or cooling water from coal-fired power plants, offers an opportunity to drive wastewater treatment using thermal desalination technologies. One such technology is forward osmosis (FO). Forward osmosis utilizes an osmotic pressure gradient to passively pull water from a saline or wastewater stream across a semi-permeable membrane and into a more concentrated draw solution. This diluted draw solution is then fed into a distillation column, where the addition of low temperature waste heat can drive the separation to produce a reconcentrated draw solution and treated water for internal plant reuse. The use of low-temperature waste heat decouples water treatment from electricity production and eliminates the link between reducing water pollution and increasing air emissions from auxiliary electricity generation. In order to evaluate the feasibility of waste heat driven FO, we first build a model of an FO system for flue gas desulfurization (FGD) wastewater treatment at coal-fired power plants. This model includes the FO membrane module, the distillation column for draw solution recovery, and waste heat recovery from the exhaust gas. We then add a costing model to account for capital and operating costs of the forward osmosis system. We use this techno-economic model to optimize waste heat driven FO for the treatment of FGD wastewater. We apply this model to three case studies: the National Energy Technology Laboratory (NETL) 550 MW model coal fired power plant without carbon

  18. Impact of child and family characteristics on cerebral palsy treatment.

    Science.gov (United States)

    Rackauskaite, Gija; Uldall, Peter W; Bech, Bodil H; Østergaard, John R

    2015-10-01

    The aim of the study was to describe the relationship between the child's and family's characteristics and the most common treatment modalities in a national population-based sample of 8- to 15-year-old children with cerebral palsy. A cross-sectional study, based on the Danish Cerebral Palsy Registry. The parents of 462 children answered a questionnaire about their child's treatment and the family's characteristics (living with a single parent, having siblings, living in a city, parental education level). Descriptive and logistic regression analyses were performed for every treatment modality, stratified by Gross Motor Function Classification System (GMFCS) level. An IQ below 85 was associated with weekly therapy in GMFCS level I (adjusted odds ratio [ORadj ] 2.5 [CI 1.1-5.7]) and the use of oral spasmolytics in GMFCS levels III to V (ORadj 3.1 [CI 1.3-7.4]). Older children in GMFCS levels III to V used daily orthoses less frequently (ORadj 0.7 [CI 0.6-0.9] per year). Of all of the family characteristics studied, only the parents' education level had significant associations with more than one treatment modality. A child's cognitive function showed an impact on treatment of the motor impairment in children 8 to 15 years of age with cerebral palsy. Parental education level may influence the choice of treatment. © 2015 Mac Keith Press.

  19. Treatment for occult hepatocellular carcinoma: does it offer survival advantages over symptom-driven treatment?

    Science.gov (United States)

    Kim, Kwang Min; Kim, Jiyu; Sinn, Dong Hyun; Kim, Hye Seung; Kim, Kyunga; Kang, Wonseok; Gwak, Geum-Youn; Paik, Yong-Han; Choi, Moon Seok; Lee, Joon Hyeok; Koh, Kwang Cheol; Paik, Seung Woon

    2018-04-03

    In order to claim a benefit of screen-based diagnosis for asymptomatic individuals, treatment of occult disease needs to offer survival advantages compared to the treatment of symptomatic disease, yet information on this issue is scarce with regard to hepatocellular carcinoma (HCC) screening. A total of 3353 treatment-naïve, consecutive, newly diagnosed HCC patients [age: 57.9 ± 10.3, male: 2,689 (80.2%), hepatitis B virus: 2555 (76.2%)], diagnosed between 2010 and 2013 were analyzed. Data on the mode of detection was prospectively collected at the time of HCC diagnosis and was used to group patients into occult or symptomatic cases. Overall, 643 (19.2%) patients were symptomatic cases. The proportion of patients undergoing resection, radiofrequency ablation or transplantation were lower in symptomatic cases than occult cases (20.8 vs. 56.2%, p offered a survival benefit to patients over symptomatic cases. These data support screening practices for asymptomatic individuals to diagnose occult HCC.

  20. clinico-pathologic characteristics and treatment outcomes in children

    African Journals Online (AJOL)

    2009-12-01

    Dec 1, 2009 ... CLINICO-PATHOLOGIC CHARACTERISTICS AND TREATMENT OUTCOMES OF CHILDREN WITH. NEUROBLASTOMA AT THE KENYATTA ... In a study involving 787 cases of childhood cancers at. KNH, (excluding ... value in neuroblastoma include the MYCN oncogene over expression, present in ...

  1. Client Judgement of Therapist Characteristics: A Factor in Treatment Outcome.

    Science.gov (United States)

    Chambers, Alycia A.; And Others

    This study, based on Strong's (1968) model of therapy as social influence, focused on the relationship between clients' judgments of therapists' characteristics and the outcomes of their treatment for generalized anxiety. Thirty subjects and 15 therapists met in 12 individual therapy sessions using Progressive Relaxation Training combined with…

  2. Clinico-pathologic characteristics and treatment outcomes in ...

    African Journals Online (AJOL)

    Clinico-pathologic characteristics and treatment outcomes in children with neuroblastoma at the Kenyatta National Hospital, Nairobi. ... Diagnosis of neuroblastoma was based on tissue biopsy in 50% (95% CI 40.6-79.8%) of the patients, and on fine needle aspiration cytology of mass or bone marrow in the rest. Bone ...

  3. Insomnia heterogeneity : Characteristics to consider for data-driven multivariate subtyping

    NARCIS (Netherlands)

    Benjamins, Jeroen S; Migliorati, Filippo; Dekker, Kim; Wassing, Rick; Moens, Sarah; Blanken, Tessa F; Te Lindert, Bart H W; Sjauw Mook, Jeffrey; Van Someren, Eus J W

    2017-01-01

    Meta-analyses and systematic reviews have reported surprisingly few consistent insomnia-characteristics with respect to cognitions, mood, traits, history of life events and family history. One interpretation of this limited consistency is that different subtypes of insomnia exist, each with its own

  4. Insomnia heterogeneity: Characteristics to consider for data-driven multivariate subtyping.

    NARCIS (Netherlands)

    Benjamins, Jeroen S; Migliorati, Filippo; Dekker, Kim; Wassing, Rick; Moens, Sarah; Blanken, Tessa F; Te Lindert, Bart H W; Sjauw Mook, Jeffrey; Van Someren, Eus J W

    2017-01-01

    Meta-analyses and systematic reviews have reported surprisingly few consistent insomnia-characteristics with respect to cognitions, mood, traits, history of life events and family history. One interpretation of this limited consistency is that different subtypes of insomnia exist, each with its own

  5. Effect of heat treatment on interface driven magnetic properties of CoFe films

    International Nuclear Information System (INIS)

    Singh, Akhilesh Kr.; Hsu, Jen-Hwa

    2017-01-01

    Highlights: • Ta underlayer and cap layer dependent anisotropy nature in thin CoFe films. • Thin Ta layer induces the magnetization component along normal to the film plane. • Heat treatment and Ta layers driven surface morphology, roughness and grain size. • Roughness reduces more than an order of magnitude with 2 nm Ta cap layer. • H C , domain patterns and domain size depend on Ta layers and heat treatment. - Abstract: We report systematic studies on non-magnetic Ta underlayer and cap layer driven microstructural and magnetic properties at a wide temperature range for CoFe films. All the films were grown at room temperature and post annealed at different annealing temperatures (T A = 200 °C, 250 °C, 300 °C, 350 °C, 400 °C and 450 °C). The in-plane magnetic hysteresis (M–H) loops of 10 nm thick CoFe single layer films, grown directly on thermally oxidized Si substrate, exhibit anisotropic nature for T A above 250 °C. However, the CoFe (10 nm) films grown on the 5 nm thick Ta underlayer show reduced anisotropy. Moreover, with underlayer and cap layers (2 nm) the anisotropy is disappeared. The in-plane coercivity (H C ) shows a strong variation with T A , underlayer and cap layers. H C increases significantly with Ta underlayer and cap layers. The out of plane M–H loops exhibit increase in the remanence magnetization and squareness with both Ta underlayer and cap layers due to transition of in-plane magnetization component to the out of plane direction. The atomic force microscopic observations revealed that grain/particle size and shape depend strongly on T A and Ta layers. Moreover, a large reduction in the surface roughness is observed with the Ta cap layer. The magnetic domain patterns depend on the T A , and Ta layers. However, for Ta/CoFe/Ta films no clear domains were observed for all the T A . Hence, the Ta cap layers not only protect the CoFe magnetic layer against the heat treatment, but also show a smooth surface at a wide

  6. Effect of heat treatment on interface driven magnetic properties of CoFe films

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Akhilesh Kr., E-mail: drakhintu@gmail.com; Hsu, Jen-Hwa

    2017-06-15

    Highlights: • Ta underlayer and cap layer dependent anisotropy nature in thin CoFe films. • Thin Ta layer induces the magnetization component along normal to the film plane. • Heat treatment and Ta layers driven surface morphology, roughness and grain size. • Roughness reduces more than an order of magnitude with 2 nm Ta cap layer. • H{sub C}, domain patterns and domain size depend on Ta layers and heat treatment. - Abstract: We report systematic studies on non-magnetic Ta underlayer and cap layer driven microstructural and magnetic properties at a wide temperature range for CoFe films. All the films were grown at room temperature and post annealed at different annealing temperatures (T{sub A} = 200 °C, 250 °C, 300 °C, 350 °C, 400 °C and 450 °C). The in-plane magnetic hysteresis (M–H) loops of 10 nm thick CoFe single layer films, grown directly on thermally oxidized Si substrate, exhibit anisotropic nature for T{sub A} above 250 °C. However, the CoFe (10 nm) films grown on the 5 nm thick Ta underlayer show reduced anisotropy. Moreover, with underlayer and cap layers (2 nm) the anisotropy is disappeared. The in-plane coercivity (H{sub C}) shows a strong variation with T{sub A}, underlayer and cap layers. H{sub C} increases significantly with Ta underlayer and cap layers. The out of plane M–H loops exhibit increase in the remanence magnetization and squareness with both Ta underlayer and cap layers due to transition of in-plane magnetization component to the out of plane direction. The atomic force microscopic observations revealed that grain/particle size and shape depend strongly on T{sub A} and Ta layers. Moreover, a large reduction in the surface roughness is observed with the Ta cap layer. The magnetic domain patterns depend on the T{sub A}, and Ta layers. However, for Ta/CoFe/Ta films no clear domains were observed for all the T{sub A}. Hence, the Ta cap layers not only protect the CoFe magnetic layer against the heat treatment, but also

  7. The effect of driven exercise on treatment outcomes for adolescents with anorexia and bulimia nervosa.

    Science.gov (United States)

    Stiles-Shields, Colleen; DclinPsy, Bryony Bamford; Lock, James; Le Grange, Daniel

    2015-05-01

    This study investigated the prevalence of driven exercise (DE) and its role in treatment outcome for adolescents with bulimia nervosa (BN) and anorexia nervosa (AN). Participants were 201 adolescents with an eating disorder (ED) (80 with BN and 121 with AN) presenting for outpatient treatment at two specialist clinics. All adolescents participated in one of two randomized controlled trials. Descriptive statistics were conducted to evaluate the presence and frequency of baseline DE. Exploratory hierarchical regressions were used to evaluate the effect of baseline DE on treatment outcomes. About 66.3% of adolescents with BN and 23.1% of adolescents with AN presented with baseline DE. The presence of baseline DE predicted significantly worse outcomes for adolescents with AN in terms of ED symptom severity (ps adolescents with BN (ps adolescents with BN and AN. However, DE may be related to different constructs for adolescents with AN than those with BN, suggesting differences in treatment needs. © 2014 Wiley Periodicals, Inc.

  8. Evaluation of Cellulosic Fabrics Surface Characteristics after Different Treatments

    Directory of Open Access Journals (Sweden)

    Vitalija MASTEIKAITĖ

    2014-09-01

    Full Text Available Various clothes treatments during their manufacture and wear change the fabrics physical and surface characteristics. The different testing methods for fabrics quality evaluation are used in this research. The aim of this work is to examine the effect of enzyme treatment, laundering and abrasion on the appearance of different cellulosic fabrics. Six cotton and cotton blend woven fabrics used for faded garments production were chosen for this examination. Treatments such, as enzyme wash, domestic laundering, abrasion using IT-2 and Martindale (Mesdan instruments and rubbing were applied in order to evaluate the worn look of the different fabrics. The degree of fabrics distortion was determined by using abrasion resistance and weight change characteristics. Also, the colour fastness and staining after different dry and wet treatments were analysed. The results of this research show that the surface characteristics of cellulosic fabrics depend on the properties of the fabrics and the type of treatment. Most of the tested cellulosic fabrics have changed their difference in colour not only after the enzyme wash but also after successive abrading and cyclical domestic launderings. Both colour fading of the fabrics and staining of cotton white fabric may appear after rubbing in dry and especially in wet conditions. The received results show that during tested fabrics laundering, the cotton and nylon parts of multifibre fabric were stained more heavily. DOI: http://dx.doi.org/10.5755/j01.ms.20.3.4331

  9. Electrical and optical characteristics of atmospheric pressure plasma needle jet driven by neon trasformer

    Science.gov (United States)

    Elfa, Rizan Rizon; Ahmad, Mohd Khairul; Soon, Chin Fhong; Sahdan, Mohd Zainizan; Lias, Jais; Mamat, Mohamad Hafiz; Rusop, Mohamad; Nayan, Nafarizal

    2017-09-01

    The atmospheric pressure plasma needle jet driven by double sinusoidal waveform of neon transformer is reported in this paper. The commercial neon transformer produces about 5 kV of peak sinusoidal voltages and 35 kHz of frequency. Argon gas has been used as discharge gas for this system since the discharge was easily developed rather than using helium gas. In addition, argon gas is three times cheaper than helium gas. The electrical property of the argon discharge has been analyzed in details by measuring its voltage, current and power during the discharge process. Interestingly, it has been found that the total power on the inner needle electrode was slightly lower than that of outer electrode. This may be due to the polarization charges that occurred at inner needle electrode. Then, further investigation to understand the discharge properties was carried out using optical emission spectroscopy (OES) analysis. During OES measurements, two positions of plasma discharge are measured by aligning the quartz optical lens and spectrometer fiber. The OH emission intensity was found higher than that of N2 at the plasma orifice. However, OH emission intensity was lower at 1.5 cm distance from orifice which may be due to penning ionization effect. These results and understanding are essential for surface modification and biomedical applications of atmospheric pressure plasma needle jet.

  10. Experimental investigation on noise radiation characteristics of pulse detonation engine–driven ejector

    OpenAIRE

    Xi-qiao Huang; Moqi Li; Yuan-yuan Yuan; Yue-fei Xiong; Longxi Zheng

    2015-01-01

    The noise radiation characteristics of multi-cycle pulse detonation engine with and without ejector were investigated under different operating frequencies utilizing gasoline as fuel and air as oxidizer. The straight cylindrical ejector with convergent inlet geometry was coaxially installed at different axial locations relative to the exit of the detonation tube. In all the experiments, the equivalence ratios of gasoline–air mixture and the fill fraction were 1.2 and 1.0, respectively. The ex...

  11. Photocatalytic Pre-Oxidation of Arsenic (III) in Groundwater by a Visible-Light-Driven System with Magnetic Separating Characteristic

    Science.gov (United States)

    Cui, Y.; Liu, Y.; Peng, L.; Qin, Y.

    2017-12-01

    Arsenic was a typical toxic metalloid element and its contamination in groundwater was widely recognized as a global health problem, especially in north China, where people depended on groundwater as water resource. Arsenic was existed as As(III) in underground water, and has low affinity to the surface of various minerals and more toxic and more difficultly to be removed compared with As(V), so a pre-oxidation technology by transforming As (III) to As (V) is highly desirable. Electrochemical and oxidizing agents were traditional technology, which usually causes secondary pollution. A novel methodology is presented here, using prepared magnetic visible-light-driven nanomaterials as recyclable media to investigate As(III) pre-oxidation processing. Ag@AgCl core-shell nanowires were first synthesized by oxidation of Ag nanowires with moderate FeCl3, and exhibited excellent photocatalytic activity to As(III) with visible-light. The ratio of chloridization was proved to act as key effect on photocatalytic oxidation efficiency. Testing with simulated groundwater condition proved that pH, ionic strength and concentration of humic acid have obvious effects on Ag@AgCl photocatalytic ability. h+ and ·O2- were confirmed to be the main active species during the visible-light driven photocatalytic oxidation process for As(III) by trapping experiments with radical scavengers. Then Fe0 was introduced to prepare Fe-Ag nanowire and chloridized into Fe-Ag@AgCl to provide magnetic characteristic. The magnetic recycling and re-chloride experiments validated this visible-light-driven material has excellent stable and high reused ability as photocatalyst under visible light irradiation.

  12. Emission characteristics of petrol and diesel driven vehicles in Rewa town

    International Nuclear Information System (INIS)

    Mishra, R.M.; Gupta, A.K.; Parihar, Sarita

    1993-01-01

    Air pollution by road traffic is likely to be severe in most of the major cities of India, in near future. An emission survey was conducted in Rewa town to obtain the basic data on emission characteristics of inservice vehicles. About 250 two wheelers, 110 cars and 350 diesel vehicles were tested for the emissions of carbon monoxide and hydrocarbons. Present paper summarizes the data of vehicular emissions observed in this survey and discusses the emission level of different categories of vehicles, in the light of the proposed national standards and the emission standards enforced in developed countries. (author). 9 refs., 4 tabs

  13. Fusion reactivities and neutron source characteristics of beam-driven toroidal reactors with both D and T injection

    International Nuclear Information System (INIS)

    Jassby, D.L.; Towner, H.H.

    1976-01-01

    The reactor performance is considered for intensely beam-driven tokamak plasmas with 50:50 D-T composition maintained by neutral-beam injection of both D and T, together with plasma recycling. The D and T are injected with equal intensity and velocity. This mode of operation is most appropriate for high-duty-factor, high-power-density operation, in the absence of pellet injection. The isotropic velocity distributions of energetic D and T ions (for multi-angle injection) are calculated from a simple slowing-down model, but include a tail above the injection velocity. The neutron source characteristics are determined from fusion reactivities calculated for beam-target, hot-ion, and thermonuclear reactions. For conditions where Q approximates 1, beam-target reactions are dominant, although reactions among the hot ions contribute substantially to P/sub fusion/ when n/sub hot//n /sub e/ greater than or equal to 0.2

  14. Statistical characteristics of dynamics for population migration driven by the economic interests

    Science.gov (United States)

    Huo, Jie; Wang, Xu-Ming; Zhao, Ning; Hao, Rui

    2016-06-01

    Population migration typically occurs under some constraints, which can deeply affect the structure of a society and some other related aspects. Therefore, it is critical to investigate the characteristics of population migration. Data from the China Statistical Yearbook indicate that the regional gross domestic product per capita relates to the population size via a linear or power-law relation. In addition, the distribution of population migration sizes or relative migration strength introduced here is dominated by a shifted power-law relation. To reveal the mechanism that creates the aforementioned distributions, a dynamic model is proposed based on the population migration rule that migration is facilitated by higher financial gains and abated by fewer employment opportunities at the destination, considering the migration cost as a function of the migration distance. The calculated results indicate that the distribution of the relative migration strength is governed by a shifted power-law relation, and that the distribution of migration distances is dominated by a truncated power-law relation. These results suggest the use of a power-law to fit a distribution may be not always suitable. Additionally, from the modeling framework, one can infer that it is the randomness and determinacy that jointly create the scaling characteristics of the distributions. The calculation also demonstrates that the network formed by active nodes, representing the immigration and emigration regions, usually evolves from an ordered state with a non-uniform structure to a disordered state with a uniform structure, which is evidenced by the increasing structural entropy.

  15. Characteristics of solitary waves in a relativistic degenerate ion beam driven magneto plasma

    Science.gov (United States)

    Deka, Manoj Kr.; Dev, Apul N.; Misra, Amar P.; Adhikary, Nirab C.

    2018-01-01

    The nonlinear propagation of a small amplitude ion acoustic solitary wave in a relativistic degenerate magneto plasma in the presence of an ion beam is investigated in detail. The nonlinear equations describing the evolution of a solitary wave in the presence of relativistic non-degenerate magnetized positive ions and ion beams including magnetized degenerate relativistic electrons are derived in terms of Zakharov-Kuznetsov (Z-K) equation for such plasma systems. The ion beams which are a ubiquitous ingredient in such plasma systems are found to have a decisive role in the propagation of a solitary wave in such a highly dense plasma system. The conditions of a wave, propagating with typical solitonic characteristics, are examined and discussed in detail under suitable conditions of different physical parameters. Both a subsonic and supersonic wave can propagate in such plasmas bearing different characteristics under different physical situations. A detailed analysis of waves propagating in subsonic and/or supersonic regime is carried out. The ion beam concentrations, magnetic field, as well as ion beam streaming velocity are found to play a momentous role on the control of the amplitude and width of small amplitude perturbation in both weakly (or non-relativistic) and relativistic plasmas.

  16. Clinical characteristics, prognosis and treatment for pelvic cryptorchid seminoma

    OpenAIRE

    Li; COUCKE, Philippe; Qian; Huang, Yi-Rong; Gu, Da-Zhong; Mirimanoff, René-Olivier; Yu, Zi-Hao

    1997-01-01

    Purpose: To analyze the clinical characteristics, prognosis, and treatment outcome of pelvic cryptorchid seminoma (PCS), and to determine whether whole abdominal-pelvic irradiation for Stage I disease is necessary. Methods and Materials: From 1958 to 1991,60 patients with PCS were treated at the Cancer Hospital of Chinese Academy of Medical Sciences, Beijing. They presented with a lower abdominal mass and showed a predominance for the right side. A high proportion of patients with...

  17. Characteristics of Rainfall Runoff Pollutant and Initial Treatment

    Directory of Open Access Journals (Sweden)

    Seongjoon Byeon

    2016-05-01

    Full Text Available The spread of urbanization drives problems which distort the urban water cycle as a form of flood disaster and pollutant loads. When it comes to pollution, a lack of information on the load and characteristics of pollutants has led to insufficient reduction measures. Thus, this study discusses filtration by different types of filter media as an initial treatment to reduce pollutant loads. This study examined the effectiveness of the filtration method with different types of filter to control micro-particles from rainfall runoff water. The particle size and characteristics of pollutants were investigated. In addition, the characteristics of filter media in the filtration process, such as head loss, treatment efficiency, and changes in particle size distribution were also analyzed by lab-scale experiments. This study suggested the best filtration material to treat surface wash-off pollutants based on the results of various experiments on the treatment of real samples collected from roads and combined sewers. The results and discussions shown in this study may be useful as basic information for appropriate design and operating parameters of filtering facilities to control rainfall runoff pollutants caused by urban storms.

  18. Effect of heat treatment on interface driven magnetic properties of CoFe films

    Science.gov (United States)

    Singh, Akhilesh Kr.; Hsu, Jen-Hwa

    2017-06-01

    We report systematic studies on non-magnetic Ta underlayer and cap layer driven microstructural and magnetic properties at a wide temperature range for CoFe films. All the films were grown at room temperature and post annealed at different annealing temperatures (TA = 200 °C, 250 °C, 300 °C, 350 °C, 400 °C and 450 °C). The in-plane magnetic hysteresis (M-H) loops of 10 nm thick CoFe single layer films, grown directly on thermally oxidized Si substrate, exhibit anisotropic nature for TA above 250 °C. However, the CoFe (10 nm) films grown on the 5 nm thick Ta underlayer show reduced anisotropy. Moreover, with underlayer and cap layers (2 nm) the anisotropy is disappeared. The in-plane coercivity (HC) shows a strong variation with TA, underlayer and cap layers. HC increases significantly with Ta underlayer and cap layers. The out of plane M-H loops exhibit increase in the remanence magnetization and squareness with both Ta underlayer and cap layers due to transition of in-plane magnetization component to the out of plane direction. The atomic force microscopic observations revealed that grain/particle size and shape depend strongly on TA and Ta layers. Moreover, a large reduction in the surface roughness is observed with the Ta cap layer. The magnetic domain patterns depend on the TA, and Ta layers. However, for Ta/CoFe/Ta films no clear domains were observed for all the TA. Hence, the Ta cap layers not only protect the CoFe magnetic layer against the heat treatment, but also show a smooth surface at a wide temperature range. These results could be discussed on the basis of random anisotropy model, TA, underlayer and cap layers driven microstructure and magnetization orientation of the CoFe films.

  19. A mathematical model for IL-6-mediated, stem cell driven tumor growth and targeted treatment

    Science.gov (United States)

    Nör, Jacques Eduardo

    2018-01-01

    Targeting key regulators of the cancer stem cell phenotype to overcome their critical influence on tumor growth is a promising new strategy for cancer treatment. Here we present a modeling framework that operates at both the cellular and molecular levels, for investigating IL-6 mediated, cancer stem cell driven tumor growth and targeted treatment with anti-IL6 antibodies. Our immediate goal is to quantify the influence of IL-6 on cancer stem cell self-renewal and survival, and to characterize the subsequent impact on tumor growth dynamics. By including the molecular details of IL-6 binding, we are able to quantify the temporal changes in fractional occupancies of bound receptors and their influence on tumor volume. There is a strong correlation between the model output and experimental data for primary tumor xenografts. We also used the model to predict tumor response to administration of the humanized IL-6R monoclonal antibody, tocilizumab (TCZ), and we found that as little as 1mg/kg of TCZ administered weekly for 7 weeks is sufficient to result in tumor reduction and a sustained deceleration of tumor growth. PMID:29351275

  20. Experimental investigation on noise radiation characteristics of pulse detonation engine–driven ejector

    Directory of Open Access Journals (Sweden)

    Xi-qiao Huang

    2015-06-01

    Full Text Available The noise radiation characteristics of multi-cycle pulse detonation engine with and without ejector were investigated under different operating frequencies utilizing gasoline as fuel and air as oxidizer. The straight cylindrical ejector with convergent inlet geometry was coaxially installed at different axial locations relative to the exit of the detonation tube. In all the experiments, the equivalence ratios of gasoline–air mixture and the fill fraction were 1.2 and 1.0, respectively. The experimental results implied that the addition of ejector could drastically change the far-field acoustic performance of pulse detonation engine exit and the peak sound pressure level of noise radiation was a strong function of the ejector axial position. But the peak sound pressure level was not sensitive to the operating frequencies which varied from 10 to 25 Hz. The pulse sound pressure level, however, increased with the increase in operating frequencies. The far-field jet-noise measurements of the pulse detonation engine-ejector system also showed that ejector could decrease the peak sound pressure level of pulse detonation engine. The maximum reduction was approximately 8.5 dB. For the current pulse detonation engine test conditions, an optimum ejector position was found to be a downstream axial placement of x/DPDE  = 0.5.

  1. Probability characteristics of nonlinear dynamical systems driven by δ -pulse noise

    Science.gov (United States)

    Dubkov, Alexander A.; Rudenko, Oleg V.; Gurbatov, Sergey N.

    2016-06-01

    For a nonlinear dynamical system described by the first-order differential equation with Poisson white noise having exponentially distributed amplitudes of δ pulses, some exact results for the stationary probability density function are derived from the Kolmogorov-Feller equation using the inverse differential operator. Specifically, we examine the "effect of normalization" of non-Gaussian noise by a linear system and the steady-state probability density function of particle velocity in the medium with Coulomb friction. Next, the general formulas for the probability distribution of the system perturbed by a non-Poisson δ -pulse train are derived using an analysis of system trajectories between stimuli. As an example, overdamped particle motion in the bistable quadratic-cubic potential under the action of the periodic δ -pulse train is analyzed in detail. The probability density function and the mean value of the particle position together with average characteristics of the first switching time from one stable state to another are found in the framework of the fast relaxation approximation.

  2. Recidivism after treatment in a forensic youth-psychiatric setting: the effect of treatment characteristics

    NARCIS (Netherlands)

    van der Put, C.E.; Asscher, J.J.; Stams, G.J.J.M.; van der Laan, P.H.; Breuk, R.; Jongman, E.; Doreleijers, T.A.H.

    2013-01-01

    The aim of this study was to examine the effect of treatment characteristics on recidivism in a forensic youth-psychiatric outpatient clinic. The treatment offered comprised functional family therapy (FFT), individual cognitive behavioural therapy (CBT), or CBT in combination with parent training.

  3. Clinical characteristics and treatment of Herlyn-Werner-Wunderlich syndrome.

    Science.gov (United States)

    Wang, Jinhui; Zhu, Lan; Lang, Jinghe; Liu, Zhufeng; Sun, Dawei; Leng, Jinhua; Fan, Qingbo

    2014-11-01

    To investigate the clinical characteristics and treatment of the Herlyn-Werner-Wunderlich syndrome (HWWS). Sixty-one patients diagnosed with HWWS were retrospectively analyzed. HWWS is categorized into three types in China. Age at presentation of all the cases was after menarche. The most common clinical presentations were dysmenorrhea for type I and vaginal discharge for types II and III. Clinical presentations of types II and III may not occur until reproductive age. HWWS occurred on the right in 39/61. Excision of the obstructed vaginal septum was the treatment utilized in this cohort. After surgery, subsequent pregnancies were ipsilateral in 52.9 %. Clinical presentation in untreated HWWS suggests the anatomic anomaly. Early recognition and treatment can reduce symptoms. Pregnancies occur in both the affected and unaffected uterus.

  4. Characteristics of HIV antiretroviral regimen and treatment adherence

    Directory of Open Access Journals (Sweden)

    Vera Lúcia da Silveira

    Full Text Available The relationship between characteristics of HIV antiretroviral regimens and treatment adherence was studied in adolescent and adult patients who underwent antiretroviral therapy from January 1998 to September 2000, at the Service for Specialized Assistance in Pelotas. The patients were interviewed on two occasions, and the use of antiretrovirals during the previous 48 hours was investigated by a self-report. Adherence was defined as use of 95% or more of the prescribed medication. Social-demographic variables were collected through direct questionnaires. The antiretroviral regimen and clinical data were copied from the patients' records. Associations between the independent variables and adherence were analyzed by means of logistic regression. The multivariate analysis included characteristics of the antiretroviral regimens, social-demographic variables, as well as perception of negative effects, negative physiological states, and adverse effects of the treatment. Among the 224 selected patients, 194 participated in our study. Their ages varied from 17 to 67 years; most patients were men, with few years of schooling and a low family income. Only 49% adhered to the treatment. Adherence to treatment regimens was reduced when more daily doses were indicated: three to four doses (odds ratio of adherence to treatment (OR=0.47, 95% confidence interval (CI 0.22-1.01 and five to six (OR=0.24, 95% CI 0.09-0.62; two or more doses taken in a fasting state (OR=0.59, 95% CI 0.11-0.68, and for patients who reported adverse effects to the treatment (OR=0.39, 95% CI 0.19-0.77. Most of the regimens with more than two daily doses of medication included at least one dose apart from mealtimes. The results suggest that, if possible, regimens with a reduced number of doses should be chosen, with no compulsory fasting, and with few adverse effects. Strategies to minimize these effects should be discussed with the patients.

  5. Program characteristics for successful treatment of adolescent drug abuse.

    Science.gov (United States)

    Friedman, A S; Glickman, N W

    1986-11-01

    The relationship to treatment outcome, as measured by reduction in drug use, of specific characteristics and elements of 30 drug-free outpatient programs for adolescents is reported. Admission and discharge data were obtained from National Institute on Drug Abuse-Client Oriented Data Acquisition Process on 5789 adolescents in the 30 programs. A partial cross-validation study was conducted by analyzing separately for two annual client subsamples. The program, not the individual clients, was the unit of analysis. While controlling for differences between programs on their client populations, multiple regression analysis indicated that the following characteristics of programs were found to predict the outcome criterion variable, to a statistically significant degree: treat a large number of adolescent clients; have a special school for school dropouts; have a relatively large budget; employ counselors or therapists who have at least 2 years' experience in working with adolescent drug abusers; provide special services such as vocational counseling, recreational services, and birth control services; use such therapy methods as crisis intervention, gestalt therapy, music/art therapy, and group confrontation; and be perceived by the clients as allowing and encouraging free expression and spontaneous action by clients. There was a high degree of replication of these findings across the two annual subsamples of clients; and the amount of variance in the treatment outcome criterion variable accounted for by the above-listed program characteristics was quite impressive.

  6. "ALS reversals": demographics, disease characteristics, treatments, and co-morbidities.

    Science.gov (United States)

    Harrison, Daniel; Mehta, Paul; van Es, Michael A; Stommel, Elijah; Drory, Vivian E; Nefussy, Beatrice; van den Berg, Leonard H; Crayle, Jesse; Bedlack, Richard

    2018-04-02

    To identify differences in demographics, disease characteristics, treatments, and co-morbidities between patients with "amyotrophic lateral sclerosis (ALS) reversals" and those with typically progressive ALS. Cases of possible ALS reversals were found in prior publications, in the Duke ALS clinic, through self-referral or referral from other Neurologists, and on the internet. Of 89 possible reversals identified, 36 cases were included because chart or literature review confirmed their diagnosis and a robust, sustained improvement in at least one objective measure. Controls were participants in the Pooled Resource Open-Access ALS Clinical Trials database and the National ALS Registry. Cases and controls were compared using descriptive statistics. ALS reversals were more likely to be male, have limb onset disease, and initially progress faster. The prevalences of myasthenia gravis (MG) and purely lower motor neuron disease in cases were higher than estimates of these prevalences in the general population. The odds of taking curcumin, luteolin, cannabidiol, azathioprine, copper, glutathione, vitamin D, and fish oil were greater for cases than controls. When compared to patients with typically progressive ALS, patients with reversals differed in their demographics, disease characteristics, and treatments. While some of these patients may have had a rare antibody-mediated ALS mimicker, such as atypical myasthenia gravis, details of their exams, EMGs and family histories argue that this was unlikely. Instead, our data suggest that ALS reversals warrant evaluation for mechanisms of disease resistance and that treatments associated with multiple ALS reversals deserve further study.

  7. Are Improvements in Measured Performance Driven by Better Treatment or "Denominator Management"?

    Science.gov (United States)

    Harris, Alex H S; Chen, Cheng; Rubinsky, Anna D; Hoggatt, Katherine J; Neuman, Matthew; Vanneman, Megan E

    2016-04-01

    Process measures of healthcare quality are usually formulated as the number of patients who receive evidence-based treatment (numerator) divided by the number of patients in the target population (denominator). When the systems being evaluated can influence which patients are included in the denominator, it is reasonable to wonder if improvements in measured quality are driven by expanding numerators or contracting denominators. In 2003, the US Department of Veteran Affairs (VA) based executive compensation in part on performance on a substance use disorder (SUD) continuity-of-care quality measure. The first goal of this study was to evaluate if implementing the measure in this way resulted in expected improvements in measured performance. The second goal was to examine if the proportion of patients with SUD who qualified for the denominator contracted after the quality measure was implemented, and to describe the facility-level variation in and correlates of denominator contraction or expansion. Using 40 quarters of data straddling the implementation of the performance measure, an interrupted time series design was used to evaluate changes in two outcomes. All veterans with an SUD diagnosis in all VA facilities from fiscal year 2000 to 2009. The two outcomes were 1) measured performance-patients retained/patients qualified and 2) denominator prevalence-patients qualified/patients with SUD program contact. Measured performance improved over time (P management, and also the exploration of "shadow measures" to monitor and reduce undesirable denominator management.

  8. Characteristics, Detection Methods and Treatment of Questionable Occlusal Carious Lesions

    DEFF Research Database (Denmark)

    Makhija, S.K.; Gilbert, G.H.; Funkhouser, E.

    2014-01-01

    Questionable occlusal carious lesions (QOC) can be defined as an occlusal tooth surface with no cavitation and no radiographic radiolucencies, but caries is suspected due to roughness, surface opacities or staining. An earlier analysis of data from this study indicates 1/3 of patients have a QOC....... The objective of this report has been to quantify the characteristics of these common lesions, the diagnostic aids used and the treatment of QOC. A total of 82 dentist and hygienist practitioner-investigators from the USA and Denmark in the National Dental Practice-Based Research Network participated. When...

  9. Comparative evaluation of hand and power-driven instruments on root surface characteristics: A scanning electron microscopy study

    Directory of Open Access Journals (Sweden)

    Parveen Dahiya

    2011-01-01

    Full Text Available Aim: The aim of this study was to compare root surface characteristics following root planing with various hand- and power-driven instruments. Materials and Methods: A total of 20 single, rooted teeth were used in this study; two specimens were used as control (no instrumentation done and the remaining 18 specimens were equally divided into three groups. Specimens from each group were then subjected to root planing by one of the following instruments: (1 a Gracey curette, (2 ultrasonic tip and (3 a Rotary bur. In each case, the time required for scaling and root planing and surface roughness using the Roughness and Loss of Tooth Substance Index (RLTSI was measured. Result: The mean RLTSI scores for the Gracey curette, ultrasonic and rotary instrument groups were 2.5, 2.0 and 0.667, respectively. The mean scores of time spent for scaling and root planing by the Gracey curette, ultrasonic and rotary instrument groups in seconds were 42.50, 35.83 and 54.50, respectively. Conclusions: All the three instruments, namely Gracey curette, ultrasonic tip and rotary bur, were effective in mechanical debridement of the root surface. The results favored the use of rotary instruments for root planing to achieve a smooth, clean root surface; however, the use of rotary instrument was more time consuming, which might limit its use in clinical practice.

  10. Visual Soccer Analytics: Understanding the Characteristics of Collective Team Movement Based on Feature-Driven Analysis and Abstraction

    Directory of Open Access Journals (Sweden)

    Manuel Stein

    2015-10-01

    Full Text Available With recent advances in sensor technologies, large amounts of movement data have become available in many application areas. A novel, promising application is the data-driven analysis of team sport. Specifically, soccer matches comprise rich, multivariate movement data at high temporal and geospatial resolution. Capturing and analyzing complex movement patterns and interdependencies between the players with respect to various characteristics is challenging. So far, soccer experts manually post-analyze game situations and depict certain patterns with respect to their experience. We propose a visual analysis system for interactive identification of soccer patterns and situations being of interest to the analyst. Our approach builds on a preliminary system, which is enhanced by semantic features defined together with a soccer domain expert. The system includes a range of useful visualizations to show the ranking of features over time and plots the change of game play situations, both helping the analyst to interpret complex game situations. A novel workflow includes improving the analysis process by a learning stage, taking into account user feedback. We evaluate our approach by analyzing real-world soccer matches, illustrate several use cases and collect additional expert feedback. The resulting findings are discussed with subject matter experts.

  11. Characteristics, clinical features and treatment of supernumerary teeth.

    Science.gov (United States)

    Yassin, Othman M; Hamori, Eman

    2009-01-01

    To determine the characteristics, clinical features and treatment of supernumerary teeth in a general district hospital in the North of Jordan. This retrospective study was conducted at Prince Rashid Al-Hassan Hospital in Irbid. The medical records of 139 patients who were diagnosed to have supernumerary teeth during the period April 1993 - June 2007 were reviewed. Clinical data on the location, number eruption status, stages of development, and the types of supernumerary teeth were recorded, along with information on demographics, treatment, associated systemic syndromes, effects on adjacent teeth, and treatment. The male to female ratio was 2.2:1. Of the 186 supernumerary teeth investigated (65.0%) were conical, (23.7%) supplemental, (10.8%) tuberculate and (0.5%) odontoma. Two-thirds of the supernumeraries were erupted. Of this sample (21.6%) patients had multiple supernumerary teeth. The most frequent location was at the premaxilla level. The most common effect on adjacent teeth was delayed eruption (23.1%). Simple and surgical extractions of supernumerary teeth were done for (81.7%) of the cases and orthodontic treatment was needed in (74.1%) of patients. Supernumerary teeth are an uncommon dental entity. An early diagnosis prevents or reduces the risk of complications and when combined with an earlier removal has a better prognosis.

  12. Characteristics of Transgender Individuals Entering Substance Abuse Treatment

    Science.gov (United States)

    Heck, Nicholas C.; Sorensen, James L.

    2014-01-01

    Little is known about the needs or characteristics of transgender individuals in substance abuse treatment settings. Transgender (n=199) and non-transgender (cisgender, n=13440) individuals were compared on psychosocial factors related to treatment, health risk behaviors, medical and mental health status and utilization, and substance use behaviors within a database that documented individuals entering substance abuse treatment in San Francisco, CA from 2007–2009 using logistic and linear regression analyses (run separately by identified gender). Transgender men (assigned birth sex of female) differed from cisgender men across many psychosocial factors, including having more recent employment, less legal system involvement, greater incidence of living with a substance abuser, and greater family conflict, while transgender women (assigned birth sex of male) were less likely to have minor children than cisgender women. Transgender women reported greater needle use and HIV testing rates were greater among transgender women. Transgender men and women reported higher rates of physical health problems, mental health diagnoses, and psychiatric medications but there were no differences in service utilization. There were no differences in substance use behaviors except that transgender women were more likely to endorse primary methamphetamine use. Transgender individuals evidence unique strengths and challenges that could inform targeted services in substance abuse treatment. PMID:24561017

  13. Revamping of entisol soil physical characteristics with compost treatment

    Science.gov (United States)

    Sumono; Loka, S. P.; Nasution, D. L. S.

    2018-02-01

    Physical characteristic of Entisol soil is an important factor for the growth of plant. The aim of this research was to know the effect of compost application on physical characteristics of Entisol soil. The research method used was experimental method with 6 (six) treatments and 3 replications of which K1 = 10 kg Entisol soil without compost, K2 = 9 Kg Entisol soil with 1 kg compost, K3 = 8 kg Entisol soil with 2 kg compost, K4 = 7 kg Entisol soilwith3 kg compost, K5 = 6 kg Entisol soil with 4 kg compost and K6 = 5 kg Entisol soil with 5 kg compost. The observed parameters were soil texture, soil organic matter, soil thickness, porosity, soil pore size, soil permeability and water availability. The results showed that the Entisol soil texture was loamy sand texture, the value of soil organic matter ranged from 0.74% to 4.69%, soil thickness ranged from 13.83 to 20.16 cm, porosity ranged from16% to 37%, soil pore size ranged from 2.859 to 5.493 µm, permeability ranged from 1.24 to 5.64 cm/hour and water availability ranged from 6.67% to 9.12% by each treatment.

  14. Improved cracking characteristics of bitumen through advanced froth treatment process

    Energy Technology Data Exchange (ETDEWEB)

    Ng, S.H. [National Centre for Upgrading Technology, Devon, AB (Canada); Dabros, T. [Natural Resources Canada, Devon, AB (Canada). CANMET Advanced Separation Technologies Laboratory; Humphries, A. [Albemarle Catalysts Co., Houston, TX (United States)

    2006-07-01

    Fluid catalytic cracking (FCC) is the dominant refinery conversion process for producing transportation fuels. Feed to the FCC unit is heavy gas oil (HGO). Its quality depends on the crude used and the processes involved. Bitumen-derived crude (BDC), including synthetic crude oil (SCO) is less superior to produce FCC feed than stocks from conventional sources. As a result, North American refiners have limited the use of BDC in their conventional FCC-based operations. This paper examined the improved cracking characteristics of bitumen through an advanced froth treatment process. This involved processing of the bitumen with paraffinic solvent in froth treatment with removal of some asphaltenes, CCR precursors, and metals. The paper discussed the experimental and subsequent results and discussion, including cracking characteristics; product quality; synergetic effect; and economic benefits. It was concluded that the poisoning effect by some deleterious components such as nitrogen compounds in feeds on the catalyst could be reduced or compensated for by higher C/O ratios (more catalyst per unit weight of feed). In addition, as conversion increased, sulfur in gasoline decreased slightly and linearly with more or less the same magnitude for the two bitumens. 5 refs., 1 tab., 3 figs.

  15. Ureteroscopic Urinary Stone Treatment Among Patients With Renal Anomalies: Patient Characteristics and Treatment Outcomes

    NARCIS (Netherlands)

    Legemate, Jaap D.; Baseskioglu, Barbaros; Dobruch, Jakub; Gutierrez-Aceves, Jorge; Negrete, Oscar; Rioja Sanz, Carlos; Yildiz, Muharrem Murat; de La Rosette, Jean J. M. C. H.

    2017-01-01

    OBJECTIVE To evaluate patients' characteristics, surgical procedure data, and outcomes of ureterorenoscopy (URS) stone treatment in patients with a horseshoe kidney (HSK), ectopic kidney (EK), and malrotated kidney (MK). MATERIALS AND METHODS This study is a subanalysis of the Clinical Research

  16. Characteristics of Treatment Seeking Finnish Pathological Gamblers: Baseline Data from a Treatment Study

    Science.gov (United States)

    Lahti, Tuuli; Halme, Jukka; Pankakoski, Maiju; Sinclair, David; Alho, Hannu

    2013-01-01

    This article describes the socio-demographic characteristics and gambling behavior of 39 pathological gamblers who participated in our treatment study in 2009. The inclusion criteria of the study were: score of five or more on both the South Oaks Gambling Screen (SOGS) and a pathological gambling screen based on the Diagnostic and Statistical…

  17. Cracked Teeth: Distribution, Characteristics, and Survival after Root Canal Treatment.

    Science.gov (United States)

    Kang, Sung Hyun; Kim, Bom Sahn; Kim, Yemi

    2016-04-01

    The aims of this study were to analyze the distribution and characteristic features of cracked teeth and to evaluate the outcome of root canal treatments (RCTs) for cracked teeth. The prognostic factors for tooth survival were investigated. Over the 5-year study period, 175 teeth were identified as having cracks. Data were collected regarding the patients' age, sex, tooth type, location and direction of cracks, probing depth, pulp vitality, type of restoration, cavity classification, opposing teeth, and previous endodontic treatment history. Cracked teeth were managed via various treatment methods, and the 2-year survival rate after RCT was analyzed using the Kaplan-Meier method in which significance was identified using the log-rank test. Possible prognostic factors were investigated using Cox multivariate proportional hazards modeling. One hundred seventy-five teeth were diagnosed with cracks. Most of the patients were aged 50-60 years (32.0%) or over 60 (32.6%). The lower second molar was the most frequently (25.1%) affected tooth. Intact teeth (34.3%) or teeth with class I cavity restorations (32.0%) exhibited a higher incidence of cracks. The 2-year survival rate of 88 cracked teeth after RCT was 90.0%. A probing depth of more than 6 mm was a significant prognostic factor for the survival of cracked teeth restored via RCT. The survival rate of root-filled cracked teeth with a probing depth of more than 6 mm was 74.1%, which is significantly lower than that of teeth with probing depths of less than 6 mm (96.8%) (P = .003). Cracks were commonly found in lower second molars and intact teeth. RCT was a reliable treatment for cracked teeth with a 2-year survival rate of 90.0%. Deep probing depths were found to be a significant clinical factor for the survival of cracked teeth treated with RCT. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  18. Characteristics of methadone maintenance treatment patients prescribed opioid analgesics

    Science.gov (United States)

    Glenn, Matthew C.; Sohler, Nancy L.; Starrels, Joanna L.; Maradiaga, Jeronimo; Jost, John J.; Arnsten, Julia H.; Cunningham, Chinazo O.

    2016-01-01

    Background Opioid analgesic use and disorders have dramatically increased among the general American population and those receiving methadone maintenance treatment (MMT). Most research among MMT patients focuses on opioid analgesics misuse or disorders; few studies focus on MMT patients prescribed opioid analgesics. We describe demographic, clinical, and substance use characteristics of MMT patients prescribed opioid analgesics and compare them to MMT patients not prescribed opioid analgesics. Methods We conducted a cross-sectional secondary data analysis using screening interviews from a parent study. From 2012–2015, we recruited adults from 3 MMT Bronx clinics. Questionnaire data included: patterns of opioid analgesic use, substance use, comorbid illnesses, and demographic characteristics. Our main dependent variable was patients’ report of currently taking prescribed opioid analgesics. To compare characteristics between MMT patients prescribed and not prescribed opioid analgesics, we conducted chi-squared tests, t-tests, and Mann-Whitney U tests. Results Of 611 MMT patients, most reported chronic pain (62.0%), HCV infection (52.1%), and currently using illicit substances (64.2%). Of the 29.8% who reported currently taking prescribed opioid analgesics, most misused their opioid analgesics (57.5%). Patients prescribed (versus not prescribed) opioid analgesics were more likely to report HIV infection (aOR=1.6, 95% CI: 1.1–2.3) and chronic pain (aOR=7.6, 95% CI: 4.6–12.6). Conclusion Among MMT patients primarily in three Bronx clinics, nearly one-third reported taking prescribed opioid analgesics. Compared to patients not prescribed opioid analgesics, those prescribed opioid analgesics were more likely to report chronic pain and HIV infection. However, between these patients, there was no difference in illicit substance use. These findings highlight the complexity of addressing chronic pain in MMT patients. PMID:26731299

  19. Characteristics of methadone maintenance treatment patients prescribed opioid analgesics.

    Science.gov (United States)

    Glenn, Matthew C; Sohler, Nancy L; Starrels, Joanna L; Maradiaga, Jeronimo; Jost, John J; Arnsten, Julia H; Cunningham, Chinazo O

    2016-01-01

    Opioid analgesic use and disorders have dramatically increased among the general American population and those receiving methadone maintenance treatment (MMT). Most research among MMT patients focuses on opioid analgesics misuse or disorders; few studies focus on MMT patients prescribed opioid analgesics. We describe demographic, clinical, and substance use characteristics of MMT patients prescribed opioid analgesics and compare them with MMT patients not prescribed opioid analgesics. We conducted a cross-sectional secondary data analysis using screening interviews from a parent study. From 2012 to 2015, we recruited adults from 3 MMT Bronx clinics. Questionnaire data included patterns of opioid analgesic use, substance use, comorbid illnesses, and demographic characteristics. Our main dependent variable was patients' report of currently taking prescribed opioid analgesics. To compare characteristics between MMT patients prescribed and not prescribed opioid analgesics, we conducted chi-square tests, t tests, and Mann-Whitney U tests. Of 611 MMT patients, most reported chronic pain (62.0%), hepatitis C virus (HCV) infection (52.1%), and current use of illicit substances (64.2%). Of the 29.8% who reported currently taking prescribed opioid analgesics, most misused their opioid analgesics (57.5%). Patients prescribed (versus not prescribed) opioid analgesics were more likely to report human immunodeficiency virus (HIV) infection (adjusted odds ratio [aOR] = 1.6, 95% confidence interval [CI]: 1.1-2.3) and chronic pain (aOR = 7.6, 95% CI: 4.6-12.6). Among MMT patients primarily in 3 Bronx clinics, nearly one third reported taking prescribed opioid analgesics. Compared with patients not prescribed opioid analgesics, those prescribed opioid analgesics were more likely to report chronic pain and HIV infection. However, between these patients, there was no difference in illicit substance use. These findings highlight the complexity of addressing chronic pain in MMT patients.

  20. Treatment Wetland Aeration without Electricity? Lessons Learned from the First Experiment Using a Wind-Driven Air Pump

    Directory of Open Access Journals (Sweden)

    Johannes Boog

    2016-11-01

    Full Text Available Aerated treatment wetlands have become an increasingly recognized technology for treating wastewaters from domestic and various industrial origins. To date, treatment wetland aeration is provided by air pumps which require access to the energy grid. The requirement for electricity increases the ecological footprint of an aerated wetland and limits the application of this technology to areas with centralized electrical infrastructure. Wind power offers another possibility as a driver for wetland aeration, but its use for this purpose has not yet been investigated. This paper reports the first experimental trial using a simple wind-driven air pump to replace the conventional electric air blowers of an aerated horizontal subsurface flow wetland. The wind-driven air pump was connected to a two-year old horizontal flow aerated wetland which had been in continuous (24 h aeration since startup. The wind-driven aeration system functioned, however it was not specifically adapted to wetland aeration. As a result, treatment performance decreased compared to prior continuous aeration. Inconsistent wind speed at the site may have resulted in insufficient pressure within the aeration manifold, resulting in insufficient air supply to the wetland. This paper discusses the lessons learned during the experiment.

  1. Rhabdomyolysis induced by antiepileptic drugs: characteristics, treatment and prognosis.

    Science.gov (United States)

    Jiang, Wei; Wang, Xuefeng; Zhou, Shengnian

    2016-01-01

    Rhabdomyolysis syndrome refers to a variety of factors that affect the striated muscle cell membrane, the membrane channels and its energy supply. Most cases of rhabdomyolysis are due to direct trauma. However, infection, toxins, drugs, muscle ischemia, electrolyte imbalance, metabolic diseases, genetic diseases and abnormal body temperature can also lead to rhabdomyolysis. Epilepsy is one of the most common chronic neurological diseases. The primary long-term treatment is antiepileptic drugs (AEDs), which may cause rhabdomyolysis. This article summarizes the characteristics, treatment methods and prognosis of patients with rhabdomyolysis that is induced by antiepileptic drugs. This review is based on PubMed, EMBASE and MEDLINE searches of the literature using the keywords "epilepsy", "antiepileptic drugs","status epilepticus","rhabdomyolysis", and "antiepileptic drugs and rhabdomyolysis syndrome" as well as extensive personal clinical experience with various antiepileptic drugs. Potential relationships between antiepileptic drugs and rhabdomyolysis are discussed. Worldwide, there are approximately 50 million epilepsy patients, most of whom are treated with drugs. Reports have indicated that the majority of antiepileptic drugs on the market can cause rhabdomyolysis. Although rhabdomyolysis induced by antiepileptic drugs is a rare condition with a low incidence, this condition has serious consequences and merits attention from clinicians.

  2. Investigation on discharge characteristics of a coaxial dielectric barrier discharge reactor driven by AC and ns power sources

    Science.gov (United States)

    Qian, WANG; Feng, LIU; Chuanrun, MIAO; Bing, YAN; Zhi, FANG

    2018-03-01

    A coaxial dielectric barrier discharge (DBD) reactor with double layer dielectric barriers has been developed for exhaust gas treatment and excited either by AC power or nanosecond (ns) pulse to generate atmospheric pressure plasma. The comparative study on the discharge characteristics of the discharge uniformity, power deposition, energy efficiency, and operation temperature between AC and ns pulsed coaxial DBD is carried out in terms of optical and electrical characteristics and operation temperature for optimizing the coaxial DBD reactor performance. The voltages across the air gap and dielectric layer and the conduction and displacement currents are extracted from the applied voltages and measured currents of AC and ns pulsed coaxial DBDs for the calculation of the power depositions and energy efficiencies through an equivalent electrical model. The discharge uniformity and operating temperature of the coaxial DBD reactor are monitored and analyzed by optical images and infrared camera. A heat conduction model is used to calculate the temperature of the internal quartz tube. It is found that the ns pulsed coaxial DBD has a much higher instantaneous power deposition in plasma, a lower total power consumption, and a higher energy efficiency compared with that excited by AC power and is more homogeneous and stable. The temperature of the outside wall of the AC and ns pulse excited coaxial DBD reaches 158 °C and 64.3 °C after 900 s operation, respectively. The experimental results on the comparison of the discharge characteristics of coaxial DBDs excited by different powers are significant for understanding of the mechanism of DBDs, reducing energy loss, and optimizing the performance of coaxial DBD in industrial applications.

  3. Clinicopathologic Characteristics and Treatment Outcomes of Penile Cancer

    Directory of Open Access Journals (Sweden)

    Jong Kil Nam

    2017-04-01

    Full Text Available Purpose: The aim of this study was to assess the clinicopathologic characteristics of penile cancer, including patterns of therapy, oncologic results, and survival. Materials and Methods: Between January 2005 and July 2015, 71 patients at 6 institutions who had undergone penectomy or penile biopsy were enrolled. Their medical records were reviewed to identify the mode of therapy, pathology reports, and cancer-specific survival (CSS rate. Results: Clinicopathologic and outcome information was available for 52 male patients (mean age, 64.3 years; mean follow-up, 61.4 months. At presentation, 17 patients were node-positive, and 4 had metastatic disease. Management was partial penectomy in 34 patients, total penectomy in 12 patients, and chemotherapy or radiotherapy in 6 patients. The pathology reports were squamous cell carcinoma in 50 patients and other types of carcinoma in the remaining 2 patients. Kaplan-Meier survival analysis showed a 5-year CSS rate of 84.0%. In univariate and multivariate analyses, the American Joint Committee on Cancer (AJCC stage and pathologic grade were associated with survival. Conclusions: Partial penectomy was the most common treatment of penile lesions. The oncologic outcomes were good, with a 5-year CSS of 84.0%. The AJCC stage and pathologic grade were independent prognostic factors for survival.

  4. Respondent-driven sampling on the Thailand-Cambodia border. II. Knowledge, perception, practice and treatment-seeking behaviour of migrants in malaria endemic zones

    Directory of Open Access Journals (Sweden)

    Kaewkungwal Jaranit

    2011-05-01

    Full Text Available Abstract Background Population movements along the Thailand-Cambodia border, particularly among highly mobile and hard-to-access migrant groups from Cambodia and Myanmar, are assumed to play a key role in the spread of artemisinin resistance. Data on treatment-seeking behaviours, knowledge and perceptions about malaria, and use of preventive measures is lacking as characteristics of this population prevent them from being represented in routine surveillance and the lack of a sampling frame makes reliable surveys challenging. Methods A survey of migrant populations from Cambodia and Myanmar was implemented in five selected rural locations in Thailand along the Thai-Cambodian border using respondent driven sampling (RDS to determine demographic characteristics of the population, migratory patterns, knowledge about malaria, and health-care -seeking behaviours. Results The majority of migrants from Myanmar are long-term residents (98% with no plans to move back to Myanmar, understand spoken Thai (77% and can therefore benefit from health messages in Thai, have Thai health insurance (99% and accessed public health services in Thailand (63% for their last illness. In comparison, the majority of Cambodian migrants are short-term (72%. Of the short-term Cambodian migrants, 92% work in agriculture, 18% speak Thai, 3.4% have Thai health insurance, and the majority returned to Cambodia for treatment (45%, self-treated (11%, or did not seek treatment for their last illness (27%. Conclusion Most highly mobile migrants along the Thai-Cambodia border are not accessing health messages or health treatment in Thailand, increasing their risk of malaria and facilitating the spread of potentially resistant Plasmodium falciparum as they return to Cambodia to seek treatment. Reaching out to highly mobile migrants with health messaging they can understand and malaria diagnosis and treatment services they can access is imperative in the effort to contain the spread of

  5. Colorectal cancer with synchronous lung metastases: clinical characteristics, treatment, prognosis

    Directory of Open Access Journals (Sweden)

    A. O. Rasulov

    2016-01-01

    Full Text Available Objective: to evaluate the impact of cytoreductive surgery on treatment results in patients with colorectal cancer and synchronous lung metastases.Materials and methods. This retrospective investigation analyzed the results of therapy in patients with colorectal cancer and synchronous lung metastases who had been treated in the period 2000 to 2012. The investigators studied the following indicators: the impact of cytoreductive surgery on the survival of patients with this condition, the clinical characteristics of a group of patients with isolated lung involvement, the dissimilarity of this group from a group of patients with extrapulmonary metastases, the possibility of performing complete cytoreductive surgery in patients with varying degrees of a metastatic process, and the number of patients with complications in primary tumor.Results. The investigations included the data of 112 patients with colorectal cancer and synchronous lung metastases. Out of them, 38 (33.9 % patients had isolated lung involvement and the latter was associated with extrapulmonary metastases in 74 (64.1 %. In 16 of the 38 patients, isolated lung metastases were regarded as resectable and complete cytoreductive surgeries were performed. The median follow-up in the examined group was 15.2 months. One- and two-year overall survival rates were 63 and 45 %, respectively. The patients with isolated lung metastases were observed to have higher 2-year overall survival rates than those with multiple metastases (63.0 and 37.5 %, respectively; p = 0.055 and there were significantly higher 2-year overall survival rates in patients after removal of primary tumors than in those who had not undergone cytoreductive surgery (21.0 and 52.5 %, respectively; p = 0.004. Two-year overall survival rates were 72.5 % in the complete cytoreductive treatment group.Conclusion. The prognosis in the patients with colorectal cancer and synchronous lung metastases was better than that in those with

  6. Characteristics of liquid effluents and treatment systems; Caracteristicas dos efluentes liquidos e sistemas de tratamento

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This chapter gives an overview on the liquid effluents characteristics and the treatment systems, approaching the following subjects: the hydrological cycle; physical, chemical and biological characteristics of the liquid effluents; biological, chemical and physical characteristics; records on industrial effluents; treatment processes of industrial effluents.

  7. Driven Gene in Patients with Lung Squamous Cell Carcinoma: 
Analysis of Clinicopathologic Characteristics and Prognosis

    Directory of Open Access Journals (Sweden)

    Tongtong ZHANG

    2016-10-01

    Full Text Available Background and objective It has been proven that epidermal growth factor receptor (EGFR, anaplastic lymphoma kinase (ALK, and KRAS are common driver genes in non-small cell lung cancer (NSCLC. Molecular targeted therapy increases the overall response rate and progression-free survival (PFS of patients with EGFR-sensitive mutation or echinoderm microtubule-associated protein like 4-anaplastic lymphoma kinase (EML4-ALK fusion. However, target and targeted drugs for lung squamous cell carcinoma to indicate clinical therapy remain to be confirmed. The aim of this study was to analyze the relationship between the status of driver genes and the clinicopathologic characteristics of NSCLC. Methods A total of 90 patients were recruited and tested for EGFR, ALK and KRAS mutations. The status of EGFR and KRAS was tested by amplification refractory mutation system, and the status of ALK was tested by fluorescence in situ hybridization. Results Of the 90 patients, 8 patients had EGFR mutation (8.8%, and 2 cases had KRAS mutation (2.2%. EML4-ALK fusion was found in 1 of 18 patients (5.6%. EGFR mutation occurred more frequently in females than in males (P=0.022. Significant differences were observed in pathological stage (P=0.042 and differentiation grade (P=0.003. No significant difference in PFS was observed between EGFR-TKI treatment and chemotherapy in EGFR mutation patients with squamous cell carcinoma of the lung (P=0.607. Patients with EML4-ALK fusion could benefit from targeted therapy. Conclusion EML4-ALK fusion occurred more frequently than EGFR and KRAS mutations in patients with lung squamous cell carcinoma. Clinicopathologic characteristics were different between EGFR mutation and EGFR wild-type patients. The relationship between molecular targeted therapy and status of EGFR or ALK genes in patients with lung squamous cell carcinoma needs further investigation.

  8. Residential Treatment Following Outpatient Treatment for Children with Mild to Borderline Intellectual Disabilities: A Study of Child and Family Characteristics

    Science.gov (United States)

    Embregts, Petri J. C. M.

    2009-01-01

    In this study, the question was explored whether children with a mild intellectual disability (MID) who were placed in residential treatment following outpatient treatment differ significantly on child and family characteristics from children with MID and not placed in residential treatment following outpatient treatment. The records of the…

  9. Data-driven modeling of sleep EEG and EOG reveals characteristics indicative of pre-Parkinson's and Parkinson's disease

    DEFF Research Database (Denmark)

    Christensen, Julie Anja Engelhard; Zoetmulder, Marielle; Koch, Henriette

    2014-01-01

    Background: Manual scoring of sleep relies on identifying certain characteristics in polysomnograph (PSG) signals. However, these characteristics are disrupted in patients with neurodegenerative diseases. New method: This study evaluates sleep using a topic modeling and unsupervised learning appr...

  10. THE INTANGIBLE ASSETS INVESTMENTS. CHARACTERISTICS AND THE ACCOUNTING TREATMENT

    Directory of Open Access Journals (Sweden)

    Prediscan Mariana

    2011-07-01

    Full Text Available In the knowledge-based economy the fundamental determinants of the enterprise value, in the present, have an intangible nature. The intangible investments are the most important factors of the enterprise success. Wealth, growth and welfare are driven nowadays by intangible investments. The knowledge economy is characterized by huge investments in human capital and informational technology. Despite of the increased importance of intangible assets, as the source of the firm` competitive advantages, the information regarding these kind of assets, both available in the inside of the firm and, which is presented to the externals, is pour. In this paper I present the reasons for this situation.

  11. Reactivation and reuse of TiO2-SnS2composite catalyst for solar-driven water treatment.

    Science.gov (United States)

    Kovacic, Marin; Kopcic, Nina; Kusic, Hrvoje; Stangar, Urska Lavrencic; Dionysiou, Dionysios D; Bozic, Ana Loncaric

    2018-01-01

    One of the most important features of photocatalytic materials intended to be used for water treatment is their long-term stability. The study is focused on the application of thermal and chemical treatments for the reactivation of TiO 2 -SnS 2 composite photocatalyst, prepared by hydrothermal synthesis and immobilized on the glass support using titania/silica binder. Such a catalytic system was applied in solar-driven treatment, solar/TiO 2 -SnS 2 /H 2 O 2 , for the purification of water contaminated with diclofenac (DCF). The effectiveness of studied reactivation methods for retaining TiO 2 -SnS 2 activity in consecutive cycles was evaluated on basis of DCF removal and conversion, and TOC removal and mineralization of organic content. Besides these water quality parameters, biodegradability changes in DCF aqueous solution treated by solar/TiO 2 -SnS 2 /H 2 O 2 process using simply reused (air-dried) and thermally and chemically reactivated composite photocatalyst through six consecutive cycles were monitored. It was established that both thermal and chemical reactivation retain TiO 2 -SnS 2 activity in the second cycle of its reuse. However, both treatments caused the alteration in the TiO 2 -SnS 2 morphology due to the partial transformation of visible-active SnS 2 into non-active SnO 2 . Such alteration, repeated through consecutive reactivation and reuse, was reflected through gradual activity loss of TiO 2 -SnS 2 composite in applied solar-driven water treatment.

  12. Patterns of pre-treatment drug abuse, drug treatment history and characteristics of addicts in methadone maintenance treatment in Iran

    Directory of Open Access Journals (Sweden)

    Shekarchizadeh Hajar

    2012-06-01

    Full Text Available Abstract Background Opiates are the main drugs of abuse, and Methadone Maintenance Treatment (MMT is the most widely administered drug addiction treatment program in Iran. Our study aimed to investigate patterns of pre-treatment drug abuse, addiction treatment history and characteristics of patients in MMT in Tehran. Methods We applied a stratified cluster random sampling technique and conducted a cross-sectional survey utilizing a standard patient characteristic and addiction history form with patients (n = 810 in MMT. The Chi-square test and t-test served for statistical analyses. Results A clear majority of the participants were men (96%, more than 60% of whom were between 25 and 44 years of age, educated (89% had more than elementary education, and employed (>70%. The most commonly reported main drugs of abuse prior to MMT entry were opium (69% and crystalline heroin (24%. The patients’ lifetime drug experience included opium (92%, crystalline heroin (28%, cannabis (16%, amphetamines (15%, and other drugs (33%. Crystalline heroin abusers were younger than opium users, had begun abusing drugs earlier, and reported a shorter history of opiate addiction. Conclusion Opium and crystalline heroin were the main drugs of abuse. A high rate of addiction using more dangerous opiate drugs such as crystalline heroin calls for more preventive efforts, especially among young men.

  13. A natural driven membrane process for brackish and wastewater treatment: photovoltaic powered ED and FO hybrid system.

    Science.gov (United States)

    Zhang, Yang; Pinoy, Luc; Meesschaert, Boudewijn; Van der Bruggen, Bart

    2013-09-17

    In isolated locations, remote areas, or islands, potable water is precious because of the lack of drinking water treatment facilities and energy supply. Thus, a robust and reliable water treatment system based on natural energy is needed to reuse wastewater or to desalinate groundwater/seawater for provision of drinking water. In this work, a hybrid membrane system combining electrodialysis (ED) and forward osmosis (FO), driven by renewable energy (solar energy), denoted as EDFORD (ED-FO Renewable energy Desalination), is proposed to produce high-quality water (potable) from secondary wastewater effluent or brackish water. In this hybrid membrane system, feedwater (secondary wastewater effluent or synthetic brackish water) was drawn to the FO draw solution while the organic and inorganic substances (ions, compounds, colloids and particles) were rejected. The diluted draw solution was then pumped to the solar energy driven ED. In the ED unit, the diluted draw solution was desalted and high-quality water was produced; the concentrate was recycled to the FO unit and reused as the draw solution. Results show that the water produced from this system contains a low concentration of total organic carbon (TOC), carbonate, and cations derived from the feedwater; had a low conductivity; and meets potable water standards. The water production cost considering the investment for membranes and solar panel is 3.32 to 4.92 EUR m(-3) (for 300 days of production per year) for a small size potable water production system.

  14. Relationship between patient characteristics and treatment allocation for patients with personality disorders

    NARCIS (Netherlands)

    van Manen, J.G.; Andrea, H.; van den Eijnden, E.; Meerman, A.M.M.A.; Thunnissen, M.M.; Hamers, E.F.M.; Huson, N.; Ziegler, U.; Stijnen, T.; Busschbach, J.J.V.; Timman, R.; Verheul, R.

    2011-01-01

    Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923

  15. What patient characteristics make clinicians recommend brief treatment?

    NARCIS (Netherlands)

    Schaefer, B. A.; Koeter, M. W. J.; Wouters, L.; Emmelkamp, P. M. G.; Schene, A. H.

    2003-01-01

    Objective: Assessing self-rated items that might have an impact on clinicians recommending brief treatment (BT) over unlimited or long-term treatment (ULT). Method: On the basis of patient self-report data we compared patients referred by clinicians to BT (n =71) with those referred to ULT (n =145).

  16. Characteristics of biosolids from sludge treatment wetlands for agricultural reuse

    DEFF Research Database (Denmark)

    Uggetti, Enrica; Ferrer, Ivet; Nielsen, Steen

    2012-01-01

    Sludge treatment wetlands (STW) consist of constructed wetlands systems specifically developed for sludge treatment over the last decades. Sludge dewatering and stabilisation are the main features of this technology, leading to a final product which may be recycled as an organic fertiliser or soil...

  17. Data-Driven Markov Decision Process Approximations for Personalized Hypertension Treatment Planning

    Directory of Open Access Journals (Sweden)

    Greggory J. Schell PhD

    2016-10-01

    Full Text Available Background: Markov decision process (MDP models are powerful tools. They enable the derivation of optimal treatment policies but may incur long computational times and generate decision rules that are challenging to interpret by physicians. Methods: In an effort to improve usability and interpretability, we examined whether Poisson regression can approximate optimal hypertension treatment policies derived by an MDP for maximizing a patient’s expected discounted quality-adjusted life years. Results: We found that our Poisson approximation to the optimal treatment policy matched the optimal policy in 99% of cases. This high accuracy translates to nearly identical health outcomes for patients. Furthermore, the Poisson approximation results in 104 additional quality-adjusted life years per 1000 patients compared to the Seventh Joint National Committee’s treatment guidelines for hypertension. The comparative health performance of the Poisson approximation was robust to the cardiovascular disease risk calculator used and calculator calibration error. Limitations: Our results are based on Markov chain modeling. Conclusions: Poisson model approximation for blood pressure treatment planning has high fidelity to optimal MDP treatment policies, which can improve usability and enhance transparency of more personalized treatment policies.

  18. The barriers to patient-driven treatment in mental health: why patients may choose to follow their own path.

    Science.gov (United States)

    Greenall, Paul

    2006-01-01

    The paper aims to explore the barriers that currently exist to patient-driven treatment within the field of mental health care and reform. This study represents action learning research using grounded theory to explore a possible causal basis for recidivism related to non-compliance with medication. Interviews addressed concerns from the literature around perceived barriers to patient-driven treatment evidenced by non-compliance with medically recommended pharmaceutical treatment. Results were correlated to look for emergent themes that were used to form the basis for subsequent interview questions. An analysis of the resulting emergent themes illustrated the importance of participatory treatment and coaching rather than medically applied paternalistic care, which is seen as encouraging learned helplessness on the part of patients. Similar helplessness was also revealed in clinicians themselves. Patients' awareness of their own needs and demands for more services place clients and the caregivers at odds over appropriate care in an environment of limited resources. The research was limited to only a small number of interviewees in one institution, all of whom were closely associated with mental illness in various capacities. The grounded theory nature of the research does, however, provide a framework for more research in other institutions to test and further explore some of the findings. The study demonstrated a reinforcement of Maslow's theory of needs hierarchy. The study illustrated a step-wise approach to treatment to decrease the rate of failure and recidivism in mental health care. The provision of a stable living environment was viewed as instrumental in improving patients' compliance with pharmaceutical treatment. An action plan was therefore created to initiate the support of a transitional/emergency house by various community groups in partnership with pharmaceutical manufacturing companies. Recidivism in mental health-created by non-compliance in

  19. Gravity-driven membrane system for secondary wastewater effluent treatment: Filtration performance and fouling characterization

    KAUST Repository

    Wang, Yiran

    2017-04-21

    Gravity-driven membrane (GDM) filtration is one of the promising membrane bioreactor (MBR) configurations. It operates at an ultra-low pressure by gravity, requiring a minimal energy. The objective of this study was to understand the performance of GDM filtration system and characterize the biofouling formation on a flat sheet membrane. This submerged GDM reactor was operated at constant gravitational pressure in treating of two different concentrations of secondary wastewater effluent. Morphology of biofilm layer was acquired by an in-situ and on-line optical coherence tomography (OCT) scanning in a fixed position at regular intervals. The thickness and roughness calculated from OCT images were related to the variation of flux, fouling resistance and permeate quality. At the end of experiment, fouling was quantified by total organic carbon (TOC) and adenosine tri-phosphate (ATP) method. Confocal laser scanning microscopy (CLSM) was also applied for biofouling morphology observation. The biofouling formed on membrane surface was mostly removed by physical cleaning confirmed by contact angle measurement before and after cleaning. This demonstrated that fouling on the membrane under ultra-low pressure operation was highly reversible. The superiority and sustainability of GDM in both flux maintaining and long-term operation with production of high quality effluent was demonstrated.

  20. A New Characteristic Boundary Condition Formulation for a Data-Driven Magnetohydrodynamic Model of Global Solar Corona Using SDO Vector Magnetogram Data

    Science.gov (United States)

    Yalim, Mehmet S.; Pogorelov, Nikolai V.; Liu, Yang; Hu, Qiang; Wu, Shi T.

    2016-10-01

    The solar wind which is the plasma emerging from the Sun is the main driving mechanism of the solar storms which can lead to geomagnetic storms that are the primary causes of the space weather disturbances that affect the magnetic environment of the Earth and can have hazardous effects on the space-borne and ground-based technological systems as well as human health. Therefore, accurate modeling of the solar wind is very important in order to be able to understand the underlying mechanisms of solar storms. In this study, we present a data-driven magnetohydrodynamic (MHD) model of the global solar corona which utilizes a new characteristic boundary condition formulation implemented within the Multi-Scale Fluid-Kinetic Simulation Suite (MS-FLUKSS). Our global solar corona model can be driven by both time-dependent and Carrington-rotation averaged vector magnetogram synoptic map data obtained by the Solar Dynamics Observatory/Helioseismic and Magnetic Imager (SDO/HMI) and the horizontal velocity data on the photosphere obtained by applying the Differential Affine Velocity Estimator for Vector Magnetograms (DAVE4VM) method on the HMI-observed vector magnetic fields. We will present our global solar corona model, in particular focus on the formulations for our characteristic boundary conditions and demonstrate results of our model.

  1. Microwave-driven plasma gasification for biomass waste treatment at miniature scale

    NARCIS (Netherlands)

    Sturm, G.S.J.; Navarrete Muñoz, A.; Purushothaman Vellayani, A.; Stefanidis, G.

    2016-01-01

    Gasification technology may combine waste treatment with energy generation. Conventional gasification processes are bulky and inflexible. By using an external energy source, in the form of microwave-generated plasma, equipment size may be reduced and flexibility as regards to the feed composition

  2. Microwave-driven asbestos treatment and its scale-up for use after natural disasters.

    Science.gov (United States)

    Horikoshi, Satoshi; Sumi, Takuya; Ito, Shigeyuki; Dillert, Ralf; Kashimura, Keiichiro; Yoshikawa, Noboru; Sato, Motoyasu; Shinohara, Naoki

    2014-06-17

    Asbestos-containing debris generated by the tsunami after the Great East Japan Earthquake of March 11, 2011, was processed by microwave heating. The analysis of the treated samples employing thermo gravimetry, differential thermal analysis, X-ray diffractometry, scanning electron microscopy, and phase-contrast microscopy revealed the rapid detoxification of the waste by conversion of the asbestos fibers to a nonfibrous glassy material. The detoxification by the microwave method occurred at a significantly lower processing temperature than the thermal methods actually established for the treatment of asbestos-containing waste. The lower treatment temperature is considered to be a consequence of the microwave penetration depth into the waste material and the increased intensity of the microwave electric field in the gaps between the asbestos fibers resulting in a rapid heating of the fibers inside the debris. A continuous treatment plant having a capacity of 2000 kg day(-1) of asbestos-containing waste was built in the area affected by the earthquake disaster. This treatment plant consists of a rotary kiln to burn the combustible waste (wood) and a microwave rotary kiln to treat asbestos-containing inorganic materials. The hot flue gas produced by the combustion of wood is introduced into the connected microwave rotary kiln to increase the energy efficiency of the combined process. Successful operation of this combined device with regard to asbestos decomposition is demonstrated.

  3. CROHN'S DISEASE: GENERAL CHARACTERISTICS AND TREATMENT WITH ADALIMUMABE BIOPHARMACEUTICAL

    Directory of Open Access Journals (Sweden)

    S. A. Marques

    2018-02-01

    Full Text Available Crohn's Disease (CD is a chronic inflammatory disease that affects the gastrointestinal system. The etiology is not fully understood, however, genetic, immunological, microbiological and environmental factors are related to its genesis. The most common manifestations of this disease are diarrhea, abdominal pain, ulcers and fistulas. In the absence of adequate treatment it can evolve into extra intestinal complications and is also an important risk factor for colon and rectal cancer. The treatment of the disease is palliative and there is no cure for the disease, being considered only the period of remission of symptoms, as a good prognosis. The biopharmaceutical, Adalimumabe, produced by recombinant DNA technology has demonstrated efficacy in the treatment of this disease, as it prevents the action of TNF-α, a cytokine involved in inflammation and is abundant in individuals with CD. Although Adalimumabe has good results, its use leads to side effects that can be mild or fatal, such as the activation of tuberculosis.

  4. Rapid cycling bipolar disorder: clinical characteristics and treatment options.

    Science.gov (United States)

    Coryell, William

    2005-01-01

    Approximately one of six patients who seek treatment for bipolar disorder present with a rapid cycling pattern. In comparison with other patients who have bipolar disorder, these individuals experience more affective morbidity in both the immediate and distant future and are more likely to experience recurrences despite treatment with lithium or anticonvulsants. Particular care should be given to distinguishing rapid cycling bipolar disorder from attention-deficit hyperactivity disorder in children or adolescents and from borderline personality disorder in adults. Perhaps four of five cases of rapid cycling resolve within a year, but the pattern may persist for many years in the remaining patients. As with bipolar disorder in general, depressive symptoms produce the most morbidity over time. Controlled studies have not established that antidepressants provoke switching or rapid cycling, but neither have they been shown consistently to have benefits in bipolar illness. Successful management will often require a sequence of trials with mood stabilizer drugs, beginning with lithium in treatment-naive patients. Efforts to minimise adverse effects, and the recognition that full benefits may not be apparent for several months, will make the premature abandonment of a potentially helpful treatment less likely. Placebo-controlled studies so far provide the most support for the use of lithium and lamotrigine as prophylactic agents. The combination of lithium and carbamazepine, valproate or lamotrigine for maintenance has some support from controlled studies, as does the adjunctive use of olanzapine.

  5. Effects of heat treatment on deformation characteristics of medium ...

    African Journals Online (AJOL)

    The effects of heat treatment on bending deformation, tensile strength and hardness of RST 37 medium carbon steels were investigated. Steel rod ... Mechanical tests conducted on the sam-ples were bending, hardness, ultimate tensile strength, % elongation, breaking strength, yield strength, and yield ratio. The results ...

  6. Drug-Driven Phenotypic Convergence Supports Rational Treatment Strategies of Chronic Infections

    DEFF Research Database (Denmark)

    Imamovic, Lejla; Ellabaan, Mostafa Mostafa Hashim; Dantas Machado, Ana Manuel

    2018-01-01

    Chronic Pseudomonas aeruginosa infections evade antibiotic therapy and are associated with mortality in cystic fibrosis (CF) patients. We find that in vitro resistance evolution of P. aeruginosa toward clinically relevant antibiotics leads to phenotypic convergence toward distinct states...... with extinction of specific sub-lineages in patients. In-depth investigation of chronic P. aeruginosa populations in a CF patient during antibiotic therapy revealed dramatic genotypic and phenotypic convergence. Notably, fluoroquinolone-resistant subpopulations harboring nfxB mutations were eradicated...... by antibiotic therapy as predicted by our in vitro data. This study supports the hypothesis that antibiotic treatment of chronic infections can be optimized by targeting phenotypic states associated with specific mutations to improve treatment success in chronic infections....

  7. Integration of electrically driven membrane separation processes for water treatment and resources recovery

    OpenAIRE

    Reig i Amat, Mònica

    2016-01-01

    Nowadays, due to the growing fresh water demand, several processes are used to purify seawater by means of desalination or industrial brackish water by different treatment processes. The main limitation of these techniques is the production of rejected brines. For this reason, new management techniques for brines valorization are being studied to achieve the maximum water recovery, avoid liquid streams disposal and recover the valuable compounds from the concentrated streams. In this thesis, ...

  8. Constructed wetlands and solar-driven disinfection technologies for sustainable wastewater treatment and reclamation in rural India: SWINGS project.

    Science.gov (United States)

    Álvarez, J A; Ávila, C; Otter, P; Kilian, R; Istenič, D; Rolletschek, M; Molle, P; Khalil, N; Ameršek, I; Mishra, V K; Jorgensen, C; Garfi, A; Carvalho, P; Brix, H; Arias, C A

    2017-09-01

    SWINGS was a cooperation project between the European Union and India, aiming at implementing state of the art low-cost technologies for the treatment and reuse of domestic wastewater in rural areas of India. The largest wastewater treatment plant consists of a high-rate anaerobic system, followed by vertical and horizontal subsurface flow constructed wetlands with a treatment area of around 1,900 m 2 and a final step consisting of solar-driven anodic oxidation (AO) and ultraviolet (UV) disinfection units allowing direct reuse of the treated water. The implementation and operation of two pilot plants in north (Aligarh Muslim University, AMU) and central India (Indira Gandhi National Tribal University, IGNTU) are shown in this study. The overall performance of AMU pilot plant during the first 7 months of operation showed organic matter removal efficiencies of 87% total suspended solids, 95% 5-day biological oxygen demand (BOD 5 ) and 90% chemical oxygen demand, while Kjeldahl nitrogen removal reached 89%. The UV disinfection unit produces water for irrigation and toilet flushing with pathogenic indicator bacteria well below WHO guidelines. On the other hand, the AO disinfection unit implemented at IGNTU and operated for almost a year has been shown to produce an effluent of sufficient quality to be reused by the local population for agriculture and irrigation.

  9. A treatment planning study to assess the feasibility of laser-driven proton therapy using a compact gantry design

    Energy Technology Data Exchange (ETDEWEB)

    Hofmann, Kerstin M., E-mail: kerstin.hofmann@lrz.tu-muenchen.de; Wilkens, Jan J. [Department of Radiation Oncology, Technische Universität München, Klinikum rechts der Isar, Ismaninger Str. 22, 81675 München, Germany and Physik-Department, Technische Universität München, James-Franck-Str. 1, 85748 Garching (Germany); Masood, Umar [OncoRay National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, PF 41, 01307 Dresden (Germany); Pawelke, Joerg [OncoRay National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, PF 41, 01307 Dresden, Germany and Institute of Radiation Physics, Helmholtz-Zentrum Dresden - Rossendorf, Bautzner Landstrasse 400, 01328 Dresden (Germany)

    2015-09-15

    Purpose: Laser-driven proton acceleration is suggested as a cost- and space-efficient alternative for future radiation therapy centers, although the properties of these beams are fairly different compared to conventionally accelerated proton beams. The laser-driven proton beam is extremely pulsed containing a very high proton number within ultrashort bunches at low bunch repetition rates of few Hz and the energy spectrum of the protons per bunch is very broad. Moreover, these laser accelerated bunches are subject to shot-to-shot fluctuations. Therefore, the aim of this study was to investigate the feasibility of a compact gantry design for laser-driven proton therapy and to determine limitations to comply with. Methods: Based on a published gantry beam line design which can filter parabolic spectra from an exponentially decaying broad initial spectrum, a treatment planning study was performed on real patient data sets. All potential parabolic spectra were fed into a treatment planning system and numerous spot scanning proton plans were calculated. To investigate limitations in the fluence per bunch, the proton number of the initial spectrum and the beam width at patient entrance were varied. A scenario where only integer shots are delivered as well as an intensity modulation from shot to shot was studied. The resulting plans were evaluated depending on their dosimetric quality and in terms of required treatment time. In addition, the influence of random shot-to-shot fluctuations on the plan quality was analyzed. Results: The study showed that clinically relevant dose distributions can be produced with the system under investigation even with integer shots. For small target volumes receiving high doses per fraction, the initial proton number per bunch must remain between 1.4 × 10{sup 8} and 8.3 × 10{sup 9} to achieve acceptable delivery times as well as plan qualities. For larger target volumes and standard doses per fraction, the initial proton number is even

  10. Altering surface characteristics of polypropylene mesh via sodium hydroxide treatment.

    Science.gov (United States)

    Regis, Shawn; Jassal, Manisha; Mukherjee, Nilay; Bayon, Yves; Scarborough, Nelson; Bhowmick, Sankha

    2012-05-01

    Incisional hernias represent a serious and common complication following laparotomy. The use of synthetic (e.g. polypropylene) meshes to aid repair of these hernias has considerably reduced recurrence rates. While polypropylene is biocompatible and has a long successful clinical history in treating hernias and preventing reherniation, this material may suffer some limitations, particularly in challenging patients at risk of wound failure due to, for example, an exaggerated inflammation reaction, delayed wound healing, and infection. Surface modification of the polypropylene mesh without sacrificing its mechanical properties, critical for hernia repair, represents one way to begin to address these clinical complications. Our hypothesis is treatment of a proprietary polypropylene mesh with sodium hydroxide (NaOH) will increase in vitro NIH/3T3 cell attachment, predictive of earlier and improved cell colonization and tissue integration of polypropylene materials. Our goal is to achieve this altered surface functionality via enhanced removal of chemicals/oils used during material synthesis without compromising the mechanical properties of the mesh. We found that NaOH treatment does not appear to compromise the mechanical strength of the material, despite roughly a 10% decrease in fiber diameter. The treatment increases in vitro NIH/3T3 cell attachment within the first 72 h and this effect is sustained up to 7 days in vitro. This research demonstrates that sodium hydroxide treatment is an efficient way to modify the surface of polypropylene hernia meshes without losing the mechanical integrity of the material. This simple procedure could also allow the attachment of a variety of biomolecules to the polypropylene mesh that may aid in reducing the complications associated with polypropylene meshes today. Copyright © 2012 Wiley Periodicals, Inc.

  11. Identification of changes in hydrological drought characteristics from a multi-GCM driven ensemble constrained by observed discharge

    NARCIS (Netherlands)

    Huijgevoort, van M.H.J.; Lanen, van H.A.J.; Teuling, A.J.; Uijlenhoet, R.

    2014-01-01

    Drought severity and related socio-economic impacts are expected to increase due to climate change. To better adapt to these impacts, more knowledge on changes in future hydrological drought characteristics (e.g. frequency, duration) is needed rather than only knowledge on changes in meteorological

  12. SPECIAL CHARACTERISTICS OF TREATMENT OF SEVERE ATOPIC DERMATITIS IN CHILDREN

    Directory of Open Access Journals (Sweden)

    D. Sh. Macharadze

    2013-01-01

    Full Text Available The article analyzes modern data on risk factors of severe course of atopic dermatitis in children: the role of alimentary and inhalant allergens, cutaneous infections, allergic reactions to drugs used in the treatment of disease. The most important questions of differential diagnosis of atopic dermatitis in children and the distinctive features of the illness, which may be mistaken for atopic dermatitis (primary immunodeficiencies, keratosis pilaris, psoriasis, enteropatic acrodermatitis; cutaneous bacterial and fungal infections, and drug-induced contact dermatitis to topical creams and ointments are discussed. Treatment of atopic dermatitis is based on modern approaches and includes recommendations on the use of emolents, anti-inflammatory drugs (topical glucocorticoids and calcineurin inhibitors. The article provides indications and contraindications to the administration of anti-inflammatory drugs. Special recommendations for use of cleansers and emolents at all degrees of severity of atopic dermatitis, which helps reduce the risk of side effects of topical corticosteroids, complications such as cutaneous infections and helps to maintain remission of disease are given. The importance of training programs patients is emphasized. Compliance of patients and/or their parents contributes to the achievement of the desired effect of the treatment of atopic dermatitis, which will improve the patients’ quality of life.

  13. Relationship between patient characteristics and treatment allocation for patients with personality disorders.

    Science.gov (United States)

    van Manen, Janine G; Andrea, Helene; van den Eijnden, Ellen; Meerman, Anke M M A; Thunnissen, Moniek M; Hamers, Elisabeth F M; Huson, Nelleke; Ziegler, Uli; Stijnen, Theo; Busschbach, Jan J V; Timman, Reinier; Verheul, Roel

    2011-10-01

    Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.

  14. DUST DYNAMICS IN PROTOPLANETARY DISK WINDS DRIVEN BY MAGNETOROTATIONAL TURBULENCE: A MECHANISM FOR FLOATING DUST GRAINS WITH CHARACTERISTIC SIZES

    Energy Technology Data Exchange (ETDEWEB)

    Miyake, Tomoya; Suzuki, Takeru K.; Inutsuka, Shu-ichiro, E-mail: miyake.tomoya@e.mbox.nagoya-u.ac.jp, E-mail: stakeru@nagoya-u.jp [Department of Physics, Nagoya University, Nagoya, Aichi 464-8602 (Japan)

    2016-04-10

    We investigate the dynamics of dust grains of various sizes in protoplanetary disk winds driven by magnetorotational turbulence, by simulating the time evolution of the dust grain distribution in the vertical direction. Small dust grains, which are well-coupled to the gas, are dragged upward with the upflowing gas, while large grains remain near the midplane of a disk. Intermediate-size grains float near the sonic point of the disk wind located at several scale heights from the midplane, where the grains are loosely coupled to the background gas. For the minimum mass solar nebula at 1 au, dust grains with size of 25–45 μm float around 4 scale heights from the midplane. Considering the dependence on the distance from the central star, smaller-size grains remain only in an outer region of the disk, while larger-size grains are distributed in a broader region. We also discuss the implications of our result for observations of dusty material around young stellar objects.

  15. Diagnosis and treatment characteristics of radioactive optic neuropathy

    Directory of Open Access Journals (Sweden)

    Yan Zhang

    2014-06-01

    Full Text Available AIM: To explore the diagnosis and treatment methods of radioaction-induced optic neuritis(RIONthrough the clinical dates of 17 patients. METHODS: It was a retrospective case series study. From August 2008 to October 2013, 17 cases(24 eyesof Rion clinical dates from Chinese PLA General Hospital were studied. The diagnosis methods including visual acuity, pupil, fundus, visual field, fundus fluorescein angiography(FFA, visual electrophysiological testing, and head MRI. To analysis the clinical date of patients with diagnosis of RION by statistical description.RESULTS: The deterioration degree of vision: 13 eyes were classified as Ⅳ, 9 eyes as Ⅲ, 2 eyes as Ⅱ. Ten eyes RAPD(+, visual electrophysiology is extinguished. The retina of 5 eyes showed flame hemorrhages and cotton wool spots exudation. Optic nerve head edema in one eye. T1-weighted MRI enhanced in 19 eyes which showed optic nerve of the intracranial and intratubal segments abnormal changed, optic chiasm and pituitary stalk signal abnormalities and enhancement of the optic nerve. Tortuous optic nerves and rough edges were observed in 5 eyes. Treatment effect: 4 eyes of visual acuity improved, 1 eye from blindness to light perception,1 eye from 0.08 to 0.2, 1 eye from 0.4 to 0.6,1 eye from 0.04 to 0.15, the rest of the cases did not see any improvement.CONCLUSION: The unique clinical manifestation of RION can provide objective basis for clinical diagnosis in time, but there have not been proven any effective treatments.

  16. 'Omics'-driven discoveries in prevention and treatment of type 2 diabetes

    DEFF Research Database (Denmark)

    Gjesing, Anette Marianne Prior; Pedersen, Oluf

    2012-01-01

    Eur J Clin Invest 2012; 42 (6): 579-588 ABSTRACT: Glucose-based methods are currently gold standards for identifying individuals at risk of type 2 diabetes. Obviously, these methods only consider one of many pathologies of impaired glucose metabolism and they all suffer from a poor specificity...... as type 2 diabetes risk assessment tools. Recently, however, panels of multiple biomarkers reflecting several pre-diabetic pathologies have been developed. Their specificity and potentials for future risk stratification are discussed. As a multifactorial disorder type 2 diabetes calls for a multifactorial...... treatment approach targeting multiple but modifiable vascular risk factors. The same holds for pre-diabetic states and prevention hereof. In addition, type 2 diabetes and pre-diabetes show major heterogeneity between affected individuals in pathology, risk of organ damages, progression rate...

  17. Magnetically driven rotation of thermal plasma jet for non-degradable CF{sub 4} treatment

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Sooseok, E-mail: choi@chemenv.titech.ac.jp [Department of Nuclear Engineering, Seoul National University (Korea, Republic of); Department of Environmental Chemistry and Engineering, Tokyo Institute of Technology (Japan); Hong, Sang Hee; Kim, Sungwoo [Department of Nuclear Engineering, Seoul National University (Korea, Republic of); Park, Dong-Wha [Department of Chemical Engineering and Regional Innovation Center for Environmental Technology of Thermal Plasma, Inha University (Korea, Republic of); Watanabe, Takayuki [Department of Environmental Chemistry and Engineering, Tokyo Institute of Technology (Japan)

    2012-11-15

    Effects of an externally applied magnetic field on the thermal plasma treatment of non-degradable greenhouse gas were investigated. Tetrafluoromethane (CF{sub 4}) was decomposed as a waste gas, because it is the most stable species among perfluorocompounds and has the highest global warming potential. A permanent magnet equipped on the exit region of a hollow electrode plasma torch produced azimuthal Lorentz force to drive rotational motions of the arc root and the thermal plasma jet. In order to sustain a stable arc discharge, the position of the permanent magnet was determined by numerical analysis on the temperature distribution according to the length of arc column. Forcibly swirling motion of thermal plasma jet was observed in accordance with the strength of applied magnetic field. Increased destruction and removal efficiency of CF{sub 4} was measured in torch operation with the externally applied magnetic field due to the enhanced entrainment of waste gas into the thermal plasma jet.

  18. Magnetically driven rotation of thermal plasma jet for non-degradable CF4 treatment

    International Nuclear Information System (INIS)

    Choi, Sooseok; Hong, Sang Hee; Kim, Sungwoo; Park, Dong-Wha; Watanabe, Takayuki

    2012-01-01

    Effects of an externally applied magnetic field on the thermal plasma treatment of non-degradable greenhouse gas were investigated. Tetrafluoromethane (CF 4 ) was decomposed as a waste gas, because it is the most stable species among perfluorocompounds and has the highest global warming potential. A permanent magnet equipped on the exit region of a hollow electrode plasma torch produced azimuthal Lorentz force to drive rotational motions of the arc root and the thermal plasma jet. In order to sustain a stable arc discharge, the position of the permanent magnet was determined by numerical analysis on the temperature distribution according to the length of arc column. Forcibly swirling motion of thermal plasma jet was observed in accordance with the strength of applied magnetic field. Increased destruction and removal efficiency of CF 4 was measured in torch operation with the externally applied magnetic field due to the enhanced entrainment of waste gas into the thermal plasma jet.

  19. [INVITED] Laser treatment of Inconel 718 alloy and surface characteristics

    Science.gov (United States)

    Yilbas, B. S.; Ali, H.; Al-Aqeeli, N.; Karatas, C.

    2016-04-01

    Laser surface texturing of Inconel 718 alloy is carried out under the high pressure nitrogen assisting gas. The combination of evaporation and melting at the irradiated surface is achieved by controlling the laser scanning speed and the laser output power. Morphological and metallurgical changes in the treated surface are analyzed using the analytical tools including optical, electron scanning, and atomic force microscopes, energy dispersive spectroscopy, and X-ray diffraction. Microhardnes and friction coefficient of the laser treated surface are measured. Residual stress formed in the surface region is determined from the X-ray diffraction data. Surface hydrophobicity of the laser treated layer is assessed incorporating the sessile drop method. It is found that laser treated surface is free from large size asperities including cracks and the voids. Surface microhardness increases significantly after the laser treatment process, which is attributed to the dense layer formation at the surface under the high cooling rates, dissolution of Laves phase in the surface region, and formation of nitride species at the surface. Residual stress formed is compressive in the laser treated surface and friction coefficient reduces at the surface after the laser treatment process. The combination of evaporation and melting at the irradiated surface results in surface texture composes of micro/nano-poles and pillars, which enhance the surface hydrophobicity.

  20. Characteristics of temperature rise in variable inductor employing magnetorheological fluid driven by a high-frequency pulsed voltage source

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ho-Young; Kang, In Man, E-mail: imkang@ee.knu.ac.kr [School of Electronics Engineering, Kyungpook National University, Daegu 702-701 (Korea, Republic of); Shon, Chae-Hwa [Korea Electrotechnology Research Institute, Changwon 642-120 (Korea, Republic of); Lee, Se-Hee, E-mail: shlees@knu.ac.kr [Department of Electrical Engineering, Kyungpook National University, Daegu 702-701 (Korea, Republic of)

    2015-05-07

    A variable inductor with magnetorheological (MR) fluid has been successfully applied to power electronics applications; however, its thermal characteristics have not been investigated. To evaluate the performance of the variable inductor with respect to temperature, we measured the characteristics of temperature rise and developed a numerical analysis technique. The characteristics of temperature rise were determined experimentally and verified numerically by adopting a multiphysics analysis technique. In order to accurately estimate the temperature distribution in a variable inductor with an MR fluid-gap, the thermal solver should import the heat source from the electromagnetic solver to solve the eddy current problem. To improve accuracy, the B–H curves of the MR fluid under operating temperature were obtained using the magnetic property measurement system. In addition, the Steinmetz equation was applied to evaluate the core loss in a ferrite core. The predicted temperature rise for a variable inductor showed good agreement with the experimental data and the developed numerical technique can be employed to design a variable inductor with a high-frequency pulsed voltage source.

  1. Characteristics of temperature rise in variable inductor employing magnetorheological fluid driven by a high-frequency pulsed voltage source

    International Nuclear Information System (INIS)

    Lee, Ho-Young; Kang, In Man; Shon, Chae-Hwa; Lee, Se-Hee

    2015-01-01

    A variable inductor with magnetorheological (MR) fluid has been successfully applied to power electronics applications; however, its thermal characteristics have not been investigated. To evaluate the performance of the variable inductor with respect to temperature, we measured the characteristics of temperature rise and developed a numerical analysis technique. The characteristics of temperature rise were determined experimentally and verified numerically by adopting a multiphysics analysis technique. In order to accurately estimate the temperature distribution in a variable inductor with an MR fluid-gap, the thermal solver should import the heat source from the electromagnetic solver to solve the eddy current problem. To improve accuracy, the B–H curves of the MR fluid under operating temperature were obtained using the magnetic property measurement system. In addition, the Steinmetz equation was applied to evaluate the core loss in a ferrite core. The predicted temperature rise for a variable inductor showed good agreement with the experimental data and the developed numerical technique can be employed to design a variable inductor with a high-frequency pulsed voltage source

  2. Degradation Characteristics of Aniline with Ozonation and Subsequent Treatment Analysis

    Directory of Open Access Journals (Sweden)

    Zhaoqian Jing

    2015-01-01

    Full Text Available Owing to the toxicity and low biodegradability of aniline in water, its removal usually needs high cost processes such as adsorption and advanced oxidation. The degradation characteristics of aniline during ozonation were studied. The influence of operation parameters such as contact time, initial concentration, ozone dosage, temperature, and pH was also investigated. With ozone dosage of 22 mg/L, neutral pH, and room temperature, the ozonation removed aniline efficiently. After two hours’ ozonation, aniline removal reached 93.57%, and the corresponding COD removal was 31.03%, which indicated most of aniline was transformed into intermediates. At alkaline conditions, the aniline was more susceptible to being removed by ozonation owing to more hydroxyl radicals’ production. The results of GC-MS indicated many intermediates appeared during the process of ozonation such as butane diacid, oxalic acid, and formic acid. The intermediates produced during ozonation were more biodegradable than aniline; thus the ozonation of such organic compounds as aniline could be integrated with biological processes for further removal.

  3. Effects of Relative SG Tube Pitches on the Performance Characteristics of a Small Modular Reactor driven by Natural Circulation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Youngjin; Yi, Kunwoo; Lee, Byungjin [KEPCO Engineering and Construction, Daejeon (Korea, Republic of)

    2016-10-15

    In this research, the capacity and basic dimensions for SMRs driven by a natural circulation are preliminarily assumed to determine the SMR configuration for the conceptual design, and each of the pre-set values is explained below. Firstly, the PZR configuration is not considered because it is not included to the main flow of the primary coolant. One of the SMR requirements is that SMR shall carry on the road. Hence, the vehicle geometrical limits are 15 meters for the length, and 3.5 meters for the height, approximately. With these limits for the dimensions of the SMR, RV length is assumed about 13.8 meters and RV diameter about 2.5 meters. In IAEA definition for SMRs, the capacity of electric power is no more than 300 MWe. If the efficiency of SMR power plant is assumed to 33% compared to the commercial power plant, the core power is below 1,000 MWth. In this research, the core power is assumed to 200 MWth arbitrarily during normal operation. The primary coolant passes through the outside of tubes, and the heat is transfer to the secondary feedwater. The secondary feedwater passes through the inside of tubes, and the heat from the primary coolant is received to generate the superheated steam. The present work carries out numerical simulations to get an insight for the effects of the diameters of the reactor vessel and riser using the parameters such as the steam generator tube pitches. To sum up, the calculation results show a good agreement with the theoretical equation and the uniform diameter loop has a more uniform temperature distribution and larger mass flow rate.

  4. [Advanced Parkinson's disease: clinical characteristics and treatment (part 1)].

    Science.gov (United States)

    Kulisevsky, J; Luquin, M R; Arbelo, J M; Burguera, J A; Carrillo, F; Castro, A; Chacón, J; García-Ruiz, P J; Lezcano, E; Mir, P; Martinez-Castrillo, J C; Martínez-Torres, I; Puente, V; Sesar, A; Valldeoriola-Serra, F; Yañez, R

    2013-10-01

    A large percentage of patients with Parkinson's disease (PD) develop motor fluctuations, dyskinesias, and severe non-motor symptoms within 3 to 5 years of starting dopaminergic therapy, and these motor complications are refractory to treatment. Several authors refer to this stage of the disease as advanced Parkinson's disease. To define the clinical manifestations of advanced PD and the risk factors for reaching this stage of the disease. This consensus document has been prepared by using an exhaustive literature search and by discussion of the contents by an expert group on movement disorders of the Sociedad Española de Neurología (Spanish Neurology Society), coordinated by two of the authors (JK and MRL). Severe motor fluctuations and dyskinesias, axial motor symptoms resistant to levodopa, and cognitive decline are the main signs in the clinical phenotype of advanced PD. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  5. Characteristics and performance of anaerobic wastewater treatment (a review)

    International Nuclear Information System (INIS)

    Zeb, B.S.; Mahmood, Q.; Pervez, A.

    2013-01-01

    Summary: Pakistan's current population of 180 million is expected to grow to about 221 million by the year 2025. In developing countries such as Pakistan water pollution is a major threat to the livelihood of people. Pakistan is also currently experiencing profound demographic, economic changes and energy crisis that have major implications for water management. The contamination of aquatic and terrestrial ecosystems with heavy metals is a major environmental problem. Each pollution problem calls for specific optimal and cost effective solution so if one technology proves less or ineffective other takes its place. Every day the vast amounts of the municipal, industrial and agricultural wastes are released in to the environment and create serious problems. Anaerobic digestion is very attractive and cost-effective option and technology for the highly loaded waste water treatment and energy conversion. The anaerobic process is in many ways ideal for waste treatment. It has several significant advantages over other available methods. In this process organic matter is utilized as source of electron donor to reduce carbon dioxide to produce methane gas. It involves three bacterial groups namely: hydrolytic, acetogenic and methanogenic bacteria that work optimally at pH and temperature ranges of 6.8 to 7.5 and 30-35 degree C, respectively. The residence time in a digester varies with the amount and type of feed material, the configuration of the digestion system, and whether it be one-stage or two-stage. It is ideal for all kinds of wastewaters. Currently anaerobic technology is being operated at full scale in many industrialized nations. (author)

  6. Hypoxia-driven immunosuppression: a new reason to use thermal therapy in the treatment of cancer?

    Science.gov (United States)

    Lee, Chen-Ting; Mace, Thomas; Repasky, Elizabeth A

    2010-01-01

    Hypoxia within the tumour microenvironment is correlated with poor treatment outcome after radiation and chemotherapy, and with decreased overall survival in cancer patients. Several molecular mechanisms by which hypoxia supports tumour growth and interferes with effective radiation and chemotherapies are now well established. However, several new lines of investigation are pointing to yet another ominous outcome of hypoxia in the tumour microenvironment: suppression of anti-tumour immune effector cells and enhancement of tumour escape from immune surveillance. This review summarises this important information, and highlights mechanistic data by which hypoxia incapacitates several different types of immune effector cells, enhances the activity of immunosuppressive cells and provides new avenues which help 'blind' immune cells to detect the presence of tumour cells. Finally, we discuss data which indicates that mild thermal therapy, through its physiologically regulated ability to alter vascular perfusion and oxygen tensions within the tumour microenvironment, as well as its ability to enhance the function of some of the same immune effector activities that are inhibited by hypoxia, could be used to rapidly and safely release the tight grip of hypoxia in the tumour microenvironment thereby reducing barriers to more effective immune-based therapies.

  7. Examining flow-flame interaction and the characteristic stretch rate in vortex-driven combustion dynamics using PIV and numerical simulation

    KAUST Repository

    Hong, Seunghyuck

    2013-08-01

    In this paper, we experimentally investigate the combustion dynamics in lean premixed flames in a laboratory scale backward-facing step combustor in which flame-vortex driven dynamics are observed. A series of tests was conducted using propane/hydrogen/air mixtures for various mixture compositions at the inlet temperature ranging from 300K to 500K and at atmospheric pressure. Pressure measurements and high speed particle image velocimetry (PIV) are used to generate pressure response curves and phase-averaged vorticity and streamlines as well as the instantaneous flame front, respectively, which describe unsteady flame and flow dynamics in each operating regime. This work was motivated in part by our earlier study where we showed that the strained flame consumption speed Sc can be used to collapse the pressure response curves over a wide range of operating conditions. In previous studies, the stretch rate at which Sc was computed was determined by trial and error. In this study, flame stretch is estimated using the instantaneous flame front and velocity field from the PIV measurement. Independently, we also use computed strained flame speed and the experimental data to determine the characteristic values of stretch rate near the mode transition points at which the flame configuration changes. We show that a common value of the characteristic stretch rate exists across all the flame configurations. The consumption speed computed at the characteristic stretch rate captures the impact of different operating parameters on the combustor dynamics. These results suggest that the unsteady interactions between the turbulent flow and the flame dynamics can be encapsulated in the characteristic stretch rate, which governs the critical flame speed at the mode transitions and thereby plays an important role in determining the stability characteristics of the combustor. © 2013 The Combustion Institute.

  8. Hearing Loss in Osteogenesis Imperfecta: Characteristics and Treatment Considerations

    Science.gov (United States)

    Pillion, Joseph P.; Vernick, David; Shapiro, Jay

    2011-01-01

    Osteogenesis imperfecta (OI) is the most common heritable disorder of connective tissue. It is associated with fractures following relatively minor injury, blue sclerae, dentinogenesis imperfecta, increased joint mobility, short stature, and hearing loss. Structures in the otic capsule and inner ear share in the histologic features common to other skeletal tissues. OI is due to mutations involving several genes, the most commonly involved are the COL1A1 or COL1A2 genes which are responsible for the synthesis of the proalpha-1 and proalpha-2 polypeptide chains that form the type I collagen triple helix. A genotype/phenotype relationship to hearing loss has not been established in OI. Hearing loss is commonly found in OI with prevalence rates ranging from 50 to 92% in some studies. Hearing loss in OI may be conductive, mixed, or sensorineural and is more common by the second or third decade. Treatment options such as hearing aids, stapes surgery, and cochlear implants are discussed. PMID:22567374

  9. Zoonotic bacterial meningitis in adults: clinical characteristics, etiology, treatment and outcome

    NARCIS (Netherlands)

    van Samkar, A.

    2016-01-01

    In this thesis, we describe the clinical characteristics, etiology, treatment and outcome of zoonotic bacterial meningitis. Each chapter describes meningitis patients infected by a specific zoonotic pathogen, such as Streptococcus equi, Streptococcuis suis, Capnocytophaga canimorsus, Campylobacter

  10. Dielectric characteristics of food-stuff in the process of their thermal treatment with microwave field

    OpenAIRE

    Zhirnov, V. V.; Dokhov, A. I.; Solonskaya, S. V.; Strelchenko, V. I.

    2003-01-01

    Results of investigations into dynamics of dielectric characteristics volumetric distribution variation in the process of food-stuff thermal treatment under microwave-band electromagnetic fields action are given. The calculated relations for defining distribution of temperature variations, moisture content and excessive pressure in the food-stuff volume at thermal treatment under the microwave radiation action exerting the main effect on ε' and ε" dielectric characteristics' variation in the ...

  11. Ten year experience with antiretroviral treatment in Cambodia: Trends in patient characteristics and treatment outcomes.

    Directory of Open Access Journals (Sweden)

    Phirum Lay

    Full Text Available Although HIV disease stage at ART initiation critically determines ART outcomes, few reports have longitudinally monitored this within Asia. Using prospectively collected data from a large ART program at Sihanouk Hospital Center of Hope in Cambodia, we report on the change in patient characteristics and outcomes over a ten-year period.We conducted a retrospective analysis including all adults (≥ 18 years old starting ART from March 2003-March 2013 in a non-governmental hospital in Phnom Penh, Cambodia. The cumulative incidence of death, lost to follow-up (LTFU, attrition (death or LTFU and first line treatment failure were calculated using Kaplan-Meier methods. Independent risk factors for these outcomes were determined using Cox regression modeling.Over the ten-year period, 3581 patients initiated ART with a median follow-up time of 4.8 years (IQR 2.8-7.2. The median age was 35 years (IQR 30-41, 54% were female. The median CD4 count at ART initiation increased from 22 cells/μL (IQR 4-129 in 2003 to 218 (IQR 57-302 in 2013. Over the 10 year period, a total of 282 (7.9% individuals died and 433 (12.1% were defined LTFU. Program attrition (died or LTFU was 11.1% (95% CI: 10.1%- 12.4% at one year, 16.3% (95% CI: 15.1%-17.6% at three years, 19.8% (95% CI: 18.5%-21.2% at five years and 23.3% (95% CI: 21.6-25.1 at ten years. Male sex and low baseline body mass index (BMI were associated with increased attrition. Factors independently associated with mortality included a low baseline CD4 count, older age, male sex, low baseline BMI and hepatitis B co-infection. Individuals aged above 40 years old had an increased risk of mortality but were less likely to LTFU. There were a total of 137 individuals with first line ART failure starting second line treatment. The probability of first line failure was estimated at 2.8% (95% CI: 2.3%-3.4% at 3 years, 4.6% (95% CI: 3.9%-5.5% at 5 years and 7.8% (95% CI 4.8%-12.5% at ten years of ART. The probability was

  12. Decision for reconstructive interventions of the upper limb in individuals with tetraplegia: the effect of treatment characteristics

    NARCIS (Netherlands)

    Snoek, Govert J.; van Til, Janine Astrid; Krabbe, Paul F.M.; IJzerman, Maarten Joost

    2008-01-01

    Objective: To determine the effect of treatment characteristics on the decision for reconstructive interventions for the upper extremities (UE) in subjects with tetraplegia. - Setting: Seven specialized spinal cord injury centres in the Netherlands. - Method: Treatment characteristics for UE

  13. Self-Driven Desalination and Advanced Treatment of Wastewater in a Modularized Filtration Air Cathode Microbial Desalination Cell.

    Science.gov (United States)

    Zuo, Kuichang; Wang, Zhen; Chen, Xi; Zhang, Xiaoyuan; Zuo, Jiaolan; Liang, Peng; Huang, Xia

    2016-07-05

    Microbial desalination cells (MDCs) extract organic energy from wastewater for in situ desalination of saline water. However, to desalinate salt water, traditional MDCs often require an anolyte (wastewater) and a catholyte (other synthetic water) to produce electricity. Correspondingly, the traditional MDCs also produced anode effluent and cathode effluent, and may produce a concentrate solution, resulting in a low production of diluate. In this study, nitrogen-doped carbon nanotube membranes and Pt carbon cloths were utilized as filtration material and cathode to fabricate a modularized filtration air cathode MDC (F-MDC). With real wastewater flowing from anode to cathode, and finally to the middle membrane stack, the diluate volume production reached 82.4%, with the removal efficiency of salinity and chemical oxygen demand (COD) reached 93.6% and 97.3% respectively. The final diluate conductivity was 68 ± 12 μS/cm, and the turbidity was 0.41 NTU, which were sufficient for boiler supplementary or industrial cooling. The concentrate production was only 17.6%, and almost all the phosphorus and salt, and most of the nitrogen were recovered, potentially allowing the recovery of nutrients and other chemicals. These results show the potential utility of the modularized F-MDC in the application of municipal wastewater advanced treatment and self-driven desalination.

  14. Research to practice in addiction treatment: key terms and a field-driven model of technology transfer.

    Science.gov (United States)

    2011-09-01

    The transfer of new technologies (e.g., evidence-based practices) into substance abuse treatment organizations often occurs long after they have been developed and shown to be effective. Transfer is slowed, in part, due to a lack of clear understanding about all that is needed to achieve full implementation of these technologies. Such misunderstanding is exacerbated by inconsistent terminology and overlapping models of an innovation, including its development and validation, dissemination to the public, and implementation or use in the field. For this reason, a workgroup of the Addiction Technology Transfer Center (ATTC) Network developed a field-driven conceptual model of the innovation process that more precisely defines relevant terms and concepts and integrates them into a comprehensive taxonomy. The proposed definitions and conceptual framework will allow for improved understanding and consensus regarding the distinct meaning and conceptual relationships between dimensions of the technology transfer process and accelerate the use of evidence-based practices. Copyright © 2011 Elsevier Inc. All rights reserved.

  15. Social Network Characteristics of Urban Adolescents in Brief Substance Abuse Treatment

    Science.gov (United States)

    Mason, Michael

    2009-01-01

    In this study, the social network characteristics of 102 urban adolescents in brief substance abuse treatment are described and analyzed longitudinally to examine risk and protective mechanisms. The treatment intervention had one session devoted to social support and networks. Social networks were conceptualized and measured along two dimensions…

  16. Spatio-temporal Characteristics of Land Use Land Cover Change Driven by Large Scale Land Transactions in Cambodia

    Science.gov (United States)

    Ghosh, A.; Smith, J. C.; Hijmans, R. J.

    2017-12-01

    Since mid-1990s, the Cambodian government granted nearly 300 `Economic Land Concessions' (ELCs), occupying approximately 2.3 million ha to foreign and domestic organizations (primarily agribusinesses). The majority of Cambodian ELC deals have been issued in areas of both relatively low population density and low agricultural productivity, dominated by smallholder production. These regions often contain highly biodiverse areas, thereby increasing the ecological cost associated with land clearing for extractive purposes. These large-scale land transactions have also resulted in substantial and rapid changes in land-use patterns and agriculture practices by smallholder farmers. In this study, we investigated the spatio-temporal characteristics of land use change associated with large-scale land transactions across Cambodia using multi-temporal multi-reolution remote sensing data. We identified major regions of deforestation during the last two decades using Landsat archive, global forest change data (2000-2014) and georeferenced database of ELC deals. We then mapped the deforestation and land clearing within ELC boundaries as well as areas bordering or near ELCs to quantify the impact of ELCs on local communities. Using time-series from MODIS Vegetation Indices products for the study period, we also estimated the time period over which any particular ELC deal initiated its proposed activity. We found evidence of similar patterns of land use change outside the boundaries of ELC deals which may be associated with i) illegal land encroachments by ELCs and/or ii) new agricultural practices adopted by local farmers near ELC boundaries. We also detected significant time gaps between ELC deal granting dates and initiation of land clearing for ELC purposes. Interestingly, we also found that not all designated areas for ELCs were put into effect indicating the possible proliferation of speculative land deals. This study demonstrates the potential of remote sensing techniques

  17. Evaluation of the Effect of Consultant Characteristics on Telemedicine Diagnosis and Treatment

    Directory of Open Access Journals (Sweden)

    Ann B. Bynum

    2011-01-01

    Full Text Available This study examined teleconsultants' specialty, practice setting, type of employment, years and training in telemedicine to evaluate the effect of these characteristics on diagnoses and treatment. A postuse survey was conducted during 1998–2003 (n=454 consultations in the University of Arkansas for Medical Sciences' Rural Hospital, Telehealth Project. There were 61 consultants who conducted the teleconsultations. The teleconsultants established a diagnosis in 121 consultations and reported a change in diagnoses in 29 consultations. The consultants established a treatment plan in 219 consultations and reported a change in the treatment plan in 100 consultations. Dermatologists were significantly more likely to establish (P<.01 and change (P=.005 the diagnosis and to establish a treatment plan (P=.03, when compared to all other specialties. Teleconsultants who were self-employed were significantly more likely to change the treatment plan (P=.012. The findings suggest that teleconsultants' characteristics can affect diagnoses and treatment in telemedicine.

  18. Characteristics and treatment preferences of people with symptoms of posttraumatic stress disorder: an internet survey.

    Directory of Open Access Journals (Sweden)

    Jay Spence

    Full Text Available BACKGROUND: Although Posttraumatic Stress Disorder (PTSD is a severe and disabling anxiety disorder, relatively few people with this condition access evidence-based care. Barriers to treatment are multiple and complex, but the emerging field of Internet therapy for PTSD may improve access to evidence-based treatment. However, little is known about the characteristics of people with PTSD who seek online treatment, or whether they perceive internet treatment as an acceptable treatment option. METHODOLOGY: An online survey was used to collect information about the demographic and symptom characteristics of individuals with elevated levels of PTSD symptoms, and this was compared to data from corresponding sample from a national survey. Previous treatment experiences, perceived barriers to treatment and treatment preferences for Internet therapy and face-to-face treatment were also compared. PRINCIPAL FINDINGS: High levels of PTSD symptoms were reported by survey respondents. Psychological distress and disability was greater than reported by individuals with PTSD from a national survey. Half of the sample reported not having received treatment for PTSD; however, 88% of those who reported receiving treatment stated they received an evidence-based treatment. Primary barriers to treatment included cost, poor awareness of service availability, lack of prior treatment response and not perceiving personal distress as severe enough to warrant treatment. Most survey respondents indicated they were willing to try Internet treatment for PTSD. CONCLUSIONS: The Internet sample was symptomatically severe and multiple barriers existed to treatment. Internet therapy is an acceptable option for the treatment of PTSD in an internet sample.

  19. The prevalence and characteristics of homelessness in the NSW substance treatment population: implications for practice.

    Science.gov (United States)

    Allan, Julaine; Kemp, Michael

    2014-01-01

    This study examines the prevalence and characteristics of homelessness episodes in Australian substance misuse treatment. A dataset containing all closed substance treatment episodes in NSW, Australia from July 2006 to June 2011 was used. Statistical analysis was used to determine any relationships between demographic and treatment variables and homelessness. Of the 213, 129 treatment episodes in the dataset 12.8% have some form of homelessness. Non-government and residential services have the highest prevalence of homelessness. Sex, age, and drug type have weak relationships with homelessness. Leaving against the advice of the treatment provider is more common in episodes where homelessness is a factor. Homelessness is a problem experienced by a significant proportion of the substance treatment population and treatment providers have an opportunity and an obligation to address it in their treatment delivery.

  20. High-Risk Offenders Participating in Court-Supervised Substance Abuse Treatment: Characteristics, Treatment Received, and Factors Associated with Recidivism

    Science.gov (United States)

    Huang, David; Hser, Yih-Ing

    2011-01-01

    High-risk offenders treated by California’s Proposition 36 court-supervised drug treatment initiative account for a disproportionate number of re-arrests (Hawken 2008) undermining the many successes of the program, yet little is known about their characteristics, treatment experiences, or factors that influence re-arrest. To better understand this group, self-reported and administrative data were analyzed on 78 high-risk (five or more convictions in the previous 5 years) and 1,009 low-risk offenders enrolled during 2004. At intake, high-risk offenders were younger, more were male, and more had prior contact with psychiatric and criminal justice systems. Treatment received and the proportion recidivated during the 30-months after treatment assessment were similar across groups, but high-risk offenders had a greater number of re-arrests. The number of re-arrests was increased by high-risk classification, but decreased by receipt of more treatment services and longer treatment length. Moreover, the number of re-arrests was highest among high-risk offenders with shorter treatment lengths, whereas it was similar to that among low-risk offenders if treatment length was longer. To reduce recidivism among high-risk offenders in court-supervised drug treatment, consideration of psychiatric problems and criminal history is needed, as is receipt of sufficient treatment. PMID:21479770

  1. The Effect of Mechanochemical Treatment of the Cellulose on Characteristics of Nanocellulose Films

    OpenAIRE

    Barbash, V. A.; Yaschenko, O. V.; Alushkin, S. V.; Kondratyuk, A. S.; Posudievsky, O. Y.; Koshechko, V. G.

    2016-01-01

    The development of the nanomaterials with the advanced functional characteristics is a challenging task because of the growing demand in the market of the optoelectronic devices, biodegradable plastics, and materials for energy saving and energy storage. Nanocellulose is comprised of the nanosized cellulose particles, properties of which depend on characteristics of plant raw materials as well as methods of nanocellulose preparation. In this study, the effect of the mechanochemical treatment ...

  2. Role of RET protein-tyrosine kinase inhibitors in the treatment RET-driven thyroid and lung cancers.

    Science.gov (United States)

    Roskoski, Robert; Sadeghi-Nejad, Abdollah

    2018-02-01

    RET is a transmembrane receptor protein-tyrosine kinase that is required for the development of the nervous system and several other tissues. The mechanism of activation of RET by its glial-cell derived neurotrophic factor (GDNF) ligands differs from that of all other receptor protein-tyrosine kinases owing to the requirement for additional GDNF family receptor-α (GFRα) co-receptors (GFRα1/2/3/4). RET point mutations have been reported in multiple endocrine neoplasia (MEN2A, MEN2B) and medullary thyroid carcinoma. In contrast, RET fusion proteins have been reported in papillary thyroid and non-small cell lung adenocarcinomas. More than a dozen fusion partners of RET have been described in papillary thyroid carcinomas, most frequently CCDC6-RET and NCOA4-RET. RET-fusion proteins, commonly KIF5B-RET, have also been found in non-small cell lung cancer (NSCLC). Several drugs targeting RET have been approved by the FDA for the treatment of cancer: (i) cabozantinib and vandetanib for medullary thyroid carcinomas and (ii) lenvatinib and sorafenib for differentiated thyroid cancers. In addition, alectinib and sunitinib are approved for the treatment of other neoplasms. Each of these drugs is a multikinase inhibitor that has activity against RET. Previous X-ray studies indicated that vandetanib binds within the ATP-binding pocket and forms a hydrogen bond with A807 within the RET hinge and it makes hydrophobic contact with L881 of the catalytic spine which occurs in the floor of the adenine-binding pocket. Our molecular modeling studies indicate that the other antagonists bind in a similar fashion. All of these antagonists bind to the active conformation of RET and are therefore classified as type I inhibitors. The drugs also make variable contacts with other residues of the regulatory and catalytic spines. None of these drugs was designed to bind preferentially to RET and it is hypothesized that RET-specific antagonists might produce even better clinical outcomes

  3. Microwave and micronization treatments affect dehulling characteristics and bioactive contents of dry beans (Phaseolus vulgaris L.).

    Science.gov (United States)

    Oomah, B Dave; Kotzeva, Lily; Allen, Meghan; Bassinello, Priscila Zaczuk

    2014-05-01

    Heat pretreatment is considered the first step in grain milling. This study therefore evaluated microwave and micronization heat treatments in improving the dehulling characteristics, phenolic composition and antioxidant and α-amylase activities of bean cultivars from three market classes. Heat treatments improved dehulling characteristics (hull yield, rate coefficient and reduced abrasive hardness index) depending on bean cultivar, whereas treatment effects increased with dehulling time. Micronization increased minor phenolic components (tartaric esters, flavonols and anthocyanins) of all beans but had variable effects on total phenolic content depending on market class. Microwave treatment increased α-amylase inhibitor concentration, activity and potency, which were strongly correlated (r²  = 0.71, P < 0.0001) with the flavonol content of beans. Heat treatment had variable effects on the phenolic composition of bean hulls obtained by abrasive dehulling without significantly altering the antioxidant activity of black and pinto bean hulls. Principal component analysis on 22 constituents analyzed in this study demonstrated the differences in dehulling characteristics and phenolic components of beans and hulls as major factors in segregating the beneficial heat treatment effects. Heat treatment may be useful in developing novel dietary fibers from beans with variable composition and bioactivity with a considerable range of applications as functional food ingredients. © 2013 Society of Chemical Industry.

  4. Influence of heat treatment on physicochemical and rheological characteristics of natural yogurts

    Directory of Open Access Journals (Sweden)

    Juliana Aparecida Célia

    2017-08-01

    Full Text Available The aim of this study was to assess the influence of heat treatment on physicochemical and rheological characteristics of natural yogurts, as well as the influence of lyophilization process on natural yogurts after reconstitution. In the first experiment, three yogurt treatments were processed, as follows: Treatment 1, yogurt produced with raw refrigerated milk; Treatment 2, yogurt produced with refrigerated pasteurized milk; and Treatment 3, yogurt produced with UHT (ultra-high temperature milk, in addition to analyses of fat, protein, moisture, titratable acidity, and pH. The shelf life of yogurts at 1, 8, 15, 22, and 29 days of storage, as well as pH, acidity, syneresis, viscosity, viable lactic bacteria, and total coliforms were also assessed. In the second experiment, yogurts were submitted to lyophilization process, performed by scanning electron microscopy analysis and subsequently in those reconstituted, in addition to being assessed the physicochemical, rheological, and viable lactic bacteria characteristics. The results found in the first experiment showed that heat treatment was positive for viscosity, syneresis, and lactic bacteria, being viable until the 15th day of storage only for yogurts submitted to heat treatment. In the second experiment, lyophilization preserved the physicochemical characteristics of yogurts, but the number of initial lactic bacteria was different, also negatively affecting yogurt viscosity.

  5. Linking the mobilization of dissolved organic matter in catchments and its removal in drinking water treatment to its molecular characteristics.

    Science.gov (United States)

    Raeke, Julia; Lechtenfeld, Oliver J; Tittel, Jörg; Oosterwoud, Marieke R; Bornmann, Katrin; Reemtsma, Thorsten

    2017-04-15

    Drinking water reservoirs in the Northern Hemisphere are largely affected by the decadal-long increase in riverine dissolved organic carbon (DOC) concentrations. The removal of DOC in drinking water treatment is costly and predictions are needed to link DOC removal efficiency to its mobilization in catchments, both of which are determined by the molecular composition. To study the effect of hydrological events and land use on the molecular characteristics of dissolved organic matter (DOM), 36 samples from three different catchment areas in the German low mountain ranges, with DOC concentrations ranging from 3 to 32 mg L -1 , were examined. Additionally, nine pairs of samples from downstream drinking water reservoirs were analyzed before and after flocculation. The molecular composition and the age of DOM were analyzed using ultrahigh resolution Fourier transform ion cyclotron resonance mass spectrometry (FTICR-MS) and radiocarbon ( 14 C) analysis. At elevated discharge in a forested catchment comparatively younger, more oxygenated and unsaturated molecules of higher molecular weight were preferentially mobilized, likely linked to the reductive mobilization of iron. DOM with highly similar molecular characteristics (O/C ratio > 0.5, m/z > 500) could also be efficiently removed through flocculation in drinking water treatment. The proportion of DOM removed through flocculation ranged between 43% and 73% of DOC and was highest at elevated discharge. In catchment areas with a higher percentage of grassland and agriculture a higher proportion of DOM molecules containing sulfur and nitrogen was detected, which in turn could be less efficiently flocculated. Altogether, it was shown that DOM that is released during large hydrological events can be efficiently flocculated again, suggesting a reversal of similar chemical mechanisms in both processes. Since the occurrence of heavy rainfall events is predicted to increase in the future, event-driven mobilization of DOC

  6. Characteristics of seeking treatment among U.S. adolescents with eating disorders.

    Science.gov (United States)

    Forrest, Lauren N; Smith, April R; Swanson, Sonja A

    2017-07-01

    The majority of persons with eating disorders (EDs) do not seek ED treatment, yet little is known about treatment-seeking barriers or facilitators. The aim of the study is to describe the characteristics associated with seeking ED treatment among U.S. adolescents with EDs. Data from a nationally representative cross-sectional study of U.S. adolescents ages 13-18 years were used for these analyses. Specifically, adolescents who met criteria for lifetime EDs (N = 281) were included. Sociodemographic information, characteristics of EDs, psychiatric comorbidities, and other mental health service use were assessed via interview. Only 20% of adolescents sought ED treatment. Females were 2.2 (95% CI 0.8, 6.4) times more likely to seek treatment than males (19.9% vs. 8.9%). Adolescents who met criteria for anorexia nervosa or bulimia nervosa were 2.4 (95% CI 0.9, 6.3) and 1.9 (95% CI 1.0, 3.8) times more likely to seek treatment than adolescents who met criteria for binge-eating disorder (27.5% and 22.3% vs. 11.6%). Specific ED behaviors (restriction and purging), ED-related impairment, and any mental health service use were also associated with adolescent treatment seeking. Adolescent treatment seeking was infrequent overall, with individuals with counter-stereotypic ED presentations least likely to have sought treatment. Adolescent treatment seeking could be promoted through increasing awareness among the public and healthcare professionals that EDs affect a heterogeneous group of people. More generally, research involving both treatment-seeking and non-treatment-seeking individuals holds great potential to refine the field's knowledge of ED etiology, prevalence, treatment, and prevention. © 2017 Wiley Periodicals, Inc.

  7. Characteristics and Outcomes of Young Adult Opiate Users Receiving Residential Substance Abuse Treatment.

    Science.gov (United States)

    Morse, Siobhan; MacMaster, Samuel

    2015-01-01

    Opiate use patterns, user characteristics, and treatment response among young adults are of interest due to current high use prevalence and historical low levels of treatment engagement relative to older populations. Prior research in this population suggests that overall, young adults present at treatment with different issues. In this study the authors investigated potential differences between young adult (18-25 years of age) and older adult (26 and older) opiate users and the impact of differences relative to treatment motivation, length and outcomes. Data for this study was drawn from 760 individuals who entered voluntary, private, residential treatment. Study measures included the Addiction Severity Index (ASI), the Treatment Service Review (TSR), and University of Rhode Island Change Assessment (URICA). Interviews were conducted at program intake and 6-month post-discharge. Results indicate that older adults with a history of opiate use present at treatment with higher levels of severity for alcohol, medical, and psychological problems and young adults present at treatment with greater drug use and more legal issues. Significant improvement for both groups was noted at 6 months post treatment; there were also fewer differences between the two age groups of opiate users. Results suggest different strategies within treatment programs may provide benefit in targeting the disparate needs of younger opiate users. Overall, however, results suggest that individualized treatment within a standard, abstinence-based, residential treatment model can be effective across opiate users at different ages and with different issues, levels of severity, and impairment at intake.

  8. Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

    Directory of Open Access Journals (Sweden)

    Shuangge eMa

    2016-04-01

    Full Text Available Aims: When facing illness, a person may choose self-treatment as an alternative to hospital (and primary care-based treatment. Despite its important role in healthcare, the study on self-treatment remains limited. The goal is to collectively report the observations in the literature on the prevalence, characteristics, and effects of self-treatment.Methods: Extensive literature search was conducted, and relevant information was extracted.Results: Published studies have reported that in some regions, the prevalence of self-treatment is high and varies across illness conditions and treatment approaches. Self-medication is the most popular self-treatment approach. Multiple regional, demographic, personal, cultural and religious factors have been implicated in the pursuit of self-treatment. In addition, accessibility of healthcare also plays a role. Self-treatment in general has a positive clinical and financial effect. However there have been concerns on abuse and possible negative effects. Conclusions: This article reviews observations made in recent studies on several important aspects of self-treatment. Comprehensive and systematic study is still lacking. Interventions are needed to solve several problems associated with self-treatment.

  9. African American patients seeking treatment in the public sector: characteristics of buprenorphine vs. methadone patients.

    Science.gov (United States)

    Mitchell, Shannon Gwin; Kelly, Sharon M; Gryczynski, Jan; Myers, C Patrick; Jaffe, Jerome H; O'Grady, Kevin E; Olsen, Yngvild K; Schwartz, Robert P

    2012-04-01

    To expand its public-sector treatment capacity, Baltimore City made buprenorphine treatment accessible to low-income, largely African American residents. This study compares the characteristics of patients entering methadone treatment vs. buprenorphine treatment to determine whether BT was attracting different types of patients. Participants consisted of two samples of adult heroin-dependent African Americans. The first sample was newly admitted to a health center or a mental health center providing buprenorphine (N=200), and the second sample was newly admitted to one of two hospital-based methadone programs (N=178). The Addiction Severity Index (ASI) and the Friends Supplemental Questionnaire were administered at treatment entry and data were analyzed with logistic regression. BT participants were more likely to be female (p=.017) and less likely to inject (p=.001). Participants with only prior buprenorphine treatment experience were nearly five time more likely to enter buprenorphine than methadone treatment (phistory of depression (pbuprenorphine treatment provided in the public sector may attract different patient subpopulations. Providing buprenorphine treatment through drug treatment programs co-located with a health and mental health center may have accounted for their higher rates of medical and psychiatric problems and appears to be useful in attracting a diverse group of patients into public-sector funded treatment. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  10. Mothers in Substance Abuse Treatment: Differences in Characteristics Based on Involvement with Child Welfare Services

    Science.gov (United States)

    Grella, Christine E.; Hser, Yih-Ing; Huang; Yu-Chuang

    2006-01-01

    Problem: Greater awareness of the role of parental substance abuse in child maltreatment makes it imperative that the substance abuse treatment and child welfare systems coordinate services for these parents. Yet little is known about the characteristics of child-welfare involved parents (primarily mothers) who enter into substance abuse…

  11. The Role of Psychosocial Characteristics in Criminal Convictions among Cocaine and Gambling Clients in Treatment

    Science.gov (United States)

    Martin, Gina; Macdonald, Scott; Ishiguro, Sonya

    2013-01-01

    This study assessed the relative importance of problem gambling, cocaine use and selected psychosocial characteristics in predicting criminal convictions. A self-administered questionnaire was completed by clients when admitted to a treatment program for a primary problem with cocaine (n = 300), gambling (n = 199), or tobacco (n = 249). The…

  12. Outdoor Behavioral Health Care: Client and Treatment Characteristics Effects on Young Adult Outcomes

    Science.gov (United States)

    Roberts, Sean D.; Stroud, Daniel; Hoag, Matthew J.; Combs, Katie M.

    2016-01-01

    A lack of clarity exists regarding how different clients respond to outdoor behavioral health care (OBH). In this study, specific client and treatment characteristics were assessed for 186 young adults completing an OBH therapeutic wilderness program. Clinical outcomes were measured with the Outcome Questionnaire-45.2. Hierarchical linear modeling…

  13. FORMING OF MECHANICAL CHARACTERISTICS OF THE SLUGS OF TITANIC ALLOY BT23 AT THERMAL TREATMENT

    Directory of Open Access Journals (Sweden)

    V. N. Fedulov

    2005-01-01

    Full Text Available Тhе changings of the initial plate structure of alloy BT23 at running of high-temperature thermal treatment of large-sized slugs with heating up to 650- 950 eC and cooling on air and in water and their influence on forming of complex of mechanical characteristics are examined.

  14. A Characteristic Destabilization Profile in Parent-Child Interactions Associated with Treatment Efficacy for Aggressive Children

    NARCIS (Netherlands)

    Lichtwarck-Aschoff, Anna; Hasselman, Fred; Cox, Ralf; Pepler, Debra; Granic, Isabela

    This study examined profiles of change in repeated mother-child interactions over the course of a 12 week treatment period for childhood aggression. The aim of this study was to investigate whether it was possible to detect the characteristic profile of change, typical for phase transitions, over

  15. A characteristic destabilization profile in parent-child interactions associated with treatment efficacy for aggressive children

    NARCIS (Netherlands)

    Lichtwarck-Aschoff, A.; Hasselman, F.W.; Cox, R.F.A.; Pepler, D.; Granic, I.

    2012-01-01

    This study examined profiles of change in repeated mother-child interactions over the course of a 12 week treatment period for childhood aggression. The aim of this study was to investigate whether it was possible to detect the characteristic profile of change, typical for phase transitions, over

  16. Clinical characteristics, treatment patterns, and socio-economic burden of COPD in Bulgaria

    NARCIS (Netherlands)

    Kamusheva, Maria; Dimitrova, Maria; van Boven, Job F. M.; Postma, Maarten J.; van der Molen, Thys; Kocks, Janwillem W. H.; Mitov, Konstantin; Doneva, Miglena; Petrova, Daniela; Georgiev, Ognyan; Petkova, Valentina; Petrova, Guenka

    Background: While the impact of COPD in Western-Europe is known, data from Eastern-Europe is scarce. This study aimed to evaluate clinical characteristics, treatment patterns, and the socio-economic burden of COPD in Eastern-Europe, taking Bulgaria as a reference case. Methods: A representative

  17. Still Struggling: Characteristics of Youth with OCD Who Are Partial Responders to Medication Treatment

    Science.gov (United States)

    Freeman, J.; Sapyta, J.; Garcia, A.; Fitzgerald, D.; Khanna, M.; Choate-Summers, M.; Moore, P.; Chrisman, A.; Haff, N.; Naeem, A.; March, J.; Franklin, M.

    2011-01-01

    The primary aim of this paper is to examine the characteristics of a large sample of youth with OCD who are partial responders (i.e., still have clinically significant symptoms) to serotonin reuptake inhibitor (SRI) medication. The sample will be described with regard to: demographics, treatment history, OCD symptoms/severity, family history and…

  18. Characteristics of problem drinkers in e-therapy versus face-to-face treatment.

    Science.gov (United States)

    Postel, Marloes G; de Haan, Hein A; Ter Huurne, Elke D; Becker, Eni S; de Jong, Cor A J

    2011-11-01

    The availability of online treatment programs offers the potential to reach more problem drinkers. This study compared the client populations of an e-therapy program (asynchronous client-therapist communication via the Internet) and a face-to-face treatment program. To determine whether e-therapy and face-to-face groups differed from each other and changed over time. We compared the baseline characteristics of four naturalistic groups (N = 4593): two e-therapy groups (2005-2006 and 2008-2009) and two consecutive series of ambulant face-to-face clients admitted for treatment as usual. The characteristics we were interested in were gender, age, education level, working situation, and earlier treatment for drinking problems. The results showed that the baseline characteristics of e-therapy and face-to-face clients differed by gender, education level, work situation, prior alcohol treatment, and age. We also found that both e-therapy groups differed over time by gender, work situation, and prior alcohol treatment. The e-therapy program successfully attracted clients who were different from those who were represented in regular face-to-face alcohol treatment services. This indicates that e-therapy decreases the barriers to treatment facilities and enhances the accessibility. However, the e-therapy population changed over time. Although the e-therapy program still reached an important new group of clients in 2008-2009, this group showed more overlap with the traditional face-to-face group of clients probably as a result of improved acceptance of e-therapy in the general population. Although e-therapy seems to be better accepted in the general population, anonymous treatment seems necessary to reach a broader range of problem drinkers.

  19. Gender differences in Afghan drug-abuse treatment: an assessment of treatment entry characteristics, dropout, and outcomes.

    Science.gov (United States)

    Abadi, Melissa Harris; Shamblen, Stephen R; Courser, Matthew; Johnson, Knowlton W; Thompson, Kirsten; Young, Linda; Browne, Thom

    2015-01-01

    The current study examines gender differences in drug-abuse treatment (DAT) entry, dropout, and outcomes in seven DAT centers in Afghanistan. This is the first study to examine gender differences in DAT programming in Afghanistan. A prospective cohort design of 504 women and men in seven DAT centers in Afghanistan was used in this study and the analyses examined whether gender differences exist for patients (1) at treatment entry, (2) at treatment dropout, and (3) for treatment outcomes. Gender differences were found at baseline for patient characteristics, drug use, crime, and social and occupational functioning. Results showed a trend that women remained in treatment longer than men. Looking at gender differences in treatment success, results showed greater reductions in drug use and crime, and greater social functioning among women. Results provide preliminary evidence for potential treatment success of women-tailored DAT programming in Afghanistan. Results also indicate that DAT appears to be successful among Afghan men; however, lower positive outcomes for men when compared to women suggest that more efforts should focus on tailoring DAT programming to the specific needs of Afghan men as well. Study limitations are addressed, and important policy implications are discussed.

  20. Fresh Kills leachate treatment and minimization study. Volume 1, Characteristics and treatment alternatives: Final report

    Energy Technology Data Exchange (ETDEWEB)

    Fillos, J.; Khanbilvardi, R.

    1993-09-01

    The New York City Department of Sanitation is developing a comprehensive landfill leachate management plan for the Fresh Kills Landfill. The leachate was first analyzed for conventional and priority pollutants. The leachate was well buffered at pH 7 to 8 with an alkalinity of 5,000 to 6,000 mg/L. The BOD was low, usually less than 100 mg/L, but the COD was as high as 1,800 mg/L. Ammonia concentrations were around 700 mg/L and the color resembled strong tea at 3,000 colorimetric units. Only few of the priority pollutants were present, and at extremely low concentrations. Based on the chemical characteristics of the leachate, the primary environmental impact would be on the oxygen balance of the receiving surface waters.

  1. In search of patient characteristics that may guide empirically based treatment selection for personality disorder patients - a concept map approach

    NARCIS (Netherlands)

    van Manen, J.G.; Kamphuis, J.H.; Goossensen, A.; Timman, R.; Busschbach, J.J.V.; Verheul, R.

    2012-01-01

    Using the concept map method, this study aimed to summarize and describe patient characteristics pertinent to treatment selection for patients with personality disorders (PDs). Initial patient characteristics were derived from the research literature and a survey among Dutch expert clinicians.

  2. Multidisciplinary Treatments, Patient Characteristics, Context of Care, and Adverse Incidents in Older, Hospitalized Adults

    Directory of Open Access Journals (Sweden)

    Leah L. Shever

    2012-01-01

    Full Text Available The purpose of this study was to examine factors that contribute to adverse incidents by creating a model that included patient characteristics, clinical conditions, nursing unit context of care variables, medical treatments, pharmaceutical treatments, and nursing treatments. Data were abstracted from electronic, administrative, and clinical data repositories. The sample included older adults hospitalized during a four-year period at one, academic medical facility in the Midwestern United States who were at risk for falling. Relational databases were built and a multistep, statistical model building analytic process was used. Total registered nurse (RN hours per patient day (HPPD and HPPDs dropping below the nursing unit average were significant explanatory variables for experiencing an adverse incident. The number of medical and pharmaceutical treatments that a patient received during hospitalization as well as many specific nursing treatments (e.g., restraint use, neurological monitoring were also contributors to experiencing an adverse incident.

  3. Modification of Oil Palm Mesocarp Fiber Characteristics Using Superheated Steam Treatment

    Directory of Open Access Journals (Sweden)

    Subbian Karuppuchamy

    2013-07-01

    Full Text Available In this study, oil palm mesocarp fiber (OPMF was treated with superheated steam (SHS in order to modify its characteristics for biocomposite applications. Treatment was conducted at temperatures 190–230 °C for 1, 2 and 3 h. SHS-treated OPMF was evaluated for its chemical composition, thermal stability, morphology and crystallinity. OPMF treated at 230 °C exhibited lower hemicellulose content (9% compared to the untreated OPMF (33%. Improved thermal stability of OPMF was found after the SHS treatment. Moreover, SEM and ICP analyses of SHS-treated OPMF showed that silica bodies were removed from OPMF after the SHS treatment. XRD results exhibited that OPMF crystallinity increased after SHS treatment, indicating tougher fiber properties. Hemicellulose removal makes the fiber surface more hydrophobic, whereby silica removal increases the surface roughness of the fiber. Overall, the results obtained herewith suggested that SHS is an effective treatment method for surface modification and subsequently improving the characteristics of the natural fiber. Most importantly, the use of novel, eco-friendly SHS may contribute to the green and sustainable treatment for surface modification of natural fiber.

  4. Design of SGLT2 Inhibitors for the Treatment of Type 2 Diabetes: A History Driven by Biology to Chemistry.

    Science.gov (United States)

    Cai, Wenqing; Jiang, Linlin; Xie, Yafei; Liu, Yuqiang; Liu, Wei; Zhao, Guilong

    2015-01-01

    A brief history of the design of sodium-dependent glucose cotransporter 2 (SGLT2) inhibitors is reviewed. The design of O-glucoside SGLT2 inhibitors by structural modification of phlorizin, a naturally occurring O-glucoside, in the early stage was a process mainly driven by biology with anticipation of improving SGLT2/SGLT1 selectivity and increasing metabolic stability. Discovery of dapagliflozin, a pioneering C-glucoside SGLT2 inhibitor developed by Bristol-Myers Squibb, represents an important milestone in this history. In the second stage, the design of C-glycoside SGLT2 inhibitors by modifications of the aglycone and glucose moiety of dapagliflozin, an original structural template for almost all C-glycoside SGLT2 inhibitors, was mainly driven by synthetic organic chemistry due to the challenge of designing dapagliflozin derivatives that are patentable, biologically active and synthetically accessible. Structure-activity relationships (SAR) of the SGLT2 inhibitors are also discussed.

  5. Decision for reconstructive interventions of the upper limb in individuals with tetraplegia: the effect of treatment characteristics.

    NARCIS (Netherlands)

    Snoek, G.J.; Til, JA van; Krabbe, P.F.M.; IJzerman, M.J.

    2008-01-01

    STUDY DESIGN: Survey. OBJECTIVE: To determine the effect of treatment characteristics on the decision for reconstructive interventions for the upper extremities (UE) in subjects with tetraplegia. SETTING: Seven specialized spinal cord injury centres in the Netherlands. METHOD: Treatment

  6. Mycobacterium avium complex pulmonary disease: characteristics and treatment in an Irish patient cohort.

    LENUS (Irish Health Repository)

    Judge, EP

    2016-04-01

    The prevalence of Mycobacterium avium complex (MAC) pulmonary disease is increasing globally. However, reliable national and international data relating to its epidemiology and management is lacking. During the period 2003-2014, MAC was isolated from the pulmonary samples of 75 patients at the Irish Mycobacteria Reference Laboratory (IMRL). Most patients (42, 56%) had underlying pulmonary disease, and 37 (49%) had clinical\\/radiographic characteristics consistent with MAC pulmonary disease. However, only 18 patients (24%) fulfilled internationally accepted criteria for diagnosis\\/treatment of this disease. Treatment was started in 13 (72%) of these cases, which is similar to internationally published treatment rates. The diagnosis of significant MAC pulmonary disease can be difficult, and treatment is not always warranted even when diagnostic criteria are met.

  7. The social support and social network characteristics of smokers in methadone maintenance treatment.

    Science.gov (United States)

    de Dios, Marcel Alejandro; Stanton, Cassandra A; Caviness, Celeste M; Niaura, Raymond; Stein, Michael

    2013-01-01

    Previous studies have shown social support and social network variables to be important factors in smoking cessation treatment. Tobacco use is highly prevalent among individuals in methadone maintenance treatment (MMT). However, smoking cessation treatment outcomes in this vulnerable subpopulation have been poor and social support and social network variables may contribute. The current study examined the social support and social network characteristics of 151 MMT smokers involved in a randomized clinical trial of smoking cessation treatments. Participants were 50% women and 78% Caucasian. A high proportion (57%) of MMT smokers had spouses or partners who smoke and over two-thirds of households (68.5%) included at least one smoker. Our sample was characterized by relatively small social networks, but high levels of general social support and quitting support. The number of cigarettes per day was found to be positively associated with the number of smokers in the social network (r = .239, p social support and social networks of smokers in MMT.

  8. Patient characteristics and symptoms associated with perceived coercion during hospital treatment.

    Science.gov (United States)

    Fiorillo, A; Giacco, D; De Rosa, C; Kallert, T; Katsakou, C; Onchev, G; Raboch, J; Mastrogianni, A; Del Vecchio, V; Luciano, M; Catapano, F; Dembinskas, A; Nawka, P; Kiejna, A; Torres-Gonzales, F; Kjellin, L; Maj, M; Priebe, S

    2012-06-01

    Large numbers of psychiatric patients either are involuntarily admitted to hospital treatment or feel coerced despite a legally voluntary admission. For ethical and clinical reasons, their perceived coercion should be reduced as far as possible. There is however limited evidence on patient characteristics associated with perceived coercion during hospital treatment. This study aimed to identify i) sociodemographic and clinical characteristics associated with perceived coercion at admission and ii) changes in symptoms and global functioning associated with changes in perceived coercion over time. Three thousand and ninety three in-patients who were involuntarily admitted or felt coerced to hospital treatment despite a legally voluntary admission were recruited in the European evaluation of coercion in psychiatry and harmonization of best clinical practice - EUNOMIA project in 11 European countries. Perceived coercion, global functioning and symptoms were assessed after admission and at a 3-month follow-up. Involuntary admission, female gender, poorer global functioning and more positive symptoms were associated with higher levels of perceived coercion at admission. Perceived coercion significantly decreased over time, and the improvements in global functioning and positive symptoms were associated with reduction in perceived coercion. Female patients perceive more coercion in psychiatric hospital treatment. Effective treatment for positive symptoms and improving patients' global functioning may lead to a reduction in perceived coercion. © 2011 John Wiley & Sons A/S.

  9. HIV associated neurocognitive disorders in the modern antiviral treatment era: prevalence, characteristics, biomarkers, and effects of treatment.

    Science.gov (United States)

    Chan, Phillip; Brew, Bruce J

    2014-09-01

    The introduction of combination antiretroviral treatment (cART) has significantly reduced the mortality secondary to opportunistic infections in HIV patients by restoring the immune system. In the central nervous system (CNS), there has also been benefit with a marked reduction of HIV associated dementia. However, the milder forms of HIV associated neurocognitive disorder (HAND), namely asymptomatic neurocognitive impairment and mild neurocognitive disorder, remain prevalent in the cART era. In this article, we will discuss how cART interacts with HAND in terms of clinical characteristics and biomarkers. We will then review the outcomes of recent clinical studies focused on the CNS penetrating antiretroviral regimens and some novel therapeutic approaches.

  10. Zoonotic bacterial meningitis in adults: clinical characteristics, etiology, treatment and outcome

    OpenAIRE

    van Samkar, A.

    2016-01-01

    In this thesis, we describe the clinical characteristics, etiology, treatment and outcome of zoonotic bacterial meningitis. Each chapter describes meningitis patients infected by a specific zoonotic pathogen, such as Streptococcus equi, Streptococcuis suis, Capnocytophaga canimorsus, Campylobacter fetus and Leptospira. We combine cases identified in a nationwide prospective cohort study of adult bacterial meningitis patients with a literature review on meningitis caused by each zoonotic patho...

  11. A Single Centre Analysis of Clinical Characteristics and Treatment of Endocrine Pancreatic Tumours

    OpenAIRE

    Adil, M. T.; Nagaraja, R.; Varma, V.; Mehta, N.; Kumaran, V.; Nundy, S.

    2015-01-01

    Background. Endocrine Pancreatic Tumours (PENs) are rare and can be nonfunctioning or functioning. They carry a good prognosis overall though high grade lesions show a relatively shorter survival. The aim of the current study is to describe a single centre analysis of the clinical characteristics and surgical treatment of PENs. Patients and Methods. This is a cohort analysis of 40 patients of PENs who underwent surgery at Sir Ganga Ram Hospital, New Delhi, India, from 1995 to 2013. Patient pa...

  12. Breast cancer prognosis is inherited independently of patient, tumor and treatment characteristics.

    Science.gov (United States)

    Verkooijen, Helena M; Hartman, Mikael; Usel, Massimo; Benhamou, Simone; Neyroud-Caspar, Isabelle; Czene, Kamila; Vlastos, Georges; Chappuis, Pierre O; Bouchardy, Christine; Rapiti, Elisabetta

    2012-05-01

    Population-based studies have shown a concordance of breast cancer survival among first-degree relatives (FDRs), suggesting a heritable component. Reasons for such heritability remain to be elucidated. We aimed to determine whether association of breast cancer survival among FDRs is linked to shared patient and tumor characteristics or type of treatment. At the population-based Geneva Breast Cancer Registry, we identified 162 FDR pairs diagnosed with breast cancer. We categorized FDRs into poor, medium and good familial survival risk groups according to breast cancer-specific survival of their proband (mother or sister). We compared patient, tumor and treatment characteristics between categories and calculated standardized mortality ratios (SMRs) and adjusted disease-specific mortality for each group. Breast cancer patients in the poor familial survival risk group were more likely to be diagnosed at later stages than those in the good familial survival risk group. Similarly, they had higher SMRs than those in the medium and good survival risk groups (18.7, 95% confidence interval [CI]: 9.4-33.5 vs. 16.5, 95% CI: 7.5-31.3 and 9.4, 95% CI: 3.4-20.4, respectively). After adjustment for patient and tumor characteristics and type of treatment, women in the poor familial survival risk group were almost five times more likely to die of breast cancer than those in the good familial survival risk group (adjusted hazard ratio 4.8, 95% CI: 1.4-16.4). Our study shows that breast cancer prognosis clusters within families and suggests that the hereditary component is independent of patient and tumor characteristics and type of treatment. Copyright © 2011 UICC.

  13. Children and adolescents referred for treatment of anxiety disorders: differences in clinical characteristics.

    Science.gov (United States)

    Waite, Polly; Creswell, Cathy

    2014-01-01

    Reports of the clinical characteristics of children and adolescents with anxiety disorders are typically based on community populations or from clinical samples with exclusion criterion applied. Little is known about the clinical characteristics of children and adolescents routinely referred for treatment for anxiety disorders. Furthermore, children and adolescents are typically treated as one homogeneous group although they may differ in ways that are clinically meaningful. A consecutive series of children (n=100, aged 6-12 years) and adolescents (n=100, aged 13-18 years), referred to a routine clinical service, were assessed for anxiety and comorbid disorders, school refusal and parental symptoms of psychopathology. Children with a primary anxiety disorder were significantly more likely to be diagnosed with separation anxiety disorder than adolescents. Adolescents with a primary anxiety disorder had significantly higher self and clinician rated anxiety symptoms and had more frequent primary diagnoses of social anxiety disorder, diagnoses and symptoms of mood disorders, and irregular school attendance. Childhood and adolescence were considered categorically as distinct, developmental periods; in reality changes would be unlikely to occur in such a discrete manner. The finding that children and adolescents with anxiety disorders have distinct clinical characteristics has clear implications for treatment. Simply adapting treatments designed for children to make the materials more 'adolescent-friendly' is unlikely to sufficiently meet the needs of adolescents. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  14. Characteristics of spondylotic myelopathy on 3D driven-equilibrium fast spin echo and 2D fast spin echo magnetic resonance imaging: a retrospective cross-sectional study.

    Science.gov (United States)

    Abdulhadi, Mike A; Perno, Joseph R; Melhem, Elias R; Nucifora, Paolo G P

    2014-01-01

    In patients with spinal stenosis, magnetic resonance imaging of the cervical spine can be improved by using 3D driven-equilibrium fast spin echo sequences to provide a high-resolution assessment of osseous and ligamentous structures. However, it is not yet clear whether 3D driven-equilibrium fast spin echo sequences adequately evaluate the spinal cord itself. As a result, they are generally supplemented by additional 2D fast spin echo sequences, adding time to the examination and potential discomfort to the patient. Here we investigate the hypothesis that in patients with spinal stenosis and spondylotic myelopathy, 3D driven-equilibrium fast spin echo sequences can characterize cord lesions equally well as 2D fast spin echo sequences. We performed a retrospective analysis of 30 adult patients with spondylotic myelopathy who had been examined with both 3D driven-equilibrium fast spin echo sequences and 2D fast spin echo sequences at the same scanning session. The two sequences were inspected separately for each patient, and visible cord lesions were manually traced. We found no significant differences between 3D driven-equilibrium fast spin echo and 2D fast spin echo sequences in the mean number, mean area, or mean transverse dimensions of spondylotic cord lesions. Nevertheless, the mean contrast-to-noise ratio of cord lesions was decreased on 3D driven-equilibrium fast spin echo sequences compared to 2D fast spin echo sequences. These findings suggest that 3D driven-equilibrium fast spin echo sequences do not need supplemental 2D fast spin echo sequences for the diagnosis of spondylotic myelopathy, but they may be less well suited for quantitative signal measurements in the spinal cord.

  15. Non-basic azolotriazinone MCHR1 antagonists for the treatment of obesity: An empirical brain-exposures-driven candidate selection for in vivo efficacy studies.

    Science.gov (United States)

    Devasthale, Pratik; Wang, Wei; Mignone, James; Renduchintala, Kishore; Radhakrishnan, Sridhar; Dhanapal, Jayanthi; Selvaraj, Jagannath; Kuppusamy, Rajesh; Pelleymounter, Mary Ann; Longhi, Daniel; Huang, Ning; Flynn, Neil; Azzara, Anthony V; Rohrbach, Kenneth; Devenny, James; Rooney, Suzanne; Thomas, Michael; Glick, Susan; Godonis, Helen; Harvey, Susan; Cullen, Mary Jane; Zhang, Hongwei; Caporuscio, Christian; Stetsko, Paul; Grubb, Mary; Huang, Christine; Zhang, Lisa; Freeden, Chris; Murphy, Brian J; Robl, Jeffrey A; Washburn, William N

    2015-10-15

    Non-basic azolotriazinones were explored using an empirical free brain exposures-driven approach to identify potent MCHR1 antagonists for evaluation in in vivo efficacy studies. An optimized lead from this series, 1j (rMCHR1 Ki=1.8 nM), demonstrated a 6.9% reduction in weight gain relative to vehicle in a rat model at 30 mg/kg after 4 days of once-daily oral treatment as a glycine prodrug. Despite a promising efficacy profile, an assessment of the biliary toxicity risk of this compound rendered this compound non-progressible. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Clinical Characteristics of Men Interested in Seeking Treatment for Use of Pornography

    Science.gov (United States)

    Kraus, Shane W.; Martino, Steve; Potenza, Marc N.

    2016-01-01

    Background and aims This study examined the prevalence of, and factors associated with, men’s interest in seeking treatment for use of pornography. Methods Using an Internet-based data-collection procedure, we recruited 1,298 male pornography users to complete questionnaires assessing demographic and sexual behaviors, hypersexuality, pornography-use characteristics, and current interest in seeking treatment for use of pornography. Results Approximately 14% of men reported an interest in seeking treatment for use of pornography, whereas only 6.4% of men had previously sought treatment for use of pornography. Treatment-interested men were 9.5 times more likely to report clinically significant levels of hypersexuality compared with treatment-disinterested men (OR = 9.52, 95% CI = 6.72–13.49). Bivariate analyses indicated that interest-in-seeking-treatment status was associated with being single/unmarried, viewing more pornography per week, engaging in more solitary masturbation in the past month, having had less dyadic oral sex in the past month, reporting a history of seeking treatment for use of pornography, and having had more past attempts to either “cut back” or quit using pornography completely. Results from a binary logistic regression analysis indicated that more frequent cut back/quit attempts with pornography and scores on the Hypersexual Behavior Inventory – Control subscale were significant predictors of interest-in-seeking-treatment status. Discussion and conclusions Study findings could be used to inform current screening practices aimed at identifying specific aspects of sexual self-control, impulsivity, and/or compulsivity associated with problematic use of pornography among treatment-seeking individuals. PMID:27348557

  17. Clinical Characteristics of Men Interested in Seeking Treatment for Use of Pornography.

    Science.gov (United States)

    Kraus, Shane W; Martino, Steve; Potenza, Marc N

    2016-06-01

    Background and aims This study examined the prevalence of, and factors associated with, men's interest in seeking treatment for use of pornography. Methods Using an Internet-based data-collection procedure, we recruited 1,298 male pornography users to complete questionnaires assessing demographic and sexual behaviors, hypersexuality, pornography-use characteristics, and current interest in seeking treatment for use of pornography. Results Approximately 14% of men reported an interest in seeking treatment for use of pornography, whereas only 6.4% of men had previously sought treatment for use of pornography. Treatment-interested men were 9.5 times more likely to report clinically significant levels of hypersexuality compared with treatment-disinterested men (OR = 9.52, 95% CI = 6.72-13.49). Bivariate analyses indicated that interest-in-seeking-treatment status was associated with being single/unmarried, viewing more pornography per week, engaging in more solitary masturbation in the past month, having had less dyadic oral sex in the past month, reporting a history of seeking treatment for use of pornography, and having had more past attempts to either "cut back" or quit using pornography completely. Results from a binary logistic regression analysis indicated that more frequent cut back/quit attempts with pornography and scores on the Hypersexual Behavior Inventory - Control subscale were significant predictors of interest-in-seeking-treatment status. Discussion and conclusions Study findings could be used to inform current screening practices aimed at identifying specific aspects of sexual self-control, impulsivity, and/or compulsivity associated with problematic use of pornography among treatment-seeking individuals.

  18. COMPARISON OF CRYO TREATMENT EFFECT ON MACHINING CHARACTERISTICS OF TITANIUM IN ELECTRIC DISCHARGE MACHINING

    Directory of Open Access Journals (Sweden)

    Bhupinder Singh

    2011-06-01

    Full Text Available Earlier studies on cryogenic treatment highlighted that certain metals, after being cryogenically treated, show a significant increase in tool life when used in manufacturing, cutting and shaping processes. The present work deals with experimental investigation of the role of cryogenic treatment on the machining characteristics of titanium in electric discharge machining (EDM. EDM is a potential process to commercially machine tough materials like titanium alloys, due to the properties of non-mechanical contact between the tool and workpiece and the capability to machine intricate shapes. In this research work an effort has been made to compare the machining characteristics of titanium with EDM, before and after cryogenic treatment of the tool and workpiece using a Taguchi design approach. The output parameters for study are material removal rate (MRR, tool wear rate (TWR, surface roughness (SR and dimensional accuracy (Δd. The results of the study suggest that with cryogenic treatment MRR, TWR, SR and Δd show an improvement of 60.39%, 58.77%, 7.99% and 80.00% respectively.

  19. Post oxygen treatment characteristics of coke as an anode material for Li-ion batteries.

    Science.gov (United States)

    Kim, Jae-Hun; Park, Min-Sik; Jo, Yong Nam; Yu, Ji-Sang; Jeong, Goojin; Kim, Young-Jun

    2013-05-01

    The effect of a oxygen treatment on the electrochemical characteristics of a soft carbon anode material for Li-ion batteries was investigated. After a coke carbonization process at 1000 degrees C in an argon atmosphere, the samples were treated under a flow of oxygen gas to obtain a mild oxidation effect. After this oxygen treatment, the coke samples exhibited an improved initial coulombic efficiency and cycle performance as compared to the carbonized sample. High-resolution transmission electron microscopy revealed that the carbonized cokes consisted of disordered and nanosized graphene layers and the surface of the modified carbon was significantly changed after the treatment. The chemical state of the cokes was analyzed using X-ray photoelectron spectroscopy and Fourier transform infrared spectroscopy. The enhanced electrochemical properties of the surface modified cokes could be attributed to the mild oxidation effect induced by the oxygen treatment. The mild oxidation process could have led to the elimination of surface imperfections and the reinforcement of a solid electrolyte interphase film, which resulted in the improved electrochemical characteristics.

  20. Characteristics and outcomes of initial virologic suppressors during analytic treatment interruption in a therapeutic HIV-1 gag vaccine trial.

    Directory of Open Access Journals (Sweden)

    Jonathan Z Li

    Full Text Available In the placebo-controlled trial ACTG A5197, a trend favoring viral suppression was seen in the HIV-1-infected subjects who received a recombinant Ad5 HIV-1 gag vaccine.To identify individuals with initial viral suppression (plasma HIV-1 RNA set point <3.0 log(10 copies/ml during the analytic treatment interruption (ATI and evaluate the durability and correlates of virologic control and characteristics of HIV sequence evolution.HIV-1 gag and pol RNA were amplified and sequenced from plasma obtained during the ATI. Immune responses were measured by flow cytometric analysis and intracellular cytokine expression assays. Characteristics of those with and without initial viral suppression were compared using the Wilcoxon rank sum and Fisher's exact tests.Eleven out of 104 participants (10.6% were classified as initial virologic suppressors, nine of whom had received the vaccine. Initial virologic suppressors had significantly less CD4+ cell decline by ATI week 16 as compared to non-suppressors (median 7 CD4+ cell gain vs. 247 CD4+ cell loss, P = 0.04. However, of the ten initial virologic suppressors with a pVL at ATI week 49, only three maintained pVL <3.0 log(10 copies/ml. HIV-1 Gag-specific CD4+ interferon-γ responses were not associated with initial virologic suppression and no evidence of vaccine-driven HIV sequence evolution was detected. Participants with initial virologic suppression were found to have a lower percentage of CD4+ CTLA-4+ cells prior to treatment interruption, but a greater proportion of HIV-1 Gag-reactive CD4+ TNF-α+ cells expressing either CTLA-4 or PD-1.Among individuals participating in a rAd5 therapeutic HIV-1 gag vaccine trial, initial viral suppression was found in a subset of patients, but this response was not sustained. The association between CTLA-4 and PD-1 expression on CD4+ T cells and virologic outcome warrants further study in trials of other therapeutic vaccines in development.ClinicalTrials.gov NCT

  1. The suggestion of common cause of disease, characteristics of human body, and medical treatment

    Directory of Open Access Journals (Sweden)

    Byung-Jun Cho

    2011-06-01

    Full Text Available Objectives & Methods: This suggestion was attempted to be elevated the recognition of common characteristics in disease. So, we performed to analyze the correlation of common cause of disease, characteristics of human body, and medical treatment. And the results are as follows. Results: 1. The cause of disease is consist of genetic factor, aging, habit, food of not good in health, weather, environment, deficit of the physical activity, stress and so on. 2. Generally, human has common and individual weakness. Individual weakness is appeared similar to the occurrence of volcano and lapse. 3. The correlation of disease and medical treatments is possible to explain using the quotation of the law of motion made by Isaac Newton, the great physicist. 4. When the process of the medical treatment was not progressed, the prognosis is determined by the correlation of the homeostasis(H' in human body and the homeostasis(H of disease. 5. The prognosis of disease is determined by the relationship between the energy of disease(F and medical treatment(F'. 6. The exact diagnosis is possible to predict the treatment sequence, and the facts that homeostasis in human body and disease, relationship between the energy of disease(F and medical treatment(F', action and reaction are important to determine the prognosis. 7. The careful observation of improving response and worsening action of disease becomes available for exact prognosis. Conclusion: The above described contents may be useful in clinical studies, and the concrete clinical reports about this will be made afterward.

  2. SCIRehab uses practice-based evidence methodology to associate patient and treatment characteristics with outcomes.

    Science.gov (United States)

    Whiteneck, Gale G; Gassaway, Julie

    2013-04-01

    To describe the application of practice-based evidence (PBE) methodology to spinal cord injury (SCI) rehabilitation in the SCIRehab study, and to summarize associations of patient characteristics and treatment interventions to outcomes. Prospective observational study. Six SCI rehabilitation centers. Patients with traumatic SCI (N=1376) admitted for first rehabilitation. Not applicable. FIM and residence at discharge, and FIM, residence, Craig Handicap Assessment and Reporting Technique, work/school status, Patient Health Questionnaire-9, Diener Satisfaction with Life Scale, rehospitalization, and presence of pressure ulcers at 1 year postinjury. Patient demographic and injury characteristics explained significant variation in rehabilitation outcomes, particularly functional outcomes. Regression modeling also identified a large number of significant associations with outcomes when total time in each discipline was modeled and when models were developed for each discipline, examining time spent in the many specific interventions provided by each discipline. The application of PBE methodology in the SCIRehab study provided extensive information about the process of inpatient SCI rehabilitation. While patient demographic and injury characteristics explain substantial variation in rehabilitation outcomes, particularly functional outcomes, significant relations also were found between the type and quantity of treatment interventions delivered by each rehabilitation discipline and a broad range of outcomes. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  3. Parkinson's disease associated with 22q11.2 deletion: Clinical characteristics and response to treatment.

    Science.gov (United States)

    Dufournet, B; Nguyen, K; Charles, P; Grabli, D; Jacquette, A; Borg, M; Danaila, T; Mutez, E; Drapier, S; Colin, O; Eusebio, A; Philip, N; Azulay, J P

    2017-06-01

    While it is known that 22q11.2 microdeletions (22q11.2-del) increase the risk of Parkinson's disease (PD), the characteristics of PD associated with 22q11.2-del have not been specifically explored. This report aimed to assess the clinical characteristics and treatment responses of PD patients with 22q11.2-del, and to describe any features that might lead neurologists to investigate the comorbidity. Nine PD patients (eight men, one woman) with 22q11.2-del were followed at seven centers of the French PD Expert Network (Ns-Park). PD diagnosis was made before 22q11.2-del diagnosis in seven cases; their main characteristics were early onset (32-48 years) and good initial levodopa sensitivity, but with a course characterized by severe and early-onset levodopa-induced motor complications and psychiatric manifestations. Three patients received deep brain stimulation (DBS) that was effective. Searching for 22q11.2-del in PD patients presenting with suggestive features is relevant as the clinical presentation is similar to idiopathic PD, but with other associated characteristics, including a severe evolution. Results with DBS are similar to those reported for idiopathic PD. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  4. Clinical characteristics of older male military veterans seeking treatment for erectile dysfunction.

    Science.gov (United States)

    Beaudreau, Sherry A; Rideaux, Tiffany; Zeiss, Robert A

    2011-02-01

    Male sexual dysfunction is a significant international public health issue affecting both middle-aged and older adults. To date, however, no studies have compared age differences in psychiatric issues, frequency of sexual activity and treatment recommendations between older and middle-aged male military Veterans seeking treatment for erectile dysfunction (ED) in the U.S.A. Data were collected between 1982 and 2003 at the Palo Alto Veterans Affairs Andrology Clinic. The 1,250 participants, aged 22 to 87 years (median = 63), completed a semi-structured interview. Using multiple linear regressions, we examined age differences in five domains: medical and endocrine risk factors; psychiatric and psychosocial risk factors; frequency of sexual behaviors; self-reported and objectively measured erectile function; and treatment recommendations. Compared with middle-aged adults, older adults were more likely to present for ED treatment with medical risk factors and were more often recommended a vacuum pump treatment. Middle-aged male Veterans were more likely to experience psychiatric risk factors for ED and were more sexually active than older Veterans. Despite greater objective erectile ability in middle-aged adults, there were no age differences in maximum self-reported erectile functioning. These results provide some evidence of age-related characteristics and treatment needs of male patients seeking treatment for sexual dysfunction. We encourage health care professionals working with adults across the lifespan to consider ways to individualize psychoeducation and brief psychotherapy for the treatment of ED to the specific needs of the patient, which may vary between middle-aged and older cohorts of patients.

  5. Treatment utilisation and trauma characteristics of child and adolescent inpatients with posttraumatic stress disorder

    Directory of Open Access Journals (Sweden)

    A. Traut

    2002-09-01

    Full Text Available Objective. Few empirical studies have addressed the impact of trauma exposure and posttraumatic stress disorder (PTSD on treatment utilisation and outcome in South African youth. This study was undertaken to document demographic, clinical, and treatment characteristics of child and adolescent inpatients with PTSD. Design. A retrospective chart study of all patients presenting to a child and adolescent inpatient unit was conducted between 1994-1996. For children and adolescents diagnosed with PTSD; demographic, diagnostic and treatment variables, including trauma type, family history, and delays in treatment seeking, were documented. Setting. Child and Adolescent Psychiatric Inpatient Unit, Tygerberg Hospital, Cape Town. Subjects. Children and adolescents (2 to 18 years presenting to an inpatient unit (n=737. Results. 10.3% (n=76 met diagnostic criteria for PTSD. Gender differences were clearly evident: PTSD was six times more prevalent in girls (65 with PTSD were female and 11 were male; girls were most likely to have experienced rape or sexual abuse while boys were most likely to have witnessed a killing. Psychotherapy was the most common intervention for PTSD, followed by treatment with a tricyclic antidepressant. 97.4% of children and adolescents who were treated demonstrated significant improvement. Delays in seeking treatment and problems with the primary support group were highly prevalent. Conclusion. PTSD is a common disorder that is responsive to treatment with psychotherapy and/or tricyclic antidepressants in child and adolescent inpatients. These findings underscore the importance of early identification and treatment of childhood PTSD in mental health settings, in particular tertiary service institutions.

  6. The Effect of Mechanochemical Treatment of the Cellulose on Characteristics of Nanocellulose Films

    Science.gov (United States)

    Barbash, V. A.; Yaschenko, O. V.; Alushkin, S. V.; Kondratyuk, A. S.; Posudievsky, O. Y.; Koshechko, V. G.

    2016-09-01

    The development of the nanomaterials with the advanced functional characteristics is a challenging task because of the growing demand in the market of the optoelectronic devices, biodegradable plastics, and materials for energy saving and energy storage. Nanocellulose is comprised of the nanosized cellulose particles, properties of which depend on characteristics of plant raw materials as well as methods of nanocellulose preparation. In this study, the effect of the mechanochemical treatment of bleached softwood sulfate pulp on the optical and mechanical properties of nanocellulose films was assessed. It was established that the method of the subsequent grinding, acid hydrolysis and ultrasound treatment of cellulose generated films with the significant transparency in the visible spectral range (up to 78 % at 600 nm), high Young's modulus (up to 8.8 GPa), and tensile strength (up to 88 MPa) with increased ordering of the packing of the cellulose macromolecules. Morphological characterization was done using the dynamic light scattering (DLS) analyzer and transmission electron microscopy (TEM). The nanocellulose particles had an average diameter of 15-30 nm and a high aspect ratio in the range 120-150. The crystallinity was increased with successive treatments as shown by the X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR) analysis. The thermal degradation behavior of cellulose samples was explored by thermal gravimetric analysis (TGA).

  7. J-aggregation characteristics of merocyanine dye with arachidic acid LB films by heat treatment.

    Science.gov (United States)

    Yang, Chang-Heon; Lee, Ji-Yoon; Shin, Hoon-Kyu; Kim, Gyong-Chol; Kwon, Young-Soo

    2009-12-01

    For a measurement of J-aggregation characteristics by heat treatment, we fabricated arachidic acid (AA)-Merocyanine dye mixed Langmuir-Blodgett (LB) films. pi-A curves were used to investigate the surface pressure of the LB film from a liquid to a solid state while the pressure ranged from 35 and 40 mN/m. When the surface pressure reached 40 mN/m, a monolayer was deposited onto the hydrophilic glass substrates by Y-type deposition. For the UV spectrum observation, a multi layer film was deposited. A narrowing of the red-shifted band was observed. We studied the effect of heat treatments at temperatures below 60 degrees C by observing the UV spectra of merocyanine dye (MD). The J-aggregation was centered at 550-590 nm at 20 degrees C-25 degrees C. We will study the system before and after the application of heat treatment J-aggregation. The J-aggregation will be thermally induced in the mixed LB films by heat treatments at various temperatures. We expect that after heat treatment, the spectral shape and peak of the band will be altered. We investigated that morphology of MD using STM. Also I-V curve was decreased as increasing temperatures.

  8. Chronic pain among homeless persons: characteristics, treatment, and barriers to management.

    Science.gov (United States)

    Hwang, Stephen W; Wilkins, Emma; Chambers, Catharine; Estrabillo, Eileen; Berends, Jon; MacDonald, Anna

    2011-07-08

    Little information is available on the problem of chronic pain among homeless individuals. This study aimed to describe the characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use among a representative sample of homeless single adult shelter users who experience chronic pain in Toronto, Canada. Participants were randomly selected at shelters for single homeless adults between September 2007 and February 2008 and screened for chronic pain, defined as having pain in the body for ≥ 3 months or receiving treatment for pain that started ≥ 3 months ago. Cross-sectional surveys obtained information on demographic characteristics, characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use. Whenever possible, participants' physicians were also interviewed. Among 152 homeless participants who experienced chronic pain, 11 (8%) were classified as Chronic Pain Grade I (low disability-low intensity), 47 (32%) as Grade II (low disability-high intensity), 34 (23%) as Grade III (high disability-moderately limiting), and 54 (37%) as Grade IV (high disability-severely limiting). The most common self-reported barriers to pain management were stress of shelter life, inability to afford prescription medications, and poor sleeping conditions. Participants reported using over-the-counter medications (48%), street drugs (46%), prescribed medications (43%), and alcohol (29%) to treat their pain. Of the 61 interviewed physicians, only 51% reported treating the patient's pain. The most common physician-reported difficulties with pain management were reluctance to prescribe narcotics due to the patient's history of substance abuse, psychiatric comorbidities, frequently missed appointments, and difficulty getting the patient to take medications correctly. Clinicians who provide healthcare for homeless people should screen for chronic pain and

  9. Chronic pain among homeless persons: characteristics, treatment, and barriers to management

    Directory of Open Access Journals (Sweden)

    Berends Jon

    2011-07-01

    Full Text Available Abstract Background Little information is available on the problem of chronic pain among homeless individuals. This study aimed to describe the characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use among a representative sample of homeless single adult shelter users who experience chronic pain in Toronto, Canada. Methods Participants were randomly selected at shelters for single homeless adults between September 2007 and February 2008 and screened for chronic pain, defined as having pain in the body for ≥ 3 months or receiving treatment for pain that started ≥ 3 months ago. Cross-sectional surveys obtained information on demographic characteristics, characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use. Whenever possible, participants' physicians were also interviewed. Results Among 152 homeless participants who experienced chronic pain, 11 (8% were classified as Chronic Pain Grade I (low disability-low intensity, 47 (32% as Grade II (low disability-high intensity, 34 (23% as Grade III (high disability-moderately limiting, and 54 (37% as Grade IV (high disability-severely limiting. The most common self-reported barriers to pain management were stress of shelter life, inability to afford prescription medications, and poor sleeping conditions. Participants reported using over-the-counter medications (48%, street drugs (46%, prescribed medications (43%, and alcohol (29% to treat their pain. Of the 61 interviewed physicians, only 51% reported treating the patient's pain. The most common physician-reported difficulties with pain management were reluctance to prescribe narcotics due to the patient's history of substance abuse, psychiatric comorbidities, frequently missed appointments, and difficulty getting the patient to take medications correctly. Conclusions Clinicians who provide healthcare for

  10. Effects of microwave irradiation treatment on physicochemical characteristics of Chinese low-rank coals

    International Nuclear Information System (INIS)

    Ge, Lichao; Zhang, Yanwei; Wang, Zhihua; Zhou, Junhu; Cen, Kefa

    2013-01-01

    Highlights: • Typical Chinese lignites with various ranks are upgraded through microwave. • The pore distribution extends to micropore region, BET area and volume increase. • FTIR show the change of microstructure and improvement in coal rank after upgrading. • Upgraded coals exhibit weak combustion similar to Da Tong bituminous coal. • More evident effects are obtained for raw brown coal with relative lower rank. - Abstract: This study investigates the effects of microwave irradiation treatment on coal composition, pore structure, coal rank, function groups, and combustion characteristics of typical Chinese low-rank coals. Results showed that the upgrading process (microwave irradiation treatment) significantly reduced the coals’ inherent moisture, and increased their calorific value and fixed carbon content. It was also found that the upgrading process generated micropores and increased pore volume and surface area of the coals. Results on the oxygen/carbon ratio parameter indicated that the low-rank coals were upgraded to high-rank coals after the upgrading process, which is in agreement with the findings from Fourier transform infrared spectroscopy. Unstable components in the coal were converted into stable components during the upgrading process. Thermo-gravimetric analysis showed that the combustion processes of upgraded coals were delayed toward the high-temperature region, the ignition and burnout temperatures increased, and the comprehensive combustion parameter decreased. Compared with raw brown coals, the upgraded coals exhibited weak combustion characteristics similar to bituminous coal. The changes in physicochemical characteristics became more notable when processing temperature increased from 130 °C to 160 °C or the rank of raw brown coal was lower. Microwave irradiation treatment could be considered as an effective dewatering and upgrading process

  11. [Characteristics of the formation, course and treatment of alcohol dependence in patients with posttraumatic stress disorder].

    Science.gov (United States)

    Agibalova, T V; Petrosian, T R; Kuznetsov, A G; Gurevich, G L; Shuvalov, S A

    2013-01-01

    This article presents the results of a study of clinical features of the development and course of alcohol dependence in patients with posttraumatic stress disorder (PTSD) in comparison with alcohol-dependent patients without PTSD. The highly progressive course, continuous alcohol consumption, high alcohol tolerance, rapidly emerged altered forms of alcohol intoxication, alcohol amnesias, alcohol withdrawal with the prevalence of psychopathological component, and more pronounced social and somatic consequences of alcohol abuse were characteristic of the PTSD group. At the same time, the alcohol-dependent patients with PTSD had the best outcome to the end of 12-month treatment with intramuscular injections of vivitrol.

  12. Impact of social and economic characteristics on orthodontic treatment among children and teenagers in France.

    Science.gov (United States)

    Germa, A; Kaminski, M; Nabet, C

    2010-04-01

    This study aimed to estimate the prevalence of orthodontic treatment in France among children and teenagers aged 8-18 years, by sex and by age, and to investigate the specific role of social and economic characteristics on use of orthodontic treatment. We analyzed data from the cross-sectional national health survey conducted in France in 2002-2003, which included a sample of 5988 children aged 8-18 years. All data were collected by interview including the question on orthodontic treatment. Other data used in our study were family social status and income, maternal educational attainment and place of birth, whether the child was covered by a supplementary health insurance and whether the residence was urban or rural. We also calculated the density of orthodontists in the district. Multivariate logistic regression analyses were used to study the relationships between these social and economic factors and orthodontic treatment. The prevalence of orthodontic treatment was 14% of all children aged 8-18, 15% for girls, and 13% for boys, and 23% in the 12 to 15-year age group. Children were less likely to have orthodontic treatment when parents were service or sales workers compared with children whose parents were managers or professionals (aOR = 0.50; 95%CI: [0.34;0.76]), when family income was in the lowest, compared with highest quartile (aOR = 0,62; 95% CI: [0.45;0.85]), when children had no supplementary insurance compared with children covered by private insurance (aOR = 0.53; 95% CI: [0.34; 0.81]), or when they lived in rural compared with urban areas (aOR = 0.70; 95% CI: [0.54; 0.91]). There are social inequalities in orthodontic treatment in France, associated mainly with social status, annual income, supplementary insurance, and the residence area.

  13. Workforce Diversity in Outpatient Substance Abuse Treatment: The Role of Leaders’ Characteristics

    Science.gov (United States)

    Guerrero, Erick G.

    2012-01-01

    Although the outpatient substance abuse treatment field has seen an increase in referrals of African American and Latino clients, there have been limited changes in the diversity of the workforce. This discordance may exacerbate treatment disparities experienced by these clients. Program leaders have significant influence to leverage resources to develop staff diversity. Analysis of panel data from 1995 to 2005 showed that the most significant predictors of diversity were the characteristics of leaders. In particular, programs with managers with racially and ethnically concordant backgrounds and their education level were positively related to the percentage of Latino and African American staff. A high percentage of African American staff was positively associated with managers’ tenure, but inversely related to licensed directors. Diversification of the field has increased, yet efforts have not matched increases in client diversity. Implications for health care reform legislation seeking to improve cultural competence through diversification of the workforce are discussed. PMID:22658932

  14. Workforce diversity in outpatient substance abuse treatment: the role of leaders' characteristics.

    Science.gov (United States)

    Guerrero, Erick G

    2013-02-01

    Although the outpatient substance abuse treatment field has seen an increase in referrals of African American and Latino clients, there have been limited changes in the diversity of the workforce. This discordance may exacerbate treatment disparities experienced by these clients. Program leaders have significant influence to leverage resources to develop staff diversity. Analysis of panel data from 1995 to 2005 showed that the most significant predictors of diversity were the characteristics of leaders. In particular, programs with managers with racially and ethnically concordant backgrounds and their education level were positively related to the percentage of Latino and African American staff. A high percentage of African American staff was positively associated with managers' tenure, but inversely related to licensed directors. Diversification of the field has increased, yet efforts have not matched increases in client diversity. Implications for health care reform legislation seeking to improve cultural competence through diversification of the workforce are discussed. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Characteristics and transformations of dissolved organic nitrogen in municipal biological nitrogen removal wastewater treatment plants

    Science.gov (United States)

    Huo, Shouliang; Xi, Beidou; Yu, Honglei; Qin, Yanwen; Zan, Fengyu; Zhang, Jingtian

    2013-12-01

    Dissolved organic nitrogen (DON) represents most of the dissolved nitrogen in the effluent of biological nitrogen removal (BNR) wastewater treatment plants (WWTPs). The characteristics of wastewater-derived DON in two different WWTPs were investigated by several different methods. The major removals of DON and biodegradable dissolved organic nitrogen (BDON) along the treatment train were observed in the anaerobic process. Dissolved combined amino acids (DCAA) and dissolved free amino acids (DFAA) in the effluent accounted approximately for less than 4% and 1% of the effluent DON, respectively. Approximately half of wastewater-derived DON was capable of passing through a 1 kDa ultrafilter, and low MW DON cannot effectively be removed by BNR processes. More than 80% of effluent DON was composed of hydrophilic compounds, which stimulate algal growth. The study provided important information for future upgrading of WWTPs or the selection of DON removal systems to meet more demanding nitrogen discharge limits.

  16. Enhancement of methane gas sensing characteristics of graphene oxide sensor by heat treatment and laser irradiation.

    Science.gov (United States)

    Assar, Mohammadreza; Karimzadeh, Rouhollah

    2016-12-01

    The present study uses a rapid, easy and practical method for cost-effective fabrication of a methane gas sensor. The sensor was made by drop-casting a graphene oxide suspension onto an interdigital circuit surface. The electrical conductivity and gas-sensing characteristics of the sensor were determined and then heat treatment and in situ laser irradiation were applied to improve the device conductivity and gas sensitivity. Real-time monitoring of the evolution of the device current as a function of heat treatment time revealed significant changes in the conductance of the graphene oxide sensor. The use of low power laser irradiation enhanced both the electrical conductivity and sensing response of the graphene oxide sensor. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Effect of Surface Treatment on the Surface Characteristics of AISI 316L Stainless Steel

    Science.gov (United States)

    Trigwell, Steve; Selvaduray, Guna

    2005-01-01

    The ability of 316L stainless steel to maintain biocompatibility, which is dependent upon the surface characteristics, is critical to its effectiveness as an implant material. The surfaces of mechanically polished (MP), electropolished (EP) and plasma treated 316L stainless steel coupons were characterized by X-ray Photoelectron Spectroscopy (XPS) and Auger Electron Spectroscopy (AES) for chemical composition, Atomic Force Microscopy for surface roughness, and contact angle measurements for critical surface tension. All surfaces had a Ni concentration that was significantly lower than the bulk concentration of -43%. The Cr content of the surface was increased significantly by electropolishing. The surface roughness was also improved significantly by electropolishing. Plasma treatment had the reverse effect - the surface Cr content was decreased. It was also found that the Cr and Fe in the surface exist in both the oxide and hydroxide states, with the ratios varying according to surface treatment.

  18. Characteristics and transformations of dissolved organic nitrogen in municipal biological nitrogen removal wastewater treatment plants

    International Nuclear Information System (INIS)

    Huo, Shouliang; Xi, Beidou; Yu, Honglei; Qin, Yanwen; Zan, Fengyu; Zhang, Jingtian

    2013-01-01

    Dissolved organic nitrogen (DON) represents most of the dissolved nitrogen in the effluent of biological nitrogen removal (BNR) wastewater treatment plants (WWTPs). The characteristics of wastewater-derived DON in two different WWTPs were investigated by several different methods. The major removals of DON and biodegradable dissolved organic nitrogen (BDON) along the treatment train were observed in the anaerobic process. Dissolved combined amino acids (DCAA) and dissolved free amino acids (DFAA) in the effluent accounted approximately for less than 4% and 1% of the effluent DON, respectively. Approximately half of wastewater-derived DON was capable of passing through a 1 kDa ultrafilter, and low MW DON cannot effectively be removed by BNR processes. More than 80% of effluent DON was composed of hydrophilic compounds, which stimulate algal growth. The study provided important information for future upgrading of WWTPs or the selection of DON removal systems to meet more demanding nitrogen discharge limits. (letter)

  19. Eccrine Porocarcinoma: Patient Characteristics, Clinical and Histopathologic Features, and Treatment in 7 Cases.

    Science.gov (United States)

    Gómez-Zubiaur, A; Medina-Montalvo, S; Vélez-Velázquez, M D; Polo-Rodríguez, I

    2017-05-01

    Eccrine porocarcinoma is a rare, malignant cutaneous adnexal tumor that arises from the ducts of sweat glands. Found mainly in patients of advanced age, this tumor has diverse clinical presentations. Histology confirms the diagnosis, detects features relevant to prognosis, and guides treatment. Growth is slow, but the prognosis is poor if the tumor metastasizes to lymph nodes or visceral organs. We report 7 cases of eccrine porocarcinoma, describing patient characteristics, the clinical and histopathologic features of the tumors, and treatments used. Our observations were similar to those of other published case series. Given the lack of therapeutic algorithms or protocols for this carcinoma, we propose a decision-making schema based on our review of the literature and our experience with this case series. The algorithm centers on sentinel lymph node biopsy and histologic features. Copyright © 2016 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. Characteristics, diagnosis and treatment of hypoglossal canal dural arteriovenous fistula: report of nine cases

    Energy Technology Data Exchange (ETDEWEB)

    Manabe, Shinji; Satoh, Koichi; Matsubara, Shunji; Satomi, Junichiro; Hanaoka, Mami; Nagahiro, Shinji [University of Tokushima, Department of Neurosurgery, Tokushima (Japan)

    2008-08-15

    We report the characteristics, diagnosis and treatment of dural arteriovenous fistula (DAVF) of the hypoglossal canal in nine patients with this relatively rare vascular disorder. Of 248 patients with intracranial DAVFs managed at our institution, nine patients (3.6%; four men, five women; mean age 62 years) were diagnosed with hypoglossal canal DAVF. We investigated patient characteristics with respect to clinical symptoms, neuroradiological findings, efficacy and complications related to endovascular treatment. Seven patients had experienced head injury. All patients presented with pulsatile tinnitus. One patient displayed ipsilateral hypoglossal nerve palsy before treatment. MR angiography showed a 'magic wand' appearance between the affected hypoglossal canal and the internal jugular vein in four patients. Angiography demonstrated an AV fistula on the medial aspect of the superior jugular bulb, mostly arising from the bilateral occipital, ascending pharyngeal and vertebral arteries with drainage to the internal jugular vein via the anterior condylar vein. Contralateral carotid injection accurately clarified the shunting point. Five patients underwent endovascular treatment: transarterial embolization (TAE; n=2), transvenous embolization (TVE; n=2), and TAE/TVE (n=1). Complete shunt obliteration was achieved in four patients and shunt reduction in one. The remaining four patients were treated conservatively and the shunt had disappeared at follow-up. Postoperative hypoglossal nerve palsy occurred in one patient after TVE, possibly due to coil overpacking. The incidence of hypoglossal canal DAVF was not very low in our series. Contralateral carotid injection is an essential examination to provide an accurate diagnosis. TVE should be considered when access is available, although TAE is also appropriate for shunt reduction. (orig.)

  1. Characteristics, diagnosis and treatment of hypoglossal canal dural arteriovenous fistula: report of nine cases

    International Nuclear Information System (INIS)

    Manabe, Shinji; Satoh, Koichi; Matsubara, Shunji; Satomi, Junichiro; Hanaoka, Mami; Nagahiro, Shinji

    2008-01-01

    We report the characteristics, diagnosis and treatment of dural arteriovenous fistula (DAVF) of the hypoglossal canal in nine patients with this relatively rare vascular disorder. Of 248 patients with intracranial DAVFs managed at our institution, nine patients (3.6%; four men, five women; mean age 62 years) were diagnosed with hypoglossal canal DAVF. We investigated patient characteristics with respect to clinical symptoms, neuroradiological findings, efficacy and complications related to endovascular treatment. Seven patients had experienced head injury. All patients presented with pulsatile tinnitus. One patient displayed ipsilateral hypoglossal nerve palsy before treatment. MR angiography showed a ''magic wand'' appearance between the affected hypoglossal canal and the internal jugular vein in four patients. Angiography demonstrated an AV fistula on the medial aspect of the superior jugular bulb, mostly arising from the bilateral occipital, ascending pharyngeal and vertebral arteries with drainage to the internal jugular vein via the anterior condylar vein. Contralateral carotid injection accurately clarified the shunting point. Five patients underwent endovascular treatment: transarterial embolization (TAE; n=2), transvenous embolization (TVE; n=2), and TAE/TVE (n=1). Complete shunt obliteration was achieved in four patients and shunt reduction in one. The remaining four patients were treated conservatively and the shunt had disappeared at follow-up. Postoperative hypoglossal nerve palsy occurred in one patient after TVE, possibly due to coil overpacking. The incidence of hypoglossal canal DAVF was not very low in our series. Contralateral carotid injection is an essential examination to provide an accurate diagnosis. TVE should be considered when access is available, although TAE is also appropriate for shunt reduction. (orig.)

  2. Carcass characteristics and meat evaluation of Nelore cattle subjected to different antioxidant treatments

    Directory of Open Access Journals (Sweden)

    Thiago de Jesus do Carmo

    Full Text Available ABSTRACT Forty Nelore cattle were used to evaluate the effects of supplementation with different antioxidants on carcass characteristics and meat quality of feedlot cattle. Animals were fed Brachiaria brizantha hay and subjected to five treatments (control and four antioxidants: zinc, selenium, vitamin E, and selenium + vitamin E. After a 105-day feeding period, cattle were slaughtered. Tissue composition, as well as carcass proximate composition, color, tenderness, pH, and fatty acid profile were evaluated. Analysis of variance was carried out and means compared by Tukey test at 0.05 probability. The group fed selenium showed the lowest muscle amount (66.61 g/100 g compared with the other antioxidants evaluated. There was no difference among treatments for bone, fat, and comestible portion percentages as well as muscle:bone, muscle:fat, and comestible portion:bone ratios, with mean values of 16.85 g/100 g, 14.70 g/100 g, 82.99 g/100 g, 4.06, 4.85, and 4.95, respectively. Neither brightness, red, or yellow contents of the meat nor carcass pH were affected by treatments. For tenderness and losses during thawing and cooking, there were no differences among treatments, with averages of 6.43 kgf cm2, 3.22 g/100 g, and 21.15 g/100 g, respectively. Supplementation of Nelore cattle fed Brachiaria brizantha hay with antioxidants do not influence carcass characteristics or meat quality. However, vitamin E supplementation reduces the levels of omega 3 fatty acid, whereas supplementation with selenium + vitamin E promotes an increase in linoleic and palmitoleic acids and a decrease in myristoleic acid, making the supplementation feasible due to the beneficial effects provided by these acids.

  3. Long-Term Antipsychotic Polypharmacy in the VA Health System: Patient Characteristics and Treatment Patterns

    Science.gov (United States)

    Kreyenbuhl, Julie A.; Valenstein, Marcia; McCarthy, John F.; Ganoczy, Dara; Blow, Frederic C.

    2011-01-01

    Objective Although antipsychotic polypharmacy is being prescribed with increasing frequency, few studies have described patient characteristics and treatment patterns associated with long-term use of this treatment strategy. Methods By using data from the National Psychosis Registry of the Department of Veterans Affairs, 5,826 patients with schizophrenia or schizoaffective disorder who received long-term antipsychotic polypharmacy (simultaneous treatment with two or more antipsychotics for 90 or more days) during fiscal year 2000 and 39,745 patients who received long-term antipsychotic monotherapy were identified. By using multivariate regression models, patient demographic and clinical characteristics, antipsychotic dosages, and use of antiparkinson and adjunctive psychotropic medications were compared between the two groups. Results Patients were more likely to receive antipsychotic polypharmacy if they were younger, were unmarried, had a military service–connected disability, had schizophrenia rather than schizoaffective disorder, or had greater use of inpatient and outpatient mental health services. Patients were less likely to receive antipsychotic polypharmacy if they were African American, had concurrent diagnoses of depression or substance use disorder, or had greater medical comorbidity. For most antipsychotics, dosages prescribed for patients receiving polypharmacy were the same or modestly higher than those prescribed for patients receiving monotherapy. Patients given prescriptions for polypharmacy were more likely to receive antiparkinson medications, antianxiety agents, and mood stabilizers and equally likely to receive concurrent treatment with antidepressants. Conclusions Long-term antipsychotic polypharmacy appears to be reserved for more severely ill patients with psychotic symptoms rather than mood symptoms. These patients may experience increased adverse effects as a result of excess antipsychotic exposure. PMID:17412850

  4. A study of the characteristics of indium tin oxide after chlorine electro-chemical treatment

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Moonsoo; Kim, Jongmin; Cho, Jaehee; Kim, Hyunwoo; Lee, Nayoung; Choi, Byoungdeog, E-mail: bdchoi@skku.edu

    2016-10-15

    Graphical abstract: The presence of Chlorine in the outer surface resulted in a highly electro-negative surface states and an increase in the vacuum energy level. - Highlights: • We investigated the influence of chlorine surface treatment on ITO properties. • Chlorination induced the change of the electro-static potential in the outer surface. • Chlorine electro-chemical treatment of ITO is a simple, fast and effective technique. - Abstract: In this work, we investigate the influence of a chlorine-based electro-chemical surface treatment on the characteristics of indium tin oxide (ITO) including the work function, chemical composition, and phase transition. The treated ITOs were characterized using X-ray photoelectron spectroscopy (XPS), ultra-violet photoelectron spectroscopy (UPS), 4-point probe measurements, and grazing incidence X-ray diffraction (GI-XRD). We confirmed a change of the chemical composition in the near-surface region of the ITO and the formation of indium-chlorine (In-Cl) bonds and surface dipoles (via XPS). In particular, the change of the electro-static potential in the outer surface was caused by chlorination. Due to the vacuum-level shift after the electro-chemical treatment in a dilute hydrochloric acid, the ITO work function was increased by ∼0.43 eV (via UPS); furthermore, the electro-negativity of the chlorine anions attracted electrons to emit them from the hole transport layer (HTL) to the ITO anodes, resulting in an increase of the hole-injection efficiency.

  5. Multi- and extensively drug-resistant tuberculosis in Latvia: trends, characteristics and treatment outcomes

    Science.gov (United States)

    Riekstina, V.; Leimane, V.; Ozere, I.; Skenders, G.; Van den Bergh, R.; Kremer, K.; Acosta, C. D.; Harries, A. D.

    2014-01-01

    Setting: Drug-resistant tuberculosis (TB) is an important public health problem in Latvia. Objective: To document trends, characteristics and treatment outcomes of registered patients with multi-drug-resistant (MDR-) and extensively drug-resistant (XDR-) TB in Latvia from 2000 to 2010. Design: A retrospective national cohort study. Results: Of 1779 patients, 1646 (92%) had MDR- and 133 (8%) XDR-TB. Over 11 years, the proportion of XDR-TB among MDR-TB patients increased from 2% to 18%. Compared to MDR-TB patients, those with XDR-TB were significantly more likely to have failed MDR-TB treatment (OR 8.4, 95%CI 4.3–16.2), have human immunodeficiency virus infection (OR 3.2, 95%CI 1.8–5.7), be illegal drug users (OR 5.7, 95%CI 2.6–11.6) or have had contact with MDR-TB patients (OR 1.9, 95%CI 1.3–2.8). Cure rates for XDR-TB were 50%. Compared with MDR-TB patients, those with XDR-TB had a higher risk of treatment failure (29% vs. 8%, respectively, P Latvia is now also XDR-TB. This study identified several risk factors for XDR-TB and, for unfavourable treatment outcomes, highlighting the importance of early diagnosis and appropriate management of MDR-/XDR-TB. PMID:26393098

  6. Effects of Surface Treatment of Activated Carbon on Its Surface and Cr(VI) Adsorption Characteristics

    Energy Technology Data Exchange (ETDEWEB)

    Park, Soo Jin; Jang, Yu Sin [Advanced Materials Division., Korea Research Institute of Chimical Technology, Taejon (Korea)

    2001-04-01

    In this work, the effect of surface treatments on activated carbons (ACs) has been studied in the context of gas and liquid adsorption behaviors. The chemical solutions used in this experiment were 35% sodium hydroxide, and these were used for the acidic and basic treatments, respectively. The surface properties have been determined by pH, acid-base values, and FT-IR. The adsorption isotherms of Cr(VI) ion on activated carbons have been studied with the 5 mg/l concentration at ambient temperature. N{sub 2} adsorption isotherm characteristics, which include the specific surface area, micro pore volume, and microporosity, were determined by BET and Boer's-plot methods. In case of the acidic treatment of activated carbons, it was observed that the adsorption of Cr(VI) ion was more effective due to the increase acid value (or acidic functional group) of activated carbon surfaces. However, the basic treatment on activated carbons was caused no significant effects, probably due to the decreased specific surface area and total pore volume. 27 refs., 7 figs., 4 tabs.

  7. Surgical Treatment of Cubital Tunnel Syndrome: Trends and the Influence of Patient and Surgeon Characteristics.

    Science.gov (United States)

    Adkinson, Joshua M; Zhong, Lin; Aliu, Oluseyi; Chung, Kevin C

    2015-09-01

    To examine trends in and determinants of the use of different procedures for treatment of cubital tunnel syndrome. We performed a retrospective cross-sectional analysis of the Healthcare Cost and Utilization Project Florida State Ambulatory Surgery Database for 2005 to 2012. We selected all patients who underwent in situ decompression, transposition, or other surgical treatments for cubital tunnel syndrome. We tested trends in the use of these techniques and performed a multivariable analysis to examine associations among patient characteristics, surgeon case volume, and the use of different techniques. Of the 26,164 patients who underwent surgery for cubital tunnel syndrome, 80% underwent in situ decompression, 16% underwent transposition, and 4% underwent other surgical treatment. Over the study period, there was a statistically significant increase in the use of in situ release and a decrease in the use of transposition. Women and patients treated by surgeons with a higher cubital tunnel surgery case volume underwent in situ release with a statistically higher incidence than other techniques. In Florida, surgeon practice reflected the widespread adoption of in situ release as the primary treatment for cubital tunnel syndrome, and its relative incidence increased during the study period. Patient demographics and surgeon-level factors influenced procedure selection. Therapeutic III. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  8. Characteristics of geriatric patients seeking medication treatment for pathologic gambling disorder.

    Science.gov (United States)

    Grant, J E; Kim, S W; Brown, E

    2001-01-01

    This study was constructed to compare geriatric patients seeking medication treatment for pathologic gambling disorder (PGD) with younger pathologic gamblers. This comparison study assessed three groups with PGD according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition: 16 subjects over the age of 60 years, 11 subjects between the ages of 20 and 30 years, and 46 subjects between the ages of 40 and 50 years. All subjects were evaluated in terms of demographic characteristics, clinical features of PGD, and treatment history. Geriatric gamblers had a later age of onset of gambling and developed pathologic gambling over a longer period of time. Geriatric subjects were more likely to play slot machines and demonstrate less variety in their choice of gambling activity. Geriatric gamblers were also more likely to gamble secondary to boredom. Geriatric subjects were as likely as the other age groups to report slight or no response to nonpharmacologic treatment. There appear to be some differences in the clinical features of PGD among geriatric subjects, and these differences may have treatment implications.

  9. Improvement of Plating Characteristics Between Nickel and PEEK by Plasma Treatment and Chemical Etching

    International Nuclear Information System (INIS)

    Lee, Hye W.; Lee, Jong K.; Park, Ki Y.

    2009-01-01

    Surface of PEEK(poly-ether-ether-ketone) was modified by chemical etching, plasma treatment and mechanical grinding to improve the plating adhesion. The plating characteristics of these samples were studied by the contact angle, plating thickness, gloss and adhesion. Chemical etching and plasma treatment increased wettability, adhesion and gloss. The contact angle of as-received PEEK was 61 .deg. . The contact angles of chemical etched, plasma treated or both were improved to the range of 15∼33 .deg. . In the case of electroless plating, the thickest layer without blister was 1.6 μm. The adhesion strengths by chemical etching, plasma treatment or both chemical etching and plasma treatment were 75 kgf/cm 2 , 102 kgf/cm 2 , 113 kgf/cm 2 , respectively, comparing to the 24 kgf/cm 2 of as-received. In the case of mechanically ground PEEKs, the adhesion strengths were higher than those unground, with the sacrifice of surface gloss. The gloss of untreated PEEK were greater than mechanically ground PEEKs. Plating thickness increased linearly with the plating times

  10. The social support and social network characteristics of smokers in methadone-maintenance treatment

    Science.gov (United States)

    de Dios, Marcel A.; Stanton, Cassandra A.; Caviness, Celeste M.; Niaura, Raymond; Stein, Michael

    2014-01-01

    Previous studies have shown social support and social network variables to be important factors in smoking cessation treatment. Tobacco use is highly prevalent among individuals in methadone maintenance treatment (MMT). However, smoking cessation treatment outcomes in this vulnerable subpopulation have been poor and social support and social network variables may contribute. The current study examined the social support and social network characteristics of 151 MMT smokers involved in a randomized clinical trial of smoking cessation treatments. Participants were 50% women and 78% Caucasian. A high proportion (57%) of MMT smokers had spouses or partners who smoke and over two-thirds of households (68.5%) included at least one smoker. Our sample was characterized by relatively small social networks, but high levels of general social support and quitting support. The number of cigarettes per day was found to be positively associated with the number of smokers in the social network (r = .239, p < .05) and quitting self-efficacy was negatively associated with partner smoking (r = −.217, p < .001). Findings are discussed in the context of developing smoking cessation interventions that address the influential role of social support and social networks of smokers in MMT. PMID:22571553

  11. Investigation of structural modification and thermal characteristics of lignin after heat treatment.

    Science.gov (United States)

    Kim, Jae-Young; Hwang, Hyewon; Oh, Shinyoung; Kim, Yong-Sik; Kim, Ung-Jin; Choi, Joon Weon

    2014-05-01

    Milled wood lignin was subjected to heat treatment between 150 and 300°C to understand the pattern of its structural modification and thermal properties. When the temperature was elevated with interval of 50°C, the color of the lignin became dark brown and the lignin released various forms of phenols from terminal phenolic groups in the lignin, leading to two physical phenomena: (1) gradual weight loss of the lignin, up to 19% based on dry weight and (2) increase in the carbon content and decrease in the oxygen content. Nitrobenzene oxidation and (13)C NMR analyses confirmed a cleavage of β-O-4 linkage (depolymerization) and reduction of methoxyl as well as phenolic hydroxyl group were also characteristic in the lignin structure during heat treatment. Simultaneously with lignin depolymerization, GPC analysis provided a possibility that condensation between lignin fragments could also occur during heat treatment. TGA/DTG/DSC data revealed that thermal stability of lignin obviously increased after heat treatment, implicating the structural rearrangement of lignin to reduction of β-O-4 linkage as well as accumulation of CC bonds. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. Influence of wastewater treatment plants' operational conditions on activated sludge microbiological and morphological characteristics.

    Science.gov (United States)

    Amanatidou, Elisavet; Samiotis, Georgios; Trikoilidou, Eleni; Tzelios, Dimitrios; Michailidis, Avraam

    2016-01-01

    The effect of wastewater composition and operating conditions in activated sludge (AS) microbiological and morphological characteristics was studied in three AS wastewater treatment plants (WWTPs): (a) a high organic load slaughterhouse AS WWTP, operating at complete solids retention, monitored from its start-up and for 425 days; (b) a seasonally operational, low nitrogen load fruit canning industry AS WWTP, operating at complete solids retention, monitored from its start-up and until the end of the season (87 days); (c) a municipal AS WWTP, treating wastewater from a semi-combined sewer system, monitored during the transitions from dry to rainy and again to dry periods of operation. The sludge microbiological and morphological characteristics were correlated to nutrients' availability, solids retention time, hydraulic retention time, dissolved oxygen, mixed liquor suspended solids (MLVSS), organic load (F/M) and substrate utilization rate. The AS WWTPs' operation was distinguished in periods based on biomass growth phase, characterized by different biological and morphological characteristics and on operational conditions. An anoxic/aerobic selector minimizes the readily biodegradable compounds in influent, inhibiting filamentous growth. Plant performance controlling is presented in a logic flowchart in which operational parameters are linked to microbial manipulation, resulting in a useful tool for researchers and engineers.

  13. Surface characteristics of bioactive Ti fabricated by chemical treatment for cartilaginous-integration.

    Science.gov (United States)

    Miyajima, Hiroyuki; Ozer, Fusun; Imazato, Satoshi; Mante, Francis K

    2017-09-01

    Artificial hip joints are generally expected to fail due to wear after approximately 15years and then have to be replaced by revision surgery. If articular cartilage can be integrated onto the articular surfaces of artificial joints in the same way as osseo-integration of titanium dental implants, the wear of joint implants may be reduced or prevented. However, very few studies have focused on the relationship between Ti surface and cartilage. To explore the possibility of cartilaginous-integration, we fabricated chemically treated Ti surfaces with H 2 O 2 /HCl, collagen type II and SBF, respectively. Then, we evaluated surface characteristics of the prepared Ti samples and assessed the cartilage formation by culturing chondrocytes on the Ti samples. When oxidized Ti was immersed in SBF for 7days, apatite was formed on the Ti surface. The surface characteristics of Ti indicated that the wettability was increased by all chemical treatments compared to untreated Ti, and that H 2 O 2 /HCl treated surface had significantly higher roughness compared to the other three groups. Chondrocytes produced significantly more cartilage matrix on all chemically treated Ti surfaces compared to untreated Ti. Thus, to realize cartilaginous-integration and to prevent wear of the implants in joints, application of bioactive Ti formed by chemical treatment would be a promising and effective strategy to improve durability of joint replacement. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Effluent characteristics of advanced treatment for biotreated coking wastewater by electrochemical technology using BDD anodes.

    Science.gov (United States)

    Wang, Chunrong; Zhang, Mengru; Liu, Wei; Ye, Min; Su, Fujin

    2015-05-01

    Effluent of biotreated coking wastewater comprises hundreds of organic and inorganic pollutants and has the characteristics of high toxicity and difficult biodegradation; thus, its chemical oxygen demand cannot meet drainage standards in China. A boron-doped diamond anode was selected for advanced treatment of biotreated coking wastewater, and considering the efficiency of the removal of total organic carbon and energy consumption, optimal conditions were obtained as current density of 75 mA cm(-2), electrolysis time of 1.5 h, and an electrode gap of 1.0 cm in an orthogonal test. Effluent characteristics were investigated at different electrolysis times. The ratio of the 5-day biochemical oxygen demand (BOD5) to the chemical oxygen demand increased from an initial value of 0.05 to 0.65 at 90 min. Fluorescence spectra were used to evaluate the evolution of refractory organics. Two fluorescence peaks for raw wastewater, corresponding to an aromatic protein-like substance II and humic acid-like substance, weakened at 30 and at 90 min, only the former was detected. The specific oxygen uptake rate was used to assess effluent toxicity, and an obvious inhibition effect was found at 15 min; then, it was significantly faded at 30 and 45 min. The BOD5/NO3 (-)-N ratio increased from an initial value of 0.48 to 1.25 at 45 min and then gradually dropped to 0.69 at 90 min. According to the above effluent characteristics, it is strongly suggested that electrochemical technology using boron-doped diamond anodes is combined with biological denitrification technology for the advanced treatment of biotreated coking wastewater.

  15. Investigation of patient-specific characteristics associated with treatment outcomes for chronic urticaria.

    Science.gov (United States)

    Amin, Priyal; Levin, Linda; Holmes, Sarah J; Picard, Jillian; Bernstein, Jonathan A

    2015-01-01

    Identifying clinical characteristics of patients with chronic urticaria (CU) responsive to medication may help guide clinicians select treatment. The objective of this study was to investigate patient characteristics and medication use associated with urticaria control. A retrospective longitudinal chart review of adult patients with CU was conducted at a multisite allergy practice. Inclusion criteria required at least 4 CU office visits to allow for pre- and posttreatment assessment. Control corresponding to medication(s) used was assessed each visit. Univariate analysis followed by multiple logistic regression was performed. A total of 221 patients with CU were included; 140 (63%) achieved complete control. The average time to control was 1.4 ± 2.7 years, which required 1-3 classes of medications. Dermatographia odds ratio (OR) = 1.85 (95% CI 1.3-2.7) or other physical urticarias, OR = 1.51 (1-2.4) and neutrophilic infiltrates on skin biopsy were markers of poor control. Thyroid autoantibodies were associated with better control using an H1-antihistamine. Whereas 22% were controlled on a second-generation H1-receptor antagonist plus a leukotriene receptor antagonist (LTRA), an additional 33% were controlled when cyclosporine was added. Use of a first or second H1-antagonist or LTRA was associated with a 3.5-16.9 times higher odds of complete CU control in those with dermatographia. The odds of achieving control for other forms of physical urticaria was greatest when colchicine was added (aOR = 32.6 [12.7-83.2]). Patient-specific CU characteristics associated with medication-disease control may be useful for selecting treatment regimens. A subset of CU patients remains poorly controlled that indicates an unmet need for novel therapeutic agents. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  16. Impact of a Student Pharmacist Driven Medication Reconciliation and Antidepressant Treatment History Project at a Depression Clinic: A Pilot Study

    Science.gov (United States)

    Tang, Stella S.; Jaward, Leanna; Ward, Kristen; Parikh, Sagar V.; Bostwick, Jolene R.

    2017-01-01

    Objectives To improve treatment of patients with depression, a new pilot service project involving student pharmacists who would conduct medication reconciliation and review of antidepressant treatment history was created and evaluated. Experimental design A prospective study conducted at the University of Michigan Depression Center. Principal observations From an initial sample of 78 referrals, 41 subjects were reached by phone, with 34 completing medication reconciliation and antidepressant treatment history. Of the 34 patients, 25 (73.5%) had at least one discrepancy identified in their medication list, resulting in 164 medication changes in the electronic medical record (EMR). A total of 105 past antidepressant trials were documented in the 34 individuals, with 34 (32.4%) trials found to be inadequate. Thirteen (38.2%) patients reported failure to respond to two different antidepressants from different classes. All 34 patients participated well in the phone calls and were willing to consult a pharmacist at their upcoming clinic visit. Conclusions A student pharmacist pilot was feasible, identified many discrepancies in the medication record, and identified important medication treatment history in patients with depression in advance of the clinic visit. The project provides support for a specialized role for student pharmacists and demonstrates that interprofessional care can contribute to improved treatment of depression. PMID:28626270

  17. Incidence and Characteristics of Remote Intracerebral Hemorrhage After Endovascular Treatment of Unruptured Intracranial Aneurysms.

    Science.gov (United States)

    Sim, Sook Young; Song, Jihye; Oh, Se-Yang; Kim, Myeong Jin; Lim, Yong Cheol; Park, Sang Kyu; Shin, Yong Sam; Chung, Joonho

    2016-11-01

    The purpose of this study was to investigate the incidence and characteristics of remote intracerebral hemorrhage (ICH) after endovascular treatment (EVT) of unruptured intracranial aneurysms (UIAs). Between March 2007 and September 2015, 11 patients with remote ICH from a series of 2258 consecutive patients with 2597 UIAs treated via EVT were identified. Baseline demographic characteristics, medical history, radiologic imaging data, characteristics of remote ICH, and clinical outcomes were retrospectively reviewed. The characteristics of patients with remote ICH were compared with those of patients without remote ICH. All hematomas were single lesions located in the subcortical white matter as lobar-type in 9 patients (81.8%) and in the basal ganglia in 2 patients (18.2%). Events occurred mostly within 1 week and up to 3 weeks after EVT. Hematoma was located on the ipsilateral side in 8 patients (72.7%) and in the contralateral side in 3 patients (27.3%). Compared with patients without remote ICH, there were more aneurysms located on the internal carotid artery (ICA) (P = 0.041), more patients treated with stents (P < 0.001), more patients with hypertension (P = 0.026), and poorer clinical outcomes at discharge (P < 0.001) for patients with remote ICH. The incidence of remote ICH after EVT of UIAs was 0.46%. This event occurred mostly in patients with stents, hypertension, and UIAs on the ICA. It presented mostly as an ipsilateral lobar-type hemorrhage within 1 week after the procedure. This complication should not be neglected because of its poor clinical outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Characteristics of intracranial pressure (ICP) waves and ICP in children with treatment-responsive hydrocephalus.

    Science.gov (United States)

    Sæhle, Terje; Eide, Per Kristian

    2015-06-01

    One important goal of modern treatment of pediatric hydrocephalus is to normalize the intracranial pressure (ICP) and ICP volume reserve capacity to optimize normal brain development. Better knowledge of the characteristics of ICP waves/ICP in pediatric hydrocephalus may provide new insight into the mechanisms behind modern hydrocephalus treatment. The aim of the present work was to characterize the ICP waves/ICP in children with either communicating or non-communicating hydrocephalus who improved clinically after surgery. The hydrocephalic children not treated surgically following ICP monitoring served as reference patients. The patient material includes all children with hydrocephalus and no previous surgical treatment who underwent diagnostic ICP wave/ICP monitoring during the period 2002-2011. We retrieved the information about the patients from the patient records and the digitally stored ICP waveforms. The ICP wave characteristics amplitude, rise time and rise time coefficient and the mean ICP were determined in the patients treated surgically for their hydrocephalus. The findings were compared with findings in children not treated surgically after ICP monitoring who served as reference patients. The patient material includes 58 patients. Thirty-one (53%) were treated surgically after ICP monitoring, of whom all improved clinically. As compared to the reference patients, patients treated surgically presented with increased ICP wave amplitudes (MWA) and mean ICP. Alterations were comparable in communicating and non-communicating hydrocephalus. We found no apparent association between the ICP wave/ICP scores and presence of symptoms, indices of ventricular size or age. Children with either communicating or non-communicating hydrocephalus improving clinically after surgery presented with elevated MWA and mean ICP. In particular, the levels of MWA were raised to a magnitude seen when intracranial compliance is impaired. Hence, the present observations may support

  19. Implementation of a "Learner-Driven" Curriculum: An Screening, Brief Intervention, and Referral to Treatment (SBIRT) Interdisciplinary Primary Care Model

    Science.gov (United States)

    Stanton, Marina R.; Atherton, W. Leigh; Toriello, Paul J.; Hodgson, Jennifer L.

    2012-01-01

    Although screening, brief intervention, and referral to treatment (SBIRT) has been a popular model to address potential substance abuse issues in primary care, there is a need for innovative approaches for training providers and staff on SBIRT protocols. An interdisciplinary approach to SBIRT training, named ICARE, was implemented at 3 different…

  20. The clinical characteristics and treatment for sudden sensorineural hearing loss with vestibular schwannoma.

    Science.gov (United States)

    Lin, Chang; Gong, Qilin; Zuo, Wenjing; Zhang, Rong; Zhou, Aidong

    2015-04-01

    The aim of this study is to analyze the clinical characteristics and treatment of sudden sensorineural hearing loss (SSNHL) patients with vestibular schwannoma (VS). The clinical features of the VS patients were explored by retrospectively analyzing the clinical data from 542 cases of SSNHL patients between January 2008 and March 2013. There were 10 cases (10 ears) diagnosed with VS in 542 cases of SSNHL patients (10 ears, 1.85 %), 3 males, 7 females, with a range of 28-57 years. Among all the cases, eight patients with abnormal ABR, ten with ear ipsilateral stapedius reflexes which were completely not elicited and seven patients with healthy ear contralateral stapedius reflexes which were completely not elicited. Neuromas were classified by Koos grades according to size (8 of grade I, 1 of grade II, 1 of grade IV). Eight small VS  patients were taken waiting and MRI therapy strategies. Meanwhile, we used glucocorticoid treatment and timely and short-term medication to improve the microcirculation of the inner ear for these patients. And four cases' hearing was improved. Some vestibular schwannomas have SSNHL as initial symptoms, especially the small ones in internal auditory canal. To prevent misdiagnosis or leak-diagnosis, MRI should be performed as a routine test for SSNHL, and ABR is sometimes necessary for SSNHL patients. It is also necessary to give appropriate treatment to protect hearing of the small vestibular schwannoma patients whose first symptoms are diagnosed as SSNHL in acute phase.

  1. Clinical characteristics and treatment outcomes of patients undergoing nail avulsion surgery for dystrophic nails.

    Science.gov (United States)

    Lai, W Y; Tang, William Y M; Loo, Steven K F; Chan, Y

    2011-04-01

    To evaluate the clinical characteristics and treatment outcomes of patients undergoing surgical nail avulsion. Retrospective study. Two dermatology centres in Hong Kong. A total of 32 patients with nail diseases who underwent 33 nail avulsion procedures were reviewed from case records. Age, gender, co-morbidities, disease duration, clinical features, histopathology and fungal culture of nail plate, nail bed specimen for fungal culture in appropriate cases, and postoperative outcome. The mean age of the patients at the time of nail avulsion was 54 (range, 27-86) years. The most frequent preoperative findings were thickened nails (23 specimens, 70%) and discolouration (20 specimens, 61%). Onychomycosis was the most common pre-consultative diagnosis (20 specimens, 61%). Prior to nail avulsion, topical or systemic treatment had been tried in more than half of the cases. Histopathology of the avulsed nails confirmed onychomycosis in 24 (73%) of specimens. The clinical cure rate was 88% and the mycologic cure rate was 100%. The procedure was well tolerated without significant complications. Relapse was only noted in three (9%) of the patients having nail avulsions. The time for full re-growth ranged from 5 to 10 months. Total nail avulsion is an effective management option for patients whose diagnosis of onychomycosis was doubtful, and constitutes a treatment armamentarium especially for patients with single or oligo-onychomycosis.

  2. [Post-polio syndrome: a review of its clinical characteristics and treatment].

    Science.gov (United States)

    Bouza, C; Amate, J M

    Post-polio syndrome (PPS) is recognised as a clinical syndrome that causes the late, progressive functional impairment suffered by survivors of an acute episode of poliomyelitis. The importance of PPS is acknowledged by increasingly wider sectors of the population and health care sectors; nevertheless, few reports have been published about its epidemiology or its clinical characteristics and treatment. To review the current scientific evidence available on the clinical manifestations, risk factors, prevalence, diagnosis and recommendations for treatment of PPS. We conducted a review of the medical literature in the MEDLINE database. The search was restricted to studies conducted in humans that had been published as complete works in English and/or Spanish up to December 2004. PPS is recognised as being a specific neurological syndrome that appears several decades after the acute episode of polio; it exacerbates the motor sequelae already present in these patients and reduces their functional capacity to a point where it affects their activities of daily living. Its causation has still not been clearly identified and it constitutes a process that is difficult to diagnose and manage. In addition, no specific treatment has been developed for this condition to date. Nevertheless, the psychological and functional impact it has on its victims and the possibility of bringing about a significant improvement in the symptoms call for a greater effort by professionals to identify the clinical needs imposed by the syndrome and to break down some of the health care barriers that currently exist.

  3. Clinical characteristics, treatment and outcome of children with Lyme arthritis in Nova Scotia.

    Science.gov (United States)

    Glaude, Pier Diane; Huber, Adam M; Mailman, Timothy; Ramsey, Suzanne; Lang, Bianca; Stringer, Elizabeth

    2015-10-01

    Lyme disease is an emerging problem in Nova Scotia. Lyme arthritis is a late manifestation of Lyme disease. To describe the demographic characteristics, referral patterns and clinical course of children diagnosed with Lyme arthritis in a tertiary care pediatric rheumatology clinic in Nova Scotia. In the present retrospective chart review, subjects diagnosed with Lyme arthritis between 2006 and 2013 were identified through the clinic database. Demographic variables, referral patterns, clinical presentation and information regarding treatment course and outcome were collected. Seventeen patients were identified; 76% presented in 2012 and 2013. In 37.5% of cases, the referring physician suspected Lyme disease. Most patients presented with one or more painful and/or swollen joints; 94% had knee involvement. Only three of 17 patients had a history of erythema migrans and four of 17 recalled a tick bite. Five patients had a history of neurological manifestations consistent with Lyme disease, although, none had a diagnosis made at the time. Arthritis usually resolved after treatment with standard antibiotics; however, at last follow-up, two patients had antibiotic refractory Lyme arthritis, with one having joint damage despite aggressive arthritis treatment. A significant increase in cases of Lyme arthritis has recently been recognized in a pediatric rheumatology clinic in Nova Scotia. A history of a tick bite or erythema migrans were not sensitive markers of Lyme arthritis, and this diagnosis was often not considered by the referring physician. Educational initiatives should be undertaken to increase local awareness of this treatable cause of arthritis in children.

  4. Nasopharyngeal carcinomas: analysis of patient, tumor and treatment characteristics determining outcome

    International Nuclear Information System (INIS)

    Erkal, Haldun S.; Serin, Meltem; Cakmak, Ahmet

    2001-01-01

    Purpose: The present study reviews the experience in treatment of 447 patients with nasopharyngeal carcinomas, analyzing patient, tumor and treatment characteristics determining outcome. Materials and methods: There were 322 males and 125 females, their ages ranging from 7 to 85 years (median, 45 years). Two-hundred and seventy-two patients had World Health Organization (WHO) type 3 carcinomas, 123 patients had T4 tumors and 320 patients had metastatic cervical lymph nodes. Three-hundred and eight patients were treated with radiation therapy alone and 139 patients with chemotherapy in combination with radiation therapy. Cumulative radiation dose to primary tumor ranged from 50 to 76 Gy (median, 70 Gy) and radiation dose to metastatic cervical lymph nodes ranged from 46 to 74 Gy (median, 66 Gy). Results: Follow-up ranged from 0.1 to 19.5 years (mean, 7.6 years). Local complete response was achieved in 357 patients. In multivariate analysis, T-classification, cumulative radiation dose to primary tumor and treatment with chemotherapy in combination with radiation therapy predicted local response. Nodal complete response was achieved in 272 patients. In multivariate analysis, N-classification and radiation dose to metastatic cervical lymph nodes predicted nodal response. Local failure was observed in 70 patients, nodal failure in 35 patients and systemic failure in 114 patients. Overall survival, disease-free survival and disease-specific survival were 33, 32 and 37%, respectively, at 10 years. In multivariate analysis, age, T-classification, N-classification, radiation dose and treatment with chemotherapy in combination with radiation therapy predicted overall survival whereas T-classification, N-classification, radiation dose and treatment with chemotherapy in combination with radiation therapy predicted both disease-free survival and disease-specific survival. Conclusions: Radiation therapy alone appears to be an adequate and viable treatment for patients with early

  5. Combining Time-Driven Activity-Based Costing with Clinical Outcome in Cost-Effectiveness Analysis to Measure Value in Treatment of Depression.

    Directory of Open Access Journals (Sweden)

    Samir El Alaoui

    Full Text Available A major challenge of mental health care is to provide safe and effective treatment with limited resources. The main purpose of this study was to examine a value-based approach in clinical psychiatry when evaluating a process improvement initiative. This was accomplished by using the relatively new time driven activity based costing (TDABC method within the more widely adopted cost-effectiveness analysis framework for economic evaluation of healthcare technologies. The objective was to evaluate the cost-effectiveness of allowing psychologists to perform post-treatment assessment previously performed by psychiatrists at an outpatient clinic treating depression using internet-based cognitive-behavioral therapy (ICBT.Data was collected from 568 adult patients treated with ICBT for depression during 2013-2014. The TDABC methodology was used to estimate total healthcare costs, including development of process maps for the complete cycle of care and estimation of resource use and minute costs of staff, hospital space and materials based on their relative proportions used. Clinical outcomes were measured using the Patient Health Questionnaire depression scale (PHQ-9 before and after treatment and at 6-month follow-up. Cost-effectiveness analyses (CEA was performed and the results presented as incremental net benefits (INB, cost-effectiveness acceptability curves (CEACs and confidence ellipses to demonstrate uncertainty around the value of the organizational intervention.Taking into account the complete healthcare process (from referral to follow-up assessment, treatment costs decreased from $709 (SD = $130 per patient in 2013 to $659 (SD = $134 in 2014 while treatment effectiveness was maintained; 27% had achieved full remission from depression after treatment (PHQ-9 < 5 during both 2013 and 2014 and an additional 35% and 33% had achieved partial remission in 2013 and 2014, respectively. At follow-up, 42% were in full remission after treatment during

  6. Feasibility of preference-driven radiotherapy dose treatment planning to support shared decision making in anal cancer

    DEFF Research Database (Denmark)

    Rønde, Heidi S; Wee, Leonard; Pløen, John

    2017-01-01

    PURPOSE/OBJECTIVE: Chemo-radiotherapy is an established primary curative treatment for anal cancer, but clinically equal rationale for different target doses exists. If joint preferences (physician and patient) are used to determine acceptable tradeoffs in radiotherapy treatment planning, multiple.......7%-points; (0.3; 30.6); p preference [median change in V35Gy: 30.3%-points; (12.4; 43.1); p preferences, although tradeoffs are highly patient-dependent. This study demonstrates...... were generated for 22 anal cancer patients. Multi-criteria optimization handles dynamically changing priorities between clinical objectives while meeting fixed clinical constraints. Four unique dose distributions were designed to represent a wide span of clinically relevant objectives: high...

  7. THE IMPORTANCE OF PSYCHOLOGICAL CHARACTERISTICS OF THE PATIENT FOR THE EFFECTIVE TREATMENT OF METABOLIC SYNDROME

    Directory of Open Access Journals (Sweden)

    L. A. Zavrazhnyh

    2014-07-01

    Full Text Available The aim – the identification of hormonal and psychological characteristics of patients with metabolic syndrome (MS, determining the effectivenessof drug-free weight loss.Materials and methods. The study included 180 patients with MS (according to the criteria of ATP III, received dietary treatment and thermal bath at the spa. Anthropometric measures, the data of the daily blood pressure monitoring, blood levels of hormones (insulin, leptin, were assessed , following surveys were conducted – the definition of eating disorders (PP tests SANT (estimate well-being, activity, mood,anxiety and LOBI (diagnosis related to types of illness. According to the results of the course non-drug treatment, all patients were divided into 2 groups: group 1 – with a positive effect of therapy (n = 87 and 2nd – no effect (n = 93. The criterion for the division served as the simultaneous presence of four factors: decrease in body weight by 2 kg or more, reduction in waist circumference by 2 cm or more, decreasedlevels of triglycerides and blood glucose.Results. The group of patients therapy who proved to be ineffective, characterized by significantly higher levels of insulin and leptin, a predominance of emotiogenic PP, high self-esteem of his being. In relation to the state of neglect of the disease, its denial, indifference to the fate were prevailing. A correlation of levels of insulin and leptin levels with parameters of arterial pressure, PP, test results SANT.Conclusion. In patients with MS psychological and behavioral pattern that has adverse effects on weight loss and associated with the levels of leptin and insulin are diagnosed. Taking into account of these characteristics will increase the effectiveness of therapy.

  8. THE IMPORTANCE OF PSYCHOLOGICAL CHARACTERISTICS OF THE PATIENT FOR THE EFFECTIVE TREATMENT OF METABOLIC SYNDROME

    Directory of Open Access Journals (Sweden)

    L. A. Zavrazhnyh

    2011-01-01

    Full Text Available The aim – the identification of hormonal and psychological characteristics of patients with metabolic syndrome (MS, determining the effectivenessof drug-free weight loss.Materials and methods. The study included 180 patients with MS (according to the criteria of ATP III, received dietary treatment and thermal bath at the spa. Anthropometric measures, the data of the daily blood pressure monitoring, blood levels of hormones (insulin, leptin, were assessed , following surveys were conducted – the definition of eating disorders (PP tests SANT (estimate well-being, activity, mood,anxiety and LOBI (diagnosis related to types of illness. According to the results of the course non-drug treatment, all patients were divided into 2 groups: group 1 – with a positive effect of therapy (n = 87 and 2nd – no effect (n = 93. The criterion for the division served as the simultaneous presence of four factors: decrease in body weight by 2 kg or more, reduction in waist circumference by 2 cm or more, decreasedlevels of triglycerides and blood glucose.Results. The group of patients therapy who proved to be ineffective, characterized by significantly higher levels of insulin and leptin, a predominance of emotiogenic PP, high self-esteem of his being. In relation to the state of neglect of the disease, its denial, indifference to the fate were prevailing. A correlation of levels of insulin and leptin levels with parameters of arterial pressure, PP, test results SANT.Conclusion. In patients with MS psychological and behavioral pattern that has adverse effects on weight loss and associated with the levels of leptin and insulin are diagnosed. Taking into account of these characteristics will increase the effectiveness of therapy.

  9. Experimental Study of the Effects of Blade Treatments on the Tip Vortex Characteristics.

    Science.gov (United States)

    Klimchenko, Vera

    2015-11-01

    The current study investigates the effects of blade tip treatments on the characteristics of a wind turbine blade tip vortex. Three blade tip shapes including a blunt edge, leading edge comb, and a winglet were designed and tested in a low speed wind tunnel. The rotor with a blunt edge was considered to be a baseline case corresponding to an untreated blade tip. The leading-edge comb rotor was designed with leading edge tubercles extending from the tip of the blade inward, 6 percent of rotor diameter. The winglet located at the tip of the winglet rotor had a cant angle of 45 degrees. The wind turbine operated at a tip speed ratio of 5 and a tip Reynolds number of 14,000. The tip treatments were intended to weaken the tip vortices by encouraging dissipation (leading edge comb) or promoting the formation of weaker vortices (winglet). Time-resolved and phase-averaged PIV was used to measure the velocity field behind the rotor. The time-averaged velocity field was subtracted from the phase-averaged velocity field to isolate the time-varying components of the flow. The vorticity of the phase-averaged time-varying field was calculated, and the tip vortices were identified using a vortex identification method. Vortex characteristics such as core radius and vortex strength were calculated and compared for the three rotors. The analysis of the vorticity showed that the winglet rotor had weaker tip vortices with a larger core radius, while the serrated tip rotor had strong tip vortices with the same core radius as the baseline case.

  10. Impact of social characteristics on the treatment of patients with ischaemic events and patent foramen ovale.

    Science.gov (United States)

    Schurter, David; Braun, Julia; Jenni, Rolf; Van Der Loo, Bernd

    2012-02-01

    Percutaneous closure of a patent foramen ovale (PFO) is a technically simple and safe procedure. PFO is a common finding present in up to one third of the population. Although several conditions such as stroke, migraine, and sleep apnoea have been associated with a PFO, as underlined by observational studies, no causal relationship has been documented so far. As this setting may potentially leave more space for the involved physicians for the choice of treatment, we hypothesized that social characteristics of the patient with a PFO might play a role. We retrospectively analysed the data of 153 patients with a cerebrovascular and/or peripheral ischaemic event with the diagnosis of a PFO as documented in echocardiography from 2000 until 2005 at the University Hospital in Zurich, Switzerland. Forty-four patients (= 23%) underwent catheter-based PFO closure. There was no significant difference with respect to age ( or =60 years: P= 0.234, ns), gender (P = 0.356, ns) and insurance status (<40 years: P= 0.15, ns; 40-59 years: P= 0.37, ns; 60 years: P = 0.26, ns) between those who underwent percutaneous PFO closure and those who did not. We conclude from this single-centre experience that social characteristics of patients only have a marginal impact on the indication of percutaneous closure of a PFO, if at all.

  11. Ignored fungal community in activated sludge wastewater treatment plants: diversity and altitudinal characteristics.

    Science.gov (United States)

    Niu, Lihua; Li, Yi; Xu, Lingling; Wang, Peifang; Zhang, Wenlong; Wang, Chao; Cai, Wei; Wang, Linqiong

    2017-02-01

    Fungi are important contributors to the various functions of activated sludge wastewater treatment plants (WWTPs); however, the diversity and geographic characteristics of fungal populations have remained vastly unexplored. Here, quantitative polymerase chain reaction and 454 pyrosequencing were combined to investigate the abundance and diversity of the activated sludge fungal communities from 18 full-scale municipal WWTPs in China. Phylogenetic taxonomy revealed that the members of the fungal communities were assigned to 7 phyla and 195 genera. Ascomycota and Basidiomycota were the most abundant phyla, dominated by Pluteus, Wickerhamiella, and Penicillium. Twenty-three fungal genera, accounting for 50.1 % of the total reads, were shared by 18 WWTPs and constituted a core fungal community. The fungal communities presented similar community diversity but different community structures across the WWTPs. Significant distance decay relationships were observed for the dissimilarity in fungal community structure and altitudinal distance between WWTPs. Additionally, the community evenness increased from 0.25 to 0.7 as the altitude increased. Dissolved oxygen and the C/N ratio were determined to be the most dominant contributors to the variation in fungal community structure via redundancy analysis. The observed data demonstrated the diverse occurrence of fungal species and gave a marked view of fungal community characteristics based on the previously unexplored fungal communities in activated sludge WWTPs.

  12. WE-F-BRB-03: Inclusion of Data-Driven Risk Predictions in Radiation Treatment Planning in the Context of a Local Level Learning Health System

    International Nuclear Information System (INIS)

    McNutt, T.

    2015-01-01

    Advancements in informatics in radiotherapy are opening up opportunities to improve our ability to assess treatment plans. Models on individualizing patient dose constraints from prior patient data and shape relationships have been extensively researched and are now making their way into commercial products. New developments in knowledge based treatment planning involve understanding the impact of the radiation dosimetry on the patient. Akin to radiobiology models that have driven intensity modulated radiotherapy optimization, toxicity and outcome predictions based on treatment plans and prior patient experiences may be the next step in knowledge based planning. In order to realize these predictions, it is necessary to understand how the clinical information can be captured, structured and organized with ontologies and databases designed for recall. Large databases containing radiation dosimetry and outcomes present the opportunity to evaluate treatment plans against predictions of toxicity and disease response. Such evaluations can be based on dose volume histogram or even the full 3-dimensional dose distribution and its relation to the critical anatomy. This session will provide an understanding of ontologies and standard terminologies used to capture clinical knowledge into structured databases; How data can be organized and accessed to utilize the knowledge in planning; and examples of research and clinical efforts to incorporate that clinical knowledge into planning for improved care for our patients. Learning Objectives: Understand the role of standard terminologies, ontologies and data organization in oncology Understand methods to capture clinical toxicity and outcomes in a clinical setting Understand opportunities to learn from clinical data and its application to treatment planning Todd McNutt receives funding from Philips, Elekta and Toshiba for some of the work presented

  13. Combining Time-Driven Activity-Based Costing with Clinical Outcome in Cost-Effectiveness Analysis to Measure Value in Treatment of Depression.

    Science.gov (United States)

    El Alaoui, Samir; Lindefors, Nils

    2016-01-01

    A major challenge of mental health care is to provide safe and effective treatment with limited resources. The main purpose of this study was to examine a value-based approach in clinical psychiatry when evaluating a process improvement initiative. This was accomplished by using the relatively new time driven activity based costing (TDABC) method within the more widely adopted cost-effectiveness analysis framework for economic evaluation of healthcare technologies. The objective was to evaluate the cost-effectiveness of allowing psychologists to perform post-treatment assessment previously performed by psychiatrists at an outpatient clinic treating depression using internet-based cognitive-behavioral therapy (ICBT). Data was collected from 568 adult patients treated with ICBT for depression during 2013-2014. The TDABC methodology was used to estimate total healthcare costs, including development of process maps for the complete cycle of care and estimation of resource use and minute costs of staff, hospital space and materials based on their relative proportions used. Clinical outcomes were measured using the Patient Health Questionnaire depression scale (PHQ-9) before and after treatment and at 6-month follow-up. Cost-effectiveness analyses (CEA) was performed and the results presented as incremental net benefits (INB), cost-effectiveness acceptability curves (CEACs) and confidence ellipses to demonstrate uncertainty around the value of the organizational intervention. Taking into account the complete healthcare process (from referral to follow-up assessment), treatment costs decreased from $709 (SD = $130) per patient in 2013 to $659 (SD = $134) in 2014 while treatment effectiveness was maintained; 27% had achieved full remission from depression after treatment (PHQ-9 cost-effectiveness plane at both post-treatment and at follow-up, indicating that the ICBT treatment was less costly and equally effective after staff reallocation. Treating patients to the target

  14. Patient characteristics associated with buprenorphine/naloxone treatment outcome for prescription opioid dependence: Results from a multisite study.

    Science.gov (United States)

    Dreifuss, Jessica A; Griffin, Margaret L; Frost, Katherine; Fitzmaurice, Garrett M; Potter, Jennifer Sharpe; Fiellin, David A; Selzer, Jeffrey; Hatch-Maillette, Mary; Sonne, Susan C; Weiss, Roger D

    2013-07-01

    Prescription opioid dependence is a growing problem, but little research exists on its treatment, including patient characteristics that predict treatment outcome. A secondary analysis of data from a large multisite, randomized clinical trial, the National Drug Abuse Treatment Clinical Trials Network Prescription Opioid Addiction Treatment Study (POATS) was undertaken to examine baseline patient characteristics (N=360) associated with success during 12-week buprenorphine/naloxone treatment for prescription opioid dependence. Baseline predictor variables included self-reported demographic and opioid use history information, diagnoses assessed via the Composite International Diagnostic Interview, and historical opioid use and related information from the Pain And Opiate Analgesic Use History. In bivariate analyses, pre-treatment characteristics associated with successful opioid use outcome included older age, past-year or lifetime diagnosis of major depressive disorder, initially obtaining opioids with a medical prescription to relieve pain, having only used opioids by swallowing or sublingual administration, never having used heroin, using an opioid other than extended-release oxycodone most frequently, and no prior opioid dependence treatment. In multivariate analysis, age, lifetime major depressive disorder, having only used opioids by swallowing or sublingual administration, and receiving no prior opioid dependence treatment remained as significant predictors of successful outcome. This is the first study to examine characteristics associated with treatment outcome in patients dependent exclusively on prescription opioids. Characteristics associated with successful outcome after 12 weeks of buprenorphine/naloxone treatment include some that have previously been found to predict heroin-dependent patients' response to methadone treatment and some specific to prescription opioid-dependent patients receiving buprenorphine/naloxone. Copyright © 2012 Elsevier Ireland

  15. The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

    Science.gov (United States)

    Hohoff, Ariane; Joos, Ulrich; Meyer, Ulrich; Ehmer, Ulrike; Stamm, Thomas

    2007-01-01

    In the PubMed accessible literature, information on the characteristics of interdisciplinary orthodontic and surgical treatment of patients with Apert syndrome is rare. The aim of the present article is threefold: (1) to show the spectrum of the phenotype, in order (2) to elucidate the scope of hindrances to orthodontic treatment, and (3) to demonstrate the problems of surgery and interdisciplinary approach. Children and adolescents who were born in 1985 or later, who were diagnosed with Apert syndrome, and who sought consultation or treatment at the Departments of Orthodontics or Craniomaxillofacial Surgery at the Dental School of the University Hospital of Münster (n = 22; 9 male, 13 female) were screened. Exemplarily, three of these patients (2 male, 1 female), seeking interdisciplinary (both orthodontic and surgical treatment) are presented. Orthodontic treatment before surgery was performed by one experienced orthodontist (AH), and orthognathic surgery was performed by one experienced surgeon (UJ), who diagnosed the syndrome according to the criteria listed in OMIM™. In the sagittal plane, the patients suffered from a mild to a very severe Angle Class III malocclusion, which was sometimes compensated by the inclination of the lower incisors; in the vertical dimension from an open bite; and transversally from a single tooth in crossbite to a circular crossbite. All patients showed dentitio tarda, some impaction, partial eruption, idopathic root resorption, transposition or other aberrations in the position of the tooth germs, and severe crowding, with sometimes parallel molar tooth buds in each quarter of the upper jaw. Because of the severity of malocclusion, orthodontic treatment needed to be performed with fixed appliances, and mainly with superelastic wires. The therapy was hampered with respect to positioning of bands and brackets because of incomplete tooth eruption, dense gingiva, and mucopolysaccharide ridges. Some teeth did not move, or moved

  16. The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

    Directory of Open Access Journals (Sweden)

    Ehmer Ulrike

    2007-02-01

    Full Text Available Abstract In the PubMed accessible literature, information on the characteristics of interdisciplinary orthodontic and surgical treatment of patients with Apert syndrome is rare. The aim of the present article is threefold: (1 to show the spectrum of the phenotype, in order (2 to elucidate the scope of hindrances to orthodontic treatment, and (3 to demonstrate the problems of surgery and interdisciplinary approach. Children and adolescents who were born in 1985 or later, who were diagnosed with Apert syndrome, and who sought consultation or treatment at the Departments of Orthodontics or Craniomaxillofacial Surgery at the Dental School of the University Hospital of Münster (n = 22; 9 male, 13 female were screened. Exemplarily, three of these patients (2 male, 1 female, seeking interdisciplinary (both orthodontic and surgical treatment are presented. Orthodontic treatment before surgery was performed by one experienced orthodontist (AH, and orthognathic surgery was performed by one experienced surgeon (UJ, who diagnosed the syndrome according to the criteria listed in OMIM™. In the sagittal plane, the patients suffered from a mild to a very severe Angle Class III malocclusion, which was sometimes compensated by the inclination of the lower incisors; in the vertical dimension from an open bite; and transversally from a single tooth in crossbite to a circular crossbite. All patients showed dentitio tarda, some impaction, partial eruption, idopathic root resorption, transposition or other aberrations in the position of the tooth germs, and severe crowding, with sometimes parallel molar tooth buds in each quarter of the upper jaw. Because of the severity of malocclusion, orthodontic treatment needed to be performed with fixed appliances, and mainly with superelastic wires. The therapy was hampered with respect to positioning of bands and brackets because of incomplete tooth eruption, dense gingiva, and mucopolysaccharide ridges. Some teeth did not

  17. Transformative piezoelectric enhancement of P(VDF-TrFE) synergistically driven by nanoscale dimensional reduction and thermal treatment.

    Science.gov (United States)

    Ico, G; Myung, A; Kim, B S; Myung, N V; Nam, J

    2018-02-08

    Despite the significant potential of organic piezoelectric materials in the electro-mechanical or mechano-electrical applications that require light and flexible material properties, the intrinsically low piezoelectric performance as compared to traditional inorganic materials has limited their full utilization. In this study, we demonstrate that dimensional reduction of poly(vinylidene fluoride trifluoroethylene) (P(VDF-TrFE)) at the nanoscale by electrospinning, combined with an appropriate thermal treatment, induces a transformative enhancement in piezoelectric performance. Specifically, the piezoelectric coefficient (d 33 ) reached up to -108 pm V -1 , approaching that of inorganic counterparts. Electrospun mats composed of thermo-treated 30 nm nanofibers with a thickness of 15 μm produced a consistent peak-to-peak voltage of 38.5 V and a power output of 74.1 μW at a strain of 0.26% while sustaining energy production over 10k repeated actuations. The exceptional piezoelectric performance was realized by the enhancement of piezoelectric dipole alignment and the materialization of flexoelectricity, both from the synergistic effects of dimensional reduction and thermal treatment. Our findings suggest that dimensionally controlled and thermally treated electrospun P(VDF-TrFE) nanofibers provide an opportunity to exploit their flexibility and durability for mechanically challenging applications while matching the piezoelectric performance of brittle, inorganic piezoelectric materials.

  18. Psychological characteristics of mothers of patients with anorexia nervosa: implications for treatment and prognosis.

    Science.gov (United States)

    Campos, Lia Keuchguerian Silveira; Sampaio, Anna Beatriz Ribeiro Ferreira; Garcia Junior, Celso; Magdaleno Junior, Ronis; Battistoni, Maria Marta de Magalhães; Turato, Egberto Ribeiro

    2012-01-01

    The complexity of factors involved in anorexia nervosa (AN) and the recommendations of prominent health organizations underscore the importance of reflecting on therapeutic interventions aimed at patients' family members. To expand knowledge about the mother-daughter relationship in AN, with a focus on developing a conceptual framework that is able to improve the treatment of the disorder, reduce factors that perpetuate it and improve prognosis. A clinical method, anchored by psychodynamic references, was employed in a group of family members of patients with eating disorders. The group met weekly, and sessions were led by psychologists from the eating disorder outpatient clinic of a university hospital. Common characteristics in the mother-daughter relationship in cases of AN were identified. The issue of mutual control, the dialectic between omnipotence and impotence, and the relationship of devotion, passion and annihilation between mothers and daughters are phenomena that form the basis of AN, with a direct influence on the severity of each case and on treatment success. Our findings allowed us to identify important aspects in the mother-daughter relationship in AN, which may improve the clinical interventions aimed at treating the disorder.

  19. Impact of aerobic stabilization on the characteristics of treatment sludge in the leather tanning industry.

    Science.gov (United States)

    Cokgor, Emine Ubay; Aydinli, Ebru; Tas, Didem Okutman; Zengin, Gulsum Emel; Orhon, Derin

    2014-01-01

    The efficiency of aerobic stabilization on the treatment sludge generated from the leather industry was investigated to meet the expected characteristics and conditions of sludge prior to landfill. The sludge types subjected to aerobic stabilization were chemical treatment sludge, biological excess sludge, and the mixture of both chemical and biological sludges. At the end of 23 days of stabilization, suspended solids, volatile suspended solids and total organic carbon removal efficiencies were determined as 17%, 19% and 23% for biological sludge 31%, 35% and 54% for chemical sludge, and 32%, 34% and 63% for the mixture of both chemical and biological sludges, respectively. Model simulations of the respirometric oxygen uptake rate measurements showed that the ratio of active biomass remained the same at the end of the stabilization for all the sludge samples. Although mixing the chemical and biological sludges resulted in a relatively effective organic carbon and solids removal, the level of stabilization achieved remained clearly below the required level of organic carbon content for landfill. These findings indicate the potential risk of setting numerical restrictions without referring to proper scientific support.

  20. Relationship between biosecurity and production/antimicrobial treatment characteristics in pig herds.

    Science.gov (United States)

    Laanen, M; Persoons, D; Ribbens, S; de Jong, E; Callens, B; Strubbe, M; Maes, D; Dewulf, J

    2013-11-01

    The biosecurity status of 95 breeder-finisher pig herds was quantified using a risk-based weighted scoring system. Data relating to herd-, farmer- and production-characteristics and to the prophylactic use of antimicrobials were also collected. The average external biosecurity score (measures to prevent pathogens from entering a herd) was 65 (range, 45-89) and the average internal score (measures to reduce the within-herd spread of pathogens) was 52 (range, 18-87). External scores were positively associated with herd size, while internal scores were negatively associated with both 'age of buildings' and 'years of experience of the farmer', indicating that biosecurity is generally better implemented in larger herds, in more modern facilities and by younger farmers. External and internal biosecurity scores were positively associated with daily weight gain and negatively associated with feed conversion ratio of fattening pigs. Internal scores were negatively associated with disease treatment incidence, suggesting that improved biosecurity might help in reducing the amount of antimicrobials used prophylactically. This study demonstrates and quantifies a clear link between biosecurity and both production- and antimicrobial treatment-related criteria in pig herds. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Background characteristics and treatment-related factors associated with treatment success or failure in a non-pharmacological intervention for dementia caregivers.

    Science.gov (United States)

    Rose, Karen C; Gitlin, Laura N

    2017-06-01

    Non-pharmacological interventions for persons with dementia often rely on family caregivers for implementation. However, caregivers differ in their readiness to use strategies. This study examines dyadic characteristics and treatment-related mechanisms associated with treatment success (high readiness to use strategies) and failure (low readiness to use strategies) at the conclusion of the Advancing Caregiver Training (ACT) intervention. Caregiver and person with dementia characteristics and treatment-related variables (treatment participation, number and type of strategies introduced and enacted) were examined in 110 caregivers in intervention. Interventionists rated readiness (1=precontemplation; 2=contemplation; 3=preparation; 4=action) of caregivers to use strategies at the final ACT session. Univariate analyses examined dyadic characteristics, and Multiple Analysis of Covariance (MANCOVA) and Analyses of Covariance (ANCOVA) examined treatment-related factors associated with readiness to use strategies at treatment completion. At treatment completion, 28.2% (N=31) scored in pre-action and 71.8% (N=79) at action. Caregivers at pre-action readiness levels were more likely than those at action to be a spouse, report greater financial difficulties and be managing fewer problem behaviors. Although both groups were introduced an equivalent number of non-pharmacological strategies, caregivers at pre-action were less likely than those at action to report enacting strategies. Certain dyadic characteristics and treatment-related factors were associated with treatment failure including financial strain and lack of strategy integration. Findings suggest that developing intervention components to address financial concerns and increase opportunities for practicing strategies and then using them between treatment sessions may be important for caregivers at risk of treatment failure.

  2. Patient Characteristics Associated with HCV Treatment Adherence, Treatment Completion, and Sustained Virologic Response in HIV Coinfected Patients

    Directory of Open Access Journals (Sweden)

    Glenn Wagner

    2011-01-01

    Full Text Available Background. Hepatitis C (HCV treatment efficacy among HIV patients is limited by poor treatment adherence and tolerance, but few studies have examined the psychosocial determinants of treatment adherence and outcomes. Methods. Chart abstracted and survey data were collected on 72 HIV patients who had received pegylated interferon and ribavirin to assess correlates of treatment adherence, completion, and sustained virologic response (SVR. Results. Nearly half (46% the sample had active psychiatric problems and 13% had illicit drug use at treatment onset; 28% reported <100% treatment adherence, 38% did not complete treatment (mostly due to virologic nonresponse, and intent to treat SVR rate was 49%. Having a psychiatric diagnosis was associated with nonadherence, while better HCV adherence was associated with both treatment completion and SVR. Conclusions. Good mental health may be an indicator of HCV treatment adherence readiness, which is in turn associated with treatment completion and response, but further research is needed with new HCV treatments emerging.

  3. Evaluation of house dust mite allergy in real life: patients' characteristics and satisfaction with treatment.

    Science.gov (United States)

    Frati, F; Scurati, S; Dell'Albani, I; Puccinelli, P; Incorvaia, C; Passalacqua, G

    2014-01-01

    HDMs are a ubiquitous allergen source, with a very well defined biology, but their role in clinical settings and in everyday clinical practice is not well characterized. Aim of this cross-sectional, questionnaire-based study was to assess the clinical characteristics of HDM-related respiratory allergy in a large population of Italian patients. A structured questionnaire was sent to allergists randomly chosen among those of the Italian Federation of Immunology, Allergy and Clinical Immunology (IFIACI). They were asked to fill it with the clinical data of 10-12 consecutive patients referred for respiratory allergy, positive to HDM skin prick test. The questionnaire assessed type and severity of allergy, demographics, yearly distribution of symptoms, treatment, and satisfaction with the therapy. 45 allergists collected data from 499 patients. Within the evaluated population, 42% had rhinitis only, 45% asthma + rhinitis and 13% asthma alone. Rhinitis was moderate/severe in 51% of patients. Asthma was intermittent in 36% of patients, mild in 37% and moderate in 27%. Conjunctivitis was the most frequent comorbidity (36%), followed by rhinosinusitis (16%), adenoid hypertrophy (6%) and polyposis (5%). Out of the population, 56.2% of patients were not at all or partially not satisfied of their treatment for rhinitis, whereas the percentage of dissatisfied patients was about 53% for asthma therapy. 34% patients (n = 170) were monosensitized to HDM. It is confirmed that patients have more symptoms during the fall-winter periods. Patients with HDM allergy have frequently moderate-severe rhinitis, and about 50% of them are not satisfied with their treatment.

  4. Impact of preoperative patient characteristics on posturethroplasty recurrence: The significance of stricture length and prior treatments

    Directory of Open Access Journals (Sweden)

    Jibril Oyekunle Bello

    2016-01-01

    Full Text Available Introduction: Urethral strictures are common in urologic practice of Sub-Saharan Africa including Nigeria. We determine the rate of stricture recurrence following urethroplasty for anterior urethral strictures and evaluate preoperative variables that predict of stricture recurrence in our practice. Subjects and Methods: Thirty-six men who had urethroplasty for proven anterior urethral stricture disease between February 2012 and January 2015 were retrospectively analyzed. Preoperative factors including age, socioeconomic factors, comorbidities, etiology of strictures, stricture location, stricture length, periurethral spongiofibrosis, and prior stricture treatments were assessed for independent predictors of stricture recurrence. Results: The median age was 49.5 years (range 21-90, median stricture length was 4 cm (range 1-18 cm and the overall recurrence rate was 27.8%. Postinfectious strictures, pan urethral strictures or multiple strictures involving the penile and bulbar urethra were more common. Most patients had penile circular fasciocutaneous flap urethroplasty. Following univariate analysis of potential preoperative predictors of stricture recurrence, stricture length, and prior treatments with dilations or urethrotomies were found to be significantly associated with stricture recurrence. On multivariate analysis, they both remained statistically significant. Patients who had prior treatments had greater odds of having a recurrent stricture (odds ratio 18, 95% confidence interval [CI] 1.4-224.3. Stricture length was dichotomized based on receiver operating characteristic (ROC analysis, and strictures of length ≥5 cm had significantly greater recurrence (area under ROC curve of 0.825, 95% CI 0.690-0.960, P = 0.032. Conclusion: Patients who had prior dilatations or urethrotomies and those with long strictures particularly strictures ≥5 cm have significantly greater odds of developing a recurrence following urethroplasty in Nigerian

  5. Clear cell carcinoma of the uterine cervix: clinical characteristics and feasibility of fertility-preserving treatment

    Directory of Open Access Journals (Sweden)

    Jiang X

    2014-01-01

    Full Text Available Xiang Jiang, Ying Jin, Yan Li, Hui-Fang Huang, Ming Wu, Keng Shen, Ling-Ya Pan Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China Abstract: The objective of this retrospective study was to analyze the clinical characteristics and prognosis of clear cell adenocarcinoma (CCA in the post-diethylstilbestrol (DES era and to evaluate the feasibility of fertility-preserving treatment. The records of 32 patients with CCAs who were treated at Peking Union Medical College Hospital from August 1986 to June 2012 were retrospectively reviewed. Three of the patients had undergone fertility-preserving treatment. The incidence of CCA among cervical adenocarcinomas was 15.2%. The median age was 38 years: 11 patients (34.4% were diagnosed before 30 years of age and two (6.3% after 70 years of age. Ten patients (31.2% were nulliparous. No patient had been exposed to DES. Twenty-nine patients (90.6% presented with obvious symptoms, and the cervix appeared abnormal in 26 patients (81.3%. Cervical Papanicolaou (Pap tests were abnormal in all four patients in whom they were performed (three had high-grade squamous intraepithelial lesions and one had atypical squamous cells of undetermined significance. The distribution by stage was 56.3% stage I, 34.4% stage II, 6.3% stage III, and 3.1% stage IV. Treatments mainly included surgery for patients with stage I to IIA CCA and radiochemotherapy for patients with advanced CCA. The overall 5-year progression-free survival was 72.2%. Patients with stage I to IIA CCA had better 5-year progression-free survival than did patients with stage IIB to IV CCA (81.5% versus 40.0%, P=0.003. The three patients who had undergone fertility-preserving treatment had no recurrences. CCA may also affect adolescents and children without prior DES exposure, who are often misdiagnosed as having functional uterine

  6. Odanacatib for the treatment of postmenopausal osteoporosis: development history and design and participant characteristics of LOFT, the Long-Term Odanacatib Fracture Trial.

    Science.gov (United States)

    Bone, H G; Dempster, D W; Eisman, J A; Greenspan, S L; McClung, M R; Nakamura, T; Papapoulos, S; Shih, W J; Rybak-Feiglin, A; Santora, A C; Verbruggen, N; Leung, A T; Lombardi, A

    2015-02-01

    Odanacatib is a cathepsin K inhibitor investigated for the treatment of postmenopausal osteoporosis. Phase 2 data indicate that 50 mg once weekly inhibits bone resorption and increases bone mineral density, with only a transient decrease in bone formation. We describe the background, design and participant characteristics for the phase 3 registration trial. Odanacatib (ODN) is a selective cathepsin K inhibitor being evaluated for the treatment of osteoporosis. In a phase 2 trial, ODN 50 mg once weekly reduced bone resorption while preserving bone formation and progressively increased BMD over 5 years. We describe the phase III Long-Term ODN Fracture Trial (LOFT), an event-driven, randomized, blinded placebo-controlled trial, with preplanned interim analyses to permit early termination if significant fracture risk reduction was demonstrated. An extension was planned, with participants remaining on their randomized treatment for up to 5 years, then transitioning to open-label ODN. The three primary outcomes were radiologically determined vertebral, hip, and clinical non-vertebral fractures. Secondary end points included clinical vertebral fractures, BMD, bone turnover markers, and safety and tolerability, including bone histology. Participants were women, 65 years or older, with a BMD T-score≤-2.5 at the total hip (TH) or femoral neck (FN) or with a prior radiographic vertebral fracture and a T-score≤-1.5 at the TH or FN. They were randomized to ODN or placebo tablets. All received weekly vitamin D3 (5600 international units (IU)) and daily calcium supplements as needed to ensure a daily intake of approximately 1200 mg. Altogether, 16,713 participants were randomized at 387 centers. After a planned interim analysis, an independent data monitoring committee recommended that the study be stopped early due to robust efficacy and a favorable benefit/risk profile. Following the base study closeout, 8256 participants entered the study extension. This report details the

  7. A global wave-driven magnetohydrodynamic solar model with a unified treatment of open and closed magnetic field topologies

    Energy Technology Data Exchange (ETDEWEB)

    Oran, R.; Van der Holst, B.; Landi, E.; Jin, M.; Sokolov, I. V.; Gombosi, T. I., E-mail: oran@umich.edu [Atmospheric, Oceanic and Atmospheric Sciences, University of Michigan, 2455 Hayward, Ann Arbor, MI, 48105 (United States)

    2013-12-01

    We describe, analyze, and validate the recently developed Alfvén Wave Solar Model, a three-dimensional global model starting from the top of the chromosphere and extending into interplanetary space (out to 1-2 AU). This model solves the extended, two-temperature magnetohydrodynamics equations coupled to a wave kinetic equation for low-frequency Alfvén waves. In this picture, heating and acceleration of the plasma are due to wave dissipation and to wave pressure gradients, respectively. The dissipation process is described by a fully developed turbulent cascade of counterpropagating waves. We adopt a unified approach for calculating the wave dissipation in both open and closed magnetic field lines, allowing for a self-consistent treatment in any magnetic topology. Wave dissipation is the only heating mechanism assumed in the model; no geometric heating functions are invoked. Electron heat conduction and radiative cooling are also included. We demonstrate that the large-scale, steady state (in the corotating frame) properties of the solar environment are reproduced, using three adjustable parameters: the Poynting flux of chromospheric Alfvén waves, the perpendicular correlation length of the turbulence, and a pseudoreflection coefficient. We compare model results for Carrington rotation 2063 (2007 November-December) with remote observations in the extreme-ultraviolet and X-ray ranges from the Solar Terrestrial Relations Observatory, Solar and Heliospheric Observatory, and Hinode spacecraft and with in situ measurements by Ulysses. The results are in good agreement with observations. This is the first global simulation that is simultaneously consistent with observations of both the thermal structure of the lower corona and the wind structure beyond Earth's orbit.

  8. Parental cancer: Characteristics of users of child-centred counselling versus individual psycho-oncological treatment.

    Science.gov (United States)

    Inhestern, Laura; Geertz, Wiebke; Schulz-Kindermann, Frank; Bergelt, Corinna

    2018-03-01

    The aims of this study were to investigate the characteristics of users of a specific child-centred counselling service (COSIP) and to compare those to parents using an individual psycho-oncological treatment (PO). We conducted a retrospective analysis on data of users of COSIP and users of PO. Database was the routine assessment (demographic and disease-related characteristics, GAD-7, PHQ-9, EORTC QLQ-C30, and current concerns) of an outpatient psycho-oncological clinic with additional child-centred counselling. A total of 151 patients and 49 partners with children ≤21 years were included. We conducted descriptive analyses and group comparisons. Fifty-nine patients and partners used COSIP only or additionally to individual psycho-oncological service. PO users were more depressed and were more anxious than COSIP users. Patients using PO reported worse emotional functioning than patients using COSIP. Partners using PO reported worse global quality of life and more symptoms of fatigue than partners using COSIP. With regard to current concerns, patients using COSIP reported child-related issues more frequently than PO users. PO users reported symptoms of anxiety, depressive symptoms, or exhaustion more frequently than COSIP users. The findings demonstrate that patients and partners self-referring to PO or COSIP are highly burdened. COSIP users experience different psychosocial burden than PO users. As poor mental state of parents is a risk factor for the development of mental problems in children, parents using only PO may benefit from additional child-centred support. Accordingly, the need for COSIP should be assessed continuously during PO of patients with children ≤21 years. Copyright © 2017 John Wiley & Sons, Ltd.

  9. Educational strategies and atraumatic restorative treatment effect on salivary characteristics: A controlled clinical trial.

    Science.gov (United States)

    Freitas, C N; Castelo, P M; Sousa, K G; Alonso, G C; Fonseca, Fla; Klein, M I; Barbosa, T S

    2017-11-01

    To evaluate educational strategies and atraumatic restorative treatment (ART)-restoration impact on salivary physicochemical and microbiological characteristics. Two groups of 6- to 7-year-old children were included: G ART , with at least one decayed primary molar (n = 36), submitted to four sessions of oral health educational strategy (OHES) and ART restoration; G C , a paired caries-free group (n = 36), submitted to four sessions of OHES. Three evaluations were carried out: baseline, 1 week after OHES, and 1 month after OHES or ART, when biofilm and gingivitis frequencies, salivary flow, pH, buffer capacity, calcium and phosphorus concentrations were assessed. Total bacteria and Streptococcus mutans were quantified in unstimulated saliva (qPCR). Improvement in biofilm and gingivitis scores, salivary pH, and buffering capacity after OHES was observed in G C , with a decrease in total bacteria and S. mutans counts. G ART also showed changes in salivary parameters, even before ART restoration was delivered, and total bacteria count remained lower than baseline 1 month after ART restoration, although a trend to increase the proportion of S. mutans was observed. Improvements in salivary physicochemical and microbiological characteristics were observed after educational strategies, thus reducing the caries risk of children with decayed teeth, although a trend to increase the S. mutans percentage was observed 1 month after ART restoration. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.

  10. Simultaneous idiopathic bilateral sudden hearing loss - characteristics and response to treatment.

    Science.gov (United States)

    Akil, Ferit; Yollu, Umur; Yilmaz, Mehmet; Yener, H Murat; Mamanov, Marlen; Inci, Ender

    2017-01-24

    The aetiology of sudden hearing loss is poorly defined; however, infectious, vascular and neoplastic aetiologies are presumed to be responsible. In addition, the aetiology of bilateral sudden hearing loss is also unknown. The objective of this study is identify the characteristics and treatment response of simultaneous bilateral sudden hearing loss. This is a case-control study that practised in tertiary care academic centre. 132 patients with sudden hearing loss who were treated with systemic steroid and hyperbaric oxygen together were included. 26 patients had bilateral sudden hearing loss and 106 patients had unilateral sudden hearing loss. Patients were evaluated with clinical, audiological and radiological examinations and laboratory tests were done. Findings and response to treatment of the patients were compared. The mean ages of patients with unilateral and bilateral sudden hearing loss were 42.0 years and 24.5 years respectively with a statistically significant difference (psudden hearing loss. Pre-treatment audiologic thresholds were 69.1dB for unilateral sudden hearing loss and 63.3dB for the left ears and 67.6dB for the right ears for bilateral sudden hearing loss without significant difference. Post-treatment average hearing threshold in unilateral sudden hearing loss was 47.0dB and 55.4dB for the left ears and 59.0 for the right ears in bilateral sudden hearing loss. Average hearing improvement in unilateral sudden hearing loss group was significant (psudden hearing loss group for both ears. Between the groups; there was a significant difference for hearing improvement favouring unilateral sudden hearing loss (psudden hearing loss showed lower age, worse prognosis and higher rate of positive immune response markers. Cardiovascular risk factors seem to have an important role in the aetiology of unilateral cases whereas this importance was not present in bilateral ones. Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia C

  11. Simultaneous idiopathic bilateral sudden hearing loss - characteristics and response to treatment

    Directory of Open Access Journals (Sweden)

    Ferit Akil

    Full Text Available Abstract Introduction The aetiology of sudden hearing loss is poorly defined; however, infectious, vascular and neoplastic aetiologies are presumed to be responsible. In addition, the aetiology of bilateral sudden hearing loss is also unknown. Objective The objective of this study is identify the characteristics and treatment response of simultaneous bilateral sudden hearing loss. Methods This is a case-control study that practised in tertiary care academic centre. 132 patients with sudden hearing loss who were treated with systemic steroid and hyperbaric oxygen together were included. 26 patients had bilateral sudden hearing loss and 106 patients had unilateral sudden hearing loss. Patients were evaluated with clinical, audiological and radiological examinations and laboratory tests were done. Findings and response to treatment of the patients were compared. Results The mean ages of patients with unilateral and bilateral sudden hearing loss were 42.0 years and 24.5 years respectively with a statistically significant difference (p < 0.001. Immune response markers were more prevalent in bilateral sudden hearing loss. Pre-treatment audiologic thresholds were 69.1 dB for unilateral sudden hearing loss and 63.3 dB for the left ears and 67.6 dB for the right ears for bilateral sudden hearing loss without significant difference. Post-treatment average hearing threshold in unilateral sudden hearing loss was 47.0 dB and 55.4 dB for the left ears and 59.0 for the right ears in bilateral sudden hearing loss. Average hearing improvement in unilateral sudden hearing loss group was significant (p < 0.001 in spite of it was not significant in bilateral sudden hearing loss group for both ears. Between the groups; there was a significant difference for hearing improvement favouring unilateral sudden hearing loss (p < 0.001. Tinnitus scores decreased significantly in both groups of patients (p < 0.001 in spite of there was no significant difference between the

  12. Epidemiological and Clinical Baseline Characteristics as Predictive Biomarkers of Response to Anti-VEGF Treatment in Patients with Neovascular AMD

    Directory of Open Access Journals (Sweden)

    Miltiadis K. Tsilimbaris

    2016-01-01

    Full Text Available Purpose. To review the current literature investigating patient response to antivascular endothelial growth factor-A (VEGF therapy in the treatment of neovascular age-related macular degeneration (nAMD and to identify baseline characteristics that might predict response. Method. A literature search of the PubMed database was performed, using the keywords: AMD, anti-VEGF, biomarker, optical coherence tomography, treatment outcome, and predictor. The search was limited to articles published from 2006 to date. Exclusion criteria included phase 1 trials, case reports, studies focusing on indications other than nAMD, and oncology. Results. A total of 1467 articles were identified, of which 845 were excluded. Of the 622 remaining references, 47 met all the search criteria and were included in this review. Conclusion. Several baseline characteristics correlated with anti-VEGF treatment response, including best-corrected visual acuity, age, lesion size, and retinal thickness. The majority of factors were associated with disease duration, suggesting that longer disease duration before treatment results in worse treatment outcomes. This highlights the need for early treatment for patients with nAMD to gain optimal treatment outcomes. Many of the identified baseline characteristics are interconnected and cannot be evaluated in isolation; therefore multivariate analyses will be required to determine any specific relationship with treatment response.

  13. Pan-cancer subtyping in a 2D-map shows substructures that are driven by specific combinations of molecular characteristics

    NARCIS (Netherlands)

    Taskesen, E.; Huisman, S.M.H.; Mahfouz, A.M.E.T.A.; Krijthe, J.H.; de Ridder, J.; van de Stolpe, A; van den Akker, E.B.; Verhaegh, Wim; Reinders, M.J.T.

    2016-01-01

    The use of genome-wide data in cancer research, for the identification of groups of patients with similar molecular characteristics, has become a standard approach for applications in therapy-response, prognosis-prediction, and drug-development. To progress in these applications, the trend is to

  14. MO-G-304-01: FEATURED PRESENTATION: Expanding the Knowledge Base for Data-Driven Treatment Planning: Incorporating Patient Outcome Models

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, SP; Quon, H; Cheng, Z; Moore, JA; Bowers, M; McNutt, TR [Johns Hopkins University, Baltimore, MD (United States)

    2015-06-15

    Purpose: To extend the capabilities of knowledge-based treatment planning beyond simple dose queries by incorporating validated patient outcome models. Methods: From an analytic, relational database of 684 head and neck cancer patients, 372 patients were identified having dose data for both left and right parotid glands as well as baseline and follow-up xerostomia assessments. For each existing patient, knowledge-based treatment planning was simulated for by querying the dose-volume histograms and geometric shape relationships (overlap volume histograms) for all other patients. Dose predictions were captured at normalized volume thresholds (NVT) of 0%, 10%, 20, 30%, 40%, 50%, and 85% and were compared with the actual achieved doses using the Wilcoxon signed-rank test. Next, a logistic regression model was used to predict the maximum severity of xerostomia up to three months following radiotherapy. Baseline xerostomia scores were subtracted from follow-up assessments and were also included in the model. The relative risks from predicted doses and actual doses were computed and compared. Results: The predicted doses for both parotid glands were significantly less than the achieved doses (p < 0.0001), with differences ranging from 830 cGy ± 1270 cGy (0% NVT) to 1673 cGy ± 1197 cGy (30% NVT). The modelled risk of xerostomia ranged from 54% to 64% for achieved doses and from 33% to 51% for the dose predictions. Relative risks varied from 1.24 to 1.87, with maximum relative risk occurring at 85% NVT. Conclusions: Data-driven generation of treatment planning objectives without consideration of the underlying normal tissue complication probability may Result in inferior plans, even if quality metrics indicate otherwise. Inclusion of complication models in knowledge-based treatment planning is necessary in order to close the feedback loop between radiotherapy treatments and patient outcomes. Future work includes advancing and validating complication models in the context

  15. Characteristics of venom allergic reactions in Turkish beekeepers and alternative treatment modalities.

    Science.gov (United States)

    Çelıksoy, Mehmet Halil; Sancak, Recep; Söğüt, Ayhan; Güner, Sükrü Nail; Korkmaz, Ali

    2014-07-01

    The objective of this work was to determine the characteristics of allergic reactions that may occur after a bee sting and alternative treatment methods in Turkish beekeepers. A written questionnaire was administered to beekeepers from the Ordu, Samsun, Sinop, Amasya, and Çorum provinces located in the Central Black Sea Region of Turkey. The study included 301 beekeepers, 295 (98%) of whom were male. Their mean age was 48.2 ± 11.5 years. The mean beekeeping duration was 15.3 ± 10.5 years. A total of 270 participants (89.9%) had a history of bee stings in the previous 12 months. Systemic reactions, large local reactions, and local reactions were seen in 21 (6.9%), 193 (64.1%), and 12 (4.0%) beekeepers, respectively. The face was the most frequently stung body site, and swelling generally occurred in the eyelids. The size of the swellings decreased within 12 to 24 hours in 259 (86.1%) beekeepers. The size of the swellings was 1 × 2 cm in diameter in 157 (52.2%) beekeepers. Natural protection against bee stings had developed by 12 months in 140 (46.5%) beekeepers. In total, 61.5% of the beekeepers applied alternative treatments (eg, garlic, onion water, yogurt), whereas 14.0% (3/21) were admitted to a hospital with a systemic reaction. In total, 10.6% and 14.2% of beekeepers were aware of adrenaline auto-injector and venom immunotherapy, respectively. This study indicates insufficient knowledge and attitudes among Turkish beekeepers regarding bee sting reactions. © 2014 ARS-AAOA, LLC.

  16. CNS germinoma with elevated serum human chorionic gonadotropin level: Clinical characteristics and treatment outcome

    International Nuclear Information System (INIS)

    Ogino, Hiroyuki; Shibamoto, Yuta; Takanaka, Tsuyoshi; Suzuki, Kazunori; Ishihara, Shun-Ichi; Yamada, Tetsuya; Sugie, Chikao; Nomoto, Yoshihito; Mimura, Mikio

    2005-01-01

    Purpose: The prognostic significance of human chorionic gonadotropin (HCG) level in central nervous system germinoma remains controversial. The purpose of this study was to compare clinical characteristics and prognosis of germinoma patients with normal and high HCG titers in the serum. Methods and Materials: We undertook a multi-institutional retrospective analysis of 103 patients with central nervous system germinoma whose serum HCG and/or β-HCG level had been measured before treatment between 1984 and 2002. All patients had been treated with radiation therapy either alone (n = 66) or in combination with chemotherapy (n = 37) with a median dose of 47.8 Gy. Results: HCG and/or β-HCG level in the serum was high in 39% of all patients. The proportion of HCG-producing tumors was higher in the lesions at the basal ganglia than in the lesions at the other sites. No correlation was found between tumor size and HCG level, but there seemed to be a weak correlation between size and β-HCG. The 5- and 10-year survival rates were 96% and 94%, respectively, in both patient groups with normal and high HCG (p = 0.99). The 5- and 10-year relapse-free survival rates were 87% and 82%, respectively, in patients with normal HCG level and were both 87% in patients with high HCG (p = 0.74). Also, no other patient-, tumor-, or treatment-related factors seemed to influence the prognosis of the patients. Conclusion: Serum HCG level does not seem to influence patient prognosis when treated with sufficient doses of radiation. Relationship between tumor size and site and HCG level should be investigated further

  17. Effect of membrane characteristics on the performance of membrane bioreactors for oily wastewater treatment.

    Science.gov (United States)

    Mafirad, S; Mehrnia, M R; Sarrafzadeh, M H

    2011-01-01

    Influence of membrane material and pore size on the performance of a submerged membrane bioreactor (sMBR) for oily wastewater treatment was investigated. The sMBR had a working volume of about 19 L with flat sheet modules at the same hydrodynamic conditions. Five types of micro- and ultra-polymeric membranes containing cellulose acetate (CA), cellulose nitrate (CN), polyamide (PA), polyvinylidene difluoride (PVDF) and polyethersulfone (PES) were used and their filtration performance in terms of permeability, permeate quality and fouling intensity were evaluated. Characterization of the membranes was done by performing some analysis such as pore size distribution; contact angle and scanning electronic microscopy (SEM) microphotograph on all membranes. The quality of permeates from each membrane was identified by measuring chemical oxygen demand (COD). The results showed more irreversible fouling intensity for membranes with larger pore size which can be due to more permeation of bioparticles and colloids inside the pores. Membrane characteristics have a major role in the preliminary time of the filtration before cake layer formation so that the PA with the highest hydrophilicity had the lowest permeability decline by fouling in this period. Also, the PVDF and PES membranes had better performance according to better permeate quality in the preliminary time of the filtration related to smaller pore size and also their better fouling resistance and chemical stability properties. However, all membranes resulted in the same permeability and permeate quality after cake layer formation. An overall efficiency of about 95% in COD removal was obtained for oily wastewater treatment by the membranes used in this study.

  18. Patient characteristics associated with self-presentation, treatment delay and survival following primary percutaneous coronary intervention.

    Science.gov (United States)

    Austin, David; Yan, Andrew T; Spratt, James C; Kunadian, Vijay; Edwards, Richard J; Egred, Mohaned; Bagnall, Alan J

    2014-09-01

    Delayed arrival to a primary percutaneous coronary intervention (PPCI)-capable hospital following ST-elevation myocardial infarction (STEMI) is associated with poorer outcome. The influence of patient characteristics on delayed presentation during STEMI is unknown. This was a retrospective observational study. Patients presenting for PPCI from March 2008 to November 2011 in the north of England (Northumbria, Tyne and Wear) were included. The outcomes were self-presentation to a non-PPCI-capable hospital, symptom to first medical contact (STFMC) time, total ischaemic time and mortality during follow-up. STEMI patients included numbered 2297; 619 (26.9%) patients self-presented to a non-PPCI-capable hospital. STFMC of >30 min and total ischaemic time of >180 min was present in 1521 (70.7%) and 999 (44.9%) cases, respectively. Self-presentation was the strongest predictor of prolonged total ischaemic time (odds ratio, OR (95% confidence interval, CI): 5.05 (3.99-6.39)). Married patients (OR 1.38 (1.10-1.74)) and patients living closest to an Emergency Room self-presented more commonly (driving time (vs. ≤10 min) 11-20 min OR 0.66 (0.52-0.83), >20 minutes OR 0.46 (0.33-0.64). Unmarried females waited longest to call for help (OR vs. married males 1.89 (1.29-2.78) and experienced longer total ischaemic times (OR 1.51 (1.10-2.07)). Married patients had a borderline association with lower mortality (hazard ratio 0.75 (0.53-1.05), p=0.09). Unmarried female patients had the longest treatment delays. Married patients and those living closer to an Emergency Room self-present more frequently. Early and exclusive use of the ambulance service may reduce treatment delay and improve STEMI outcome. © The European Society of Cardiology 2014.

  19. Association between level of personality organization as assessed with theory-driven profiles of the Dutch Short Form of the MMPI and outcome of inpatient treatment for personality disorder

    NARCIS (Netherlands)

    Scholte, W.R.; Eurelings-Bontekoe, E.H.M.; Tiemens, B.G.; Verheul, R.; Meerman, A.; Hutschemaekers, G.J.M.

    2014-01-01

    The association between level of personality organization as assessed by theory-driven profile interpretation of the MMPI (Hathaway & McKinley, 1943) Dutch Short Form and treatment outcome was investigated in a naturalistic follow-up study among 121 psychotherapy inpatients who had been treated for

  20. Characteristics of autism spectrum disorder in anorexia nervosa: A naturalistic study in an inpatient treatment programme.

    Science.gov (United States)

    Tchanturia, Kate; Adamson, James; Leppanen, Jenni; Westwood, Heather

    2017-11-01

    Previous research has demonstrated links between anorexia nervosa and autism spectrum disorder however, few studies have examined the possible impact of symptoms of autism spectrum disorder on clinical outcomes in anorexia nervosa. The aim of this study was to examine the association between symptoms of autism spectrum disorder and eating disorders, and other psychopathology during the course of inpatient treatment in individuals with anorexia nervosa. Participants with anorexia nervosa (n = 171) completed questionnaires exploring eating disorder psychopathology, symptoms of depression and anxiety, and everyday functioning at both admission and discharge. Characteristics associated with autism spectrum disorder were assessed using the Autism Spectrum Quotient, short version. Autism spectrum disorder symptoms were significantly positively correlated with eating disorder psychopathology, work and social functioning, and symptoms of depression and anxiety, but not with body mass index. Autism Spectrum Quotient, short version scores remained relatively stable from admission to discharge but there was a small, significant reduction in scores. There was no interaction between time and Autism Spectrum Quotient, short version scores on clinical symptom change. In anorexia nervosa, autism spectrum disorder symptoms appear to be associated with a more severe clinical presentation on admission to inpatient care. Autism spectrum disorder symptoms as assessed by self-report measures may be exacerbated by other mental health psychopathology, which warrants further investigation.

  1. Bothersome Tics in Patients with Chronic Tic Disorders: Characteristics and Individualized Treatment Response to Behavior Therapy

    Science.gov (United States)

    McGuire, Joseph F.; Piacentini, John; Scahill, Lawrence; Woods, Douglas W.; Villarreal, Robert; Wilhelm, Sabine; Walkup, John T.; Peterson, Alan L.

    2015-01-01

    This report examined the most frequently reported bothersome tics among individuals with chronic tic disorders and evaluated the improvement and remission of tics and their associated characteristics. Youths and adults (N = 240) were randomly assigned to receive the comprehensive behavioral intervention for tics (CBIT) or psychoeducation and supportive therapy (PST). At baseline, motor tics and tics with an urge were rated as more bothersome relative to vocal tics and tics without premonitory urges. The five most common bothersome tics included eye blinking, head jerks, sniffing, throat clearing, and other complex motor tics. While CBIT outperformed PST across tic type and urge presence, tics preceded by premonitory urges at baseline had higher severity at posttreatment across treatment condition. Six individual tic types had lower severity at posttreatment following CBIT relative to PST. Baseline urge presence was associated with tic remission for CBIT but not PST. Specific bothersome tics were more likely to remit with CBIT relative to PST. Findings suggest that individual tics respond and remit differently to CBIT relative to PST, with implications highlighting the negative reinforcement hypothesis in tic symptom maintenance. PMID:25988365

  2. Bothersome tics in patients with chronic tic disorders: Characteristics and individualized treatment response to behavior therapy.

    Science.gov (United States)

    McGuire, Joseph F; Piacentini, John; Scahill, Lawrence; Woods, Douglas W; Villarreal, Robert; Wilhelm, Sabine; Walkup, John T; Peterson, Alan L

    2015-07-01

    This report examined the most frequently reported bothersome tics among individuals with chronic tic disorders and evaluated the improvement and remission of tics and their associated characteristics. Youths and adults (N = 240) were randomly assigned to receive the comprehensive behavioral intervention for tics (CBIT) or psychoeducation and supportive therapy (PST). At baseline, motor tics and tics with an urge were rated as more bothersome relative to vocal tics and tics without premonitory urges. The five most common bothersome tics included eye blinking, head jerks, sniffing, throat clearing, and other complex motor tics. While CBIT outperformed PST across tic type and urge presence, tics preceded by premonitory urges at baseline had higher severity at posttreatment across treatment condition. Six individual tic types had lower severity at posttreatment following CBIT relative to PST. Baseline urge presence was associated with tic remission for CBIT but not PST. Specific bothersome tics were more likely to remit with CBIT relative to PST. Findings suggest that individual tics respond and remit differently to CBIT relative to PST, with implications highlighting the negative reinforcement hypothesis in tic symptom maintenance. CLINICALTRIALS. NCT00218777; NCT00231985. Published by Elsevier Ltd.

  3. Occurrence Characteristics of Microplastic in Secondary Sewage Treatment Plant in Shanghai,China.

    Science.gov (United States)

    Bai, M.; Zhao, S.; Li, D.

    2017-12-01

    As emerging pollutants, microplastics (MPs) are of concern worldwide. Due to plenty of microbeads and synthetic fibers presenting in the effluent of waste water treatment plants (WWTPs), WWTPs have been regarded as important point sources of MP into the sea. Currently, information of microplastics from WWTPs in China is limited. Herein, we studied the MP contamination of a sewage plant in Shanghai by analyzing water and sludge samples with fourier transform infrared spectroscopy. The abundances of MP in the influent, mixed water, effluent and sludge four stages are respectively 117 n/L, 90 n/L, 52 n/L and 181 n/50g(wet weight). The removal efficiency of MP in the current WWTP is 55.6%. Fiber is the most common shape type. Rayon is the most type in effluent and mixed water while synthetic leather account for the largest percentage in influent and sludge. This study firstly discussed the occurrence characteristics of microplastics in the WWTP of China and confirmed that WWTP is a source of MPs inputting into aquatic environments.

  4. Clinical characteristics and treatment outcomes for benign paroxysmal positional vertigo comorbid with hypertension.

    Science.gov (United States)

    Tan, Jun; Deng, Yuxiao; Zhang, Tianyu; Wang, Menghong

    2017-05-01

    Patients with BPPV comorbid with hypertension (h-BPPV) tend to receive a delayed diagnosis of BPPV. Comorbidity with hypertension did not influence the efficacy of the repositioning maneuver; however, comorbidity with hypertension was associated with an increased recurrence rate of BPPV. To determine the clinical characteristics and outcomes of h-BPPV, as well as the clinical differences between h-BPPV and idiopathic BPPV (i-BPPV). The authors reviewed the medical records of 41 consecutive patients with h-BPPV (the h-BPPV group) from March to December 2014 and 47 patients with i-BPPV (the i-BPPV group) during the same period. There were no significant differences in age, sex ratio, or the affected side between the h-BPPV and i-BPPV groups. The proportion of patients reporting an initial episode of positional vertigo was significantly lower in the h-BPPV group (51.22% vs 74.47%; p = .024). Patients in the h-BPPV group reported a longer median episode duration than did those in the i-BPPV group (60 days vs 15 days; p = .017). The results of treatment using repositioning maneuvers were similar between the two groups. At follow-up, 13 patients in the h-BPPV group were diagnosed with recurrent BPPV compared with six in the i-BPPV group (p = .031).

  5. The effect of hydrotherapy treatment on gait characteristics of hereditary spastic paraparesis patients.

    Science.gov (United States)

    Zhang, Yanxin; Roxburgh, Richard; Huang, Liang; Parsons, John; Davies, T Claire

    2014-04-01

    Hereditary spastic paraparesis (HSP) is a group of neurological disorders characterised by slowly progressive increasing muscle tone, predominantly in the lower limbs, with relatively preserved power. This leads to progressive difficulties in motor control and walking. The purpose of this study was to evaluate the effectiveness of hydrotherapy treatment when used as a means to increase locomotor function in individuals with late onset HSP. This paper discusses the analysis of the effect on gait characteristics. Nine people with HSP were asked to participate in pre- and post-hydrotherapy gait analyses. Ground reaction force and motion trajectories were recorded and used to calculate spatiotemporal gait parameters, joint angles and moments. The normalised joint kinematics and kinetics profile revealed that the biomechanics of people with HSP were similar to that of controls for most of the joints, but with lower range of motion. Walking speed increased significantly (11%) after the course of hydrotherapy. Though part of this was achieved through increased ROM there was also a further increase in hip internal rotation and in peak hip extension moment. Although participants had increased walking speed and step length, it appears that hydrotherapy increases the ability to perform compensatory strategies rather than resulting in a more typical kinematic and kinetic approach. Copyright © 2014 Elsevier B.V. All rights reserved.

  6. Enhancement of Hydrophilic Characteristics of Non-Wetting Porous Substrates by Kaolinite Treatment

    Science.gov (United States)

    Khan, Lutful I.; Hasan, Mohammad M.

    2007-01-01

    The use of porous media has enormous potential for thermal management and phase separation in terrestrial, micro, Lunar and Marian gravity environments. Recently, a porous media based gravity insensitive condensing heat exchanger for humidity control has been proposed and successfully demonstrated by the authors. A strongly hydrophilic porous substrate is essential for condensing and trapping water vapor from the airstreams. However, most porous media which have good thermal characteristics are poorly wetting to water. This poses a significant obstacle in the development of the porous media based condensing heat exchanger. In response to this problem, a clay based process was developed for improving the wettability of non-wetting and partially wetting porous media. It was demonstrated that poorly wetting porous graphite as well as porous stainless steel could be converted to a completely wetting porous substrate by kaolinite treatment. The process enhances the wettability of both the surface and the interior pores. The paper presents experimental results of enhanced wettability of the treated substrate in terms of imbibition rate and capillary pressure as a function of saturation. The long term stability of the treated surface is also investigated and discussed.

  7. Gun Violence Following Inpatient Psychiatric Treatment: Offense Characteristics, Sources of Guns, and Number of Victims.

    Science.gov (United States)

    Kivisto, Aaron J

    2017-10-01

    This study presents data on the relative contribution to gun violence by people with a history of inpatient psychiatric treatment and on federal efforts to deter presumptively dangerous persons from obtaining firearms, information useful for analyzing the potential public health benefits of gun policies targeting people with serious mental illness. The study also estimates the reduction in gun violence victims that would be expected if individuals with a previous psychiatric hospitalization were prohibited from purchasing firearms. Data from 838 violent gun offenders from a nationally representative sample of state prison inmates were analyzed. Those with and without a history of psychiatric hospitalization were compared on a range of offense characteristics, including relationship to the victim, number of victims, location of the offense, and source of firearms. Inmates with a history of hospitalization constituted 12% of all violent gun offenders and accounted for 13% of the sample's victims. They were less likely than those without a previous hospitalization to victimize strangers (odds ratio=.52) and were no more likely to commit gun violence in public or to have multiple victims. Among those with previous hospitalizations, 78% obtained guns from sources not subject to federal background checks. Of the total 1,041 victims of gun violence, only 3% were victimized by participants with a history of hospitalization who obtained guns from currently regulated sources. Prohibiting all individuals with a history of psychiatric hospitalization from purchasing firearms, absent expanded background checks, was estimated to reduce the number of gun violence victims by only 3%.

  8. A profile of pedophilia: definition, characteristics of offenders, recidivism, treatment outcomes, and forensic issues.

    Science.gov (United States)

    Hall, Ryan C W; Hall, Richard C W

    2007-04-01

    Pedophilia has become a topic of increased interest, awareness, and concern for both the medical community and the public at large. Increased media exposure, new sexual offender disclosure laws, Web sites that list the names and addresses of convicted sexual offenders, politicians taking a 'get tough' stance on sexual offenders, and increased investigations of sexual acts with children have increased public awareness about pedophilia. Because of this increased awareness, it is important for physicians to understand pedophilia, its rate of occurrence, and the characteristics of pedophiles and sexually abused children. In this article, we address research that defines the various types and categories of pedophilia, review available federal data on child molestation and pornography, and briefly discuss the theories on what makes an individual develop a sexual orientation toward children. This article also examines how researchers determine if someone is a pedophile, potential treatments for pedophiles and sexually abused children, the risk of additional sexual offenses, the effect of mandatory reporting laws on both physicians and pedophiles, and limitations of the current pedophilic literature.

  9. Treatment of 817 patients with spontaneous supratentorial intracerebral hemorrhage: characteristics, predictive factors and outcome

    Directory of Open Access Journals (Sweden)

    Homajoun Maslehaty

    2012-05-01

    Full Text Available The aim of this study was to present the data of a large cohort of patients with spontaneous supratentorial intracerebral hemorrhage (ICH, who were treated in our department and give a current overview considering special clinical characteristics, performed therapy and different predictive factors for morbidity and mortality. We reviewed the data of all patients with spontaneous ICH, who were treated in our department in a time span of 11 years through an analysis of our prospective database. Patients with spontaneous supratentorial ICH were included in the study. Patients with hemorrhage associated to vascular malformation or to cerebral ischemic stroke were excluded. The clinical performance at time of admission and discharge were scored using the Glasgow coma scale (GCS and the Glasgow outcome scale (GOS respectively. The patients’ cohort was divided into surgically and conservatively treated groups. Statistical analysis [Analysis of Variance (ANOVA and ?²-test] was done for various parameters to analyze their impact on morbidity and mortality. In total, we analyzed the data of 817 patients (364 female and 453 male. Two hundred and sixty-nine patients (32% were treated conservatively and 556 patients (68% underwent surgical procedures, i.e. cerebrospinal fluid drainage in 110 (19.8%, craniotomy in 338 (60.7% and application of both methods in 108 patients (19.4%. Total mortality rate was estimated with 23.5%. GCS<8, age over 70 years, intraventricular and basal ganglia hemorrhage, coumadin medication, combination of co-morbidities, hypertensive hemorrhage and postoperative re-bleeding were statistically significant risk factors for worse outcome (GOS 1 and 2 in the operated group. Similar to the observations of the operated group, GCS<8, age over 70 years and coumadin medication were statistically significant for worse outcome in the conservative group. In contrast, lobar plus basal ganglia ICH and multi-lobar hemorrhages were the most

  10. Greenhouse gas emissions during MSW landfilling in China: influence of waste characteristics and LFG treatment measures.

    Science.gov (United States)

    Yang, Na; Zhang, Hua; Shao, Li-Ming; Lü, Fan; He, Pin-Jing

    2013-11-15

    Reducing greenhouse gas (GHG) emissions from municipal solid waste (MSW) treatment can be highly cost-effective in terms of GHG mitigation. This study investigated GHG emissions during MSW landfilling in China under four existing scenarios and in terms of seven different categories: waste collection and transportation, landfill management, leachate treatment, fugitive CH4 (FM) emissions, substitution of electricity production, carbon sequestration and N2O and CO emissions. GHG emissions from simple sanitary landfilling technology where no landfill gas (LFG) extraction took place (Scenario 1) were higher (641-998 kg CO2-eq·t(-1)ww) than those from open dump (Scenario 0, 480-734 kg CO2-eq·t(-1)ww). This was due to the strictly anaerobic conditions in Scenario 1. LFG collection and treatment reduced GHG emissions to 448-684 kg CO2-eq·t(-1)ww in Scenario 2 (with LFG flare) and 214-277 kg CO2-eq·t(-1)ww in Scenario 3 (using LFG for electricity production). Amongst the seven categories, FM was the predominant contributor to GHG emissions. Global sensitivity analysis demonstrated that the parameters associated with waste characteristics (i.e. CH4 potential and carbon sequestered faction) and LFG management (i.e. LFG collection efficiency and CH4 oxidation efficiency) were of great importance. A further learning on the MSW in China indicated that water content and dry matter content of food waste were the basic factors affecting GHG emissions. Source separation of food waste, as well as increasing the incineration ratio of mixed collected MSW, could effectively mitigate the overall GHG emissions from landfilling in a specific city. To increase the LFG collection and CH4 oxidation efficiencies could considerably reduce GHG emissions on the landfill site level. While, the improvement in the LFG utilization measures had an insignificant impact as long as the LFG is recovered for energy generation. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Effects of plasma treatment time on surface characteristics of indium-tin-oxide film for resistive switching storage applications

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Po-Hsun [Department of Physics, National Sun Yat-Sen University, Kaohsiung 804, Taiwan, ROC (China); Chang, Ting-Chang, E-mail: tcchang3708@gmail.com [Department of Physics, National Sun Yat-Sen University, Kaohsiung 804, Taiwan, ROC (China); Advanced Optoelectronics Technology Center, National Cheng Kung University, Tainan 701, Taiwan, ROC (China); Chang, Kuan-Chang, E-mail: kcchang@pkusz.edu.cn [Department of Materials and Optoelectronic Science, National Sun Yat-Sen University, Kaohsiung 804, Taiwan, ROC (China); School of Electronic and Computer Engineering, Peking University, Shenzhen 518055 (China); Tsai, Tsung-Ming; Pan, Chih-Hung; Shih, Chih-Cheng; Wu, Cheng-Hsien; Yang, Chih-Cheng; Chen, Wen-Chung; Lin, Jiun-Chiu; Wang, Ming-Hui [Department of Materials and Optoelectronic Science, National Sun Yat-Sen University, Kaohsiung 804, Taiwan, ROC (China); Zheng, Hao-Xuan; Chen, Min-Chen [Department of Physics, National Sun Yat-Sen University, Kaohsiung 804, Taiwan, ROC (China); Sze, Simon M. [Department of Electronics Engineering and Institute of Electronics, National Chiao Tung University, Hsinchu 300, Taiwan, ROC (China)

    2017-08-31

    In this paper, we implement a post-oxidation method to modify surface characteristics of indium tin oxide (ITO) films by using an O{sub 2} inductively coupled plasma (ICP) treatment. Based on field emission-scanning electron microscope (FE-SEM) and atomic force microscope (AFM) analysis, we found that the surface morphologies of the ITO films become slightly flatter after the O{sub 2} plasma treatment. The optical characteristics and X-ray diffraction (XRD) experiments of either pure ITO or O{sub 2} plasma treated ITO films were also verified. Even though the XRD results showed no difference from bulk crystallizations, the oxygen concentrations increased at the film surface after O{sub 2} plasma treatment, according to the XPS inspection results. Moreover, this study investigated the effects of two different plasma treatment times on oxygen concentration in the ITO films. The surface sheet resistance of the plasma treated ITO films became nearly non-conductive when measured with a 4-point probe. Finally, we applied the O{sub 2} plasma treated ITO films as the insulator in resistive random access memory (RRAM) to examine their potential for use in resistive switching storage applications. Stable resistance switching characteristics were obtained by applying the O{sub 2} plasma treatment to the ITO-based RRAM. We also confirmed the relationship between plasma treatment time and RRAM performance. These material analyses and electrical measurements suggest possible advantages in using this plasma treatment technique in device fabrication processes for RRAM applications.

  12. Slaughterhouse wastewater characteristics, treatment, and management in the meat processing industry: A review on trends and advances.

    Science.gov (United States)

    Bustillo-Lecompte, Ciro Fernando; Mehrvar, Mehrab

    2015-09-15

    A thorough review of advancement in slaughterhouse wastewater (SWW) characteristics, treatment, and management in the meat processing industry is presented. This study also provides a general review of the environmental impacts, health effects, and regulatory frameworks relevant to the SWW management. A significant progress in high-rate anaerobic treatment, nutrient removal, advanced oxidation processes (AOPs), and the combination of biological treatment and AOPs for SWW treatment is highlighted. The treatment processes are described and few examples of their applications are given. Conversely, few advances are accounted in terms of waste minimization and water use reduction, reuse, and recycle in slaughterhouses, which may offer new alternatives for cost-effective waste management. An overview of the most frequently applied technologies and combined processes for organic and nutrient removal during the last decade is also summarized. Several types of individual and combined processes have been used for the SWW treatment. Nevertheless, the selection of a particular technology depends on the characteristics of the wastewater, the available technology, and the compliance with regulations. This review facilitates a better understanding of current difficulties that can be found during production and management of the SWW, including treatment and characteristics of the final effluent. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Investigating the effect of invasion characteristics on onion thrips (Thysanoptera: Thripidae) populations in onions with a temperature-driven process model.

    Science.gov (United States)

    Mo, Jianhua; Stevens, Mark; Liu, De Li; Herron, Grant

    2009-12-01

    A temperature-driven process model was developed to describe the seasonal patterns of populations of onion thrips, Thrips tabaci Lindeman, in onions. The model used daily cohorts (individuals of the same developmental stage and daily age) as the population unit. Stage transitions were modeled as a logistic function of accumulated degree-days to account for variability in development rate among individuals. Daily survival was modeled as a logistic function of daily mean temperature. Parameters for development, survival, and fecundity were estimated from published data. A single invasion event was used to initiate the population process, starting at 1-100 d after onion emergence (DAE) for 10-100 d at the daily rate of 0.001-0.9 adults/plant/d. The model was validated against five observed seasonal patterns of onion thrips populations from two unsprayed sites in the Riverina, New South Wales, Australia, during 2003-2006. Performance of the model was measured by a fit index based on the proportion of variations in observed data explained by the model (R (2)) and the differences in total thrips-days between observed and predicted populations. Satisfactory matching between simulated and observed seasonal patterns was obtained within the ranges of invasion parameters tested. Model best-fit was obtained at invasion starting dates of 6-98 DAE with a daily invasion rate of 0.002-0.2 adults/plant/d and an invasion duration of 30-100 d. Under the best-fit invasion scenarios, the model closely reproduced the observed seasonal patterns, explaining 73-95% of variability in adult and larval densities during population increase periods. The results showed that small invasions of adult thrips followed by a gradual population build-up of thrips within onion crops were sufficient to bring about the observed seasonal patterns of onion thrips populations in onion. Implications of the model on timing of chemical controls are discussed.

  14. Bacillus Calmette-Guérin (BCG) Treatment Failures with Non-Muscle Invasive Bladder Cancer: A Data-Driven Definition for BCG Unresponsive Disease.

    Science.gov (United States)

    Steinberg, Ryan L; Thomas, Lewis J; Mott, Sarah L; O'Donnell, Michael A

    2016-04-27

    Objective: To create the first data-driven definition for those unlikely to benefit from further BCG treatment. Materials and Methods: The database created for the Phase 2 BCG-Interferon- α 2B (IFN) study was queried and BCG failure patients were identified ( n  = 334). Full study protocols have previously been published. Separate models were constructed for analysis of patients with any CIS (pure or concomitant) and pure papillary disease. Variables considered included age, gender, stage, grade, tumor size and focality (for papillary only), number of prior BCG courses, and prior BCG failure interval. Results: Patients with recurrent CIS within 6 months of their most recent prior BCG course (HR 2.56, p  disease within 6 months (HR 1.82, p  = 0.02), ≥2 BCG failures (HR 1.54, p  = 0.03), and multifocal disease (HR 2.05, p  disease remained disease free in 38% of cases (24-51% 95% CI) at 2 years with low rates of progression. Conclusions: Patients who fail two courses of BCG with either persistent or recurrent multifocal papillary disease within 6 months or CIS within 12 months of their prior BCG should be considered BCG unresponsive. Recurrent T1 disease respond reasonably well to another course with low progression rates but further investigation is warranted.

  15. Cleptomania: características clínicas e tratamento Kleptomania: clinical characteristics and treatment

    Directory of Open Access Journals (Sweden)

    Jon E Grant

    2008-05-01

    Full Text Available OBJETIVOS: A cleptomania, um transtorno incapacitante do controle dos impulsos, caracteriza-se pelo furto repetitivo e incontrolável de itens que são de pequena utilidade para a pessoa acometida por esse transtorno. Apesar de seu histórico relativamente longo, a cleptomania continua sendo pouco entendida pelo público geral, pelos clínicos e pelos que dela sofrem. MÉTODO: Este artigo revisa a literatura sobre o que se sabe a respeito das características clínicas, histórico familiar, neurobiologia e opções de tratamento para indivíduos com cleptomania. RESULTADOS: A cleptomania geralmente tem seu início no final da adolescência ou no início da vida adulta, e parece ser mais comum em mulheres. A comorbidade psiquiátrica ao longo da vida com outros transtornos de controle de impulsos (20-46%, de uso de substâncias (23-50% e de humor (45-100% é freqüente. Indivíduos com cleptomania sofrem de prejuízo significativo em sua capacidade de funcionamento social e ocupacional. A cleptomania pode responder ao tratamento com terapia cognitivo-comportamental e com várias farmacoterapias (lítio, antiepilépticos e antagonistas de opióides. CONCLUSÕES: A cleptomania é um transtorno incapacitante que resulta em uma vergonha intensa, bem como problemas legais, sociais, familiares e ocupacionais. São necessários estudos de tratamento em ampla escala.OBJECTIVES: Kleptomania, a disabling impulse control disorder, is characterized by the repetitive and uncontrollable theft of items that are of little use to the afflicted person. Despite its relatively long history, kleptomania remains poorly understood to the general public, clinicians, and sufferers. METHOD: This article reviews the literature for what is known about the clinical characteristics, family history, neurobiology, and treatment options for individuals with kleptomania. RESULTS: Kleptomania generally has its onset in late adolescence or early adulthood and appears to be more

  16. Patient characteristics, diagnosis, and treatment of non-contact lens related Acanthamoeba keratitis.

    Science.gov (United States)

    Sharma, S; Garg, P; Rao, G N

    2000-10-01

    To review the clinical characteristics, diagnosis, and visual outcome in patients with non-contact lens related Acanthamoeba keratitis and compare the findings with reported series of contact lens associated Acanthamoeba keratitis. Medical and microbiology records of 39 consecutive patients with a diagnosis of Acanthamoeba keratitis, at a tertiary eyecare centre in India between January 1996 and June 1998, were analysed retrospectively. A majority of the patients presented with poor visual acuity and large corneal stromal infiltrates (mean size 38.20 (SD 26. 18) mm). A predisposing factor was elicited in 19/39 (48.7%) patients (trauma 15, dirty water splash three, leaf juice one). None of the patients had worn contact lenses. Most patients (26/39 (66. 6%)) came from a low socioeconomic background. Complaint of severe pain was not a significant feature and radial keratoneuritis was seen in 1/39 (2.5%) patients. A ring infiltrate was present in 41.1% of cases. A clinical diagnosis of fungal keratitis was made in 45% of the patients before they were seen by us. However, all patients were diagnosed microbiologically at our institute based on demonstration of Acanthamoeba cysts in corneal scrapings (34/39) and/or culture of Acanthamoeba (34/39). Treatment with biguanides (PHMB, 15/38 (39.4%), PHMB with CHx, 23/38 (60.5%), one patient did not return for treatment) resulted in healing with scar formation in 27 out of 31(87.0%) followed up patients (mean time to healing 106.9 days). Overall visual outcome was poor with no statistical difference between cases diagnosed within 30 days (early) or 30 days after (late) start of symptoms. The visual outcome in cases requiring tissue adhesive (five) and keratoplasty (three) was also poor. This is thought to be the largest series of cases of Acanthamoeba keratitis in non-contact lens wearers. In such cases, the disease is advanced at presentation in most patients, pathognomonic clinical features are often not seen, disease

  17. [Clinical characteristics and treatment assessments of severe enterovirus 71 infected children].

    Science.gov (United States)

    Liu, Jing-tao; Peng, Dan; Guan, Xu-hua; Zou, Dian-ding; Zhao, Dong-chi

    2010-01-01

    To facilitate early recognition of ominous clinical manifestations, to understand pathophysiology and assess treatment effects in patients with severe enterovirus 71 (EV71) associated hand, foot and mouth disease (HFMD). A retrospective analysis was performed based on the clinical records, laboratory data and treatment effects which were collected from twelve severe EV71 infected cases from nine hospitals in 2008, in Hubei province, China. Of the 12 severe cases, ten (83.3%) were male and two female. The median age was 1.96 yrs (8 m to 7 yrs). The mean hyperthermic duration was 6 days with the peak temperature over 38.5 degrees C, and mean rash duration was 7 days. Fever and rash emerged simultaneously in 4 of 5 cases with cardiopulmonary failure. The severe complications included encephalitis (10 cases), pulmonary edema or hemorrhage (5 cases). Eleven cases were checked with magnetic resonance imaging (MRI) and four cases showed characteristics of encephalitis or meningitis, two with images of naso sinusitis and ethmoid-mastoid inflammation. Chest X-ray examination showed with pulmonary edema on single or both sides (5 cases), bronchitis (4 cases), and normal image (3 cases). There was no specific finding in the cardiac ultrasound and electrocardiogram in any of the patients, as well as the white blood cell count, blood glucose, prothrombin time, partial thromboplastin time and D-dimer. Cerebrospinal fluid showed aseptic meningitis with the increase of cell count in 7 cases. All patients were treated with antibiotics and/or antivirals, such as cephalosporins, ribavirin etc. Eleven patients were treated with intravenous immunoglobulin (total dose 2 - 4.5 g/kg) for 2 - 5 days, and the highest blood concentration of immunoglobulin was detected increasing at 7 g/L. Seven cases were also treated with methylprednisolone 10 - 30 mg/(kg x d), four with dopamine, dobutamine, or digitalis. In addition, by using continuous positive airway pressure by nasal catheter and

  18. Effects of Different Fertilizer Treatments on Quantitative and Qualitative Characteristics of Isabgol (Plantago ovata

    Directory of Open Access Journals (Sweden)

    Gh. Asadi

    2016-02-01

    Full Text Available Application of organic manures is one of the most important strategies for plant nutrition compared to chemical fertilizers, especially in organic management of medicinal plants. In order to evaluate the effects of different organic and chemical fertilizers on yield, yield components and qualitative characteristics of isabgol (Plantago ovata, a field experiment was conducted based on randomized complete block design with three replications at the Agricultural Research Station, College of Agriculture, Ferdowsi University of Mashhad, during growing season of 2011-2012. Treatments included three levels of nitrogen fertilizer (25, 50 and 75 kg.ha-1, three levels of cow manure (5, 10 and 15 t.ha-1 and three levels of vermicompost (2, 4 and 6 t.ha-1 and control.The results showed that the effectof different fertilizers was significant (p≤0.05 on all studied traits except swelling rate of isabgol. The maximum amounts were observed in 6 t.ha-1 vermicompost and 15 t.ha-1 cow manure. The highest seed yield (548.4 kg.ha-1 was observed in 6 t.ha-1 vermicompost that it enhanced up to 26% compared to control. By increasing in organic fertilizers enhanced mucilage content, swelling factor and swelling content of isabgol. The maximum mucilage content and swelling factor were observed in 15 t.ha-1 (with 35.3% and 13.4 ml, respectively. Since, organic matters improved quantitative and qualitative yield of isabgol compared to chemical fertilizer, it concluded that these organic inputs could be regarded as a suitable alternative to enhance the growth and yield of medicinal plants such as isabgol especially in low input systems.

  19. Characteristic of thoracolumbar burst fracture with mid column injury and analysis of relative surgical treatment

    International Nuclear Information System (INIS)

    Yang Binhui; Zhang Bo; Ouyang Zhen; Sun Maomin; Xia Chunlin

    2010-01-01

    Objective: By analyzing the pathologic characteristics of the thoracolumbar burst fracture with mid column injury to explore the value of surgical treatment and the relationship between the spinal cord injury and the burst fracture. Methods: With the combination of X-ray film, CT, MRI examination, in 97 patients with thoracolumbar burst fracture, the rate of spinal canal stenosis was measured. For the fracture fragments morphology, translocation, and intervertebral disc, posterior longitudinal ligament injuries, a different surgical method was selected, the percentage of wound vertebral body compression, kyphosis Cobb angle and the rate of spinal canal stenosis, spinal cord nerve function recovery were compared between preoperation and postoperation. Results: After operation, all patients were reseted. Followed-up was performed from 6 to 28 months, in 88 cases bone graft fusion was obtained after 4 to 6 months, 1 ∼ 3 levels were restored in Frankel grade of spinal cord nerve function recovery. Between preoperation and postoperation, the percentage of wounded vertebral body compression, kyphosis Cobb angle and the rate of spinal canal stenosis were significantly different (P <0. 01). For the 9 cases of combined intervertebral disc injury, fusion was not achieved in the 6 cases there were loss in vertebral body height and Cobb angle in various extent. Conclusion: There is an interrelationship between thoracolumbar burst fracture caused by the reduction of spinal canal diameter and the spinal cord injury. Different forms of occupation of intraspinal bone fragments indicate different degrees of moment of violence and spinal cord primary injury. It is important to select the appropriate surgical method for clinic. The potential impact should be sufficient attention on the stability of intervertebral disc injury. (authors)

  20. The characteristics of keratomycosis by Beauveria bassiana and its successful treatment with antimycotic agents

    Directory of Open Access Journals (Sweden)

    Hiroko Sonoyama

    2008-10-01

    Full Text Available Hiroko Sonoyama1, Kaoru Araki-Sasaki1, Shigeyasu Kazama1, Tsutomu Kawasaki1, Hidenao Ideta1, Atsuko Sunada2, Seishi Asari2, Yoshitsugu Inoue3, Kozaburo Hayashi41Ideta Eye Hospital, Kumamoto, Kumamoto, Japan; 2Department of Laboratory for Clinical Investigation, Osaka University Hospital, Suita, Osaka, Japan; 3Division of Ophthalmology and Visual Science, Department of Medicine of Sensory and Motor Organ, Tottori University, Yonago, Tottori, Japan; 4Immunology and Virology Section Lab, Immunology, NEI, NIH, Bethesda, MD, USAAbstract: Clinical findings and treatment of keratomycosis caused by Beauveria bassiana, an entomopathogenic filamentous fungus, are described for an 80-year-old woman, who was referred to the hospital for ocular pain and redness on the 9th day after an ocular injury caused by the frame of her glasses. She had a long history of recurrent diabetic iritis and continuously used topical antibiotics and corticosteroids. At her first visit, a slit-lamp examination indicated a corneal ulcer confined within the superficial stromal layer, along with a slight infiltration and edema. Only a very few inflammatory cells were seen in the anterior chamber. Direct microscopic examination of corneal scrapings revealed septate fungal hyphae with zig-zag rachis and budding that was subsequently identified as B. bassiana by slide culture. Topical voriconazole with miconazole, pimaricin and oral itraconazole were effective and the lesion disappeared leaving only a mild scar at 2 months. The sensitivity of B. bassiana to various antimycotic agents was confirmed by broth microdilution, agar dilution with the Clinical Laboratory Standard Institute standard, and a disk method using topically applied concentrations. B. bassiana, which exhibits a characteristic appearance in smears and causes superficial keratomycosis, is sensitive to voriconazole with miconazole, pimaricin, and itraconazole.Keywords: Beauveria bassiana, keratomycosis, filamentous

  1. Characteristics and management of patients requiring hospitalization for treatment of odontogenic infections.

    Science.gov (United States)

    Gonçalves, Lélia; Lauriti, Leandro; Yamamoto, Marcos Kazuo; Luz, João Gualberto C

    2013-01-01

    Odontogenic infections usually respond well to outpatient care; however, these can be very complicated and demand hospitalization. The aim of this study was to assess retrospectively the characteristics and medical management of patients needing hospitalization for the treatment of odontogenic infections. The personal data, symptoms presented, and therapeutic procedures adopted were analyzed. The predominant age group was from 0 to 10 years (30%), and a sex relation of 1:1 was found, but there was no significant difference (P = 0.337). The most frequent diagnosis was of dentoalveolar abscess (86.3%). Pain (47.1%) was the prevailing reason for hospitalization, with pulpal necrosis (67.5%) as the main cause. There was a prevalence of involvement of the lower permanent teeth (41.4%) and lower deciduous teeth (23%). The prevalent clinical aspect was submandibular or facial swelling (61.4%). The most administered antibiotic was penicillin G associated with metronidazole (25.3%). Most cases (58.7%) presented regression with antibiotic therapy, and in some cases, surgical drainage was necessary (18.7%). One case of Ludwig angina resulted in death. The mean length of hospital stay was 4.4 days, being higher in the cases of Ludwig angina. It was concluded that most cases of odontogenic infections requiring hospitalization were of dentoalveolar abscess occurring in young people of both sexes, associated to the lower permanent molar teeth, presenting with swelling, with regression of the symptoms after antibiotic therapy and hospitalization for some days, with some of the cases requiring drainage.

  2. Characteristics and treatment outcomes of tuberculosis cases by risk groups, Japan, 2007–2010

    Directory of Open Access Journals (Sweden)

    Kunihiko Ito

    2013-03-01

    Full Text Available Introduction: We studied the characteristics and treatment outcomes of the following risk groups for tuberculosis (TB: those with HIV and diabetes mellitus (DM, contact cases, the homeless, foreigners, health care workers (HCW and the elderly. Method: A descriptive cross-sectional study was conducted by analysing the Japanese TB surveillance data of all cases registered between 2007 and 2010 (N = 96 689. Results: The annual proportion of TB cases by risk group was stable over the study period, although there was a slight but significant increase observed for foreigner and elderly cases. Homeless and elderly TB cases had the highest DM co-morbidity (16.6% and 15.3%, respectively. HIV co-infection was low in all TB cases (0.2% yet highest in foreigners (1.3%. HIV status of 45% of TB cases was unknown. The proportion of multidrug-resistant TB (MDR-TB was similar among all risk groups (0.0%–0.9% except foreigner, at 3.4%. Males in most risk groups had higher mortality than females; the mortality of all TB cases in all age groups for both males and females was 3.6–24 times higher than the general population. Discussion: Reasons for the high proportion of “HIV status unknown” should be investigated and improved. Contact tracing among foreign cases with MDR-TB should be a priority. Homeless persons should be screened for DM together with TB. Programmes to enhance health and nutrition status may benefit TB prevention among the elderly. Tuberculosis screening and TB education are important for HCW.

  3. The dragged-fovea diplopia syndrome: clinical characteristics, diagnosis, and treatment.

    Science.gov (United States)

    De Pool, M Elaine; Campbell, J Peter; Broome, Sheena O; Guyton, David L

    2005-08-01

    To identify the clinical characteristics of the dragged-fovea diplopia syndrome, to introduce a simple diagnostic test that aids in the evaluation of such patients, and to provide a simple treatment option to improve the diplopia in some of these patients. Retrospective, observational case series. Ninety-five affected eyes in 83 consecutive patients seen between January 1, 1993, and August 9, 2004, who were diagnosed with the dragged-fovea diplopia syndrome at one institution. We reviewed the records of 222 patients who have been seen in the Krieger Children's Eye Center at The Wilmer Institute since 1993 with a diagnosis of maculopathy, internal limiting membrane, or dragged fovea. We collected ocular findings and history for those patients who reported binocular diplopia that was not amenable to prism therapy and not secondary to acquired strabismus. We recorded the presence of metamorphopsia on Amsler grid testing or other clinical evidence of macular wrinkling, response to prism trial, response to the small-field central fusion test (lights on-off test), and response to partial occlusion with Scotch Satin tape (3M Co., St. Paul, MN). Ninety-five affected eyes in 83 patients met the criteria for inclusion in the study. All patients who were tested with the lights on-off test (n = 69) responded positively, demonstrating rapid central fusion with room lights off, and recurrence of central diplopia with peripheral fusion with room lights on. Forty-six patients (of 64 tested) were receptive to monocular occlusion with Scotch Satin tape. The dragged-fovea diplopia syndrome consists of central diplopia in the presence of peripheral fusion, secondary to dragging of the fovea in one or both eyes by retinal disease. The central diplopia cannot be eliminated by prism therapy or eye muscle surgery. The lights on-off test has proved pathognomonic for this syndrome, and many patients have benefited from partial monocular occlusion with Scotch Satin tape.

  4. Implant and endodontic treatment selection are influenced by patients' demographic characteristics, insurance status, and medical history: A retrospective cohort study.

    Science.gov (United States)

    Chatzopoulos, Georgios S; Wolff, Larry F

    2017-01-01

    The aim of this study was to examine any potential association between demographic characteristics, socioeconomic status, dental insurance, and medical and tobacco history between patients that received endodontic treatment or extraction and implant treatment in a university dental clinic. Dental charts of patients who received root canal treatment and implant therapy were retrieved from the University of Minnesota School of Dentistry records. Age at the time of the procedure, gender, medical history, tobacco use, dental insurance status, zip code, and type of treatment provided were recorded. Patients who had both treatment modalities were excluded from the analysis. A total of 8,540 records of patients with a mean age of 50.66 years who have received either endodontic treatment (73.6%) or implant therapy (26.4%) were included. A statistically significant (P implant treatment as related to age, socioeconomic status, high blood pressure, asthma, thyroid disorders, arthritis, artificial joint, osteoporosis, depression, anxiety, cancer, and cancer treatment. Nonsmokers were significantly more likely to select a treatment plan with implants rather than an endodontic therapy. Within the limitations of this retrospective study, demographic parameters, insurance status, smoking, and medical history significantly affected the treatment selection between implant and endodontic treatment in a university setting.

  5. Prevalence and characteristics of substance abuse treatment utilization by US adolescents: National data from 1987 to 2008

    Science.gov (United States)

    Ilgen, Mark A.; Schulenberg, John; Kloska, Deborah D.; Czyz, Ewa; Johnston, Lloyd; O'Malley, Patrick

    2012-01-01

    Objective Although many adolescents use and abuse illicit drugs, few of those who could benefit from substance abuse treatment ever receive these services. The present study examines the prevalence of utilization of substance abuse treatment in national samples of adolescents over the past 22 years and identifies characteristics associated with receipt of these services. Method Monitoring the Future data on lifetime utilization of substance abuse treatment was available for 12th grade students who reported any lifetime illicit drug use from 1987 to 2008 (N = 25,537). After describing the prevalence of treatment utilization over this time period, logistic regression was used to examine potential predictors of treatment utilization. Results The overall prevalence of treatment utilization has remained relatively unchanged over the past 22 years. In multivariable models, adolescents reporting a greater frequency of lifetime use of marijuana or cocaine were more likely to receive substance abuse treatment. Additionally, substance abuse treatment utilization was more likely in those who received other mental health services. Conclusion Despite increased evidence for the effectiveness of substance abuse treatment, utilization of these services by adolescents has remained low and relatively stable over the past 22 years. Attempts to increase utilization of substance abuse treatment services would likely benefit from building on existing connections with mental health treatment. PMID:21885197

  6. Differential clinical characteristics, medication usage, and treatment response of bipolar disorder in the US versus The Netherlands and Germany

    NARCIS (Netherlands)

    Post, Robert M.; Leverich, Gabriele S.; Altshuler, Lori L.; Frye, Mark A.; Suppes, Trisha; Keck, Paul E.; McElroy, Susan L.; Nolen, Willem A.; Kupka, Ralph; Grunze, Heinz; Walden, Joerg; Rowe, Mike

    Increased early-onset bipolar illness was seen in the US compared with the Netherlands and Germany (abbreviated here as Europe), but other clinical characteristics, medication use, and treatment response have not been systematically explored. Outpatients with bipolar disorder were treated

  7. Differential clinical characteristics, medication usage, and treatment response of bipolar disorder in the US versus The Netherlands and Germany

    NARCIS (Netherlands)

    Post, R.M.; Leverich, G.S.; Altshuler, L.L.; Frye, M.A.; Suppes, T.; Keck, P.E.; McElroy, S.L.; Nolen, W.A.; Kupka, R.W.; Grunze, H.; Walden, J.; Rowe, M.

    2011-01-01

    Increased early-onset bipolar illness was seen in the US compared with the Netherlands and Germany (abbreviated here as Europe), but other clinical characteristics, medication use, and treatment response have not been systematically explored. Outpatients with bipolar disorder were treated

  8. Angst for tandbehandling. Prevalens og karakteristika blandt voksne danskere [Fear of dental treatment. Prevalence and characteristics among adult Danes

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.; Scheutz, F.

    1995-01-01

    anxiety, especially in the odontophobiia group, were years of avoidance of treatment and associated poor subjective perceptions of oral health. Logistic analyses revealed that although dental drilling was the identifying feature of dental anxiety characteristics, the drill could be symbolic for the many...

  9. Gender by Preferred Gambling Activity in Treatment Seeking Problem Gamblers: A Comparison of Subgroup Characteristics and Treatment Outcomes.

    Science.gov (United States)

    Khanbhai, Yasmin; Smith, David; Battersby, Malcolm

    2017-03-01

    Problem gambling is a growing public health concern and treatment incompletion levels remain high. The study aims to support and extend previous studies in relation to the heterogeneity of the gambling population based on gender and gambling type, and the implications of subgroup differences on treatment outcomes. Additionally, the concept of drop-out is addressed in terms of categorical treatment measures. The empirical findings are examined in the context of the theoretical framework of the pathways model. Participants were recruited from the Statewide Gambling Therapy Service and stratified into subgroups based on gender and gambling mode preference [Electronic Gambling Machines (EGM) or track race betters]. Baseline predictors collected and analysed using multinomial logistical regression included demographic information as well as gambling variables, while treatment outcomes consisted of three therapist rated measures. Significant differences between the subgroups were found for age, marital and employment status, gambling duration, alcohol use and the Kessler 10 measure of psychological distress. Specifically, male track race gamblers were younger, married, employed, had a longer duration of gambling, higher alcohol use and lower psychological distress relative to EGM users. No difference was found in any of the treatment outcomes, however, consistent with previous studies, all subgroups had high treatment incompletion levels. The findings demonstrate the importance of screening, assessing and treating problem gamblers as a heterogeneous group with different underlying demographics and psychopathologies. It is also hoped future studies will continue to address treatment incompletion with a re-conceptualisation of the term drop-out.

  10. Fractionation of wastewater characteristics for modelling of Firle Sewage Treatment Works, Harare, Zimbabwe

    Science.gov (United States)

    Muserere, Simon Takawira; Hoko, Zvikomborero; Nhapi, Innocent

    Varying conditions are required for different species of microorganisms for the complex biological processes taking place within the activated sludge treatment system. It is against the requirement to manage this complex dynamic system that computer simulators were developed to aid in optimising activated sludge treatment processes. These computer simulators require calibration with quality data input that include wastewater fractionation among others. Thus, this research fractionated raw sewage, at Firle Sewage Treatment Works (STW), for calibration of the BioWin simulation model. Firle STW is a 3-stage activated sludge system. Wastewater characteristics of importance for activated sludge process design can be grouped into carbonaceous, nitrogenous and phosphorus compounds. Division of the substrates and compounds into their constituent fractions is called fractionation and is a valuable tool for process assessment. Fractionation can be carried out using bioassay methods or much simpler physico-chemical methods. The bioassay methods require considerable experience with experimental activated sludge systems and associated measurement techniques while the physico-chemical methods are straight forward. Plant raw wastewater fractionation was carried out through two 14-day campaign periods, the first being from 3 to 16 July 2013 and the second was from 1 to 14 October 2013. According to the Zimbabwean Environmental Management Act, and based on the sensitivity of its catchment, Firle STW effluent discharge regulatory standards in mg/L are COD (in mg/L during the period of study were COD (90 ± 35), TN (9.0 ± 3.0), ammonia (0.2 ± 0.4) and TP (3.0 ± 1.0). The raw sewage parameter concentrations measured during the study in mg/L and fractions for raw sewage respectively were as follows total COD (680 ± 37), slowly biodegradable COD (456 ± 23), (0.7), readily biodegradable COD (131 ± 11), (0.2), soluble unbiodegradable COD (40 ± 3), (0.06), particulate

  11. The role of angiogenesis in implant dentistry part I: Review of titanium alloys, surface characteristics and treatments.

    Science.gov (United States)

    Saghiri, M-A; Asatourian, A; Garcia-Godoy, F; Sheibani, N

    2016-07-01

    Angiogenesis plays an important role in osseointegration process by contributing to inflammatory and regenerative phases of surrounding alveolar bone. The present review evaluated the effect of titanium alloys and their surface characteristics including: surface topography (macro, micro, and nano), surface wettability/energy, surface hydrophilicity or hydrophobicity, surface charge, and surface treatments of dental implants on angiogenesis events, which occur during osseointegration period. An electronic search was performed in PubMed, MEDLINE, and EMBASE databases via OVID using the keywords mentioned in the PubMed and MeSH headings regarding the role of angiogenesis in implant dentistry from January 2000-April 2014. Of the 2,691 articles identified in our initial search results, only 30 met the inclusion criteria set for this review. The hydrophilicity and topography of dental implants are the most important and effective surface characteristics in angiogenesis and osteogenesis processes. The surface treatments or modifications of dental implants are mainly directed through the enhancement of biological activity and functionalization in order to promote osteogenesis and angiogenesis, and accelerate the osseointegration procedure. Angiogenesis is of great importance in implant dentistry in a manner that most of the surface characteristics and treatments of dental implants are directed toward creating a more pro-angiogenic surface on dental implants. A number of studies discussed the effect of titanium alloys, dental implant surface characteristic and treatments on agiogenesis process. However, clinical trials and in-vivo studies delineating the mechanisms of dental implants, and their surface characteristics or treatments, action in angiogenesis processes are lagging.

  12. The choice of the noninferiority margin in clinical trials was driven by baseline risk, type of primary outcome, and benefits of new treatment.

    Science.gov (United States)

    Gayet-Ageron, Angèle; Agoritsas, Thomas; Rudaz, Sandrine; Courvoisier, Delphine; Perneger, Thomas

    2015-10-01

    To explore characteristics of clinical trials that influence the choice of the noninferiority margin (NIM) when planning the trial. We conducted an experimental survey among corresponding authors of randomized controlled trials indexed in MEDLINE. We described two hypothetical studies and asked the respondents' opinion on the largest loss of effectiveness that is clinically negligible (or the smallest lost of effectiveness that is clinically important in the superiority scenario). We randomly manipulated four study attributes in each vignette, using a factorial design. A total of 364 researchers participated. The values for NIMs were significantly lower than the differences to be detected in a superiority trial. The NIM was smaller when the primary outcome was mortality compared with treatment failure, when baseline risk in the control arm was lower, and when the advantage of the new treatment was a lower cost compared with having fewer side effects. In contrast, the population age group under study and the difficulty to recruit patients showed no effect on the choice of the NIM. In our experimental study, the factors associated with lower NIMs were mortality as a primary outcome, low baseline risk, and a less costly new treatment. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. A Single Centre Analysis of Clinical Characteristics and Treatment of Endocrine Pancreatic Tumours

    Directory of Open Access Journals (Sweden)

    M. T. Adil

    2015-01-01

    Full Text Available Background. Endocrine Pancreatic Tumours (PENs are rare and can be nonfunctioning or functioning. They carry a good prognosis overall though high grade lesions show a relatively shorter survival. The aim of the current study is to describe a single centre analysis of the clinical characteristics and surgical treatment of PENs. Patients and Methods. This is a cohort analysis of 40 patients of PENs who underwent surgery at Sir Ganga Ram Hospital, New Delhi, India, from 1995 to 2013. Patient particulars, clinical features, surgical interventions, postoperative outcome, and followup were done and reviewed. The study group was divided based on grade (G1, G2, and G3 and functionality (nonfunctioning versus functioning for comparison. Results. PENs comprised 6.3% of all pancreatic neoplasms (40 of 634. Twenty-eight patients (70% had nonfunctioning tumours. Eighteen PENs (45% were carcinomas (G3, all of which were nonfunctioning. 14 (78% of these were located in the pancreatic head and uncinate process (P=0.09. The high grade (G3 lesions were significantly larger in size than the lower grade (G1 + G2 tumours (7.0 ± 3.5 cms versus 3.1 ± 1.6 cms, P=0.007. Pancreatoduodenectomy was performed in 18 (45%, distal pancreatectomy in 10 (25%, and local resection in 8 (20% and nonresective procedures were performed in 4 patients (10%. Fourteen patients (35% had postoperative complications. All G3 grade tumours which were resected had positive lymph nodes (100% and 10 had angioinvasion (71%. Eight neoplasms (20% were cystic, all being grade G3 carcinomas, while the rest were solid. The overall disease related mortality attributable to PEN was 14.3% (4 of 28 and for malignant PENs was 33.3% (4 of 12 after a mean follow-up period of 49.6 months (range: 2–137 months. Conclusion. Majority of PENs are nonfunctioning. They are more likely malignant if they are nonfunctioning and large in size, show cystic appearance, and are situated in the pancreatic head

  14. Identifying predictive clinical characteristics of the treatment efficacy of mirtazapine monotherapy for major depressive disorder

    Directory of Open Access Journals (Sweden)

    Tsutsumi T

    2016-10-01

    Full Text Available Takahiro Tsutsumi,1 Hiroko Sugawara,1,2 Ryoko Ito,1 Mizuho Asano,1 Satoru Shimizu,3 Jun Ishigooka,1 Katsuji Nishimura1 1Department of Psychiatry, 2Support Center for Women Health Care Professionals and Research, 3Department of Research, Medical Research Institute, Tokyo Women’s Medical University, Tokyo, Japan Background: Mirtazapine, which is classified as a noradrenergic and specific serotonergic antidepressant, is widely prescribed for the treatment of major depressive disorder. The potential predictive factors of the efficacy of mirtazapine and the tolerability based on the incidence of oversedation and jitteriness/anxiety syndrome were evaluated. Patients and methods: Patients with major depressive disorder were retrospectively investigated. Study subjects comprised 68 patients with depression who received mirtazapine as an initial antidepressant at the Department of Psychiatry of the Tokyo Women’s Medical University Hospital from September 2009 to March 2013. The efficacy of mirtazapine monotherapy was evaluated based on the Clinical Global Impression Improvement score. Clinical characteristics were compared between remission and nonremission groups to determine the factors predicting the efficacy. Moreover, discontinuation rates due to adverse effects, including oversedation and jitteriness/anxiety syndrome, were examined, and the effects of confounding factors were evaluated. Results: The remission rate of mirtazapine monotherapy was 36.8% among the 68 enrolled subjects. The mean final doses in the remission and nonremission groups were 27.6±13.5 mg and 26.0±14.1 mg, respectively, and there was no significant difference between them. Multiple logistic analyses revealed that the absence of guilt (odds ratio [OR] =0.15; 95% CI [1.66–37.24], P=0.006 and the presence of psychomotor retardation (OR =4.30; 95% CI [1.30–16.60], P=0.016 were significantly related to the efficacy of mirtazapine monotherapy. The discontinuation rates

  15. Rheological and fractal characteristics of unconditioned and conditioned water treatment residuals.

    Science.gov (United States)

    Dong, Y J; Wang, Y L; Feng, J

    2011-07-01

    The rheological and fractal characteristics of raw (unconditioned) and conditioned water treatment residuals (WTRs) were investigated in this study. Variations in morphology, size, and image fractal dimensions of the flocs/aggregates in these WTR systems with increasing polymer doses were analyzed. The results showed that when the raw WTRs were conditioned with the polymer CZ8688, the optimum polymer dosage was observed at 24 kg/ton dry sludge. The average diameter of irregularly shaped flocs/aggregates in the WTR suspensions increased from 42.54 μm to several hundred micrometers with increasing polymer doses. Furthermore, the aggregates in the conditioned WTR system displayed boundary/surface and mass fractals. At the optimum polymer dosage, the aggregates formed had a volumetric average diameter of about 820.7 μm, with a one-dimensional fractal dimension of 1.01 and a mass fractal dimension of 2.74 on the basis of the image analysis. Rheological tests indicated that the conditioned WTRs at the optimum polymer dosage showed higher levels of shear-thinning behavior than the raw WTRs. Variations in the limiting viscosity (η(∞)) of conditioned WTRs with sludge content could be described by a linear equation, which were different from the often-observed empirical exponential relationship for most municipal sludge. With increasing temperature, the η(∞) of the raw WTRs decreased more rapidly than that of the raw WTRs. Good fitting results for the relationships between lgη(∞)∼T using the Arrhenius equation indicate that the WTRs had a much higher activation energy for viscosity of about 17.86-26.91 J/mol compared with that of anaerobic granular sludge (2.51 J/mol) (Mu and Yu, 2006). In addition, the Bingham plastic model adequately described the rheological behavior of the conditioned WTRs, whereas the rheology of the raw WTRs fit the Herschel-Bulkley model well at only certain sludge contents. Considering the good power-law relationships between the

  16. Geochemically structural characteristics of municipal solid waste incineration fly ash particles and mineralogical surface conversions by chelate treatment.

    Science.gov (United States)

    Kitamura, Hiroki; Sawada, Takaya; Shimaoka, Takayuki; Takahashi, Fumitake

    2016-01-01

    Leaching behaviors of heavy metals contained in municipal solid waste incineration (MSWI) fly ash have been studied well. However, micro-characteristics of MSWI fly ash particles are still uncertain and might be non-negligible to describe their leaching behaviors. Therefore, this study investigated micro-characteristics of MSWI fly ash particles, especially their structural properties and impacts of chelate treatment on surface characteristics. According to SEM observations, raw fly ash particles could be categorized into four types based on their shapes. Because chelate treatment changed the surface of fly ash particles dramatically owing to secondary mineral formations like ettringite, two more types could be categorized for chelate-treated fly ash particles. Acid extraction experiments suggest that fly ash particles, tested in this study, consist of Si-base insoluble core structure, Al/Ca/Si-base semi-soluble matrices inside the body, and KCl/NaCl-base soluble aggregates on the surface. Scanning electron microscope (SEM) observations of the same fly ash particles during twice moistening treatments showed that KCl/NaCl moved under wet condition and concentrated at different places on the particle surface. However, element mobility depended on secondary mineral formations. When insoluble mineral like gypsum was generated and covered the particle surface, it inhibited element transfer under wet condition. Surface characteristics including secondary mineral formation of MSWI fly ash particles are likely non-negligible to describe trace element leaching behaviors.

  17. ROS1 protein-tyrosine kinase inhibitors in the treatment of ROS1 fusion protein-driven non-small cell lung cancers.

    Science.gov (United States)

    Roskoski, Robert

    2017-07-01

    ROS1 protein-tyrosine kinase fusion proteins are expressed in 1-2% of non-small cell lung cancers. The ROS1 fusion partners include CD74, CCDC6, EZR, FIG, KDELR2, LRIG3, MSN, SDC4, SLC34A2, TMEM106B, TMP3, and TPD52L1. Physiological ROS1 is closely related to the ALK, LTK, and insulin receptor protein-tyrosine kinases. ROS1 is a so-called orphan receptor because the identity of its activating ligand, if any, is unknown. The receptor is expressed during development, but little is expressed in adults and its physiological function is unknown. The human ROS1 gene encodes 2347 amino acid residues and ROS1 is the largest protein-tyrosine kinase receptor protein. Unlike the ALK fusion proteins that are activated by the dimerization induced by their amino-terminal portions, the amino-terminal domains of several of its fusion proteins including CD74 apparently lack the ability to induce dimerization so that the mechanism of constitutive protein kinase activation is unknown. Downstream signaling from the ROS1 fusion protein leads to the activation of the Ras/Raf/MEK/ERK1/2 cell proliferation module, the phosphatidyl inositol 3-kinase cell survival pathway, and the Vav3 cell migration pathway. Moreover, several of the ROS1 fusion proteins are implicated in the pathogenesis of a very small proportion of other cancers including glioblastoma, angiosarcoma, and cholangiocarcinoma as well as ovarian, gastric, and colorectal carcinomas. The occurrence of oncogenic ROS1 fusion proteins, particularly in non-small cell lung cancer, has fostered considerable interest in the development of ROS1 inhibitors. Although the percentage of lung cancers driven by ROS1 fusion proteins is low, owing to the large number of new cases of non-small cell lung cancer per year, the number of new cases of ROS1-positive lung cancers is significant and ranges from 2000 to 4000 per year in the United States and 10,000-15,000 worldwide. Crizotinib was the first inhibitor approved by the US Food and Drug

  18. Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth

    DEFF Research Database (Denmark)

    Fellows, Jeffrey L; Gordan, Valeria V; Gilbert, Gregg H

    2014-01-01

    participating network dentists were combined. ANOVA and logistic regression, using generalized estimating equations (GEE) and variable selection within blocks, were used to test the hypothesis that patient, dentist, and practice characteristics were associated with variations in enamel restorations of occlusal...

  19. Racial disparities in colorectal cancer survival: to what extent are racial disparities explained by differences in treatment, tumor characteristics, or hospital characteristics?

    Science.gov (United States)

    White, Arica; Vernon, Sally W; Franzini, Luisa; Du, Xianglin L

    2010-10-01

    Racial/ethnic differences in colorectal cancer (CRC) survival have been documented throughout the literature. However, the reasons for these disparities are difficult to decipher. The objective of this analysis was to determine the extent to which racial/ethnic disparities in survival are explained by differences in sociodemographics, tumor characteristics, diagnosis, treatment, and hospital characteristics. A cohort of 37,769 Medicare beneficiaries who were diagnosed with American Joint Committee on Cancer stages I, II, and III CRC from 1992 to 2002 and resided in 16 Surveillance, Epidemiology, and End Results (SEER) regions of the United States was identified in the SEER-Medicare linked database. Survival was estimated using the Kaplan-Meier method. Cox proportional hazards modeling was used to estimate hazard ratios (HRs) of mortality and 95% confidence intervals (CIs). Black patients had worse CRC-specific survival than white patients, but the difference was reduced after adjustment (adjusted HR [aHR], 1.24; 95% CI, 1.14-1.35). Asian patients had better survival than white patients after adjusting for covariates (aHR, 0.80; 95% CI, 0.70-0.92) for stages I, II, and III CRC. Relative to Asians, blacks and whites had worse survival after adjustment (blacks: aHR, 1.56; 95% CI, 1.33-1.82; whites: aHR, 1.26; 95% CI, 1.10-1.44). Comorbidities and socioeconomic Status were associated with a reduction in the mortality difference between blacks and whites and blacks and Asians. Comorbidities and SES appeared to be more important factors contributing to poorer survival among black patients relative to white and Asian patients. However, racial/ethnic differences in CRC survival were not fully explained by differences in several factors. Future research should further examine the role of quality of care and the benefits of treatment and post-treatment surveillance in survival disparities. Copyright © 2010 American Cancer Society.

  20. Influence of Microstructure and Composition Changes on Mechanical Characteristics of Aluminium Alloy After Heating and Cooling Treatment

    International Nuclear Information System (INIS)

    Sigit; Nuraini, E; Martoyo

    1998-01-01

    Influences of microstructure and chemical composition changes on mechanical characteristics of AIMg2 which were heated at 85-500 0 C and cooled with sands, water or air have been studied. Microstructure observation was carried out using optical microscope, while chemical composition determination by atomic absorption spectrophotometry (AAS). AIMg2 which has been heated at the relatively low temperature i. e, 200 0 C during 6 hours and cooled using sands showed a small change microstructure, but those will be clearly observed on the treatment at 300 0 C. The microstructure change is in agreement with the change of mechanical characteristic, I. e., the decreasing of tensile strength and hardness and increasing of elongation. After the temperature of treatment is higher than 300 0 C, the decreasing of the tensile strength was relatively constant, while the hardness increased. The microstructure of AIMg2 resulted from the heat treatment at temperature of 500 0 C was different with that of 300 0 C. Heat treatment at 500 0 C following by cooling in the sands, water or air respectively gave similar microstructure. Those also caused the change of alloying element content which was in agreement with decreasing of mechanical characteristics

  1. Borderline Personality Characteristics and Treatment Outcome in Cognitive-Behavioral Treatments for PTSD in Female Rape Victims

    Science.gov (United States)

    Clarke, Stephanie B.; Rizvi, Shireen L.; Resick, Patricia A.

    2008-01-01

    Many studies report that comorbid borderline personality pathology is associated with poorer outcomes in the treatment of Axis I disorders. Given the high rates of comorbidity between borderline personality pathology and posttraumatic stress disorder (PTSD), it is essential to determine whether borderline symptomatology affects PTSD treatment…

  2. Electrical Characteristics of Carbon Nanotubes by Plasma and Microwave Surface Treatments

    International Nuclear Information System (INIS)

    Cho, Sangjin; Lee, Soonbo; Boo, Jinhyo; Shrestha, Shankar Prasad

    2014-01-01

    The plasma and microwave surface treatments of carbon nanotubes that loaded on plastic substrates were carried out with expecting a change of carbon nanotube dispersion by increasing treatment time. The microwave treatment process was undergone by commercial microwave oven (800 W). The electrical property was measured by hall measurement and resistance was increased by increasing O 2 flow rate of plasma, suggesting an improvement of carbon nanotube dispersion and a possibility of controlling the resistances of carbon nanotubes by plasma surface treatment. The resistance was increased in both polyethylene terephthalate and polyimide substrates by increasing O 2 flow rate. Resistance changes only slightly with different O 2 flow treatment in measure rho for all polyimide samples. Sheet resistance is lowest in polyimide substrate not due to high carbon nanotube loading but due to tendency to remain in elongated structure. O 2 or N 2 plasma treatments on both polyethylene terephthalate and polyimide substrates lead to increase in sheet resistance

  3. Investigation on the characteristics of liquid wastes depending on their generation sources and study on optimum treatment method

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sang Guk; Kim, Dong Chan; Shin, Dae Hyun; Son, Seung Geun; Roh, Nam Sun; Woo, Je Kyung [Korea Inst. of Energy Research, Taejon (Korea, Republic of)

    1995-12-01

    The major research contents conducted this year are as follows: (1) environmental regulation with respect to the treatment of the liquid waste in the U.S.A., (2) the present status of the generation and treatment of liquid wastes for large producers(>1,000 ton/year), (3) analysis for heating value element, heavy metal content, halogenated species on collected samples, (4) investigation on estimation method of energy recovery rate from liquid waste, (5) design of a lab. scale reactor which could be capable of conducting thermal decomposition test with small quantity of sample. In this study, present status of liquid waste generation and treatment is investigated, and thermal decomposition characteristics are studied using a lab. scale thermal reactor. The purpose of this research is to divide liquid waste into groups and to present best treatment method for their each group. (author). 24 refs., 21 figs., 23 tabs.

  4. Effect of well-established plasma treatment technology on some physiological characteristics in maize leaves during seedling stage

    International Nuclear Information System (INIS)

    Zhao Hongxiang; Fang Xiangqian; Bian Shaofeng; Zhang Lihua; Tan Guobo; Meng Xiangmeng; Yan Weiping; Liu Yaliang; Sun Ning

    2010-01-01

    In order to provide theoretical references and technical support for application of plasma treatment technology in agriculture, the seeds of maize were treated by well-established plasma treatment technology, then the changes of physiological characteristics of maize leaves during seedling stage were studied. The results indicated that the stress resistance of maize was improved by plasma treatment. The SOD, POD and CAT activities, soluble protein content and soluble sugar content of leaves at two-leave stage, four-leave stage, six-leave stage and eight-leave stage treated by plasma were higher than that of CK, but the MDA content was lower than CK. Although NR activity in leaves at twoleave stage and four-leave stage was slightly lower than CK, but higher than CK at six-leave stage (26.81%) and eightleaves stage (26.75%). Plasma treatment enhanced the nitrogen metabolism capacity, and this tendency was increased remarkable with the growth stages processes. (authors)

  5. Pre-treatment child and family characteristics as predictors of outcome in cognitive behavioural therapy for youth anxiety disorders

    DEFF Research Database (Denmark)

    Lundkvist-Houndoumadi, Irene; Hougaard, Esben; Thastum, Mikael

    2014-01-01

    BACKGROUND: Cognitive behavioural therapy (CBT) has been found to be effective for children and adolescents (6-18 years) with anxiety disorders, but the non-response rate is high-a fact that may argue for the importance of studies on pre-treatment characteristics of children and their families...... that predict treatment outcome. AIMS: To provide a systematic review of clinical and demographic pre-treatment child and family predictors of treatment outcome in CBT for anxiety disorders in youth. METHOD: A systematic literature search was conducted based on electronic databases (PsycINFO, Embase and Pub......Med), and retrieved studies were analysed according to the box-score method of counting significant findings. RESULTS: 24 studies with a sample size ≥ 60 were located. Most studies dealt with the following predictors: child age, gender, comorbidity, symptom severity and parental psychopathology. There was some...

  6. The Clinical Characteristics and Treatment Response in Children with West Syndrome in a Developing Country: A Retrospective Case Record Analysis.

    Science.gov (United States)

    Gulati, Sheffali; Jain, Puneet; Kannan, Lakshminarayanan; Sehgal, Rachna; Chakrabarty, Biswaroop

    2015-10-01

    This study describes the clinical characteristics, treatment, and outcome of children with West syndrome in a tertiary care hospital in north India. Overall, 310 case records diagnosed from January 2009 to June 2012 were reviewed. The median age of onset of spasms was 5 months (interquartile range = 2.5-7 months). The predominant underlying etiology was perinatal cerebral ischemia (55%). Adrenocorticotropic hormone or oral steroids were received by 92% children, of whom 43% became seizure free. Median lag time for appropriate treatment initiation was significantly less in patients who became seizure free as compared to those with persisting seizures (11 vs 15 months, P = .001) soon after receiving treatment of choice. Later age at onset of spasms was associated with a favorable seizure outcome (P = .03). In a resource-limited setting, unawareness along with treatment costs and repeated visits to the hospital are significant obstacles to optimum management. © The Author(s) 2015.

  7. The acceptability of Internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: an Internet survey.

    Science.gov (United States)

    Wootton, Bethany M; Titov, Nickolai; Dear, Blake F; Spence, Jay; Kemp, Alice

    2011-01-01

    Obsessive-compulsive disorder (OCD) is a disabling anxiety disorder, but most individuals delay seeking treatment. Internet-based cognitive behavioural therapy (iCBT) is an innovative service delivery method that may help to improve access to care, but the acceptability to consumers of such programs has not yet been established. People with symptoms of OCD were invited to complete an online survey enquiring about demographic characteristics, symptom severity, and acceptability of Internet-based treatment. Demographic and symptom severity data were compared with people with OCD identified in a national epidemiological survey and with a sample of patients with OCD from a specialist outpatient anxiety clinic. 129 volunteers to an online Internet survey, 135 patients at a specialist anxiety disorders outpatient clinic, and 297 cases identified in a national epidemiological survey. Demographic characteristics, and severity of symptoms as measured by the Kessler 10-Item scale, the 12-item World Health Organisation Disability Assessment Schedule-Second Edition and the Yale Brown Obsessive Compulsive Scale-Self Report Version. The Internet sample was similar demographically but reported more severe symptoms than the comparison groups, although had similar severity of symptoms of OCD compared with other clinical samples reported in the literature. Participants reported Internet-based treatment for OCD would be highly acceptable. Internet-based treatment may reduce barriers to accessing treatment to people with OCD. Individuals in this study were similar demographically to other samples and had similar severity of symptoms as those identified in other clinical samples, suggesting that Internet-based treatment using techniques employed in face-to-face treatment may be effective in this group. Internet-based treatments for OCD need to be developed and evaluated.

  8. Analysis of thermal treatment effects upon optico-luminescent and scintillation characteristics of oxide and chalcogenide crystals

    International Nuclear Information System (INIS)

    Ryzhikov, Vladimir D.; Grinyov, Boris V.; Pirogov, Evgeniy N.; Galkin, Sergey N.; Nagornaya, Lyudmila L.; Bondar, Vladimir G.; Babiychuk, Inna P.; Krivoshein, Vadim I.; Silin, Vitaliy I.; Lalayants, Alexandr I.; Voronkin, Evgeniy F.; Katrunov, Konstantin A.; Onishchenko, Gennadiy M.; Vostretsov, Yuriy Ya.; Malyi, Pavel Yu.; Lisetskaya, Elena K.; Lisetskii, Longin N.

    2005-01-01

    This work has been aimed at analyzing the effects of various thermal treatment factors upon optical-luminescent, scintillation and other functional characteristics of complex oxide and chalcogenide crystals. The crystals considered in this work are scintillators with intrinsic (PWO, CWO, BGO), activator (GSO:Ce) or complex-defect ZnSe(Te) type of luminescence. Important factors of thermal treatment are not only the temperature and its variation with time, but also the chemical composition of the annealing medium, its oxidation-reduction properties

  9. Characteristics of patients receiving ustekinumab compared with secukinumab for treatment of moderate-to-severe plaque psoriasis

    DEFF Research Database (Denmark)

    Egeberg, A; Iversen, L; Gniadecki, R

    2017-01-01

    ustekinumab. CONCLUSIONS: We found significant differences in characteristics of patients starting therapy with ustekinumab and secukinumab in a real-life clinical setting. These findings may aid clinicians and researchers when interpreting efficacy data derived from clinical trials and biologic registries...... with secukinumab or ustekinumab. METHODS: All Danish patients with moderate-to-severe plaque psoriasis treated with biologics are recorded in the nationwide DERMBIO registry. We compared characteristics of patients starting first-time therapy with ustekinumab and secukinumab, respectively. RESULTS: We identified...... a total of 1037 and 142 first-time treatment series with ustekinumab and secukinumab. There was a male predominance in both groups, but patients initiating secukinumab were slightly older and with longer disease duration; in agreement with guidelines for biologic treatment in Denmark where ustekinumab has...

  10. Characteristics of Problem Drinkers in E-therapy versus Face-to-Face Treatment

    NARCIS (Netherlands)

    Postel, M.G.; Haan, H.A. de; Huurne, E.D. ter; Becker, E.S.; Jong, C.A.J. de

    2011-01-01

    Background: The availability of online treatment programs offers the potential to reach more problem drinkers. This study compared the client populations of an e-therapy program (asynchronous client–therapist communication via the Internet) and a face-to-face treatment program. Objective: To

  11. Characteristics of problem drinkers in e-therapy versus face-to-face treatment.

    NARCIS (Netherlands)

    Postel, M.G.; Haan, H.A. de; Huurne, E.D. Ter; Becker, E.S.; Jong, C.A.J. de

    2011-01-01

    BACKGROUND: The availability of online treatment programs offers the potential to reach more problem drinkers. This study compared the client populations of an e-therapy program (asynchronous client-therapist communication via the Internet) and a face-to-face treatment program. OBJECTIVE: To

  12. Effect of urea treatment of cocoa pod on rumen fermentation characteristics in vitro

    Science.gov (United States)

    Anggraeni, A. S.; Herdian, H.; Sakti, A. A.; Sofyan, A.; Ekaningrum, M.

    2017-12-01

    Indonesia is a third largest country in the world for cocoa production. A cocoa pod could be utilized as alternative feeds due to their sufficient quantity and availability throughout the year. On the other hand, low nutritional quality such as highly fibrous materials and low protein content usually characterized in agricultural and plantation by-products as it appears on cocoa pod. Ammoniation treatment using urea improve the nutritional quality of feedstuff. The objective of this study was to evaluate the effect of ammoniation treatments on a cocoa pod on in vitro feed fermentation and gas production on ruminal fluid. KA treatment gave highest gas production than other treatment. Total gas production during 48 hours of the cocoa pod was significantly affected by treatments (Pcocoa pod.

  13. Characteristics and Biodegradability of Wastewater Organic Matter in Municipal Wastewater Treatment Plants Collecting Domestic Wastewater and Industrial Discharge

    OpenAIRE

    Yun-Young Choi; Seung-Ryong Baek; Jae-In Kim; Jeong-Woo Choi; Jin Hur; Tae-U Lee; Cheol-Joon Park; Byung Joon Lee

    2017-01-01

    Municipal wastewater treatment plants (WWTPs) in Korea collect and treat not only domestic wastewater, but also discharge from industrial complexes. However, some industrial discharges contain a large amount of non-biodegradable organic matter, which cannot be treated properly in a conventional biological WWTP. This study aimed to investigate the characteristics and biodegradability of the wastewater organic matter contained in the industrial discharges and to examine the fate of the industri...

  14. Characteristics of ion spectrum in a low energy nitrogen operated plasma focus: application to the metallic substrates thermal treatment

    International Nuclear Information System (INIS)

    Kelly, H.; Lepone, A.; Marquez, A.

    1998-01-01

    Full text: This work presents the nitrogen ion spectrum characteristics in a Plasma Focus device, determined using a Thomson spectrometer and a Faraday cup, operated in the secondary electron collective mode. It is also discussed the thermal treatment and the re coating induce by ions incident on a metallic surface (AISI 304 steel) placed in front of the coaxial gun, when the device is operated with a Ti implant at the end of the central electrode

  15. Effects of open-air sun drying and pre-treatment on drying characteristics of purslane ( Portulaca oleracea L.)

    Science.gov (United States)

    İsmail, Osman; Kantürk Figen, Aysel; Pişkin, Sabriye

    2015-06-01

    Effects of open-air sun drying and pre-treatment on drying characteristic of purslanes ( Portulaca oleracea L.) were investigated. Drying times were determined as 31, 24 and 9 h for natural, salted and blanched, respectively. The higher "L" value and lower "-a/b" ratio values were obtained in natural dried purslane. The Aghbashlo et al. model gave a better fit to drying data.

  16. The structure and amphipathy characteristics of modified γ-zeins by SDS or alkali in conjunction with heating treatment.

    Science.gov (United States)

    Dong, Shi-Rong; Xu, Hong-Hua; Tan, Jun-Yan; Xie, Ming-Ming; Yu, Guo-Ping

    2017-10-15

    γ-Zein was modified by SDS or alkali combined with heating treatments in water and in 70% ethanol to change its amphipathic properties and explore the relationship between amphipathic characteristic and structure. γ-Zein water-dispersibility was dramatically increased via alkali or SDS combined with heating treatments, but their ethanol-dispersibilities were significantly different during ethanol evaporation. High both water-dispersibility and ethanol-dispersibility were found from alkali modified γ-zein while high water-dispersibility but low ethanol-dispersibility were obtained from SDS modified γ-zein, indicating that alkali modified γ-zein had better amphipathic characteristic compared with SDS modified γ-zein. Alkali modified γ-zein with higher amphipathic characteristic possessed higher structural inversion ability since it was easy to recover its native state as solvent changing from water to ethanol, contrary to SDS modified γ-zeins whose amphipathic characteristic was not improved. Moreover, the higher structural inversion ability of alkali modified γ-zein depended on the recovery capability of α-helix structure as solvent altering. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Characteristics of estrous cycles in gilts treated with gonadotropins after estrus or treatment with a progestogen.

    Science.gov (United States)

    Estienne, Mark J; Crawford, Russell J

    2015-03-01

    A combination of eCG (400 IU) and hCG (200 IU) (P.G. 600; Merck Animal Health, Summit, NJ, USA) stimulates puberty in gilts, but variation in the estrual response exists among farms. We hypothesized that some of the variability is a consequence of gilts that have commenced cycling being inadvertently treated. The objective of experiment 1 was to determine the effect of intramuscular (im) P.G. 600 on estrous cycles in sexually mature gilts. Gilts in treatment 1 (n = 16) received P.G. 600 at the onset of daily boar exposure. Gilts in treatments 2 to 5 (n = 16 per treatment) were allowed to express a natural first estrus and were then treated with P.G. 600 during the first estrous cycle as follows: treatment 2 at Day 6, treatment 3 at Day 12, and treatment 4 at Day 18 of the estrous cycle. Treatment 5 gilts received no P.G. 600. The proportion of gilts displaying a normal estrous cycle (18-24 days) was greater (P gilts displayed an increased interestrus interval that averaged 32.5 days. Concentrations of progesterone remained elevated 20 days after the onset of first estrus in treatment 3 gilts, which supports the concept that P.G. 600 administered at Day 12 of the estrous cycle induced follicular growth, ovulation, and formation of CL that functioned for approximately 15 days, increasing the length of the estrous cycle. It is common for swine producers to have groups of replacement gilts that include both cycling and prepubertal animals, or individuals, the cycling status of which is unknown. The objective of experiment 2 was to evaluate a system using a combination of a progestogen (Matrix; Merck Animal Health) and P.G. 600 to synchronize estrus in replacement gilts. Crossbred gilts, assumed to be a mix of cycling and prepubertal females, were allocated to one of four treatments (n = 12 per treatment): treatment 1, Matrix (15 mg/day) fed for 14 days and im P.G. 600 24 hours after the last feeding of Matrix; treatment 2, Matrix for 7 days and P.G. 600

  18. An integrated model-driven method for in-treatment upper airway motion tracking using cine MRI in head and neck radiation therapy.

    Science.gov (United States)

    Li, Hua; Chen, Hsin-Chen; Dolly, Steven; Li, Harold; Fischer-Valuck, Benjamin; Victoria, James; Dempsey, James; Ruan, Su; Anastasio, Mark; Mazur, Thomas; Gach, Michael; Kashani, Rojano; Green, Olga; Rodriguez, Vivian; Gay, Hiram; Thorstad, Wade; Mutic, Sasa

    2016-08-01

    For the first time, MRI-guided radiation therapy systems can acquire cine images to dynamically monitor in-treatment internal organ motion. However, the complex head and neck (H&N) structures and low-contrast/resolution of on-board cine MRI images make automatic motion tracking a very challenging task. In this study, the authors proposed an integrated model-driven method to automatically track the in-treatment motion of the H&N upper airway, a complex and highly deformable region wherein internal motion often occurs in an either voluntary or involuntary manner, from cine MRI images for the analysis of H&N motion patterns. Considering the complex H&N structures and ensuring automatic and robust upper airway motion tracking, the authors firstly built a set of linked statistical shapes (including face, face-jaw, and face-jaw-palate) using principal component analysis from clinically approved contours delineated on a set of training data. The linked statistical shapes integrate explicit landmarks and implicit shape representation. Then, a hierarchical model-fitting algorithm was developed to align the linked shapes on the first image frame of a to-be-tracked cine sequence and to localize the upper airway region. Finally, a multifeature level set contour propagation scheme was performed to identify the upper airway shape change, frame-by-frame, on the entire image sequence. The multifeature fitting energy, including the information of intensity variations, edge saliency, curve geometry, and temporal shape continuity, was minimized to capture the details of moving airway boundaries. Sagittal cine MR image sequences acquired from three H&N cancer patients were utilized to demonstrate the performance of the proposed motion tracking method. The tracking accuracy was validated by comparing the results to the average of two manual delineations in 50 randomly selected cine image frames from each patient. The resulting average dice similarity coefficient (93.28%  ±  1

  19. Improvement on the concentrated grape juice physico-chemical characteristics by an enzymatic treatment and Membrane Separation Processes

    Directory of Open Access Journals (Sweden)

    PLÍNIO R.F. CAMPOS

    2016-03-01

    Full Text Available ABSTRACT In this work, the improvement on the concentrated grape juice physico-chemical characteristics by using an enzymatic treatment followed by Membrane Separation Process (MSP has been investigated. By using Novozym 33095(r and Ultrazym AFP L(r enzymes varying three operating parameters, the best result on the grape pulp characteristics was attained for the Novozym 33095(r performed at 35oC, 15 min. and 50 mgL-1. In micro/ultra filtration processes after enzymatic pretreatment, the best performance of the MSP with high permeate flux value and suitable grape juice characteristics was attained using 0.05 mm membrane pore size, 1 bar pressure and 40 oC treatment temperature. When reverse osmosis process is operated at 40 bar and 40oC, high soluble solid and low turbidity values are attained. An enzymatic treatment along with MSP has shown an alternative and efficient grape juice processing system, being possible to extend to other foods.

  20. Hydrogen peroxide treatment on ZnO substrates to investigate the characteristics of Pt and Pt oxide Schottky contacts

    International Nuclear Information System (INIS)

    Tsai, Chia-Hung; Hung, Chen-I; Yang, Cheng-Fu; Houng, Mau-Phon

    2010-01-01

    We utilize hydrogen peroxide (H 2 O 2 ) treatment on (0 0 0 1) ZnO substrates to investigate the characteristics of Pt and Pt oxide Schottky contacts (SCs). X-ray rocking curves show the mosaicity structure becomes larger after H 2 O 2 treatment. Photoluminescence (PL) spectra show the yellow-orange emission peaking at ∼576-580 nm with respect to deep level of oxygen interstitials introduced by H 2 O 2 treatment. The threshold formation of ZnO 2 resistive layer on H 2 O 2 -treated ZnO for 45 min is observed from grazing-incidence X-ray diffraction. The better electrical characteristic is performed by Pt oxide SC with the larger barrier height (1.09 eV) and the lower leakage current (9.52 x 10 -11 A/cm 2 at -2 V) than Pt SC on the H 2 O 2 -treated ZnO for 60 min. X-ray photoelectron spectroscopy (XPS) and secondary ion mass spectrometer (SIMS) examinations indicate the promoted interface oxide bonding and Zn outdiffusion for Pt oxide contact, different from Pt contact. Based on current-voltage, capacitance-voltage, X-ray diffraction, PL spectra, XPS, and SIMS results, the possible mechanism for effective rectifying characteristic and enhanced Schottky fbehavior is given.

  1. High pressure treatment changes spoilage characteristics and shelf life of Pacific oysters ( Crassostrea gigas) during refrigerated storage

    Science.gov (United States)

    Cao, Rong; Zhao, Ling; Liu, Qi

    2017-04-01

    The effects of high pressure (HP) treatment on spoilage characteristic and shelf life extension of Pacific oysters ( Crassostrea gigas) during refrigerated storage were studied. Results showed that HP treatment of 275 MPa for 3 min or 300 MPa for 2 min could achieve 100% full release of oyster adductor muscle, pressures higher than 350 MPa caused excessive release as the shells of oysters were broken, thus use of higher pressures should be cautious in oyster processing industry because of its adverse impact on the appearance of shells. HP treatment (300 MPa, 2 min) was proper for the shucking of Pacific oyster ( Crassostrea gigas) in China. This treatment caused no organoleptic disadvantage. Moreover, HP treatment resulted in obvious differences in biochemical spoilage indicators (pH, TVB-N and TBARS) changes and volatile compounds profile determined by electronic nose during storage. HP treatment (300 MPa, 2 min) also led to a reduction of aerobic bacterial count (APC) by 1.27 log cycles. Furthermore, the APC values of oysters treated by HP were always lower than those of the control samples during storage. Based on the organoleptic, biochemical and microbiological indicators, shelf life of 6-8 d for control and 12 d for HP-treated oysters could be expected. HP treatment showed great potential in oyster processing and preservation.

  2. CONSIDERATIONS ON THE TREATMENT OF QUALITATIVE CHARACTERISTICS OF ACCOUNTING INFORMATION AT THE INTERNATIONAL LEVEL AND IN VARIOUS NATIONAL ACCOUNTING SYSTEMS

    Directory of Open Access Journals (Sweden)

    Ionela Cristina Breahna Pravat

    2014-07-01

    Full Text Available The qualitative characteristics of accounting information presented by financial-accounting reports represent a concept which was subsequently introduced in the national legal accounting framework and, as a rule, the national conceptual frameworks represent the documents by means of which these quality criteria are established. At a worldwide level, there are more international or national organisms that have an important role in the elaboration of accounting standards in general and more specifically in the formulation of qualitative characteristics of financial reporting. We find two important ones among them, and these are: International Accounting Standards Board, which creates and promotes International Financial Reporting Standards (IFRS, and Financial Accounting Standards Board, which elaborates Generally Accepted Accounting Principles (US GAAP. However, at the level of each country a standardizing authority decides the rules for producing the financial reports and the qualitative characteristics that must be respected by the information contained in these documents. In this context, this paper aims to present a few general considerations concerning the treatment of the qualitative characteristics of the financial-accounting information in different accounting systems, such as the American one, or the British, French, German, Romanian ones, with insistence on the international approach to qualitative characteristics.

  3. Biological characteristics and treatment outcomes of metastatic or recurrent neuroendocrine tumors: tumor grade and metastatic site are important for treatment strategy

    Directory of Open Access Journals (Sweden)

    Kim Su-Jung

    2010-08-01

    Full Text Available Abstract Background Studies about the biology, treatment pattern, and treatment outcome of metastatic/recurrent neuroendocrine tumor (NET have been few. Methods We enrolled patients with metastatic/recurrent NET diagnosed between January 1996 and July 2007 and retrospectively analyzed. Results A total of 103 patients were evaluated. Twenty-six patients (25.2% had pancreatic NET, 27 (26.2% had gastrointestinal NET, 2 (1.9% had lung NET, 28 (27.2% had NET from other sites, and 20 (19.4% had NET from unknown origin. The liver was the most common metastatic site (68.9%. Thirty-four patients had grade 1 disease, 1 (1.0% had grade 2 disease, 15 (14.6% had grade 3 disease, 9 (8.7% had large cell disease, and 7 (6.8% had small cell disease. Sixty-six patients received systemic treatment (interferon, somatostatin analogues or chemotherapy, 64 patients received local treatment (TACE, radiofrequency ablation, metastasectomy, etc.. Thirty-six patients received both systemic and local treatments. Median overall survival (OS was 29.0 months (95% confidence interval, 25.0-33.0 in the103 patients. OS was significantly influenced by grade (p = .001. OS was 43.0, 23.0, and 29.0 months in patients who received local treatment only, systemic treatment only, and both treatments, respectively (p = .245. The median time-to-progression (TTP was 6.0 months. Overall response rate was 34.0% and disease-control rate was 64.2%. TTP was influenced by the presence of liver metastasis (p = .011. Conclusions OS of metastatic/recurrent NET was different according to tumor grade. TTP was different according to metastasis site. Therefore, development of optimal treatment strategy based on the characteristics of NET is warranted.

  4. Characteristics and programme-defined treatment outcomes among childhood tuberculosis (TB patients under the national TB programme in Delhi.

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    Srinath Satyanarayana

    Full Text Available BACKGROUND: Childhood tuberculosis (TB patients under India's Revised National TB Control Programme (RNTCP are managed using diagnostic algorithms and directly observed treatment with intermittent thrice-weekly short-course treatment regimens for 6-8 months. The assignment into pre-treatment weight bands leads to drug doses (milligram per kilogram that are lower than current World Health Organization (WHO guidelines for some patients. OBJECTIVES: The main aim of our study was to describe the baseline characteristics and treatment outcomes reported under RNTCP for registered childhood (age <15 years TB patients in Delhi. Additionally, we compared the reported programmatic treatment completion rates between children treated as per WHO recommended anti-TB drug doses with those children treated with anti-TB drug doses below that recommended in WHO guidelines. METHODS: For this cross-sectional retrospective study, we reviewed programme records of all 1089 TB patients aged <15 years registered for TB treatment from January to June, 2008 in 6 randomly selected districts of Delhi. WHO disease classification and treatment outcome definitions are used by RNTCP, and these were extracted as reported in programme records. RESULTS AND CONCLUSIONS: Among 1074 patients with records available, 651 (61% were females, 122 (11% were <5 years of age, 1000 (93% were new cases, and 680 (63% had extra-pulmonary TB (EP-TB--most commonly peripheral lymph node disease [310 (46%]. Among 394 pulmonary TB (PTB cases, 165 (42% were sputum smear-positive. The overall reported treatment completion rate was 95%. Similar reported treatment completion rates were found in all subgroups assessed, including those patients whose drug dosages were lower than that currently recommended by WHO. Further studies are needed to assess the reasons for the low proportion of under-5 years of age TB case notifications, address challenges in reaching all childhood TB patients by RNTCP, the

  5. Preference for reconstructive interventions of the upper extremities in tetraplegia: The impact of treatment characteristics

    NARCIS (Netherlands)

    IJzerman, Maarten Joost; Snoek, G.J.; van Til, Janine Astrid; Krabbe, P.F.

    2005-01-01

    Hand and armfunction regarded as very important by tetraplegic individuals. Possibility of augmentive treatment of the tetraplegic hand: Freehand system and reconstructive surgery. Clinical experience: Interventions not accepted by patients despite functional limitations. Aim: Insight into factors

  6. Adherence to cancer treatment guidelines: influence of general and cancer-specific guideline characteristics.

    NARCIS (Netherlands)

    Heins, M.J.; Jong, J.D. de; Spronk, I.; Ho, V.K.; Brink, M.; Korevaar, J.C.

    2017-01-01

    Background: Guideline adherence remains a challenge in clinical practice, despite guidelines’ ascribed potential to improve patient outcomes. We studied the level of adherence to recommendations from Dutch national cancer treatment guidelines, and the influence of general and

  7. Constipation in early childhood: patient characteristics, treatment, and longterm follow up.

    OpenAIRE

    Loening-Baucke, V

    1993-01-01

    Little is known about chronic constipation in infants, toddlers, and preschool children and longterm outcome after treatment. The symptoms of 174 children < or = 4 years of age, who were evaluated for chronic constipation, are reported in this study together with the long-term outcome in 90 of them. Initial symptoms were infrequent bowel movements in 58%, painful bowel movements in 77% often with screaming, and severe stool withholding manoeuvres in 97%. The treatment of chronic idiopathic co...

  8. Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence

    Directory of Open Access Journals (Sweden)

    Cichowski Sara

    2009-02-01

    Full Text Available Abstract Background Current research focuses on three variables in evaluating the impact of stress urinary incontinence (SUI on daily living: severity of incontinence, distress or bother resulting from incontinence, and effect on health related quality of life (HRQoL. Understanding the impact of these variables is important as they are the driving force behind women seeking surgical treatment. Given the importance of HRQoL in determining need for treatment, as well as evaluating treatment success, this review provides an assessment of the degree to which HRQoL is impaired in women seeking surgical treatment. Methods PubMed searches for the terms "quality of life and distress and urinary incontinence" and "quality of life and bother and urinary incontinence" were performed with limits of English, human and female subjects through May 2008. All studies using validated instruments were included. No time limit was placed on the search. Results Of 178 articles retrieved, 21 met the inclusion criteria, and 17 reported methods of scoring. The studies used the Urogenital Distress Inventory (UDI and the Incontinence Impact Questionnaire (IIQ. Wide ranges of mean and individual levels of severity of symptoms, UDI and IIQ scores were seen among women seeking surgical treatment. Fourteen studies reported baseline and post-surgical treatment distress and QoL data. Statistically significant improvements between baseline and post-surgical UDI and IIQ scores were reported in 12 studies. Reported cure rates ranged from 46% to 97%. Satisfaction with the procedure was reported in 4 studies and ranged from 84% to 91%. A minority of studies reported the relationship between reduction in symptoms and change in HRQoL. Conclusion HRQoL is the main reason women seek surgical treatment for incontinence and surgical treatment leads to a significant improvement in mean HRQoL scores. Assessment of HRQoL has proved less useful in identifying why individual women seek

  9. Combustion characteristics of Athabasca froth treatment tailings in a simulated fluidilized bed

    Energy Technology Data Exchange (ETDEWEB)

    Esmaeili, P.; Ghosh, M.; Speirs, B. C. [Imperial Oil Resources (Canada); Leon, M. A.; Rao, S.; Dutta, A.; Basu, P. [Greenfield Research Inc. (Canada)

    2011-07-01

    In surface-mined oil sands, a stream of water, asphaltenes, solids and residual bitumen/solvent, known as PFT tailings, is created during the bitumen production process. The aim of this study was to investigate the use of this PFT tailings stream as a fuel source for combustion in a fluidized bed for energy recovery. To do so, physical and fluidization characteristics of the fuel as well as combustion kinetics were assessed through laboratory analysis. In addition, the fuel's combustion characteristics were investigated through experiments in a quartz wool matrix tubular reactor and theoretical calculations at various moisture contents. Results showed that this fuel can be burned in a fluidized bed with a reactivity comparable to that of coal samples. This research found that PFT tailings could be used to generate energy during disposal but further work will have to be undertaken in a hot CFB combustor to confirm this.

  10. [Characteristics of Adolescents with Gender Dysphoria Referred to the Gender Identity Treatment Unit].

    Science.gov (United States)

    Fernández Rodríguez, María; Guerra Mora, Patricia; Martín Sánchez, Eloya

    2017-02-01

    The demand for treatment among people with gender dys-phoria has increased during the last years. The aim of the present research was to carry out an analysis of the demand of the teenagers that requested consultation at the UTIGPA (Gender Identity Treatment Unit of Principality of Asturias) as they presented complains of gender dysphoria. The sample included 20 minors that were treated between March 2007 and December 2015. The clinical history was made to collect informa-tion. It was made descriptive analysis and the reason sex/gender was used. The 20 teenagers represented the 14,6% of the whole sample (of 137 demands). The age average was 15,20 years (SD=1,473) and the range of years was between 12-17. The reason sex/gender was 1/1 (10 into the man to woman group and 10 into the woman to man group). At the arrival at the Treatment Unit, 100% of the individuals lived with their nuclear or extended family and in the 60% of the cases, their parents were separated. 70% of the cases were referred from mental health services. 10% hadn´t got any past medical history and 35% had never received any prescription for a psychopharmacological treatment. 95% hadn't done any hormonal self-treatment. 100% defined themselves as heterosexual. 25% requested exclusively for psychological interventions and 75% asked for medical treatments. The profile of the minor was a teenager of approximately 15 years old that was referred from mental health services. Contrary to the fin-dings of other national and international researches, the rate sex/gender was equated in our research. The minor had got a past medical history and their prio-rity request was for medical treatments, both hormonal and surgical therapies.

  11. The Association between Treatment for Metabolic Disorders and Breast Cancer Characteristics

    Directory of Open Access Journals (Sweden)

    Hadar Goldvaser

    2016-01-01

    Full Text Available Purpose. To evaluate the associations between metformin, insulin, statins, and levothyroxine and breast cancer characteristics and outcome. Methods. Retrospective chart review of patients treated in our institute for early estrogen receptor (ER positive, human epidermal growth factor receptor 2 negative breast cancer, whose tumors were sent to Oncotype DX (ODX analysis. Patients were grouped according to medications usage during the time of breast cancer diagnosis. Each group was compared to the rest of the study population. Results. The study cohort included 671 patients. Sixty (9.1% patients were treated with metformin, 9 (1.4% with insulin, 208 (31.7% with statins, and 62 (9.4% with levothyroxine. Patients treated with metformin had more intense ER stain (p=0.032 and a lower ODX recurrence score (RS (p=0.035. Diagnosis of diabetes mellitus was also associated with lower ODX RS (p=0.014. Insulin usage was associated with a higher rate of angiolymphatic invasion (p=0.041, but lower Ki67% (p=0.017. Levothyroxine usage was associated with different histological subtype distribution (p=0.02. Extended levothyroxine usage was associated with lower ODX RS (p=0.005. Statin usage had no impact on tumor characteristics. Outcome was comparable in the studied subgroups. Conclusions. Common medications for metabolic disorders might be associated with breast cancer characteristics.

  12. Leaching characteristics of slag from the melting treatment of municipal solid waste incinerator ash.

    Science.gov (United States)

    Lin, K L; Chang, C T

    2006-07-31

    This study investigated the composition and leaching characteristics of municipal solid waste incinerator (MSWI) ash and slag. The modified slags were characterized after the melting of MSWI ash mixtures at 1400 degrees C for 30 min. The ash mixtures were composed of different types of MSWI ash, including cyclone ash, scrubber ash and bottom ash, in various proportions. The results indicate that the Cd leaching concentration of the cyclone ash and the Pb leaching concentration of the scrubber ash reached 1.82 and 8.7 mg/L, respectively, which exceeds the ROC EPA's current regulatory thresholds, and can thus be classified as hazardous. The results of the analysis of the metal content and the leaching behavior of heavy metals, showed high concentrations of Cu and Zn, but a low leaching ratio of these metals. Concerning the characteristics of the modified slags, the X-ray diffraction patterns of the MSWI fly ash slag showed that it contained large amounts of glass. The toxicity characteristic leaching procedure (TCLP) leaching concentrations of the target metals of all the slags, met the ROC EPA's regulatory thresholds. The leaching concentrations of heavy metals in the F- and B1-slag were lower than those in the cyclone and the bottom ash, because there was a high amount of SiO(2), which formed a net-like structure in the bottom ash.

  13. The clinical characteristics and predictors of treatment success of pulmonary tuberculosis in homeless persons at a public hospital in busan.

    Science.gov (United States)

    Heo, Dal-Joo; Min, Hong Gi; Lee, Hyun Ho

    2012-11-01

    Homelessness is associated with an increased risk of exposure to Mycobacterium tuberculosis. Several factors, including alcoholism, malnutrition, lack of stable housing, combine to make tuberculosis more prevalent in the homeless. The aims of this study were to determine the factors associated with increasing success rate of tuberculosis treatment in the homeless. A cross-sectional analysis of the clinical features in 142 pulmonary tuberculosis-positive homeless patients admitted to the Busan Medical Center from January 2001 to December 2010 was carried out. These results were compared with a successful treatment group and incomplete treatment group. We also evaluated the risk factors of treatment non-completion. Statistical analysis for the comparisons was performed using a χ(2) test, independent samples t-test, and multiple logistic regression. Comparison of clinical characteristics showed significant differences between the two groups in the type of residence (P < 0.001), diseases with risk factors (P = 0.003), and history of tuberculosis treatment (P = 0.009). Multiple regression analysis revealed the residence (odds ratio [OR], 4.77; 95% confidence interval [CI], 2.05 to 11.10; P < 0.001) and comorbidity with risk factor (OR, 2.72; 95% CI, 1.13 to 6.53; P = 0.025) to be independently associated with treatment success. To improve the success rate of tuberculosis treatment in the homeless person, anti tuberculosis medication should be taken until the end of treatment and a management system for the homeless person is required. Further social and medical concerns for stable housing and management of comorbidity may lead to an improvement in the successful tuberculosis treatment of homeless person.

  14. Structural personality organization as assessed with theory driven profile interpretation of the dutch short form of the MMPI predicts dropout and treatment response in brief cognitive behavioral group therapy for axis I disorders.

    Science.gov (United States)

    Eurelings-Bontekoe, Elisabeth H M; van Dam, Arno; Luyten, Patrick; Verhulst, Wendy A C M; van Tilburg, Carola A; de Heus, Peter; Koelen, Jurrijn

    2009-09-01

    We investigated the validity of theory driven profile interpretation of the MMPI (Hathaway & McKinley, 1943) Dutch Short Form (DSFM; Eurelings-Bontekoe, Onnink, Williams, & Snellen, 2008) as a measure of personality organization (PO) in a naturalistic follow-up study among 576 psychiatric outpatients receiving brief cognitive behavioral group therapy. Results showed that this assessment method was useful in predicting dropout as well as treatment response. Patients with a latent psychotic PO profile and a manifest low-level borderline organization profile were 3 times more likely to drop out than patients with other PO profiles. Patients with a latent psychotic PO profile who continued treatment had deteriorated at 4-month follow-up. Patients with a manifest low-level borderline PO profile who remained in treatment, however, showed considerable therapeutic progress. We conclude that theory driven profile interpretation of the DSFM as an assessment of PO may be useful in predicting dropout and treatment response to cognitive behavioral treatment of Axis I disorders.

  15. Effect of heat treatment to sweet potato flour on dough properties and characteristics of sweet potato-wheat bread.

    Science.gov (United States)

    Pérez, Isela Carballo; Mu, Tai-Hua; Zhang, Miao; Ji, Lei-Lei

    2017-12-01

    The effect of heat treatment at 90, 100, 110 and 120 ℃ for 20 min to sweet potato flour on dough properties and characteristics of sweet potato-wheat bread was investigated. The lightness (L*) and a* of sweet potato flour samples after heat treatment were increased, while the b* were decreased significantly, as well as the particle size, volume and area mean diameter ( p sweet potato flour was observed, where the number of irregular granules increased as the temperature increased from 90 to 120 ℃. Compared with sweet potato flour samples without heat treatment and with heat treatment at 90, 100 and 120 ℃, the gelatinization temperature and enthalpy change of sweet potato flour at 110 ℃ were the lowest, which were 77.94 ℃ and 3.67 J/g, respectively ( p sweet potato flour increased significantly from 1199 ml without heat treatment to 1214 ml at 90 ℃ ( p sweet potato-wheat bread with sweet potato flour after heat treatment increased significantly, which was the largest at 90 ℃ (2.53 cm 3 /g) ( p sweet potato flour could be potentially used in wheat bread production.

  16. Alcohol in Primary Care. Differential characteristics between alcohol-dependent patients who are receiving or not receiving treatment.

    Science.gov (United States)

    Barrio, Pablo; Miquel, Laia; Moreno-España, Jose; Martínez, Alicia; Ortega, Lluisa; Teixidor, Lidia; Manthey, Jakob; Rehm, Jürgen; Gual, Antoni

    2016-03-02

    primary health care services for other reasons. The aim of the present study is to describe the differential characteristics of AD patients in primary care, distinguishing between those who receive treatment and those who do not, and their reasons for not seeking it. In a cross-sectional study patients were evaluated by their general practitioner (GP) and interviewed by a member of the research team. Sociodemographic, diagnostic and clinical data were collected. From 1,372 patients interviewed in Catalonia, 118 (8.6%) were diagnosed as AD. These patients showed a lower socioeconomic status (48.3% vs 33.3%, odds ratio 2.02), higher unemployment rates (32.2% vs 19.2 %, odds ratio 2.11), and greater psychological distress and disability. Patients with AD receiving treatment (16.9%), were older (44 vs 36 years of age), reported higher unemployment rates (66% vs 25.5%, odds ratio 6.32) and higher daily alcohol consumption (61.5 vs 23.7 grams), suggesting a more advanced disease. Patients with AD in general showed a higher degree of comorbidity compared to other patients, with patients in treatment showing the most elevated level. The main reasons given for not seeking treatment were shame, fear of giving up drinking and barriers to treatment. Taken together, the data suggest the need to implement earlier strategies for the detection and treatment of AD.

  17. Dentigerous cyst: clinical and radiographic characteristics and criteria for treatment planning

    Directory of Open Access Journals (Sweden)

    Luiz Guilherme Matiazi Vaz

    2010-04-01

    Full Text Available The dentigerous cyst is the second most frequent odontogenic cyst in jaws. They are always radiolucent and commonly unilocular. They are usually found in routine exams or when a permanent tooth does not erupt. The third molars followed by maxillary canines and occasionally supernumerary teeth and odontomas may be involved with the formation of the dentigerous cyst, but its etiology is not yet completely known. The dentigerous cyst occurs mainly in the first three decades of life, and its growth is slow and asymptomatic, however, it may reach considerable dimensions causing facial deformity, impaction and displacement of teeth and/or adjacent structures. Decompression, marsupialization and enucleation are the most frequent forms of treatment used, nevertheless, some important criteria must be considered for the treatment plan such as cyst size, age, proximity to anatomical structures and clinical importance of the tooth involved. Despite the clinical peculiarities of each case and the treatment method chosen, prognosis of these lesions is favorable.

  18. [Chronic tics and Tourette syndrome in children and adolescents: diagnostic and treatment characteristics].

    Science.gov (United States)

    Zavadenko, N N; Doronina, O B; Nesterovsky, Yu E

    2015-01-01

    Chronic tics (CT) are observed in 3-4% population, Tourette syndrome (TS) in 0.1-3.0%. In most cases, tic disorders start at age 2-15 years, but frequently they are diagnosed late. Clinical presentations of tics and comorbid disorders are various and depend on child's age. Difficulties in treatment of CT are associated with their persistence and those for TS with the fluctuating course of tics and probable onset of the disease in the form of behavioral disorders. Treatment of CT and TS is individual. Methods of behavioral and psychotherapy are recommended for a certain period of time if tics do not hamper everyday life. Increase in tick frequency and severity indicate the necessity of using pharmacological treatment. The European recommendations on pharmacotherapy of tic disorders and the drugs available in Russia are considered. Results of the studies on the efficacy of antiepileptic drugs and tenoten children in CT and TS are presented.

  19. Characteristics and response to treatment among Indigenous people receiving injectable diacetylmorphine or hydromorphone in a randomised controlled trial for the treatment of long-term opioid dependence.

    Science.gov (United States)

    Oviedo-Joekes, Eugenia; Palis, Heather; Guh, Daphne; Marchand, Kirsten; Brissette, Suzanne; Lock, Kurt; MacDonald, Scott; Harrison, Scott; Anis, Aslam H; Krausz, Michael; Marsh, David C; Schechter, Martin T

    2018-01-01

    To determine the effectiveness of injectable hydromorphone and dicaetylmorphine for Indigenous participants in the Study to Assess Longer-term Opioid Medication Effectiveness (SALOME) clinical trial. The study additionally aims to explore the prevalence and frequency of crack cocaine use among subgroups of participants (by gender and ethnicity). This secondary analysis is particularly relevant given the current need for expanded medication assisted treatments for opioid dependence across North America. Participants self-identifying as First Nations, Métis or Inuit were included in the analysis of Indigenous participants. Six-month treatment outcomes are reported as the difference between diacetylmorphine and hydromorphone treatment arms among Indigenous participants and change from baseline to 6 months in each treatment arm. Differences in outcomes are tested between Indigenous and non-Indigenous participants. Crack cocaine use was explored to determine differences between and within subgroups. Approximately one-third of SALOME participants self-identified as Indigenous. Indigenous participants presented to treatment with more structural vulnerabilities (e.g. lower education, higher rates of foster care and separation from biological parents) compared to non-Indigenous participants. After 6 months, Indigenous participants in both treatment arms had a significant reduction in days of street heroin use, opioid use, crack cocaine use and illegal activity. Treatment retention did not differ by treatment arm. Indigenous people that are not engaged by first-line treatments for opioid dependence are in need of effective alternative treatments. Given the political and logistical barriers facing diacetylmorphine, hydromorphone could serve as a more accessible medication to reach and treat this population. [Oviedo-Joekes E, Palis H, Guh D, Marchand K, Brissette S, Lock K, MacDonald S, Harrison S, Anis AH, Krausz M, March DC, Schechter MT. Characteristics and response to

  20. Diaphyseal Femur Fractures in Osteogenesis Imperfecta: Characteristics and Relationship With Bisphosphonate Treatment.

    Science.gov (United States)

    Trejo, Pamela; Fassier, François; Glorieux, Francis H; Rauch, Frank

    2017-05-01

    Several recent case reports have suggested that bisphosphonate treatment in individuals with osteogenesis imperfecta (OI) is causally related to atypical femur fractures. However, it is not known whether atypical femur fractures are actually more frequent in patients who have received bisphosphonates. In the present study, we retrospectively analyzed 166 femur fractures in 119 children with a diagnosis of OI that had not undergone intramedullary rodding procedures. A total of 130 fractures in 90 patients occurred in femurs with preexisting deformities (age at fracture between 1 month and 19.9 years; 43 girls). Because deformities are a typical cause of fracture in OI, deformed femurs were excluded from the analysis of atypical fractures. However, it was noted that in deformed femurs a transverse fracture pattern (one of the criteria of atypical fractures) was associated with a moderate to severe OI phenotype and not related to bisphosphonate treatment. Of the 36 fractures that occurred in nondeformed femurs (30 individuals; age at fracture between 1 month and 17.4 years; 13 girls), 11 (in nine children) occurred during bisphosphonate treatment. Three of these fractures (27%) resembled atypical femur fractures. Among the 25 femur fractures (23 patients) that occurred in the absence of prior bisphosphonate treatment, 8 (22%) resembled atypical femur fractures. Logistic regression analysis showed that bisphosphonate treatment history was not associated with the occurrence of atypical fractures. In contrast, the presence of moderate to severe OI (defined as any OI type other than OI type I) was strongly associated with atypical femur fractures. Thus, we observed an atypical appearance in about a quarter of nondeformed femur fractures that occurred in children with OI. Such atypical femur fractures seemed to be related to the severity of OI rather than to bisphosphonate treatment history. © 2016 American Society for Bone and Mineral Research. © 2016 American Society

  1. Pregermination Treatment and Germination Characteristics of Oriental Beech (Fagus orientalis Lipsky in the Caspian Region

    Directory of Open Access Journals (Sweden)

    REZAII, Afsaneh

    2010-01-01

    Full Text Available Oriental beech is one of the most important tree species in the Caspian region that regeneratesnaturally.Seed pretreatment plays an important role in beech reforestation .For this reason the seeds ofthree different provenances; Gilan (Asalem, Nowshahr (Makarood, Gorgan (Cheshmeh gholgholy,across the Caspian region, were collected and after viability test (TTC placed under cold stratification(for 8-19 weeks to overcome dormancy. The results have shown that pregermination treatments haddesirable effects on seed germination. There were significant variations between three origins anddifferent treatment duration and germination characterstics. The Nowshahr and Gilan origins showedmore similarity.

  2. Clinical Characteristics and Current Treatment of Age-Related Macular Degeneration

    Science.gov (United States)

    Yonekawa, Yoshihiro; Kim, Ivana K.

    2015-01-01

    Age-related macular degeneration (AMD) is a multifactorial degeneration of photoreceptors and retinal pigment epithelium. The societal impact is significant, with more than 2 million individuals in the United States alone affected by advanced stages of AMD. Recent progress in our understanding of this complex disease and parallel developments in therapeutics and imaging have translated into new management paradigms in recent years. However, there are many unanswered questions, and diagnostic and prognostic precision and treatment outcomes can still be improved. In this article, we discuss the clinical features of AMD, provide correlations with modern imaging and histopathology, and present an overview of treatment strategies. PMID:25280900

  3. Influence of Biofield Treatment on Physical and Structural Characteristics of Barium Oxide and Zinc Sulfide

    OpenAIRE

    Branton, Alice; Trivedi, Mahendra Kumar; Trivedi, Dahryn; Nayak, Gopal

    2015-01-01

    Barium oxide (BaO) and zinc sulfide (ZnS) are well known for their applications in electrical, optical and chemical industries. The present study was aimed to evaluate the impact of biofield treatment on the structural and physical properties of BaO and ZnS powder. The study was carried out in two groups, one was set to control, and another group was subjected to Mr. Trivedi’s biofield treatment. Control and treated samples of BaO and ZnS were analyzed using X-ray diffraction (XRD), Fourier t...

  4. Influence of Biofield Treatment on Physical and Structural Characteristics of Barium Oxide and Zinc Sulfide

    OpenAIRE

    Mahendra Kumar Trivedi, Alice Branton

    2015-01-01

    Barium oxide (BaO) and zinc sulfide (ZnS) are well known for their applications in electrical, optical and chemical industries. The present study was aimed to evaluate the impact of biofield treatment on the structural and physical properties of BaO and ZnS powder. The study was carried out in two groups, one was set to control, and another group was subjected to Mr. Trivedi's biofield treatment. Control and treated samples of BaO and ZnS were analyzed using X-ray diffraction (XRD), Fourier t...

  5. Endometrial Serous Carcinoma: Its Molecular Characteristics and Histology-Specific Treatment Strategies

    Energy Technology Data Exchange (ETDEWEB)

    Nakayama, Kentaro, E-mail: kn88@med.shimane-u.ac.jp [Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo 6938501 (Japan); Nakayama, Naomi [Department of Biochemistry, Shimane University School of Medicine, Izumo 6938501 (Japan); Ishikawa, Masako; Miyazaki, Kohji [Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo 6938501 (Japan)

    2012-08-07

    Endometrial cancer is the fourth most common malignancy in women, with most cases being classified as early stage endometrioid tumors that carry a favorable prognosis. The endometrial serous histological subtype (ESC), however, while only accounting for 10% of all endometrial cancers is responsible for a disproportionate number of deaths. Unlike the estrogen-dependent, well differentiated endometrioid tumors, which are commonly associated with a younger age of onset, ESCs are estrogen-independent and tend to present at an advanced stage and in older women. Treatment for ESC entails aggressive surgery and multimodal adjuvant therapy. In this review, we describe the clinical behavior, molecular aspects, and treatment strategies for ESC.

  6. Effect of treatment with adsorbent resin on the volatile profile and physicochemical characteristics of clarified cashew apple juice

    Directory of Open Access Journals (Sweden)

    Adriana Dutra Sousa

    2013-12-01

    Full Text Available Increased preference for healthy and functional foods could be an opportunity to increase the consumption of clarified cashew apple juice. Given its level of fructose, glucose, and vitamin C, it can be used as a base in blends. However, its characteristic odor can interfere with the acceptance of these formulations, especially by consumers who are not familiar with cashew aroma. The aim of this study was to evaluate the effect of treatment with macroporous resins (FPA54, FPX66, XAD761, and XAD4 on the volatile profile and physicochemical characteristics of clarified cashew apple juice. After the treatment with the resins, the volatile profile was evaluated using solid-phase microextraction (SPME and gas chromatography/mass spectrometry (GC/MS. The physicochemical analyses performed were: pH, soluble solids (ºBrix, total titrable acidity, reducing sugars, and vitamin C. Gas chromatography analyses showed that XAD4 and FPX66 led to a reduction of the initial amount of volatile compounds to 14.05% and 15.72%, respectively. These two resins also did not affect the physicochemical characteristics of the clarified cashew apple juice.

  7. Characteristics of patients who suffer major osteoporotic fractures despite adhering to alendronate treatment

    DEFF Research Database (Denmark)

    Abrahamsen, B; Rubin, Katrine Hass; Eiken, Pia Agnete

    2013-01-01

    Antiresorptive treatment reduces the risk of fractures, but most patients remain at elevated risk. We used health registers to identify predictors of new major osteoporotic fractures in patients adhering to alendronate. Risk factors showed a different pattern than in the general population and in...... and included dementia, ulcer disease, and Parkinson's disease....

  8. Characteristics of Youths with Hearing Loss Admitted to Substance Abuse Treatment

    Science.gov (United States)

    Titus, Janet C.; Schiller, James A.; Guthmann, Debra

    2008-01-01

    The purpose of this study is to provide a profile of youths with hearing loss admitted to substance abuse treatment facilities. Intake data on 4,167 youths (28% female; 3% reporting a hearing loss) collected via the Global Appraisal of Individual Need-I assessment was used for the analyses. Information on demographics, environmental…

  9. Characteristics, Risk Factors, and Treatment Practices of Known Adult Hypertensive Patients in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    N. Al-Hamdan

    2010-01-01

    Methods. Cross-sectional community-based study using the WHO stepwise approach. Saudi adults were randomly chosen from Primary Health Care Centers catchment areas. Data was collected using a questionnaire which included sociodemographic data, history of hypertension, risk factors, treatment practices, biochemical and anthropometric measurements. Collected data was cheeked, computer fed, and analysed using SPSS V17. Results. Out of 4719 subjects (99.2% response, 542 (11.5% subjects were known hypertensives or detected by health workers in the past 12 months. Hypertension was significantly associated with age, gender, geographical location, education, employment, diabetes, physical inactivity, excess body weight, and ever smoking. Multiple logistic analysis controlling for age showed that significant predictors of hypertension were diabetes mellitus, ever smoking, obesity, and hypercholesteremia. Several treatment modalities and practices were significantly associated with gender, age, education, and occupation. About 74% were under prescribed treatment by physicians, 62% on dietary modification, 37% attempted weight reduction, 27% performed physical exercise, and less than 7% used herbs, consulted traditional healers or quitted smoking. Income was not significantly associated with any treatment modality or patient practices. Conclusion. Hypertension (known and undetected is a major chronic health problem among adults in Saudi Arabia. Many patients' practices need changes. A comprehensive approach is needed to prevent, early detect, and control the disease targeting, the risk factors, and predictors identified.

  10. Constipation in early childhood: patient characteristics, treatment, and longterm follow up.

    Science.gov (United States)

    Loening-Baucke, V

    1993-10-01

    Little is known about chronic constipation in infants, toddlers, and preschool children and longterm outcome after treatment. The symptoms of 174 children milk of magnesia, and finally toilet training of the preschool child. Longterm outcome could be evaluated in 90 patients (52%) (mean (SD) 6.9 (2.7)) years after initial evaluation. Fifty seven children (63%) had recovered, defined as no soiling with > or = 3 bowel movements per week, while not receiving treatment. The recovery rate of children 2 to 4 years of age. Thirty three children (37%) had not recovered. Constipation recurred as soon as laxatives were discontinued in 31 (94%) of them. Laxatives were still used by 33% of the children who had not recovered, 39% had < 3 bowel movements per week, 48% had faecal soiling, 45% had stool withholding, 27% complained of abdominal pain, 73% passed large stools, and 45% still on occasions clogged the toilet with their large stools. Symptoms of chronic constipation persisted in one third of our patients, 3-12 years after initial evaluation and treatment. Children who had not recovered deserve continued follow up, to reinforce and adjust treatment and to prevent faecal soiling.

  11. Pre-treatment preferences and characteristics among patients seeking in vitro fertilisation.

    LENUS (Irish Health Repository)

    Walsh, Anthony Ph

    2009-01-01

    BACKGROUND: This study sought to describe patient features before beginning fertility treatment, and to ascertain their perceptions relative to risk of twin pregnancy outcomes associated with such therapy. METHODS: Data on readiness for twin pregnancy outcome from in vitro fertilisation (IVF) was gathered from men and women before initiating fertility treatment by anonymous questionnaire. RESULTS: A total of 206 women and 204 men were sampled. Mean (+\\/- SD) age for women and men being 35.5 +\\/- 5 and 37.3 +\\/- 7 yrs, respectively. At least one IVF cycle had been attempted by 27.2% of patients and 33.9% of this subgroup had initiated >\\/=3 cycles, reflecting an increase in previous failed cycles over five years. Good agreement was noted between husbands and wives with respect to readiness for twins from IVF (77% agreement; Cohen\\'s K = 0.61; 95% CI 0.53 to 0.70). CONCLUSION: Most patients contemplating IVF already have ideas about particular outcomes even before treatment begins, and suggests that husbands & wives are in general agreement on their readiness for twin pregnancy from IVF. However, fertility patients now may represent a more refractory population and therefore carry a more guarded prognosis. Patient preferences identified before IVF remain important, but further studies comparing pre- and post-treatment perceptions are needed.

  12. Microstructure characteristics and compressive properties of NiAl-based multiphase alloy during heat treatments

    Energy Technology Data Exchange (ETDEWEB)

    Sheng, L.Y., E-mail: lysheng@yeah.net [Peking University, Beijing 100871 (China); PKU-HKUST ShenZhen-Hong Kong Institution, Shenzhen 518057 (China); Xie, Y. [Hunan Electric Power Test and Research Institute, Changsha 410007 (China); Xi, T.F. [Peking University, Beijing 100871 (China); Guo, J.T. [Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016 (China); Zheng, Y.F. [Peking University, Beijing 100871 (China); Ye, H.Q. [Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016 (China)

    2011-11-15

    Highlights: {yields} The {alpha}-Cr, {sigma} and {mu} phases precipitate and form into network in as cast alloy. {yields} Rapid and intermediate cooling rate after solution treatment break the precipitates network; the lower cooling rate results in some {alpha}-Cr and Ni{sub 3}Al precipitates. {yields} Short-term aging results in massive Ni{sub 3}Al lathes and {alpha}-Cr particles, but long-term aging treatment coarsens the globule-shaped {alpha}-Cr particle and decreases the lath-shaped Ni{sub 3}Al, {mu} and {sigma} phase. {yields} The solid solution with short-term aging treatment improves mechanical properties of the alloy significantly. - Abstract: The alloy of Ni-Al26-Cr15-Co6-Ti3-Mo2-Nb0.5-Ho0.1 (at.%) was heat-treated and studied by microstructure examination and compressive test. The results reveal that in the as-cast alloy, {alpha}-Cr, {sigma} and {mu} phases are segregated along the NiAl phase boundary and form into network. Small Ni{sub 2}AlTi, Cr{sub 2}Nb and Ni{sub 2}Al{sub 3}Ho particles precipitate at NiAl grain boundary. The subsequent solid solution treatment with rapid and intermediate cooling rate transforms the net-like precipitating phases into discontinuous ones, but the rapid cooling leads to micro-cracks along phase boundary. However the lower cooling rate results in spherical {alpha}-Cr particle and needle-like Ni{sub 3}Al phase in NiAl matrix. The short-term aging after solid solution treatment promotes the coarsening of Ni{sub 3}Al lathes and {alpha}-Cr particles, and an orientation relationship of [001-bar]{sub {beta}}||[1-bar 10]{sub {lambda}{sup '}} and (1 1 0){sub {beta}}||(1 1 1){sub {gamma}'} is found between lath-shaped Ni{sub 3}Al phase and NiAl matrix. In addition, the {mu} phases are substituted by {sigma} and some Cr{sub 3}Ni{sub 2} phases. The long-term aging treatment reduces Ni{sub 3}Al, {sigma} and {mu} phases and coarsens the {alpha}-Cr phase further. The solid solution treatment and short-term aging improve the

  13. Enhancement in characteristics of sewage sludge and anaerobic treatability by electron beam pre-treatment

    Science.gov (United States)

    Park, Wooshin; Hwang, Moon-Hyun; Kim, Tak-Hyun; Lee, Myun-Joo; Kim, In S.

    2009-02-01

    Electron beam was studied to enhance the biodegradability of sewage sludge. Changes in physicochemical characteristics of the sludge were examined with various irradiation doses, sludge thicknesses and exposure times. Irradiation thickness was suggested as the key factor affecting the efficiency of solublization of solid organic matter, whereas exposure time would be the most critical parameter in inducing cell lysis in sewage sludge. In addition, biogas production was improved as much as 22% when the sludge thickness was 0.5 cm with a dose of 7 kGy.

  14. The effects of patient characteristics on ADHD diagnosis and treatment: a factorial study of family physicians

    Directory of Open Access Journals (Sweden)

    Morley Christopher P

    2010-02-01

    Full Text Available Abstract Background Attention Deficit Hyperactivity Disorder (ADHD is a costly and prevalent disorder in the U.S., especially among youth. However, significant disparities in diagnosis and treatment appear to be predicted by the race and insurance status of patients. Methods This study employed a web-based factorial survey with four ADHD cases derived from an ADHD clinic, two diagnosed with ADHD in actual evaluation, and two not. Randomized measures included race and insurance status of the patients. Participants N = (187 included clinician members of regional and national practice-based research networks and the U.S. clinical membership of the Society of Teachers of Family Medicine. The main outcomes were decisions to 1 diagnose and 2 treat the cases, based upon the information presented, analyzed via binary logistic regression of the randomized factors and case indicators on diagnosis and treatment. Results ADHD-positive cases were 8 times more likely to be diagnosed and 12 times more likely to be treated, and the male ADHD positive case was more likely to be diagnosed and treated than the female ADHD positive case. Uninsured cases were significantly more likely to be treated overall, but male cases that were uninsured were about half as likely to be diagnosed and treated with ADHD. Additionally, African-American race appears to increase the likelihood of medicinal treatment for ADHD and being both African-American and uninsured appears to cut the odds of medicinal treatment in half, but not significantly. Conclusions Family physicians were competent at discerning between near-threshold ADHD-negative and ADHD positive cases. However, insurance status and race, as well as gender, appear to affect the likelihood of diagnosis and treatment for ADHD in Family Medicine settings.

  15. The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients.

    Science.gov (United States)

    Braga-Diniz, Julia Mourão; Santa-Rosa, Caroline Christine; Martins, Renata de Castro; Silva, Maria Elisa Souza E; Vieira, Leda Quercia; Ribeiro Sobrinho, Antônio Paulino

    2017-07-03

    The aim of this study is to investigate the relationship between the epidemiological and clinical profiles of patients before and after hematopoietic stem cell transplantation (HSCT) and the need for endodontic treatment. The subjects included 188 individuals enrolled in the dental care program for transplanted patients of the School of Dentistry, Federal University of Minas Gerais (Faculdade de Odontologia da Universidade Federal de Minas Gerais, FO-UFMG) from March 2011 through March 2016. The patients were subjected to an HSCT conditioning dental regimen based on a thorough clinical and radiographic evaluation. Intraoral periapical and bite-wing X-rays were obtained, and after evaluation, specific dental treatment was planned and performed. The following demographic and clinical data were collected from the patients' medical records: age, gender, transplantation stage, primary disease, transplant type, medication used, complete blood count at the time of visit, and need for endodontic treatment. The Kolmogorov-Smirnov and the chi-square tests were used. Leukemia (31.3%) and multiple myeloma (17.9%) were the most prevalent primary diseases. Most patients were subjected to allogeneic-related transplantation (83.6%). Most patients exhibited platelet counts and hemoglobin concentrations below the reference values in the pre-transplantation stage, while the neutrophil and platelet counts and the hemoglobin levels were within the reference ranges in the post-transplantation stage. The proportions of individuals requiring endodontic treatment were similar between the pre- and post-transplantation groups: 24.3% and 24.7%, respectively. The systemic conditions of the patients referred for dental treatment were compromised.

  16. Clinical and demographic characteristics associated with the receipt of chemotherapy treatment among 7951 elderly metastatic colon cancer patients.

    Science.gov (United States)

    Reese, Emily S; Onukwugha, Eberechukwu; Hanna, Nader; Seal, Brian S; Mullins, C Daniel

    2013-12-01

    Among older individuals diagnosed with metastatic colon cancer (mCC) there is limited evidence available that describes the characteristics associated with advancing to second- and subsequent lines of treatment with chemotherapy/biologics. Our objective was to describe the trends and lines of treatment received among elderly mCC patients. Elderly beneficiaries diagnosed with mCC from 2003 to 2007 were identified in the Surveillance, Epidemiology and End Results (SEER)-Medicare dataset. Beneficiaries were followed up until death or censoring. Treatment lines were classified in combinations of chemotherapies and biologics. Modified Poisson regression was used to predict receipt of lines of treatment. Analyses controlled for age, race/ethnicity, gender, marital status, state buy-in during diagnosis year, SEER-registry site, Charlson comorbidity index (CCI), poor performance indicators, surgery of primary site, and surgery of regional/distal sites. Among 7951 Medicare beneficiaries identified with mCC, 3266 initiated therapy. Of these, 1440 advanced to second-line treatment. Of these, 274 advanced to a subsequent-line treatment. Surgeries of the primary tumor site and of the regional/distal sites and marital status were the most significant variables associated with advancing through second- and subsequent-line treatments. Greater than 80 years of age, African American race, SEER-registry area, less than 6 months state buy-in assistance in mCC diagnosis year, and having poor performance indicators were inversely associated with receipt of second- or subsequent-line treatments. Among elderly individuals diagnosed with mCC, we identified demographic, clinical, and regional factors associated with receipt of second- and subsequent-line chemotherapy/biologics. Additional research is warranted to understand the role of physician versus patient preferences as well as geographic differences explaining why patients advance through lines of chemotherapy. © 2013 The Authors

  17. Assessment of Surface Area Characteristics of Dental Implants with Gradual Bioactive Surface Treatment

    Science.gov (United States)

    Czan, Andrej; Babík, Ondrej; Miklos, Matej; Záušková, Lucia; Mezencevová, Viktória

    2017-10-01

    Since most of the implant surface is in direct contact with bone tissue, shape and integrity of said surface has great influence on successful osseointegration. Among other characteristics that predetermine titanium of different grades of pureness as ideal biomaterial, titanium shows high mechanical strength making precise miniature machining increasingly difficult. Current titanium-based implants are often anodized due to colour coding. This anodized layer has important functional properties for right usage and also bio-compatibility of dental implants. Physical method of anodizing and usage of anodizing mediums has a significant influence on the surface quality and itself functionality. However, basic requirement of the dental implant with satisfactory properties is quality of machined surface before anodizing. Roughness, for example, is factor affecting of time length of anodizing operation and so whole productivity. The paper is focused on monitoring of surface and area characteristics, such as roughness or surface integrity after different cutting conditions of miniature machining of dental implants and their impact on suitability for creation of satisfactory anodized layer with the correct biocompatible functional properties.

  18. Influence of ultrasonication and Fenton oxidation pre-treatment on rheological characteristics of wastewater sludge.

    Science.gov (United States)

    Pham, T T H; Brar, S K; Tyagi, R D; Surampalli, R Y

    2010-01-01

    The effect of ultrasonication and Fenton oxidation as physico-chemical pre-treatment processes on the change of rheology of wastewater sludge was investigated in this study. Pre-treated and raw sludges displayed non-Newtonian rheological behaviour with shear thinning as well as thixotropic properties for total solids ranging from 10 g/L to 40 g/L. The rheological models, namely, Bingham plastic, Casson law, NCA/CMA Casson, IPC Paste, and power law were also studied to characterize flow of raw and pre-treated sludges. Among all rheological models, the power law was more prominent in describing the rheology of the sludges. Pre-treatment processes resulted in a decrease in pseudoplasticity of sludge due to the decrease in consistency index K varying from 42.4 to 1188, 25.6 to 620.4 and 52.5 to 317.9; and increase in flow behaviour index n changing from 0.5 to 0.35, 0.62 to 0.55 and 0.63 to 0.58, for RS, UlS and FS, respectively at solids concentration 10-40 g/L. The correlation between improvement of biodegradability and dewaterability, decrease in viscosity, and change in particle size as a function of sludge pre-treatment process was also investigated. Fenton oxidation facilitated sludge filterability resulting in capillary suction time values which were approximately 50% of the raw sludges, whereas ultrasonication with high input energy deteriorated the filterability. Biodegradability was also enhanced by the pre-treatment processes and the maximum value was obtained (64%, 77% and 73% for raw, ultrasonicated and Fenton oxidized sludges, respectively) at total solids concentration of 25 g/L. Hence, pre-treatment of wastewater sludge modified the rheological properties so that: (1) the flowability of sludge was improved for transport through the treatment train (via pipes and pumps); (2) the dewaterability of wastewater sludge was enhanced for eventual disposal and; (3) the assimilation of nutrients by microorganisms for further value-addition was increased.

  19. A retrospective study of the clinical characteristics and post-treatment hearing outcome in idiopathic sudden sensorineural hearing loss

    Directory of Open Access Journals (Sweden)

    Purushothaman Ganesan

    2017-02-01

    Full Text Available The purpose of this retrospective study was to analyze the clinical characteristics and document hearing recovery in patients with idiopathic sudden sensorineural hearing loss (ISSNHL. 122 patients diagnosed with unilateral ISSNHL, from March 2009 to December 2014, were treated with oral steroids and pentoxifylline. Hearing change was evaluated by comparing pre-treatment and post-treatment pure-tone average (PTA (500, 1K, and 2K Hz, and categorized into complete, partial, and no recovery of hearing. T-test, Wilcoxon Signed Rank test and Regression analysis were employed to analyze the statistical significance. Of the 122 patients, seventy-one (58% had complete recovery and 34 (28% had partial recovery. The average pre-treatment PTA was 78.3 ± 16.9 dB whereas post-treatment average was 47.0 ± 20.8 dB, showing statistically significant improvement (t=24.89, P≤0.001. The factors such as presence of tinnitus (P=0.005 and initial milder hearing loss (P=0.005 were found to be significant predictors for hearing recovery. Conventional steroid regimes produced a recovery rate in ISSNHL, which exceeds the spontaneous recovery rate. The current study results highlight the importance of medical treatment in the management of ISSNHL.

  20. A Retrospective Study of the Clinical Characteristics and Post-treatment Hearing Outcome in Idiopathic Sudden Sensorineural Hearing Loss

    Science.gov (United States)

    Kothandaraman, Purushothaman Pavanjur; Swapna, Simham; Manchaiah, Vinaya

    2017-01-01

    The purpose of this retrospective study was to analyze the clinical characteristics and document hearing recovery in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). 122 patients diagnosed with unilateral ISSNHL, from March 2009 to December 2014, were treated with oral steroids and pentoxifylline. Hearing change was evaluated by comparing pre-treatment and post-treatment pure-tone average (PTA) (500, 1K, and 2K Hz), and categorized into complete, partial, and no recovery of hearing. T-test, Wilcoxon Signed Rank test and Regression analysis were employed to analyze the statistical significance. Of the 122 patients, seventy-one (58%) had complete recovery and 34 (28%) had partial recovery. The average pre-treatment PTA was 78.3±16.9 dB whereas post-treatment average was 47.0±20.8 dB, showing statistically significant improvement (t=24.89, P≤0.001). The factors such as presence of tinnitus (P=0.005) and initial milder hearing loss (P=0.005) were found to be significant predictors for hearing recovery. Conventional steroid regimes produced a recovery rate in ISSNHL, which exceeds the spontaneous recovery rate. The current study results highlight the importance of medical treatment in the management of ISSNHL. PMID:28286637

  1. Characteristics of patients attending for cognitive behavioural therapy at one UK specialist unit for dental phobia and outcomes of treatment.

    Science.gov (United States)

    Kani, E; Asimakopoulou, K; Daly, B; Hare, J; Lewis, J; Scambler, S; Scott, S; Newton, J T

    2015-11-27

    To describe the characteristics of patients attending a psychologist-led cognitive behavioural therapy (CBT) service for individuals with dental phobia and the outcomes of treatment. Analysis of routinely collected assessment and outcome data from 130 patients attending a single secondary service providing CBT for dental phobia. The patients comprised 99 women and 31 men, with an average age of 39.9 years (SD 14.8). Approximately 77% of the patients scored at levels suggestive of dental phobia on the Modified Dental Anxiety Scale (MDAS). Fear of dental injections and the dental drill were the most common high scoring items on the MDAS. Ninety four percent of patients reported one or more impacts of their mouth, teeth and gums on their life using the OHIP-14. A minority of patients had co-morbid psychological conditions - 36.9% had high levels of general anxiety and 12.3% had clinically significant levels of depression. Suicidal ideation was reported by 12% of patients and four (3%) reported recent intent to commit suicide. Of all patients referred 79% went on to have dental treatment without sedation and 6% had their dental treatment under sedation. The average number of CBT appointments required before a patient received dental treatment without sedation was five. CBT offers an effective technique for helping dentally anxious patients receive treatment without sedation. Those interested in running such services should be cognizant of the moderately high level of co-morbid psychological conditions in this group.

  2. [Characteristic research of shortcut denitrification in synthetic ammonia industrial wastewater treatment process].

    Science.gov (United States)

    Li, Yan; Li, Ze-Bing; Ma, Jia-Xuan; Wang, Xiao-Yi; Zhao, Bai-Hang; Li, Jun

    2012-06-01

    Active sludge was from a pilot-scale synthetic ammonia industrial wastewater treatment plant with a strengthen anoxic-oxic (A/O) technology. The zero order kinetic model was suit for describing shortcut and complete denitrification process. Experimental results showed that shortcut denitrification could reduce 14.1% carbon source consumption and 55.7% denitrification time, respectively, comparing with complete denitrification. The maximum specific denitrification rate was 0.509 g x (g x d)(-1) with an initial NO2(-) -N concentration of 36.82 mg x L(-1) and pH 7.5. In the industrial practice, it must be avoided pH higher than 9.0 in anoxic zone for industrial treatment. Replication-selective denitrifying bacteria showed a strong adaptability to methanol and ethanol, but showed maladaptation to other small molecular and easily biodegradable organics, such as glucose and acetic acid.

  3. Leaching characteristics of the metal waste form from the electrometallurgical treatment process: Product consistency testing

    International Nuclear Information System (INIS)

    Johnson, S. G.; Keiser, D. D.; Frank, S. M.; DiSanto, T.; Noy, M.

    1999-01-01

    Argonne National Laboratory is developing an electrometallurgical treatment for spent fuel from the experimental breeder reactor II. A product of this treatment process is a metal waste form that incorporates the stainless steel cladding hulls, zirconium from the fuel and the fission products that are noble to the process, i.e., Tc, Ru, Nb, Pd, Rh, Ag. The nominal composition of this waste form is stainless steel/15 wt% zirconium/1--4 wt% noble metal fission products/1--2 wt % U. Leaching results are presented from several tests and sample types: (1) 2 week monolithic immersion tests on actual metal waste forms produced from irradiated cladding hulls, (2) long term (>2 years) pulsed flow tests on samples containing technetium and uranium and (3) crushed sample immersion tests on cold simulated metal waste form samples. The test results will be compared and their relevance for waste form product consistency testing discussed

  4. General Characteristics and Treatment Possibilities of Dairy Wastewater – A Review

    Directory of Open Access Journals (Sweden)

    Aleksandar Kolev Slavov

    2017-01-01

    Full Text Available The milk processing industry is one of the world’s staple industries, thus the treatment possibilities of dairy effluents have been attracting more and more attention. The purpose of the paper is to review contemporary research on dairy wastewater. The origin, categories, as well as liquid by-products and general indicators of real dairy wastewater are described. Different procedures applied for dairy wastewater management are summarised. Attention is focused on in-factory treatment technologies with the emphasis on biological processes. Aerobic and anaerobic methods with both their advantages and disadvantages are discussed in detail. Consecutive anaerobic and aerobic systems are analysed, too. Finally, future research niches are identified.

  5. Characteristics of failure to thrive in a referral population: implications for treatment.

    Science.gov (United States)

    Atalay, Alev; McCord, Mary

    2012-03-01

    Failure to thrive (FTT) in children is an important pediatric problem. Environmental and behavioral causes predominate, and detrimental effects on neurocognitive development are well documented. Multidisciplinary clinics designed to identify and treat FTT are effective but have not been widely adopted. A retrospective chart review was conducted of all patients with FTT seen at the authors' large inner-city children's hospital over a 40-month period, including those referred to a new multidisciplinary clinic. Over 40 months, only 75 children were referred and only 20 had moderate or severe FTT (z-score <-2.0). Nutritional status improved with treatment, but the small number of referrals who were severely affected led to the closing of the clinic. Recommendations for evaluating and treating children with mild FTT in primary care settings and a standardized definition of FTT that warrants more intensive treatment would help ensure that children were referred and treated appropriately.

  6. Developer Driven and User Driven Usability Evaluations

    DEFF Research Database (Denmark)

    Bruun, Anders

    2013-01-01

    to measure performance of usability evaluation efforts. These criteria cover thoroughness, validity, reliability, downstream utility and cost effectiveness. This leads to my overall research question: Can we provide support that enables software development practitioners and users to drive usability...... evaluations, and how do they perform with respect to the quality criteria? I studied the developer driven and user driven approaches by firstly conducting literature surveys related to each of these topics followed by artificial settings research and finally by conducting research in natural settings....... The four primary findings from my studies are: 1) The developer driven approach reveals a high level of thoroughness and downstream utility. 2) The user driven approach has higher performance regarding validity 3) The level of reliability is comparable between the two approaches. 4) The user driven...

  7. The characteristics of bacterial nanocellulose gel releasing silk sericin for facial treatment

    OpenAIRE

    Aramwit, Pornanong; Bang, Nipaporn

    2014-01-01

    Background Recently, naturally derived facial masks with beneficial biological properties have received increasing interest. In this study, silk sericin-releasing bacterial nanocellulose gel was developed to be applied as a bioactive mask for facial treatment. Results The silk sericin-releasing bacterial nanocellulose gel produced at a pH of 4.5 had an ultrafine and extremely pure fiber network structure. The mechanical properties and moisture absorption ability of the gel were improved, comp...

  8. Relationship between obesity and depression: characteristics and treatment outcomes with antidepressant medication.

    Science.gov (United States)

    Toups, Marisa S P; Myers, Alyson K; Wisniewski, Stephen R; Kurian, Benji; Morris, David W; Rush, Augustus John; Fava, Maurizio; Trivedi, Madhukar H

    2013-01-01

    Obesity and major depressive disorder often co-occur. However, differences between obese and normal-weight depressed patients and the moderating effect of obesity on antidepressant treatment outcome are not well studied. Adults (n = 662) with major depressive disorder in the Combining Medications to Enhance Depression Outcomes study were randomized to treatment with escitalopram plus placebo, bupropion plus escitalopram, or venlafaxine plus mirtazapine for a 12-week primary treatment phase and 16-week follow-up. Body mass index (BMI) was calculated at baseline and categorized according to World Health Organization criteria: normal or low weight (NW), overweight, Obese I and Obese II+. A repeated-effects model, unadjusted and adjusted for baseline variables, assessed outcomes. Obesity was common (46.2%), only 25.5% were NW. Higher BMI was associated with greater medical illness (p Obese I 43%, Obese II+ 37%; p = .69). Lower BMI was associated with more frequent (p = .024 [unadjusted] and .053 [adjusted]) and more severe (p = .008 [unadjusted] and .053 [adjusted]) adverse effects. BMI was related to clinical presentation and prevalence of comorbidities, but not antidepressant outcomes. Lower BMI classes had more psychiatric comorbidities, potentially obscuring the relationship between BMI and antidepressant effects. Trial Registration ClinicalTrials.gov identifier: NCT00590863.

  9. Grey water characteristics and treatment options for rural areas in Jordan.

    Science.gov (United States)

    Halalsheh, M; Dalahmeh, S; Sayed, M; Suleiman, W; Shareef, M; Mansour, M; Safi, M

    2008-09-01

    Low water consumption in rural areas in Jordan had resulted in the production of concentrated grey water. Average COD, BOD and TSS values were 2568mg/l, 1056mg/l and 845mg/l, respectively. The average grey water generation was measured to be 14L/c.d. Three different treatment options were selected based on certain criterions, and discussed in this article. The examined treatment systems are septic tank followed by intermittent sand filter; septic tank followed by wetlands; and UASB-hybrid reactor. Advantages and disadvantages of each system are presented. It was concluded that UASB-hybrid reactor would be the most suitable treatment option in terms of compactness and simplicity in operation. The volume of UASB-hybrid reactor was calculated to be 0.268m(3) with a surface area of 0.138m(2) for each house having 10 inhabitants on average. Produced effluent is expected to meet Jordanian standards set for reclaimed water reuse in irrigating fruit trees.

  10. Characteristics of strain aging phenomena in nuclear structural grade low alloyed carbon steel with heat treatment

    International Nuclear Information System (INIS)

    Lee, J. S.; Kim, I. S.; Park, J. K.

    2003-01-01

    Intercritical annealing treatment in two-phase (α+γ) region was performed to the SA106 Gr.C piping steel to reduce detrimental effects on the mechanical properties resulted from the strain aging phenomena. Tensile tests were carried out under various temperatures and strain rates, and yield point return technique was conducted to measure the relative interstitial solute content. The manifestations of dynamic stain aging were still observed in the tensile and J-R tests of the annealed specimens. However, the ductility loss was smaller than that in the as-received. Further, compared to the as-received condition, the temperature of minimum fracture properties, such as J-R, J i and dJ/da, was shifted to higher temperature with the heat treatment. The activation energy of interstitial carbon atoms determined by Hartley analysis method and Arrhenius equation was ranged from 117.4 to 125.54 kJ/mol, which was larger than the conventional interstitial bulk diffusion. It seems that those reduced strain aging effects were induced by a reduction of interstitial carbon content in a ferrite matrix with the heat treatment

  11. [INVITED] Laser gas assisted treatment of Ti-alloy: Analysis of surface characteristics

    Science.gov (United States)

    Yilbas, B. S.; Ali, H.; Karatas, C.

    2016-04-01

    Laser gas assisted treatment of Ti6Al4V alloy surface is carried out and nitrogen/oxygen mixture with partial pressure of PO2/PN2=1/3 is introduced during the surface treatment process. Analytical tools are used to characterize the laser treated surfaces. The fracture toughness at the surface and the residual stress in the surface region of the laser treated layer are measured. Scratch tests are carried out to determine the friction coefficient of the treated surface. It is found that closely spaced regular laser scanning tracks generates a self-annealing effect in the laser treated layer while lowering the stress levels in the treated region. Introducing high pressure gas mixture impingement at the surface results in formation of oxide and nitride species including, TiO, TiO2, TiN and TiOxNy in the surface region. A dense layer consisting of fine size grains are formed in the surface region of the laser treated layer, which enhances the microhardness at the surface. The fracture toughness reduces after the laser treatment process because of the microhardness enhancement at the surface. The residual stress formed is comprehensive, which is in the order of -350 MPa.

  12. [The clinical characteristics and surgical treatment strategy of acute gangrenous cholecystitis after biliary tract stenting].

    Science.gov (United States)

    Ma, J; Lü, S C; Kou, J T; Li, X L; Zhu, J Q; Dong, H M; He, Q

    2016-12-13

    Objective: To analysis of the possible cause and surgical diagnosis and treatment strategies of acute gangrenous cholecystitis (AGC) after biliary stent drainage. Methods: The clinical data of 273 patients who received biliary stent drainage in Beijing Chaoyang Hospital from January 2015 to March 2016 were analyzed retrospectively. Among them, 22 patients who underwent surgical treatment were divided into two groups: 9 cases of AGC group and 13 cases of non-AGC group. The risk factors of AGC and surgical approach were analyzed. Result: All 22 patients underwent laparoscopic surgery. In AGC group, 1 patient with toxic shock died of multiple organ viscera function failure caused by infection, and 1 patient with gallbladder triangle inflammatory adhesion suffered from biliary leakage. The postoperative pathology of 2 patients was acute gangrenous cholecystitis. Non-AGC group had no death, bile duct injury and bleeding, with postoperative pathology of chronic cholecystitis. Patients were followed up for 2 month to restore well, without biliary calculi residual. Operation time, intraoperative blood loss, hospitalization days and hospitalization expenses of AGC group were higher than those of non-AGC group. Conclusion: The advocated AGC after biliary stent drainage should actively surgery after early diagnosis and endoscopic therapy should not be repeated. Laparoscopic surgery is a safe and effective treatment for AGC after carotid stenting.

  13. Do ictal EEG characteristics predict treatment outcomes in schizophrenic patients undergoing electroconvulsive therapy?

    Science.gov (United States)

    Simsek, Gulnihal Gokce; Zincir, Selma; Gulec, Huseyin; Eksioglu, Sevgin; Semiz, Umit Basar; Kurtulmus, Yasemin Sipka

    2015-08-01

    The aim of this study is to investigate the relationship between features of electroencephalography (EEG), including seizure time, energy threshold level and post-ictal suppression time, and clinical variables, including treatment outcomes and side-effects, among schizophrenia inpatients undergoing electroconvulsive therapy (ECT). This is a naturalistic follow-up study on schizophrenia patients, diagnosed using DSM-IV-TR criteria, treated by a psychosis inpatient service. All participants completed the Brief Psychiatric Rating Scale (BPRS), the Global Assessment of Functioning (GAF) scale, the Frontal Assessment Battery (FAB) and a Data Collection Form. Assessments were made before treatment, during ECT and after treatment. Statistically significant improvements in both clinical and cognitive outcome were noted after ECT in all patients. Predictors of improvement were sought by evaluating electrophysiological variables measured at three time points (after the third, fifth and seventh ECT sessions). Logistic regression analysis showed that clinical outcome/improvement did not differ by seizure duration, threshold energy level or post-ictal suppression time. We found that ictal EEG parameters measured at several ECT sessions did not predict clinical recovery/outcomes. This may be because our centre defensively engages in "very specific patient selection" when ECT is contemplated. ECT does not cause short-term cognitive functional impairment and indeed improves cognition, because symptoms of the schizophrenic episode are alleviated.

  14. Characteristics of activated carbon produced from biosludge and its use in wastewater post-treatment.

    Science.gov (United States)

    Pikkov, L; Kallas, J; Rüütmann, T; Rikmann, E

    2001-02-01

    Experimental research into the bench-scale production of activated carbon from waste-activated sludge from water purification, sawdust, peat, and their mixtures, by carbonisation and activation was undertaken. The research work was carried out to determine possible methods of production of cheap activated carbon from local raw materials and to use it in water purification technology. Along with the samples produced, several commercial activated carbons (namely RB-1, F 100, CA (adsorbent from military gas masks), BAY (product of the USSR)) were tested to compare adsorption properties in the adsorption of phenols, xylidines, amines, methylene blue and molasses. It has been found that the activated carbon produced from waste biosludge was of higher quality than that produced from either sawdust or peat, and performed similarly to RB-1 and F100 in adsorption tests. It was also determined that the activated carbon produced from biosludge could possibly be used in the post-treatment of wastewater. Residual sludge from the biological treatment of the wastewater from the purification of oil-shale in the chemical processing industry could cover up to 80% of the need for activated carbon. Some of this activated carbon could be used in the post-treatment of the same water, adsorbing polyalcaline phenols from the initial content of 4 mg l-1 to the demanded level of 1 mg l-1.

  15. Characteristics and use of treatment modalities of patients with binge-eating disorder in the Department of Veterans Affairs.

    Science.gov (United States)

    Bellows, Brandon K; DuVall, Scott L; Kamauu, Aaron W C; Supina, Dylan; Pawaskar, Manjiri; Babcock, Thomas; LaFleur, Joanne

    2016-04-01

    In 2013 binge-eating disorder (BED) was recognized as a formal diagnosis, but was historically included under the diagnosis code for eating disorder not otherwise specified (EDNOS). This study compared the characteristics and use of treatment modalities in BED patients to those with EDNOS without BED (EDNOS-only) and to matched-patients with no eating disorders (NED). Patients were identified for this study from electronic health records in the Department of Veterans Affairs from 2000 to 2011. Patients with BED were identified using natural language processing and patients with EDNOS-only were identified by ICD-9 code (307.50). First diagnosis defined index date for these groups. NED patients were frequency matched to BED patients up to 4:1, as available, on age, sex, BMI, depression, and index month encounter. Baseline characteristics and use of treatment modalities during the post-index year were compared using t-tests or chi-square tests. There were 593 BED, 1354 EDNOS-only, and 1895 matched-NED patients identified. Only 68 patients with BED had an EDNOS diagnosis. BED patients were younger (48.7 vs. 49.8years, p=0.04), more were male (72.2% vs. 62.8%, pobese (BMI 40.2 vs. 37.0, ptreatment modality. The characteristics of BED patients were different from those with EDNOS-only and NED as was their use of treatment modalities. These differences highlight the need for a separate identifier of BED. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Clinicopathological characteristics, diagnosis and treatment of melanoma in Serbia: The Melanoma Focus Study

    Directory of Open Access Journals (Sweden)

    Kandolf-Sekulović Lidija

    2015-01-01

    Full Text Available Background/Aim. Treatment options for metastatic melanoma in Serbia are limited due to the lack of newly approved biologic agents and the lack of clinical studies. Also, there is a paucity of data regarding the treatment approaches in different tertiary centers and efficacy of available chemotherapy protocols. The aim of this study was to obtain more detailed data about treatment protocols in Serbia based on structured survey in tertiary oncology centers. Methods. Data about the melanoma patients treated in 2011 were analyzed from hospital databases in 6 referent oncology centers in Serbia, based on the structured survey, with the focus on metastatic melanoma patients (unresectable stage IIIC and IV. Results. A total of 986 (79-315 in different centers patients were treated, with 320 (32.45% newly diagnosed patients. There were 317 patients in stage IIIC/IV, 77/317 aged 60 years. At initial diagnosis 12.5% of patients were in stage III and 4.5% in stage IV. The most common type was superficial spreading melanoma (50-66%, followed by nodular melanoma (23.5-50%. Apart from the regional and distant lymph node metastases, the most frequent organs involved in stage IV disease were distant skin and soft tissues (12-55%, lungs (19-55.5%, liver (10-60%, and bones (3-10%. The first line therapy in stage IV metastatic melanoma was dacarbazine (DTIC dimethyl-triazeno-imidozole-carboxamide in 61-93% of the patients, while the second line varied between the centers. Disease control (complete response + partial response + stable disease was achieved in 25.7% of the patients treated with the first line chemotherapy and 23.1% of the patients treated with the second line therapy, but the duration of response was short, in first-line therapy 6.66 ± 3.36 months (median 6.75 months. More than 90% of patients were treated outside the clinical trials. Conclusion. Based on this survey, there is a large unmet need for the new treatment options for metastatic melanoma

  17. Clinical characteristics and abandonment and outcome of treatment in 67 Chinese children with medulloblastoma.

    Science.gov (United States)

    Wang, Chen; Yuan, Xiao-Jun; Jiang, Ma-Wei; Wang, Li-Feng

    2016-01-01

    OBJECT The purpose of this study was to explore the clinical features and outcome of medulloblastoma in Chinese children. The authors analyze the reasons that treatment is abandoned and attempt to provide evidence-based recommendations for improving the prognosis of medulloblastoma in this population. METHODS A total of 67 pediatric cases of newly diagnosed medulloblastoma were included in this study. All of the children were treated at Xinhua Hospital between January 2007 and June 2013. The authors retrospectively analyzed the clinical data, treatment modalities, and outcome. The male-to-female ratio was 2:1, and the patients' median age at diagnosis was 51.96 months (range 3.96-168.24 months). The median duration of follow-up was 32 months (range 3-70 months). RESULTS At the most recent follow-up date, 31 patients (46%) were alive, 30 (45%) had died, and 6 (9%) had been lost to follow-up. The estimated 3-year overall survival and progression-free survival, based on Kaplan-Meier analysis, were 55.1% ± 6.4% and 45.6% ± 6.7%, respectively. Univariate analysis showed that standard-risk group (p = 0.009), postoperative radiotherapy (RT) combined with chemotherapy (p < 0.001), older age (≥ 3 years) at diagnosis (p = 0.010), gross-total resection (p = 0.012), annual family income higher than $3000 (p = 0.033), and living in urban areas (p = 0.008) were favorable prognostic factors. Multivariate analysis revealed that postoperative RT combined with chemotherapy was an independent prognostic factor (p < 0.001). The treatment abandonment rate in this cohort was 31% (21 of 67 cases). CONCLUSIONS There was a large gap between the outcome of medulloblastoma in Chinese children and the outcome in Western children. Based on our data, treatment abandonment was the major cause of therapeutic failure. Parents' misunderstanding of medulloblastoma played a major role in abandonment, followed by financial and transportation difficulties. Establishment of multidisciplinary

  18. The impact of graves' disease and its treatment on handwriting characteristics

    DEFF Research Database (Denmark)

    Papi, Giampaolo; Botti, Cristina; Corsello, Salvatore Maria

    2014-01-01

    BACKGROUND: Thyroid hormones are crucial for metabolism in all tissues in humans, including the nervous system and muscles, and could thus affect handwriting, which is the synthesis of complex and fine movements. Hyperthyroidism, characterized by symptoms such as tremor and weakness, could affect...... handwriting, although this has not been studied yet. The aim of this study was to evaluate handwriting characteristics before and after therapy for hyperthyroid Graves' disease (GD). METHODS: Twenty-two patients (15 women, 7 men) with untreated GD (median age: 44 years; range: 20-70 years) were asked to write...... patients. Following recovery from hyperthyroidism, a state of hypertrophic and contracted handwriting resulted in greater fluency and fluidity. Variations in handwriting should be included as signs/symptoms in GD....

  19. INFLUENCE ОF MODIFIER THERMAL TREATMENT ОN CHARACTERISTICS ОF COMPOSITE MATERIALS FOR PROTECTIVE COATINGS

    Directory of Open Access Journals (Sweden)

    V. Ivashko

    2012-01-01

    Full Text Available This paper presents results that reveal influence of modifiers characterized by different nature and composition and subjected to heat treatment on operational characteristics of single and binary compositions. Interaction between dispersed clay particles and dependence of  coating properties on  their mass content in oligomeric and polymeric matrices have been justified in the paper. The paper contains data that prove an increase of coating hardness by 15–20 %. The coating composition includes thermally-treated dispersed clay particles.

  20. Dormant glioblastoma cells acquire stem cell characteristics and are differentially affected by Temozolomide and AT101 treatment.

    Science.gov (United States)

    Adamski, Vivian; Hempelmann, Annika; Flüh, Charlotte; Lucius, Ralph; Synowitz, Michael; Hattermann, Kirsten; Held-Feindt, Janka

    2017-12-08

    Cellular dormancy is defined as a state in which cells enter quiescence driven by intrinsic or extrinsic factors, and striking parallels exist between the concept of cellular dormancy in malignancies and the cancer stem cell theory. We showed now that the proven dormancy markers insulin-like growth factor-binding protein 5, ephrin receptor A5 and histone cluster 1 H2B family member K were expressed in human glioblastomas in situ , were located in single tumor cells, and could be co-stained with each other and with the stem cell markers krüppel-like factor 4, octamer binding transcription factor 4 and sex determining region Y-box 2. Human non-stem glioblastoma cell lines and primary cultures were characterized by expression of individual, cell-type specific dormancy- and stemness-associated markers, which were (up)regulated and could be co-stained in a cell-type specific manner upon Temozolomide-induced dormancy in vitro . The induction patterns of dormancy- and stemness-associated markers were reflected by cell-type specific responses to Temozolomide-induced and combined Temozolomide/AT101-mediated cytotoxicity in different glioblastoma cell lines and primary cultures in vitro , and accompanied by higher self-renewal capacity and lower TMZ-sensitivity of Temozolomide-pretreated cells. We postulate that a better understanding of the dormant state of tumor cells is essential to further improve efficiency of treatment.

  1. Body image in patients with mental disorders: Characteristics, associations with diagnosis and treatment outcome.

    Science.gov (United States)

    Scheffers, Mia; van Busschbach, Jooske T; Bosscher, Ruud J; Aerts, Liza C; Wiersma, Durk; Schoevers, Robert A

    2017-04-01

    Despite the increasing recognition in clinical practice of body image problems in other than appearance related mental disorders, the question remains how aspects of body image are affected in different disorders. The aim of this study was to measure body image in patients with a variety of mental disorders and to compare scores with those in the general population in order to obtain more insight in the relative disturbance of body image in the patients group compared to healthy controls. In a further exploration associations with self-reported mental health, quality of life and empowerment were established as well as the changes in body image in patients over time. 176 women and 91 men in regular psychiatric treatment completed the Dresden Body Image Questionnaire, the Outcome Questionnaire, the Manchester Short Assessment of Quality of Life and the Mental Health Confidence Scale. Measurements were repeated after four months. Patients with mental disorders, especially those with post-traumatic stress disorder (PTSD), scored significantly lower on body image, with large effect sizes, in comparison with the healthy controls. Scores of patients from different diagnostic groups varied across domains of body image, with body acceptance lowest in the group with eating disorders, and sexual fulfillment extremely low in PTSD. Vitality did not differ significantly between the various disorders. Gender differences were large for body acceptance and sexual fulfillment and small for vitality. Associations of body image with self-reported mental health, quality of life and empowerment were moderate to strong. After four months of treatment positive changes in body image were observed. Negative body image is a common problem occurring in most patients with mental disorders. Diagnosis-specific profiles emerge, with PTSD being the most affected disorder. Body acceptance and sexual fulfillment were the most differentiating aspects of body image between diagnoses. Changes in body

  2. Cornelia de Lange syndrome – characteristics and laparoscopic treatment modalities of reflux based on own material

    Directory of Open Access Journals (Sweden)

    Robert Szyca

    2011-09-01

    Full Text Available Cornelia de Lange syndrome (typus degenerativus amstelodamensis, CdLS, Brachmann syndrome is a complex, congenital,multi-gene anomaly characterized by mental retardation. Its features include growth inhibition, hirsutism,structural anomalies of the limbs and abnormal development of osseous structures of the face. Independent of thephenotype of the disease, 85% of patients are assumed to have symptoms of gastroesophageal reflux disease(GERD. Aspiration pneumonia is one of the complications of GERD and a main cause of death in these patients.Patients not responding to medical treatment qualify for surgery. Until recently, anti-reflux procedures for GERD inCdLS patients were performed solely via laparotomy. The contemporary gold standard is a procedure performedlaparoscopically. There are a few case reports of patients with CdLS operated on for GERD with laparoscopy availablein the literature. The goal of this paper is to present two cases of Cornelia de Lange syndrome treated with laparoscopicantireflux procedures. We have performed two such procedures in 14 and 16 year-old girls with typical symptomsof the syndrome, i.e. developmental and mental retardation, hirsutism, structural limb anomalies and abnormalface development. The main indications for surgery in both cases were ineffective medical treatment and persistentaspiration pneumonia and its complications as a result of the gastroesophageal reflux. Oesophageal hiatus herniaand reflux were confirmed with accessory tests in both cases. During 36 months of follow-up, according to Barents,no episode of oesophageal reflux with acidic gastric content was noted. The treated children slept well during thenight and did not need hospitalization for aspiration pneumonia. Neither of them required proton pump inhibitors. Itshould be concluded that laparoscopic Nissen fundoplication is a safe and effective method of GERD treatment in childrenwith CdLS.

  3. Lichen planopilaris: Demographic, clinical and histopathological characteristics and treatment outcomes of 25 cases

    Directory of Open Access Journals (Sweden)

    Deren Özcan

    2015-12-01

    Full Text Available Background and Design: Lichen planopilaris (LPP is a type of cicatricial alopecia characterized by autoreactive lymphocytic destruction of the hair follicle. We aimed to evaluate the demographic, clinical and histopathological features, and treatment outcomes of patients with LPP. Materials and Methods: Medical reports of 25 patients, who have been diagnosed with LPP according to the clinical and histopathological findings between January 2006 and June 2012, were retrospectively reviewed. The transverse and vertical sections of scalp biopsy specimens were re-evaluated by a pathologist, and the findings were noted. Results: Of the 25 patients, 18 were female and 7 were male, the mean age was 49.8±12.4 years. Eighteen patients had been diagnosed with classic LPP and 7 patients with frontal fibrosing alopecia (FFA. The alopecia has begun in postmenopausal period in 5 patients with FFA. Alopecia was associated with pruritus, pain and/or burning in 19 patients. Extra-scalp involvement was observed in 11 patients. The most common clinical findings were follicular hyperkeratosis (92%, perifollicular erythema (48%, perifollicular lichenoid papules, and positive hair-pull test (44%. Dermatoscopic examination was performed in 14 patients, and most commonly, absence of follicular openings (100%, perifollicular scales (92.9% and perifollicular erythema (50% were noted. The most common diagnostic histopathological findingsmwere follicular vacuolar and lichenoid degeneration (88% and vacuolar and lichenoid interface changes (56%. Twenty-three patients who were started on treatment received topical, intramuscular and intralesional corticosteroids, topical minoxidil, oral tetracycline, cyclosporine A, and hydroxychloroquine either alone or in combination. Progression of alopecia was prevented and the symptoms and/or signs were reduced in 12 (75% of 16 patients whose follow-up data were available. Conclusion: LPP can be diagnosed accurately through a detailed

  4. Dissolved effluent organic matter: Characteristics and potential implications in wastewater treatment and reuse applications.

    Science.gov (United States)

    Michael-Kordatou, I; Michael, C; Duan, X; He, X; Dionysiou, D D; Mills, M A; Fatta-Kassinos, D

    2015-06-15

    Wastewater reuse is currently considered globally as the most critical element of sustainable water management. The dissolved effluent organic matter (dEfOM) present in biologically treated urban wastewater, consists of a heterogeneous mixture of refractory organic compounds with diverse structures and varying origin, including dissolved natural organic matter, soluble microbial products, endocrine disrupting compounds, pharmaceuticals and personal care products residues, disinfection by-products, metabolites/transformation products and others, which can reach the aquatic environment through discharge and reuse applications. dEfOM constitutes the major fraction of the effluent organic matter (EfOM) and due to its chemical complexity, it is necessary to utilize a battery of complementary techniques to adequately describe its structural and functional character. dEfOM has been shown to exhibit contrasting effects towards various aquatic organisms. It decreases metal uptake, thus potentially reducing their bioavailability to exposed organisms. On the other hand, dEfOM can be adsorbed on cell membranes inducing toxic effects. This review paper evaluates the performance of various advanced treatment processes (i.e., membrane filtration and separation processes, activated carbon adsorption, ion-exchange resin process, and advanced chemical oxidation processes) in removing dEfOM from wastewater effluents. In general, the literature findings reveal that dEfOM removal by advanced treatment processes depends on the type and the amount of organic compounds present in the aqueous matrix, as well as the operational parameters and the removal mechanisms taking place during the application of each treatment technology. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Clinical characteristics and treatment outcome of Stevens-Johnson syndrome and toxic epidermal necrolysis

    Science.gov (United States)

    CHANTAPHAKUL, HIROSHI; SANON, THANOMSAK; KLAEWSONGKRAM, JETTANONG

    2015-01-01

    Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are erythematous skin lesions with blister formation accompanied by mucosal involvement. These conditions are considered to be life-threatening illnesses. Understanding the clinical presentation, risk factors, treatment options and results will be advantageous for physicians in the management of patients in the future. The aim of the present study was to review and analyze the clinical manifestations, drug implications, treatment and outcome of patients with SJS and/or TEN who had been hospitalized in a tertiary care center. All hospitalized patients with SJS and/or TEN during a 5-year period were retrospectively reviewed. The clinical severity was graded according to the score of toxic epidermal necrolysis (SCORTEN) scale. Clinical symptoms, diagnosis, possible precipitating factors, management and outcome data were collected for analysis. A total of 43 patients (mean age, 49.5 years) were hospitalized and classified into the SJS group (55.8%), SJS/TEN overlap group (20.9%) and TEN group (23.3%). The majority of the patients (90.7%) had mucocutaneous eruptions associated with oral drug administration. Allopurinol, anticonvulsants and antibiotics were the most common causative agents for the mucocutaneous eruption. Twenty-eight patients (65.1%) were treated with corticosteroids. The mortality rate was 6.9%. Comparison between the survival group and the non-survival group revealed that patient age >70 years (P=0.014) and body surface area involvement >20% (P<0.01) were the significant factors associated with mortality. The use of systemic steroids was higher in the survival group in comparison with the non-survival group (65.1 vs. 0%, respectively; P=0.014). The mucocutaneous eruptions in SJS and TEN are mostly caused by medication. With early recognition and treatment, the mortality rate in this study was lower than that in previous reports. Patient age and the area of mucocutaneous involvement

  6. Clinical characteristics and treatment outcomes in patients with Helicobacter pylori-positive chronic immune thrombocytopenic purpura.

    Science.gov (United States)

    Teawtrakul, Nattiya; Sawadpanich, Kookwan; Sirijerachai, Chittima; Chansung, Kanchana; Wanitpongpun, Chinadol

    2014-01-01

    Immune thrombocytopenic purpura (ITP) is the condition caused by increased platelet destruction and or decreased platelet production. Previous studies have demonstrated the association and efficacy of Helicobacter pylori (H. pylori) eradication therapy in patients with chronic ITP. Data in Thai patients, however, are limited. A prospective cross-sectional analytic study was conducted in adult patients with chronic ITP to determine the prevalence and clinical predictive factors of H. pylori infection and evaluate the efficacy of H. pylori eradication therapy. H. pylori-infected patients received eradication therapy (omeprazole 40 mg/day, clarithromycin 1000 mg/day, amoxicillin 2000 mg/day) for 2 weeks. The platelet counts at baseline and monthly for 6 months after the end of treatment were evaluated. Of the 25 patients, 9 patients (36%) had H.pylori infection. H. pylori infection is higher among women than men. There were two clinical factors included 1) relapsed ITP 2) response after the first-line treatment statistically proven to be associated with H. pylori infection with an odds ratio and p value of 7.7, p = 0.035 and ND (not determined due to small sample size), p pylori infection is modest in Thai adult patients with chronic ITP. A history of relapsed ITP and high quality of response after first-line treatment indicated H. pylori infection. Therefore, the urea breath test should be recommended in patients who have a relapsed ITP condition with a history of good response after first-line therapy.

  7. Enhancing the ecological and operational characteristics of water treatment units at TPPs based on baromembrane technologies

    Science.gov (United States)

    Chichirova, N. D.; Chichirov, A. A.; Filimonova, A. A.; Saitov, S. R.

    2017-12-01

    The innovative baromembrane technologies for water demineralization were introduced at Russian TPPs more than 25 years ago. While being used in the power engineering industry of Russia, these technologies demonstrated certain advantages over the traditional ion-exchange and thermal technologies of makeup water treatment for steam boilers. Water treatment units based on the baromembrane technology are compact, easy to operate, and highly automated. The experience gained from the use of these units shows that their reliability depends directly on preliminary water treatment. The popular water pretreatment technology with coagulation by aluminum oxychloride proved to be inefficient during the seasonal changes of source water quality that occurs at some stations. The use of aluminum coagulant at pH 8 and higher does not ensure the stable and qualitative pretreatment regime: soluble aluminum forms slip on membranes of the ultrafiltration unit, thereby causing pollution and intoxication as well as leading to structural damages or worsening of mechanical properties of the membranes. The problem of increased pH and seasonal changes of the source water quality can be solved by substitution of the traditional coagulant into a new one. To find the most successful coagulant for water pretreatment, experiments have been performed on both qualitative and quantitative analysis of the content of natural organic matters in the Volga water and their structure. We have developed a software program and measured the concentrations of soluble aluminum and iron salts at different pH values of the source water. The analysis of the obtained results has indicated that iron sulfate at pH 6.0-10.2, in contrast to aluminum oxychloride, is not characterized by increased solubility. Thus, the basic process diagrams of water pretreatment based on baromembrane technologies with pretreatment through coagulation by iron salts and wastewater amount reducing from 60-40 to 5-2% have been introduced for

  8. Vibration and damping characteristics of beams with active constrained layer treatments under parametric variations

    International Nuclear Information System (INIS)

    Kumar, Navin; Singh, S.P.

    2009-01-01

    Hybrid damping designs with active piezoelectric materials and passive viscoelastic materials (VEMs) combine the advantages of both active and passive constrained layer damping (ACLD/PCLD) treatments. Researchers have established the standards for the extent and placement of the PCLD treatment for common structures. However for ACLD treatment, such detailed studies are not available. This study is aimed to examine, the effect of parametric variation of active constrained layer on the vibration control of the beams treated with optimally placed active or passive constrained layer damping patches. Finite element model is developed to model the open-loop and close-loop dynamics of active/passive constrained layer damping treated beam. The placement strategies of ACLD patches are devised using the modal strain energy (MSE) approach. Extensive experimentation studies are conducted by making twenty one separate samples of ACLD/PCLD treated beams with variations in viscoelastic material layer thickness, ACLD/PCLD patch coverage and location of the patch. Effects of key parameters, such as control gain, viscoelastic material thickness, coverage and location variation of ACLD patch on the system loss factor have been investigated. The careful analysis of results from partially covered ACLD treated beam suggests that the maximum damping of the first mode can be achieved by attaching the ACLD patch only up to 50% coverage. It also reveals that with proper choice of the control voltage and thickness, the effective loss factor can be almost doubled. The present study suggests the potential use of parametric studies that establish some guide lines for the extent and placement of the ACLD patches on the cantilevered beam.

  9. Patient characteristics support unfavorable psychiatric outcome after treatment of unruptured intracranial aneurysms.

    Science.gov (United States)

    Wenz, H; Wenz, R; Ehrlich, G; Groden, C; Schmieder, K; Fontana, J

    2015-07-01

    Previous studies demonstrated an unfavorable psychological outcome after treatment of unruptured intracranial aneurysms despite an objectively favorable clinical and radiological outcome. The current study was therefore designed to analyze the psychiatric vulnerability of this specific patient collective. Patients treated for a WHO grade I meningioma and incidental intracranial aneurysms in two German neurosurgical centers between 2007 and 2013 were screened for exclusion criteria including malignant/chronic diseases, recurrence of the tumor/aneurysm after more than 12 months and focal neurological deficits, among others. Seventy-five meningioma patients (M) and 56 incidental aneurysm patients (iA) met the inclusion criteria. The past medical psychiatric history, post-morbid personality characters and coping strategies were determined by questionnaires mailed to the patients in a printed version (Brief COPE, Big Five Personality Test). Fifty-eight M and 45 iA patients returned the questionnaires. Patients with iA demonstrated significantly higher pre-interventional rates of depressive episodes (p = 0.002) and psychological supervision (p = 0.038). These findings were especially aggravated in iA patients who received their cranial imaging for unspecific symptoms such as dizziness, headaches or tinnitus (n = 33, history of depressions: 39.4%; previous psychological supervision: 33.3%). Furthermore, the analysis of the Big Five personality traits revealed remarkably elevated neuroticism scores in the iA collective. The current study demonstrates an increased rate of positive pre-interventional psychiatric histories in the iA collective. Although those patients represent only a small subgroup, they still may play an important role concerning the overall outcome after iA treatment. Early detection and psychological support in this subgroup might help to improve the overall outcome. Further studies are needed to evaluate the influence of this new aspect on

  10. Anxiety, splint treatment and clinical characteristics of patients with osteoarthritis of temporomandibular joint and dental students – a pilot study.

    Directory of Open Access Journals (Sweden)

    Tomislav Badel

    2011-02-01

    Full Text Available The aim of this study was to evaluate the use of splint treatment for therapy of osteoarthritis of temporomandibular joint, and to compare the level of anxiety (State-Trait Anxiety Inventory,STAI and clinical characteristics between 16 patients and 20 asymptomatic dental school students. Magnetic resonance imaging (MRI was used for all subjects. Dental students showed a statistically signiicant higher capacity of mouth opening (p<0.05, and lower level of anxiety (p<0.05 for STAI 1, and p<0.001 for STAI 2 than patients. Patients who had suffered chronic pain before splint treatment had a higher value of anxiety by STAI 1 test (p<0.05.

  11. BEST CANDIDATES FOR COGNITIVE TREATMENT OF ILLNESS PERCEPTIONS IN CHRONIC LOW BACK PAIN : RESULTS OF A THEORY-DRIVEN PREDICTOR STUDY

    NARCIS (Netherlands)

    Siemonsma, Petra C.; Stuive, Ilse; Roorda, Leo D.; Vollebregt, Joke A.; Lankhorst, Gustaaf J.; Lettinga, Ant T.

    Objective: The aim of this study was to identify treatment-specific predictors of the effectiveness of a method of evidence-based treatment: cognitive treatment of illness perceptions. This study focuses on what treatment works for whom, whereas most prognostic studies focusing on chronic

  12. Patients presenting to the hospital with MRSA pneumonia: differentiating characteristics and outcomes with empiric treatment.

    Science.gov (United States)

    Minejima, Emi; Lou, Mimi; Nieberg, Paul; Wong-Beringer, Annie

    2014-05-10

    Concern for MRSA in patients presented to the hospital with pneumonia may be overestimated leading to excessive prescribing of empiric anti-MRSA therapy. This study aims to identify at-risk patients and treatment outcomes. Adults hospitalized during 2005-2011 with pneumonia diagnosed within 48 h of admission were included. Medical charts were retrospectively reviewed for relevant data. Patients with MRSA were matched 1:1 to those with non-MRSA pathogen or negative culture. A published risk scoring system for MRSA pneumonia was applied. 268 elderly patients were included, 134 patients in each group. Compared to non-MRSA group, MRSA patients presented more acutely ill (p pneumonia severity index score, 150 vs 93; vasopressor therapy, 34% vs 6%; ICU admission, 47% vs 13%; and mechanical ventilation, 35% vs 10%) and had worse outcomes (p pneumonia differentiated the latter group. Most MRSA patients (66%, 88/134) were treated empirically (primarily vancomycin) but outcome was not improved by receipt of empiric therapy. Use of a published risk scoring scheme with additional variables from this study can potentially reduce overprescribing of anti-MRSA empiric therapy in patients presented to the hospital with pneumonia. Prospective studies evaluating the treatment benefit of non-vancomycin alternatives as empiric therapy are needed.

  13. Characteristics of cases needing advanced treatment for intractable Posner-Schlossman syndrome.

    Science.gov (United States)

    Maruyama, Kazuichi; Maruyama, Yuko; Sugita, Sunao; Mori, Kazuhiko; Yokoyama, Yu; Sanuki-Kunimatsu, Shiho; Nakagawa, Hiroko; Kinoshita, Shigeru; Mochizuki, Manabu; Nakazawa, Toru

    2017-04-11

    In Posner-Schlossman syndrome (PSS), which is characterized by recurrent unilateral attacks of ocular hypertension. Surgical treatment is sometimes necessary because intraocular pressure (IOP) cannot be controlled with anti-glaucoma medications. To identify the clinical features of Posner-Schlossman syndrome (PSS) indicative of the need for intraocular pressure (IOP)-controlling surgery. This study was a retrospective case-series analysis of the clinical charts of 33 patients diagnosed with PSS, who underwent surgery to control IOP or received medication only. Various clinical factors were compared between the surgical and medication groups. The surgical group had a higher corneal endothelial cell (CEC) density loss (p < 0.05), higher maximum IOP (p < 0.01), greater visual field loss (p < 0.01) and higher positive number for cytomegalovirus (CMV) (p < 0.001) than the non-surgical group. Eighteen of the 33 patients had a high CEC reduction ratio. Of these 18, 16 required glaucoma surgery. PSS patients with a higher CEC reduction ratio, higher maximum IOP, greater visual field loss and higher positive number for CMV in the aqueous humor tended to be more likely to require progressive treatment, such as glaucoma surgery.

  14. Impact of post-harvest radiation treatment timing on shelf life and quality characteristics of potatoes.

    Science.gov (United States)

    Rezaee, Mehdi; Almassi, Morteza; Minaei, Saeed; Paknejad, Farzad

    2013-04-01

    The effects of gamma radiation treatment (50 and 100 Gy) on potato tubers irradiated at different days (10th, 30th and 50th) after harvest were studied during 5 months of storage at 10°C using Agria and Marfona varieties. A factorial experiment was done, based on a Randomized Complete Block Design with four replications. The 100 Gy radiation treatments on 10th and 30th days after harvest completely prevented sprouting at both varieties studied but on 50th day only Agria tubers not sprouted. This study indicated that early irradiation and absorbed radiation doses significantly decreased sprouting, percent weight loss and specific gravity of tubers. Reducing sugar content significantly increased by delay in irradiation and lower dose of radiation while non-reducing sugars did not decrease significantly by delay in irradiation and higher dose of radiation. The least increase in reducing sugars (10.2%) and most decrease in non-reducing sugar (-12.75%) were observed in tubers that irradiated on 10th day after harvest. The content of ascorbic acid was decreased by irradiation with higher dose. Although delay in irradiation caused less loss of ascorbic acid (8.5%) but showed greater metabolic changes as sprouting, weight loss, firmness, and sugars contents. Also, more increased delay in irradiation needed higher radiation doses for sprout inhibition.

  15. Impact of post-harvest radiation treatment timing on shelf life and quality characteristics of potatoes

    International Nuclear Information System (INIS)

    Rezaee, Mehdi; Paknejad, Farzad; Almassi, Morteza; Minaei, Saeed

    2013-01-01

    The effects of gamma radiation treatment (50 and 100 Gy) on potato tubers irradiated at different days (10th, 30th and 50th) after harvest were studied during 5 months of storage at 10°C using Agria and Marfona varieties. A factorial experiment was done, based on a Randomized Complete Block Design with four replications. The 100 Gy radiation treatments on 10th and 30th days after harvest completely prevented sprouting at both varieties studied but on 50th day only Agria tubers did not sprout. This study indicated that early irradiation and absorbed radiation doses significantly decreased sprouting, percent weight loss and specific gravity of tubers. Reducing sugar content significantly increased by delay in irradiation and lower dose of radiation while non-reducing sugars did not decrease significantly by delay in irradiation and higher dose of radiation. The least increase in reducing sugars (10.2%) and most decrease in non-reducing sugar (-12.75%) were observed in tubers that irradiated on 10th day after harvest. The content of ascorbic acid was decreased by irradiation with higher dose. Although delay in irradiation caused less loss of ascorbic acid (8.5%) but showed greater metabolic changes as sprouting, weight loss, firmness, and sugars contents. Also, more increased delay in irradiation needed higher radiation doses for sprout inhibition. (author)

  16. Clinical Characteristics and Treatment Outcome of 485 Patients with Nonfunctioning Pituitary Macroadenomas

    Science.gov (United States)

    Vargas, Guadalupe; Ramirez, Claudia; Ferreira, Aldo; Espinosa, Etual; Mendoza, Victoria; Lopez-Felix, Blas; Mercado, Moisés

    2015-01-01

    Background. Nonfunctioning pituitary adenomas (NFPAs) are the most common benign lesions of the pituitary gland. Objective. To describe our experience with the management of NFPA. Study Design and Methods. Retrospective evaluation of NFPA patients managed between 2008 and 2013. We analyzed data regarding clinical presentation, imaging diagnosis, hormonal status, surgical, radiotherapeutic, and pharmacological treatment, and outcome. Results. 485 patients (54% men, mean age 53 ± 14 years) were followed for a median of 6.5 years. Visual field abnormalities and headaches were the presenting complaints in 87% and 66%, respectively. The diagnosis of NFPA was made incidentally in 6.2%, and 8% presented with clinical evidence of apoplexy. All patients harbored macroadenomas, with a median volume of 10306 mm3; 57.9% had supra- or parasellar invasion and 19.6% had tumors larger than 4 cm. Central hypothyroidism, hypogonadism, and hypocortisolism were present in 47.2%, 35.9%, and 27.4%, respectively. Surgical resection was performed at least once in 85.7%. Tumor persistence was documented in 27% and was related to the size and invasiveness of the lesion. In selected cases, radiotherapy proved to be effective in controlling or preventing tumor growth. Conclusions. The diagnosis and treatment of NFPA are complex and require a multidisciplinary approach. PMID:25737722

  17. Effects of thermal treatment on the physicochemical characteristics of giant bamboo

    Directory of Open Access Journals (Sweden)

    Wandivaldi Antonio Colla

    2011-09-01

    Full Text Available Despite countless use possibilities for bamboo, this material has two major disadvantages. One drawback is the low natural durability of most bamboo species due to presence of starch in their parenchyma cells. The other equally important drawback is the tendency bamboo has to present dimensional variations if subjected to environmental change conditions. In an attempt to minimize these inconveniences, strips (laths of Dendrocalamus giganteus Munro were taken from different portions of the culm and subjected to several temperatures, namely 140 °C, 180 °C, 220 °C, 260 °C and 300 °C under laboratory conditions, at the ESALQ-USP college of agriculture. The thermal treatment process was conducted in noninert and inert atmospheres (with nitrogen, depending on temperature Specimens were then subjected to physicomechanical characterization tests in order to determine optimum thermal treatment conditions in which to preserve to the extent possible the original bamboo properties. Results revealed that there is an optimum temperature range, between 140 ° and 220 °C, whereby thermally treated bamboo does not significantly lose its mechanical properties while at the same time showing greater dimensional stability in the presence of moisture.

  18. The characteristics of bacterial nanocellulose gel releasing silk sericin for facial treatment.

    Science.gov (United States)

    Aramwit, Pornanong; Bang, Nipaporn

    2014-12-09

    Recently, naturally derived facial masks with beneficial biological properties have received increasing interest. In this study, silk sericin-releasing bacterial nanocellulose gel was developed to be applied as a bioactive mask for facial treatment. The silk sericin-releasing bacterial nanocellulose gel produced at a pH of 4.5 had an ultrafine and extremely pure fiber network structure. The mechanical properties and moisture absorption ability of the gel were improved, compared to those of the commercially available paper mask. Silk sericin could be control-released from the gel. A peel test with porcine skin showed that the gel was less adhesive than the commercially available paper mask, which would be removed from the face more easily without pain. The in vitro cytotoxicity test showed that the gel was not toxic to L929 mouse fibroblast and HaCaT human keratinocyte cells. Furthermore, when implanted subcutaneously and evaluated according to ISO10993-6 standard, the gel was not irritant to tissue. The silk sericin-releasing bacterial nanocellulose gel had appropriate physical and biological properties and safety for the facial treatment application.

  19. Cannabis use in first-treatment bipolar I disorder: relations to clinical characteristics.

    Science.gov (United States)

    Kvitland, Levi R; Melle, Ingrid; Aminoff, Sofie R; Lagerberg, Trine V; Andreassen, Ole A; Ringen, Petter A

    2016-02-01

    The aim of this study was to investigate the associations between recent cannabis use, current symptomatology and age at onset of first manic, depressive and psychotic episodes in a large sample with first-treatment bipolar I disorder (BD I). One hundred one patients with first-treatment Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) bipolar I disorder were included as part of the Thematically Organized Psychosis study. The Structural Clinical Interview for DSM-IV was used for DSM-IV diagnosis and identification of episodes of illness. Earlier suicide attempts were recorded. Manic, depressive and psychotic symptoms were rated using the Young Mania Rating Scale, Inventory of Depressive Symptoms and Positive and Negative Syndrome Scale correspondingly. Cannabis use within the six last months was recorded. After controlling for confounders, recent cannabis use was significantly associated with lower age at onset of first manic and psychotic episode, but not with onset of first depressive episode (both P cannabis use and a lower age at onset. Recent cannabis use was also associated with more lifetime suicide attempts. The current findings suggest that recent cannabis use is associated with a more severe course of illness in the early phase of BD I. © 2014 Wiley Publishing Asia Pty Ltd.

  20. Prevalence, Risk Behaviors, and Virological Characteristics of Hepatitis B Virus Infection in a Group of Men Who Have Sex with Men in Brazil: Results from a Respondent-Driven Sampling Survey.

    Directory of Open Access Journals (Sweden)

    Marina P Oliveira

    Full Text Available Men who have sex with men (MSM are at increased risk of exposure to hepatitis B virus (HBV compared with the general population. This study aims to assess the epidemiological and virological characteristics of HBV infection in a sample of MSM in Brazil, where data are scarce.A cross-sectional study was conducted among MSM in the City of Goiânia, Central Brazil, from March to November 2014, using Respondent-Driven Sampling (RDS. After signing the consent form, participants were interviewed and a blood sample collected. All samples were tested for HBV serological markers and HBV DNA. HBV nucleotide sequence analysis was also performed.A total of 522 MSM were recruited in the study. The prevalence of HBV infection (current or past [presence of anti-HBc marker] was 15.4% (95% CI: 8.7-25.8 and the rate of HBsAg carriers was 0.6% (95% CI: 0.2-1.6. About 40% (95% CI: 32.3-48.8 of the participants had serological evidence of previous HBV vaccination (reactive for isolated anti-HBs. In addition, 44.3% (95% CI: 36.1-52.9 were seronegative for all HBV markers. Age over 25 years old, receptive anal intercourse, previous sex with women, and history of sexually transmitted infections (STIs were factors associated with HBV infection. HBV DNA was detected only in HBsAg-positive individuals. HBV isolates were classified into genotype A (subgenotypes A1 and A2, and some mutations were identified throughout the genome. Therefore, occult HBV infection was not observed in the study population.Public health strategies should be improved for the MSM population in order to prevent HBV and other STIs, as well as to provide appropriate management of patients with active infections.

  1. Characteristics of a novel treatment system for linear accelerator-based stereotactic radiosurgery.

    Science.gov (United States)

    Wen, Ning; Li, Haisen; Song, Kwang; Chin-Snyder, Karen; Qin, Yujiao; Kim, Jinkoo; Bellon, Maria; Gulam, Misbah; Gardner, Stephen; Doemer, Anthony; Devpura, Suneetha; Gordon, James; Chetty, Indrin; Siddiqui, Farzan; Ajlouni, Munther; Pompa, Robert; Hammoud, Zane; Simoff, Michael; Kalkanis, Steven; Movsas, Benjamin; Siddiqui, M Salim

    2015-07-08

    The purpose of this study is to characterize the dosimetric properties and accuracy of a novel treatment platform (Edge radiosurgery system) for localizing and treating patients with frameless, image-guided stereotactic radiosurgery (SRS) and stereotactic body radiotherapy (SBRT). Initial measurements of various components of the system, such as a comprehensive assessment of the dosimetric properties of the flattening filter-free (FFF) beams for both high definition (HD120) MLC and conical cone-based treatment, positioning accuracy and beam attenuation of a six degree of freedom (6DoF) couch, treatment head leakage test, and integrated end-to-end accuracy tests, have been performed. The end-to-end test of the system was performed by CT imaging a phantom and registering hidden targets on the treatment couch to determine the localization accuracy of the optical surface monitoring system (OSMS), cone-beam CT (CBCT), and MV imaging systems, as well as the radiation isocenter targeting accuracy. The deviations between the percent depth-dose curves acquired on the new linac-based system (Edge), and the previously published machine with FFF beams (TrueBeam) beyond D(max) were within 1.0% for both energies. The maximum deviation of output factors between the Edge and TrueBeam was 1.6%. The optimized dosimetric leaf gap values, which were fitted using Eclipse dose calculations and measurements based on representative spine radiosurgery plans, were 0.700 mm and 1.000 mm, respectively. For the conical cones, 6X FFF has sharper penumbra ranging from 1.2-1.8 mm (80%-20%) and 1.9-3.8 mm (90%-10%) relative to 10X FFF, which has 1.2-2.2mm and 2.3-5.1mm, respectively. The relative attenuation measurements of the couch for PA, PA (rails-in), oblique, oblique (rails-out), oblique (rails-in) were: -2.0%, -2.5%, -15.6%, -2.5%, -5.0% for 6X FFF and -1.4%, -1.5%, -12.2%, -2.5%, -5.0% for 10X FFF, respectively, with a slight decrease in attenuation versus field size. The systematic

  2. Surface treatment effects on the I-V characteristics of HgCdTe LW infrared photovoltaic detectors

    Science.gov (United States)

    Xie, Xiaohui; Liao, Qingjun; Zhu, Jianmei; He, Gaoyin; Wang, Jianxin; He, Min; Hu, Xiaoning

    2012-10-01

    The weakness of HgCdTe materials is a weak Hg-Te bond, which results in bulk, surface and interface instabilities. Usual surface preparation methods for bulk HgCdTe wafers are chemical etch with bromine-in-methanol (Br-MeOH). Because the bromine etch forms Te-enrich HgCdTe surface due to the depletion of Hg and Cd. This Te-enrich surface layer is easily oxidized when exposed to air or acids, and this native oxide is one of the main reasons degrading the passivation properties. Besides the surface of the material will have more damages during the ion implantation, which is used to process a junction. In this way, appropriate surface passivation is required and is very important for HgCdTe photovoltaic detectors. This paper presents the different surface treatment methods on the I-V characteristics of HgCdTe infrared photovoltaic detectors. The results of the experiments show that the performance of the diodes with surface treatment by the bromine-in-ethanol etching and lactic acid in glycol solution oxidation is better than other diodes, which have no surface treatment or only bromine-in-ethanol etching. So it proves that the process of surface treatment in appropriate methods can improve the quality of surface passivation.

  3. Sources of stress for breast cancer survivors involved in dragon boating: examining associations with treatment characteristics and self-esteem.

    Science.gov (United States)

    Hadd, Valerie; Sabiston, Catherine M; McDonough, Meghan H; Crocker, Peter R E

    2010-07-01

    This study sought to (1) identify common stressors faced by breast cancer survivors involved in dragon boating, (2) examine the conceptual and statistical factor groupings of the stressors, (3) identify differences in stressor factors based on treatment characteristics, and (4) examine the associations between stressor factors and two indicators of self-esteem. Survivors (n = 470) involved in dragon boating completed a survey assessing stressor frequency, stressor intensity, stressor valence, physical self-worth, and global self-esteem, along with demographic and cancer treatment information. An exploratory factor analyses (EFA) using maximum likelihood extraction with oblique rotation revealed a four-factor solution that included physical, emotional, social, and exercise-related stressors. Exercise-related stressors were reported more frequently and intensely but were appraised positively by most survivors. The physical, emotional, and social stressors were perceived predominantly as negative. Findings also revealed that physical and emotional stressors and exercise-related stressors were correlates of physical self-worth (R(2) = 0.26). Emotional, social, and exercise-related stressors were significant correlates of global self-esteem (R(2) = 0.11). Cancer treatments were also associated with the experience of stressors, with the strongest effects reported for chemotherapy treatment. Overall, the results demonstrate that participants experienced many stressors but that exercise-related stressors were viewed as more adaptive and were positive correlates of self-esteem processes.

  4. Effect of moderate inlet temperatures in ultra-high-pressure homogenization treatments on physicochemical and sensory characteristics of milk.

    Science.gov (United States)

    Amador-Espejo, G G; Suàrez-Berencia, A; Juan, B; Bárcenas, M E; Trujillo, A J

    2014-02-01

    The effect of ultra-high-pressure homogenization (UHPH) on raw whole milk (3.5% fat) was evaluated to obtain processing conditions for the sterilization of milk. Ultra-high-pressure homogenization treatments of 200 and 300 MPa at inlet temperatures (Ti) of 55, 65, 75, and 85 °C were compared with a UHT treatment (138 °C for 4s) in terms of microbial inactivation, particle size and microstructure, viscosity, color, buffering capacity, ethanol stability, propensity to proteolysis, and sensory evaluation. The UHPH-treated milks presented a high level of microbial reduction, under the detection limit, for treatments at 300 MPa with Ti of 55, 65, 75, and 85 °C, and at 200 MPa with Ti = 85 °C, and few survivors in milks treated at 200 MPa with Ti of 55, 65, and 75 °C. Furthermore, UHPH treatments performed at 300 MPa with Ti = 75 and 85 °C produced sterile milk after sample incubation (30 and 45 °C), obtaining similar or better characteristics than UHT milk in color, particle size, viscosity, buffer capacity, ethanol stability, propensity to protein hydrolysis, and lower scores in sensory evaluation for cooked flavor. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  5. Modification of tooth and enamel characteristics following the Er,Cr:YSGG laser treatment

    Science.gov (United States)

    Suhaimi, Fatanah M.; Aziz, N. Afifah; Jaafar, M. S.; Azizan, Nur Syazana; Zali, Nurulakma; Razak, N. A. Abd

    2016-12-01

    Lasers have been widely used in the dental field to treat a number of applications in dentistry. The main objective of this study is to analyse the modification of tooth composition following the Er,Cr:YSGG laser procedure. In this study, human premolar teeth were collected and prepared. The samples were sectioned and molded. 3M Unitek Transbond™ Plus Self Etching Primer adhesive materials were applied to the tooth surface. Er,Cr:YSGG laser with a wavelength of 2790 nm was used in this study to remove the adhesive materials on the enamel surface. The irradiation process was done with four different output powers that are 0.25, 0.5, 0.75, and 1.0 W. The change of tooth characteristics was analysed by observing the morphology of the enamel surface and the elemental composition usinga Field Emission Scanning Electron Microscope (FESEM) and Electron Dispersive X-ray Spectrometer (EDX). Calcium (Ca), phosphorus (P), sodium (Na), oxygen (O), and carbon (C) were the elementsidentified by EDX in the samples. Additionally, oxygen was the most abundant element found in the sample. The level of oxygen composition decreased after laser irradiation while the carbon element increased. Another element, calcium was found to be decreasing due to the process of applying adhesive materials on the enamel surface.

  6. Effect of gamma irradiation on pre-treatment on the drying characteristics and qualities of wheat

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Yong; Wang, Jun [Zhejiang University (China). Dept. of Biosystems Engineering

    2008-07-01

    Wheat, pretreated by {sup 60}Co gamma irradiation, was dried by hot-air with irradiation dosage 0-3 kGy, drying temperature 40-60 deg C, and initial moisture contents 19-25% (drying basis). The drying characteristics and dried qualities of wheat were evaluated based on drying time, average dehydration rate, wet gluten content (WGC), moisture content of wet gluten (MCWG)and titratable acidity (TA). A quadratic rotation-orthogonal composite experimental design, with three variables (at five levels) and five response functions, and analysis method were employed to study the effect of three variables on the individual response functions. The five response functions (drying time, average dehydration rate, WGC, MCWG, TA) correlated with these variables by second order polynomials consisting of linear, quadratic and interaction terms. A high correlation coefficient indicated the suitability of the second order polynomial to predict these response functions. The linear, interaction and quadratic effects of three variables on the five response functions were all studied. (author)

  7. Effect of gamma irradiation on pre-treatment on the drying characteristics and qualities of wheat

    International Nuclear Information System (INIS)

    Yu, Yong; Wang, Jun

    2008-01-01

    Wheat, pretreated by 60 Co gamma irradiation, was dried by hot-air with irradiation dosage 0-3 kGy, drying temperature 40-60 deg C, and initial moisture contents 19-25% (drying basis). The drying characteristics and dried qualities of wheat were evaluated based on drying time, average dehydration rate, wet gluten content (WGC), moisture content of wet gluten (MCWG)and titratable acidity (TA). A quadratic rotation-orthogonal composite experimental design, with three variables (at five levels) and five response functions, and analysis method were employed to study the effect of three variables on the individual response functions. The five response functions (drying time, average dehydration rate, WGC, MCWG, TA) correlated with these variables by second order polynomials consisting of linear, quadratic and interaction terms. A high correlation coefficient indicated the suitability of the second order polynomial to predict these response functions. The linear, interaction and quadratic effects of three variables on the five response functions were all studied. (author)

  8. Association between level of personality organization as assessed with theory-driven profiles of the Dutch Short Form of the MMPI and outcome of inpatient treatment for personality disorder.

    Science.gov (United States)

    Scholte, Wubbo R; Eurelings-Bontekoe, Elisabeth H M; Tiemens, Bea G; Verheul, Roel; Meerman, Anke; Hutschemaekers, Giel J M

    2014-01-01

    The association between level of personality organization as assessed by theory-driven profile interpretation of the MMPI (Hathaway & McKinley, 1943) Dutch Short Form and treatment outcome was investigated in a naturalistic follow-up study among 121 psychotherapy inpatients who had been treated for their severe personality pathology. Treatment outcome was measured with the Brief Symptom Inventory (De Beurs & Zitman, 2006). Personality organization was associated with severity of psychopathology at baseline, the end of treatment, and 36 months after baseline. At 36 months after baseline, all patients except those with the high-level borderline organization profile and the psychotic borderline profile maintained their improvement. Contrary to expectations, (a) personality organization did not differentiate between patients with successful and unsuccessful out-comes, and (b) patients with a neurotic personality organization did not respond better than those with a borderline personality organization. Because of the small N, conclusions are tentative.

  9. Clinical Characteristics and Treatment Patterns Among Patients Diagnosed With Cluster Headache in U.S. Healthcare Claims Data.

    Science.gov (United States)

    Choong, Casey K; Ford, Janet H; Nyhuis, Allen W; Joshi, Shivang G; Robinson, Rebecca L; Aurora, Sheena K; Martinez, James M

    2017-10-01

    To characterize demographics, clinical characteristics, and treatment patterns of patients with cluster headache (CH). CH is an uncommon trigeminal autonomic cephalalgia with limited evidence-based treatment options. Patients suffer from extremely painful unilateral headache attacks and autonomic symptoms with episodic and chronic cycles. This retrospective analysis used insurance claims from Truven Health Analytics MarketScan ® research databases from 2009 to 2014. Two cohorts were compared: CH patients (with ≥2 CH claims) were propensity score matched with 4 non-headache controls, all with continuous enrollment for 12 months before and after the date of first CH claim or matched period among controls. CH patients (N = 7589) were mainly male (57.4%) and 35-64 years old (73.2%), with significantly more claims for comorbid conditions vs controls (N = 30,341), including depressive disorders (19.8% vs 10.0%), sleep disturbances (19.7% vs 9.1%), anxiety disorders (19.2% vs 8.7%), and tobacco use disorders (12.8% vs 5.3%), with 2.5 times greater odds of suicidal ideation (all P 12 unique prescription drug claims. Most commonly prescribed drug classes for CH patients included: opiate agonists (41%), corticosteroids (34%), 5HT-1 agonists (32%), antidepressants (31%), NSAIDs (29%), anticonvulsants (28%), calcium antagonists (27%), and benzodiazepines (22%). Only 30.4% of CH patients received recognized CH treatments without opioids during the 12-month post-index period. These patients were less likely to visit emergency departments or need hospitalizations (26.8%) as compared to CH patients with no pharmacy claims for recognized CH treatments or opioids (33.6%; P < .0001). The burden of CH is associated with significant co-morbidity, including substance use disorders and suicidal ideation, and treatment patterns indicating low use of recognized CH treatments. © 2017 Eli Lilly and Company Headache published by Wiley Periodicals, Inc. on behalf of American

  10. Do patient characteristics, disease, or treatment explain social inequality in survival from colorectal cancer?

    DEFF Research Database (Denmark)

    Frederiksen, Birgitte Lidegaard; Osler, Merete; Harling, Henrik

    2009-01-01

    derived from a nationwide clinical database of all adenocarcinomas of the colon or rectum diagnosed in Denmark between 2001 and 2004 (inclusive). These data were linked to those from several central registries providing information on income, education, and housing status, as well as to data......This paper investigates the association between individually measured socioeconomic status (SES) and all-cause survival in colorectal cancer patients, and explores whether factors related to the patient, the disease, or the surgical treatment mediate the observed social gradient. The data were...... on comorbidity from previous hospitalizations and use of medication. Only patients with colorectal cancer as their first primary tumour and those born after 1920 were included. A total of 8763 patients were included in the study. Cox proportional hazard regression models revealed a positive social gradient...

  11. The trichotillomania impact project in young children (TIP-YC): clinical characteristics, comorbidity, functional impairment and treatment utilization.

    Science.gov (United States)

    Walther, Michael R; Snorrason, Ivar; Flessner, Christopher A; Franklin, Martin E; Burkel, Rachel; Woods, Douglas W

    2014-02-01

    The aim was to investigate clinical characteristics of young children with a hair pulling problem. Parents/caregivers of young children (0-10 years old) with a hair pulling problem (N = 110) completed an online survey. The majority reported that their child experienced mild to moderate impairment/distress due to hair pulling, and overall clinical characteristics were similar to adult samples, although some differences were noted (e.g., less awareness of pulling). We also compared preschool-aged and school-aged children within the sample. Symptom severity, pleasure during pulling and gender ratio remained stable across the age groups. The preschool-aged children demonstrated less impairment/distress, comorbidity, and treatment seeking; pulled from fewer body areas; and were less likely to be aware of the act or experience tension prior to pulling. In conclusion, clinical characteristics of childhood hair pulling are largely similar to adult/adolescent hair pulling problems, but there are some notable differences, particularly among pre-school aged children.

  12. Turbulent characteristics of a semiarid atmospheric surface layer from cup anemometers – effects of soil tillage treatment (Northern Spain

    Directory of Open Access Journals (Sweden)

    S. Yahaya

    Full Text Available This paper deals with the characteristics of turbulent flow over two agricultural plots with various tillage treatments in a fallow, semiarid area (Central Aragon, Spain. The main dynamic characteristics of the Atmospheric Surface Layer (ASL measured over the experimental site (friction velocity, roughness length, etc., and energy budget, have been presented previously (Frangi and Richard, 2000. The current study is based on experimental measurements performed with cup anemometers located in the vicinity of the ground at 5 different levels (from 0.25 to 4 m and sampled at 1 Hz. It reveals that the horizontal wind variance, the Eulerian integral scales, the frequency range of turbulence and the turbulent kinetic energy dissipation rate are affected by the surface roughness. In the vicinity of the ground surface, the horizontal wind variance logarithmically increases with height, directly in relation to the friction velocity and the roughness length scale. It was found that the time integral scale (and subsequently the length integral scale increased with the surface roughness and decreased with the anemometer height. These variations imply some shifts in the meteorological spectral gap and some variations of the spectral peak length scale. The turbulent energy dissipation rate, affected by the soil roughness, shows a z-less stratification behaviour under stable conditions. In addition to the characterization of the studied ASL, this paper intends to show which turbulence characteristics, and under what conditions, are accessible through the cup anemometer.

    Key words. Meteorology and atmospheric dynamics (climatology, turbulence, instruments and techniques

  13. Turbulent characteristics of a semiarid atmospheric surface layer from cup anemometers – effects of soil tillage treatment (Northern Spain

    Directory of Open Access Journals (Sweden)

    S. Yahaya

    2003-10-01

    Full Text Available This paper deals with the characteristics of turbulent flow over two agricultural plots with various tillage treatments in a fallow, semiarid area (Central Aragon, Spain. The main dynamic characteristics of the Atmospheric Surface Layer (ASL measured over the experimental site (friction velocity, roughness length, etc., and energy budget, have been presented previously (Frangi and Richard, 2000. The current study is based on experimental measurements performed with cup anemometers located in the vicinity of the ground at 5 different levels (from 0.25 to 4 m and sampled at 1 Hz. It reveals that the horizontal wind variance, the Eulerian integral scales, the frequency range of turbulence and the turbulent kinetic energy dissipation rate are affected by the surface roughness. In the vicinity of the ground surface, the horizontal wind variance logarithmically increases with height, directly in relation to the friction velocity and the roughness length scale. It was found that the time integral scale (and subsequently the length integral scale increased with the surface roughness and decreased with the anemometer height. These variations imply some shifts in the meteorological spectral gap and some variations of the spectral peak length scale. The turbulent energy dissipation rate, affected by the soil roughness, shows a z-less stratification behaviour under stable conditions. In addition to the characterization of the studied ASL, this paper intends to show which turbulence characteristics, and under what conditions, are accessible through the cup anemometer.Key words. Meteorology and atmospheric dynamics (climatology, turbulence, instruments and techniques

  14. Epidemiological characteristics and response to peginterferon plus ribavirin treatment of hepatitis C virus genotype 4 infection.

    Science.gov (United States)

    Roulot, D; Bourcier, V; Grando, V; Deny, P; Baazia, Y; Fontaine, H; Bailly, F; Castera, L; De Ledinghen, V; Marcellin, P; Poupon, R; Bourlière, M; Zarski, J P; Roudot-Thoraval, F

    2007-07-01

    Hepatitis C virus genotype 4 (HCV-4) infection is progressing in Europe, where epidemiology and sustained virological response (SVR) seem to be different than in the Middle East. We analysed epidemiological features and SVR rates in a retrospective study of 1532 HCV-4-infected patients, including 1056 patients infected in France, 227 immigrants infected in Egypt and 249 in sub-Saharan Africa. SVR rates were assessed in 242 naive patients of the 1532, who received peginterferon plus ribavirin for 48 weeks. HCV subtype 4a or 4d was the most common among patients infected in France, where the predominant route of transmission was intravenous drug abuse. The 4a subtype was largely predominant (93%) among patients infected in Egypt, where transmission was mostly because of parenteral treatment for schistosomiasis. More than seven different subtypes and no predominant route of infection were found in patients infected in sub-Saharan Africa. Liver fibrosis was significantly less severe in patients infected in France and Africa than in patients infected in Egypt. SVR rates were higher in patients infected in Egypt, compared with those infected in France or Africa (54.9%, 40.3% and 32.4%, respectively, P < 0.05). An overall better response was observed in patients infected with the 4a subtype. In multivariate analysis, two factors were associated independently with SVR: the Egyptian origin of transmission and the absence of severe fibrosis. In conclusion, the distribution of HCV-4 subtypes varies with the geographical origin of transmission and affects the SVR following antiviral treatment.

  15. Pediatric oral burns: a ten-year review of patient characteristics, etiologies and treatment outcomes.

    Science.gov (United States)

    Cowan, Douglas; Ho, Brian; Sykes, Kevin J; Wei, Julie L

    2013-08-01

    To summarize etiologies and treatments of pediatric oropharyngeal burns. Retrospective summary of 75 patients treated from January 1999 to January 2009. Tertiary Children's Hospital. Data collected included demographics, etiology of burn, site of injury, medical and/or surgical treatments, need for endoscopy, duration of hospitalization, and complications. 75 patients were treated with 50 being males (66%). Mean age was 4.3 years (median 2.7 years). The five most common causes were chemical (34.6%), electrical (12.3%), hot liquids (12.3%), food (12.3%) and battery ingestion (9.9%). Ingestion of hair products made up nearly 1/3 of the chemical causes (9/28) and alone made up 12% of the burns in our study. Main sites of injury included buccal mucosa (77.3%), lips (56%), tongue (48%), and palate (22.7%). One-third of the patients' required PICU/Burn unit admissions, 1/3 were admitted to floor, and 1/3 were discharged home from the ED. Average duration of hospitalization was 5 days. Of those admitted, 30% received antibiotics and only 8% received systemic steroids. Patients were made NPO on the first day of admission in 33.3% of patients and allowed to resume normal diet after surgical consultation. Only 9/75 (12%) patients required intubation. Otolaryngology consultation was obtained in 10.7% of cases. Only 18% of all patients required surgical intervention with debridement being most common (>60%). In this group, 20% received esophagogastroduodenoscopies due to ingestion of alkali substance. Complications occurred in less than 6% of all cases. Ingestion of chemicals, including hair dye/relaxer products, as well as overheated liquids and foods, are leading causes of oropharyngeal burns treated at our Children's Hospital Emergency Department over the past decade. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  16. An investigation into the effects of conventional heat treatments on mechanical characteristics of new hot working tool steel

    International Nuclear Information System (INIS)

    Fares, M L; Athmani, M; Khettache, A; Khelfaoui, Y

    2012-01-01

    The effects of conventional heat treatments, i.e. quenching and tempering, on the mechanical characteristics of non standard hot work tool steel, close to either AISI-H11/H13 are investigated. The major elemental composition differences are in carbon, silicon and vanadium. The objective of the carried heat treatments is to obtain an efficient tool performance in terms of hardness, wear resistance and mechanical strength. Experimental results allow an explanation of the surface properties depending mainly on both chemical composition and optimised preheating parameters. After austenitizing at 1050 °C for 15 min, the as-quenched steel in oil bath exhibited the fully martensitic structure (without bainite) connected to a small fraction of retained austenite and complex carbides mainly of M 23 C 6 type. Twice tempering at 500 °C and 600 °C resulted in initiating the precipitation processes and the secondary hardness effect. As a result, carbide content amounted to 3% while the retained austenite content decreased to 0%. Accordingly, the required mechanical properties in terms of hardness and wear are fulfilled and are adequately favourable in handling both shocks and pressures for the expected tool life. Induced microstructures are revealed using optical and scanning electron microscopes. Phase compositions are assessed by means of X-ray diffraction technique while mechanical characteristics are investigated based on hardness and abrasive wear standard tests.

  17. Clinical characteristics and treatment of blow-out fracture accompanied by canalicular laceration.

    Science.gov (United States)

    Lee, Hwa; Ahn, Jaemoon; Lee, Tae Eun; Lee, Jong Mi; Shin, Hyungho; Chi, Mijung; Park, Minsoo; Baek, Sehyun

    2012-09-01

    Blow-out fracture and canalicular laceration can occur simultaneously as a result of the same trauma. Despite its importance, little research has been conducted to identify clinical characteristics or surgical techniques for repair of a blow-out fracture accompanied by canalicular laceration. The aim of this study was to evaluate the clinical characteristics, the surgical approach, and the outcomes. Thirty-four eyes of 34 patients who underwent simultaneous repair of canalicular laceration using silicone tube intubation and reconstruction of blow-out fracture were included. Medical records were retrospectively reviewed for patient demographics, nature of injury, affected canaliculus, location, and severity of blow-out fracture, associated facial bone fracture, ophthalmic diagnosis, length of follow-up period, and surgical outcome. Mean patient age was 40.0 years (range, 17-71 y). The mean follow-up was 7.3 months. Fist to the orbital area (10 patients, 29.4%) was the most common cause. There were 24 lower canalicular lacerations (70.6%), 6 upper canalicular lacerations (17.6%), and 4 upper and lower canalicular lacerations (11.8%). Isolated medial wall fractures were most common (area A4: 20/34, 58.8%). Fractures involving both the floor and medial wall and maxillo-ethmoidal strut (areas A1, A2, A3, and A4) were the second most common (6/34, 17.6%), and floor and medial wall with intact strut (areas A1, A2, and A4) were injured in 6 patients (17.6%). Pure inferior wall fractures were least frequent (areas A1 and A2: 2/34, 5.9%). The severity of the fracture was severe in most patients except for 1 linear fracture with tissue entrapment and 1 moderate medial wall fracture (32/34, 94.1%). There was lid laceration in 20 patients (58.8%). Nasal bone fracture (5/34, 14.7%) was the most common facial bone fracture. Tubes were removed at a mean of 3.3 months (range, 3-4 mo). In total, 31 patients (91.2%) achieved complete success in canalicular laceration and blow

  18. Hereditary angioedema with normal C1 inhibitor in a French cohort: Clinical characteristics and response to treatment with icatibant

    Science.gov (United States)

    Boccon‐Gibod, Isabelle; Launay, David; Gompel, Anne; Kanny, Gisele; Fabien, Vincent; Fain, Oliver

    2017-01-01

    Abstract Introduction The clinical characteristics and icatibant‐treatment outcomes of patients with hereditary angioedema with normal C1 inhibitor (HAE‐nC1 INH) are limited. Methods We retrospectively analyzed data from French HAE patients enrolled in the Icatibant Outcome Survey registry (from July 2009 to September 2013) to compare disease characteristics and the effectiveness and safety of acute icatibant‐treated angioedema attacks in patients with HAE‐nC1 INH, HAE with C1 INH deficiency (type I), or dysfunction (type II). Results One center in Grenoble contributed 22 patients with HAE‐nC1 INH and a family history of HAE while 15 centers across France contributed 153 patients with HAE type I and seven patients with HAE type II. Patients with HAE‐nC1 INH compared to HAE type I, respectively, were more likely to be female (88.1% vs. 63.4%), older at median age of disease onset (21 years vs. 15 years), and have a greater rate of abdominal (80% vs. 61%) and laryngeal (23% vs. 14%) attacks. Icatibant was effective in both groups though the median time to resolution of attack was significantly longer in the HAE‐nC1 INH group (20.0 h, 37 attacks) versus the HAE type I group (14.0 h, 67 attacks). Icatibant was self‐administered for 96.1% of attacks in patients with HAE‐nC1 INH and 75.8% in patients with HAE type I. No serious adverse side effects related to icatibant were reported. Conclusions These data help further define the disease characteristics of HAE‐nC1 INH in the French population and extend the limited data reporting the safe and effective use of icatibant in acute treatment of angioedema in French patients diagnosed with HAE‐nC1 INH. PMID:28250922

  19. Effect of drying treatments and storage stability on quality characteristics of bael powder.

    Science.gov (United States)

    Sagar, V R; Kumar, Rajesh

    2014-09-01

    Dehydration of bael pulp in to powder form is a challenging operation, mainly due to the sticky issue of bael pulp and caking of powder during handling and storage. To overcome on this problem maltodextrin MD (drying aid) and tricalcium phosphate, TCP (anti caking agent) were added to the bael pulp at four levels along with control and dried in a mechanical drier into thin layer at 58 ± 2 °C for 12 h, to obtain a moisture content of 4-5 % in dehydrated pulp. The dehydrated bael pulp was grounded in a laboratory powder mill and sieve with 30 mesh sieve. The powder was packed in 150gauge PP, 400gauge LDPE and 200gauge HDPE pouches and was stored at low temperature (7 °C) and ambient condition (18-35 °C) up to 6 months for storage study. The powder was evaluated for its quality characteristics in respect of acidity, sugars, antioxidant, phenol, ascorbic acid, non- enzymatic browning (NEB) before packaging and during storage. The amount of MD and TCP required to reduce powder stickiness and caking were optimized on the powder properties. The amount of MD (0.25 kg per kg dry bael solids) and TCP (0.15 kg per kg dry bael solids) with the values of degree of caking (19.24 %) and stickiness point temperature (45.4 °C) were found to be optimum for reducing the powder stickiness, caking and nutritional parameters. The adsorption isotherm of bael powder was found to be type-II sigmoid and 200 g HDPE as packaging material followed by storage at low temperature were selected as best process.

  20. Effect of Deficit Irrigation Treatments on Vegetative Characteristics and Quantity and Quality of Golden Delicious Apple

    Directory of Open Access Journals (Sweden)

    I. Arji

    2016-07-01

    Full Text Available Introduction: Since Iran is located in arid and semi-arid region of the world, so consumption and saving of water must be taking into account. Water is often a valuable natural resource, thus proper application methods - for increase water efficiency can be very important. Regulated deficit irrigation (RDI is one of the most important methods to increase water use efficiency and fruit quality. Apple is one of the most important fruit trees from economical point of view. Studies showed that regulated deficit irrigation led to growth reduction in apple trees and sometimes fruit quality increased. The aim of this study was to evaluate the effect deficit irrigation on vegetative growth and fruit quantity and quality of Golden delicious apple trees in Gahvareh region of Kermanshah province. Materials and Methods: This experiment was conducted on 10 years old Golden delicious apple trees in a randomized complete block design with 5 irrigation treatments and three replications during 2006. Three apple trees assigned to each experimental unit. Irrigation treatments were: T1= early deficit irrigation (40% water requirement, T2= early deficit irrigation (60% water requirement, T3= late deficit irrigation (40% water requirement, T4=late deficit irrigation (60% water requirement, T5=control (C (100% water requirement. Early deficit irrigation starts 55 days after full bloom (15th Jun and continued 60 days (16th Aug, while late deficit irrigation starts 115 days after from full bloom (16th Aug and continued 40 days near to harvesting time (23th Sept. Control trees were full irrigated based on water requirement, which calculated based on national water document of Iran and irrigation amount was calculated based on the following formulas: Q=0.0184.L.H3/2 Where Q is volumetric flow rate (liter/Second, L is parshall flume crown length (cm and H is water height (cm. Irrigation time was calculated based on national water document of Iran and volumetric flow rate

  1. Physician personal characteristics influencing long-term treatment of patients with cardiovascular diseases

    Directory of Open Access Journals (Sweden)

    Strokova E.V.

    2013-06-01

    Full Text Available The main purpose of the article is to identify the peculiarities of a doctor personality, affecting long-term therapy in patients with cardiovascular diseases. Materials and methods: To determine the type of temperament, the presence and intensity of the syndrome of emotional burnout and capacity for empathy therapists and cardiologists were asked to fill in a number of questionnaires. Each doctor had a group of patients contacting by telephone for a year after the discharge from the hospital. During the telephone contact, the patients were asked about the continuation of their therapy recommended in the hospital, the regularity of therapy, the frequency of absence, and the assessment of a physician by the patients. Results: 35 questionnaires were suitable for interpretation. Through one year after the discharge from the hospital it was able to contact with 147 patients, 18.4% (27 of patients completely stopped the treatment by recommended drugs. Positive assessment of physicians was associated with the continuation of the therapy by recommended drugs and regularity of drug taking (p=0,03. Patients assessed physicians positively more often in cases of low level of emotional state, high level of depersonalization (cynicism and the reduction of personal accomplishment (feeling of professional inefficiency in a doctor. Conclusion: Assessment of physicians by patients is reliably and significantly influenced by continuation of long-term therapy and regularity of drug taking.

  2. Characteristics and heat treatment of cold-sprayed Al-Sn binary alloy coatings

    International Nuclear Information System (INIS)

    Ning, Xian-Jin; Kim, Jin-Hong; Kim, Hyung-Jun; Lee, Changhee

    2009-01-01

    In this study, Al-Sn binary alloy coatings were prepared with Al-5 wt.% Sn (Al-5Sn) and Al-10 wt.% Sn (Al-10Sn) gas atomized powders by low pressure and high pressure cold spray process. The microstructure and microhardness of the coatings were characterized. To understand the coarsening of tin in the coating, the as-sprayed coatings were annealed at 150, 200, 250 and 300 o C for 1 h, respectively. The effect of annealing on microstructure and the bond strength of the coatings were investigated. The results show that Al-5Sn coating can be deposited by high pressure cold spray with nitrogen while Al-10Sn can only be deposited by low pressure cold spray with helium gas. Both Al-5Sn and Al-10Sn coatings present dense structures. The fraction of Sn in as-sprayed coatings is consistent with that in feed stock powders. The coarsening and/or migration of Sn phase in the coatings were observed when the annealing temperature exceeds 200 deg. C. Furthermore, the microhardness of the coatings decreased significantly at the annealing temperature of 250 deg. C. EDXA analysis shows that the heat treatment has no significant effect on fraction of Sn phase in Al-5Sn coatings. Bonding strength of as-sprayed Al-10Sn coating is slightly higher than that of Al-5Sn coating. Annealing at 200 o C can increase the bonding strength of Al-5Sn coatings.

  3. Clinical, Psychopathological, and Personality Characteristics Associated with ADHD among Individuals Seeking Treatment for Gambling Disorder

    Directory of Open Access Journals (Sweden)

    N. Aymamí

    2015-01-01

    Full Text Available Objectives. (1 To assess the current presence of ADHD symptoms among patients seeking treatment for gambling disorder; (2 to explore clinical and sociodemographic differences between patients who score high and low on the measure of ADHD symptoms; (3 to analyze whether the presence of ADHD symptoms is associated with more severe psychopathology and with specific personality traits; (4 to analyze the mediating role of ADHD symptoms in the relationship between novelty seeking and gambling severity. Method. A total of 354 consecutive patients were administered an extensive battery assessing gambling behavior, psychopathology, and personality traits. Results. Male and female gamblers did not differ significantly in their mean scores on the ADHD measure. However, younger participants aged 18–35 scored higher. Higher ADHD scores were also associated with greater severity of gambling disorder and more general psychopathology. Regarding personality traits, high persistence and self-directedness were negatively related to ADHD scores, while in women alone a positive correlation was found between ADHD scores and scores on harm avoidance and self-transcendence. Conclusion. The presence of ADHD symptoms in both male and female gambling disorder patients may act as an indicator of the severity of gambling, general psychopathology, and dysfunctional personality traits.

  4. Study of coagulant development and the characteristics for the treatment of tire remanufacturing wastewater

    Energy Technology Data Exchange (ETDEWEB)

    Yoo, E.S.; Yoon, I.M. [School of Natural Sciences, Honam Univ., Gwangju (Korea)

    2005-07-01

    This study was conducted to test the performance of various combinations of coagulants for effective wastewater treatment of the tire recycling industry. From the jar-test results, two kinds of coagulants, namely AlSi-1 and PASi-1, were found to be effective in decreasing BOD and COD{sub Cr} values from the polluted wastewater among various combinations of coagulants. In comparison to Al-based or Si-based singular salts, the Si-Al combined salts (PASi-1) exhibited a higher removal efficiency of 90% turbidity, 93% SS, 70 {proportional_to} 85% BOD{sub 5} and 85 {proportional_to} 91% COD{sub Cr} at 15 {+-} 2 C, pH7.5 {proportional_to} 9.5 and 2.0 mM of coagulant dosage. At 30 {+-} 2 C of tire recycling effluents, the combination effect was clearly shown in the removal of COD{sub Cr} over a wider range of pH. The reaction mechanisms of AlSi-1 and PASi-1 were also schematically studied. (orig.)

  5. Clinical, Psychopathological, and Personality Characteristics Associated with ADHD among Individuals Seeking Treatment for Gambling Disorder

    Science.gov (United States)

    Aymamí, N.; Jiménez-Murcia, S.; Granero, R.; Ramos-Quiroga, J. A.; Fernández-Aranda, F.; Claes, L.; Sauvaget, A.; Grall-Bronnec, M.; Gómez-Peña, M.; Savvidou, L. G.; Fagundo, A. B.; del Pino-Gutierrez, A.; Moragas, L.; Casas, M.; Penelo, E.; Menchón, J. M.

    2015-01-01

    Objectives. (1) To assess the current presence of ADHD symptoms among patients seeking treatment for gambling disorder; (2) to explore clinical and sociodemographic differences between patients who score high and low on the measure of ADHD symptoms; (3) to analyze whether the presence of ADHD symptoms is associated with more severe psychopathology and with specific personality traits; (4) to analyze the mediating role of ADHD symptoms in the relationship between novelty seeking and gambling severity. Method. A total of 354 consecutive patients were administered an extensive battery assessing gambling behavior, psychopathology, and personality traits. Results. Male and female gamblers did not differ significantly in their mean scores on the ADHD measure. However, younger participants aged 18–35 scored higher. Higher ADHD scores were also associated with greater severity of gambling disorder and more general psychopathology. Regarding personality traits, high persistence and self-directedness were negatively related to ADHD scores, while in women alone a positive correlation was found between ADHD scores and scores on harm avoidance and self-transcendence. Conclusion. The presence of ADHD symptoms in both male and female gambling disorder patients may act as an indicator of the severity of gambling, general psychopathology, and dysfunctional personality traits. PMID:26229967

  6. Improved biological wastewater treatment and sludge characteristics by applying magnetic field to aerobic granules

    Directory of Open Access Journals (Sweden)

    Yong-Qiang Liu

    2016-10-01

    Full Text Available Permanent magnets with non-uniform magnetic field and an electromagnet with 3–5 mT uniform magnetic field were applied to investigate their effects on both aerobic granulation and COD and ammonium removal in reactors with less than 7% coverage of magnetic field. It was found that both types of magnets had little influence on the granulation speed and the settling ability of granular sludge at the steady state. However, the maximum specific COD degradation rate and the maximum specific NH4+-N removal rate were increased by 45–54% and 30–50%, respectively, in the magnetic fields. Mean effluent COD with the electromagnet and the permanent magnet field, respectively, at the steady state, was 28 mg l−1 and 6 mg l−1, respectively, lower than the control at a statistical significance level of alpha = 0.05. No statistically significant increase in NH4+-N removal was observed at the steady state probably due to almost complete NH4+-N removal before the end of the cycle. In addition, it was found that extracellular polymeric substances in granular sludge with electromagnet were 77% more while soluble microbial products were much less compared with the control, suggesting a positively changed metabolism of granular sludge at steady state. The results in this study indicated that low-intensity magnetic field has a great potential to be applied in granular sludge for an improved wastewater treatment.

  7. SU-E-T-755: Timing Characteristics of Proton and Carbon Ion Treatments Using a Synchrotron and Modulated Scanning

    International Nuclear Information System (INIS)

    Zhao, J; Li, Y; Huang, Z; Deng, Y; Sun, L; Moyers, M; Hsi, W; Wu, X

    2015-01-01

    Purpose: The time required to deliver a treatment impacts not only the number of patients that can be treated each day but also the accuracy of delivery due to potential movements of patient tissues. Both macroscopic and microscopic timing characteristics of a beam delivery system were studied to examine their impacts on patient treatments. Methods: 35 patients were treated during a clinical trial to demonstrate safety and efficacy of a Siemens Iontris system prior to receiving approval from the Chinese Food and Drug Administration. The system has a variable cycle time and can provide proton beams from 48 to 221 MeV/n and carbon ions from 86 to 430 MeV/n. A modulated scanning beam delivery technique is used where the beam remains stationary at each spot aiming location and is not turned off while the spot quickly moves from one aiming location to the next. The treatment log files for 28 of the trial patients were analyzed to determine several timing characteristics. Results: The average portal time per target dose was 172.5 s/Gy for protons and 150.7 s/Gy for carbon ions. The maximum delivery time for any portal was less than 300 s. The average dwell time per spot was 12 ms for protons and 3.0 ms for carbon ions. The number of aiming positions per energy layer varied from 1 to 258 for protons and 1 to 621 for carbon ions. The average spill time and cycle time per energy layer were 1.20 and 2.68 s for protons and 0.95 and 4.73 s for carbon ions respectively. For 3 of the patients, the beam was gated on and off to reduce the effects of respiration. Conclusion: For a typical target volume of 153 cc as used in this clinical trial, the portal delivery times were acceptable

  8. Effect of the ionic strength of pulsed electric field treatment medium on the physicochemical and structural characteristics of lactoferrin.

    Science.gov (United States)

    Sui, Qian; Roginski, Hubert; Williams, Roderick P W; Wooster, Tim J; Versteeg, Cornelis; Wan, Jason

    2010-11-24

    Pulsed electric field (PEF) treatment (35 kV cm(-1) for 19.2 μs using bipolar 2 μs pulses) was conducted on bovine lactoferrin (LF; 0.4 mg mL(-1)) prepared in simulated milk ultrafiltrate (SMUF), at concentrations between 0.2× and 2× normal strength, with electrical conductivities ranging from 0.17 to 1.04 S m(-1). The physicochemical and structural characteristics (LF content by a spectrophotometric and an ELISA method, surface hydrophobicity, electrophoretic mobility, far-UV circular dichroism spectra, and tryptophan fluorescence) of LF dissolved in SMUF of all strengths tested were not changed after PEF treatment. The PEF treatment of LF in 0.2 strength SMUF did not cause the release of LF-bound ferric ion into the aqueous phase, with a concentration of LF-bound iron being the same as that of the untreated LF control (174 μg L(-1)). However, in treatment media with higher ionic strengths, ferric ion was released from the LF molecule into the aqueous phase. The concentration of LF-bound iron decreased from 174 μg L(-1) for the LF treated in 0.2 strength SMUF to 80 μg L(-1) for that treated in double-strength SMUF. The results suggest that the PEF-induced iron depletion of LF does not appear to cause an appreciable conformational change in LF molecules. PEF treatment could be developed as a novel physical way to produce iron-depleted LF, as an alternative to the existing chemical method.

  9. PFAPA syndrome: clinical characteristics and treatment outcomes in a large single-centre cohort.

    Science.gov (United States)

    Król, Petra; Böhm, Marek; Sula, Viktor; Dytrych, Petra; Katra, Rami; Nemcová, Dana; Dolezalová, Pavla

    2013-01-01

    This paper aims to describe clinical and laboratory features and disease outcome in a single-centre cohort of patients with PFAPA syndrome (Periodic Fever, Aphtous stomatitis, Pharyngitis, and Adenitis) and to test performance of diagnostic and therapeutic algorithms. Patients fulfilling criteria were selected from the fever clinic population. Prospective follow-up together with recruitment of newly diagnosed patients followed pre-defined guidelines. Diagnostic and therapeutic algorithms and definitions of outcome and therapy response were formulated. Paired blood samples during febrile and afebrile periods were compared. Out of 176 patients referred for suspected periodic fever 125 children fulfilled criteria. Their age at onset was 23 months, median episode duration 3.5 days at 4-week intervals. Fever was associated with pharyngitis (91%), cervical adenitis (78%) and aphtae (41%). Among therapeutic options, episodic prednisone proved to be the most common first-line treatment. Administered to 77 patients, it reduced symptoms in 94%. Tonsillectomy led to the full symptom resolution in all 18 patients. Forty-six patients reached disease remission. Distribution of typical symptoms, response to therapies and disease outcome in a large patient cohort were documented. We offer diagnostic and therapeutic algorithms that have proven effective during this prospective trial. Our findings support the general belief of benign nature of this aetiologically unclear condition, despite proportion of patients having persistent disease for years. Maintenance of normal findings in afebrile intervals, striking response to a single dose of prednisone and normal growth and development together with spontaneous tendency towards prolongation of afebrile intervals are important confirmatory features of PFAPA syndrome.

  10. Studying Pancreatic Cancer Stem Cell Characteristics for Developing New Treatment Strategies.

    Science.gov (United States)

    Lonardo, Enza; Cioffi, Michele; Sancho, Patricia; Crusz, Shanthini; Heeschen, Christopher

    2015-06-20

    Pancreatic ductal adenocarcinoma (PDAC) contains a subset of exclusively tumorigenic cancer stem cells (CSCs) which have been shown to drive tumor initiation, metastasis and resistance to radio- and chemotherapy. Here we describe a specific methodology for culturing primary human pancreatic CSCs as tumor spheres in anchorage-independent conditions. Cells are grown in serum-free, non-adherent conditions in order to enrich for CSCs while their more differentiated progenies do not survive and proliferate during the initial phase following seeding of single cells. This assay can be used to estimate the percentage of CSCs present in a population of tumor cells. Both size (which can range from 35 to 250 micrometers) and number of tumor spheres formed represents CSC activity harbored in either bulk populations of cultured cancer cells or freshly harvested and digested tumors. Using this assay, we recently found that metformin selectively ablates pancreatic CSCs; a finding that was subsequently further corroborated by demonstrating diminished expression of pluripotency-associated genes/surface markers and reduced in vivo tumorigenicity of metformin-treated cells. As the final step for preclinical development we treated mice bearing established tumors with metformin and found significantly prolonged survival. Clinical studies testing the use of metformin in patients with PDAC are currently underway (e.g., NCT01210911, NCT01167738, and NCT01488552). Mechanistically, we found that metformin induces a fatal energy crisis in CSCs by enhancing reactive oxygen species (ROS) production and reducing mitochondrial transmembrane potential. In contrast, non-CSCs were not eliminated by metformin treatment, but rather underwent reversible cell cycle arrest. Therefore, our study serves as a successful example for the potential of in vitro sphere formation as a screening tool to identify compounds that potentially target CSCs, but this technique will require further in vitro and in vivo

  11. CHARACTERISTICS OF TUBERCULOSIS (TB IN GERIATRIC PATIENTS - INITIAL TREATMENT AND OUTCOME

    Directory of Open Access Journals (Sweden)

    Zoran P. Stamenković

    2003-07-01

    Full Text Available 1090 TB pts were diagnosed and treated during the l992 - 2001. year (y. 227(20,8% pts were older then 65. y, mean age of 73,5 - 1,5 y, with male / female ratio of 57,3% / 42,7%. Most of them were farmers (44,9% and retired (37,4%. Most dominant symptoms were chronic cough (90, 3%, weight loss (83, 2%. 44,5% had positive tuberculin test. 87,7% were new cases, 11,8% defaulters and 0,5% chronic cases (WHO criteria. Most concomitant diseases were diabetes mellitus (19,8%, cardiac diseases (15,9%, while 3,5% had active malignancy. Chest X-ray shown cavities in 41,4% pts, infiltrations in 29,9% and milliary lesions in 3,9%. 30,4% lesions were atypical, while 60,8% pts had bilateral fibrosis lesions. Extra pulmonary TB were in 9,7% pts, mostly on pleura (59,1%, and kidney (13,6%. 41,4% treated with H, R, Z, S / E, 46,3% H, R, Z / E and 12,4% H, R, Z, S, E. 10,6% pts had liver function disturbances, 7,9% had allergy on Z and 4,4% pts died. Conversion rate in only the culture positive pts were faster and shown significance (p<0,05.TB in the elderly has extended / latent clinical picture, atypical radio graphic localization, high frequency of concomitant diseases, demanding longer hospital treatment. Fibrotic pulmonary lesions, atypical pulmonary infiltrations and presence of concomitant diseases in elderly, must be alarm in future TB screening.

  12. Sorption Characteristics of Activated Carbon Obtained from Rice Husks by Treatment with Lime

    International Nuclear Information System (INIS)

    Hnin Nwe Aye; Aye Aye Maw; Nyunt Wynn

    2011-12-01

    The sorption studies of rice husk char prepared by carbonization and activation with lime, caustic soda and sulphuric acid have been investigated. Prior to impregnation with the lime; on a micro processing scale the pre-carbonization temperature of rice husk were determined by using TG-DTA thermal analysis. The impregnation with chemical was made after carbonization and the impregnated chars were subjected to activation at appropriate temperatures of about 300 C to 500 C depending on the impregnated chars. The physico-chemical properties of the prepared chars were tested by conventional and modern techniques. Sorption capacities with respect to colored dyes were determined for each of the char. These sorption capacities are indicative of the decolorizing nature and the acid or basic nature. The sorption capacities of the prepared chars towards the uptake of metals such as copper, iron, lead and cadmium were also studied and the lime activated char exhibits high adsorptive capacities for all the metals compared to other prepared chars as well as the commercial wood char. The evaluation of the sorption capacities of this chars were made on the basis of Freundlich and Langmuir monolayer coverage equations. Thus, based on batch dosage method and breakthrough flow method, the uptake of the metals were found to be in following order for the lime activated rice husk char; Cu > Fe > Pb > Cd. From this investigation, it can be inferred that a rice husk char impregnated with 20% technical grade CaO has the potential effect to be used as an effective metal adsorbent particularly for the uptake of toxic heavy metals in the secondary stage of water treatment processes.

  13. Comparing Child, Parent, and Family Characteristics in Usual Care and Empirically Supported Treatment Research Samples for Children with Disruptive Behavior Disorders

    Science.gov (United States)

    Baker-Ericzen, Mary J.; Hurlburt, Michael S.; Brookman-Frazee, Lauren; Jenkins, Melissa M.; Hough, Richard L.

    2010-01-01

    This study compared data from 34 research trials of five empirically supported treatments (ESTs) with one large usual care (UC) sample on child, parent, and family characteristics for children with Disruptive Behavior Disorders. Large variations were found within and across ESTs on sample characteristics during the past two decades. Most parent…

  14. Effect of supercritical water treatment on porous structure, liquid-phase adsorption and regeneration characteristics of activated anthracite

    Energy Technology Data Exchange (ETDEWEB)

    Tanthapanichakoon, W.; Sittipraneed, S.; Japthong, P.; Charinpanitkul, T.; Boon-Amnuayvitaya, V.; Nakagawa, K.; Tamon, H. [National Nanotechnological Centre, Pathumthani (Thailand)

    2006-06-15

    Microporous activated anthracite was produced from waste anthracite powders by the conventional steam activation. The activated anthracite was also treated by supercritical water reaction (SWR) by using distilled water and hydrogen peroxide solution as a liquid medium for SWR treatment. It was found that SWR treatment can improve the mesoporosity of the activated anthracite though the micropore volume was reduced by the treatment. In liquid-phase adsorption and supercritical water regeneration studies, phenol and organic dye RED 31 were selected as the representative adsorbates. The adsorption and regeneration characteristics of activated anthracite were compared with those of a commercial activated carbon. The results indicate that the activated anthracite prepared showed comparable phenol adsorption capacity but significantly lower dye adsorption capacity than the commercial one. However, supercritical water regeneration efficiency was remarkably high. The first/second regeneration efficiencies of commercial activated carbon and activated anthracite exhausted with phenol were 55/55 and 65/65%, respectively, and in the case of RED 31, 78/79 and 338/317%, respectively, with losses of activated carbon less than 4% per regeneration. Because of little loss of activated carbon during successive regenerations, this SWR regeneration method was suitable for regenerating spent activated carbon or anthracite.

  15. Influence of ultrasound probe treatment time and protease type on functional and physicochemical characteristics of egg white protein hydrolysates.

    Science.gov (United States)

    Stefanovic, Andrea B; Jovanovic, Jelena R; Balanc, Bojana D; Šekuljica, Nataša Ž; Tanaskovic, Sonja M Jakovetic; Dojcinovic, Marina B; Kneževic-Jugovic, Zorica D

    2018-03-05

    The objective of this study was to discover the relationship between the ultrasound probe treatment (UPT) on egg white proteins (EWPs) before EWPs hydrolysis by different proteases, and the functional properties of the obtained hydrolysates. To fulfill this goal, the protein solubility, foaming, and emulsifying properties were studied as a function of the UPT time and then related to the surface characteristics and structural properties. The changes in the hydrolysates microstructures and macromolecular conformation, induced by the UPT, were followed using scanning electron microscope analyzis (SEM) and Fourier transforms infrared spectroscopy (FTIR). The results showed that UPT influenced (P < 0.05) the proteolysis of egg white proteins for all examined treatment times. Alcalase hydrolysates (AHs) and papain hydrolysates (PHs) were found to have a higher solubility, as a consequence of their relatively higher foaming, and emulsifying properties compared to the untreated hydrolysates. The changes in surface hydrophobicity, sulfhydryl content and surface charge of AHs and PHs indicated unfolding of EWPs affected by ultrasound. SEM analyzis showed that UPT destroyed the microstructures of AHs and PHs, while FTIR spectra indicated remarkable changes in the macromolecular conformation of AHs and PHs after UPT. This study revealed that by combining ultrasound pre-hydrolysis treatment under controlled conditions with thoughtful proteases selection, hydrolysates with improved functional properties could be produced, enhancing utilization of EWPs in food products.

  16. Effects of treatment with vermicompost on the some morphological and physiological characteristics of scots pine (Pinus sylvestris L.

    Directory of Open Access Journals (Sweden)

    Atilla Atik

    2014-01-01

    Full Text Available In the present study, effects of vermicompost treatment tried to be determined on some morphological and physiological seedling quality characteristics of one – year Scots pines. Experiments were set according to random plots experimental design including 14 trials with 3 repetitions. With this aim, seeds obtained from seven different sites (origins of mixed Scots pine stands which naturally grow in the Western Black Sea Region of Turkey were used in the experiments. At the end of the vegetation period, important physiologic and morphologic parameters of seedlings in the plots, SH, RCD, TDW, RDW and total N rate were detected. After that, RI, V and QI rates, each of which is also important rational indicator in seedlings for height, root collar diameter and weight balance, were calculated with the help of morphological data. Effects of VC treatment were found to be statistically significant on all the development parameters measured in seedlings in seven origin groups. It was determined in all morphologic parameters that the best development rate was observed in Goktepe originating seedlings in both VC treatment and control groups while Geyikgolu originating seedlings showed the least development performance. It was observed from the correlation analysis that there is a positive relation between morphologic and physiologic quality criteria. It was also determined according to the results of multivariable regression analysis that elevation of the sites where seedlings were picked up was more effective on the development of seedling development than the aspect of the sites. Results of the study were found to be convenient with the related literature and showed that VC treatment contributed positively to the development of Scots pine seedlings taken from seven different origins.

  17. The demographics, treatment characteristics and quality of life of adult people with haemophilia in China - results from the HERO study.

    Science.gov (United States)

    Sun, J; Zhao, Y; Yang, R; Guan, T; Iorio, A

    2017-01-01

    Haemophilia management in China needs to be further developed. To further improve the quality of life (QoL) of people with haemophilia (PWH) in China, it is important to investigate the peculiarities of China as compared to other countries. The primary objective of the Haemophilia Experiences, Results and Opportunities (HERO) project was to quantify the impact of key psychosocial factors affecting PWH. This article presents the demographics, treatment characteristics, and QoL of adult PWH in China as compared with the results of the other nine countries participating in the HERO study. This was a web- (except in Algeria) and questionnaire-based survey conducted in 10 countries. A total of 110 adult PWH from China and 565 from other countries completed the questionnaire. Compared with other countries, respondents in China reported: lower rate of employment (45.6% vs. 63.1%); lower percentages of being treated by prophylaxis (4.1% vs. 36.8%), being treated always at home (27.8% vs. 54.3%) and following treatment recommendation as instructed (6.2% vs. 40.5%); greater difficulty in obtaining replacement factor products (97.3% vs. 29.6%) and visiting their treatment centre (60.9% vs. 26.4%); more annual bleeds requiring treatment (mean: 29.4/year vs. 15.4/year); lower mean self-evaluated disease control score (5.5 vs. 7.7), EQ-5D index (0.71 vs. 0.75) and visual analogue scale (7.1 vs. 7.5) scores. Employed PWH in China had a better self-reported generic QoL than those unemployed. The study suggests that there is a major need for further improvement of both medical care and ongoing psychosocial support for PWH in China. © 2016 John Wiley & Sons Ltd.

  18. Evaluation of the water related characteristics of diverse Spanish stones after the application of different protective treatments

    Directory of Open Access Journals (Sweden)

    Rubio, L.

    1995-09-01

    Full Text Available The characteristics related to water absorption of some important stones very used in the southern of Spain were tested before and after the application of diverse commercial protective treatments, including the application of diverse dilutions and the correlative application of two complementary products. Some considerations about the adequation of the pair product/stone have been realized.

    Las características relacionadas con la absorción de agua de algunas de las más importantes piedras usadas en el sur de España han sido estudiadas antes y tras la aplicación ^e diversos tratamientos de protección comerciales, incluyendo la aplicación con diluciones diversas y la aplicación sucesiva de dos productos complementarios. Se exponen diversas consideraciones acerca de la adecuación de los pares producto/piedra.

  19. Baseline Characteristics of Patients in the Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist (TOPCAT) Trial

    Science.gov (United States)

    Shah, Sanjiv J.; Heitner, John F.; Sweitzer, Nancy K.; Anand, Inder S.; Kim, Hae-Young; Harty, Brian; Boineau, Robin; Clausell, Nadine; Desai, Akshay S.; Diaz, Rafael; Fleg, Jerome L.; Gordeev, Ivan; Lewis, Eldrin F.; Markov, Valetin; O’Meara, Eileen; Kobulia, Bondo; Shaburishvili, Tamaz; Solomon, Scott D.; Pitt, Bertram; Pfeffer, Marc A.; Li, Rebecca

    2013-01-01

    Background Treatment of Preserved Cardiac Function with an Aldosterone Antagonist (TOPCAT) is an ongoing randomized controlled trial of spironolactone versus placebo for heart failure with preserved ejection fraction (HFpEF). We sought to describe the baseline clinical characteristics of subjects enrolled in TOPCAT relative to other contemporary observational studies and randomized clinical trials of HFpEF. Methods and Results Between August 2006 and January 2012, 3445 patients with symptomatic HFpEF from 270 sites in 6 countries were enrolled in TOPCAT. At the baseline study visit, all subjects provided a detailed medical history and underwent physical examination, electrocardiography, quality of life, and laboratory assessment. Key parameters were compared to other large, contemporary HFpEF studies. The mean age was 68.6±9.6 years with a slight female predominance (52%); mean body mass index was 32 kg/m2; and comorbidities were common. History of hypertension (91% prevalence in TOPCAT) exceeded all other major HFpEF clinical trials. However, baseline blood pressure was well controlled (129/76 mmHg; systolic blood pressure 7-16 mmHg lower than other similar trials). Other common comorbidities included coronary artery disease (57%), atrial fibrillation (35%), chronic kidney disease (38%) and diabetes (32%). Self-reported activity levels were low, quality of life scores were comparable to those reported for patients with end-stage renal disease, and the prevalence of moderate or greater depression was 27%. Conclusions TOPCAT subjects share many common characteristics with contemporary HFpEF cohorts. Low activity level, significantly decreased quality of life, and depression were common at baseline in TOPCAT, underscoring the continued unmet need for evidence-based treatment strategies in HFpEF. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT00094302. PMID:23258572

  20. Baseline characteristics of patients in the treatment of preserved cardiac function heart failure with an aldosterone antagonist trial.

    Science.gov (United States)

    Shah, Sanjiv J; Heitner, John F; Sweitzer, Nancy K; Anand, Inder S; Kim, Hae-Young; Harty, Brian; Boineau, Robin; Clausell, Nadine; Desai, Akshay S; Diaz, Rafael; Fleg, Jerome L; Gordeev, Ivan; Lewis, Eldrin F; Markov, Valetin; O'Meara, Eileen; Kobulia, Bondo; Shaburishvili, Tamaz; Solomon, Scott D; Pitt, Bertram; Pfeffer, Marc A; Li, Rebecca

    2013-03-01

    Treatment of Preserved Cardiac Function with an Aldosterone Antagonist (TOPCAT) is an ongoing randomized controlled trial of spironolactone versus placebo for heart failure with preserved ejection fraction (HFpEF). We sought to describe the baseline clinical characteristics of subjects enrolled in TOPCAT relative to other contemporary observational studies and randomized clinical trials of HFpEF. Between August 2006 and January 2012, 3445 patients with symptomatic HFpEF from 270 sites in 6 countries were enrolled in TOPCAT. At the baseline study visit, all subjects provided a detailed medical history and underwent physical examination, electrocardiography, quality of life, and laboratory assessment. Key parameters were compared with other large, contemporary HFpEF studies. The mean age was 68.6±9.6 years with a slight female predominance (52%); mean body mass index was 32 kg/m2; and comorbidities were common. History of hypertension (91% prevalence in TOPCAT) exceeded all other major HFpEF clinical trials. However, baseline blood pressure was well controlled (129/76 mm Hg; systolic blood pressure 7-16 mm Hg lower than other similar trials). Other common comorbidities included coronary artery disease (57%), atrial fibrillation (35%), chronic kidney disease (38%) and diabetes mellitus (32%). Self-reported activity levels were low, quality of life scores were comparable with those reported for patients with end-stage renal disease, and the prevalence of moderate or greater depression was 27%. TOPCAT subjects share many common characteristics with contemporary HFpEF cohorts. Low activity level, significantly decreased quality of life, and depression were common at baseline in TOPCAT, underscoring the continued unmet need for evidence-based treatment strategies in HFpEF. URL: http://www.clinicaltrials.gov. UNIQUE IDENTIFIER: NCT00094302.

  1. Biological Characteristics and Medical Treatment of Breast Cancer in Young Women—A Featured Population: Results from the NORA Study

    Directory of Open Access Journals (Sweden)

    P. Pronzato

    2011-01-01

    Full Text Available Background. The present paper described the biological characteristics and clinical behavior of young women in the cohort NORA study Patients and Methods. From 2000–2002, patients (>3500 were enrolled at 77 Italian hospitals. Women aged ≤50 years (=1013 were stratified into age groups (≤35, 36–40, 41–45, and 46–50 years. The relationship between age and patient characteristics, cancer presentation, and treatment was analyzed. Results. Younger women more frequently had tumors with ER/PgR-negative(2=7.07; =.008, HER2 amplification (2=5.76; =.01, and high (≥10% Ki67 labelling index (2=9.53; =.002. Positive nodal status, large tumors, and elevated Ki67 all associated with the choice for chemotherapy followed by endocrine therapy in hormone receptor-positive patients (40 versus ≤40, <.0001, resp.. At multivariate analysis, after adjustment for significant clinical and pathological factors, age remains a significant prognostic variable (HR=0.93, =.0021. Conclusion. This cohort study suggests that age per sè is an important prognostic factor. The restricted role of early diagnosis and the aggressive behavior of cancer in this population make necessary the application of targeted medical strategies crucial.

  2. Retrospective analysis of autoimmune hepatitis-primary biliary cirrhosis overlap syndrome in Korea: characteristics, treatments, and outcomes.

    Science.gov (United States)

    Park, Yoonsang; Cho, Yuri; Cho, Eun Ju; Kim, Yoon Jun

    2015-06-01

    Overlap syndrome of autoimmune hepatitis (AIH) and primary biliary cirrhosis (PBC) (AIH-PBC overlap syndrome) is a rare disease that has not been clearly characterized in Korean patients. This study investigated the clinical features of AIH-PBC overlap syndrome compared with those of AIH and PBC alone. This retrospective cohort study included 158 consecutive patients who were diagnosed as AIH (n=61), PBC (n=81), or AIH-PBC overlap syndrome (n=9) based on the Paris and the International Autoimmune Hepatitis Group (IAIHG) criteria from 2001 to 2011 in Korea. We compared the clinical features of these three groups retrospectively, including their biochemical characteristics, treatments, responses, and clinical outcomes. The AIH-PBC overlap syndrome patients exhibited biochemical characteristics of both AIH and PBC, and showed a similar response to ursodeoxycholic acid (UDCA) monotherapy as for the PBC patients. However, the response of AIH-PBC overlap syndrome patients to UDCA and steroid combination therapy was worse than the response of AIH patients to steroid-based therapy (P=0.024). Liver cirrhosis developed more rapidly in AIH-PBC overlap syndrome patients than in AIH patients group (P=0.013), but there was no difference between AIH-PBC overlap syndrome patients and PBC patients. The rates of developing hepatic decompensation did not differ significantly between the groups. The AIH-PBC overlap syndrome patients exhibited a worse response to UDCA and steroid combination therapy and a faster cirrhotic progression compared with AIH patients.

  3. Investigation of biological and fouling characteristics of submerged membrane bioreactor process for wastewater treatment by model sensitivity analysis.

    Science.gov (United States)

    Cho, J W; Ahn, K H; Lee, Y H; Lim, B R; Kim, J Y

    2004-01-01

    In this study, a mathematical model for the submerged membrane bioreactor (SMBR) was developed. The activated sludge model No. 1 (ASM1) was modified to be suitable for describing the characteristics of the SMBR, and the resistance-in-series model was integrated into the ASM1 to describe membrane fouling. Using the newly developed model, the biological and fouling characteristics of the submerged membrane bioreactor process for wastewater treatment was investigated by sensitivity analysis. The sensitivity of effluent COD and nitrogen, TSS in the reactor and membrane flux with respect to each parameter (K(h), mu(H), K(S), K(NHH), K(NOH), b(H), Y(H), mu(A), K(NHA), b(A), Y(A), K(m) and alpha) was investigated by model simulation. As a result, the most important factors affecting membrane fouling were hydrolysis rate constant (K(h)) and cross-flow effect coefficient (K(m)). Heterotrophic yield coefficient (Y(H)) had a great influence on effluent quality. Effluent quality was also somewhat sensitive to K(h). Peculiar operating conditions of the SMBR such as long solids retention time (SRT), absolute retention of solids by membrane and high biomass concentration in bioreactor could explain these model simulation results. The model developed in this study would be very helpful to optimize operating conditions as well as design parameters for a SMBR system.

  4. Concurrent inhibition of TGF-beta and mitogen driven signaling cascades in Dupuytren's disease - Non-surgical treatment strategies from a signaling point of view

    NARCIS (Netherlands)

    Krause, C.; Kloen, P.

    2012-01-01

    Dupuytren's disease (DD) is a benign progressive fibro-proliferative disorder of the fascia palmaris of the hand. Currently, treatment consists of surgical excision with a relatively high recurrence rate and risk of complications. To improve long-term outcome of DD treatment, research focus has

  5. Characteristics of epoxy resin/SiO2 nanocomposite insulation: effects of plasma surface treatment on the nanoparticles.

    Science.gov (United States)

    Yan, Wei; Phung, B T; Han, Zhao Jun; Ostrikov, Kostya

    2013-05-01

    The present study compares the effects of two different material processing techniques on modifying hydrophilic SiO2 nanoparticles. In one method, the nanoparticles undergo plasma treatment by using a custom-developed atmospheric-pressure non-equilibrium plasma reactor. With the other method, they undergo chemical treatment which grafts silane groups onto their surface and turns them into hydrophobic. The treated nanoparticles are then used to synthesize epoxy resin-based nanocomposites for electrical insulation applications. Their characteristics are investigated and compared with the pure epoxy resin and nanocomposite fabricated with unmodified nanofillers counterparts. The dispersion features of the nanoparticles in the epoxy resin matrix are examined through scanning electron microscopy (SEM) images. All samples show evidence that the agglomerations are smaller than 30 nm in their diameters. This indicates good dispersion uniformity. The Weibull plot of breakdown strength and the recorded partial discharge (PD) events of the epoxy resin/plasma-treated hydrophilic SiO2 nanocomposite (ER/PTI) suggest that the plasma-treated specimen yields higher breakdown strength and lower PD magnitude as compared to the untreated ones. In contrast, surprisingly, lower breakdown strength is found for the nanocomposite made by the chemically treated hydrophobic particles, whereas the PD magnitude and PD numbers remain at a similar level as the plasma-treated ones.

  6. Comparison of gram-negative and gram-positive hematogenous pyogenic spondylodiscitis: clinical characteristics and outcomes of treatment.

    Science.gov (United States)

    Lee, Ching-Yu; Wu, Meng-Huang; Cheng, Chin-Chang; Huang, Tsung-Jen; Huang, Tsung-Yu; Lee, Chien-Yin; Huang, Jou-Chen; Li, Yen-Yao

    2016-12-06

    To the best of our knowledge, no study has compared gram-negative bacillary hematogenous pyogenic spondylodiscitis (GNB-HPS) with gram-positive coccal hematogenous pyogenic spondylodiscitis (GPC-HPS) regarding their clinical characteristics and outcomes. From January 2003 to January 2013, 54 patients who underwent combined antibiotic and surgical therapy in the treatment of hematogenous pyogenic spondylodiscitis were included. Compared with 37 GPC-HPS patients, the 17 GNB-HPS patients were more often found to be older individuals, a history of cancer, and a previous history of symptomatic urinary tract infection. They also had a less incidence of epidural abscess formation compared with GPC-HPS patients from findings on magnetic resonance imaging (MRI). Constitutional symptoms were the primary reasons for initial physician visits in GNB-HPS patients whereas pain in the affected spinal region was the most common manifestation in GPC-HPS patients at initial visit. The clinical outcomes of GNB-HPS patients under combined surgical and antibiotic treatment were not different from those of GPC-HPS patients. In multivariate analysis, independent predicting risk factors for GNB-HPS included a malignant history and constitutional symptoms and that for GPC-HPS was epidural abscess. The clinical manifestations and MRI presentations of GNB-HPS were distinguishable from those of GPC-HPS.

  7. [Characteristics and treatment outcomes in 822 adult patients with acute myeloid leukemia:a single center experience].

    Science.gov (United States)

    Lin, Dong; Zhou, Chunlin; Wei, Hui; Liu, Bingcheng; Wang, Ying; Liu, Kaiqi; Li, Wei; Gong, Benfa; Wang, Jinyu; Wei, Shuning; Zhang, Guangji; Zhao, Xingli; Li, Yan; Liu, Yuntao; Gong, Xiaoyuan; Sun, Mingyuan; Lu, Yuan; Mi, Yingchang; Wang, Jianxiang

    2014-12-01

    To investigate the characteristics and the short- or long-term treatment outcomes of the adult patients with acute myeloid leukemia (AML) in China. From 1999 to 2010, 822 adult cases with AML were enrolled, diagnosed and classified by the FAB and WHO criteria, respectively. The treatment outcomes and prognostic factors were analyzed retrospectively. In all patients with a median age of 38.5(15-83) years, acute monoblastic and monocytic leukemia (M5), AML with t(15;17)/PML-RARα (APL) and AML with t(8;21)/AML1-ETO(M2b) were the most common subtypes, accounting for 29.7%, 20.9% and 14.6% respectively. In APL patients, CR was achieved in 95.2%, with an early death (ED) rate of 4.8%. And the estimated overall survival (OS) and disease-free survival (DFS) at 5 year was 87.5% and 88.8%, respectively. Patients with other AML subtype (Non-APL) revealed a CR rate of 82.0%, ED of 4.3%, and estimated 5-year OS and DFS both of 48.8%. The OS rate of Non-APL patients at 3-year varied significantly (Pleukemia centers. Chemotherapy by risk stratification, after diagnosis and classification according to the WHO criteria, is a key point to improve the outcomes in AML.

  8. Comparative Analysis of Clinical, Treatment, and Survival Characteristics of Basaloid and Squamous Cell Carcinoma of the Esophagus.

    Science.gov (United States)

    Salami, Aitua; Abbas, Abbas E; Petrov, Roman; Jhala, Nirag; Bakhos, Charles T

    2017-11-11

    Basaloid squamous cell carcinoma (BSC) is a rare variant of squamous cell carcinoma (SqCC) of the esophagus. Even though pathologically thought to be more aggressive than SqCC, there is discrepancy in the literature regarding the outcomes of BSC compared with those of SqCC. We conducted a retrospective cohort study using the Surveillance Epidemiology and End Results (SEER) database. All patients with a histologic diagnosis of BSC and SqCC between 2004 and 2013 were included. We compared treatment and survival characteristics of patients with BSC and SqCC. There were 16,158 patients included in this study; 173 patients (1.1%) had BSC. There were no significant differences between the 2 groups based on age, sex, marital status, insurance, or geographic region of diagnosis, but patients with BSC were more likely to be Caucasian (73.4% vs 64.7%; p = 0.017). Among staged patients, baseline tumor stage was similar in both groups. However, BSC tumors were more likely to be of high pathologic grade (56.8% vs 38.2%; p BSC were more likely to undergo resection (32.4% vs 17.0%; p BSC of the esophagus seems to have similar clinical features and survival outcomes when compared with SqCC. Patients with BSC and SqCC should undergo stage-specific treatment to achieve optimal outcomes. Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway

    Science.gov (United States)

    2012-01-01

    Background Early diagnosis of idiopathic scoliosis allows for observation and timely initiation of brace treatment in order to halt progression. School scoliosis screening programs were abolished in Norway in 1994 for lack of evidence that the programs improved outcome and for the costs involved. The consequences of this decision are discussed. Objectives To describe the detection, patient characteristics, referral patterns and treatment of idiopathic scoliosis at a scoliosis clinic during the period 2003–2011, when there was no screening and to compare treatment modalities to the period 1976–1988 when screening was performed. Methods Patient demographics, age at detection, family history, clinical and radiological charts of consecutive patients referred for scoliosis evaluation during the period 2003–2011, were prospectively registered. Patients were recruited from a catchment area of about 500000 teenagers. Maturity was estimated according to Risser sign and menarcheal status. Severity of pain was recorded by a verbal 5-point scale from no pain to pain at all times. Physical and neurological examinations were conducted. The detector and patient characteristics were recorded. Referral patterns of orthopedic surgeons at local hospitals and other health care providers were recorded. Patient data was obtained by spine surgeons. Treatment modalities in the current period were compared to the period 1976–1988. Results We registered 752 patients with late onset juvenile and adolescent idiopathic scoliosis from 2003–2011. There were 644 (86%) girls and 108 (14%) boys. Mean age at detection was 14.6 (7–19) years. Sixty percent had Risser sign ≥ 3, whilst 74% were post menarche with a mean age at menarche of 13.2 years. Thirty-one percent had a family history of scoliosis. The mean major curve at first consultation at our clinic was 38° (10°-95°). About 40% had a major curve >40°. Seventy-one percent were detected by patients, close relatives, and friends

  10. Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway

    Directory of Open Access Journals (Sweden)

    Adobor Raphael

    2012-10-01

    Full Text Available Abstract Background Early diagnosis of idiopathic scoliosis allows for observation and timely initiation of brace treatment in order to halt progression. School scoliosis screening programs were abolished in Norway in 1994 for lack of evidence that the programs improved outcome and for the costs involved. The consequences of this decision are discussed. Objectives To describe the detection, patient characteristics, referral patterns and treatment of idiopathic scoliosis at a scoliosis clinic during the period 2003–2011, when there was no screening and to compare treatment modalities to the period 1976–1988 when screening was performed. Methods Patient demographics, age at detection, family history, clinical and radiological charts of consecutive patients referred for scoliosis evaluation during the period 2003–2011, were prospectively registered. Patients were recruited from a catchment area of about 500000 teenagers. Maturity was estimated according to Risser sign and menarcheal status. Severity of pain was recorded by a verbal 5-point scale from no pain to pain at all times. Physical and neurological examinations were conducted. The detector and patient characteristics were recorded. Referral patterns of orthopedic surgeons at local hospitals and other health care providers were recorded. Patient data was obtained by spine surgeons. Treatment modalities in the current period were compared to the period 1976–1988. Results We registered 752 patients with late onset juvenile and adolescent idiopathic scoliosis from 2003–2011. There were 644 (86% girls and 108 (14% boys. Mean age at detection was 14.6 (7–19 years. Sixty percent had Risser sign ≥ 3, whilst 74% were post menarche with a mean age at menarche of 13.2 years. Thirty-one percent had a family history of scoliosis. The mean major curve at first consultation at our clinic was 38° (10°-95°. About 40% had a major curve >40°. Seventy-one percent were detected by patients

  11. Differences in characteristics and patient-reported questionnaire responses in patients who choose non-surgical versus surgical treatment for severe hip osteoarthritis

    DEFF Research Database (Denmark)

    Have, Mads; Overgaard, Søren; Jensen, Carsten

    or refused to participate in a RCT. Materials and Methods: In this prospective cohort study a total of 137 patients with primary hip OA were asked to choose between surgical or non- surgical treatment. We then compared the characteristics of each patient cohort (demographics, pain level and duration...... treatment had preoperatively more pain, reduced physical function, lower health status and joint space width compared with patients who choose non-surgical treatment....

  12. Fault Detection for Nonlinear Process With Deterministic Disturbances: A Just-In-Time Learning Based Data Driven Method.

    Science.gov (United States)

    Yin, Shen; Gao, Huijun; Qiu, Jianbin; Kaynak, Okyay

    2017-11-01

    Data-driven fault detection plays an important role in industrial systems due to its applicability in case of unknown physical models. In fault detection, disturbances must be taken into account as an inherent characteristic of processes. Nevertheless, fault detection for nonlinear processes with deterministic disturbances still receive little attention, especially in data-driven field. To solve this problem, a just-in-time learning-based data-driven (JITL-DD) fault detection method for nonlinear processes with deterministic disturbances is proposed in this paper. JITL-DD employs JITL scheme for process description with local model structures to cope with processes dynamics and nonlinearity. The proposed method provides a data-driven fault detection solution for nonlinear processes with deterministic disturbances, and owns inherent online adaptation and high accuracy of fault detection. Two nonlinear systems, i.e., a numerical example and a sewage treatment process benchmark, are employed to show the effectiveness of the proposed method.

  13. Improving Nanofiber Membrane Characteristics and Membrane Distillation Performance of Heat-Pressed Membranes via Annealing Post-Treatment

    Directory of Open Access Journals (Sweden)

    Minwei Yao

    2017-01-01

    Full Text Available Electrospun membranes are gaining interest for use in membrane distillation (MD due to their high porosity and interconnected pore structure; however, they are still susceptible to wetting during MD operation because of their relatively low liquid entry pressure (LEP. In this study, post-treatment had been applied to improve the LEP, as well as its permeation and salt rejection efficiency. The post-treatment included two continuous procedures: heat-pressing and annealing. In this study, annealing was applied on the membranes that had been heat-pressed. It was found that annealing improved the MD performance as the average flux reached 35 L/m2·h or LMH (>10% improvement of the ones without annealing while still maintaining 99.99% salt rejection. Further tests on LEP, contact angle, and pore size distribution explain the improvement due to annealing well. Fourier transform infrared spectroscopy and X-ray diffraction analyses of the membranes showed that there was an increase in the crystallinity of the polyvinylidene fluoride-co-hexafluoropropylene (PVDF-HFP membrane; also, peaks indicating the α phase of polyvinylidene fluoride (PVDF became noticeable after annealing, indicating some β and amorphous states of polymer were converted into the α phase. The changes were favorable for membrane distillation as the non-polar α phase of PVDF reduces the dipolar attraction force between the membrane and water molecules, and the increase in crystallinity would result in higher thermal stability. The present results indicate the positive effect of the heat-press followed by an annealing post-treatment on the membrane characteristics and MD performance.

  14. Implementation, recruitment and baseline characteristics: A randomized trial of combined treatments for smoking cessation and weight control

    Directory of Open Access Journals (Sweden)

    Terry Bush

    2017-09-01

    Full Text Available Background: Two-thirds of treatment-seeking smokers are obese or overweight. Most smokers are concerned about gaining weight after quitting. The average smoker experiences modest post-quit weight gain which discourages many smokers from quitting. Although evidence suggests that combined interventions to help smokers quit smoking and prevent weight gain can be helpful, studies have not been replicated in real world settings. Methods: This paper describes recruitment and participant characteristics of the Best Quit Study, a 3-arm randomized controlled trial testing tobacco cessation treatment alone or combined with simultaneous or sequential weight management. Study participants were recruited via tobacco quitlines from August 5, 2013 to December 15, 2014. Results: Statistical analysis on baseline data was conducted in 2015/2016. Among 5082 potentially eligible callers to a tobacco quitline, 2540 were randomized (50% of eligible. Compared with individuals eligible but not randomized, those randomized were significantly more likely to be female (65.7% vs 54.5%, p < 0.01, overweight or obese (76.3% vs 62.5%, p < 0.01, more confident in quitting (p < 0.01, more addicted (first cigarette within 5 min: 50.0% vs 44.4%, p < 0.01, and have a chronic disease (28.6% vs. 24.4%, p < 0.01. Randomized groups were not statistically significantly different on demographics, tobacco or weight variables. Two-thirds of participants were female and white with a mean age of 43. Conclusions: Adding weight management interventions to tobacco cessation quitlines was feasible and acceptable to smokers. If successful for cessation and weight outcomes, a combined intervention may provide a treatment approach for addressing weight gain with smoking cessation through tobacco quitlines. Trial registration: Clinicaltrials.gov NCT01867983. Keywords: Smoking, Weight gain, Quitlines, Simultaneous, Sequential

  15. Analysis of clinical characteristics and treatment of immunoglobulin G4-associated cholangitis: A retrospective cohort study of 39 IAC patients.

    Science.gov (United States)

    Xiao, Jianchun; Xu, Peiran; Li, Binglu; Hong, Tao; Liu, Wei; He, Xiaodong; Zheng, Chaoji; Zhao, Yupei

    2018-02-01

    Immunoglobulin (Ig)G4-associated cholangitis (IAC) is one of the common organ manifestations of IgG4-related systemic disease (ISD). IAC and autoimmune pancreatitis (AIP) may mimic sclerosing cholangitis, cholangiocarcinoma, or pancreatic carcinoma. Diagnosis is based on a combination of clinical, biochemical, radiological, and histological findings.To study the clinical presentation of and treatment strategy for IAC, we reviewed clinical, serologic, and imaging characteristics, as well as treatment response, in 39 patients with IAC. The majority of patients were men (82%). Clinical features on presentation included obstructive jaundice in 26 patients (67%) and abdominal pain in 20 (51%). Positive IgG4 immunostaining was seen in 27 patients. The median serum IgG4 level before treatment was 769.4 mg/dL (range, 309.1-1229.7 mg/dL). After the steroid therapy, the median serum IgG4 level in 23 patients was 247.0 mg/dL (range, 139.0-355.0 mg/dL). Cholangiograms were available in 36 (92%) patients. Stenosis of the lower part of the common bile duct was found in 26 of 39 patients. Stenosis was diffusely distributed in the intra- and extrahepatic bile ducts in 14 of 39 patients. Additionally, strictures of the bile duct were detected in the hilar hepatic lesions in 27 of 39 patients. AIP was the most frequent comorbidity (35/39 in this study) of IAC. Other affected organs included eyes (n = 6), salivary glands (sialadenitis, n = 10), lymph nodes (mediastinal and axillary, n = 3), kidneys (n = 2), and the retroperitoneum (retroperitoneal fibrosis, n = 2).Regarding treatment, 29 patients were treated with steroids, of whom one underwent pancreatoduodenectomy, and one underwent choledochojejunostomy. Eight patients were treated with biliary stents. The remaining 19 patients took prednisolone alone. Eight patients achieved spontaneous resolution. Four patients with suspected pancreatic cancer or cholangiocarcinoma underwent surgery, including 2

  16. SU-E-J-04: A Data-Driven, Response-Based, Multi-Criteria Decision Support System for Personalized Lung Radiation Treatment Planning

    International Nuclear Information System (INIS)

    Luo, Y; McShan, D; Schipper, M; Matuszak, M; Ten Haken, R; Kong, F

    2014-01-01

    Purpose: To develop a decision support tool to predict a patient's potential overall survival (OS) and radiation induced toxicity (RIT) based on clinical factors and responses during the course of radiotherapy, and suggest appropriate radiation dose adjustments to improve therapeutic effect. Methods: Important relationships between a patient's basic information and their clinical features before and during the radiation treatment are identified from historical clinical data by using statistical learning and data mining approaches. During each treatment period, a data analysis (DA) module predicts radiotherapy features such as time to local progression (TTLP), time to distant metastases (TTDM), radiation toxicity to different organs, etc., under possible future treatment plans based on patient specifics or responses. An information fusion (IF) module estimates intervals for a patient's OS and the probabilities of RIT from a treatment plan by integrating the outcomes of module DA. A decision making (DM) module calculates “satisfaction” with the predicted radiation outcome based on trade-offs between OS and RIT, and finds the best treatment plan for the next time period via multi-criteria optimization. Results: Using physical and biological data from 130 lung cancer patients as our test bed, we were able to train and implement the 3 modules of our decision support tool. Examples demonstrate how it can help predict a new patient's potential OS and RIT with different radiation dose plans along with how these combinations change with dose, thus presenting a range of satisfaction/utility for use in individualized decision support. Conclusion: Although the decision support tool is currently developed from a small patient sample size, it shows the potential for the improvement of each patient's satisfaction in personalized radiation therapy. The radiation treatment outcome prediction and decision making model needs to be evaluated with more patients and demonstrated for

  17. Clinical decision support of radiotherapy treatment planning: A data-driven machine learning strategy for patient-specific dosimetric decision making.

    Science.gov (United States)

    Valdes, Gilmer; Simone, Charles B; Chen, Josephine; Lin, Alexander; Yom, Sue S; Pattison, Adam J; Carpenter, Colin M; Solberg, Timothy D

    2017-12-01

    Clinical decision support systems are a growing class of tools with the potential to impact healthcare. This study investigates the construction of a decision support system through which clinicians can efficiently identify which previously approved historical treatment plans are achievable for a new patient to aid in selection of therapy. Treatment data were collected for early-stage lung and postoperative oropharyngeal cancers treated using photon (lung and head and neck) and proton (head and neck) radiotherapy. Machine-learning classifiers were constructed using patient-specific feature-sets and a library of historical plans. Model accuracy was analyzed using learning curves, and historical treatment plan matching was investigated. Learning curves demonstrate that for these datasets, approximately 45, 60, and 30 patients are needed for a sufficiently accurate classification model for radiotherapy for early-stage lung, postoperative oropharyngeal photon, and postoperative oropharyngeal proton, respectively. The resulting classification model provides a database of previously approved treatment plans that are achievable for a new patient. An exemplary case, highlighting tradeoffs between the heart and chest wall dose while holding target dose constant in two historical plans is provided. We report on the first artificial-intelligence based clinical decision support system that connects patients to past discrete treatment plans in radiation oncology and demonstrate for the first time how this tool can enable clinicians to use past decisions to help inform current assessments. Clinicians can be informed of dose tradeoffs between critical structures early in the treatment process, enabling more time spent on finding the optimal course of treatment for individual patients. Copyright © 2017. Published by Elsevier B.V.

  18. SU-E-J-04: A Data-Driven, Response-Based, Multi-Criteria Decision Support System for Personalized Lung Radiation Treatment Planning

    Energy Technology Data Exchange (ETDEWEB)

    Luo, Y; McShan, D; Schipper, M; Matuszak, M; Ten Haken, R [University of Michigan, Ann Arbor, MI (United States); Kong, F [Georgia Regents University, Augusta, GA (Georgia)

    2014-06-01

    Purpose: To develop a decision support tool to predict a patient's potential overall survival (OS) and radiation induced toxicity (RIT) based on clinical factors and responses during the course of radiotherapy, and suggest appropriate radiation dose adjustments to improve therapeutic effect. Methods: Important relationships between a patient's basic information and their clinical features before and during the radiation treatment are identified from historical clinical data by using statistical learning and data mining approaches. During each treatment period, a data analysis (DA) module predicts radiotherapy features such as time to local progression (TTLP), time to distant metastases (TTDM), radiation toxicity to different organs, etc., under possible future treatment plans based on patient specifics or responses. An information fusion (IF) module estimates intervals for a patient's OS and the probabilities of RIT from a treatment plan by integrating the outcomes of module DA. A decision making (DM) module calculates “satisfaction” with the predicted radiation outcome based on trade-offs between OS and RIT, and finds the best treatment plan for the next time period via multi-criteria optimization. Results: Using physical and biological data from 130 lung cancer patients as our test bed, we were able to train and implement the 3 modules of our decision support tool. Examples demonstrate how it can help predict a new patient's potential OS and RIT with different radiation dose plans along with how these combinations change with dose, thus presenting a range of satisfaction/utility for use in individualized decision support. Conclusion: Although the decision support tool is currently developed from a small patient sample size, it shows the potential for the improvement of each patient's satisfaction in personalized radiation therapy. The radiation treatment outcome prediction and decision making model needs to be evaluated with more

  19. Light-Driven Alignment

    CERN Document Server

    Antonyuk, Boris P

    2009-01-01

    This book deals with influencing the properties of solids by light-driven electron transport. The theoretical basis of these effects, light-driven ordering and self-organisation, as well as optical motors are presented. With light as a tool, new ways to produce materials are opened.

  20. Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness.

    Science.gov (United States)

    Parpouchi, Milad; Moniruzzaman, Akm; Rezansoff, Stefanie N; Russolillo, Angela; Somers, Julian M

    2017-12-01

    Methadone maintenance treatment (MMT) has important protective effects related to reduced illicit opioid use, infectious disease transmission, and overdose mortality. Adherence to MMT has not been examined among homeless people. We measured MMT adherence and reported relevant characteristics among homeless adults experiencing mental illness in Vancouver, British Columbia, Canada. Homeless adults living with mental illness who had received MMT prior to the baseline interview of the Vancouver At Home study ( n  = 78) were included in analyses. The medication possession ratio (MPR) was used to estimate MMT adherence from retrospective administrative pharmacy and public health insurance data collected across 15 years. Independent sample t tests and one-way ANOVA were used to test for significant differences in MMT MPR by participant characteristics. Mean MMT MPR was 0.47. A large proportion of participants reported blood-borne infectious disease, three or more chronic physical health conditions, and substance use. Being single and never married was associated with significantly lower MMT MPR (0.40 vs. 0.55, p  = 0.036), while living with schizophrenia, bipolar disorder, or a mood disorder with psychotic features was associated with significantly higher MMT MPR (0.54 vs. 0.37, p  = 0.022). Daily drug use (excluding alcohol) was associated with significantly lower MMT MPR (0.39 vs. 0.54, p  = 0.051). The level of adherence to MMT was very low among homeless adults experiencing mental illness. Efforts are needed to improve adherence to MMT as a means of reducing illicit substance use, preventing overdose deaths, and attenuating infectious disease transmission.

  1. Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness

    Directory of Open Access Journals (Sweden)

    Milad Parpouchi

    2017-12-01

    Full Text Available Background: Methadone maintenance treatment (MMT has important protective effects related to reduced illicit opioid use, infectious disease transmission, and overdose mortality. Adherence to MMT has not been examined among homeless people. We measured MMT adherence and reported relevant characteristics among homeless adults experiencing mental illness in Vancouver, British Columbia, Canada. Material and methods: Homeless adults living with mental illness who had received MMT prior to the baseline interview of the Vancouver At Home study (n=78 were included in analyses. The medication possession ratio (MPR was used to estimate MMT adherence from retrospective administrative pharmacy and public health insurance data collected across 15years. Independent sample t tests and one-way ANOVA were used to test for significant differences in MMT MPR by participant characteristics. Results: Mean MMT MPR was 0.47. A large proportion of participants reported blood-borne infectious disease, three or more chronic physical health conditions, and substance use. Being single and never married was associated with significantly lower MMT MPR (0.40 vs. 0.55, p=0.036, while living with schizophrenia, bipolar disorder, or a mood disorder with psychotic features was associated with significantly higher MMT MPR (0.54 vs. 0.37, p=0.022. Daily drug use (excluding alcohol was associated with significantly lower MMT MPR (0.39 vs. 0.54, p=0.051. Conclusions: The level of adherence to MMT was very low among homeless adults experiencing mental illness. Efforts are needed to improve adherence to MMT as a means of reducing illicit substance use, preventing overdose deaths, and attenuating infectious disease transmission. Keywords: Adherence, Medication possession ratio, Methadone, Opioid dependence, Homeless, Mental illness

  2. Total skin electron therapy treatment verification: Monte Carlo simulation and beam characteristics of large non-standard electron fields

    International Nuclear Information System (INIS)

    Pavon, Ester Carrasco; Sanchez-Doblado, Francisco; Leal, Antonio; Capote, Roberto; Lagares, Juan Ignacio; Perucha, Maria; Arrans, Rafael

    2003-01-01

    Total skin electron therapy (TSET) is a complex technique which requires non-standard measurements and dosimetric procedures. This paper investigates an essential first step towards TSET Monte Carlo (MC) verification. The non-standard 6 MeV 40 x 40 cm 2 electron beam at a source to surface distance (SSD) of 100 cm as well as its horizontal projection behind a polymethylmethacrylate (PMMA) screen to SSD = 380 cm were evaluated. The EGS4 OMEGA-BEAM code package running on a Linux home made 47 PCs cluster was used for the MC simulations. Percentage depth-dose curves and profiles were calculated and measured experimentally for the 40 x 40 cm 2 field at both SSD = 100 cm and patient surface SSD = 380 cm. The output factor (OF) between the reference 40 x 40 cm 2 open field and its horizontal projection as TSET beam at SSD = 380 cm was also measured for comparison with MC results. The accuracy of the simulated beam was validated by the good agreement to within 2% between measured relative dose distributions, including the beam characteristic parameters (R 50 , R 80 , R 100 , R p , E 0 ) and the MC calculated results. The energy spectrum, fluence and angular distribution at different stages of the beam (at SSD = 100 cm, at SSD = 364.2 cm, behind the PMMA beam spoiler screen and at treatment surface SSD = 380 cm) were derived from MC simulations. Results showed a final decrease in mean energy of almost 56% from the exit window to the treatment surface. A broader angular distribution (FWHM of the angular distribution increased from 13deg at SSD 100 cm to more than 30deg at the treatment surface) was fully attributable to the PMMA beam spoiler screen. OF calculations and measurements agreed to less than 1%. The effect of changing the electron energy cut-off from 0.7 MeV to 0.521 MeV and air density fluctuations in the bunker which could affect the MC results were shown to have a negligible impact on the beam fluence distributions. Results proved the applicability of using MC

  3. Data-Driven Assessment of the Association of Polymorphisms in 5-Fluorouracil Metabolism Genes with Outcome in Adjuvant Treatment of Colorectal Cancer

    DEFF Research Database (Denmark)

    Sarac, Sinan B.; Rasmussen, Christian H.; Afzal, Shoaib

    2012-01-01

    A major challenge in the assessment of medicines, treatment options, etc., is to establish a framework for the comparison of risks and benefits of many different types and magnitudes, a framework that at the same time allows a clear distinction between the roles played by the statistical analyses...

  4. Prevalence and characteristics of supernumerary teeth in a non-syndrome Turkish population: associated pathologies and proposed treatment.

    Science.gov (United States)

    Celikoglu, Mevlut; Kamak, Hasan; Oktay, Hüsamettin

    2010-07-01

    The objectives of the present study were to investigate the prevalence and characteristics of supernumerary teeth and evaluate the associated pathologies and treatment protocol in a Turkish patient population. A retrospective study was performed using full-mouth periapical and panoramic radiographs of 3491 patients (2146 females and 1345 males) ranging in age from 12 to 25. For each patient with supernumerary teeth we recorded the demographic variables (including age, sex), number, location, position, type, and morphology of supernumerary teeth, associated pathologies or complications, and whether any treatment has been carried out. The Pearson chi-squared test was used to determine potential differences in the distribution of supernumerary teeth when stratified by gender. Supernumerary teeth were detected in 42 subjects (1.2%), of which 27 were males and 15 were females with a 1.8:1 male female ratio (psupernumerary teeth were mesiodens (31.3%) followed by premolar (25.0%), lateral (22.9%), distomolar (14.5%), paramolar (4.2%), and canine (2.1%). Of the 48 supernumerary teeth examined, 50.0% (n=24) were conical, 81.3% (n=39) were in a vertical position, and 20.8% (n=10) were erupted. Supernumerary teeth caused rotation or displacement of the adjacent teeth in 14 cases, and the impaction of the permanent teeth in 8 cases. The prevalence of supernumerary teeth in our series was found to be 1.2%, the most frequent type being mesiodens. Rotation or displacement of permanent teeth was the most frequent complication caused by supernumerary teeth.

  5. Oilfield water treatment by electrocoagulation-reverse osmosis for agricultural use: effects on germination and early growth characteristics of sunflower.

    Science.gov (United States)

    de Souza, Paulo S A; Cerqueira, Alexandre A; Rigo, Michelle M; de Paiva, Julieta L; Couto, Rafael S P; Merçon, Fábio; Perez, Daniel V; Marques, Monica R C

    2017-05-01

    This study aims to evaluate the effects of oilfield water (OW), treated by a hybrid process of electrocoagulation and reverse osmosis (EC-RO), on seed germination and early growth characteristics of sunflower (Heliantus annus L.). In the EC step, tests were conducted with 28.6 A m -2 current density and 4 min. reaction time. In the RO step, the system was operated with 1 L min -1 constant flow and 2 MPa, 2.5 MPa and 3 MPa feed pressures. In all feed pressures, RO polymeric membranes achieved very high removals of chemical oxygen demand (up to 89%) and oils and greases (100%) from EC-treated effluent. In best feed pressure (2.5 MPa), turbidity, total dissolved salts, electrical conductivity, salinity, toxic ions and sodium adsorption ratio values attained internationally recognized standards for irrigation water. Using EC-RO (feed pressure:2.5 MPa) treated OW, germinated sunflower seeds percentage (86 ± 6%), speed of germination (30 ± 2) and biomass production (49 ± 5 mg) were statistically similar to control (distilled water) results. Vigor index average values obtained using OW treated by EC-RO (3871)were higher than that obtained by OW water treated by EC (3300). The results of this study indicate that EC-RO seems to be a promising alternative for treatment of OW aiming sunflower crops irrigation, since the use of this treated effluent did not affect adversely seed germination and seedling development, and improved seedling vigor. Furthermo