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Sample records for characteristics glycaemia treatment

  1. Intraperitoneal insulin infusion : treatment option for type 1 diabetes resulting in beneficial endocrine effects beyond glycaemia

    NARCIS (Netherlands)

    van Dijk, P R; Logtenberg, S J J; Gans, R O B; Bilo, H J G; Kleefstra, N

    2014-01-01

    Continuous intraperitoneal insulin infusion (CIPII) is a treatment option for patients with type 1 diabetes mellitus who fail to reach adequate glycaemic control despite intensive subcutaneous (SC) insulin therapy. CIPII has clear advantages over SC insulin administration in terms of pharmacokinetic

  2. Optimizing management of glycaemia.

    Science.gov (United States)

    Chatterjee, Sudesna; Khunti, Kamlesh; Davies, Melanie J

    2016-06-01

    The global epidemic of type 2 diabetes (T2DM) continues largely unabated due to an increasingly sedentary lifestyle and obesogenic environment. A cost-effective patient-centred approach, incorporating glucose-lowering therapy and modification of cardiovascular risk factors, could help prevent the inevitable development and progression of macrovascular and microvascular complications. Glycaemic optimization requires patient structured education, self-management and empowerment, and psychological support along with early and proactive use of glucose lowering therapies, which should be delivered in a system of care as shown by the Chronic Care Model. From diagnosis, intensive glycaemic control and individualised care is aimed at reducing complications. In older people, the goal is maintaining quality of life and minimizing morbidity, especially as overtreatment increases hypoglycaemia risk. Maintaining durable glycaemic control is challenging and complex to achieve without hypoglycaemia, weight gain and other significant adverse effects. Overcoming patient and physician barriers can help ensure adequate treatment initiation and intensification. Cardiovascular safety studies with newer glucose-lowering agents are now mandatory, with a sodium glucose co-transporter-2 inhibitor (empagliflozin), and two glucagon like peptide-1 receptor agonists (liraglutide and semaglutide) being the first to demonstrate superior CV outcomes compared with placebo. PMID:27432074

  3. Impact of postprandial glycaemia on health and prevention of disease

    DEFF Research Database (Denmark)

    Blaak, E E; Antoine, J-M; Benton, D;

    2012-01-01

    Postprandial glucose, together with related hyperinsulinemia and lipidaemia, has been implicated in the development of chronic metabolic diseases like obesity, type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). In this review, available evidence is discussed on postprandial glucose...... in relation to body weight control, the development of oxidative stress, T2DM, and CVD and in maintaining optimal exercise and cognitive performance. There is mechanistic evidence linking postprandial glycaemia or glycaemic variability to the development of these conditions or in the impairment in cognitive...... to health and disease. Also of importance is the evaluation of the potential role of the time course of postprandial glycaemia....

  4. Target fasting glycaemia for pump-treated type-I diabetics.

    Science.gov (United States)

    Chantelau, E A; Sonnenberg, G E; Best, F; Heding, L G; Berger, M

    1984-04-01

    In 17 type-I diabetic patients on continuous s.c. insulin infusion (CSII) therapy, potential interrelationships between fasting levels of blood glucose (BG), serum free insulin (free IRI), total (free and bound) insulin (total IRI) and insulin-binding immunoglobulin G ( IgGI ) were evaluated. There was no consistent relationship between the basal s.c. infused insulin dosages and the associated insulinaemia or glycaemia. A significant inverse correlation was found between the fasting levels of serum free IRI and BG (P less than 0.005). On the basis of this interrelationship, a target range of 90-110 mg/dl for fasting BG during CSII treatment is proposed.

  5. Profile of cortisol, glycaemia, and blood parameters of American Bullfrog tadpoles Lithobates catesbeianus exposed to density and hypoxia stressors

    Directory of Open Access Journals (Sweden)

    Patricia C. Teixeira

    2012-12-01

    Full Text Available The aim of this study was to evaluate alterations to the physiological profile (cortisol, glycaemia, and blood parameters of Lithobates catesbeianus caused by the stressors density and hypoxia. The organisms were in the prometamorphosis stage and exposed to different tadpole densities: 1 tadpole/L (T1, 5 tadpoles/L (T2, and 10 tadpoles/L (T3 for 12 days. The blood was collected through the rupture of the caudal blood vessel and collected under normoxia (immediate collection and hypoxia (after 15 minutes of air exposure conditions. Cortisol levels rose on the fourth and eighth days of treatment and returned to basal levels by the end of the experiment. The stressor mechanisms tested did not affect glycaemia. White blood cells (total number of lymphocytes, neutrophils, and eosinophils showed a significant difference at the twelfth day of the experiment when compared with the start of the experiment. We concluded that, under controlled conditions, a density of up to 10 tadpoles/L and air exposure for 15 minutes did not cause harmful physiological alterations during the experimental period. The answer to these stressors maybe was in another hormonal level (corticosterone.

  6. Admission glycaemia and outcome in patients with acute coronary syndrome.

    Science.gov (United States)

    Müdespacher, Damaris; Radovanovic, Dragana; Camenzind, Edoardo; Essig, Manfred; Bertel, Osmund; Erne, Paul; Eberli, Franz Robert; Gutzwiller, Felix

    2007-12-01

    Some studies of patients with acute myocardial infarction have reported that hyperglycaemia at admission may be associated with a worse outcome. This study sought to evaluate the association of blood glucose at admission with the outcome of unselected patients with acute coronary syndrome (ACS). Using the Acute Myocardial Infarction and unstable angina in Switzerland (AMIS Plus) registry, ACS patients were stratified according to their blood glucose on admission: group 1: 2.80-6.99 mmol/L, group 2: 7.00-11.09 mmol/L and group 3: > 11.10 mmol/L. Odds ratios for in-hospital mortality were calculated using logistic regression models. Of 2,786 patients, 73% were male and 21% were known to have diabetes. In-hospital mortality increased from 3% in group 1 to 7% in group 2 and to 15% in group 3. Higher glucose levels were associated with larger enzymatic infarct sizes (p<0.001) and had a weak negative correlation with angiographic or echographic left ventricular ejection fraction. High admission glycaemia in ACS patients remains a significant independent predictor of in-hospital mortality (adjusted OR 1.08; 95% confidence intervals [CI] 1.05-1.14, p<0.001) per mmol/L. The OR for in-hospital mortality was 1.04 (95% CI 0.99-1.1; p=0.140) per mmol/L for patients with diabetes but 1.21 (95% CI 112-1.30; p<0.001) per mmol/L for non-diabetic patients. In conclusion, elevated glucose level in ACS patients on admission is a significant independent predictor of in-hospital mortality and is even more important for patients who do not have known diabetes.

  7. Risk scores for diabetes and impaired glycaemia in the Middle East and North Africa

    DEFF Research Database (Denmark)

    Handlos, Line Neerup; Witte, Daniel Rinse; Almdal, Thomas Peter;

    2013-01-01

    AIMS: To develop risk scores for diabetes and diabetes or impaired glycaemia for individuals living in the Middle East and North Africa region. In addition, to derive national risk scores for Algeria, Saudi Arabia and the United Arab Emirates and to compare the performance of the regional risk...

  8. 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 heada...... that conventional preventive therapy for episodic migraine may also be useful. This Review discusses the evolution of our understanding of chronic migraine, including its epidemiology, pathophysiology, clinical characteristics and treatment options....

  9. 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.

  10. Adolescent female murderers: characteristics and treatment implications.

    Science.gov (United States)

    Roe-Sepowitz, Dominique

    2007-07-01

    This study examines individual and family characteristics of a population of 29 adolescent females charged with homicide or attempted homicide in the juvenile justice system. The purpose of this study is to contribute to the limited knowledge about adolescent females charged with homicide. Data were collected including the MAYSI-2, a risk classification instrument, and social, educational and family histories. Findings include high rates of reported substance use, delinquent peers, early indicators of mental health problems, and limited control and supervision by parents. The most common weapon used was a car and the most common victim was a known person. A comparison was conducted on girls charged with homicide during the commission of another crime or committed during a conflict. The conflict group was found to victimize friends and family significantly more often than the crime group. The crime group showed higher use of alcohol and drugs, used a gun more and had co-offenders at a higher rate. A profile was developed to describe the typical adolescent female homicide offender found in this study. Treatment recommendations and future research were discussed. PMID:17696677

  11. Vascular parkinsonism--characteristics, pathogenesis and treatment.

    Science.gov (United States)

    Korczyn, Amos D

    2015-06-01

    Parkinson disease is a primary degenerative disease of the brain, but parkinsonism can also result from a variety of vascular disorders. Vascular parkinsonism (VP) most frequently presents as lower body parkinsonism, a condition that is accompanied by the development of white matter lesions (WMLs) and lacunes in the brain. Patients with lower body parkinsonism exhibit gait impairment and go on to develop urinary incontinence, abnormal pyramidal responses and cognitive decline. However, WMLs and lacunes are also common observations among elderly individuals who do not have parkinsonism, which causes difficulty in determining the pathogenetic mechanisms that lead to VP. In addition, imaging studies suggest that many pathological and clinical features are common to VP and Binswanger disease, a type of small vessel vascular dementia. This Review summarizes current understanding of the clinical characteristics of VP, as well as knowledge gained from neuroimaging and nuclear imaging of the pathological features of VP. The lack of current treatment options, and the emergence of new therapies such as cerebrospinal fluid drainage, are also discussed. Finally, consideration is given to whether the overlap between VP and Binswanger disease means that these two disorders should be considered as part of the same disease entity. PMID:25917706

  12. Berries and anthocyanins: promising functional food ingredients with postprandial glycaemia-lowering effects.

    Science.gov (United States)

    Castro-Acosta, Monica L; Lenihan-Geels, Georgia N; Corpe, Christopher P; Hall, Wendy L

    2016-08-01

    The prevalence of type 2 diabetes (T2D) is predicted to reach unprecedented levels in the next few decades. In addition to excess body weight, there may be other overlapping dietary drivers of impaired glucose homeostasis that are associated with an obesogenic diet, such as regular exposure to postprandial spikes in blood glucose arising from diets dominated by highly refined starches and added sugars. Strategies to reduce postprandial hyperglycaemia by optimising the functionality of foods would strengthen efforts to reduce the risk of T2D. Berry bioactives, including anthocyanins, are recognised for their inhibitory effects on carbohydrate digestion and glucose absorption. Regular consumption of berries has been associated with a reduction in the risk of T2D. This review aims to examine the evidence from in vitro, animal and human studies, showing that berries and berry anthocyanins may act in the gut to modulate postprandial glycaemia. Specifically, berry extracts and anthocyanins inhibit the activities of pancreatic α-amylase and α-glucosidase in the gut lumen, and interact with intestinal sugar transporters, sodium-dependent glucose transporter 1 and GLUT2, to reduce the rate of glucose uptake into the circulation. Growing evidence from randomised controlled trials suggests that berry extracts, purées and nectars acutely inhibit postprandial glycaemia and insulinaemia following oral carbohydrate loads. Evidence to date presents a sound basis for exploring the potential for using berries/berry extracts as an additional stratagem to weight loss, adherence to dietary guidelines and increasing physical exercise, for the prevention of T2D. PMID:27170557

  13. Clinical Characteristics and Treatment of Malignant Granuloma

    Institute of Scientific and Technical Information of China (English)

    Chongjin Feng; Junbing Guo; Yong Chen

    2005-01-01

    OBJECTIVE To analyse the clinical characteristics of malignant granuloma(MG) and evaluate its treatment.METHODS From March 1985 to May 1998, 101 cases of malignant granuloma were treated with radiation (RT) alone or radiotherapy followed by chemotherapy or chemotherapy followed by radiotherapy. For chemotherapy, a CCNU, COMP (CTX, VCR, MTX, PDN) or CHOP (CTX,ADM, VCR, PDN) regimen was given. Radiation was directed through the anterior field of the nose mainly for nasal and paranasal sinus malignant granuloma, and through the faciocervical field for malignant granuloma of Walderyer's ring or for patients with cervical lymphadenectasis. Total dose was 45-65 Gy over 5-6 weeks.RESULTS The overall 3-year, 5-year and 10-year survival rates were 78.2%, 56.1% and 39.7% respectively. The 5-year survival rate was: RT group 60.3%, RT + CHOP or CHOP + RT group 64.7% (P >0.05), RT +CCNU group 40%, and RT + COMP group 33.3%. The 5-year survival rates of patients with one involved focus and more than 2 involved foci were 75.6%(34/45) and 39.3% (22/56) (P<0.001). The 5-year survival rates of patients with or without body symptoms were 39.6% (18/48) and 67.9%(36/53) (P<0.05). The 5-year survival rate of the 50-60 Gy group and the <50Gy group were 60.1% (40/66) and 20% (1/5)(P <0.05). The local and regional recurrence rate was 20.8 % (21/101 ).CONCLUSION Radiotherapy alone should be the treatment of choice for patients with one site involvement and without body symptoms. Radiation fields should be large enough to include the potentially involved sites. The recommended dose is 50-60 Gy over 5-6 weeks. It is suggested that patients with more than 2 foci involvement and those with body symptoms should receive the combination therapy.

  14. [Comparative study of the effect of fasting during Ramadan on the glycaemia at rest in sportsmen and sedentaries].

    Science.gov (United States)

    Ba, A; Samb, A; Seck, D; Kane, M O; Seck, M B; Sarr, F B; Ciss, M; Gueye, L; Cisse, F

    2005-01-01

    The fast of Ramadan submits body to transient metabolic modifications; and decrease of glycaemia can be one of results. Physical exercise modifies rate of plasmatic hormones responsible for its regulation. The purpose of this study is to appreciate the influence of the fast on this biologic parameter in sportsmen and sedentaries. Thirty (30) healthy subjects (15 sportsmen of stamina and 15 sedentaries), with 25 years of average age were recruited. They have all a comparable diet. We excluded subjects having practised a physical exercise the day of the test. Capillary glycaemia was measured after weighed and physical exam, in 2 periods: in second Ramadan's fortnight, 15 minutes before food intake, two (2) months after Ramadan at least 4 hours at distance of the last meal. Comparisons were remitted in the test of Student, significant for p value lower than 0.05. During Ramadan, the glycaemia of the sportsmen at rest, is at one exception always superior or equal to that of the sedentaries. However, there is non significant difference as much during the fast as in normal food intake. Respective averages are 4.6 mmol/l, 0.15 and 4.5 mmol/l, 0.01 during Ramadan. They cross then in 4.8 mmol/l, 0.2 and 4.8 mmol/l, 0.4 in normal food intake. Landmark, the comparison of the averages from period to the other one in every group shows a significant difference only for the sedentaries. The return to normal food intake was expressed by an important gain in weight for all subjects. The fast of Ramadan has no notorious influence on sportsman's glycaemia contrary to that of sedentary. In other words, the sportsman administers better his stocks of glucose. Previous works however strongly advised against sports practice during Ramadan and more particularly the competitions, because, exercises of strong intensity can induce dehydration. PMID:16190121

  15. The influence of maternal glycaemia and dietary glycaemic index on pregnancy outcome in healthy mothers.

    LENUS (Irish Health Repository)

    McGowan, Ciara A

    2010-07-01

    Infant birth weight has increased in Ireland in recent years along with levels of childhood overweight and obesity. The present article reviews the current literature on maternal glycaemia and the role of the dietary glycaemic index (GI) and its impact on pregnancy outcomes. It is known that maternal weight and weight gain significantly influence infant birth weight. Fetal macrosomia (birth weight >4000 g) is associated with an increased risk of perinatal trauma to both mother and infant. Furthermore, macrosomic infants have greater risk of being obese in childhood, adolescence and adulthood compared to normal-sized infants. There is evidence that there is a direct relationship between maternal blood glucose levels during pregnancy and fetal growth and size at birth, even when maternal blood glucose levels are within their normal range. Thus, maintaining blood glucose concentrations within normal parameters during pregnancy may reduce the incidence of fetal macrosomia. Maternal diet, and particularly its carbohydrate (CHO) type and content, influences maternal blood glucose concentrations. However, different CHO foods produce different glycaemic responses. The GI was conceived by Jenkins in 1981 as a method for assessing the glycaemic responses of different CHO. Data from clinical studies in healthy pregnant women have documented that consuming a low-GI diet during pregnancy reduces peaks in postprandial glucose levels and normalises infant birth weight. Pregnancy is a physiological condition where the GI may be of particular relevance as glucose is the primary fuel for fetal growth.

  16. Metabolic inflexibility is a common feature of impaired fasting glycaemia and impaired glucose tolerance.

    Science.gov (United States)

    Færch, Kristine; Vaag, Allan

    2011-12-01

    Metabolic flexibility reflects the ability to switch from lipid to carbohydrate oxidation during insulin stimulation. Impaired metabolic flexibility is related to insulin resistance and type 2 diabetes, but whether metabolic flexibility is impaired in individuals with the pre-diabetic states isolated impaired fasting glycaemia (i-IFG) and isolated impaired glucose tolerance (i-IGT) is unknown. Using the gold standard euglycaemic hyperinsulinaemic clamp technique combined with indirect calorimetry, we measured peripheral insulin sensitivity, lipid and glucose oxidation, and thus metabolic flexibility in 66 individuals with normal glucose tolerance (NGT, n = 20), i-IFG (n = 18) and i-IGT (n = 28). During insulin stimulation, individuals with i-IGT displayed reduced insulin sensitivity including reduced glucose oxidation. Interestingly, those with i-IFG exhibited reduced glucose oxidation and a slightly elevated lipid oxidation rate during insulin infusion despite having normal total peripheral glucose disposal. Thus, metabolic flexibility was significantly reduced in individuals with both i-IFG and i-IGT even after adjustment for BMI and insulin sensitivity. The data indicate that metabolic inflexibility may precede the development of overt peripheral insulin resistance in pre-diabetic individuals. However, prospective studies are needed to confirm this notion. PMID:21207234

  17. Etiological characteristics and treatment of tardive dyskinesia

    Institute of Scientific and Technical Information of China (English)

    Zhe Li; Xueli Sun; Che Zhou

    2006-01-01

    OBJECTIVE:The pathogenesis of tardive dyskinesia(TD)is complicated and uncertain.Thus,there is not any effective treatment for it.The psychiatrists pay more and more attention to TD,which lasts for a long time and is difficult to treat.DATA SOURCES: A computer-based online search of Medline database was undertaken to jdentify articles about the feature of etiology and the progression of treatment for TD published in English by using the keywords of"TD,etiology.pathogenesis"and"TD,therapy,drug treatment".Meanwhile,Chinese articles about the feature of etiologY and the progression of treatment for TD were searched in Wanfang database and China joumal full-text database,and the keywords were"TD,etiology,pathogenesis"and"TD,therapy,drug Treatment".-in Chinese.STUDY SELECTION:Articles met the following inclusion cdteda were selected in this paper.Inclusion cdteda:①Researches of randomized blind control design,before and after control design and retrospective.②Researches of the feature of etiology and the progression of treatment for TD.Exclusion cdteda:the repetitive researches and individual reports,DATA EXTRACTION:Totally 65 articles related the feature of etiology and the progression of treatment for TD of randomized blind control design,before and after control design and retrospective studies were collected,and 53 of them were accorded with the inclusion criteda.Of the 12 excluded ones,8 were concerning with genetics,4 were repetitive researches.DATA SYNTHESIS:The feature of etiology for TD includes:①Hypothesis of dopamine receptor super-sensitivity:The dopamine recaptor is persistently blocked,so it wi¨result in functional disorder in CNS,and then TD may take place.②Hypothesis of neuronal degeneration:The concentration of aminosucoinic acid and glutamic acid wi¨;ncrease after the antipsychotic used for a Iong time and this wilI result in neuronal degeneration through glutamic acid receptor in the postsynaptic membrane;meanwhile with free radical

  18. Diet and glycaemia: the markers and their meaning. A report of the Unilever Nutrition Workshop.

    Science.gov (United States)

    Alssema, Marjan; Boers, Hanny M; Ceriello, Antonio; Kilpatrick, Eric S; Mela, David J; Priebe, Marion G; Schrauwen, Patrick; Wolffenbuttel, Bruce H; Pfeiffer, Andreas F H

    2015-01-28

    Consumption of carbohydrate-containing foods leads to transient postprandial rises in blood glucose concentrations that vary between food types. Higher postprandial glycaemic exposures have particularly been implicated in the development of chronic cardiometabolic diseases. Reducing such diet-related exposures may be beneficial not only for diabetic patients but also for the general population. A variety of markers have been used to track different aspects of glycaemic exposures, with most of the relevant knowledge derived from diabetic patients. The assessment of glycaemic exposures among the non-diabetic population may require other, more sensitive markers. The present report summarises key messages of presentations and related discussions from a workshop organised by Unilever intended to consider currently applied markers of glycaemic exposure. The particular focus of the meeting was to identify the potential applicability of glycaemic exposure markers for studying dietary effects in the non-diabetic population. Workshop participants concluded that markers of glycaemic exposures are sparsely used in intervention studies among non-diabetic populations. Continuous glucose monitoring remains the optimal approach to directly assess glycaemic exposure. Markers of glycaemic exposure such as glycated Hb, fructosamine, glycated albumin, 1,5-anhydroglucitol and advanced glycation end products can be preferred dependent on the aspect of interest (period of exposure and glucose variability). For all the markers of glycaemia, the responsiveness to interventions will probably be smaller among the non-diabetic than among the diabetic population. Further validation and acceptance of existing glycaemic exposure markers applied among the non-diabetic population would aid food innovation and better design of dietary interventions targeting glycaemic exposure.

  19. Effect of different protein types on second meal postprandial glycaemia in normal weight and normoglycemic subjects

    Directory of Open Access Journals (Sweden)

    Winder Tadeu Silva Ton

    2014-03-01

    Full Text Available Background: Diabetes mellitus is a global epidemic affecting 346 million people in the world. The glycemic control is the key for diabetes prevention and management. Some proteins can stimulate insulin release and modulate glycemic response. Objectives: To assess the effect of the consumption of different types of protein (whey protein, soy protein and egg white on a second meal postprandial glycaemia in normal weight and normoglycemic subjects. Methodology: Randomized crossover clinical trial. After an overnight fast of 12-hours, ten subjects attended the laboratory to drink one of the protein shakes (whey, soy or egg white or the control drink. Thirty minutes later, the subjects consumed a glucose solution (25 g glucose. Glycemic response was monitored at times 0 (before glucose solution and 15, 30, 45, 60, 90 and 120 min (after glucose solution consumption. Incremental area under the glycemic curve (iAUC was calculated by the trapezoidal method. Furthermore, glycemic response was assessed by a new method using iG equation. Results: Compared with control, whey and soy protein drinks reduced postprandial iAUC in 56.5% (p = 0.004 and 44.4% (p = 0.029, respectively. Whey protein was the only protein capable of avoiding great fluctuations and a peak in postprandial glycemia. The assessment of glycemic response by iG equation showed positive correlation with iAUC (Pearson 0.985, p < 0.05. Conclusion: The consumption of whey and soy protein 30 minutes before a glucose load resulted in lower iAUC compared with control drink. Whey protein maintained postprandial glycemia more stable.

  20. Characteristics and Treatment Outcomes of Retreatment Tuberculosis Patients in Benin.

    OpenAIRE

    Serge Ade; Omer Adjibodé; Prudence Wachinou; Narcisse Toundoh; Bérénice Awanou; Gildas Agodokpessi; Dissou Affolabi; Gabriel Adè; Harries, Anthony D; Séverin Anagonou

    2016-01-01

    Objective. To determine among retreatment tuberculosis patients in Benin baseline characteristics, culture, and drug sensitivity testing (DST) results and treatment outcomes. Materials and Methods. A retrospective national cohort study of all retreatment tuberculosis patients in Benin in 2013 using registers and treatment cards. Results. Of 3957 patients with tuberculosis, 241 (6%) were retreatment cases. Compared to new pulmonary bacteriologically confirmed tuberculosis (NPBCT) patients, the...

  1. [Comparative study of postprandial glycaemia in type 2 diabetic patients after consumption of mono- and disaccharides and sweeteners].

    Science.gov (United States)

    Sharafetdinov, Kh Kh; Meshcheriakova, V A; Plotnikova, O A; Gapparov, M G

    2002-01-01

    It was investigated the influence of mono- and disaccharides, sugar alcohols, honey, corn patoka and products with nutritive and nonnutritive sweeteners on dynamic of postprandial glycaemia in type 2 diabetic patients. After ingestion of 30 g fructose, blood glucose did not show a marked increase in comparison with sucrose or honey. After ingestion of 30 g sorbitol or isomalt, blood glucose curve was not significantly different. It was indicated that corn patoka in chewing candies with isomalt has a high hyperglycaemic effect whereas drink with nonnutritive sweeteners did not change blood glucose from fasting levels. PMID:12125470

  2. Evolution of glycaemia during irradiation syndrome; Evolution de la glycemie au cours du syndrome d'irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Raisonnier, A. [Commissariat a l' Energie Atomique, Fontenay aux Roses (France). Centre d' Etudes Nucleaires

    1967-03-15

    The evolution of glycaemia following irradiation has been followed in the rat and pig. The results concerning a case of human accidental exposure have also been included. The author has tried to see whether the observed variations are reproducible and have a prognostic value. (author) [French] L'evolution de la glycemie a ete suivie, chez le rat et le porc, apres irradiation. Les resultats relatifs a une irradiation accidentelle humaine sont egalement rapportes. L'auteur cherche a definir si les variations observees sont reproductibles et ont une valeur pronostique. (auteur)

  3. 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

    . 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...... in adults than in pediatric patients (9 vs. 32%; p first study to investigate characteristics of QOC in routine clinical practice. Clinicians commonly face...

  4. [Influence of breads with use of barley, buckwheat and oat flours and barley flakes on postprandial glycaemia in patients with type 2 diabetes mellitus].

    Science.gov (United States)

    Sharafetdinov, Kh Kh; Gapparov, M M; Plotnikova, O A; Zykina, V V; Shlelenko, L A; Tiurina, O E; Rabotkin, Iu V

    2009-01-01

    It was investigated the influence of breads with use of barley, buckwheat and oat flours and barley flakes on postprandial glycaemia in patients with type 2 diabetes mellitus. It was shown that consumption of breads with use of barley and buckwheat flours is accompanied less marked postprandial glycaemic reaction in compared with standard loading of carbohydrates (wheat bread). Also it was noted greater increase of postprandial glycaemia in consumption of bread with use of barley flakes in compared with consumption of wheat bread inclusive equivalent amount of carbohydrates. PMID:19999818

  5. Impaired fasting glycaemia vs impaired glucose tolerance: similar impairment of pancreatic alpha and beta cell function but differential roles of incretin hormones and insulin action

    DEFF Research Database (Denmark)

    Faerch, K; Vaag, A; Holst, Jens Juul;

    2008-01-01

    AIMS/HYPOTHESIS: The impact of strategies for prevention of type 2 diabetes in isolated impaired fasting glycaemia (i-IFG) vs isolated impaired glucose tolerance (i-IGT) may differ depending on the underlying pathophysiology. We examined insulin secretion during OGTTs and IVGTTs, hepatic and peri...

  6. Characteristics and Treatment Programmes of Adolescent Sexual Offenders

    OpenAIRE

    CANKURTARAN ÖNTAŞ, Doç. Dr. Özlem

    2010-01-01

    Modern childhood approach provided that juvenile offenders are treated different form adult. This article is given information about theoritical expalanation, characteristics, treatment programmes of adolescent sexual offenders. There are two explanation about causes of juvenile sexual offenders. One of model is Ryan, Lane, Davis ve Lsaac (1987)’s sexual abuse cycle. This model assert that when adolescent meet negative reflections, He has negative self concept then has negative coping strateg...

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

    OpenAIRE

    Li; Coucke, Philippe; Qian,, S.J..; 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...

  8. Short-term reproducibility of impaired fasting glycaemia, impaired glucose tolerance and diabetes The ADDITION study, DK

    DEFF Research Database (Denmark)

    Rasmussen, S S; Glümer, C; Sandbæk, Annelli;

    2007-01-01

    We evaluated variations in glucose measurements and the reproducibility of glucose tolerance classification in a high-risk screening setting in general practice. Screening for diabetes was performed in persons aged 40-69 years. Based on capillary fasting (FBG) and 2-h blood glucose (2hBG) individ......We evaluated variations in glucose measurements and the reproducibility of glucose tolerance classification in a high-risk screening setting in general practice. Screening for diabetes was performed in persons aged 40-69 years. Based on capillary fasting (FBG) and 2-h blood glucose (2h......BG) individuals with impaired fasting glycaemia (IFG), impaired glucose tolerance (IGT) and diabetes had a second test done after 14 days. Intra-individual coefficients of variation (CV) were estimated in each glucose tolerance class using the approximation CV(2)(x)=var(ln(x)). Bland-Altman plots with limits...

  9. Characteristics of women in jail and treatment orientations. A review.

    Science.gov (United States)

    Haywood, T W; Kravitz, H M; Goldman, L B; Freeman, A

    2000-07-01

    Women who have been incarcerated are a high-risk group for criminal recidivism, and criminal justice statistics indicate that females are increasing in numbers more rapidly than the male detainee population. According to data from epidemiologic studies, incarcerated women are often young, single, mothers from ethnic minority backgrounds who have little education and poor work histories. Mental illness, drug abuse, and risky behaviors relating to contracting HIV/AIDS are common problems among female detainees. In this report, research into characteristics of women in jail and literature relating to treatment programs for incarcerated women are reviewed. Implications relating to treatment needs, program development, and further research are discussed. A case example and treatment intervention are presented based on this review.

  10. Characteristics and treatment of greywater--a review.

    Science.gov (United States)

    Ghaitidak, Dilip M; Yadav, Kunwar D

    2013-05-01

    Safe and sufficient quantity of water is necessary for a healthy growth of human beings. The gap between water demand and available water supply is increasing day by day. Proper sanitation, especially decentralized approach, can solve the problem of water supply and wastewater management and that can be done by reuse of greywater. Typically, from a household, greywater (GW) flow is around 65 % of the total wastewater flow. Further light greywater is around 50 % of the total GW. Hence, GW has a high potential for recycle and reuse. The aim of this article is to reveal the present state of art in GW treatment and to identify the further scope for research. Present article contains a review on per capita GW generation, GW characteristics, and its treatment. Around 22 treatment systems comprising different treatment processes are discussed in detail for removal efficiency of pollutants, effluent concentrations and their compliance with wastewater reuse guidelines and standards. Constructed wetland and filtration were found efficient in the removal of most of the reuse parameters compared to other technologies. Anaerobic followed by aerobic system with post-disinfection unit may be a sustainable option for GW treatment for reuse. There is a need to develop the technologies for GW treatment at household level to increase the reuse practises at grass root level. Further, there is need of development of flow diagram with different technologies by targeting the type of reuse (flushing, gardening, agriculture, etc.).

  11. Characteristics of HIV antiretroviral regimen and treatment adherence

    Directory of Open Access Journals (Sweden)

    Vera Lúcia da Silveira

    2003-06-01

    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.

  12. A review of greywater characteristics and treatment processes.

    Science.gov (United States)

    Boyjoo, Yash; Pareek, Vishnu K; Ang, Ming

    2013-01-01

    This paper presents a comprehensive literature review of different characteristics of greywater (GW) and current treatment methods. GW is domestic wastewater excluding toilet waste and can be classified as either low-load GW (excluding kitchen and laundry GW) or high-load GW (including kitchen and/or laundry). This review provides information on the quantity of GW produced, its constituents (macro and micro), existing guidelines for wastewater reuse, current treatment methods (from storage to disinfection) as well as related costs and environmental impacts. Moreover some successful examples from various countries around the world are examined. The current preferred treatments for GW use physical and biological/natural systems. Recently, chemical systems like coagulation, adsorption and advanced oxidation processes (AOPs) have been considered and have been successful for low to moderate strength GW. The presence of xenobiotic organic compounds (XOC), which are hazardous micropollutants in GW, is emphasised. Since conventional treatments are not efficient at removing XOC, it is recommended that future studies look at chemical treatment, especially AOPs that have been found to be successful at mineralising recalcitrant organic compounds in wastewater.

  13. A review of greywater characteristics and treatment processes.

    Science.gov (United States)

    Boyjoo, Yash; Pareek, Vishnu K; Ang, Ming

    2013-01-01

    This paper presents a comprehensive literature review of different characteristics of greywater (GW) and current treatment methods. GW is domestic wastewater excluding toilet waste and can be classified as either low-load GW (excluding kitchen and laundry GW) or high-load GW (including kitchen and/or laundry). This review provides information on the quantity of GW produced, its constituents (macro and micro), existing guidelines for wastewater reuse, current treatment methods (from storage to disinfection) as well as related costs and environmental impacts. Moreover some successful examples from various countries around the world are examined. The current preferred treatments for GW use physical and biological/natural systems. Recently, chemical systems like coagulation, adsorption and advanced oxidation processes (AOPs) have been considered and have been successful for low to moderate strength GW. The presence of xenobiotic organic compounds (XOC), which are hazardous micropollutants in GW, is emphasised. Since conventional treatments are not efficient at removing XOC, it is recommended that future studies look at chemical treatment, especially AOPs that have been found to be successful at mineralising recalcitrant organic compounds in wastewater. PMID:23552228

  14. Characteristics of integrated biological aerated filter in municipal wastewater treatment

    Institute of Scientific and Technical Information of China (English)

    HE Qiang; ZHANG Yu-ping; XU Jian-bin

    2005-01-01

    In this paper, the characteristics of integrated biological aerated filter (IBAF) applied to municipal wastewater treatment were studied in a pilot scale experiment. The experimental results showed that IBAF has high efficiencies in removing organic pollutants, such as CODCr and SS, in municipal wastewater. The removal rates of CODCr and SS can reach over 90% and 80%, respectively, when COD and SS in the influent are 234 mg L-1 and 112 mg L-1, hydraulic retention time (HRT) is 8 h, and the aerated intensity is in the range of (0.5 to 0.6) L m-2 s-1.

  15. CHARACTERISTIC AND TREATMENT OF ISOLATED TUBERCULOSIS OF THE PANCREAS

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    Isolated tuberculosis of pancreas is very rare clinical entity. Since 1970, we have treated 9 patients, 3 men and 6 women (average 48.3 years), with isolated tuberculosis of pancreas. 2 patients were diagnosed as pancreatic tuberculosis, 1 patient pancreatic cyst and 6 patients pancreatic carcinoma before operation. They all underwent exploratory laparotomy, and were confirmed to be pancreatic tuberculosis by histopathology. Their common characteristics were that tuberculosis was only localized in pancreas without tuberculosis at extrapancreatic sites and that the treatment of anti-TB drugs had much effect on them. By analysis, it was considered that isolated tuberculosis of pancreas was usually mistaken for pancreatic carcinoma because it localized in pancreas, the contents of masses in pancreas should be noted carefully in order to avoid misdiagnosis and treatment of anti-TB drugs should be taken in time.

  16. Characteristics of transgender individuals entering substance abuse treatment.

    Science.gov (United States)

    Flentje, Annesa; Heck, Nicholas C; Sorensen, James L

    2014-05-01

    Little is known about the needs or characteristics of transgender individuals in substance abuse treatment settings. Transgender (n=199) and non-transgender (cisgender, n=13,440) 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 to 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

  17. Characteristics of demand and psychological treatments in a university clinic

    Directory of Open Access Journals (Sweden)

    Francisco J. Labrador

    2016-04-01

    Full Text Available The objectives of this study are to describe the most common characteristics of patients receiving psychological treatment and the treatments administered. We analyzed a sample of 856 patients at the University Psychology Clinic of the Complutense University of Madrid. Five diagnostic categories accounted for 78.4% of demand: anxiety disorders (31.9%, no diagnosis (15.4%, other problems requiring clinical attention (14.2%, mood disorders (9.5% and adaptive disorders (7.4%. A total of 17.7% presented a comorbid diagnosis and 49.3% had received treatment previously. The mean of assessment and treatment sessions was 3.5 and 12.7, respectively. The most commonly applied techniques included psychoeducation (95.1%, cognitive restructuring (74.8%, relaxation (74.4%, and control of internal dialogue (68.1%.Of the patients that had finished contact with the clinic, 68.3% were a therapeutic success. We discuss the generalization of the results and the implications for the profession and clinical practice.

  18. 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…

  19. Polychlorinated biphenyls, glycaemia and diabetes in a population living in a highly polychlorinated biphenyls-polluted area in northern Italy: a cross-sectional and cohort study

    Directory of Open Access Journals (Sweden)

    Claudia Zani

    2013-05-01

    Full Text Available Background. Polychlorinated biphenyls (PCBs have been found to be associated with diabetes in some, but not all, studies performed so far. The aim of this study was to assess the association between PCB serum levels and glycaemia and diabetes in people living in Brescia, a highly industrialised PCB-polluted town in Northern Italy. Design and Methods. 527 subjects were enrolled in a cross-sectional population-based study: they were interviewed face-to-face in 2003 and also provided a blood sample under fasting conditions. The concentration of 24 PCB congeners was determined using gas-chromatography (GC/MS. Subsequently, all subjects were included in a follow-up (cohort study. According to the Local Health Authority health-care database, subjects were considered to be diabetic if they had diabetes at interview time (prevalent cases or during a 7-year follow-up (incident cases. Results. A total of 53 subjects (10.0% were diabetics: 28 had dia- betes at enrolment and other 25 developed the disease subsequently. Diabetes frequency increased according to the serum concentrations of total PCBs and single PCB congeners, but no association was found when estimates were adjusted for education, body mass index, age and gender by logistic regression analysis. Accordingly, glycaemia increased with PCB serum levels, but no association was observed when multiple regression analysis, including confounding factors, was performed. Conclusions. This study does not support the hypothesis that PCB environmental exposure is strictly associated with diabetes or glycaemia.

  20. Characteristics and Treatment Outcomes of Retreatment Tuberculosis Patients in Benin

    Directory of Open Access Journals (Sweden)

    Serge Ade

    2016-01-01

    Full Text Available Objective. To determine among retreatment tuberculosis patients in Benin baseline characteristics, culture, and drug sensitivity testing (DST results and treatment outcomes. Materials and Methods. A retrospective national cohort study of all retreatment tuberculosis patients in Benin in 2013 using registers and treatment cards. Results. Of 3957 patients with tuberculosis, 241 (6% were retreatment cases. Compared to new pulmonary bacteriologically confirmed tuberculosis (NPBCT patients, there were significantly higher numbers of males (P=0.04, patients from “Atlantique-Littoral” (P=0.006, patients aged 45–64 years (P=0.007, and HIV-positive patients (P=0.04 among those retreated. Overall, 171 (71% patients submitted sputum for DST, of whom (163 95% were positive for Mycobacterium tuberculosis on Xpert MTB/RIF and/or culture and 17 (10% were rifampicin resistant (9 with MDR-TB and 8 monoresistant to rifampicin. For those without MDR-TB (n=224, treatment success was 93%. Worse outcomes occurred in those with unknown HIV status (RR: 0.27; 0.05–1.45; P<0.01 while better outcomes occurred in those who relapsed (RR: 1.06, 95 CI: 1.02–1.10, P=0.04. Conclusion. In 2013, a high proportion of retreatment patients received DST. Treatment success was good although more needs to be done to systematically increase the final follow-up smear examination. Reasons of high losses to follow-up from “Oueme-Plateau” should be investigated.

  1. Three-year registry data on biological treatment for psoriasis: the influence of patient characteristics on treatment outcome.

    NARCIS (Netherlands)

    Driessen, R.J.B.; Boezeman, J.B.M.; Kerkhof, P.C.M. van de; Jong, E.M.G.J. de

    2009-01-01

    BACKGROUND: The course of biological treatment in clinical practice may be highly different from treatment schedules in clinical trials. Treatment modifications and patient characteristics may influence treatment safety and efficacy. So far, long-term results from the use of biological treatment in

  2. Geothermal Produced Fluids: Characteristics, Treatment Technologies, and Management Options

    Energy Technology Data Exchange (ETDEWEB)

    Finster, Molly; Clark, Corrie; Schroeder, Jenna; Martino, Louis

    2015-10-01

    Geothermal power plants use geothermal fluids as a resource and create waste residuals as part of the power generation process. Both the geofluid resource and the waste stream are considered produced fluids. The chemical and physical nature of produced fluids can have a major impact on the geothermal power industry and can influence the feasibility of geothermal power development, exploration approaches, power plant design, operating practices, and the reuse or disposal of residuals. In general, produced fluids include anything that comes out of a geothermal field and that subsequently must be managed on the surface. These fluids vary greatly depending on the geothermal reservoir being harnessed, power plant design, and the life cycle stage in which the fluid exists, but generally include water and fluids used to drill geothermal wells, fluids used to stimulate wells in enhanced geothermal systems, and makeup and/or cooling water used during operation of a geothermal power plant. Additional geothermal-related produced fluids include many substances that are similar to waste streams from the oil and gas industry, such as scale, flash tank solids, precipitated solids from brine treatment, hydrogen sulfide, and cooling-tower-related waste. This review paper aims to provide baseline knowledge on specific technologies and technology areas associated with geothermal power production. Specifically, this research focused on the management techniques related to fluids produced and used during the operational stage of a geothermal power plant; the vast majority of which are employed in the generation of electricity. The general characteristics of produced fluids are discussed. Constituents of interest that tend to drive the selection of treatment technologies are described, including total dissolved solids, noncondensable gases, scale and corrosion, silicon dioxide, metal sulfides, calcium carbonate, corrosion, metals, and naturally occurring radioactive material. Management

  3. 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…

  4. 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.

  5. Association between impaired fasting glycaemia in pediatric obesity and type 2 diabetes in young adulthood

    Science.gov (United States)

    Hagman, E; Danielsson, P; Brandt, L; Ekbom, A; Marcus, C

    2016-01-01

    Objectives: In adults, impaired fasting glycemia (IFG) increases the risk for type 2 diabetes mellitus (T2DM). This study aimed to investigate to which extent children with obesity develop T2DM during early adulthood, and to determine whether IFG and elevated hemoglobin A1c (HbA1c) in obese children are risk markers for early development of T2DM. Methods: In this prospective cohort study, 1620 subjects from the Swedish Childhood Obesity Treatment Registry – BORIS who were ⩾18 years at follow-up and 8046 individuals in a population-based comparison group, matched on gender age and living area, were included. IFG was defined according to both ADA (cut-off 5.6 mmol l−1) and WHO (6.1 mmol l−1). Elevated HbA1c was defined according to ADA (cut-off 39 mmol l−1). Main outcome was T2DM medication, as a proxy for T2DM. Data on medications were retrieved from a national registry. Results: The childhood obesity cohort were 24 times more likely to receive T2DM medications in early adulthood compared with the comparison group (95% confidence interval (CI): 12.52–46). WHO-defined IFG predicted future use of T2DM medication with an adjusted hazard ratio (HR) of 3.73 (95% CI: 1.87–7.45) compared with those who had fasting glucose levels obesity itself, adjusted HR=1.72 (0.84–3.52). Elevated levels of HbA1c resulted in an adjusted HR=3.12 (1.50–6.52). More severe degree of obesity also increased the future T2DM risk. CONCLUSION: IFG according to WHO and elevated HbA1c (39–48 mmol l−1), but not the additional fasting glucose interval added by ADA (5.6–6.0 mmol l−1), can be considered as prediabetes in the obese pediatric population in Sweden. PMID:27548712

  6. 40 CFR 63.1582 - What are the characteristics of an industrial POTW treatment plant?

    Science.gov (United States)

    2010-07-01

    ... industrial POTW treatment plant? 63.1582 Section 63.1582 Protection of Environment ENVIRONMENTAL PROTECTION... Works Industrial Potw Treatment Plant Description and Requirements § 63.1582 What are the characteristics of an industrial POTW treatment plant? (a) Your POTW is an industrial POTW treatment plant if...

  7. Internalisation and multiple phosphorylation of γ-Conglutin, the lupin seed glycaemia-lowering protein, in HepG2 cells

    International Nuclear Information System (INIS)

    Highlights: •A glycaemia-reducing lupin seed protein is internalized by HepG2 cells. •The protein accumulates in the cytosol in an intact form. •The internalized protein is multiply phosphorylated. -- Abstract: Lupin seed γ-Conglutin is a protein capable of reducing glycaemia in mammalians and increasing glucose uptake by model cells. This work investigated whether γ-Conglutin is internalised into the target cells and undergoes any covalent change during the process, as a first step to understanding its mechanism of action. To this purpose, γ-Conglutin-treated and untreated HepG2 cells were submitted to confocal and transmission electron microscopy. Immune-revelation of γ-Conglutin at various intervals revealed its accumulation inside the cytosol. In parallel, 2D-electrophoresis of the cell lysates and antibody reaction of the blotted maps showed the presence of the protein intact subunits inside the treated cells, whilest no trace of the protein was found in the control cells. However, γ-Conglutin-related spots with an unexpectedly low pI were also observed in the maps. These spots were excised, trypsin-treated and submitted to MS/MS spectrometric analysis. The presence of phosphorylated amino acids was detected. These findings, by showing that γ-Conglutin is internalised by HepG2 cells in an intact form and is modified by multiple phosphorylation, open the way to the understanding of the lupin γ-Conglutin insulin-mimetic activity

  8. Internalisation and multiple phosphorylation of γ-Conglutin, the lupin seed glycaemia-lowering protein, in HepG2 cells

    Energy Technology Data Exchange (ETDEWEB)

    Capraro, Jessica [Department of Food, Environmental and Nutritional Sciences (DeFENS), Section of Chemistry and Biomolecular Sciences, Università degli Studi di Milano (UNIMI) (Italy); Magni, Chiara, E-mail: chiara.magni@unimi.it [Department of Food, Environmental and Nutritional Sciences (DeFENS), Section of Chemistry and Biomolecular Sciences, Università degli Studi di Milano (UNIMI) (Italy); Faoro, Franco; Maffi, Dario [Department of Agricultural and Environmental Sciences, UNIMI (Italy); Scarafoni, Alessio [Department of Food, Environmental and Nutritional Sciences (DeFENS), Section of Chemistry and Biomolecular Sciences, Università degli Studi di Milano (UNIMI) (Italy); Tedeschi, Gabriella; Maffioli, Elisa [Department of Veterinary Science and Public Health, UNIMI (Italy); Parolari, Anna; Manzoni, Cristina; Lovati, Maria Rosa [Department of Pharmacological and Biomolecular Sciences, UNIMI (Italy); Duranti, Marcello [Department of Food, Environmental and Nutritional Sciences (DeFENS), Section of Chemistry and Biomolecular Sciences, Università degli Studi di Milano (UNIMI) (Italy)

    2013-08-09

    Highlights: •A glycaemia-reducing lupin seed protein is internalized by HepG2 cells. •The protein accumulates in the cytosol in an intact form. •The internalized protein is multiply phosphorylated. -- Abstract: Lupin seed γ-Conglutin is a protein capable of reducing glycaemia in mammalians and increasing glucose uptake by model cells. This work investigated whether γ-Conglutin is internalised into the target cells and undergoes any covalent change during the process, as a first step to understanding its mechanism of action. To this purpose, γ-Conglutin-treated and untreated HepG2 cells were submitted to confocal and transmission electron microscopy. Immune-revelation of γ-Conglutin at various intervals revealed its accumulation inside the cytosol. In parallel, 2D-electrophoresis of the cell lysates and antibody reaction of the blotted maps showed the presence of the protein intact subunits inside the treated cells, whilest no trace of the protein was found in the control cells. However, γ-Conglutin-related spots with an unexpectedly low pI were also observed in the maps. These spots were excised, trypsin-treated and submitted to MS/MS spectrometric analysis. The presence of phosphorylated amino acids was detected. These findings, by showing that γ-Conglutin is internalised by HepG2 cells in an intact form and is modified by multiple phosphorylation, open the way to the understanding of the lupin γ-Conglutin insulin-mimetic activity.

  9. [Chemotherapy-induced peripheral neuropathy: characteristics, diagnosis and treatment].

    Science.gov (United States)

    Istenes, Ildikó; Nagy, Zsolt; Demeter, Judit

    2016-06-01

    Longer remissions and better overall survival rates can be achieved with the introduction of new, effective treatments and targeted therapies in the past 1-2 decades, however, the incidence of side effects is also increasing parallelly. Chemotherapy-induced peripheral neuropathy (CIPN) is a common and potentially debilitating side effect due to peripheral somatic or autonomic nerve dysfunction. CIPN becomes increasingly important, as it affects patients' quality of life, and it is very often a dose limiting factor with the potential for reduced treatment efficacy. The pathomechanism, diagnosis, prevention and treatment possibilities are described in this review with special attention to the different groups of drugs. PMID:27275643

  10. 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 soi...... legal limits for land application of the sludge. Our results suggest that biosolids from the studied STW can be valorised in agriculture, especially as soil conditioner.......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...... conditioner. In this study, biosolids from full-scale STW were characterised in order to evaluate the quality of the final product for land application, even without composting post-treatment. Samples of influent and treated sludge were analysed for pH, electrical conductivity, total solids (TS), volatile...

  11. Effect of Heat Treatment on Microstructure Characteristics of Laser Composites

    Science.gov (United States)

    Liu, Peng; Zhang, Yuanbin; Li, Yajiang; Yang, Qingqing; Liu, Yan; Ren, Guocheng

    2014-12-01

    In this paper, effect of heat treatment on the microstructures and wear properties of laser alloying (LA) composites is investigated. LA of the T-Co50/FeSi/TiC/TiN/CeO2 mixed powders on substrate of 45 steel can form the hard composites, which increased the wear resistance of substrate greatly. Such LA composites were investigated by means of a scanning electron microscope (SEM) and a transmission electron microscope (TEM). The tempering promoted the growth of the block-shape hard phases, favoring an enhancement of the integrity of block-shape hard phases; and tempering also improved greatly the formation mechanism, guarantying the composites to have enough ability of intensity transfer. This research provided essential experiment and theoretical basis to promote the application of the laser and heat treatment technologies in the field of surface modification.

  12. Dairy shed effluent treatment and recycling: Effluent characteristics and performance.

    Science.gov (United States)

    Fyfe, Julian; Hagare, Dharma; Sivakumar, Muttucumaru

    2016-09-15

    Dairy farm milking operations produce considerable amounts of carbon- and nutrient-rich effluent that can be a vital source of nutrients for pasture and crops. The study aim was to characterise dairy shed effluent from a commercial farm and examine the changes produced by treatment, storage and recycling of the effluent through a two-stage stabilisation pond system. The data and insights from the study are broadly applicable to passive pond systems servicing intensive dairy and other livestock operations. Raw effluent contained mostly poorly biodegradable particulate organic material and organically bound nutrients, as well as a large fraction of fixed solids due to effluent recycling. The anaerobic pond provided effective sedimentation and biological treatment, but hydrolysis of organic material occurred predominantly in the sludge and continually added to effluent soluble COD, nutrients and cations. Sludge digestion also suppressed pH in the pond and increased salt levels through formation of alkalinity. High sludge levels significantly impaired pond treatment performance. In the facultative pond, BOD5 concentrations were halved; however smaller reductions in COD showed the refractory nature of incoming organic material. Reductions in soluble N and P were proportional to reductions in respective particulate forms, suggesting that respective removal mechanisms were not independent. Conditions in the ponds were unlikely to support biological nutrient removal. Recycling caused conservative inert constituents to accumulate within the pond system. Material leaving the system was mostly soluble (86% TS) and inert (65% TS), but salt concentrations remained below thresholds for safe land application. PMID:27213866

  13. Interaction effects of treatment setting and client characteristics on retention and completion.

    Science.gov (United States)

    Klein, Chris; di Menza, Salvatore; Arfken, Cynthia; Schuster, Charles R

    2002-01-01

    Client-treatment matching assumes treatment outcome will be improved if characteristics of clients are matched to specific elements of treatment. Few empirical studies, however, have examined matching across different types of treatment settings. The present research examined differences in demographics and substance-related problems in populations admitted to three substance abuse treatment settings--outpatient (n = 1132), intensive outpatient (n = 1190), and residential (n = 149)--and tested whether interactions between client characteristics and type of setting predicted rates of 30-day retention and treatment completion. In addition, three specific hypotheses based on prior theoretical and empirical investigations were tested. Client characteristics included demographic information (e.g., sex, age, race) and Addiction Severity Index (ASI) composite scores. Client-setting interactions were found for both retention and completion. All three hypotheses received at least partial support. Implications for client assignment and future research are discussed.

  14. Wastewater Treatment in a Hybrid Biological Reactor (HBR) :Nitrification Characteristics

    Institute of Scientific and Technical Information of China (English)

    JIAN-LONG WANG; LI-BO WU

    2004-01-01

    To investigate the nitrifying characteristics of both suspended- and attached- biomass in a hybrid bioreactor. Methods The hybrid biological reactor was developed by introducing porous ceramic particles into the reactor to provide the surface for biomass attachment. Microorganisms immobilized on the ceramics were observed using scanning electron microscopy (SEM). All chemical analyses were performed in accordance with standard methods. Results The suspended- and attached-biomass had approximately the same nitrification activity. The nitrifying kinetic was independent of the initial biomass concentration, and the attached-biomass had a stronger ability to resist the nitrification inhibitor. Conclusion The attached biomass is superior to suspended-biomass for nitrifying wastewater, especially that containing toxic organic compounds. The hybrid biological reactor consisting of suspended- and attached-biomass is advantageous in such cases.

  15. Characteristics of Acupuncture Treatment of Dementia in Ancient Times

    Institute of Scientific and Technical Information of China (English)

    LIU Li-gong; GU Jie; XIAO Yuan-chun

    2003-01-01

    This paper makes a statistical analysis on the acupuncture treatment of dementia recorded in 93 ancient books. The statistics show that the common acupoints are Shenmen ( HT 7), Shaoshang ( LU 11 ),Dazhong ( KI4), Yinbai ( SP 1 ), Houxi ( SI 3 ), Xinshu (BL 15), Yongquan (KI 1), Jiuwei (CV 15) and Baihui (GV 20); the common meridians are the Heart Meridian, Bladder Meridian and Kidney Meridian; the common areas are palm, medial side of leg, upper back and head; the acupoints of the heart meridian are frequently used, especially those in the distal end;heavy moxibustion functions to open orifices and needling to regulate qi.

  16. [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.

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

    NARCIS (Netherlands)

    A. van Samkar

    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 f

  18. Characteristics of Mg-Al-Zn alloys after laser treatment

    Directory of Open Access Journals (Sweden)

    L.A. Dobrzański

    2008-12-01

    Full Text Available Purpose: The structure and the properties of casting magnesium alloy EN-MCMgAl3Zn1, EN-MCMgAl6Zn1,EN-MCMgAl9Zn1 and EN-MCMgAl12Zn1 after laser surface treatment are presented in this paper. The aim ofthis work was to improve the surface layer cast magnesium Mg-Al-Zn by melting and feeding of TiC particle onthe surface. The purpose of this work was to determine the laser treatment parameter.Design/methodology/approach: The experiments were performed using high power diode laser. The laser treatmentof an EN-MCMgAl3Zn1, EN-MCMgAl6Zn1, EN-MCMgAl9Zn1, EN-MCMgAl12Zn1 magnesium alloy with alloyingTiC powders was carried out using a high power diode laser (HPDL. The resulting microstructure in the modified surfacelayer was examinated using scanning electron microscopy. Phase composition was determined by the X-ray diffractionmethod using the XPert device. The measurements of hardness of the modified surface layer was also studied.Findings: The alloyed region has a fine microstructure with hard carbide particles. Hardness of laser surfacealloyed layer with TiC particles was significantly improved as compared to alloy without laser treatment forEN-MCMgAl3Zn1 and EN-MCMgAl6Zn1 alloys.Research limitations/implications: In this research one powder - TiC was used with the particle size over 6 μm.This investigation presents different speed rates feed and different laser power value for four type of magnesium alloys.Practical implications: The results obtained in this investigation were promising compared to otherconventional processes. High Power Diode Laser can be used as an economical substitute of Nd:YAG and CO2 toimprove the surface magnesium alloy by feeding the carbide particles.Originality/value: The originality of this work is applying of High Power Diode Laser for alloying ofmagnesium alloy using titanium carbide.

  19. Clinical characteristics and treatment of ovarian serous borderline tumors

    Institute of Scientific and Technical Information of China (English)

    Lian Li-jian; Guo Li-na

    2004-01-01

    Ovarian serous borderline tumors (SBTs) are characterized by good prognosis and occasional late recurrence. The 5-year and 10-year survival rates are all more than 90%. But traditionally patients with SBTs used to be treated with bilateral oophorectomy, hysterectomy and postoperative chemotherapy. A high proportion of SBTs occurred in young patients. The traditional treatment with complete excision of reproductive organs seemed to be too aggressive for young patients. It is imperative that conservative surgical procedures with fertility sparing should be employed to them. In this paper the literatures in regard to the final outcome of the conservative surgical therapy for SBTs were reviewed and the appropriate extent of conservative surgical procedures was discussed in detail.

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

    International Nuclear Information System (INIS)

    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)

  1. 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 ...

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

    Directory of Open Access Journals (Sweden)

    Joseph P. Pillion

    2011-01-01

    Full Text Available 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.

  3. [Treatment characteristics of saline domestic wastewater by constructed wetland].

    Science.gov (United States)

    Gao, Feng; Yang, Zhao-Hui; Li, Chen; Jin, Wei-Hong; Deng, Yi-Bing

    2012-11-01

    A series of experiments were conducted to evaluate the feasibility of using constructed wetland (CW) to remove pollutants from saline domestic sewage. The experimental results indicated that the effects of salinity on the contaminant removal were insignificant when the influent salinities of the CWs were less than or equal to 1.5%. For the influent salinity of 0%, 0.5%, 1.0% and 1.5%, the average removal rates of the CWs were found to be above 68.3% for COD and above 66.1% for NH4(+) -N. When the influent salinity was increased to 2.0%, the individual numbers of microorganisms in the CW reduced obviously. It was similar to the change of the soil enzyme activity in the CW. Then the removal efficiency of the CW also dropped significantly. The average removal rate of COD and NH4(+) -N dropped to 52.9% and 50.3%, respectively. The effects of HRT on the treatment performance of CW under the saline condition of 1.5% were also investigated in this study. And the results showed that nitrogen removal was more greatly affected by HRT than organic matter removal. The NH4(+) -N removal efficiency in CW decreased from 65.1% -78.2% to 47.1% when the HRT of the CW varied from 3-5 d to 2 d. PMID:23323411

  4. Heat strokes: aetiopathogenesis, neurological characteristics, treatment and outcome.

    Science.gov (United States)

    Yaqub, B; Al Deeb, S

    1998-04-01

    Heat stroke is a thermal insult to the cerebral thermoregulatory system controlling heat production and heat dissipation. The thermal insult may be environmental as in 'classic heat stroke' or endogenous as in 'exertional heat stroke' in joggers or runners. The insult will lead to a steady rise in body core temperature to 40 degrees C or more, exhaustion of sweating with hot dry skin and central nervous system disturbances ranging from confusion to deep coma. Multisystem insult will follow leading to a fatal outcome, if not diagnosed and treated promptly. Rapid evaporative cooling and support of vital organs are the essential factors in the management of this condition. If treated early, no sequelae results, however, pancerebellar syndrome and spastic or flaccid paraparesis have been described in a few cases. Limited sun exposure, proper use of sunscreens, adequate fluid and electrolyte replacement and acclimatization are the key factors for prevention. Despite appropriate prevention and prompt treatment, heat stroke is unlikely to be totally prevented, but the mortality has improved dramatically to less than 10%. PMID:9588849

  5. 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…

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

    OpenAIRE

    Waite, Polly; Creswell, Catharine

    2014-01-01

    Background 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. Method...

  7. A Characteristic Non-Reflecting Boundary Treatment in Lattice Boltzmann Method

    Institute of Scientific and Technical Information of China (English)

    KIM Dehee; KIM Hyung Min; JHON Myung S.; VINAY Ⅲ Stephen J.; BUCHANAN John

    2008-01-01

    In lattice Boltzmann methods, disturbances develop at the initial stages of the simulation, the decay characteristics depend mainly on boundary treatment methods; open boundary conditions such as equilibrium and bounce-back schemes potentially generate uncontrollable disturbances. Excessive disturbances originate from non-physical reflecting waves at boundaries. Characteristic boundary conditions utilizing the signs of waves at boundaries which suppress these reflecting waves, as well as their implementation in the lattice Boltzmann method, are introduced herein. The performance of our novel boundary treatment method to effectively suppress excessive disturbances is verified by three different numerical experiments.

  8. 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. PMID:25879396

  9. 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.

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

    OpenAIRE

    Bhupinder Singh; Rupinder Singh

    2011-01-01

    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 no...

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

    OpenAIRE

    Traut, A.; Kaminer, D; Boshoff, D; Seedat, S; S. Hawkridge; Stein, D.J.

    2002-01-01

    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...

  12. Antimicrobial Susceptibility Pattern, Biochemical Characteristics and Biotyping of Salmonella paratyphi A: An Impact of Biofield Treatment

    OpenAIRE

    Trivedi, Mahendra Kumar

    2015-01-01

    Enteric fever is a major global problem. Emergence of antimicrobial resistance threatens to render current treatments ineffective. The current study was attempted to investigate the effect of biofield treatment on Salmonella paratyphi A (S. paratyphi A) in terms of antimicrobial susceptibility assay, biochemical characteristics and biotyping. S. paratyphi A strain were procured from MicroBioLogics in sealed packs bearing the American Type Culture Collection (ATCC 9150). The study was conducte...

  13. 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.

  14. The clinical characteristics,treatment and outcome of macrolide-resistant Mycoplasma pneumoniae pneumonia in children

    Institute of Scientific and Technical Information of China (English)

    鲍芳

    2013-01-01

    Objective To investigate the drug resistance of My-coplasma pneumoniae among children with community-acquired pneumonia (CAP) ,and to explore the clinical and radiological characteristics of and the role of azithromycin in the treatment of of macrolide-resistant (MR) Mycoplasma pneumoniae pneumonia.Methods Cases of CAP in children (n=179) were prospectively enrolled in

  15. 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…

  16. Suicides in Users of Mental Health Care Services: Treatment Characteristics and Hindsight Reflections

    Science.gov (United States)

    Huisman, Annemiek; Kerkhof, Ad J. F. M.; Robben, Paul B. M.

    2011-01-01

    The current study aims to describe the patient and treatment characteristics of a sample of 505 suicides by mental health care patients, and to determine how clinicians view the care provided and what they learned. The results indicate that the quality of mental health care for suicidal patients could be improved by focusing on communication among…

  17. 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…

  18. [Physical-mechanical and functional characteristics of xenograft during various methods of stabilization and treatment].

    Science.gov (United States)

    Kondratenko, Zh E; Kostava, V T; Bakuleva, N P; Tereshchenkova, I A; Antipas, D B

    1998-01-01

    The paper gives the results of experimental studies of the elastic-strength and functional characteristics of xenotissue samples (the pericardium of the calf, pig and Glisson's capsule) stabilized with glutaric aldehyde and polyepoxy compounds. The paper discusses various treatments of biological materials (including Glisson's capsule) anticalcified with additives (sodium dodecyl sulfate, complexes of copper and zinc) and shows that their use improves proteolytic and calcinotic resistance without deteriorating the mechanical parameters of xenotissues. Comparative analysis of the physical-mechanic and functional characteristics of xenotissues treated in different ways allows one to make anticalcifying treatment of biological tissues with copper and zinc complexes physical-mechanic and functional characteristics of xenotissues (Glisson's capsule) for clinical application. PMID:9791850

  19. Characteristics of middle-aged women in inpatient treatment for eating disorders.

    Science.gov (United States)

    Forman, Maryelizabeth; Davis, William N

    2005-01-01

    The current study examined descriptive characteristics of women 35 years and older seeking inpatient treatment for an eating disorder. A second purpose was to compare characteristics and treatment experiences of midlife patients to young adult patients. Participants were 193 women admitted for treatment to a residential eating disorders facility. All of the women received the standard inpatient treatment package offered by the treatment facility. Participants completed measures of eating attitudes, depression, anxiety, body image, and media influence at admission and discharge and a program assessment measure at discharge. Results revealed comparable scores on measures of eating attitudes, anxiety, and depression at admission, although younger patients scored significantly higher on measures of body image and media influence at admission. With regard to treatment experience, midlife patients experienced greater change with regard to depression and body image dissatisfaction and described family therapy and grief and loss group therapy as being significantly more helpful than young adult patients. There appears to be a number of similarities across age cohorts in terms of clinical presentation, but underlying causal factors may differ between age groups. In general, midlife patients and young patients describe the standard treatment package as equally helpful, although midlife patients might also benefit from groups addressing grief and loss. PMID:16864530

  20. Instant coffee extract with high chlorogenic acids content inhibits hepatic G-6-Pase in vitro, but does not reduce the glycaemia.

    Science.gov (United States)

    Bassoli, Bruna Kempfer; Cassolla, Priscila; Borba-Murad, Glaucia Regina; Constantin, Jorgete; Salgueiro-Pagadigorria, Clairce Luzia; Bazotte, Roberto Barbosa; de Souza, Helenir Medri

    2015-06-01

    Coffee is the main source of chlorogenic acid in the human diet, and it contains several chlorogenic acid isomers, of which the 5-caffeoylquinic acid (5-CQA) is the predominant isomer. Because there are no available data about the action of chlorogenic acids from instant coffee on hepatic glucose-6-phosphatase (G-6-Pase) activity and blood glucose levels, these effects were investigated in rats. The changes on G-6-Pase activity and liver glucose output induced by 5-CQA were also investigated. Instant coffee extract with high chlorogenic acids content (37.8%) inhibited (p  0.05). Similarly, 5-CQA (1 mM) reduced (p  0.05) on glucose output arising from glycogenolysis in liver perfusion. It was concluded that instant coffee extract with high content of chlorogenic acids inhibited hepatic G-6-Pase in vitro, but failed to reduce the glycaemia probably because the coffee chlorogenic acids did not reach enough levels within the hepatocytes to inhibit the G-6-Pase and reduce the liver glucose output.

  1. Radiation-induced thermoluminescence characteristics of feldspar upon different heat and microwave treatments

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Jae-Jun; Akram, Kashif; Kwak, Ji-Young; Jeong, Mi-Seon [Department of Food Science and Technology, Kyungpook National University, Daegu 702-701 (Korea, Republic of); Jang, Yun-Deuk [Department of Geology, Kyungpook National University, Daegu 702-701 (Korea, Republic of); Kwon, Joong-Ho, E-mail: jhkwon@knu.ac.kr [Department of Food Science and Technology, Kyungpook National University, Daegu 702-701 (Korea, Republic of)

    2012-08-15

    Feldspar minerals are well-known markers for thermoluminescence (TL)-based identification of irradiated foodstuff because of their high TL sensitivity and characteristic TL glow curves. Post-irradiation processing, particularly heating, may affect luminescence properties. In the present study, the effect of boiling, roasting, and microwave treatments on TL properties of irradiated (0, 5, and 10 kGy) feldspar was investigated. The TL glow peak faded (TL peak maxima shift towards higher temperature) upon boiling or roasting, which was mainly dependent upon treatment temperature and time. This effect was most apparent in the roasted samples. Liquid samples showed more changes in TL characteristics than solid samples upon microwave treatment; however, the effect was less prominent compared to those of roasting and boiling. TL ratios could not confirm the TL results when boiled and roasted samples were treated at {>=}100 Degree-Sign C, whereas the microwave treatment showed a negligible effect on the TL ratio. - Highlights: Black-Right-Pointing-Pointer Processing effect on TL properties of irradiated feldspar was evaluated. Black-Right-Pointing-Pointer Boiling lowered the TL intensity with negligible effect on TL glow curve shape. Black-Right-Pointing-Pointer Roasting showed the most drastic effect on radiation-induced TL characteristics. Black-Right-Pointing-Pointer Microwave treatment revealed the least effect on TL properties. Black-Right-Pointing-Pointer Glow curve intensity and shape gave key information to conclude irradiation history.

  2. Radiation-induced thermoluminescence characteristics of feldspar upon different heat and microwave treatments

    International Nuclear Information System (INIS)

    Feldspar minerals are well-known markers for thermoluminescence (TL)-based identification of irradiated foodstuff because of their high TL sensitivity and characteristic TL glow curves. Post-irradiation processing, particularly heating, may affect luminescence properties. In the present study, the effect of boiling, roasting, and microwave treatments on TL properties of irradiated (0, 5, and 10 kGy) feldspar was investigated. The TL glow peak faded (TL peak maxima shift towards higher temperature) upon boiling or roasting, which was mainly dependent upon treatment temperature and time. This effect was most apparent in the roasted samples. Liquid samples showed more changes in TL characteristics than solid samples upon microwave treatment; however, the effect was less prominent compared to those of roasting and boiling. TL ratios could not confirm the TL results when boiled and roasted samples were treated at ≥100 °C, whereas the microwave treatment showed a negligible effect on the TL ratio. - Highlights: ► Processing effect on TL properties of irradiated feldspar was evaluated. ► Boiling lowered the TL intensity with negligible effect on TL glow curve shape. ► Roasting showed the most drastic effect on radiation-induced TL characteristics. ► Microwave treatment revealed the least effect on TL properties. ► Glow curve intensity and shape gave key information to conclude irradiation history.

  3. 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.

  4. 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.

  5. Modification of oil palm mesocarp fiber characteristics using superheated steam treatment.

    Science.gov (United States)

    Nordin, Noor Ida Amalina Ahamad; Ariffin, Hidayah; Andou, Yoshito; Hassan, Mohd Ali; Shirai, Yoshihito; Nishida, Haruo; Yunus, Wan Zin Wan; Karuppuchamy, Subbian; Ibrahim, Nor Azowa

    2013-07-30

    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.

  6. 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.

  7. Modification of oil palm mesocarp fiber characteristics using superheated steam treatment.

    Science.gov (United States)

    Nordin, Noor Ida Amalina Ahamad; Ariffin, Hidayah; Andou, Yoshito; Hassan, Mohd Ali; Shirai, Yoshihito; Nishida, Haruo; Yunus, Wan Zin Wan; Karuppuchamy, Subbian; Ibrahim, Nor Azowa

    2013-01-01

    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. PMID:23903185

  8. Influence of parents’ and caregivers’ characteristics on the outcomes of antiretroviral treatment in Ugandan children

    Directory of Open Access Journals (Sweden)

    Ntambwe Malangu

    2011-02-01

    Full Text Available Background: The purpose of this study was to investigate whether there was an association between characteristics of parents and caregivers, and the outcomes of antiretroviral treatment in children younger than 6 years treated at Mildmay Centre in Uganda. Methods: This study was a cross-sectional study based on the review of records. The records of children treated from January 2000 to July 2005 were included in the analysis as part of a larger study. Descriptive and inferential statistics were used in the analysis of data.Results: Of the 179 children, 57.3% were male, 53.4% were 4–5 years, and their median age was 4 years. The majority of children were cared for, in descending order, by their mothers, aunts, grandmothers, and fathers. Whilst 16.0% were orphans of both parents, 56.9% had one of their parents still alive. With regard to outcomes of antiretroviral treatment, it was found that a CD4 count of less than 15% was the most significant predictor of death, when treatment was initiated only at that late stage. When the influence of caregivers’ and parents’ characteristics on the outcomes of treatment were considered, the only factor that was associated significantly with clinical improvement was the ‘father’s unknown human immunodeficiency virus (HIV status’. The data show that when the father was alive, as well as when both parents were alive, the children had a better chance of survival.Conclusion: The nature of the relationship between caregivers and children on antiretroviral treatment, as well as the HIV and living status of their parents seem to have little positive influence on the clinical, immunological, and survival outcomes of the children on treatment. More studies are needed to investigate other characteristics and relationships that may influence the outcomes of treatment.

  9. Influence of casting conditions and heat treatment on the fatigue characteristics of IN 100

    International Nuclear Information System (INIS)

    Different proceedings in the case of casting and heat treatment of power unit turbine rotor blades of IN 100 lead to clearly differing collectives of the creep strength depending on time which was determined in construction component tests. A comparison of the microstructures uncovers significant differences. It is possible to derive structural characteristics from this which are in a causal relation with the creep strength or which show at least sensitive reactions as for the changes in production conditions. Such characteristics include arrangement, distribution, fraction and form of the γ' phase, the carbide morphology, the development of the eutectics, dentrite configuration and the porosity. (orig./MM)

  10. 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.

  11. Influence of heat treatment regimes on microstructures and fracture characteristics of 7055Al alloy containing Ag

    Institute of Scientific and Technical Information of China (English)

    李海; 郑子樵; 王芝秀

    2004-01-01

    Tensile properties, fracture characteristics and microstructures of 7055 aluminum-based alloy containing Ag after T6, T73 and RRA treatment were investigated. The results show that RRA treatment retains strength of 7055-T6 with higher electrical conductivity close to that of 7055-T73 alloy, but its elongation decreases greatly.SEM fractographs reveal that intergranular cracking and shear-type transgranular cracking are both presented on the fracture appearance of 7055-T6 specimen. After T73 treatment, the fractographs mainly consist of dimple-type transgranular cracking with minor intergranular cracking. For 7055-RRA specimen, intergranular cracking dominates with minor dimples on the fracture surface. The type and size of precipitates, width of grain boundary and the ability of precipitates to impede dislocation motion vary with heat treatment regimes. Three frature models were built on the basis of microstructural analyses.

  12. Clinical characteristics and treatment response to SSRI in a female pedophile.

    Science.gov (United States)

    Chow, Eva W C; Choy, Alberto L

    2002-04-01

    Although much investigation has been done with male sex offenders, there have been few studies on female sex offenders. Female sex offenders have been reported as having a high incidence of psychiatric disorders, but female paraphilics were rarely described. The literature on the treatment of female sex offenders is also limited and treatment with a selective serotonin reuptake inhibitor (SSRI) has not been reported. This paper presents the case of a woman with DSM-IV pedophilia. Her clinical characteristics, her offense history, and her positive response to treatment with sertraline (a SSRI) are described. This case adds to the limited literature on female pedophiles and suggests that SSRIs may be an effective treatment for paraphilic disorders in female sex offenders. PMID:11974646

  13. Clinical characteristics and treatment response to SSRI in a female pedophile.

    Science.gov (United States)

    Chow, Eva W C; Choy, Alberto L

    2002-04-01

    Although much investigation has been done with male sex offenders, there have been few studies on female sex offenders. Female sex offenders have been reported as having a high incidence of psychiatric disorders, but female paraphilics were rarely described. The literature on the treatment of female sex offenders is also limited and treatment with a selective serotonin reuptake inhibitor (SSRI) has not been reported. This paper presents the case of a woman with DSM-IV pedophilia. Her clinical characteristics, her offense history, and her positive response to treatment with sertraline (a SSRI) are described. This case adds to the limited literature on female pedophiles and suggests that SSRIs may be an effective treatment for paraphilic disorders in female sex offenders.

  14. NOTE: Gating characteristics of an Elekta radiotherapy treatment unit measured with three types of detector

    Science.gov (United States)

    Evans, Philip M.; Symonds-Tayler, J. Richard N.; Colgan, Ruth; Hugo, Geoffrey D.; Letts, Nicky; Sandin, Carlos

    2010-04-01

    The characteristics of an Elekta Precise treatment machine with a gating interface were investigated. Three detectors were used: a Farmer ionization chamber, a MatriXX ionization chamber array and an in-house, single pulse-measurement ionization chamber (IVC). Measurements were made of dosimetric accuracy, flatness and symmetry characteristics and duty cycle for a range of beam-on times and gating periods. Results were compared with a standard ungated delivery as a reference. For all beam-on times, down to 0.5 s, dosimetric differences were below ±1% and flatness and symmetry parameter variations were below ±1.5%. For the shorter beam-on times the in-house detector deviated from the other two detectors, suggesting that this device should be used in conjunction with other detectors for absolute dosimetry purposes. However, it was found to be useful for studying gated beam characteristics pulse by pulse.

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

    OpenAIRE

    L. A. Zavrazhnyh; E.N. Smirnova

    2014-01-01

    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 ...

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

    OpenAIRE

    Subbian Karuppuchamy; Nor Azowa Ibrahim; Haruo Nishida; Wan Md Zin Wan Yunus; Yoshihito Shirai; Yoshito Andou; Mohd Ali Hassan; Hidayah Ariffin; Noor Ida Amalina Ahamad Nordin

    2013-01-01

    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 SH...

  17. Physical and sensory characteristics of marinated broiler drumsticks treated with lactoperoxidase system and thermal treatment.

    Science.gov (United States)

    Tan, F J; Ockerman, H W

    2006-06-01

    1. The lactoperoxidase system (LPS) and thermal treatments have been shown to inactivate some micro-organisms in foods. However, further studies are needed to evaluate whether these treatments influenced the physical and sensory characteristics of treated samples. 2. A solution that contained 1% acetic acid and 3% salt with pH adjusted to 4 was developed as a standard marinade. The LPS consisting of 1 microg/ml lactoperoxidase (LP), 5.9 mM potassium thiocyanate (KSCN) and 2.5 mM hydrogen peroxide (H2O2) was added to the marinade for the LPS treatments. 3. In the thermal treatment, samples were heated with the marinade solution at 58 degrees C for 2 min and then marinated at 4 degrees C for 18 h, while the non-thermal treatments were marinated at 4 degrees C for 18 h. 4. For sensory evaluation, flavouring agents including 0.3% black pepper and 0.15% garlic powder were added to the marinade. For physical evaluation, no flavouring agents were added. 5. The results showed that combined LPS and thermal treatment did not impair the physical or sensory qualities of the samples. 6. In conclusion, marinated broiler drumsticks treated with LPS and thermal treatment had acceptable physical and sensory qualities.

  18. 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. PMID:27348557

  19. Characteristics of gated treatment using an optical surface imaging and gating system on an Elekta linac

    International Nuclear Information System (INIS)

    Knowing the technical characteristics of gated radiotherapy equipment is crucial for ensuring precise and accurate treatment when using techniques such as Deep-Inspiration Breath-Hold and gating under free breathing. With one of the first installations of the novel surface imaging system Catalyst™ (C-RAD AB, Sweden) in connection with an Elekta Synergy linear accelerator (Elekta AB, Sweden) via the Elekta Response Interface, characteristics like dose delivery accuracy and time delay were investigated prior to clinical implementation of gated treatments in our institution. In this study a moving phantom was used to simulate respiratory motion which was registered by the Catalyst™ system. The gating level was set manually. Within this gating window a trigger signal is automatically sent to the linac initiating treatment delivery. Dose measurements of gated linac treatment beams with different gating levels were recorded with a static 2D-Diode Array (MapCheck2, Sun Nuclear Co., USA) and compared to ungated reference measurements for different field sizes. In addition, the time delay of gated treatment beams was measured using radiographic film. The difference in dose delivery between gated and ungated treatment decreases with the size of the chosen gating level. For clinically relevant gating levels of about 30%, the differences in dose delivery accuracy remain below 1%. In comparison with other system configurations in literature, the beam-on time delay shows a large deviation of 851 ms ± 100 ms. When performing gated treatment, especially for free-breathing gating, factors as time delay and dose delivery have to be evaluated regularly in terms of a quality assurance process. Once these parameters are known they can be accounted and compensated for, e.g. by adjusting the pre-selected gating level or the internal target volume margins and by using prediction algorithms for breathing curves. The usage of prediction algorithms becomes inevitable with the high beam

  20. A preliminary evaluation of synthetic cannabinoid use among adolescent cannabis users: Characteristics and treatment outcomes.

    Science.gov (United States)

    Blevins, Claire E; Banes, Kelsey E; Stephens, Robert S; Walker, Denise D; Roffman, Roger A

    2016-12-01

    Little is known regarding the use of synthetic cannabinoids (SC), particularly use among adolescent substance users who may be at higher risk. The present exploratory study seeks to describe SC use and subjective effects among cannabis-using adolescents as well as compare the characteristics of cannabis users who do and do not use SC. Exploratory analyses evaluated cannabis treatment outcomes among SC users and non-users. Participants enrolled in a randomized, controlled intervention for cannabis-using high school students aged 14-19 (N=252) completed questionnaires regarding their use of SC and other substances. Those who used SC in the past 60days reported subjective effects of SC, consequences, and SC use disorder symptoms. Baseline characteristics, alcohol and other drug use, and treatment outcomes of SC users were compared to participants who never tried SC. Within this sample 29% had tried SC, and 6% used SC recently. Although most reported use at a relatively low rate, 43% of recent SC users reported SC use-disorder symptoms. Positive and negative subjective effects of SC were endorsed, with positive subjective effects reported more often. SC use was associated with more cannabis use, but not more alcohol or other (non-SC and non-cannabis) drug use. SC users did not differ from non-users on cannabis treatment outcomes. This exploratory study described SC use, and compared characteristics and treatment outcomes among SC users and non-users. Negative subjective effects of SC were reported as occurring less often, but SC use was associated with use disorder psychopathology. SC use was associated with more problematic cannabis use at baseline, but was not associated with use of other substances or differences in treatment outcome. PMID:27454353

  1. Increased postprandial glycaemia, insulinemia, and lipidemia after 10 weeks’ sucrose-rich diet compared to an artificially sweetened diet: a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Arne Astrup

    2011-07-01

    Full Text Available The importance of exchanging sucrose for artificial sweeteners on risk factors for developing diabetes and cardiovascular diseases is not yet clear. Objective: To investigate the effects of a diet high in sucrose versus a diet high in artificial sweeteners on fasting and postprandial metabolic profiles after 10 weeks.Healthy overweight subjects were randomised to consume drinks and foods sweetened with either sucrose (∼2 g/kg body weight (n = 12 or artificial sweeteners (n = 11 as supplements to their usual diet. Supplements were similar on the two diets and consisted of beverages (∼80 weight% and solid foods (yoghurts, marmalade, ice cream, stewed fruits. The rest of the diet was free of choice and ad libitum. Before (week 0 and after the intervention (week 10 fasting blood samples were drawn and in week 10, postprandial blood was sampled during an 8-hour meal test (breakfast and lunch.After 10 weeks postprandial glucose, insulin, lactate, triglyceride, leptin, glucagon, and GLP-1 were all significantly higher in the sucrose compared with the sweetener group. After adjusting for differences in body weight changes and fasting values (week 10, postprandial glucose, lactate, insulin, GIP, and GLP-1 were significantly higher and after further adjusting for differences in energy and sucrose intake, postprandial lactate, insulin, GIP, and GLP-1 levels were still significantly higher on the sucrose-rich diet.A sucrose-rich diet consumed for 10 weeks resulted in significant elevations of postprandial glycaemia, insulinemia, and lipidemia compared to a diet rich in artificial sweeteners in slightly overweight healthy subjects.

  2. Laser treatment of a neodymium magnet and analysis of surface characteristics

    Science.gov (United States)

    Yilbas, B. S.; Ali, H.; Rizwan, M.; Kassas, M.

    2016-08-01

    Laser treatment of neodymium magnet (Nd2Fe14B) surface is carried out under the high pressure nitrogen assisting gas. A thin carbon film containing 12% WC carbide particles with 400 nm sizes are formed at the surface prior to the laser treatment process. Morphological and metallurgical changes in the laser treated layer are examined using the analytical tools. The corrosion resistance of the laser treated surface is analyzed incorporating the potentiodynamic tests carried out in 0.05 M NaCl+0.1 M H2SO4 solution. The friction coefficient of the laser treated surface is measured using the micro-scratch tester. The wetting characteristics of the treated surface are assessed incorporating the sessile water drop measurements. It is found that a dense layer consisting of fine size grains and WC particles is formed in the surface region of the laser treated layer. Corrosion resistance of the surface improves significantly after the laser treatment process. Friction coefficient of laser treated surface is lower than that of the as received surface. Laser treatment results in superhydrophobic characteristics at the substrate surface. The formation of hematite and grain size variation in the treated layer slightly lowers the magnetic strength of the laser treated workpiece.

  3. 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.

  4. Clinical characteristics as a function of referral status among substance users in residential treatment.

    Science.gov (United States)

    Banducci, Anne N; Dahne, Jennifer; Magidson, Jessica F; Chen, Kevin; Daughters, Stacey B; Lejuez, C W

    2013-04-01

    In the United States, substance users who voluntarily (VO) elect to receive treatment and substance users who are court-mandated (CM) to receive treatment typically obtain care within the same facilities. Little is known about the clinical characteristics that differentiate these individuals. The current study provides rates of specific DSM-IV Axis I and Axis II psychiatric and substance use disorders, comorbidities, childhood trauma, motivation, and other clinical and demographic characteristics as a function of referral status, among individuals in residential substance use treatment (463 participants, M age=43.3; 69.7% male; 88.4% African American). Participants were interviewed and diagnosed using the Structure Clinical Interview for DSM-IV and the Diagnostic Interview for Personality Disorders. Within our sample, VO individuals, as compared to CM individuals had significantly higher rates of psychiatric disorders (68.7% versus 55.2%, respectively), including mood disorders, major depressive disorder, generalized anxiety disorder, and borderline personality disorder. Additionally, they were significantly more likely to have alcohol dependence (43.0% versus 20.8%) and cocaine dependence (66.5% versus 48.9%). Elevated rates of comorbidities and childhood abuse were also observed among VO individuals, while motivation did not differ as a function of referral status. Overall, VO individuals appeared to have more severe problems than their CM counterparts which may suggest that they require more intensive or different types of treatment. PMID:23380487

  5. [Immunohistochemical characteristic of myoma tissue in patients with uterine leiomyoma after treatment with ulipristal acetate

    Directory of Open Access Journals (Sweden)

    Kuryk E.G.

    2015-09-01

    Full Text Available Background. Uterine leiomyoma is one of the most common benign tumors of the female genital organs. The main conservative treatment of leiomyoma is progesterone receptor blockers that suppress myoma growth and may lead to its regression. Objective. To study the immunohistochemical features of myoma tissue in patients with uterine leiomyoma after treatment with selective progesterone modulator - ulipristal acetate. Methods. Leiomyoma tissue obtained from 9 patients after ulipristal acetate treatment were investigated. Group for comparison - leiomyoma from patients without hormonal therapy. Immunohistochemical study of progesterone and estrogen receptors, proliferative activity marker Ki-67 and inhibitor of apoptosis Bcl-2 was performed. Results. In the group of patients without preoperative hormonal treatment progesterone receptors were expressed in 76,4±6,8% of the nuclei, estrogen receptors - in 32,8±2,6%. In the group of patients after treatment with ulipristal acetate there was a significant decrease of progesterone receptor expression – 36,8±1,28% (p 0,05 . Bcl-2 in the control group was found in 65,4±7,2% cells, in leiomyoma after treatment there was a significant decrease of bcl-2 – 42,6±3,2% (p <0, 05. In leiomyomas without hormonal treatment Ki-67 was determined in 11,8% of the nuclei of smooth muscle cells, and in leiomyomas after ulipristal acetate – in 7,2% leiomyoma cells. Conclusions. In patients after three months of ulipristal acetate treatment there was a significant decrease of expression of progesterone receptor, bcl-2, and Ki-67. Taken together these data evidence reduced action of progesterone on leiomyoma cells, induction of apoptosis and decreased proliferation processes that may cause involution of fibroids. Citation: Kuryk EG, Litvak EO, Chabrat BV, Lysenko BM. [Immunohistochemical characteristic of myoma tissue in patients with uterine leiomyoma after treatment with ulipristal acetate]. Morphologia. 2015

  6. Effect of active treatments on photovoltaic characteristics of structures based on CdTe films

    International Nuclear Information System (INIS)

    Photoelectric characteristics of ITO/CdTe structures fabricated by the thermal evaporation in vacuum followed by their deposition in a quasi closed volume have been studied before and after treatments of various kinds. Some specimens were subjected to a 'chloride' treatment, the others were annealed in air. Afterward, the specimens were treated in hydrogen plasma, and they were covered with a thin diamond-like carbon film. The 'chloride' treatment of ITO/CdTe structures is shown to result in an increase of the diffusion length of charge carriers in the CdTe layer. The thermal annealing did not affect this parameter, but significantly enhanced the photosensitivity, which means a reduction of the surface recombination rate in the surface CdTe layer. For all considered ITO/CdTe structures obtained by the thermal evaporation in vacuum, the following treatment in hydrogen plasma and the deposition of thin diamondlike films brought about a substantial increase in the diffusion length of charge carriers in the CdTe layer. The ITO/CdTe structures obtained by the thermal vacuum evaporation and treated with hydrogen plasma demonstrated a significant enhancement of their spectral sensitivity in a wavelength range of 400-800 nm, whereas the same effect for structures subjected to the 'chloride' treatment was obtained after the sequential hydrogen plasma treatment and the diamond-like carbon film deposition.

  7. 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.

  8. 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.

  9. Differences in legal characteristics between Caucasian and African-American women diverted into substance abuse treatment.

    Science.gov (United States)

    Scott, Melanie C; Edwards, Laurie; Lussier, Lauren R; Devine, Susan; Easton, Caroline J

    2011-01-01

    In this exploratory study, we examined differences in the legal characteristics of Caucasian and African-American female offenders (n = 122) who were diverted into substance abuse treatment, to identify any racial disparities. We also examined the differences between groups in demographics and in substance abuse, family, and violence histories. In terms of legal characteristics, the results showed that African-American female offenders were significantly more likely to have been incarcerated at the time of their substance dependency evaluation than were Caucasian female offenders. Also, African-American women were more likely to have served 13 months for the current legal charge in comparison to the 4 months served by Caucasian women, although no differences were found between groups in the severity of the current legal charge. Comparison of demographics and substance abuse, family, and violence histories indicated that African-American women were more likely to be undereducated, crack cocaine dependent, and overly exposed to violence. Overall, the sample of female offenders evidenced severe substance dependency problems, a strong need for inpatient substance abuse treatment, and chronic legal and social difficulties. Implications of these findings are discussed in relation to unbalanced sentencing policies and increasing awareness of the treatment needs of this unique population. PMID:21389168

  10. 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

    2016-12-01

    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). PMID:27644236

  11. 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).

  12. Structural characteristics of nickel super alloy INCONEL 713LC after heat treatment

    Directory of Open Access Journals (Sweden)

    A. Hernas

    2007-04-01

    Full Text Available Purpose: Aircraft industry often uses nickel super-alloys for blades of jet engine turbines. This paper summarises analysis of influence of heat treatment on structural characteristics of nickel super-alloy INCONEL 713LC.Design/methodology/approach: Experimental investigation castings made of commercially produced nickel super-alloy INCONEL 713LC. Material was after heat treatment subjected to detailed structural analysis with use of methods of light microscopy (LM, or scanning electron microscopy (SEM on microscopes OLYMPUS IX71 and JEOL JSM 50A.Findings: Mode of optimum heat treatment was proposed. On the basis of obtained results it is possible to recommend a heat treatment, which would consist of heating and dwell at the temperature exceeding 1240°C (min. 1260°C, so that precipitates at the grain boundaries dissolve completely, with subsequent slow cooling down to the temperature of approx. 940-950°C, so that there occurs intensive intra-granular precipitation of inter-metallic phase γ’.Research limitations/implications: The experiment was limited by occurrence a void in cast alloys.Practical implications: Aircraft industry often uses nickel super-alloys for blades of jet engine turbines.Originality/value: On the basis of obtained results it is possible to recommend the most suitable heat treatment, which produce intensive intra-granular precipitation of inter-metallic phase γ’. It was received a new know-how in this field.

  13. Characteristics of lesbian, gay, bisexual, and transgender individuals entering substance abuse treatment.

    Science.gov (United States)

    Cochran, Bryan N; Cauce, Ana Mari

    2006-03-01

    Previous research has suggested that lesbian, gay, bisexual, and transgender (LGBT) individuals enter treatment for substance abuse with more severe problems than heterosexual individuals. However, methodological difficulties, particularly the difficulty of obtaining a representative sample, have limited the ability to draw conclusions about LGBT individuals who receive services for substance abuse. This study took advantage of a unique opportunity to examine a representative sample of openly LGBT clients receiving publicly funded substance abuse treatment by using data gathered by treatment providers in Washington State. Baseline differences between openly LGBT and heterosexual clients were compared in a variety of domains. Results demonstrated that openly LGBT clients enter treatment with more severe substance abuse problems, greater psychopathology, and greater medical service utilization when compared with heterosexual clients. When the analyses were stratified based on sex, different patterns of substance use and associated psychosocial characteristics emerged for the LGBT clients. Implications for provision of appropriate services and recommendations to treatment agencies are discussed in this article. PMID:16490677

  14. 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

  15. Mooren's ulcer in China: a study of clinical characteristics and treatment

    OpenAIRE

    Chen, J; Xie, H; Wang, Z.(Institute of High Energy Physics, Beijing, China); Yang, B.; Liu, Z.; Chen, L.; Gong, X.; Lin, Y.

    2000-01-01

    AIMS—To investigate the clinical characteristics and compare the effects of several methods of treatment of Mooren's corneal ulcer.
METHODS—550 consecutive cases of Mooren's corneal ulcer were analysed in patients, including age, sex, laterality of eye, ulcer location, perforative rate, cure rate of surgeries, recurrent rate, the effects of conjunctiva excision, lamellar keratoplasty (LKP), and LKP plus 1% cyclosporin A eye drops.
RESULTS—The average age of onset was 48.4 years of age. The ra...

  16. Prevalence and characteristics of parenting among people served by Assertive Community Treatment.

    Science.gov (United States)

    Gewurtz, Rebecca; Krupa, Terry; Eastabrook, Shirley; Horgan, Salinda

    2004-01-01

    This study examines the prevalence and the characteristics of parenting among people served by Assertive Community Treatment (ACT). Four semi-rural ACT teams in southeastern Ontario were surveyed. The findings suggest that a significant minority (38%) of persons receiving ACT services are parents, although most (84%) do not live with their children and many rarely see their children. These findings are surprising considering the lack of discussion in the literature about parenting among recipients of ACT services. The results are discussed in terms of the meaning for ACT services. PMID:15468638

  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. Chronic Inflammatory Demyelinating Polyneuropathy in Children: A Review of Clinical Characteristics and Recommendations for Treatment

    Directory of Open Access Journals (Sweden)

    Narges Karimi

    2015-07-01

    Full Text Available Context: Chronic inflammatory demyelinating polyradiculopathy (CIDP is an acquired and autoimmune neuropathy, characterized by a chronic, rapidly progressive, symmetric weakness. In children, abnormal gait is as a first symptom of muscle weakness. Evidence Acquisition: The diagnosis of CIDP is on the basis of clinical characteristics, electrodiagnostic that shows the severity of the disease, lumbar puncture and spine magnetic resonance imaging (MRI. Results: The first-line treatments in childhood CIDP are intravenous immunoglobulin (IVIG, corticosteroids, and plasmapheresis. Response to first-line therapies is usually satisfactory; nevertheless, recommendations regarding the choice of second-line therapy can only be prepared on the basis of the existing practice described in some of the case reports. Conclusions: This review demonstrated the clinical presentation, diagnosis, and treatment of childhood CIDP.

  19. 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.

  20. 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. PMID:27567028

  1. Physical and mechanical characteristics of poor-quality wood after heat treatment

    Directory of Open Access Journals (Sweden)

    Romagnoli M

    2015-12-01

    Full Text Available Poor-quality Corsican pine (Pinus nigra subsp. laricio (Poir. Maire and Douglas fir (Pseudotsuga menziesii (Mirb. Franco wood samples were heat treated with the aim of testing the improvement of wood quality that could increase their economic value. Wood properties were measured to assess quality in treated and non-treated materials, including density, hardness, anti-swelling efficiency (ASE, modulus of elasticity (MOE, modulus of rupture (MOR, and compression strength. The results showed higher dimensional stability in heat-treated wood, yet mechanical performance in compression and bending strength were only marginally affected by loss of density. Despite having a re­latively low density after heat treatment, Corsican pine sapwood has potential in manufacturing higher-value products. In contrast, heat treatment applied to Douglas fir wood did not appear economically viable; insufficient differences were detected between the naturally desirable characteristics of this species and heat-treated samples.

  2. 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.)

  3. 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.

  4. 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. PMID:24530642

  5. 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.

  6. Childhood burns in Ghana: epidemiological characteristics and home-based treatment.

    Science.gov (United States)

    Forjuoh, S N; Guyer, B; Smith, G S

    1995-02-01

    The objectives of this research were to study the epidemiological characteristics and home-based treatment of childhood burns in the Ashanti Region of Ghana. Children aged 0-5 years with a burn history were identified through a community-based, multisite survey. A standard questionnaire was administered to mothers of 630 of these children to elicit information on their sociodemographic characteristics and the circumstances of the burn event. Ninety-two per cent of the burns occurred in the home, particularly in the kitchen (51 per cent) and the house yard (36 per cent), with most of them happening in the late morning and around the evening meal. The main causes of the burns were scalds (45 per cent), contact with a hot object (34 per cent) and flame (20 per cent). 'Cool' water was applied to the burned area in 30 per cent of cases. Otherwise, treatment with a traditional preparation was the most popular first-aid choice. Since a considerable proportion of burns happened between meals when children 'play with fire' in the house yard, the provision of alternative play activities and community play areas may reduce the incidence of burns to these children. Secondly, we recommend that education on first-aid management of burns be intensified, with special emphasis on alternatives to the use of traditional preparations. PMID:7718113

  7. A Monte Carlo evaluation of beam characteristics for total body irradiation at extended treatment distances.

    Science.gov (United States)

    Chakarova, Roumiana; Krantz, Marcus

    2014-05-08

    The aim is to study beam characteristics at large distances when focusing on the electron component. In particular, to investigate the utility of spoilers with various thicknesses as an electron source, as well as the effect of different spoiler-to-surface distances (STSD) on the beam characteristics and, consequently, on the dose in the superficial region. A MC model of a 15 MV Varian accelerator, validated earlier by experimental data at isocenter and extended distances used in large-field total body irradiation, is applied to evaluate beam characteristics at distances larger than 400 cm. Calculations are carried out using BEAMnrc/DOSXYZnrc code packages and phase space data are analyzed by the beam data processor BEAMdp. The electron component of the beam is analyzed at isocenter and extended distances, with and without spoilers as beam modifiers, assuming vacuum or air surrounding the accelerator head. Spoiler thickness of 1.6 cm is found to be optimal compared to thicknesses of 0.8 cm and 2.4 cm. The STSD variations should be taken into account when treating patients, in particular when the treatment protocols are based on a fixed distance to the patient central sagittal plane, and also, in order to maintain high dose in the superficial region.

  8. 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. PMID:26145184

  9. Children with Generalised Joint Hypermobility and Musculoskeletal Complaints: State of the Art on Diagnostics, Clinical Characteristics, and Treatment

    OpenAIRE

    Scheper, M. C.; Engelbert, R. H. H.; E. A. A. Rameckers; J. Verbunt; Remvig, L.; Juul-Kristensen, B

    2013-01-01

    Introduction. To provide a state of the art on diagnostics, clinical characteristics, and treatment of paediatric generalised joint hypermobility (GJH) and joint hypermobility syndrome (JHS). Method. A narrative review was performed regarding diagnostics and clinical characteristics. Effectiveness of treatment was evaluated by systematic review. Searches of Medline and Central were performed and included nonsymptomatic and symptomatic forms of GJH (JHS, collagen diseases). Results. In the las...

  10. Patient and parent preferences for characteristics of prophylactic treatment in hemophilia

    Directory of Open Access Journals (Sweden)

    Furlan R

    2015-11-01

    Full Text Available Roberto Furlan,1 Sangeeta Krishnan,2 Jeffrey Vietri3 1Advanced Methods, Kantar Health, Epsom, Surrey, UK; 2Global Health Economics and Outcomes Research, Biogen, MA, USA; 3Health Outcomes, Kantar Health, Milan, Italy Introduction: New longer-acting factor products will potentially allow for less frequent infusion in prophylactic treatment of hemophilia. However, the role of administration frequency relative to other treatment attributes in determining preferences for prophylactic hemophilia treatment regimens is not well understood. Aim: To identify the relative importance of frequency of administration, efficacy, and other treatment characteristics among candidates for prophylactic treatment for hemophilia A and B. Method: An Internet survey was conducted among hemophilia patients and the parents of pediatric hemophilia patients in Australia, Canada, and the US. A monadic conjoint task was included in the survey, which varied frequency of administration (three, two, or one time per week for hemophilia A; twice weekly, weekly, or biweekly for hemophilia B, efficacy (no bleeding or breakthrough bleeding once every 4 months, 6 months, or 12 months, diluent volume (3 mL vs 2.5 mL for hemophilia A; 5 mL vs 3 mL for hemophilia B, vials per infusion (2 vs 1, reconstitution device (assembly required vs not, and manufacturer (established in hemophilia vs not. Respondents were asked their likelihood to switch from their current regimen to the presented treatment. Respondents were told to assume that other aspects of treatment, such as risk of inhibitor development, cost, and method of distribution, would remain the same. Results: A total of 89 patients and/or parents of children with hemophilia A participated; another 32 were included in the exercise for hemophilia B. Relative importance was 47%, 24%, and 18% for frequency of administration, efficacy, and manufacturer, respectively, in hemophilia A; analogous values were 48%, 26%, and 21% in

  11. Current characteristics associated with hereditary angioedema attacks and treatment: the home infusion based patient experience.

    Science.gov (United States)

    Tachdjian, Raffi; Banerji, Aleena; Guyer, Autumn; Morphew, Tricia

    2015-01-01

    This article presents a current perspective on the characteristics of hereditary angioedema (HAE) attacks and treatment as captured by a home infusion service. Retrospective data on 158 HAE patients who were enrolled in this acute treatment program were analyzed for factors surrounding an attack. The majority of patients had a high level of disease severity at baseline (88%), with a higher than expected likelihood of having a positive family history (87.8%). The most likely times for patients to call for home treatment were just before and during working hours (6:00 A.M.-5:00 P.M.). Eighty-three percent had more than one alternate mode of medication. Factors associated with a severe attack included an overall severe rating of HAE attacks in the previous year, an abdominal attack alone or a combination of peripheral and abdominal attacks versus a peripheral attack alone, and the use of two doses rather than one for treatment of the current attack. Average time to relief onset was 43.5 minutes. One dose of ecallantide was sufficient to treat the majority of attacks, and a second dose was needed in 23.6% of patients experiencing a severe attack. However, patients who reported both a severe attack rating during the previous year and experiencing only a peripheral current attack were more likely to experience a severe current attack. Acute treatment paradigms for HAE remain diverse. Understanding factors driving these decisions could help alleviate the overall burden of this disease and help overcome some of the challenges faced by the patients and their caretakers and improve their quality of life. Enhanced capture and analysis of prodromal factors in future studies should help us further alleviate the burden of this disease.

  12. Characteristics of an ideal nebulized antibiotic for the treatment of pneumonia in the intubated patient.

    Science.gov (United States)

    Bassetti, Matteo; Luyt, Charles-Edouard; Nicolau, David P; Pugin, Jérôme

    2016-12-01

    Gram-negative pneumonia in patients who are intubated and mechanically ventilated is associated with increased morbidity and mortality as well as higher healthcare costs compared with those who do not have the disease. Intravenous antibiotics are currently the standard of care for pneumonia; however, increasing rates of multidrug resistance and limited penetration of some classes of antimicrobials into the lungs reduce the effectiveness of this treatment option, and current clinical cure rates are variable, while recurrence rates remain high. Inhaled antibiotics may have the potential to improve outcomes in this patient population, but their use is currently restricted by a lack of specifically formulated solutions for inhalation and a limited number of devices designed for the nebulization of antibiotics. In this article, we review the challenges clinicians face in the treatment of pneumonia and discuss the characteristics that would constitute an ideal inhaled drug/device combination. We also review inhaled antibiotic options currently in development for the treatment of pneumonia in patients who are intubated and mechanically ventilated. PMID:27090532

  13. 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.

  14. Tuberculosis notifications, characteristics and treatment outcomes: urban vs. rural Solomon Islands, 2000–2011

    Science.gov (United States)

    Hill, P. C.; Bissell, K.; Harries, A. D.; Viney, K.; Gounder, S.

    2014-01-01

    Setting: All provincial tuberculosis (TB) management units in the Solomon Islands. Objective: To compare TB notifications, characteristics and treatment outcomes in urban vs. rural areas. Design: A retrospective descriptive cohort study involving record review and data extraction from provincial TB and laboratory registers and treatment charts from 2000 to 2011. Results: Of 4137 TB cases notified, 1364 (33%) were from urban and 3227 (67%) from rural areas. Notification rates per year of study were consistently higher in urban areas (104–150 per 100 000 population) than in rural areas (49–70/100 000). Cases in rural areas were more likely to have smear-negative pulmonary TB and less likely to have extra-pulmonary TB (P < 0.001). TB cases in rural areas were more likely to die from TB than those from urban areas (3.2% vs. 5.9%). In contrast, TB cases in rural areas were less likely to default (2.8% vs. 1.8%). Conclusion: TB notification rates were much higher in urban than in rural areas in the Solomon Islands. Rural patients are more likely to die from the disease but are slightly less likely to default. Further research is required to explore the possibility of under-reporting in rural areas and to improve treatment outcomes. PMID:26477283

  15. Waste Sludge Characteristics of a Wastewater Treatment Plant Compared with Environmental Standards

    Directory of Open Access Journals (Sweden)

    AR Mesdaghinia

    2004-06-01

    Full Text Available Sludge production is an avoidable problem arising from the treatment of wastewater. The sludge remained after municipal wastewater treatment contains considerable amounts of various contaminants and if is not properly handled and disposed, it may produce extensive health hazards. On the other hand, this sludge has benefits for plants and soils. Thereupon, land application of sludge has received much attention over the traditional incineration and dump in sea. The comprehensive regulations of U.S.EPA title 40 CFR parts 503 include criteria and standards for land application of sludge. One of the most important wastewater treatment plants in Tehran, Iran is Shoosh Plant, which applies its waste sludge in agricultural lands after dewatering in drying beds. In this research, waste sludge from drying beds was examined according to 40 CFR parts 503. Results indicate that the dehydrated sludge has not the characteristics required for final discharge. If the dewatering process in the existing beds of the plant would be modified according to title 40 CFR part 503, the standard of Pathogen Reduction class B would be achieved. Waste sludge of drying bed must be applied in agricultural land with respect to the conditions of application method that is presented in vector attraction reduction. Concentration of this waste sludge is less than ceiling concentration limits identified by title 40 CFR parts 503.

  16. Releasing characteristics of phosphorus and other substances during thermal treatment of excess sludge

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The releasing characteristics of phosphorus, nitrogen compounds, organics, and some metal cations during thermal treatment of excess sludge were investigated. It was found that during heating not only phosphorus, but also nitrogen compounds, organics, and some metal cations could be released in abundance. The maximum orthophosphate (ortho-P) release of about 90 mg/L in concentration was observed at 50℃ in 1 h. Except for volatile fatty acids (VFAs), comparatively little total nitrogen (TN), total organic carbon(TOC), and metal cations were released at the same time. Such results might favor further process of phosphorus recovery. VFAs were considerably released only at 50℃. Acetic, butyric, and propionic acid were the most abundant components in turn and their releasing profiles exhibited good linear relationship with time (R2 = 0.9977, 0.9624, and 0.8908, respectively). The concentrations of Mg2+ and K+ increased with time and temperature during thermal treatment, but Ca2+ decreased. The release of Mg2+ and K+ agreed well with TP release (R2 = 0.9892 and 0.9476, respectively). Temperature in the experimental range had very little impact on the linear relationships,especially of Mg2+. Moreover, the parameter of mixed liquor suspended solids (MLSS) was found to be an important factor for thermal sludge treatment as the released ortho-P and total phosphorus (TP) at 50℃ increased more than one-fold when MLSS was increased from 4000 to 8000 mg/L.

  17. Pathophysiology and aetiology of impaired fasting glycaemia and impaired glucose tolerance: does it matter for prevention and treatment of type 2 diabetes?

    DEFF Research Database (Denmark)

    Faerch, K; Borch-Johnsen, K; Holst, Jens Juul;

    2009-01-01

    the transition from the prediabetic states to overt type 2 diabetes is characterised by a non-reversible vicious cycle that includes severe deleterious effects on glucose metabolism, there are good reasons to use the well-established aetiological and pathophysiological differences in i-IFG, i-IGT and IFG...

  18. Translational validation of personalized treatment strategy based on genetic characteristics of glioblastoma.

    Directory of Open Access Journals (Sweden)

    Young Taek Oh

    Full Text Available Glioblastoma (GBM heterogeneity in the genomic and phenotypic properties has potentiated personalized approach against specific therapeutic targets of each GBM patient. The Cancer Genome Atlas (TCGA Research Network has been established the comprehensive genomic abnormalities of GBM, which sub-classified GBMs into 4 different molecular subtypes. The molecular subtypes could be utilized to develop personalized treatment strategy for each subtype. We applied a classifying method, NTP (Nearest Template Prediction method to determine molecular subtype of each GBM patient and corresponding orthotopic xenograft animal model. The models were derived from GBM cells dissociated from patient's surgical sample. Specific drug candidates for each subtype were selected using an integrated pharmacological network database (PharmDB, which link drugs with subtype specific genes. Treatment effects of the drug candidates were determined by in vitro limiting dilution assay using patient-derived GBM cells primarily cultured from orthotopic xenograft tumors. The consistent identification of molecular subtype by the NTP method was validated using TCGA database. When subtypes were determined by the NTP method, orthotopic xenograft animal models faithfully maintained the molecular subtypes of parental tumors. Subtype specific drugs not only showed significant inhibition effects on the in vitro clonogenicity of patient-derived GBM cells but also synergistically reversed temozolomide resistance of MGMT-unmethylated patient-derived GBM cells. However, inhibitory effects on the clonogenicity were not totally subtype-specific. Personalized treatment approach based on genetic characteristics of each GBM could make better treatment outcomes of GBMs, although more sophisticated classifying techniques and subtype specific drugs need to be further elucidated.

  19. [Characteristics of anaerobic sequencing batch reactor for the treatment of high-solids-content waste].

    Science.gov (United States)

    Wang, Zhi-jun; Wang, Wei; Zhang, Xi-hui

    2006-06-01

    Based on the experiments of digestion of thermo-hydrolyzed sewage sludge in both mesophilic and thermophilic anaerobic sequencing batch reactors (ASBRs) with 20, 10, 7.5, 5d hydraulic retention time (HRT), operating characteristics of ASBR for treatment of high-solids-content waste were investigated. ASBR can efficiently accumulates suspended solids and keep high concentration solids, however there exists a "critical point" of ASBR, which means the maximum capability to accumulate suspended solids without negative effects on ASBR stability, and beyond which the performance deteriorates. Under steady condition, ASBR can sustains high solid retention time (SRT) and mean cell retention time (MCRT), the SRT and MCRT is 2.53 approximately 3.73 and 2.03 approximately 3.14 times of hydraulic retention time (HRT) when treating thermo-hydrolyzed sludge, respectively. Therefore, compared to traditional continuous-flow stirred tank reactor (CSTR), the efficiency of ASBR enhances about 7.13% approximately 34.68%.

  20. Effect of climate change on stormwater characteristics and treatment efficiencies of stormwater retention ponds

    DEFF Research Database (Denmark)

    Sharma, Anitha Kumari; Vezzaro, Luca; Birch, Heidi;

    2011-01-01

    . The dissolved concentrations showed no strong relationship to rainfall intensity. The simulations with the integrated model showed that the climate change increase of rainfall intensity led to an increase in the concentrations discharged from the catchment. The higher flows caused a decrease in the pond removal......The aim of this study was to investigate the potential effect of climate changes on stormwater characteristics and treatment efficiency of retention ponds. This was performed by using an integrated model for two scenarios representing the current situations and a climate change scenario...... performance with an overall increase in the particulate concentrations discharged to the environment. The changes in the two scenarios affected only the particulate phase, so no major impact on toxicity due to stormwater discharge is expected due to climate change. Further research is needed to address...

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. Left Main Coronary Artery Disease: Secular Trends in Patient Characteristics, Treatments, and Outcomes.

    Science.gov (United States)

    Lee, Pil Hyung; Ahn, Jung-Min; Chang, Mineok; Baek, Seunghee; Yoon, Sung-Han; Kang, Soo-Jin; Lee, Seung-Whan; Kim, Young-Hak; Lee, Cheol Whan; Park, Seong-Wook; Park, Duk-Woo; Park, Seung-Jung

    2016-09-13

    Left main coronary artery (LMCA) disease is the highest-risk lesion subset of ischemic heart disease, and has traditionally been an indication for coronary artery bypass grafting (CABG). Recent evidence suggests comparable clinical outcomes between percutaneous coronary intervention (PCI) and CABG for LMCA disease, with similar rates of mortality and serious composite outcomes, a higher rate of stroke with CABG, and a higher rate of repeat revascularization with PCI. These results have been translated to the current guideline recommendation that PCI is a reasonable alternative to CABG in patients with low to intermediate anatomic complexity. However, how the characteristics, treatment, and clinical outcomes of patients with unprotected LMCA disease have evolved over time has not yet been fully evaluated. We therefore described secular trends in the characteristics and long-term outcomes of unprotected LMCA disease using "real-world" clinical experience from the IRIS-MAIN (Interventional Research Incorporation Society-Left MAIN Revascularization) registry together with a broad review of this topic. PMID:27609687

  6. [Women in outpatient treatment for alcohol abuse: sociodemographic and clinical characteristics].

    Science.gov (United States)

    Esper, Larissa Horta; Corradi-Webster, Clarissa Mendonça; Carvalho, Ana Maria Pimenta; Furtado, Erikson Felipe

    2013-06-01

    Quantitative and descriptive study aimed to identify sociodemographic and clinical characteristics of women undergoing outpatient treatment for alcohol abuse. Data were collected from medical records of women with alcohol-related disorders who were treated at a psychiatric outpatient service We performed a reading and descriptive analysis of such data. The sample was composed of 27 medical records, the average age of women was 50 years, mostly married (59.6%), not working (70.4%) with incomplete primary education (70.4%), with an alcoholic family (81.5%) and other psychiatric diagnoses (70.3%). Losses physical, social and emotional was the most common symptoms resulting from alcohol withdrawal syndrome (66.7%), family conflicts (72%) and "sadness" (79.2%). Family violence was recorded in 11 records (40.7%). There was low education, unemployment, psychiatric comorbidities and the presence of other family members with alcohol abuse as common characteristics. We emphasize the importance of professional knowledge about the peculiarities of female alcoholism for health activities more effective. PMID:24015467

  7. Mercury leaching characteristics of waste treatment residues generated from various sources in Korea.

    Science.gov (United States)

    Cho, Jae Han; Eom, Yujin; Park, Jung-Min; Lee, Sang-Bo; Hong, Ji-Hyung; Lee, Tai Gyu

    2013-07-01

    In this study, mercury (Hg) leaching characteristics of the waste treatment residues (fly ash, bottom ash, sludge, and phosphor powder) generated from various sources (municipal, industrial, medical waste incinerators, sewage sludge incinerator, oil refinery, coal-fired power plant, steel manufacturing plant, fluorescent lamp recycler, and cement kiln) in Korea were investigated. First, both Hg content analysis and toxicity characteristic leaching procedure (TCLP) testing was conducted for 31 collected residue samples. The Hg content analysis showed that fly ash from waste incinerators contained more Hg than the other residue samples. However, the TCLP values of fly ash samples with similar Hg content varied widely based on the residue type. Fly ash samples with low and high Hg leaching ratios (RL) were further analyzed to identify the major factors that influence the Hg leaching potential. Buffering capacity of the low-RL fly ash was higher than that of the high-RL fly ash. The Hg speciation results suggest that the low-RL fly ashes consisted primarily of low-solubility Hg compounds (Hg2Cl2, Hg(0) or HgS), whereas the high-RL fly ashes contain more than 20% high-solubility Hg compounds (HgCl2 or HgSO4). PMID:23680269

  8. Extra-gastrointestinal Stromal Tumor :Clinical Characteristics,Diagnosis, Treatment, and Prognosis

    Institute of Scientific and Technical Information of China (English)

    赵善峰; 闫丙健; 周岩冰

    2015-01-01

    Objective:To explore the clinicopathological characteristics,treatment and prognosis of extrogastrointestinal stromal tumor(EGIST).Methods:In our study,Clinicopathological data of EGISTs from January 2010 to October 2014were systematically investigated.Pathology results were rechecked.Patients also were followed Up.Prognostic factors were evaluated using Cox proportional hazard models and univariate and multivariate with Log-rank test.Results:An amount of EGISTs cases were selected due to inclusion criteria,including 28males and 26Females,with age from 18 To78 years(median,58).Patients were follwed up.12cases were dead.The 1-,3-,5-year survival rates were 91%,75%,66%.Patients undergoing R0 resection had a better 5-year overall survival rate than those undergoing R1 resection(75%vs46%,P<0.05).For patients with high risk of recurrence after surgery,the 5-year overall survival rate was 62%and 40%respectively(P<0.05).Conclusions:Tumor size,mitotic count and tumor rupture affect the prognosis of patients after resection of primary EGISTs independently.Adjuvant imatinib can effectively improve the prognosis of the patients with high risk of recurrence,and the survival rate of patients after surgery.Surgical resection is the main treatment of EGIST,and R0 resection helps to prolong the survival time.

  9. Extra-gastrointestinal Stromal Tumor:Clinical Characteristics, Diagnosis, Treatment, and Prognosis

    Institute of Scientific and Technical Information of China (English)

    赵善峰; 闫丙健; 周岩冰

    2015-01-01

    Objective:To explore the clinicopathological characteristics,treatment and prognosis of extrogastrointestinal stromal tumor (EGIST). Methods:In our study,Clinicopathological data of EGISTs from January 2010 to October 2014 were systematically investigated.Pathology results were rechecked.Patients also were followed Up.Prognostic factors were evaluated using Cox proportional hazard models and univariate and multivariate with Log-rank test. Results:An amount of EGISTs cases were selected due to inclusion criteria,including 28males and 26Females,with age from 18 To 78 years(median,58).Patients were follwed up.12cases were dead. The 1-,3-,5-year survival rates were 91%,75%,66%. Patients undergoing R0 resection had a better 5-year overall survival rate than those undergoing R1 resection(75%vs46%,P<0.05).For patients with high risk of recurrence after surgery, the 5-year overall survival rate was 62%and 40%respectively(P<0.05). Conclusions:Tumor size,mitotic count and tumor rupture affect the prognosis of patients after re-section of primary EGISTs independently.Adjuvant imatinib can effectively improve the prognosis of the patients with high risk of recurrence, and the survival rate of patients after surgery.Surgical resection is the main treatment of EGIST, and R0 resection helps to prolong the survival time.

  10. 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. PMID:24645452

  11. Clinical characteristics and surgical treatment of patients with giant intracranial aneurysms

    Institute of Scientific and Technical Information of China (English)

    QI Wei; WANG Shuo; ZHAO Yuan-li; YANG Hai-bo; ZHAO Ji-zong

    2008-01-01

    Background Compared with smaller aneurysms,giant intracranial aneurysms (GICAs) have a poorer prognosis and require more meticulous surgical planning and techniques to exclude them from the circulation.GICAs continue to challenge the limits of neurosurgical techniques.A series of 170 patients with GICAs were reviewed for understanding the clinical characteristics.surgical treatment and outcomes of patients with GICAs.Methods Collected data of 170 consecutive patients with GICAs from January 1995 to July 2007 were analyzed.The clinicaI Characteristics in this study included age,sex,intracranial aneurysms size,the first presentations,locations and Hunt & Hess grade.Surgical methods included direct clipping of the aneurysm neck,parent artery reconstruction,proximal artery ligation,trapping and wrapping.Surgical results were evaluated postOperatively by the Glasgow Outcome Scale (GOS).Results GICAs were more commonly diagnosed at age 30 to 50 years with a mean age of 39.3 years and without obvious gender preponderance in our study (88 male and 82 female patients).The size of the GlCAs ranged from 2.5 cm to 8.0 cm(mean,2.9 cm).Hemorrhage (41%),mass effect (34%) and headache (12%) were the first 3 most common presentations.Regarding the Hunt & Hess classification,at admission there were 1 00 cases in grade 0,24 in grade 1,21 in grade 2,16 in grade 3,8 in grade 4 and 1 in grade 5.There were 84 cases of GICAs treated by direct neck-clipping,47 by parent artery reconstruction,19 by proximal artery occlusion(with 4 combined with reVascuIarization),18 by trapping and 2 by wrapping.The follow-up study (ranging from 6 to 115 months,mean 32 months)showed good results in 108 cases.moderate disability in 26 and severe disability in 15 according to GOS.Six cases died.Conclusions Surgical treatment is an effective treatment for GICAs.SurgicaI strategies should be made carefully and individually.Doppler ultrasonography,neuroendoscope and intraoperative angiography are useful to

  12. 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

  13. Settleability and characteristics of ferrate(VI)-induced particles in advanced wastewater treatment.

    Science.gov (United States)

    Zheng, Lei; Deng, Yang

    2016-04-15

    Ferrate(VI) as an emerging water treatment agent has recently recaptured interests for advanced wastewater treatment. A large number of studies were published to report ferrate(VI)-driven oxidation for various water contaminants. In contrast, very few efforts were made to characterize ferrate(VI) resultant particles in water and wastewater. In this study, jar tests were performed to examine the settleability and characteristics of ferrate(VI)-induced iron oxide particles, particularly the non-settable fraction of these particles, after ferrate(VI) reduction in a biologically treated municipal wastewater. The particle settleability was evaluated through the measurement of turbidity and particulate iron concentration in the supernatant with the settling time. Results showed that a majority of ferrate(VI)-induced iron oxide aggregates remained suspended and caused an increased turbidity. For example, at a Fe(VI) dose of 5.0 mg/L and pH 7.50, 82% of the added iron remained in the supernatant and the turbidity was 8.97 NTU against the untreated sample turbidity (2.33 NTU) after 72-h settling. The poor settling property of these particles suggested that coagulation and flocculation did not perform well in the ferrate(VI) treatment. Particle size analysis and transmission electron microscopy (TEM) revealed that nano-scale particles were produced after ferrate(VI) decomposition, and gradually aggregated to form micro-scale larger particles in the secondary effluent. Zeta potentials of the non-settable ferrate(VI) resultant aggregates varied between -7.36 and -8.01 mV at pH 7.50 during the 72-h settling. The negative surface charges made the aggregates to be relatively stable in the wastewater matrix.

  14. 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

  15. Clinical characteristics and recent progress in the diagnosis and treatment for langerhans cell histiocytosis

    International Nuclear Information System (INIS)

    Objective: To discuss the clinical characteristics, reactivation, diagnosis, treatment and prognosis of Langerhans cell histiocytosis (LCH) based on the new progress. Methods: Fifty-five such patients treated from Jan. 1974 to May 1998 were retrospectively analyzed. The patients aged from 2 to 67 years at the time of diagnosis, with a median age of 31 years, male 47, female 8. Forty patients had single system disease and the other 15 with multisystem disease. Partial or total excision and/or local radiotherapy were the main treatments. The involved irradiation field was given, with a median dose of 30 Gy. Results: The soft tissue of head and neck was the most frequently involved (63.6%), followed by the bone (23.6%). Patients ≤15 years had more bony involvement (66.7%) compared to those aged > 15 years (11.6%) ( P 15 years were 58.3% and 74.4%, respectively, (P=0.830); whereas it was 75.0% for single system disease and 60.0% for multisystem disease (P=0.130). The total reactivation for all patients was 43.6%. Two thirds of these patients developed recurrence within 5 years after treatment with 75% developing new foci. At the time of the last follow-up, 74.5% of the patients have survived without disease, while 27.6% of survivors still had active disease. Conclusions: Langerhans cell histiocytosis, not being confined to children, involves the head and neck area most commonly. The frequency of bony invasion is associated with age. Reactivation is very frequent. Patients without risk organs involvement usually carry a favorable prognosis. (authors)

  16. [Pollution characteristics of volatile organic compounds from wastewater treatment system of vitamin C production].

    Science.gov (United States)

    Guo, Bin; Lu, Guo-Li; Ren, Ai-Ling; Du, Zhao; Xing, Zhi-Xian; Han, Peng; Gao, Bo; Liu, Shu-Ya

    2013-12-01

    Using a portable gas chromatography and mass spectrometry (GC-MS), the volatile organic compounds (VOCs) pollution in each unit of the wastewater treatment system for vitamin C production was studied, and the species characteristics of volatile organic compounds (VOCs) were analyzed and summarized. The results showed that 32 kinds of volatile organic compounds were identified, and the total mass concentration range of volatilizing VOCs was 0.9629-32.0970 mg x m(-3). The most species and the largest concentration (25 and 32.0970 mg x m(-3)) of volatilizing VOCs were found in grit chamber, which was located in the most front-end of the wastewater treatment system and was in semi-closed state. The proportion of molecular sulfide in the grit chamber was as high as 30.02%; Higher proportions of aromatic hydrocarbons were monitored in the subsequent processing units, with percentages of 21.06%-31.48%. The main types of VOCs monitored were chlorinated hydrocarbons and ketones, accounting for 6.39%-55.80% and 10.40%-58.08% of the total amount, respectively; 14 kinds of VOCs were detected in every unit of the wastewater treatment system: acetone, 2-butanone, n-hexane, chloroform, chlorobenzene etc, among which, vinyl chloride, styrene and 1,3-butadiene belong to the highly toxic substances. The vinyl chloride concentration exceeded the standard of "atmospheric pollutants emission standards" (GB 16297-1996), while 1,3-butadiene and other pollutants have no national standard limits. The results of this study provide a scientific basis for the revision of China's pharmaceutical wastewater VOCs emission standards. PMID:24640904

  17. Settleability and characteristics of ferrate(VI)-induced particles in advanced wastewater treatment.

    Science.gov (United States)

    Zheng, Lei; Deng, Yang

    2016-04-15

    Ferrate(VI) as an emerging water treatment agent has recently recaptured interests for advanced wastewater treatment. A large number of studies were published to report ferrate(VI)-driven oxidation for various water contaminants. In contrast, very few efforts were made to characterize ferrate(VI) resultant particles in water and wastewater. In this study, jar tests were performed to examine the settleability and characteristics of ferrate(VI)-induced iron oxide particles, particularly the non-settable fraction of these particles, after ferrate(VI) reduction in a biologically treated municipal wastewater. The particle settleability was evaluated through the measurement of turbidity and particulate iron concentration in the supernatant with the settling time. Results showed that a majority of ferrate(VI)-induced iron oxide aggregates remained suspended and caused an increased turbidity. For example, at a Fe(VI) dose of 5.0 mg/L and pH 7.50, 82% of the added iron remained in the supernatant and the turbidity was 8.97 NTU against the untreated sample turbidity (2.33 NTU) after 72-h settling. The poor settling property of these particles suggested that coagulation and flocculation did not perform well in the ferrate(VI) treatment. Particle size analysis and transmission electron microscopy (TEM) revealed that nano-scale particles were produced after ferrate(VI) decomposition, and gradually aggregated to form micro-scale larger particles in the secondary effluent. Zeta potentials of the non-settable ferrate(VI) resultant aggregates varied between -7.36 and -8.01 mV at pH 7.50 during the 72-h settling. The negative surface charges made the aggregates to be relatively stable in the wastewater matrix. PMID:26900976

  18. 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.

  19. 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.

  20. Clinical Characteristics and Treatment for Patients with Occult Chronic hepatitis B

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    Objective To observe the clinical manifestations and assess direct antiviral effect for patients with occult hepatitis B in China. Methods The study includes 15 patients with occult hepatitis B and their medical history, family history, ifrst-diagnosis time, conifrmed-diagnosis time, laboratory report, anti-viral therapy and outcomes were analyzed. Results The average age of the patients is 38.67-year old (6 males and 9 females), 2 with acute hepatitis B (2/15, 13.3%), 13 with no hepatitis history (13/15, 86.6%), 8 with family history (8/15, 53.3%), 6 with no family history (6/15, 40%), 1 with unknown family history (1/15, 6.6%). Eight patients were treated with entecavir (0.5 mg/day, taken orally), with effective results and steady conditions;3 patients were treated with lamivudine (0.1 g/day, taken orally), 2 of them were prescribed to take adefovir dipivoxil additionally due to drug-resistance, the other one was treated with lamivudine continuously without drug-resistance;4 cases refused anti-viral therapy. One patient’s condition remained steady, 1 patient died of cirrhosis with portal hypertension and liver failure 5 years after ifrst-diagnosis, 1 patient progressed to hepatocellular carcinoma and accepted surgery operation treatment 5 years after ifrst-diagnosis, the other 1 patient progressed to compensatory cirrhosis 2 years after ifrst-diagnosis and is steady from then, which indicates that occult chronic hepatitis B can progress to cirrhosis and hepatocellular carcinoma without therapy in time. Conclusions The clinical characteristics of 15 cases with occult chronic hepatitis B showed that these patients with short latency, younger age when being-struck, and light damage to liver function. The efifcacy and drug-resistance of nucleos(t)ide-analogue (entecavir, lamivudine, adefovir dipivoxil) in treatment of patients with occult chronic hepatitis B are similar to chronic hepatitis B.

  1. Stenotrophomonas maltophilia infections in a general hospital: patient characteristics, antimicrobial susceptibility, and treatment outcome.

    Directory of Open Access Journals (Sweden)

    George Samonis

    Full Text Available INTRODUCTION: Stenotrophomonas maltophilia is acquiring increasing importance as a nosocomial pathogen. METHODS: We retrospectively studied the characteristics and outcome of patients with any type of S. maltophilia infection at the University Hospital of Heraklion, Crete, Greece, between 1/2005-12/2010. S. maltophilia antimicrobial susceptibility was tested with the agar dilution method. Prognostic factors for all-cause in-hospital mortality were assessed with multivariate logistic regression. RESULTS: Sixty-eight patients (median age: 70.5 years; 64.7% males with S. maltophilia infection, not related to cystic fibrosis, were included. The 68 patients were hospitalized in medical (29.4%, surgical (26.5%, hematology/oncology departments (23.5%, or the intensive care units (ICU; 20.6%. The most frequent infection types were respiratory tract (54.4%, bloodstream (16.2%, skin/soft tissue (10.3%, and intra-abdominal (8.8% infection. The S. maltophilia-associated infection was polymicrobial in 33.8% of the cases. In vitro susceptibility was higher to colistin (91.2%, trimethoprim/sulfamethoxazole and netilmicin (85.3% each, and ciprofloxacin (82.4%. The empirical and the targeted treatment regimens were microbiologically appropriate for 47.3% and 63.6% of the 55 patients with data available, respectively. Most patients received targeted therapy with a combination of agents other than trimethoprim/sulfamethoxazole. The crude mortality and the mortality and the S. maltophilia infection-related mortality were 14.7% and 4.4%, respectively. ICU hospitalization was the only independent prognostic factor for mortality. CONCLUSION: S. maltophilia infection in a general hospital can be associated with a good prognosis, except for the patients hospitalized in the ICU. Combination reigmens with fluoroquinolones, colistin, or tigecycline could be alternative treatment options to trimethoprim/sulfamethoxazole.

  2. 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.

  3. A novel ammonia-oxidizing archaeon from wastewater treatment plant: Its enrichment, physiological and genomic characteristics

    Science.gov (United States)

    Li, Yuyang; Ding, Kun; Wen, Xianghua; Zhang, Bing; Shen, Bo; Yang, Yunfeng

    2016-03-01

    Ammonia-oxidizing archaea (AOA) are recently found to participate in the ammonia removal processes in wastewater treatment plants (WWTPs), similar to their bacterial counterparts. However, due to lack of cultivated AOA strains from WWTPs, their functions and contributions in these systems remain unclear. Here we report a novel AOA strain SAT1 enriched from activated sludge, with its physiological and genomic characteristics investigated. The maximal 16S rRNA gene similarity between SAT1 and other reported AOA strain is 96% (with “Ca. Nitrosotenuis chungbukensis”), and it is affiliated with Wastewater Cluster B (WWC-B) based on amoA gene phylogeny, a cluster within group I.1a and specific for activated sludge. Our strain is autotrophic, mesophilic (25 °C–33 °C) and neutrophilic (pH 5.0–7.0). Its genome size is 1.62 Mb, with a large fragment inversion (accounted for 68% genomic size) inside. The strain could not utilize urea due to truncation of the urea transporter gene. The lack of the pathways to synthesize usual compatible solutes makes it intolerant to high salinity (>0.03%), but could adapt to low salinity (0.005%) environments. This adaptation, together with possibly enhanced cell-biofilm attachment ability, makes it suitable for WWTPs environment. We propose the name “Candidatus Nitrosotenuis cloacae” for the strain SAT1.

  4. [Characteristics of orthophosphate adsorption on ferric-alum residuals (FARs) from drinking water treatment plant].

    Science.gov (United States)

    Wang, Chang-Hui; Pei, Yuan-Sheng

    2011-08-01

    Batch tests have been used to investigate the characteristics of orthophosphate adsorption on ferric-alum residuals (FARs) from drinking water treatment plant. ICP, SEM and XRD analyses confirm that the FARs enriched in Fe and Al elements and presented amorphism structure. Orthophosphate sorption by the FARs can be described by the pseudo-second-order kinetics equation. Fine adsorption effects of the FARs were found under lower pH values, particularly a 40.13% drop of the adsorptive capacity from pH 4.6 to pH 7.6. The FARs with grain sizes of 0.6-0.9 mm had the highest adsorption capacity of orthophosphate. Experimental data could be better fitted by the isotherm models of Langmuir (R2 = 0.9736) and Freundlich (R2 = 0.9916). The maximal adsorptive capacity reached 45.45 mg x g(-1) estimated from Langmuir isotherm model. Compared with other natural and industrial materials, FARs has relatively higher adsorption capacity. Under similar testing conditions, it was found that only about 10% orthophosphate could be desorbed from the FARs. Further study demonstrated that the mean energy of orthophosphate sorption on the FARs was 13.36 kJ x mol(-1) and the deltaH0 > 0, deltaS0 > 0 and deltaG0 wastewater and surface water. PMID:22619965

  5. 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. PMID:17418075

  6. Characteristics and Outcomes of Second Malignant Neoplasms after Childhood Cancer Treatment: Multi-Center Retrospective Survey.

    Science.gov (United States)

    Koh, Kyung-Nam; Yoo, Keon Hee; Im, Ho Joon; Sung, Ki Woong; Koo, Hong Hoe; Kim, Hyo Sun; Han, Jung Woo; Yoon, Jong Hyung; Park, Hyeon Jin; Park, Byung-Kiu; Baek, Hee Jo; Kook, Hoon; Lee, Jun Ah; Lee, Jae Min; Lee, Kwang Chul; Kim, Soon Ki; Park, Meerim; Lee, Young-Ho; Lyu, Chuhl Joo; Seo, Jong Jin

    2016-08-01

    This retrospective study investigated the clinical characteristics and outcomes of second malignant neoplasms (SMNs) in survivors of childhood cancer from multiple institutions in Korea. A total of 102 patients from 11 institutions who developed SMN after childhood cancer treatment between 1998 and 2011 were retrospectively enrolled. The most common primary malignant neoplasms (PMNs) were central nervous system (CNS) tumors (n = 17), followed by acute lymphoblastic leukemia (n = 16), non-Hodgkin lymphoma (n = 13), and osteosarcoma (n = 12). The most common SMNs were therapy-related myeloid neoplasms (t-MNs; acute myeloid leukemia [AML], 29 cases; myelodysplastic syndrome [MDS], 12 cases), followed by thyroid carcinomas (n = 15) and CNS tumors (n = 10). The median latency period was 4.9 years (range, 0.5-18.5 years). Among 45 patients with solid tumors defined as an SMN, 15 (33%) developed the lesion in a field previously subjected to radiation. The 5-year overall survival (OS) rate of patients with an SMN was 45% with a median follow-up time of 8.6 years. Patients with AML, MDS, and CNS tumors exhibited the poorest outcomes with 5-year OS rates of 18%, 33%, and 32%, respectively, whereas those with second osteosarcoma showed comparable outcomes (64%) to patients with primary counterpart and those with second thyroid carcinoma had a 100% OS rate. Further therapeutic efforts are recommended to improve the survival outcomes in patients with SMNs, especially in cases with t-MNs and CNS tumors. PMID:27478336

  7. 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.

  8. Comparison of reverse osmosis membrane fouling characteristics in full-scale leachate treatment systems with chemical coagulation and microfiltration pre-treatments.

    Science.gov (United States)

    Rukapan, Weerapong; Khananthai, Benyapa; Srisukphun, Thirdpong; Chiemchaisri, Wilai; Chiemchaisri, Chart

    2015-01-01

    Fouling characteristics of reverse osmosis (RO) membrane with chemical coagulation and microfiltration (MF) pre-treatment were investigated at full-scale leachate treatment systems. In chemical coagulation pre-treatment, solid separation from stabilized leachate was performed by ferric chloride coagulation followed by sand filtration. Meanwhile, MF pre-treatment and the RO system utilized direct filtration using a 0.03 µm membrane without chemical addition. MF pre-treatment yielded better pollutant removals in terms of organics and nitrogen. The study on effect of pre-treatment on RO membrane fouling revealed that accumulated foulant on the RO membrane in MF pre-treatment was significantly lower than that of chemical coagulation. Nevertheless, NaOH cleaning of the fouled RO membrane after chemical coagulation pre-treatment could better recover its permeate flux, thus suggesting that the formation of a loose-structure cake layer by chemical coagulation pre-treatment could allow effective penetration of chemical cleaning and detachment of foulant layer from the membrane surface.

  9. Cannabis use history and characteristics of quit attempts: a comparison study of treatment-seeking and non-treatment-seeking cannabis users.

    Science.gov (United States)

    Pacek, Lauren R; Vandrey, Ryan

    2014-12-01

    Cannabis is the most commonly used illicit substance worldwide, and cannabis use disorders (CUDs) are correspondingly high. Increased demand for treatment and relatively low rates of positive clinical outcomes has led to a large scientific investment in the development of interventions for the treatment of CUD. Much of this research is conducted with cannabis users who are not seeking treatment at the time of study participation, and it is unknown whether these individuals are representative of those who seek treatment. This study contrasted samples of cannabis users participating in screening interviews for treatment and nontreatment research studies. Several differences between groups emerged: Treatment-seekers were more likely to be female (43% vs. 29%), older (33.4 vs. 29.7 years), and have longer cannabis use histories compared with non-treatment-seekers (p = .007). Treatment-seekers were more likely to report experiencing guilt after using cannabis and to feel that cannabis use has been a problem for them. Additionally, treatment-seekers reported a greater mean number of reasons for making a quit attempt, experiencing a greater number of withdrawal symptoms, and employing more coping strategies during prior quit attempts. Despite the aforementioned differences, the 2 groups were similar on several key characteristics, particularly with regards to current levels of cannabis use and related problems. PMID:25150537

  10. A comparison of physical characteristics between patients seeking treatment for neck pain and age-matched healthy people

    DEFF Research Database (Denmark)

    Jordan, A; Mehlsen, J; Ostergaard, K

    1997-01-01

    To compare physical characteristics of the cervical musculature, including maximal isometric strength of the flexors and extensors, relative isometric endurance of the extensors and the active range of motion (ROM) in extension in a group of patients seeking treatment for chronic neck pain...

  11. Effect of high pressure treatment on the aging characteristics of Chinese liquor as evaluated by electronic nose and chemical analysis

    Science.gov (United States)

    Zhu, S. M.; Xu, M. L.; Ramaswamy, H. S.; Yang, M. Y.; Yu, Y.

    2016-08-01

    Several high pressure (HP) treatments (100–400 MPa 15 and 30 min) were applied to Chinese “Junchang” liquor, and aging characteristics of the liquor were evaluated. Results from the principal component analysis and the discriminant factor analysis of E-Nose demonstrated that HP treatment at 300 and 400 MPa resulted in significant (p gaps still existed between the quality of treated and six-year aged samples. HP treatment demonstrated a potential to accelerate the natural aging process for Chinese liquor, but long term studies may be needed further to realize the full potential.

  12. 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

  13. Spinal cord injury in patients with systemic lupus Erythematosus Clinical manifestations, imaging characteristics and treatment

    Institute of Scientific and Technical Information of China (English)

    Yamei Tang; Fusheng Zhang; Qingyu Shen; Xiangpen Li; Yigang Xing

    2007-01-01

    BACKGROUND: There are fewer reports on systemic lupus erythematosus (SLE) related myelitis, and definite and uniform therapeutic program is not available.OBJECTIVE: To observe the clinical manifestations, imaging characteristics, results of laboratory examination and treatment of SLE.DESIGN: A retrospective case analysis.SETTING: Department of Neurology, the Second Affiliated Hospital of Sun Yat-sen University.PARTICIPANTS: Totally 1 052 SLE inpatients were selected from the Second Affiliated Hospital of Sun Yat-sen University from January 1995 to May 2005, and they all accorded with the diagnostic standards for SLE set by American Rheumatism Association in 1982. 124 of them were diagnosed to have damage of central nervous system. Inclusive criteria: Patients with one of the focal physical signs, including mental and behavior disorders, headache, seizure and involvement of nervous system. Exclusive criteria: Patients with hypertensive encephalopathy, damage of nervous system due to uremia and infection of central nervous system. Spinal cord lesion occurred in 15 female cases of 23 - 51 years old. Informed consents were obtained from all the participants.METHODS: The physical signs, laboratory examinations, therapeutic program and prognosis were recorded in the 15 patients with symptoms of spinal cord lesions. All the patients underwent MRI scan of brain or lesioned segment of spinal cord, and 8 cases of them underwent lumbar puncture to determine intracranial pressure, routine and biochemical examinations were cerebrospinal fluid were performed. The disease activity of SLE in systems beyond central nervous system was evaluated with modified lupus activity criteria count (LACC).MAIN OUTCOME MEASURES: ① Incidence of SLE related myelitis, attack age distribution and its association with the activity of SLE; ② Comparisons of the clinical characteristics, cranial and spinal cord MRI manifestations, different therapeutic program and prognosis.RESULTS: All the 15 SLE

  14. [Characteristics of orthophosphate adsorption on ferric-alum residuals (FARs) from drinking water treatment plant].

    Science.gov (United States)

    Wang, Chang-Hui; Pei, Yuan-Sheng

    2011-08-01

    Batch tests have been used to investigate the characteristics of orthophosphate adsorption on ferric-alum residuals (FARs) from drinking water treatment plant. ICP, SEM and XRD analyses confirm that the FARs enriched in Fe and Al elements and presented amorphism structure. Orthophosphate sorption by the FARs can be described by the pseudo-second-order kinetics equation. Fine adsorption effects of the FARs were found under lower pH values, particularly a 40.13% drop of the adsorptive capacity from pH 4.6 to pH 7.6. The FARs with grain sizes of 0.6-0.9 mm had the highest adsorption capacity of orthophosphate. Experimental data could be better fitted by the isotherm models of Langmuir (R2 = 0.9736) and Freundlich (R2 = 0.9916). The maximal adsorptive capacity reached 45.45 mg x g(-1) estimated from Langmuir isotherm model. Compared with other natural and industrial materials, FARs has relatively higher adsorption capacity. Under similar testing conditions, it was found that only about 10% orthophosphate could be desorbed from the FARs. Further study demonstrated that the mean energy of orthophosphate sorption on the FARs was 13.36 kJ x mol(-1) and the deltaH0 > 0, deltaS0 > 0 and deltaG0 < 0, which indicated that orthophosphate sorption on the FARs was a spontaneously endothermic chemical reaction. It can be therefore highly valued that the FARs may be applied to phosphate removal from wastewater and surface water.

  15. 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

  16. Characteristics of Hosta plantaginea mutants derived from γ-ray treatment

    International Nuclear Information System (INIS)

    Hosta (Hosta plantaginea) is a flowering plant with excellent fragrance, which has been widely used as a bedding and pot plant worldwide. However, its flower and leaf color is simple and leaf shapes are monotonous, which hinders customers' choice. To increase plant's diversity in morphology and color, Hosta seeds were treated with a γ-ray in the dose ranges of 10, 15, 20, 25, and 30Gy in 2003. A preliminary result indicated that LD50 at which 50 % of the treated plants are lethal was around 30Gy for the Hosta. A first screening of variants was obtained among the survived plants treated with doses around the LD50 level. In the following M1V1 generation, 12 mutants were selected, which had characteristics of short plant height and leaf variations in color and shapes. Based on observation up to a M1V4 generation, 8 mutants out of the selected 12 variants were found to maintain their mutated traits Those 8 mutants include one from each 15 or 20 Gy, four from 25 Gy, and two from 30 Gy treatments. Leaf length and width were 15 and 12 cm, respectively for the non-irradiated plant, while the selected mutants exhibited relatively narrow leaf width and long leaf length. In order to verify their genetic modification, a random amplification of polymorphic DNA (RAPD) approach is being applied by using the selected mutants and original plant materials, which will be reported and updated. This work was supported by a grant (Code No. 20070301034033) from BioGreen 21 Program, Rural Development Administration, Republic of Korea. (author)

  17. 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.

  18. RELATIONSHIP BETWEEN ASSESSED RISK AREAS WITH INDIVIDUAL, FAMILY AND OTHER CHARACTERISTICS OF FEMALE MINORS FROM DIFFERENT TREATMENT PROGRAMS

    Directory of Open Access Journals (Sweden)

    Antonija Žižak

    2010-12-01

    Full Text Available The purpose of this paper is familiarizing with, so far insuffi ciently explored, specifi c characteristics of female children and youthwith behavioral disorders in the Republic of Croatia. The study was conducted on a sample of 237 female children and youth withbehaviour disorders who, at the time of research, were included in institutional treatment, day treatment or community treatmentprograms (three subsamples. Specifi c goals of the paper are related to determination of the level and specifi c areas of risk and thesignifi cance of differences in the assessed risk levels for benefi ciaries across multiple types of treatment. Further goal is to researchrelationships between the estimated areas of risk with other, for treatment important areas, such as strengths, needs, family life circumstancesand individual characteristics of minors. The instrument Youth Level of Service/Case Management Inventory (YLS/CMIwas applied. It’s intention is to assess level of risk and needs of children and youth in order to determine required level of service aswell as prediction of treatment outcome and future behavior. To process the obtained data, robust discriminant analysis and quasicorrelation analysis were used. Robust discriminatory analysis fortifi es statistically signifi cant difference in almost all observed riskareas between examinees from three subsamples. Results of quasy correlation analysis indicate the existence of signifi cant relationshipsbetween assessed areas of risk and other assessed and for treatment important areas. The highest correlation among quasycanonical factors is obtained for the association of areas of risk and characteristics of minors, what indicates the extreme complexityof the population of female minors with behavioral disorders, as seen entirety and by subsamples. In accordance with levels of risk,treatment needs and responsiveness, suggestions about the components of treatment for each of the three groups of female

  19. Effect of high pressure treatment on the aging characteristics of Chinese liquor as evaluated by electronic nose and chemical analysis

    Science.gov (United States)

    Zhu, S. M.; Xu, M. L.; Ramaswamy, H. S.; Yang, M. Y.; Yu, Y.

    2016-08-01

    Several high pressure (HP) treatments (100–400 MPa 15 and 30 min) were applied to Chinese “Junchang” liquor, and aging characteristics of the liquor were evaluated. Results from the principal component analysis and the discriminant factor analysis of E-Nose demonstrated that HP treatment at 300 and 400 MPa resulted in significant (p aging process of Chinese liquor. However, HP treatment caused a slight increase in solid content, which might be somewhat undesirable. Sensory evaluation results confirmed that favorable changes in color and flavor of Chinese liquor were induced by HP treatment; however, overall gaps still existed between the quality of treated and six-year aged samples. HP treatment demonstrated a potential to accelerate the natural aging process for Chinese liquor, but long term studies may be needed further to realize the full potential.

  20. 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......-treatment child and family predictors of outcome in CBT for youth anxiety disorders have until now resulted in few findings of clinical or theoretical significance....

  1. 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 (<60), TN (<10), ammonia (<0.2), and TP (<1). On the other hand Firle STW Unit 4 effluent quality results based on City of Harare records 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

  2. Potential Impact of BioField Treatment on Atomic and Physical Characteristics of Magnesium

    OpenAIRE

    Trivedi, Mahendra; Branton, Alice; Trivedi, Dahryn; Nayak, Gopal

    2015-01-01

    Magnesium (Mg), present in every cell of all living organisms, is an essential nutrient and primarily responsible for catalytic reaction of over 300 enzymes. The aim of present study was to evaluate the effect of biofield treatment on atomic and physical properties of magnesium powder. Magnesium powder was divided into two parts denoted as control and treatment. Control part was remained as untreated and treatment part received biofield treatment. Both control and treated magnesium samples we...

  3. Potential Impact of BioField Treatment on Atomic and Physical Characteristics of Magnesium

    OpenAIRE

    Trivedi, Mahendra Kumar

    2015-01-01

    Magnesium (Mg), present in every cell of all living organisms, is an essential nutrient and primarily responsible for catalytic reaction of over 300 enzymes. The aim of present study was to evaluate the effect of biofield treatment on atomic and physical properties of magnesium powder. Magnesium powder was divided into two parts denoted as control and treatment. Control part was remained as untreated and treatment part received biofield treatment. Both control and treated ...

  4. 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.

  5. 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. PMID:26336844

  6. 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…

  7. 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

  8. Clinical characteristics and treatment outcomes of patients with low- and high-concentration isoniazid-monoresistant tuberculosis.

    Directory of Open Access Journals (Sweden)

    Tsai-Yu Wang

    Full Text Available BACKGROUND: Isoniazid (INH resistance is now the most common type of tuberculosis (TB infection resistance worldwide. The aim of this study was to evaluate the clinical characteristics and treatment outcomes of patients with low- and high-concentration INH-monoresistant TB. METHODS: One hundred and thirty-four patients with culture-confirmed INH-monoresistant TB during 2006 January to 2007 December were retrospectively enrolled. INH resistance was classified as either low-concentration or high-concentration resistance according to the critical concentrations of 0.2 µg/mL or 1 µg/mL of INH, respectively. The patients' clinical outcomes, treatment regimens, and treatment duration were analyzed. RESULTS: The treatment success rates between low- and high-concentration INH-resistant TB were similar (81.8% vs. 86.7%. The treatment regimens and treatment duration were similar between both groups. Only a minor percentage of the patients in both groups received 6-month treatment regimens (low vs. high concentration resistance, 9.1% vs. 13.3%; respectively, p = 0.447 The most common reason for treatment duration longer than 6 months was pyrazinamide given for less than 6 months, followed by a delay in clinical response to treatment. Multivariable analysis showed that prior tuberculosis treatment (Odds ratio, 2.82, 95% C.I., 1.02-7.77, p = 0.045 was the only independent risk factor for unsuccessful treatment outcome. CONCLUSION: Different levels of INH resistance did not affect the treatment outcomes of patients with INH-monoresistant tuberculosis. Prolonged Rifampin-containing regimens may achieve those good outcomes in patients with low- and high-concentration INH-monoresistant TB.

  9. Characteristics of U.S. substance abuse treatment facilities adopting buprenorphine in its initial stage of availability.

    Science.gov (United States)

    Koch, Alison L; Arfken, Cynthia L; Schuster, Charles R

    2006-07-27

    This study examined the adoption of buprenorphine for the treatment of opiate dependence among U.S. substance abuse treatment facilities and their characteristics at the time of the initial availability of the medication. Data come from a 2003 national survey of all substance abuse treatment facilities in the U.S. Out of our sample of 13,060 facilities, 5.5% of facilities reported they offered buprenorphine. Not unexpectedly, the prevalence was higher in certified opioid treatment programs (11.3%) compared to other facilities (4.6%). For opioid treatment programs, offering Naltrexone (OR=8.34, 95% CI=5.53, 12.58) and offering medically supervised withdrawal (OR=2.76, 95% CI=1.38, 5.52) were independent and robust predictors of offering buprenorphine. These same variables were independent predictors for the non-opioid treatment programs as well (Naltrexone, OR=14.32, 95% CI=7.85, 26.10; and medically supervised withdrawal services, OR=4.42, 95% CI=3.01, 6.49). Our results suggest that the adoption of buprenorphine soon after the Food and Drug Administration approved its use for treatment of opioid dependence and the shipping of the medication commenced was associated with facilities already offering pharmacotherapies such as Naltrexone and medically assisted withdrawal. These findings provide baseline data to track the adoption of buprenorphine by substance abuse treatment programs in future years.

  10. 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.

  11. Children with Generalised Joint Hypermobility and Musculoskeletal Complaints: State of the Art on Diagnostics, Clinical Characteristics, and Treatment

    Directory of Open Access Journals (Sweden)

    M. C. Scheper

    2013-01-01

    Full Text Available Introduction. To provide a state of the art on diagnostics, clinical characteristics, and treatment of paediatric generalised joint hypermobility (GJH and joint hypermobility syndrome (JHS. Method. A narrative review was performed regarding diagnostics and clinical characteristics. Effectiveness of treatment was evaluated by systematic review. Searches of Medline and Central were performed and included nonsymptomatic and symptomatic forms of GJH (JHS, collagen diseases. Results. In the last decade, scientific research has accumulated on all domains of the ICF. GJH/JHS can be considered as a clinical entity, which can have serious effects during all stages of life. However research regarding the pathological mechanism has resulted in new potential opportunities for treatment. When regarding the effectiveness of current treatments, the search identified 1318 studies, from which three were included (JHS: n=2, Osteogenesis Imperfecta: n=1. According to the best evidence synthesis, there was strong evidence that enhancing physical fitness is an effective treatment for children with JHS. However this was based on only two studies. Conclusion. Based on the sparsely available knowledge on intervention studies, future longitudinal studies should focus on the effect of physical activity, fitness, and joint stabilisation. In JHS and chronic pain, the effectiveness of a multidisciplinary approach should be investigated.

  12. Influence of surface treatment and dopant concentration on field emission characteristics of boron-doped diamond thin films

    Energy Technology Data Exchange (ETDEWEB)

    Nagao, M.; Kondo, T.; Gotoh, Y.; Tsuji, H.; Ishikawa, J. [Department of Electronic Science and Engineering, Kyoto University, Yoshida-honmachi, Sakyo-ku, Kyoto 606-01 (Japan); Miyata, K.; Kobashi, K. [Kobe Steel, Ltd., Electronics and Information Technology Laboratory, 5-5, 1-chome, Takatsuka-dai, Nishi-ku, Kobe 651-22 (Japan)

    1997-11-01

    Field emission characteristics of B-doped diamond thin films terminated with oxygen and hydrogen were investigated. The diamond thin films were prepared by microwave plasma chemical vapor deposition. The dependence of emission characteristics on the surface treatment and on the B concentration was investigated. The turn-on voltage required to extract a current of 0.1 nA depended on these preparation parameters. The emitters with lower B concentration emitted electrons at a lower turn-on voltage, and the H-terminated emitters had a lower turn-on voltage than O-terminated emitters. The analysis of the slope and the intercept of Fowler{endash}Nordheim plot revealed that the dependence of turn-on voltage on the surface treatment is due to the difference of emission barrier height, and that the dependence on B concentration is due not to the emission barrier height but to the surface morphology. {copyright} {ital 1997 American Institute of Physics.}

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

    International Nuclear Information System (INIS)

    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

  14. Linguistic characteristics of patients with bulimic symptomatology in an online post-treatment program: an exploratory study

    OpenAIRE

    Mezei, Ágnes; Gulec, Hayriye; Czeglédi, Edit; Fritz, Adorján; Túry, Ferenc

    2014-01-01

    Background No former investigation has been performed related to the linguistic characteristics of patients with eating disorders using online synchronous communication mediums like chats. Objective The purpose of this study was to investigate the linguistic predictors of improvement in eating disorder-related attitudes, behaviours and emotional distress of patients with eating disorders. Methods Thirty-nine women, who had received treatment for bulimia nervosa or related eating disorders not...

  15. Effects of lime and cement treatment on the physicochemical, microstructural and mechanical characteristics of a plastic silt

    OpenAIRE

    LEMAIRE, Kevin; Deneele, Dimitri; BONNET, Stéphanie; LEGRET, Michel

    2013-01-01

    Stabilization using lime and cement is a widespread technique that provides civil engineering applications for soils with poor geotechnical performance. This article describes the effects of a combined lime+cement treatment on both the characteristics and properties of a plastic silt. A multi-scale approach was implemented and themechanical, microstructural and physicochemical changeswere investigated. To carry out these tasks, unconfined compressive strength measurements were conducted. The ...

  16. Effects of imidacloprid and thiamethoxam as seed treatments on the early seedling characteristics and aphid-resistance of oilseed rape

    Institute of Scientific and Technical Information of China (English)

    HUANG Liang; ZHAO Chun-lin; HUANG Fang; BAI Run-e; L Yao-bin; YAN Feng-ming; HAO Zhong-ping

    2015-01-01

    Seed treatments with the neonicotinoid insecticides imidacloprid and thiamethoxam were evaluated to determine whether the chemicals at effective concentrations for aphid control would inlfuence the germination and early growth of oilseed rape,Brassica napus. Treatment with imidacloprid or thiamethoxam did not affect the cumulative germination rate, but signiifcantly inhibited establishment potential by suppressing root system development in the cotyledon stage. However, these alterations in seedling development in the thiamethoxam-treated seeds appeared not to be detrimental as leaves developed; in contrast, for the seedlings with imidacloprid as seed treatment agent, a signiifcantly decreased shoot/root ratio was stil evident at the late two-leaf stage. After two leaves developed, chlorophyl content per leaf in the thiamethoxam treatment was signiifcantly higher than that of the control, while chlorophyl content per leaf in the imidacloprid treatment remained close to that in the control. Most other parameters, i.e., height, leaf area, weight of stem, leaf or root, and other growth indexes, between the treatments and the control showed no signiifcant difference. Additionaly, it was found that storage time of the treated seeds had a signiifcant effect on cumulative germination rate. Treatment 30 d before planting signiifcantly reduced germination relative to that of the control. Al of the plants treated with neonicotinoids were shown to have signiifcant anti-aphid characteristics that persisted until the end of the trial.

  17. The Treatment for Adolescents with Depression Study (TADS): Demographic and Clinical Characteristics

    Science.gov (United States)

    n/a; n/a

    2005-01-01

    Objective: The Treatment for Adolescents With Depression Study is a multicenter, randomized clinical trial sponsored by the NIMH. This study is designed to evaluate the short- and long-term effectiveness of four treatments for adolescents with major depressive disorder: fluoxetine, cognitive-behavioral therapy, their combination, and, acutely,…

  18. Characteristics of breast cancer patients who experience menopausal transition due to treatment

    NARCIS (Netherlands)

    S.F.A. Duijts; A.C. Stolk-Vos; H.S.A. Oldenburg; M. van Beurden; N.K. Aaronson

    2011-01-01

    Objective To identify patient-related and treatment-related factors associated significantly with climacteric symptoms in young patients who experience menopausal transition due to adjuvant treatment for breast cancer. Methods This cross-sectional study used questionnaire data collected to screen br

  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. Prognostic significance of tympanosclerotic plaques localization and their morphological and histological characteristics for the outcome of surgical treatment

    Directory of Open Access Journals (Sweden)

    Milojević Milanko

    2012-01-01

    Full Text Available Background/Aim. Tympanosclerosis is a sequela of inflammation of the middle ear usually causing conductive hearing loss. The aim of the study was to determine the significance of tympanosclerotic plaques localization in the middle ear and their morphological and histological characteristics for surgical treatment outcome. Methods. This retrospective study included a total of 73 patients operated on for tympanosclerosis in the Clinic for Otorhinolaryngology, Military Medical Academy (MMA in a period 1996-2010. The results of surgical treatment as well as the last audiometry findings were analyzed. considering follow-up periods of 6 months to 8 years. The patients were divided into 4 groups according to tympanosclerotic plaques localization in the middle ear and the classification suggested by Wieling and Kerr. The patients were also divided based on intraoperatively noticed morphological characteristics of tympanosclerotic plaques, while the third division was done as per histological findings. Surgical success was assessed using the suggestions of the Japan Otological Society. Results. The analyzed results showed the surgical success especially in the group II according to Wieling and Kerr, while histological findings had no impact on the outcome of the surgery. Conclusion. Surgical treatment has good results especially in patients with the mobile stapes. Results are satisfactory in other localizations, while various morphological and histological characteristics do not have impact on the surgery outcome.

  1. Characteristics and programme-defined treatment outcomes among childhood tuberculosis (TB patients under the national TB programme in Delhi.

    Directory of Open Access Journals (Sweden)

    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

  2. Characteristics of ITO films with oxygen plasma treatment for thin film solar cell applications

    Energy Technology Data Exchange (ETDEWEB)

    Park, Yong Seob [Department of Photoelectronics Information, Chosun College of Science and Technology, Gwangju (Korea, Republic of); Kim, Eungkwon [Digital Broadcasting Examination, Korean Intellectual Property Office, Daejeon, Suwon 440-746 (Korea, Republic of); Hong, Byungyou [School of Electronic and Electrical Engineering, Sungkyunkwan University, Cheoncheon-dong, 300, Jangan-gu, Suwon 440-746 (Korea, Republic of); Lee, Jaehyoeng, E-mail: jaehyeong@skku.edu [School of Electronic and Electrical Engineering, Sungkyunkwan University, Cheoncheon-dong, 300, Jangan-gu, Suwon 440-746 (Korea, Republic of)

    2013-12-15

    Graphical abstract: The effect of O{sub 2} plasma treatment on the surface and the work function of ITO films. - Highlights: • ITO films were prepared on the glass substrate by RF magnetron sputtering method. • Effects of O{sub 2} plasma treatment on the properties of ITO films were investigated. • The work function of ITO film was changed from 4.67 to 5.66 eV by plasma treatment. - Abstract: The influence of oxygen plasma treatment on the electro-optical and structural properties of indium-tin-oxide films deposited by radio frequency magnetron sputtering method were investigated. The films were exposed at different O{sub 2} plasma powers and for various durations by using the plasma enhanced chemical vapor deposition (PECVD) system. The resistivity of the ITO films was almost constant, regardless of the plasma treatment conditions. Although the optical transmittance of ITO films was little changed by the plasma power, the prolonged treatment slightly increased the transmittance. The work function of ITO film was changed from 4.67 eV to 5.66 eV at the plasma treatment conditions of 300 W and 60 min.

  3. 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.

  4. Effects of heat treatment on dynamic compressive properties and energy absorption characteristics of open-cell aluminum alloy foams

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The effects of heat treatment on the dynamic compressive properties and energy absorption characteristics of open cell aluminum alloy foams (Al-Mg-Si alloy foam and Al-Cu-Mg alloy foam) produced by infiltrating process were studied. Two kinds of heat treatment were exploited: age-hardening and solution heat treating plus age-hardening (T6). The split Hopkinson pressure bar (SHPB)was used for high strain rate compression test. The results show that both age-hardened and T6-strengthened foams exhibit improved compression strength and shortened plateau region compared with tnat of foams in as-fabricated state under high strain rate compression,and the energy absorption capacity is also influenced significantly by heat treatment. It is worthy to note that omitting the solution treating can also improve the strength and energy absorbed much.

  5. Impact of Biofield Treatment on Growth and Anatomical Characteristics of Pogostemoncablin (Benth.)

    OpenAIRE

    Trivedi, Mahendra Kumar

    2012-01-01

    Pogostemoncablin is a known aromatic plant which is cultivated for its essential oil widely applicated in perfumery and cosmetic industries. In the present study, the effect of biofield treatment was studied on the growth of P. cablin. For this study an in-vitro culture system was set up in two groups, viz., control and treatment, each of which was derived from three different explant sources, namely leaf, node and petiole. Further these in-vitro plantlets were hardened and transferred to ext...

  6. Birth characteristics in a clinical sample of women seeking infertility treatment: a case–control study

    OpenAIRE

    Vikström, Josefin; Hammar, Mats; Josefsson, Ann; Bladh, Marie; Sydsjö, Gunilla

    2014-01-01

    Objective To determine the distribution of low birth weight (LBW), preterm birth, small for gestational age (SGA) and large for gestational age (LGA) by main cause of infertility (female, combined, male, unexplained) in women seeking infertility treatment. Design A case-control study. Setting A Centre for Reproductive Medicine in Sweden. Participants All women (n=1293) born in Sweden in 1973 or later and who were part of heterosexual couples seeking infertility treatment at a Centre of Reprod...

  7. CHARACTERISTIC OF BINDERLESS COMPLY MADE FROM SENGON WOOD USING OXIDATION TREATMENT

    OpenAIRE

    Suhasman; Yunianti, A.D.; Saad, S.

    2014-01-01

    Comply is one type of composites product that has several advantages including high modulus of rupture and modulus of elasticity. Technology for producing binderless comply has been developed by using oxidation treatment. The treatment was used to produce free radical in chemical component of particle and veneer that can form bond formation between particle or veneer when hot pressing was applicated. Produced comply will free from formaldehyde emission because it was produced without adhesive...

  8. 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

    2016-01-01

    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. PMID:26990264

  9. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Sangjin; Lee, Soonbo; Boo, Jinhyo [Sungkyunkwan Univ., Suwon (Korea, Republic of); Shrestha, Shankar Prasad [Tribhuvan Univ., Kathmandu (Nepal)

    2014-03-15

    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{sub 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{sub 2} flow rate. Resistance changes only slightly with different O{sub 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{sub 2} or N{sub 2} plasma treatments on both polyethylene terephthalate and polyimide substrates lead to increase in sheet resistance.

  11. Evaluation of the Characteristics of the Aluminum Alloy Casting Material by Heat Treatment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Syung Yul; Park, Dong Hyun; Won, Jong Pil; Kim, Yun Hae; Lee, Myung Hoon; Moon, Kyung Man; Jeong, Jae Hyun [Korea Maritime Univ., Busan (Korea, Republic of)

    2012-06-15

    Aluminum is on active metal, but it is well known that its oxide film plays a role as protective barrier which is comparatively stable in air and neutral aqueous solution. Thus, aluminum alloys have been widely applied in architectural trim, cold and hot-water storage vessels and piping etc., furthermore, the aluminum alloy of AC8A have been widely used in mold casting material of engine piston because of its properties of temperature and wear resistance. In recent years, the oil price is getting higher and higher, thus the using of low quality oil has been significantly increased in engines of ship and vehicle. Therefore it is considered that evaluation of corrosion resistance as well as wear resistance of AC8A material is also important to improve its property and prolong its lifetime. In this study, the effect of solution and tempering heat treatment to corrosion and wear resistance is investigated with electrochemical method and measurement of hardness. The hardness decreased with solution heat treatment compared to mold casting condition, but its value increased with tempering heat treatment and exhibited the highest value of hardness with tempering heat treatment temperature at 190 .deg. C for 24hrs. Furthermore, corrosion resistance increased with decreasing of the hardness, and decreased with increasing of the hardness reversely. As a result, it is suggested that the optimum heat treatment to improve both corrosion and wear resistance is tempering heat treatment temperature at 190 .deg. C for 16hrs.

  12. Chronic Inflammatory Demyelinating Polyneuropathy in Children: A Review of Clinical Characteristics and Recommendations for Treatment

    OpenAIRE

    Narges Karimi; Athena Sharifi; Ashraf Zarvani; Hamed Cheraghmakani

    2015-01-01

    Context: Chronic inflammatory demyelinating polyradiculopathy (CIDP) is an acquired and autoimmune neuropathy, characterized by a chronic, rapidly progressive, symmetric weakness. In children, abnormal gait is as a first symptom of muscle weakness. Evidence Acquisition: The diagnosis of CIDP is on the basis of clinical characteristics, electrodiagnostic that shows the severity of the disease, lumbar puncture and spine magnetic res...

  13. Influences of NOM composition and bacteriological characteristics on biological stability in a full-scale drinking water treatment plant.

    Science.gov (United States)

    Park, Ji Won; Kim, Hyun-Chul; Meyer, Anne S; Kim, Sungpyo; Maeng, Sung Kyu

    2016-10-01

    The influences of natural organic matter (NOM) and bacteriological characteristics on the biological stability of water were investigated in a full-scale drinking water treatment plant. We found that prechlorination decreased the hydrophobicity of the organic matter and significantly increased the high-molecular-weight (MW) dissolved organic matter, such as biopolymers and humic substances. High-MW organic matter and structurally complex compounds are known to be relatively slowly biodegradable; however, because of the prechlorination step, the indigenous bacteria could readily utilise these fractions as assimilable organic carbon. Sequential coagulation and sedimentation resulted in the substantial removal of biopolymer (74%), humic substance (33%), bacterial cells (79%), and assimilable organic carbon (67%). Rapid sand and granular activated carbon filtration induced an increase in the low-nucleic-acid content bacteria; however, these bacteria were biologically less active in relation to enzymatic activity and ATP. The granular activated carbon step was essential to securing biological stability (the ability to prevent bacterial growth) by removing the residual assimilable organic carbon that had formed during the ozone treatment. The growth potential of Escherichia coli and indigenous bacteria were found to differ in respect to NOM characteristics. In comparison with E. coli, the indigenous bacteria utilised a broader range of NOM as a carbon source. Principal component analysis demonstrated that the measured biological stability of water could differ, depending on the NOM characteristics, as well as on the bacterial inoculum selected for the analysis. PMID:27376858

  14. Influences of NOM composition and bacteriological characteristics on biological stability in a full-scale drinking water treatment plant.

    Science.gov (United States)

    Park, Ji Won; Kim, Hyun-Chul; Meyer, Anne S; Kim, Sungpyo; Maeng, Sung Kyu

    2016-10-01

    The influences of natural organic matter (NOM) and bacteriological characteristics on the biological stability of water were investigated in a full-scale drinking water treatment plant. We found that prechlorination decreased the hydrophobicity of the organic matter and significantly increased the high-molecular-weight (MW) dissolved organic matter, such as biopolymers and humic substances. High-MW organic matter and structurally complex compounds are known to be relatively slowly biodegradable; however, because of the prechlorination step, the indigenous bacteria could readily utilise these fractions as assimilable organic carbon. Sequential coagulation and sedimentation resulted in the substantial removal of biopolymer (74%), humic substance (33%), bacterial cells (79%), and assimilable organic carbon (67%). Rapid sand and granular activated carbon filtration induced an increase in the low-nucleic-acid content bacteria; however, these bacteria were biologically less active in relation to enzymatic activity and ATP. The granular activated carbon step was essential to securing biological stability (the ability to prevent bacterial growth) by removing the residual assimilable organic carbon that had formed during the ozone treatment. The growth potential of Escherichia coli and indigenous bacteria were found to differ in respect to NOM characteristics. In comparison with E. coli, the indigenous bacteria utilised a broader range of NOM as a carbon source. Principal component analysis demonstrated that the measured biological stability of water could differ, depending on the NOM characteristics, as well as on the bacterial inoculum selected for the analysis.

  15. Characteristics of PAHs adsorption on inorganic particles and activated sludge in domestic wastewater treatment.

    Science.gov (United States)

    Liu, J J; Wang, X C; Fan, B

    2011-05-01

    The occurrence of polycyclic aromatic hydrocarbons (PAHs) in a domestic wastewater treatment plant (WWTP) was investigated in a 1 year period. In order to understand how PAHs were removed at different stages of the treatment process, adsorption experiments were conducted using quartz sand, kaolinite, and natural clay as inorganic adsorbents and activated sludge as organic adsorbent for adsorbing naphthalene, phenanthrene, and pyrene. As a result, the adsorption of PAHs by the inorganic adsorbents well followed the Langmuir isotherm while that by the activated sludge well followed the Freundlich isotherm. By bridging equilibrium partitioning coefficient with the parameters of adsorption isotherm, a set of mathematical models were developed. Under an assumption that in the primary settler PAHs removal was by adsorption onto inorganic particles and in the biological treatment unit it was by adsorption onto activated sludge, the model calculation results fairly reflected the practical condition in the WWTP.

  16. The Pain System in Oesophageal Disorders: Mechanisms, Clinical Characteristics, and Treatment

    Directory of Open Access Journals (Sweden)

    Christian Lottrup

    2011-01-01

    Full Text Available Pain is common in gastroenterology. This review aims at giving an overview of pain mechanisms, clinical features, and treatment options in oesophageal disorders. The oesophagus has sensory receptors specific for different stimuli. Painful stimuli are encoded by nociceptors and communicated via afferent nerves to the central nervous system. The pain stimulus is further processed and modulated in specific pain centres in the brain, which may undergo plastic alterations. Hence, tissue inflammation and long-term exposure to pain can cause sensitisation and hypersensitivity. Oesophageal sensitivity can be evaluated ,for example, with the oesophageal multimodal probe. Treatment should target the cause of the patient's symptoms. In gastro-oesophageal reflux diseases, proton pump inhibitors are the primary treatment option, surgery being reserved for patients with severe disease resistant to drug therapy. Functional oesophageal disorders are treated with analgesics, antidepressants, and psychological therapy. Lifestyle changes are another option with less documentation.

  17. Personality characteristics and disorders in multiple sclerosis patients: assessment and treatment.

    Science.gov (United States)

    Stathopoulou, Anastasia; Christopoulos, Platon; Soubasi, Evanthia; Gourzis, Philippos

    2010-01-01

    Multiple sclerosis (MS) is a major inflammatory and demyelinating disease of the central nervous system. Although a significant incidence and prevalence of psychological disorders in MS has been reported there is limited data on the prevalence of personality disorders (PD) in these patients. Recent findings indicate the need for early diagnosis and treatment of PD in MS patients in the interests of prognosis, conformity to treatment and patient's quality of life improvement. This article summarizes existing evidence on prevalence, types and diagnostic criteria of PD in MS, clinical manifestations of personality pathology or changes in MS patients, and instruments currently used for diagnosis and assessment of PD in this group of patients. Underlying mechanisms suggested as causes of personality changes in MS patients are also discussed. The article reviews therapeutic strategies, including pharmacotherapy and psychotherapy interventions and emphasizes the need for a multidisciplinary approach to patient's treatment.

  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. [Subglottic stenosis in the first year of life. Characteristics and treatment options].

    Science.gov (United States)

    Sittel, C

    2012-07-01

    Subglottic stenosis of congenital origin or acquired within the first 12 months of life are challenging in many aspects. Surgical reconstruction is difficult due to the small anatomic dimensions. Tracheostomy is an additional risk factor attributing to mortality and should be avoided, if possible. In this paper, the most important types of subglottic stenosis in the first year of life are discussed. Conservative, endoscopic, and open surgical treatment options are presented and evaluated. Laryngotracheal reconstruction with autologous thyroid cartilage is the treatment of choice for the majority of significant subglottic stenosis cases in this age group. This technique is comparatively less invasive, versatile, and allows all options for open reconstruction using other techniques in case of recurrent stenosis. Subglottic stenosis in early infancy requires expertise and experience in diagnosis and treatment. Considering the limited incidence, these cases should be managed in a referral center.

  20. [Odor Emission Characteristics from Biochemical Treatment Facilities of Kichen Waste in China].

    Science.gov (United States)

    Zhang, Yan; Wang, Yuan-gang; Lu, Zhi-qiang; Han, Meng; Shang, Xi-bin; Cao, Yan; Zhang, Jun

    2015-10-01

    Xining, Ningbo and Beijing were closen as the representative cities about biochemical treatment of kichen waste. The treatment facilities of these cities were investigated and set as the sampling points. The main compositions and the material contents were analyzed by GC/MS, the odor concertration was obtained by the Triangle odor bag method. The results showed that oxygenated hydrocarbons including alcohol, aldehyde, ketone, ester were higher than others in the odor gases, however, the largest contribution to odor pollution were sulfocompounds and the 2nd materials were terpenes; According to the research of the three enterprises, ethyl alcohol, limonene, sulfuretted hydrogen, methyl mercaptan, dimethyl sulfide, dimethyl disulfide, acetaldehyde and ethyl acetate were likely to be considered as the typical odorants from the biochemical treatment facilities of kichen waste.

  1. 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.

  2. Characteristics and treatment of temporal lobe epilepsy with a history of complicated febrile convulsion

    OpenAIRE

    Kanemoto, K.; Takuji, N.; Kawasaki, J.; Kawai, I.

    1998-01-01

    This study aimed to examine the close correlation between complicated febrile convulsions (CFC) and medial temporal lobe epilepsy and to delineate characteristics of temporal lobe epilepsy with CFC. Patients with temporal lobe epilepsy were divided into those with a prior episode of CFC (n=52), those with febrile convulsions other than CFC, and those witout either (n=345). Clinical constellations, neuroimaging, drug resistance, and effects of temporal lobectomy of the three gro...

  3. Endometrial Serous Carcinoma: Its Molecular Characteristics and Histology-Specific Treatment Strategies

    International Nuclear Information System (INIS)

    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

  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. Analysis of Acupuncture Treatment Characteristics of Epigastric Pain in Ancient Times

    Institute of Scientific and Technical Information of China (English)

    LIU Li-gong; GU Jie; XIAO Yuan-chun

    2005-01-01

    @@ Epigastric pain involves the inflammation, ulcer,spasm and tumor in the stomach, esophagus,diaphragm and the like. The heart, liver, gallbladder and spleen are near to the epigastrium, so the pain associated with these organs is mistakenly taken as epigastric pain. Consequently, some of these organs' disorders are inevitably included in this study. With the help of computer, we have statistically analyzed the information concerning the treatment of epigastric pain by acupuncture in 93 ancient medical books. Results show that 66 pieces of information and 60 acupoints (139 times in frequency) are involved in the treatment of epigastric pain.

  6. Impact of post-harvest radiation treatment timing on shelf life and quality characteristics of potatoes

    OpenAIRE

    Rezaee, Mehdi; ALMASSI, Morteza; MINAEI, Saeed; Paknejad, Farzad

    2011-01-01

    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 not sprouted. T...

  7. Hydration Characteristics and Immobilization of Cr (VI) in Slag Cement-CKD Pastes under Hydrothermal Treatment

    Institute of Scientific and Technical Information of China (English)

    M R Shatat; Gomaa A M Ali; M A Tantawy

    2015-01-01

    The effect of hydrothermal curing regimes on the hydration characteristics of slag cement containing different ratios of cement kiln dust has been studied. The samples for this study were combination of slag cement and cement kiln dust (5%-25%) without and with immobilization of 5% Cr (VI) by mass. Pastes were hydrothermally treated at 180℃ for different periods (2-24 h) in well closed stainless steel capsule. The hydration characteristics of these pastes were studied by measuring the compressive strength, bulk density, total porosity and combined water content. The findings were further supported by XRD and SEM analysis. The results indicated that the hydration characteristics of slag cement paste containing cement kiln dust 10% by mass were enhanced, especially at later ages (24 h) of hydration. That is due to the hydrothermal curing regimes of immobilized pastes accelerating hydration reactions and precipitation of CaCrO4, indicating that Cr (VI) can be solidiifed in the cement paste. This precipitation leads to pore formation in hydrated slag cement pastes.

  8. 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.

  9. Nickel super alloy INCONEL 713LC - structural characteristics after heat treatment

    Directory of Open Access Journals (Sweden)

    A. Hernas

    2007-06-01

    Full Text Available Purpose: Nickel super alloy’s products are mainly using for construction parts of jet engines, gas turbines and turbo-blowers.Design/methodology/approach: Super alloy was commercially produced and was investigated by using the light microscopy (OLYMPUS IX 71 and local chemical microanalysis and by the scanning electron microscopy (JEOL JSM 50AFindings: We found a mode of optimum heat treatment. On the basis of obtained results it is possible to recommend a following regime of heat treatment: heating and dwell at the temperature exceeding 1240 °C (min. 1260 °C, so that precipitates at the grain boundaries dissolve completely, with subsequent slow cooling down to the temperature of approx. 940-950 °C, so that there occurs intensive intra-granular precipitation of intermetallic phase γ’.Research limitations/implications: The experiment was limited by occurrence a void in cast alloys.Practical implications: Nickel super alloy’s products are mainly using for construction parts of jet engines, gas turbines and turbo-blowers.Originality/value: Mode of optimum heat treatment was proposed. On the basis of obtained results it is possible to recommend the most suitable heat treatment, which produce intensive intra-granular precipitation of inter-metallic phase γ’. It was received a new know-how in this field.

  10. 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

    PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteris...

  11. 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...

  12. [The post-discectomy syndrome: clinical and electroneuromyographic characteristics and methods of treatment].

    Science.gov (United States)

    Musaev, A V; Guseĭnova, S G; Musaeva, I R

    2008-01-01

    The data of the Azerbaijan Neurosurgical Center, including 2618 case-reports of patients operated on for low back discal hernia between 1997 and 2002, have been analyzed. The retrospective analysis of the data reveals that 26,4% of patients need further restorative treatment due to the presence of various neurological disturbances: pain syndromes of different intensity, motor deficits (pareses), sensory disorders and functional disorders of pelvic organs. The retrospective analysis of the data reveals that 26,4% of patients need further restorative treatment due to the presence of various neurological disturbances: pain syndromes of different intensity, motor deficits (pareses), sensory disorders and functional disorders of pelvic organs. Along with these data, the results of our own clinical and neurophysiological study of 110 patients have been summarized as well. Along with these data, the results of our own clinical and neurophysiological study of 110 patients have been summarized as well. A high effectiveness of electrostimulation and naphthalan therapy alone and in combination with massage and medical gymnastics has been revealed. A high effectiveness of electrostimulation and naphthalan therapy alone and in combination with massage and medical gymnastics has been revealed. Electroneuromyographic data revealing the positive dynamics as a result of the treatment of patients with the post-discectomy syndrome are presented. Electroneuromyographic data revealing the positive dynamics as a result of the treatment of patients with the post-discectomy syndrome are presented. PMID:18689008

  13. Characteristics of methane and nitrous oxide emissions from the wastewater treatment plant.

    Science.gov (United States)

    Hwang, Kum-Lok; Bang, Cheon-Hee; Zoh, Kyung-Duk

    2016-08-01

    The nitrous oxide (N2O) and methane (CH4) emissions were measured from a municipal wastewater treatment plant (WWTP) using a flux chamber to determine the emission factors. The WWTP treats sewage using both the activated-sludge treatment and anaerobic/anoxic/aerobic (A(2)O) methods. Measurements were performed in the first settling, aeration, and secondary settling basins, as well as in the sludge thickener, sludge digestion tank, and A(2)O basins. The total emission factors of N2O and CH4 from the activated-sludge treatment were 1.256gN2O/kg total nitrogen (TN) and 3.734gCH4/kg biochemical oxygen demand (BOD5), respectively. Those of the advanced treatment (A(2)O) were 1.605gN2O/kg TN and 4.022gCH4/kgBOD5, respectively. These values are applicable as basic data to estimate greenhouse gas emissions.

  14. Characteristics of methane and nitrous oxide emissions from the wastewater treatment plant.

    Science.gov (United States)

    Hwang, Kum-Lok; Bang, Cheon-Hee; Zoh, Kyung-Duk

    2016-08-01

    The nitrous oxide (N2O) and methane (CH4) emissions were measured from a municipal wastewater treatment plant (WWTP) using a flux chamber to determine the emission factors. The WWTP treats sewage using both the activated-sludge treatment and anaerobic/anoxic/aerobic (A(2)O) methods. Measurements were performed in the first settling, aeration, and secondary settling basins, as well as in the sludge thickener, sludge digestion tank, and A(2)O basins. The total emission factors of N2O and CH4 from the activated-sludge treatment were 1.256gN2O/kg total nitrogen (TN) and 3.734gCH4/kg biochemical oxygen demand (BOD5), respectively. Those of the advanced treatment (A(2)O) were 1.605gN2O/kg TN and 4.022gCH4/kgBOD5, respectively. These values are applicable as basic data to estimate greenhouse gas emissions. PMID:27237575

  15. 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

  16. Effect of Atmospheric Pressure Plasma Treatment on Surface Characteristics and Adhesive Bond Quality of Peel Ply Prepared Composites

    Science.gov (United States)

    Tracey, Ashley C.

    The purpose of this research was to investigate if atmospheric pressure plasma treatment could modify peel ply prepared composite surfaces to create strong adhesive bonds. Two peel ply surface preparation composite systems previously shown to create weak bonds (low fracture energy and adhesion failure) that were potential candidates for plasma treatment were Toray T800/3900-2 carbon fiber reinforced polymer (CFRP) prepared with Precision Fabrics Group, Inc. (PFG) 52006 nylon peel ply and Hexcel T300/F155 CFRP prepared with PFG 60001 polyester peel ply. It was hypothesized that atmospheric pressure plasma treatment could functionalize and/or remove peel ply remnants left on the CFRP surfaces upon peel ply removal. Surface characterization measurements and double cantilever beam (DCB) testing were used to determine the effects of atmospheric pressure plasma treatment on surface characteristics and bond quality of peel ply prepared CFRP composites. Previous research showed that Toray T800/3900-2 carbon fiber reinforced epoxy composites prepared with PFG 52006 peel ply and bonded with Cytec MetlBond 1515-3M structural film adhesive failed in adhesion at low fracture energies when tested in the DCB configuration. Previous research also showed that DCB samples made of Hexcel T300/F155 carbon fiber reinforced epoxy composites prepared with PFG 60001 peel ply and bonded with Henkel Hysol EA 9696 structural film adhesive failed in adhesion at low fracture energies. Recent research suggested that plasma treatment could be able to activate these "un-bondable" surfaces and result in good adhesive bonds. Nylon peel ply prepared 177 °C cure and polyester peel ply prepared 127 °C cure CFRP laminates were treated with atmospheric pressure plasma after peel ply removal prior to bonding. Atmospheric pressure plasma treatment was capable of significantly increasing fracture energies and changing failure modes. For Toray T800/3900-2 laminates prepared with PFG 52006 and bonded with

  17. Characteristics, detection methods and treatment of questionable occlusal carious lesions: findings from the national dental practice-based research network.

    Science.gov (United States)

    Makhija, S K; Gilbert, G H; Funkhouser, E; Bader, J D; Gordan, V V; Rindal, D B; Pihlstrom, D J; Qvist, V

    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 consenting patients presented with a QOC, information was recorded about the patient, tooth, lesion and treatments. A total of 2,603 QOC from 1,732 patients were analyzed. The lesions were usually associated with a fissure, on molars, and varied from yellow to black in color. Half presented with a chalky luster and had a rough surface when examined with an explorer. There was an association between color and luster: 10% were chalky-light, 47% were shiny-dark and 42% were mixtures. A higher proportion of chalky than of shiny lesions were light (22 vs. 9%; p < 0.001). Lesions light in color were less common in adults than in pediatric patients (9 vs. 32%; p < 0.001). Lesions that were chalky and light were more common among pediatric than among adult patients (22 vs. 6%; p < 0.001). This is the first study to investigate characteristics of QOC in routine clinical practice. Clinicians commonly face this diagnostic uncertainty. Determining the characteristics of these lesions is relevant when making diagnostic and treatment decisions. PMID:24480989

  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...

  19. Enhancement in characteristics of sewage sludge and anaerobic treatability by electron beam pre-treatment

    International Nuclear Information System (INIS)

    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

  20. Characteristics, Immunological Response & Treatment Outcomes of HIV-2 Compared with HIV-1 & Dual Infections (HIV 1/2) in Mumbai

    OpenAIRE

    Chiara, Montaldo; Rony, Zachariah; Homa, Mansoor; Bhanumati, Varghese; Ladomirska, Joanna; Manzi, M.; Wilson, N; Alaka, Deshpande; Harries, A. D.

    2010-01-01

    Background & objectives: Information available on HIV-2 and dual infection (HIV-1/2) is limited. This study was carried out among HIV positive individuals in an urban referral clinic in Khar, Mumbai, India, to report on relative proportions of HIV-1, HIV-2 and HIV-1/2 and baseline characteristics, response to and outcomes on antiretroviral treatment (ART). Methods: Retrospective analysis of programme data (May 2006-May 2009) at Khar HIV/AIDS clinic at Mumbai, India was done. Three test algori...

  1. 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.

  2. Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study

    DEFF Research Database (Denmark)

    Sokka, Tuulikki; Toloza, Sergio; Cutolo, Maurizio;

    2009-01-01

    remission. Therefore, we aimed to study possible associations of gender and disease activity, disease characteristics, and treatments of RA in a large multinational cross-sectional cohort of patients with RA called Quantitative Standard Monitoring of Patients with RA (QUEST-RA). METHODS : The cohort...... includes clinical and questionnaire data from patients who were seen in usual care, including 6,004 patients at 70 sites in 25 countries as of April 2008. Gender differences were analyzed for American College of Rheumatology Core Data Set measures of disease activity, DAS28 (disease activity score using 28...

  3. 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

    in survival for increasing levels of education and income, and in owners versus renters of housing. A series of regression analyses were used to test potential mediators of the association between the socioeconomic indicators and survival by stepwise inclusion of lifestyle factors (smoking, alcohol intake......, body mass index), comorbidity, stage of disease, mode of admission, type of operation, specialization of the surgeon, and curative versus palliative resection. A causal diagram guided the analyses. Inclusion of comorbidity, and to a lesser extent lifestyle, reduced the variation associated with SES......, while no evidence of a mediating effect was found for disease or surgical treatment factors. This indicates that the difference in survival among colorectal cancer patients from different social groups was probably not caused by unintentional differences in treatment factors related to surgery...

  4. Effect of T6 heat treatment on damping characteristics of Al/RHA composites

    Indian Academy of Sciences (India)

    D Siva Prasad; A Rama Krishna

    2012-11-01

    In the present work, effect of T6 heat treatment on the damping behaviour of aluminum/rice husk ash (RHA) composites fabricated by vortex method was studied using dynamic mechanical analyser (DMA) at frequencies ranging from 1 Hz to 25 Hz at room temperature under three-point bending test mode. The matrix material for the present work was A356.2 and reinforced with different weight % of 4, 6 and 8 rice husk ash particles. It was observed that composite exhibits high damping capacities than unreinforced alloy and increases with increase in weight % and the storage modulus increases with the addition of RHA particles but decreases with the increase in weight %. The heat treated composites exhibit higher damping capacity than the composites without heat treatment and increases with the increase in weight % of the reinforcement and loss in the storage modulus was observed and further decreases with the increase in the weight %of reinforcement. The related mechanisms were also discussed.

  5. Treatment of industrial wastewaters by anaerobic membrane bioreactors: implications of substrate characteristics

    OpenAIRE

    Dereli, R.K.

    2015-01-01

    The success of anaerobic digestion relies on the presence of highly active methanogenic biomass, requiring effective retention of slow growing anaerobic microorganisms inside bioreactor by decoupling the hydraulic retention time (HRT) from solids residence time (SRT) or the employment of long SRTs in fully mixed systems. So far, flow through systems, i.e. completely stirred tank reactor (CSTR) digesters, and granular sludge bed reactors have been commonly applied for anaerobic treatment of sl...

  6. Analyses of the Characteristics of Diarrhea by Acupuncture Treatment in Ancient Times

    Institute of Scientific and Technical Information of China (English)

    LIU Li-gong; GU Jie; XIAO Yuan-chun

    2003-01-01

    The data concerning the treatment of diarrhea by acupuncture in 62 ancient books are computerized and thus show that the ancient acupuncturists primarily used the acupoints of the conception vessel, stomach meridian, bladder meridian, and the foot yin meridians.As to the location, the acupoints on the abdomen, back,exterior side of leg and the hands and feet are used. The common techniques are moxibustion, hot compression,needling, blood letting, navel application and so on.

  7. Studies of the Atomic and Crystalline Characteristics of Ceramic Oxide Nano Powders after Bio field Treatment

    OpenAIRE

    Trivedi, Mahendra; Nayak, Gopal

    2015-01-01

    Transition metal oxides (TMOs) have been known for their extraordinary electrical and magnetic properties. In the present study, some transition metal oxides (Zinc oxide, iron oxide and copper oxide) which are widely used in the fabrication of electronic devices were selected and subjected to biofield treatment. The atomic and crystal structures of TMOs were carefully studied by Fourier transform infrared (FT-IR) spectroscopy and X-ray diffraction (XRD) studies. XRD analysis reveals that biof...

  8. Evaluation of Biofield Energy Treatment on Physical and Thermal Characteristics of Selenium Powder

    OpenAIRE

    Trivedi, Mahendra Kumar

    2015-01-01

    Selenium (Se) is an essential trace element, and its deficiency in the humans leads to increase the risk of various diseases, such as cancer and heart diseases. The objective of this study was to investigate the influence of biofield energy treatment on the physical and thermal properties of the selenium powder. The selenium powder was divided into two parts denoted as control and treated. The Control part was remained as untreated and treated part received Mr. Trivedi’s biofield energy...

  9. Evaluation of Biofield Treatment on Physical, Atomic and Structural Characteristics of Manganese (II, III) Oxide

    OpenAIRE

    Trivedi, Mahendra Kumar

    2015-01-01

    In Mn3O4, the crystal structure, dislocation density, particle size and spin of the electrons plays crucial role in modulating its magnetic properties. Present study investigates impact of Biofield treatment on physical and atomic properties of Mn3O4. X-ray diffraction revealed the significant effect of biofield on lattice parameter, unit cell volume, molecular weight, crystallite sizes and densities of treated Mn3O4. XRD analysis confirmed that crystallinity was enhanced and dislocation dens...

  10. Impact of Biofield Treatment on Atomic and Structural Characteristics of Barium Titanate Powder

    OpenAIRE

    Trivedi, Mahendra; Nayak, Gopal

    2015-01-01

    Barium titanate, perovskite structure is known for its high dielectric constant and piezoelectric properties, which makes it interesting material for fabricating capacitors, transducer, actuator, and sensors. The perovskite crystal structure and lattice vibrations play a crucial role in its piezoelectric and ferroelectric behavior. In the present study, the barium titanate powder was subjected to biofield treatment. Further, the control and treated samples were characterized using X-ray diffr...

  11. 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...

  12. [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.

  13. Distal posterior cerebral artery aneurysms: Retrospective review of characteristics and endovascular treatment

    Energy Technology Data Exchange (ETDEWEB)

    Baek, Jin Wook [Dept. of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Jeong, Bae Woong [Dept. of Diagnostic Radiology, Inje University College of Medicine, Busan Paik Hospital, Busan (Korea, Republic of); Seung, Won Bae [Dept. of Neurosurgery, Kosin University College of Medicine, Gospel Hospital, Busan (Korea, Republic of)

    2016-04-15

    The objective of this study was to review the clinical outcome after treatment of distal posterior cerebral artery (PCA) aneurysms via endovascular approach. Eleven patients with 11 distal PCA aneurysms who were treated via endovascular approach in Inje University Busan Paik Hospital and Kosin University Gospel Hospital from December 2002 to December 2013 were retrospectively reviewed. Among the 11 patients, there were 3 males (27.3%) and 8 females (72.7%). The mean age was 56.6 years (range 44 -72 years) and the mean aneurysm size was 8.45 mm (3 - 30 mm). Four (36.4%) aneurysms were located in the P2 segment, 6 (54.5%) in the P3 segment and 1 (9.1%) in the P1/2 junction. Seven (63.6%) aneurysms were treated with preservation of the parent artery; and the remaining 4 (36.4%) aneurysms were treated with parent artery occlusion. After treatment, the overall complication rate was 27% with the morbidity rate of 9.1% and the mortality rate of 18%. Endovascular treatment of distal PCA aneurysm might be used to minimize neurologic deficit, considering the diverse and rich collaterals of posterior cerebral artery.

  14. Bioactivity and Surface Characteristics of Titanium Implants Following Various Surface Treatments: An In Vitro Study.

    Science.gov (United States)

    Kumar K, Aswini; Bhatt, Vinaya; Balakrishnan, Manilal; Hashem, Mohamed; Vellappally, Sajith; Aziz A Al Kheraif, Abdul; Halawany, Hassan Suliman; Abraham, Nimmi Biju; Jacob, Vimal; Anil, Sukumaran

    2015-10-01

    This study compared the surface topography, hydrophilicity, and bioactivity of titanium implants after 3 different surface treatments (sandblasting and acid etching, modified sandblasting and acid etching, and thermal oxidation) with those of machined implants. One hundred indigenously manufactured threaded titanium implants were subjected to 3 methods of surface treatment. The surface roughness of the nontreated (Group A) and treated samples (Groups B through D) was evaluated with a scanning electron microscope (SEM) and profilometer. The wettability was visually examined using a colored dye solution. The calcium ions attached to the implant surface after immersing in simulated body fluid (SBF) were assessed on days 1, 2, and 7 with an atomic electron spectroscope. The data were analyzed statistically. The SBF test allowed the precipitation of a calcium phosphate layer on all surface-treated samples, as evidenced in the SEM analysis. A significantly higher amount of calcium ions and increased wettability were achieved in the thermally oxidized samples. The mean roughness was significantly lower in Group A (0.85 ± 0.07) compared to Group B (1.35 ± 0.17), Group C (1.40 ± 0.14), and Group D (1.36 ± 0.18). The observations from this in vitro study indicated that surface treatment of titanium improved the bioactivity. Moreover, results identified the implants that were sandblasted, acid etched, and then oxidized attracted more calcium ions. PMID:25105748

  15. 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.

  16. Tuberculosis in hospitalized patients: clinical characteristics of patients receiving treatment within the first 24 h after admission

    Directory of Open Access Journals (Sweden)

    Denise Rossato Silva

    2014-06-01

    Full Text Available Objective: To evaluate clinical characteristics and outcomes in patients hospitalized for tuberculosis, comparing those in whom tuberculosis treatment was started within the first 24 h after admission with those who did not. Methods: This was a retrospective cohort study involving new tuberculosis cases in patients aged ≥ 18 years who were hospitalized after seeking treatment in the emergency room. Results: We included 305 hospitalized patients, of whom 67 (22.0% received tuberculosis treatment within the first 24 h after admission ( ≤24h group and 238 (88.0% did not (>24h group. Initiation of tuberculosis treatment within the first 24 h after admission was associated with being female (OR = 1.99; 95% CI: 1.06-3.74; p = 0.032 and with an AFB-positive spontaneous sputum smear (OR = 4.19; 95% CI: 1.94-9.00; p 24h groups, respectively, the ICU admission rate was 22.4% and 15.5% (p = 0.258; mechanical ventilation was used in 22.4% and 13.9% (p = 0.133; in-hospital mortality was 22.4% and 14.7% (p = 0.189; and a cure was achieved in 44.8% and 52.5% (p = 0.326. Conclusions: Although tuberculosis treatment was initiated promptly in a considerable proportion of the inpatients evaluated, the rates of in-hospital mortality, ICU admission, and mechanical ventilation use remained high. Strategies for the control of tuberculosis in primary care should consider that patients who seek medical attention at hospitals arrive too late and with advanced disease. It is therefore necessary to implement active surveillance measures in the community for earlier diagnosis and treatment.

  17. Revealing microstructural and mechanical characteristics of cold-drawn pearlitic steel wires undergoing simulated galvanization treatment

    International Nuclear Information System (INIS)

    Highlights: ► Annealing time on microstructure and mechanical properties of cold-drawn steel wires were studied. ► Exothermic peak in cold-drawn wire was resulting from the spheroidization of lamellar cementite. ► Spheroidization of lamellar cementite is the main effect for torsion property of wires after annealing. - Abstract: Spheroidization of lamellar cementite often occurs in cold-drawn pearlitic steel wires during galvanizing treatment, leading to the degradation of mechanical properties. Therefore, it is important to understand effects of galvanization process on microstructure and mechanical properties of cold-drawn wires. In this paper, cold-drawn steel wires were fabricated by cold drawing pearlitic steel rods from 13 mm to 6.9 mm in diameter. Thermal annealing at 450 °C was used to simulate galvanizing treatment of steel wires. Tensile strength, elongation and torsion laps of steel rods and wires with, and without, annealing treatment were determined. Microstructure was observed using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). In addition, differential scanning calorimetry (DSC) was used to probe the spheroidization temperature of cementite. Experimental results showed that tensile strength of wires increased from 1780 MPa to 1940 MPa for annealing 10 min. Elongation of wires decreased for annealing 5 min. Tensile strength and elongation of wires were both influenced by the strain age hardening and static recovery processes. Notably, torsion laps of wires hardly changed when annealing time was less than 2.5 min, and then decreased rapidly. Its value became constant when the hold time is greater than 10 min. Lamellar cementite began to spheroidize at annealing >2.5 min, starting at the boundary of pearlitic grains, and moving inward. A broad exothermic peak was found at temperatures between 380 °C and 480 °C, resulting primarily from the spheroidization of lamellar cementite, which is responsible for the

  18. 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

  19. A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics.

    Science.gov (United States)

    Rieckmann, Traci; Moore, Laurie A; Croy, Calvin D; Novins, Douglas K; Aarons, Gregory

    2016-09-01

    American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time. PMID:27431046

  20. 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. PMID:25917290

  1. Early-Stage Breast Cancer in the Octogenarian: Tumor Characteristics, Treatment Choices, and Clinical Outcomes

    Science.gov (United States)

    Mamtani, Anita; Gonzalez, Julie J.; Neo, Dayna; Slanetz, Priscilla J.; Houlihan, Mary Jane; Herold, Christina I.; Recht, Abram; Hacker, Michele R.; Sharma, Ranjna

    2016-01-01

    Background Nodal staging with sentinel node biopsy (SLNB), post-lumpectomy radiotherapy (RT), and endocrine therapy (ET) for estrogen receptor-positive (ER+) tumors is valuable in the treatment of early-stage (stages 1 or 2) breast cancer but used less often for elderly women. Methods This retrospective study investigated women referred for surgical evaluation of biopsy-proven primary early-stage invasive breast cancer from January 2001 to December 2010. Clinicopathologic features, treatment course, and outcomes for women ages 80–89 years and 50–59 years were compared. Results The study identified 178 eligible women ages 80–89 years and 169 women ages 50–59 years. The elderly women more often had grade 1 or 2 disease (p = 0.003) and ER+ tumors (p = 0.007) and less frequently had undergone adjuvant therapies (all p ≤ 0.001). Lumpectomy was performed more commonly for the elderly (92 vs. 83 %, p = 0.02), and axillary surgery was less commonly performed (46 vs. 96 %; p < 0.001). Fewer elderly women had undergone post-lumpectomy RT (42 vs. 89 %; p < 0.001) and ET for ER+ tumors (72 vs. 95 %; p < 0.001). During the median follow-up period of 56 months for the 80- to 89-year old group and 98 months for the 50- to 59-year-old group, death from breast cancer was similar (4 vs. 5 %; p = 0.5). The two groups respectively experienced 7 versus 6 locoregional recurrences and 11 versus 13 distant recurrences. Conclusions The octogenarians had disease survivorship similar to that of the younger women despite less frequent use of adjuvant therapies, likely reflecting lower-risk disease features. Whether increased use of axillary surgery, post-lumpectomy RT, and/or ET for ER+ tumors would further improve outcomes is an important area for further study, but treatment should not be deferred solely on the basis of age. PMID:27364507

  2. Spontaneous Pneumothorax Epidemiologic Characteristics And Treatment Methods In Iranian Patients(1992 - 002

    Directory of Open Access Journals (Sweden)

    Panahi F

    2003-06-01

    Full Text Available Spontaneous pneumothorax is a medical condition that potentially may be dangerous. Although several methods for management of this problem have been propounded, there is a great disagreement among the specialists about how to treat it and when more invasive treatments are indicated."nMaterials and Methods: This study carried out in two phases. In first phase, 26 patients who had admitted to Imam Khomeini hospital from March 20, 1996 to March 19, 2000 and 50 patients admitted to Baqiatallah hospital between March 20, 1992 and March 19, 2002 with the diagnosis of spontaneous pneumothorax were studied retrospectively. In second phase, these patients were followed up."nResults: 39 patients (51.3% had primary spontaneous pneumothorax, 35 patients (46.1% secondary spontaneous pneumothorax and 2 (2.6% neonatal spontaneous pneumothorax. 67 patients were male and 9 patients were female (male to female ratio: 7.5/1. Mean age of the patients was 35±20 years. Age peaks were the age group between 20 to 25 years old and age group more than 60 years old. Conducted treatments were observation in 3.9%, simple aspiration in 2.6%, thoracostomy alone in 81.6%, thoracostomy and chemical pleurodesis in 2.6%, thoracotomy and mechanical pleurodesis in 3.9%, thoracotomy and pleurectomy in 5.3% of cases. Mean duration of hospitalization was 8.9±7.3 days. Relapse of pnemothorax was seen in 36.9% of the followed patients. Mortality was 17.4% and all died patients had secondary spontaneous pneumothorax."nConclusion: It seems that the management of spontaneous pneumothorax should be re-evaluated and the exact indications for conservative or more invasive methods of treatment should be defined.

  3. Impact of post-treatment on the characteristics of electrospun poly (vinyl alcohol)/chitosan nanofibers

    Science.gov (United States)

    Susanto, H.; Samsudin, A. M.; Faz, M. W.; Rani, M. P. H.

    2016-04-01

    Electrospun nanofibers have many advantages such as high porosity, easy to be fabricated in various size and high ratio of surface area to volume. This paper presents the preparation of electrospun PVA/Chitosan nanofibers and more specifically focuses on the effect of post-treatment on the permeability and morphology of electrospun PVA/chitosan nanofibers. The mixtures of various concentrations of PVA (6,7,8 wt%)and 2 wt%.chitosan solution (with the ratio of 3:1)were used in electrospun with a constant rate of 0.7 ml/hour. The post-treatment was conducted by immersing in a ethanol or glutaraldehyde solution to performed crosslink structure. The electrospun PVA/Chitosan nanofiber was characterized by scanning electron microscopy (SEM) and fourier transform infrared (FTIR) spectroscopy. The results revealed that the viscosity of the mixture solution is directly proportional to its concentration. Increasing the viscosity increased the diameter of fiber but also made the larger beads formation. FTIR measurement exhibited the existence of relevant functional groups of both PVA and chitosan in the composites.The crosslinked structure was found for the electrospun PVA/Chitosan nanofibers treated with glutaraldehyde solution.

  4. Neutron leakage treatment in reactor physics. Consequences for predicting core characteristics

    International Nuclear Information System (INIS)

    New generations of simulation tools responding to the challenges brought by the advanced features of both 3rd+ generation Pressurized Water Reactor (PWR) cores and 4th generation sodium fast neutron reactor (SFR) cores are taking shape. The developments of new simulations tools are also motivated by strict requirements of nuclear safety authorities. The new tools have the objective of setting new reference standards for neutronic prediction and will take advantage of innovative algorithms which have been implemented in existing CEA codes, such as ERANOS (fast reactors) and APOLLO2 (PWR); the new codes should at the same time remove remaining calculation errors. Although innovative algorithms have been filling the gaps which did exist 40 years ago between tools specifically dedicated to either thermal neutron cores or fast neutron ones, there remains a series of algorithms which deserve particular attention: the treatment of leakage in cell calculations. This paper describes methods for treating neutron leakage in self-shielding calculations with the sub-group method, and in the cell balance calculation. Applications of the MOC method of solution to treat neutron leakage are described. The application of the MOC can eliminate approximations at the cell interfaces while maintaining precise neutron leakage treatment. The new APOLLO3® code, presently under development at CEA, is candidate for hosting such algorithms. (author)

  5. Impact of post-harvest radiation treatment timing on shelf life and quality characteristics of potatoes

    International Nuclear Information System (INIS)

    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)

  6. Characteristics of MRI features in Alzheimer's disease patients predicting response to donepezil treatment

    International Nuclear Information System (INIS)

    We attempted to investigate whether morphological features as shown on magnetic resonance imaging (MRI) predict response to donepezil treatment in patients with Alzheimer's disease (AD). Sixty-three patients with AD were divided into responders (n=16) and non-responders (n=47) based on the changes in the mini mental state examinations (MMSE) score between baseline and endpoint. Atrophy of the substantia innominata was more pronounced in responders than non-responders. Although no significant difference in the medial temporal lobe atrophy between responders and non-responders was found, magnetization transfer ratios (MTRs) of the hippocampus and parahippocampus, indicators of structural damage, in the non-responder group were significantly reduced compared to those in the responder group. There were no significant differences in the severity of white matter lesions between the two groups. Logistic regression analysis revealed that the overall discrimination rate was 81%, with 85% of non-responders and 69% of responders, through measurement of the thickness of the substantia innominata and MTR of the hippocampus and parahippocampus. These results suggest that AD patients who show more severe cholinergic dysfunction and less severe structural damage of the hippocampus and parahippocampus as shown on MRI are likely to respond to donepezil treatment. (author)

  7. Clinical Characteristics and Treatment Outcome of 485 Patients with Nonfunctioning Pituitary Macroadenomas

    Directory of Open Access Journals (Sweden)

    Guadalupe Vargas

    2015-01-01

    Full Text Available 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.

  8. 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. PMID:24425925

  9. Growth and Photosynthetic Characteristics of Two Strawberry Cultivars in Response to Furostanol Glycosides Treatments

    Directory of Open Access Journals (Sweden)

    Raluca Petronela CĂULEŢ

    2013-05-01

    Full Text Available Furostanol glycosides represent a large group of steroid compounds of plant origin with a broad spectrum of biological activities (anabolic, antioxidant, anti-fungal and nematicidal. Most of the research exhibits this effect in stress induced response on different pathogen attacks and only a few studies show the effect of glycoside on plants growth and development. In order to investigate the effects of furostanol glycoside treatment on rooting, growth performance and photosynthetic system efficiency, young unrooted strawberry plants (cv. ‘Real’ and ‘Magic’ were immersed in different concentrations (0.03 mM, 0.3 mM, 3 mM of G1 solution (glycoside extracted from Lycopersicon sp. and G2 (extracted from Digitalis sp. and morphometric parameters were determined. The results showed that immersion in 0.3 mM glycoside solution improved the quality of strawberry planting material by increasing the number and length of roots, as well as by stimulating formation of new leaves. Moreover, the influence of foliar spraying with G1 and G2 on plants growth, assimilator pigments content and photosynthesis was determined. Foliar spraying with both glycosides solutions improved radicular growth and development, but dimensions of foliar apparatus increased only in G1 treated variants. Although both glycoside treatments induced an increase in assimilator pigments content, photosynthetic rate decreased as a consequence of stomatal limitations associated with better efficiency of water use and of internal CO2, which suggests that these chemicals may have an antitranspirant action.

  10. 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

    2015-01-01

    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

  11. Review of thermo-physical properties, wetting and heat transfer characteristics of nanofluids and their applicability in industrial quench heat treatment

    Directory of Open Access Journals (Sweden)

    Ramesh Gopalan

    2011-01-01

    Full Text Available Abstract The success of quenching process during industrial heat treatment mainly depends on the heat transfer characteristics of the quenching medium. In the case of quenching, the scope for redesigning the system or operational parameters for enhancing the heat transfer is very much limited and the emphasis should be on designing quench media with enhanced heat transfer characteristics. Recent studies on nanofluids have shown that these fluids offer improved wetting and heat transfer characteristics. Further water-based nanofluids are environment friendly as compared to mineral oil quench media. These potential advantages have led to the development of nanofluid-based quench media for heat treatment practices. In this article, thermo-physical properties, wetting and boiling heat transfer characteristics of nanofluids are reviewed and discussed. The unique thermal and heat transfer characteristics of nanofluids would be extremely useful for exploiting them as quench media for industrial heat treatment.

  12. Review of thermo-physical properties, wetting and heat transfer characteristics of nanofluids and their applicability in industrial quench heat treatment.

    Science.gov (United States)

    Ramesh, Gopalan; Prabhu, Narayan Kotekar

    2011-04-14

    The success of quenching process during industrial heat treatment mainly depends on the heat transfer characteristics of the quenching medium. In the case of quenching, the scope for redesigning the system or operational parameters for enhancing the heat transfer is very much limited and the emphasis should be on designing quench media with enhanced heat transfer characteristics. Recent studies on nanofluids have shown that these fluids offer improved wetting and heat transfer characteristics. Further water-based nanofluids are environment friendly as compared to mineral oil quench media. These potential advantages have led to the development of nanofluid-based quench media for heat treatment practices. In this article, thermo-physical properties, wetting and boiling heat transfer characteristics of nanofluids are reviewed and discussed. The unique thermal and heat transfer characteristics of nanofluids would be extremely useful for exploiting them as quench media for industrial heat treatment.

  13. Characteristics of meso-particles formed in coagulation process causing irreversible membrane fouling in the coagulation-microfiltration water treatment.

    Science.gov (United States)

    Ding, Q; Yamamura, H; Murata, N; Aoki, N; Yonekawa, H; Hafuka, A; Watanabe, Y

    2016-09-15

    In coagulation-membrane filtration water treatment processes, it is still difficult to determine the optimal coagulation condition to minimize irreversible membrane fouling. In microfiltration (MF), meso-particles (i.e., 20 nm-0.5 μm) are thought to play an important role in irreversible membrane fouling, especially their characteristics of particle number (PN) and zeta potential (ZP). In this study, a new nanoparticle tracker combined a high-output violet laser with a microscope was developed to identify the physicochemical characteristics of these microscopic and widely dispersed meso-particles. The effects of pH and coagulant dose on ZP and PN of micro-particles (i.e., >0.5 μm) and meso-particles were investigated, and then coagulation-MF tests were conducted. As the result, irreversible membrane fouling was best controlled for both types of membranes, while meso-particle ZP approached zero at around pH 5.5 for both types of natural water. Since PN was greatest under these conditions, ZP is more important in determining the extent of irreversible membrane fouling than PN. However, the acidic condition to neutralize meso-particles is not suitable for actual operation, as considering residual aluminum concentration, pipe corrosion, and chlorination efficiency. It is therefore necessary to investigate coagulants or other methods for the appropriate modification of meso-particle characteristics.

  14. Effects of Al interlayer coating and thermal treatment on electron emission characteristics of carbon nanotubes deposited by electrophoretic method

    Science.gov (United States)

    2014-01-01

    The effects of aluminum (Al) interlayer coating and thermal post-treatment on the electron emission characteristics of carbon nanotubes (CNTs) were investigated. These CNTs were deposited on conical-shaped tungsten (W) substrates using an electrophoretic method. The Al interlayers were coated on the W substrates via magnetron sputtering prior to the deposition of CNTs. Compared with the as-deposited CNTs, the thermally treated CNTs revealed significantly improved electron emission characteristics, such as the decrease of turn-on electric fields and the increase of emission currents. The observations of Raman spectra confirmed that the improved emission characteristics of the thermally treated CNTs were ascribed to their enhanced crystal qualities. The coating of Al interlayers played a role in enhancing the long-term emission stabilities of the CNTs. The thermally treated CNTs with Al interlayers sustained stable emission currents without any significant degradation even after continuous operation of 20 h. The X-ray photoelectron spectroscopy (XPS) study suggested that the cohesive forces between the CNTs and the underlying substrates were strengthened by the coating of Al interlayers. PMID:24959105

  15. Characteristic occurrence patterns of micropollutants and their removal efficiencies in industrial wastewater treatment plants.

    Science.gov (United States)

    Lee, In-Seok; Sim, Won-Jin; Kim, Chang-Won; Chang, Yoon-Seok; Oh, Jeong-Eun

    2011-02-01

    The concentrations and removal efficiencies of various kinds of micropollutants were investigated and the relationships between the input sources of industrial wastewater and occurrence patterns of each micropollutant were identified at nine on-site industrial wastewater treatment plants (WWTPs). The distribution pattern of each compound varied according to the WWTP type and several micropollutants were significantly related with specific industries: chlorinated phenols (ClPhs) with paper and metal industries, polycyclic aromatic hydrocarbons (PAHs) with petrogenic- and pyrogenic-related industries, polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) with the paper industry, and chlorinated benzenes (ClBzs) with dye-related industries. The activated sludge (AS) process was very efficient in the removal of ClPhs and PAHs, and the filtration process in the removal of PCDD/Fs and 1,4-dioxane. Generally, the removal efficiencies of each micropollutant varied according to the WWTP type. PMID:21140016

  16. Characteristics and treatment of headache after traumatic brain injury: a focused review.

    Science.gov (United States)

    Lew, Henry L; Lin, Pei-Hsin; Fuh, Jong-Ling; Wang, Shuu-Jiun; Clark, David J; Walker, William C

    2006-07-01

    Headache is one of the most common complaints in patients with traumatic brain injury. By definition, headache that develops within 1 wk after head trauma (or within 1 wk after regaining consciousness) is referred to as posttraumatic headache (PTH). Although most PTH resolves within 6-12 mos after injury, approximately 18-33% of PTH persists beyond 1 yr. We performed a systematic literature review on this topic and found that many patients with PTH had clinical presentations very similar to tension-type headache (37% of all PTH) and migraine (29% of all PTH). Although there is no universally accepted protocol for treating PTH, many clinicians treat PTH as if they were managing primary headache. As a result of the heterogeneity in the terminology and paucity in prospective, well-controlled studies in this field, there is a definite need for conducting double-blind, placebo-controlled treatment trials in patients with PTH. PMID:16788394

  17. Influencing effect of heat-treatment on radon emanation and exhalation characteristic of red mud

    International Nuclear Information System (INIS)

    The reuse of industrial by-products is important for members of numerous industrial sectors. However, though the benefits of reuse are evident from an economical point of view, some compounds in these materials can have a negative effect on users' health. In this study, the radon emanation and exhalation features of red mud were surveyed using heat-treatment (100–1200 °C). As a result of the 1200°C-treated samples, massic radon exhalation capacity reduced from 75 ± 10 mBq kg−1 h−1 to 7 ± 4 mBq kg−1 h−1, approximately 10% of the initial exhalation rate. To find an explanation for internal structural changes, the porosity features of the heat-treated samples were also investigated. It was found that the cumulative pore volume reduced significantly in less than 100 nm, which can explain the reduced massic exhalation capacity in the high temperature treated range mentioned above. SEM snapshots were taken of the surfaces of the samples as visual evidence for superficial morphological changes. It was found that the surface of the high temperature treated samples had changed, proving the decrement of open pores on the surface. - Highlights: • The radon exhalation depends on the heat-treatment temperature. The 1200 °C treated samples has only 10% radon exhalation of the initial. • A strong correlation was found between the porosity and the radon emanation and exhalation features. • Despite these promising results certain components can have an effect on one another, which in turn can cause harmful final structure

  18. Characteristics and treatment of temporal lobe epilepsy with a history of complicated febrile convulsion.

    Science.gov (United States)

    Kanemoto, K; Takuji, N; Kawasaki, J; Kawai, I

    1998-02-01

    This study aimed to examine the close correlation between complicated febrile convulsions (CFC) and medial temporal lobe epilepsy and to delineate characteristics of temporal lobe epilepsy with CFC. Patients with temporal lobe epilepsy were divided into those with a prior episode of CFC (n=52), those with febrile convulsions other than CFC, and those without either (n=345). Clinical constellations, neuroimaging, drug resistance, and effects of temporal lobectomy of the three groups were compared. A close association between CFC and temporal lobe epilepsy was confirmed. The salient features of temporal lobe epilepsy with CFC were early age at onset of habitual seizures (about 10 years), the predominance of autonomic auras, and a high incidence of MRI evidence of unilateral medial temporal sclerosis. Patients with temporal lobe epilepsy with prior CFC had an excellent outcome after surgery, by contrast with an unfavourable response to drug therapy. The surgical results were discouraging in patients with temporal lobe epilepsy without history of any febrile convulsions and without solid brain tumours. These results indicate surgical intervention as the choice of therapy in a substantial number of patients with temporal lobe epilepsy with a history of CFC. PMID:9489540

  19. 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)

  20. Toxicity characteristic leaching procedure and iron treatment of brass foundry waste.

    Science.gov (United States)

    Kendall, Douglas S

    2003-01-15

    The Toxicity Characteristic Leaching Procedure (TCLP) is used by the United States Environmental Protection Agency to determine if wastes contain extractable components subject to hazardous waste regulations. This paper examines the limitations of the TCLP and the way it is used by studying a particular example. Waste casting sand from brass foundries to which iron metal has been added passes the TCLP test but when placed in a landfill for several years may start to leach lead, copper, and zinc. Results of TCLP tests of waste sand alone and with the additives iron metal, zinc metal, hydrous ferric oxide, and hematite are reported. Three processes were studied: reduction by metallic iron, sorption by hydrous ferric oxide, and precipitation of hydroxides. Lead, copper, and zinc behave differently with respect to these three processes, and their measurement allows some deductions as to what is occurring in a TCLP test or a landfill. Iron addition does not result in long-term stabilization of a waste placed in the ground. The chemistry of a laboratory extraction can be very different from the chemistry of a waste placed in the environment. Wastes that are treated to pass the TCLP test, but are not permanently stabilized, are a threat to the environment. PMID:12564910

  1. Clinicopathologic characteristics and treatment of marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma).

    Science.gov (United States)

    Raderer, Markus; Kiesewetter, Barbara; Ferreri, Andrés J M

    2016-01-01

    Extranodal marginal zone lymphoma of the mucosa-associated lymphoid tissue (MALT lymphoma) accounts for 7% to 8% of newly diagnosed lymphomas. Because of its association with infectious causes, such as Helicobacter pylori (HP) or Chlamydophila psittaci (CP), and autoimmune diseases, it has become the paradigm of an antigen-driven malignancy. MALT lymphoma usually displays an indolent course, and watch-and-wait strategies are justified initially in a certain percentage of patients. In patients with gastric MALT lymphoma or ocular adnexal MALT lymphoma, antibiotic therapy against HP or CP, respectively, is the first-line management of choice, resulting in lymphoma response rates from 75% to 80% after HP eradication and from 33% to 65% after antibiotic therapy for CP. In patients who have localized disease that is refractory to antibiotics, radiation is widely applied in various centers with excellent local control, whereas systemic therapies are increasingly being applied, at least in Europe, because of the potentially systemic nature of the disease. Therefore, the objective of this review is to briefly summarize the clinicopathologic characteristics of this distinct type of lymphoma along with current data on management strategies. PMID:26773441

  2. [Spectral Characteristics of Dissolved Organic Matters in Reject Water from Wastewater Treatment Plants].

    Science.gov (United States)

    Niu, Tian-hao; Zhou, Zhen; Hu, Da-long; Wei, Hai-juan; Li, Jing; Dou, Wei-xiao; Ge, Hong-hua

    2016-04-15

    Reject water generated from sludge thickening, dewatering and stabilization process contains high-content and complex dissolved organic matters (DOM). The spectral characteristics of DOM in the reject water were investigated by three-dimensional excitation-emission matrix and Fourier transform infrared spectroscopy. Fluorescent DOM (FDOM) from reject water were decomposed into six components by parallel factor analysis, the protein-like C1 (275/355 nm), C4 (235/350 nm) and C6 (275/305 nm) and the humic-like C2 (250, 340/440 nm) , C3 (320/380 nm) and CS (250/465 nm). Soluble COD in the sludge thickening reject water was positively correlated with all the three humic-like substances at P < 0.01 level, and was insignificantly influenced by protein-like substances. The tryptophan-like C1, C4 and humic-like CS increased in the centrifugal dewatering reject water (CDRW). FDOM in the advanced dewatering reject water (ADRW) were significantly different from those of other reject water in fluorescence peak locations and intensities, and humic-like C3 and tyrosine-like C6 in the DOM were 15.63 and 7.30 times higher than those in CDRW. Compared to sludge thickening reject water, infrared peaks related to polysaccharide and humic substances in CDRW were enhanced and massive proteins were released into ADRW. DOM structures in ADRW were changed owing to the complexation between metals and both humic substances and proteins. PMID:27548969

  3. Petrogenetic characteristics of molten slag from the pyrolysis/melting treatment of MSW.

    Science.gov (United States)

    Saffarzadeh, Amirhomayoun; Shimaoka, Takayuki; Motomura, Yoshinobu; Watanabe, Koichiro

    2009-03-01

    MSW slag materials derived from four pyrolysis melting plants in Japan were studied from the viewpoint of petrology in order to discriminate the glass and mineral phases and to propose a petrogenetic model for the formation process of molten slag. Slag material is composed of two major components: melt and refractory products. The melt products that formed during the melting process comprise silicate glass, and a suite of minerals as major constituents. The silicate glass is essentially composed of low and high silica glass members (typically 30% and 50% of SiO(2), respectively), from which minerals such as spinels, melilite, pseudowollastonite, and metallic inclusions have been precipitated. The refractory products consist mainly of pieces of metals, minerals and lithic fragments that survived through the melting process. Investigations demonstrated that the low silica melts (higher Ca and Al contents) were produced at upper levels of high temperature combustion chamber HTCC, at narrower temperature ranges (1250-1350 degrees C), while the high silica melts formed at broader temperature ranges (1250-1450 degrees C), at the lower levels of HTCC. The recent temperature ranges were estimated by using CaOAl(2)O(3)SiO(2) (CAS) ternary liquidus diagram that are reasonably consistent with those reported for a typical combustor. It was also understood that the samples with a higher CaO/SiO(2) ratio (>0.74-0.75) have undergone improved melting, incipient crystallization of minerals, and extensive homogenization. The combined mineralogical and geochemical examinations provided evidence to accept the concept of stepwise generation of different melt phases within the HTCC. The petrogenesis of the melt products may therefore be described as a two-phase melt system with immiscible characteristics that have been successively generated during the melting process of MSW. PMID:18922688

  4. TO DETERMINATION OF INFLUENCE FOR VARIATIONS IN LASER TREATMENT MODES ON TRIBOLOGICAL CHARACTERISTICS OF CUTTING TOOL

    Directory of Open Access Journals (Sweden)

    O. V. Diachenko

    2016-01-01

    Full Text Available The paper considers problems pertaining to higher durability and reliability of a cutting tool for cutting gastronomic products while using laser processing that leads to resistance increase of material operating surfaces against impact forces. Influence of laser fusion with additional doping on structure, microhardness, wear resistance for adhesive coatings of Fe–B–Cr–Si system has been studied in the paper. In order to solve a problem for selection of optimal qualitative and subsequently quantitative composition of a multi-component coating a mathematical modeling method using Scheffe’s simplex lattices has been used in the paper. Similar tendency for measuring micro-structure of all adhesive coatings fused by laser beams has been established in the paper. Increase in beam speed has caused the following microstructure changes: cast equilibrium, dendrite, supersaturated boride, carbide and boride. Response surface models have been found and they provide the possibility to assess influence quantity of laser processing parameters on microhardness of adhesive coatings obtained by laser doping and intensity of their wear under various conditions for all investigated compositions.It has been ascertained that there is no strict correlation between hardness and intensity of coating wear after laser doping used for adhesive coatings. This testifies to the fact that hardening has taken place not only due to an increase of carbide-boride phase, but also due to matrix hardening.In addition, a regression model for coating composition effect on tribological characteristics of the adhesive coatings has revealed that an optimal composition of a multicomponent coating ensuring maximum wear resistance of coatings constitutes B4C is 2/3 and 1/3 TaB. It has been determined that hardening of the adhesive coating after laser doping while using multicomponent coating occurs not only due to increase of carbide-boridnoy phase, but also due to matrix hardening.

  5. 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.

  6. Characteristics of Au/PZT/TiO2/Nitride/Si structure capacitors with ICP nitride treatments

    International Nuclear Information System (INIS)

    In this study, the characteristics of PZT/TiO2 ferroelectric gate stack capacitors with Inductively Coupled Plasma (ICP) nitridation were investigated for field effect transistor (FET)-type Ferroelectric Random Access Memory (FeRAM) applications. If a high accumulation capacitance is to be had, the ICP nitridation time needs to be optimized. While a short ICP treatment time results in thermal oxide growth due to lack of nitrogen, a long nitridation time causes a nitride layer which is too thick. Au/PZT(200 nm)/TiO2(40 nm)/Nitride/Si (MeFINS) structure capacitors show a memory window (ΔV) of 1.6 V under ±3-V operation while Au/PZT(200 nm)/TiO2(40 nm)/Si (MeFIS) capacitors without nitride treatment exhibit a small memory window of 0.6 V. At the same time, the capacitance of the MeFINS device is almost twice that of the MeFIS capacitor. This result implies that the ICP nitride treatment suppresses the formation of a low dielectric constant interfacial SiOx layer and alleviates the series capacitance problem

  7. Characteristics of Au/PZT/TiO{sub 2}/Nitride/Si structure capacitors with ICP nitride treatments

    Energy Technology Data Exchange (ETDEWEB)

    Min, Hyung Seob; Kim, Tae Ho; Jeon, Chang Bae; Lee, Jae Gab; Kim, Ji Young [Kookmin Univ., Seoul (Korea, Republic of)

    2002-01-01

    In this study, the characteristics of PZT/TiO{sub 2} ferroelectric gate stack capacitors with Inductively Coupled Plasma (ICP) nitridation were investigated for field effect transistor (FET)-type Ferroelectric Random Access Memory (FeRAM) applications. If a high accumulation capacitance is to be had, the ICP nitridation time needs to be optimized. While a short ICP treatment time results in thermal oxide growth due to lack of nitrogen, a long nitridation time causes a nitride layer which is too thick. Au/PZT(200 nm)/TiO{sub 2}(40 nm)/Nitride/Si (MeFINS) structure capacitors show a memory window ({delta}V) of 1.6 V under {+-}3-V operation while Au/PZT(200 nm)/TiO{sub 2}(40 nm)/Si (MeFIS) capacitors without nitride treatment exhibit a small memory window of 0.6 V. At the same time, the capacitance of the MeFINS device is almost twice that of the MeFIS capacitor. This result implies that the ICP nitride treatment suppresses the formation of a low dielectric constant interfacial SiO{sub x} layer and alleviates the series capacitance problem.

  8. 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.)

  9. 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

  10. 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.

  11. Characteristics of materials and thermal treatments applied to gearwheels obtained by plastic deformation

    Science.gov (United States)

    Bostan, I.; Dulgheru, V.; Trifan, N.

    2016-08-01

    A variety of materials are used in the manufacture of gearwheels. These materials satisfy various working conditions for gears. Such gears are made of metallic materials - ferrous, non-ferrous and from plastic materials. Among ferrous materials the following are used: irons; cast, forged and rolled steels; among non-ferrous materials the following are used: bronze, aluminium alloys, brass, etc., and of plastics the following are used: textolite, polyamide, polyacetal. In the practice of exploitation and in the process of special research it was established that the permissible load, according to teeth contact resistance, is generally determined by the hardness of the material. The highest hardness and respectively, the smallest sizes and reduced mass of the transmission can be obtained in the manufacture of steel gears via thermal treatment. It is obvious that by plastic deformation at cold it cannot be obtained gearwheels with complicated configuration as deformed plastic metal will form cracks caused by low plasticity. To improve processability by plastic deformation the mouldings for gearwheels are heated. With increasing the heating temperature, plasticity increases and resistance to deformation decreases.

  12. [Source emission characteristics and impact factors of volatile halogenated organic compounds from wastewater treatment plant].

    Science.gov (United States)

    He, Jie; Wang, Bo-Guang; Liu, Shu-Le; Zhao, De-Jun; Tang, Xiao-Dong; Zou, Yu

    2011-12-01

    A low enrichment method of using Tenax as absorbent and liquid nitrogen as refrigerant has been established to sample the volatile halogenated organic compounds in Guangzhou Liede municipal wastewater treatment plant as well as its ambient air. The composition and concentration of target halogenated hydrocarbons were analyzed by combined thermal desorption/GC-MS to explore its sources profile and impact factors. The result showed that 19 halogenated organic compounds were detected, including 11 halogenated alkanets, 3 halogenated alkenes, 3 halogenated aromatic hydrocarbons and 2 haloesters, with their total concentrations ranged from 34.91 microg x m(-3) to 127.74 microg x m(-3) and mean concentrations ranged from n.d. to 33.39 microg x m(-3). Main pollutants of the studied plant were CH2Cl2, CHCl3, CFC-12, C2H4Cl2, CFC-11, C2HCl3 and C2Cl4, they came from the wastewater by volatilization. Among the six processing units, the dehydration room showed the highest level of halogenated organic compounds, followed by pumping station, while the sludge thickener was the lowest. The emissions from pumping station, aeration tank and biochemical pool were significantly affected by temperature and humidity of environment. PMID:22468521

  13. Clinicopathological Characteristics and Surgical Treatment Analysis for Gastric Carcinoma in Stage Ⅲ

    Institute of Scientific and Technical Information of China (English)

    HuonlongQin; ChaohongLin

    2004-01-01

    OBJECTIVE To study the clinicopathological and surgical treatment ofgastric carcinoma in stage Ⅲ.METHODS A total of 484 cases ot gastric carcfnoma were treateo with different methods and their efficacy evaluated. These included 114 and 102 cases with D2 and D3 lymphadenectomy, respectively, 48 with intraoperative radiation therapy (IQRT) and 18 with peritoneal infusingchemotherapy combined with TIL.RESULTS The total rate of lymph nodes metastasis (LNM) was 79.5% (384/484) and the degree of LNM 41.2% (4169/10121). The incidence of LNM of N1, N2, N3 and N4 was 68.8%, 34.6%, 19.6% and 3.5%, respectively. The rate of serosa linking to peripheral tissues or organs was 23.15% (112/484) including 12.5% cancerous linkage. The survival rates for patients treated with D3 lymphadenectomy at 1 -, 3- 5- 8- and 10-years were significantlyhigher than that for D2 lymphadenectomy. The 5-year survival rate with application of IORT increased remarkably compared to the operation-alone group. Peritoneal lavage with 2000 ml of 43~C distilled water before closure of the abdominachemotherapy withmetastasis.ncision and postoperative peritoneal infusing TIL significantly decreased the rate of peritonea metastasis.CONCLUSION Due to the specificity of gastric carcinoma in stage Ⅲ, the surgical principles are to perform an extensive radical operation, in combination with IORT plus different peritoneal infusing therapy to improve the long term survival rate.

  14. Occurrence of Legionella in wastewater treatment plants linked to wastewater characteristics.

    Science.gov (United States)

    Caicedo, C; Beutel, S; Scheper, T; Rosenwinkel, K H; Nogueira, R

    2016-08-01

    In recent years, the occurrence of Legionella in wastewater treatment plants (WWTP) has often been reported. However, until now there is limited knowledge about the factors that promote Legionella's growth in such systems. The aim of this study was to investigate the chemical wastewater parameters that might be correlated to the concentration of Legionella spp. in WWTP receiving industrial effluents. For this purpose, samples were collected at different processes in three WWTP. In 100 % of the samples taken from the activated sludge tanks Legionella spp. were detected at varying concentrations (4.8 to 5.6 log GU/mL) by the quantitative real-time polymerase chain reaction method, but not by the culture method. Statistical analysis with various parameters yielded positive correlations of Legionella spp. concentration with particulate chemical oxygen demand, Kjeldahl nitrogen and protein concentration. Amino acids were quantified in wastewater and activated sludge samples at concentrations that may not support the growth of Legionella, suggesting that in activated sludge tanks this bacterium multiplied in protozoan hosts. PMID:27376367

  15. 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.

  16. Patient characteristics, treatment and survival in pulmonary carcinoid tumours: an analysis from the UK National Lung Cancer Audit

    Science.gov (United States)

    Hobbins, Stephanie; West, Doug; Peake, Michael; Beckett, Paul; Woolhouse, Ian

    2016-01-01

    Objectives Pulmonary carcinoid (PC) is a rare tumour with good prognosis following surgical resection. However, little is known regarding patient characteristics and use of other treatments modalities. Our objective was to review patient characteristics, treatment and survival for patients with PC and contrast these results with other forms of non-small cell lung cancer (NSCLC). Setting Audit data from UK National Lung Cancer Audit (NLCA) 2008–2013. Participants 184 906 lung cancer cases were submitted to the NLCA. Outcome measures Primary outcome—survival rates between PC and NSCLC. Secondary outcome—differences in performance status, lung function and treatment modality between PC and NSCLC. Results PC histology was recorded in 1341 (0.73%) patients and non-carcinoid NSCLC histology in 162 959 (87.4%) cases. 91% of patients with PC had good performance status (Eastern Cooperative Oncology Group (ECOG) 0–1), compared with only 53% of NSCLC. 66% of PC had localised disease. Of all PC cases, 77% were treated with surgery, 6.2% received chemotherapy and 3.6% received radiotherapy, with the remainder treated with best supportive care. Overall 1-year and 3-year survival rates for PC were 92% and 84.7%, respectively. In contrast, 1-year and 3-year survival rates for NSCLC were 36.2% and 15.6%, However, 3-year survival for PC markedly decreased with worsening performance status and advanced disease to 23.8% for performance status ECOG 3–4 and 33.6% for stage IV disease. Conclusions In contrast to other forms of NSCLC, the majority of patients with PC present with good performance status, preserved lung function and early stage disease amenable to surgical resection. However, 1 in 5 patients with PC has metastatic disease which is associated with poor prognosis, as is poor performance status at presentation. We believe these data will help clinicians provide accurate prognostic predictions stratified according to patient characteristics at presentation, as

  17. Evaluation of characteristics on titanium surface treatment for absorption of functional groups

    Institute of Scientific and Technical Information of China (English)

    JIN Guang-chun; PARK Rl-song; PARK Hyeoung-ho; SEO Jae-min; LEE Sook-jeong; LEE Min-ho

    2010-01-01

    Background In order to bind or fix bioactive materials directly to the surface of a Ti implant, the prior binding process of functional groups (FGs, -COOH and -OH) to the implant surface is necessary. Conventional binding processes are so high-cost and complex, so it is essential to find a simple and effective procedure for Ti-FG binding.Methods Various electrolyte compositions and electrochemical processing were adopted in this study to develop a relatively simple and effective Ti-FG binding process. The ability of Ti-FG binding and calcium (Ca)/phosphorous (P)absorption and corrosion resistance were evaluated according to various titanium surface treatment in electrolyte involving -COOH and -OH ion by using X ray photoelectron spectroscopy (XPS), field emission scanning electron microscope (FE-SEM) and potentiodynamic scan method respectively.Results In cases of -COOH, the anodic oxidation process (AN) showed an effective binding ability between -COOH and Ti surface. On the other hand, in cases of -OH, there were no significant differences in the result between the conditions used. In regard to the absorption of Ca and P on Ti surface, there was a minimal amount of Ca absorbed but no P was absorbed. The anodic oxidation series showed homogenous corrosion, whereas the electrolyte immersion (EL)series showed unstable corrosion. Although EL-OH showed a novel corrosion potential, the EL-COOH series showed good corrosion resistance over the anodic potential range.Conclusions The ability of binding between FG and the Ti surface and Ca/P absorption were strongly associated with the surface potential (ξ, potential), which was dependent on the pH of the electrolyte. Accordingly, in order to achieve the effective absorption of various FGs on the Ti surface, it is needed to develop the combination process in addition to the electric affinity, relation with the ξ, potential.

  18. Patient Characteristics and Prescribing Patterns Associated with Sofosbuvir Treatment for Chronic HCV Infection in a Commercially Insured Population

    Science.gov (United States)

    Tambourine, Brent M.; Sadeghi, Arash; Yang, Jianing; Stockl, Karen M.; Lew, Heidi C.; Solow, Brian K.; Tran, Josephine N.

    2016-01-01

    Background In December 2013, the US Food and Drug Administration (FDA) approved sofosbuvir (Sovaldi) for the treatment of patients with chronic hepatitis C virus (HCV) infection. Given the potential “warehousing” of patients before the launch of sofosbuvir and the possibility that some patients and providers may have elected to continue deferring treatment in anticipation of more promising, interferon-free therapies in the pipeline, the early landscape for sofosbuvir treatment is difficult to ascertain. Objective To describe the demographics, clinical characteristics, and prescribing patterns associated with members requesting treatment with sofosbuvir in a commercially insured population in the United States. Methods A descriptive analysis was conducted using a randomly selected sample of commercially insured members who were identified as having a prior authorization request for sofosbuvir between March and June 2014. Member and provider characteristics, as well as treatment information, were collected using a prior authorization database from OptumRx, a national pharmacy care services company. The results were analyzed using descriptive statistics. Results A total of 338 members were selected for inclusion in the analysis. Chronic HCV genotype 1 infection was present in 74.3% of the members. Chronic HCV genotype 2, 3, or 4 was identified in 13.9%, 9.5%, and 1.2% of the members, respectively. Gastroenterologists and hepatologists accounted for 90% of providers. Among the 251 members with chronic HCV genotype 1, an interferon-free regimen was requested for 59.4% (N = 149) of them; the most frequently requested (51.4%) regimen for members with chronic HCV genotype 1 was the off-label combination of sofosbuvir plus simeprevir. Of the members with chronic HCV genotype 1, 19.1% had liver fibrosis equivalent to METAVIR stage F0 to F2 fibrosis, and 24.7% had liver fibrosis equivalent to METAVIR stage F3 to F4 fibrosis. For the remaining 56.2%, the degree of liver

  19. DPP-4 inhibitor therapy: new directions in the treatment of type 2 diabetes

    DEFF Research Database (Denmark)

    Deacon, Carolyn F; Carr, Richard D; Holst, Jens Juul

    2008-01-01

    Many patients with type 2 diabetes fail to achieve adequate glycaemic control with available treatments, even when used in combination, and eventually develop microvascular and macrovascular diabetic complications. Even intensive interventions to control glycaemia reduce macrovascular complications...... of type 2 diabetes; long-acting stable analogues of GLP-1, the so-called incretin mimetics, and inhibitors of dipeptidyl peptidase 4 (DPP-4, the enzyme responsible for the rapid degradation of the incretin hormones), the so-called incretin enhancers. This article focuses on DPP-4 inhibitors....

  20. Gait Characteristics and Treatment of Cerebral Palsy%脑瘫步态特征及治疗

    Institute of Scientific and Technical Information of China (English)

    黄斌; 姜淑云; 孙武权; 孙克兴; 朱高峰

    2013-01-01

    脑性瘫痪是自受孕开始至婴儿期非进行性脑损伤和发育缺陷所导致的综合征,主要表现为运动功能障碍及姿势异常.步态异常是阻碍患几生活自理的最大障碍.本文将总结脑瘫的步态特征及对于传统医学治疗的展望.%Cerebral palsy is from the moment of conception to infant caused by damage of brain and developmental defects,mainly characterized with motor dysfunction and abnormal posture.Gait abnormalities are major obstacles to children living.This paper summarized the gait characteristics of cerebral palsy and prospects for traditional medical treatment.

  1. Exploring characteristics of bioelectricity generation and dye decolorization of mixed and pure bacterial cultures from wine-bearing wastewater treatment.

    Science.gov (United States)

    Han, Jing-Long; Liu, Ying; Chang, Chang-Tang; Chen, Bor-Yann; Chen, Wen-Ming; Xu, Hui-Zhong

    2011-04-01

    This study uncovered microbial characteristics of bioelectricity generation and dye decolorization in single-chamber microbial fuel cells (MFCs) using activated sludge for wine-containing wastewater treatment. Phylogenetic tree analysis on 16S rRNA gene fragments indicated that the predominant strains on anodic biofilm in acclimatized MFCs were Gamma-Proteobacteria Aeromonas punctata NIU-P9, Pseudomonas plecoglossicida NIU-Y3, Pseudomonas koreensis NIU-X8, Acinetobacter junii NIU-Y8, Stenotrophomonas maltophila NIU-X2. Our findings showed that the current production capabilities of these pure strains were only ca. 10% of those of their mother activated sludge, indicating that synergistic interactions among microbes might be the most influential factor to maximize power generation in MFCs. Plus, these electrochemically active strains also performed reductive decolorization of C.I. reactive blue 160, suggesting that bioelectricity generation might be directly associated to azo dye decolorization to deal with electron transfer on anodic biofilm in MFCs.

  2. Addition of Al and Fe salts during treatment of paper mill effluents to improve activated sludge settlement characteristics.

    Science.gov (United States)

    Agridiotis, V; Forster, C F; Carliell-Marquet, C

    2007-11-01

    Metal salts, ferrous sulphate and aluminium chloride, were added to laboratory-scale activated sludge plant treating paper mill effluents to investigate the effect on settlement characteristics. Before treatment the sludge was filamentous, had stirred sludge volume index (SSVI) values in excess of 300 and was moderately hydrophobic. The use of FeSO4.7H2O took three weeks to reduce the SSVI to 90. Microscopic examination showed that Fe had converted the filamentous flocs into a compact structure. When the iron dosing was stopped, the sludge returned to its bulking state within four weeks. In a subsequent trial, the addition of AlCl3 initially resulted in an improvement of the settlement index but then caused deterioration of the sludge properties. It is possible that aluminium was overdosed and caused charge reversal, increasing the SSVI. PMID:17113285

  3. Biological Characteristics and Medical Treatment of Breast Cancer in Young Women-A Featured Population: Results from the Nora Study

    International Nuclear Information System (INIS)

    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 (N>3500) were enrolled at 77 Italian hospitals. Women aged =50 years (N=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(x2=7.07; P=.008), HER2 amplification (x2=5.76; P=.01), and high (≤10%) Ki67 labelling index (x2=9.53; P=.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 (P40 versus =40, P<.0001, resp.). At multivariate analysis, after adjustment for significant clinical and pathological factors, age remains a significant prognostic variable (HR=0.93, P=.0021). Conclusion. This cohort study suggests that age per se 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. human epidermal growth factor receptor

  4. Coagulation efficiency and flocs characteristics of recycling sludge during treatment of low temperature and micro-polluted water.

    Science.gov (United States)

    Zhou, Zhiwei; Yang, Yanling; Li, Xing; Gao, Wei; Liang, Heng; Li, Guibai

    2012-01-01

    Drinking water treatment sludge, characterized as accumulated suspended solids and organic and inorganic matter, is produced in large quantities during the coagulation process. The proper disposal, regeneration or reuse of sludge is, therefore, a significant environmental issue. Reused sludge at low temperatures is an alternative method to enhance traditional coagulation efficiency. In the present study, the recycling mass of mixed sludge and properties of raw water (such as pH and turbidity) were systematically investigated to optimize coagulation efficiency. We determined that the appropriate dosage of mixed sludge was 60 mL/L, effective initial turbidity ranges were below 45.0 NTU, and optimal pH for DOMs and turbidity removal was 6.5-7.0 and 8.0, respectively. Furthermore, by comparing the flocs characteristics with and without recycling sludge, we found that floc structures with sludge were more irregular with average size growth to 64.7 microm from 48.1 microm. Recycling sludge was a feasible and successful method for enhancing pollutants removal, and the more irregular flocs structure after recycling might be caused by breakage of reused flocs and incorporation of powdered activated carbon into larger flocs structure. Applied during the coagulation process, recycling sludge could be significant for the treatment of low temperature and micro-polluted source water. PMID:23505868

  5. Cytotoxic characteristics of biodegradable EW10X04 Mg alloy after Nd coating and subsequent heat treatment.

    Science.gov (United States)

    Katarivas Levy, Galit; Ventura, Yvonne; Goldman, Jeremy; Vago, Razi; Aghion, Eli

    2016-05-01

    Porous Mg scaffolds are considered as potential bone growth promoting materials. Unfortunately, the high rate of biocorrosion inherent to Mg alloys may cause a premature loss of mechanical strength, excessive evolution of hydrogen gas, and a rapidly shifting surface topography, all of which may hinder the ability of native cells to attach and grow on the implant surface. Here we investigated the cell cytotoxicity effects during corrosion of a novel magnesium alloy, EW10X04 (Mg-1.2%Nd-0.5%Y-0.5%Zr-0.4%Ca), following diffusion coating (DC) and heat treatment to reduce the corrosion rate. Cells were exposed either to corrosion products or to the corroding scaffold surface, in vitro. The microstructure characterization of the scaffold surface was carried out by scanning electron microscopy (SEM) equipped with a Noran energy dispersive spectrometer (EDS). Phase analyses were obtained by X-ray diffraction (XRD). We found that cell viability, growth, and adhesion were all improved when cultured on the EW10X04+DC surface or under corrosion product extracts due to lower corrosion rates relative to the EW10X04 control samples. It is therefore believed that the tested alloy after Nd coating and heat treatment may introduce a good balance between its biodegradation characteristics and cytotoxic effects towards cells. PMID:26952481

  6. Cytotoxic characteristics of biodegradable EW10X04 Mg alloy after Nd coating and subsequent heat treatment.

    Science.gov (United States)

    Katarivas Levy, Galit; Ventura, Yvonne; Goldman, Jeremy; Vago, Razi; Aghion, Eli

    2016-05-01

    Porous Mg scaffolds are considered as potential bone growth promoting materials. Unfortunately, the high rate of biocorrosion inherent to Mg alloys may cause a premature loss of mechanical strength, excessive evolution of hydrogen gas, and a rapidly shifting surface topography, all of which may hinder the ability of native cells to attach and grow on the implant surface. Here we investigated the cell cytotoxicity effects during corrosion of a novel magnesium alloy, EW10X04 (Mg-1.2%Nd-0.5%Y-0.5%Zr-0.4%Ca), following diffusion coating (DC) and heat treatment to reduce the corrosion rate. Cells were exposed either to corrosion products or to the corroding scaffold surface, in vitro. The microstructure characterization of the scaffold surface was carried out by scanning electron microscopy (SEM) equipped with a Noran energy dispersive spectrometer (EDS). Phase analyses were obtained by X-ray diffraction (XRD). We found that cell viability, growth, and adhesion were all improved when cultured on the EW10X04+DC surface or under corrosion product extracts due to lower corrosion rates relative to the EW10X04 control samples. It is therefore believed that the tested alloy after Nd coating and heat treatment may introduce a good balance between its biodegradation characteristics and cytotoxic effects towards cells.

  7. Coagulation efficiency and flocs characteristics of recycling sludge during treatment of low temperature and micro-polluted water

    Institute of Scientific and Technical Information of China (English)

    Zhiwei Zhou; Yanling Yang; Xing Li; Wei Gao; Heng Liang; Guibai Li

    2012-01-01

    Drinking water treatment sludge,characterized as accumulated suspended solids and organic and inorganic matter,is produced in large quantities during the coagulation process.The proper disposal,regeneration or reuse of sludge is,therefore,a significant environmental issue.Reused sludge at low temperatures is an alternative method to enhance traditional coagulation efficiency.In the present study,the recycling mass of mixed sludge and properties of raw water (such as pH and turbidity) were systematically investigated to optimize coagulation efficiency.We determined that the appropriate dosage of mixed sludge was 60 mL/L,effective initial turbidity ranges were below 45.0 NTU,and optimal pH for DOMs and turbidity removal was 6.5-7.0 and 8.0,respectively.Furthermore,by comparing the flocs characteristics with and without recycling sludge,we found that floc structures with sludge were more irregular with average size growth to 64.7 μm from 48.1 μm.Recycling sludge was a feasible and successful method for enhancing pollutants removal,and the more irregular flocs structure after recycling might be caused by breakage of reused flocs and incorporation of powdered activated carbon into larger flocs structure.Applied during the coagulation process,recycling sludge could be significant for the treatment of low temperature and micro-polluted source water.

  8. Effects of microwave and oxygen plasma treatments on capacitive characteristics of supercapacitor based on multiwalled carbon nanotubes

    Science.gov (United States)

    Dulyaseree, Paweena; Yordsri, Visittapong; Wongwiriyapan, Winadda

    2016-02-01

    The effects of microwave and oxygen plasma treatments on the capacitive characteristics of a supercapacitor based on multiwalled carbon nanotubes (MWNTs) were investigated. MWNTs were heat-treated under air ambient at 500 °C for 1 h, and subsequently microwave-treated at 650 W for 70 s (m-MWNTs). Another batch of MWNTs was treated by oxygen plasma for 30 min (p-MWNTs). Pristine MWNTs, m-MWNTs, and p-MWNTs were separately used as electrode materials for supercapacitors. Their cyclic voltammetry, galvanostatic charge/discharge, and electrochemical impedance spectroscopy results were analyzed. The p-MWNTs show the best performance with a specific capacitance of 238.23 F·g-1. The capacitance improvement is attributed to the increase in the number of oxygen-containing functional groups, as evidenced by Fourier transform-infrared spectroscopy and contact angle measurement. These results suggest that oxygen plasma treatment is a rapid and efficient method for oxygen functionalization.

  9. Evaluation of Mallotus oppositifolius Methanol Leaf Extract on the Glycaemia and Lipid Peroxidation in Alloxan-Induced Diabetic Rats: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    C. O. Nwaehujor

    2013-01-01

    Full Text Available Objective. Mallotus oppositifolius (Geiseler Müll. Arg. (Euphorbiaceae is folklorically used to “treat” diabetic conditions in some parts of Nigeria therefore the study, to investigate the extract of the leaves for activities on hyperglycaemia, lipid peroxidation, and increased cholesterol levels in vivo in alloxan diabetic rats as well as its potential antioxidant activity in vitro. Methods. Albino rats (240–280 g were given an injection of 120 mg/kg body weight, i.p. of alloxan monohydrate. After 8 days, diabetic animals with elevated fasting blood glucose levels (>9 mmol/L were considered and selected for the study. Results. Oral treatment with the extract administered every 12 h by gavage at doses of 100, 200, and 400 mg/kg of the extract to the test rats, for 14 days, resulted in a significant dose-dependent decrease in blood glucose levels from 12.82 ± 1.02 mmol/dL to 4.92 ± 2.01 mmol/dL at the highest dose of 400 mg/kg compared to the control drug and glibenclamide as well as attendant significant decline in diabetic rats employed in the study. Conclusion. The extract also showed in vitro concentration-dependent antioxidant activity following the 1,1-diphenyl-2-picryl-hydrazyl (DPPH and ferric reducing assays. Findings further suggest the presence of active antidiabetic and antioxidant principles in M. oppositifolius leaves.

  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. Evaluation of operating characteristics for a chabazite zeolite system for treatment of process wastewater at Oak Ridge National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Kent, T.E.; Perona, J.J.; Jennings, H.L.; Lucero, A.J.; Taylor, P.A.

    1998-02-01

    Laboratory and pilot-scale testing were performed for development and design of a chabazite zeolite ion-exchange system to replace existing treatment systems at the Process Waste Treatment Plant (PWTP) at Oak Ridge National Laboratory (ORNL). The process wastewater treatment systems at ORNL need upgrading to improve efficiency, reduce waste generation, and remove greater quantities of contaminants from the wastewater. Previous study indicated that replacement of the existing PWTP systems with an ion-exchange system using chabazite zeolite will satisfy these upgrade objectives. Pilot-scale testing of the zeolite system was performed using a commercially available ion-exchange system to evaluate physical operating characteristics and to validate smaller-scale column test results. Results of this test program indicate that (1) spent zeolite can be sluiced easily and completely from a commercially designed vessel, (2) clarification followed by granular anthracite prefilters is adequate pretreatment for the zeolite system, and (3) the length of the mass transfer zone was comparable with that obtained in smaller-scale column tests. Laboratory studies were performed to determine the loading capacity of the zeolite for selected heavy metals. These test results indicated fairly effective removal of silver, cadmium, copper, mercury, nickel, lead, and zinc from simple water solutions. Heavy-metals data collected during pilot-scale testing of actual wastewater indicated marginal removal of iron, copper, and zinc. Reduced effectiveness for other heavy metals during pilot testing can be attributed to the presence of interfering cations and the relatively short zeolite/wastewater contact time. Flocculating agents (polyelectrolytes) were tested for pretreatment of wastewater prior to the zeolite flow-through column system. Several commercially available polyelectrolytes were effective in flocculation and settling of suspended solids in process wastewater.

  12. Clinical characteristics and treatment of burn wound sepsis in extensive burn patients: successful experience with eight cases

    Institute of Scientific and Technical Information of China (English)

    柴家科; 盛志勇; 杨红明

    2000-01-01

    Eight burn wound sepsis patients, in which 6 cases were diagnosed as MODS and two as septic shock, were treated consecutively in our hospital from September 1997 to October 1998. The plasma concentration of IL-6, IL-8, TNFα and LPS were assayed before and after surgical intervention, as well as when the patients' vital signs became stable. The results showed: ①The patients' conditions abruptly deteriorated when the burn wound sepsis emerged;②The major cause related to burn wound sepsis was extensive burn injuries, with large areas of deep burn remaining open; ③Although wound swabs taken on admission revealed the presence of colonization by many pathogenic bacteria, Pseudomonas aeruginosa was one of the most frequent bacteria isolated from the subeschar tissue; ④The plasma concentrations of IL-6, IL-8, TNF and LPS before surgical intervention were significantly higher than that after surgical intervention (P<0.05) ;⑤The lowest level of the inflammatory mediators was observed when the patients' conditions became stable, as compared with before surgical intervention (P<0. 001).These findings suggest that the clinical characteristics of burn wound sepsis are abrupt deterioration of the general condition and prominent septic symptoms, often complicated by MODS. The main cause of burn wound sepsis is the presence of a large area of open deep burn wounds, which should be excised and covered early. LPS and pro-inflammatory mediators play an important role in the pathogenesis of burn wound sepsis. Although success in treating these patients is the result of appropriate application of multiple treatments, early, aggressive and thorough surgical excision of invasive burn infectious tissue and closure of wound play a crucial role in the successful treatment of patients complicated by burn wound sepsis. Other treatments are adjuvant but also important.

  13. Treatment of hypoglycaemic diabetics in a prehospital setting is safe

    DEFF Research Database (Denmark)

    Hatting, Nikolaj Preuss; Mikkelsen, Søren

    2015-01-01

    INTRODUCTION: Patients with diabetes suffering from hypoglycaemia may be treated by a Mobile Emergency Care Unit (MECU) and are often released at the scene following treatment. Some of these patients experience secondary hypoglycaemia and require renewed treatment or admission to hospital...... by the attending physician who states the patients' identity, treatment, outcome and diagnosis. Over a period of four years (1 May 2006-30 April 2010), all missions related to hypo-glycaemia were reviewed. Each entry was cross-referenced with the patient's hospital files to detect any recurrent hypoglycaemic...... contact to the MECU. CONCLUSION: The number of patients suffering from secondary hypoglycaemia following treatment by the MECU is acceptable and in line with numbers reported by similar organisations. FUNDING: not relevant. TRIAL REGISTRATION: not relevant....

  14. Total skin electron therapy treatment verification: Monte Carlo simulation and beam characteristics of large non-standard electron fields

    Energy Technology Data Exchange (ETDEWEB)

    Pavon, Ester Carrasco [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Sanchez-Doblado, Francisco [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Leal, Antonio [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Capote, Roberto [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Lagares, Juan Ignacio [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Perucha, Maria [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain); Arrans, Rafael [Dpto Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Avda Sanchez Pizjuan, 4, E-41009, Sevilla (Spain)

    2003-09-07

    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{sup 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{sup 2} field at both SSD = 100 cm and patient surface SSD = 380 cm. The output factor (OF) between the reference 40 x 40 cm{sup 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{sub 50}, R{sub 80}, R{sub 100}, R{sub p}, E{sub 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

  15. Correlation of carotid atherosclerosis combined with impaired fasting glycaemia and cognitive impairment in elderly population%空腹血糖调节受损伴颈动脉粥样硬化与老年认知功能障碍的相关性研究

    Institute of Scientific and Technical Information of China (English)

    罗先策

    2011-01-01

    目的 探讨空腹血糖调节受损(impaired fasting glycaemia,IFG)伴颈动脉粥样硬化与老年人认知功能障碍的关系.方法 我院门诊就诊或住院的老年患者169例,采用简易智能状态量表检查,根据认知情况分为认知功能障碍组(81例)及正常认知功能组,运用多因素分析IFG合并颈动脉粥样硬化是否与老年人认知功能相关.结果 认知功能障碍组年龄 (P=0.000)、女性(P=0.040)、颈动脉粥样硬化合并IFG (P=0.003)、高血压(P=0.002) 与正常认知功能组相比,差异有统计学意义;logistic回归显示仅颈动脉粥样硬化合并IFG (P=0.029)、年龄(P=0.000)及高血压(P=0.049)与老年人认知功能障碍独立相关.结论 与年龄及高血压等因素一样,颈动脉粥样硬化合并IFG是老年人认知功能障碍的独立的危险因素.%Objective To assess the relationship between carotid atherosclerosis combined with impaired fasting glycaemia and cognitive impairment.Methods A total of 169 patients were included.Mini-Mental State Examination was used to evaluate the cognitive function of elderly population, and then the patients were divided into cognitive impairment group and normal cognitive function group.Multivariate analysis was used to assess the relationship between carotid atherosclerosis combined with impaired fasting glycaemia and cognitive impairment.Results Univariate analysis suggested that age ( P = 0.000 ), female ( P = 0.040 ), carotid atherosclerosis combined with impaired fasting giycaemia ( P = 0.003 ) and hypertension ( P = 0.002 ) between the two groups had significant difference,and logistic regression analysis demonstrated carotid atherosclerosis combined with impaired fasting glycaemia ( P = 0.029 ), age ( P =0.000 ) and hypertension ( P = 0.049 ) might be independent risk factors of cognitive impairment in elderly population.Conclusion Carotid atherosclerosis combined with impaired fasting glycaemia may be an independent risk factor as

  16. Clinical Characteristics and Pharmacological Treatment of Psychotic Patients Attending the Mental Health Services of the Pediatric Hospital of Cienfuegos

    Directory of Open Access Journals (Sweden)

    Beatriz Sabina Roméu

    2016-06-01

    Full Text Available Background: the mental health services of the Pediatric Hospital of Cienfuegos receive all patients in the province that need to be hospitalized. Among them, children and adolescents functioning at the psychotic level are of great clinical and social importance. Objective: to describe the clinical characteristics and pharmacological treatment of psychotic patients treated in the mental health services. Methods: a case series study of 35 psychotic patients admitted to the mental health unit of the Pediatric Hospital of Cienfuegos was conducted between 2008 and 2012. Demographic variables, in addition to variables related to clinical data and pharmacotherapeutic aspects were analyzed. Results: sixty five point seven percent of patients were adolescents and 77.1% were of urban origin. The most common diagnoses were acute and transient psychotic disorder and schizophrenia. Sixty three percent had a family history of psychiatric disorder. Forty percent were treated with trifluoperazine and an equal percent took haloperidol. Psychotic symptoms were controlled in 58% of patients during the first weeks. Conclusion: white adolescent patients from urban areas with a family history of psychiatric illness predominated. They received regular psychiatric attention and experienced the symptoms for a short time before being treated. The most frequently prescribed medications were typical antipsychotic drugs, which caused adverse reactions in a third of the patients. In the first few weeks, psychotic symptoms were controlled in most patients, although half of them experienced a recurrence of symptoms, which evolved into conditions with worse prognosis.

  17. Amphiphilic cellulose nanocrystals from acid-free oxidative treatment: physicochemical characteristics and use as an oil-water stabilizer.

    Science.gov (United States)

    Visanko, Miikka; Liimatainen, Henrikki; Sirviö, Juho Antti; Heiskanen, Juha Pentti; Niinimäki, Jouko; Hormi, Osmo

    2014-07-14

    A chemical pretreatment for producing cellulose nanocrystals (CNCs) with periodate oxidation and reductive amination is reported. This new functionalization of cellulose fibers dispenses an alternative method for fabricating individual CNCs without the widely used acid hydrolysis process. CNCs can be directly modified during the pretreatment step, and no additional post-treatments are required to tune the surface properties. Three butylamine isomers were tested to fabricate CNCs with amphiphilic features. After mechanical homogenization, CNCs occurred as individual crystallinities without aggregation where high uniformity in terms of shape and size was obtained. The elemental analysis and (1)H NMR measurement show that iso- and n-butylamine attach the highest number of butylamino groups to the cellulose fibers. Linking the alkyl groups increases the hydrophobic nature of the CNCs, where water contact angles from self-standing films up to 110.5° are reported. Since these butylamino-functionalized CNCs have hydrophobic characteristics in addition to the hydrophilic backbone of cellulose, the stabilization impact on oil/water emulsions is demonstrated as a potential application. PMID:24946006

  18. Characteristic of the sludge from the wastewater treatment plants near Varna city and possibilities for use in agriculture.

    Science.gov (United States)

    Marinova-Garvanska, S

    2005-01-01

    During the last few years numerous stations were built for purification of wastewaters in the country. Such a station was opened in Varna town on the Black sea cost. At purification of wastewaters a huge amount of sludge is received. The sludge is accumulated in the WWTP premises, thus hampering its functioning and polluting the environment. The aim of this investigation was to determine the chemical characteristics of the sludge from this station, considering the different modes of treatment: the sludge compactor and the drying beds after some stay. With the sludge from Varna Purification station a pot experiment was set to determine at what levels of loading with sludge the soils differ from each other by the biomass yield and heavy metals content. During the experiment two crops were grown: rape-fodder and rye-grass harvested in two cuts to follow the effects of the sludge use and the post effect in controlled conditions. The experiment was carried out on four soil units: Calcareous Chernozem, Leached Smolnitsa, Leached Cinnamonic Forest soil and Grey Forest soil (Calcic Chernozem, Haplic Vertisol, and two Chromic Luvisols from South and North Bulgaria, respectively). PMID:16114620

  19. Effects of carbon fiber surface characteristics on interfacial bonding of epoxy resin composite subjected to hygrothermal treatments

    Science.gov (United States)

    Li, Min; Liu, Hongxin; Gu, Yizhuo; Li, Yanxia; Zhang, Zuoguang

    2014-01-01

    The changes of interfacial bonding of three types of carbon fibers/epoxy resin composite as well as their corresponding desized carbon fiber composites subjecting to hygrothermal conditions were investigated by means of single fiber fragmentation test. The interfacial fracture energy was obtained to evaluate the interfacial bonding before and after boiling water aging. The surface characteristics of the studied carbon fiber were characterized using X-ray photoelectron spectroscopy. The effects of activated carbon atoms and silicon element at carbon fiber surface on the interfacial hygrothermal resistance were further discussed. The results show that the three carbon fiber composites with the same resin matrix possess different hygrothermal resistances of interface and the interfacial fracture energy after water aging can not recovery to the level of raw dry sample (irreversible changes) for the carbon fiber composites containing silicon. Furthermore, the activated carbon atoms have little impact on the interfacial hygrothermal resistance. The irreversible variations of interfacial bonding and the differences among different carbon fiber composites are attributed to the silicon element on the carbon fiber bodies, which might result in hydrolyzation in boiling water treatment and degrade interfacial hygrothermal resistance.

  20. A retrospective analysis of the characteristics, treatment and follow-up of 26 odontomas in Greek children.

    Science.gov (United States)

    Iatrou, Ioannis; Vardas, Emmanouil; Theologie-Lygidakis, Nadia; Leventis, Minas

    2010-09-01

    Odontomas represent the most common type of odontogenic jaw tumors among patients younger than 20 years of age. Clinically, they are often associated with eruption failure of adjacent permanent teeth, and are classified as compound and complex. The aim of the present retrospective study was to present the characteristics, treatment approach and outcome of odontomas in Greek children, over a ten-year period. Twenty six patients, 2 to 14 years of age (mean 9.3 years), with odontomas treated during the years 1999-2008 at the Department of Oral & Maxillofacial Surgery of a Children's Hospital, were included in the study. Data from patients' files were retrieved and they were recalled for review. Odontomas were equally distributed in the maxilla and mandible and 42.3% of them were located in the anterior maxilla. Of the odontomas, 80.7% were related to disturbances in tooth eruption. Bone expansion was observed in 65.3% of the cases. All odontomas were surgically removed, and related impacted permanent teeth were either left to erupt spontaneously, orthodontically guided into occlusion or were removed. Orthodontic intervention appeared to be necessary in older children, while in younger children spontaneous eruption was frequent. In the present study, odontomas were associated with unerupted or impacted teeth. Radiographic examination was essential to verify the presence of the tumor and early removal prevented tooth eruption failure and disturbances in a majority of the cases.

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

    OpenAIRE

    Bone, H. G.; Dempster, D.W.; Eisman, J. A.; Greenspan, S. L.; McClung, M. R.; Nakamura, T.(International Center for Elementary Particle Physics and Department of Physics, The University of Tokyo, Tokyo, Japan); Papapoulos, S; Shih, W. J.; Rybak-Feiglin, A.; Santora, A. C.; Verbruggen, N.; Leung, A. T.; Lombardi, A.

    2014-01-01

    Summary 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. Introduction Odanacatib (ODN) is a selective cathepsin K inhibitor being evaluated for the treatment of osteoporosis. In a phase ...

  2. Impact of family history of breast cancer on tumour characteristics, treatment, risk of second cancer and survival among men with breast cancer

    OpenAIRE

    Bouchardy Magnin, Christine; Rapiti Aylward, Elisabetta; Fioretta, Gérald; Schubert, Hyma; Chappuis, Pierre; Vlastos, Georges; Benhamou, Simone

    2013-01-01

    Male breast cancer patients have a higher risk of developing a second primary cancer, but whether this risk differs according to the family history of breast or ovarian cancers remains to be elucidated. We aimed to determine the effect of a positive family history among men diagnosed with breast cancer on tumour characteristics, treatment, second cancer occurrence and overall survival.

  3. Pathologic Characteristics and Treatment Outcome of Patients with Malignant Brain Tumors: A Single Institutional Experience from Iran

    Directory of Open Access Journals (Sweden)

    Abdolazim Sedighi Pashaki

    2014-03-01

    Full Text Available Background: Central nervous system tumors account for 2%-5% of all malignancies in humans. These tumors account for 2% of all pediatric cancers. The worldwide incidence of primary central nervous system tumors is estimated at 3.9 (males and 3.2 (females per 100000 person-years. The incidence of brain tumor cases has been reported as 3.67% of all malignancies and 4% of all cancer mortalities in Iran. The five most common histological types of brain tumor in Iran according to different case studies are; meningioma, astrocytoma, glioblastoma, pituitary adenoma and ependymoma. The aim of this study is to determine the histopathological pattern and characteristics of patients with brain tumors who have referred to the Mahdieh Radiotherapy Department, Hamadan, Iran. Methods: This descriptive, retrospective study was performed at the Mahdieh Radiotherapy Department, between 2005 and 2012. We included 220 patients who referred to the Radiotherapy Department with diagnoses of primary brain tumor in this study. Results: Between 2005 and 2012, we treated 220 new cases of primary brain tumor at Mahdieh Radiotherapy Department. The mean age at diagnosis was 39.95±15.48 years with a median age of 39 years. Patients' ages ranged from 4 to 75 years. Among the 220 patients, 138 were male and 82 were female with a male to female ratio of 1.68. For most tumors there was a male predominance, with the exception of meningioma (M/F: 0.23, ependymoma (M/F: 1 and pituitary adenoma (M/F: 0.6. Astrocytomas, glioblastomas, high grade meningiomas and oligodendrogliomas were the four most common pathologies treated in this department. The best treatment results were achieved in patients with astrocytomas. Conclusion: The present study is a retrospective radiotherapy centre-based study designed in a pioneer radiotherapy centre in Western Iran, not a prospective population study. These data have provided a baseline for further epidemiological studies. Our encouraging results

  4. Changes in the functional characteristics of tumor and normal cells after treatment with extracts of white dead-nettle

    Science.gov (United States)

    Veleva, Ralitsa; Petkova, Bela; Moskova-Doumanova, Veselina; Doumanov, Jordan; Dimitrova, Milena; Koleva, Petya; Mladenova, Kirilka; Petrova, Svetla; Yordanova, Zhenya; Kapchina-Toteva, Veneta; Topouzova-Hristova, Tanya

    2015-01-01

    Lamium album L. is a perennial herb widely used in folk medicine. It possesses a wide spectrum of therapeutic activities (anti-inflammatory, astringent, antiseptic, antibiotic, antispasmodic, antioxidant and anti-proliferative). Preservation of medicinal plant could be done by in vitro propagation to avoid depletion from their natural habitat. It is important to know whether extracts from L. album plants grown in vitro possess similar properties as extracts from plants grown in vivo. For these reasons, it is important to examine changes in the composition of secondary metabolites during in vitro cultivation of the plant and how they affect the biological activity. We used A549 human cancer cell line and normal kidney epithelial cells MDCKII (Madin–Darby canine kidney cells II) as controls in assessing the anti-cancer effect of plant extracts. To elucidate changes in some key functional characteristics, adhesion test, MTT (3-(4,5-dimethylthiazol-2-yl)-2-5-diphenyl tetrazolium bromide), transepithelial resistance (TER), immunofluorescence staining and trypan blue exclusion test were performed. Methanol and chloroform extracts of in vivo and in vitro propagated plants affected differently cancerous and non-cancerous cells. The most pronounced differences were observed in the morphological analysis and in the cell adhesive properties. We also detected suppressed epithelial transmembrane electrical resistance of MDCK II cells, by treatment with plant extracts, compared to non-treated MDCK II cells. A549 cells did not polarize under the same conditions. Altered organization of actin filaments in both cell types were noticed suggesting that extracts from L. album L. change TER and actin filaments, and somehow may block cell mechanisms, leading to the polarization of MDCK II cells. PMID:26019631

  5. Effect of thermal treatment on the chemical characteristics of wood from Eucalyptus grandis W. Hill ex Maiden under different atmospheric conditions

    Directory of Open Access Journals (Sweden)

    Luiz Fernando de Moura

    2012-09-01

    Full Text Available Thermal treatment (thermal rectification is a process in which technological properties of wood are modified using thermal energy, the result of which is often value-added wood. Thermally treated wood takes on similar color shades to tropical woods and offers considerable resistance to destructive microorganisms and climate action, in addition to having high dimensional stability and low hygroscopicity. Wood samples of Eucalyptus grandis were subjected to various thermal treatments, as performed in presence (140ºC; 160ºC; 180ºC or in absence of oxygen (160ºC; 180ºC; 200ºC inside a thermal treatment chamber, and then studied as to their chemical characteristics. Increasing the maximum treatment temperatures led to a reduction in the holocellulose content of samples as a result of the degradation and volatilization of hemicelluloses, also leading to an increase in the relative lignin content. Except for glucose, all monosaccharide levels were found to decrease in samples after the thermal treatment at a maximum temperature of 200ºC. The thermal treatment above 160ºC led to increased levels of total extractives in the wood samples, probably ascribed to the emergence of low molecular weight substances as a result of thermal degradation. Overall, it was not possible to clearly determine the effect of presence or absence of oxygen in the air during thermal treatment on the chemical characteristics of the relevant wood samples.

  6. Polymer Surface Treatment by Atmospheric Pressure Low Temperature Surface Discharge Plasma:Its Characteristics and Comparison with Low Pressure Oxygen Plasma Treatment

    Institute of Scientific and Technical Information of China (English)

    Atsushi KUWABARA; Shin-ichi KURODA; Hitoshi KUBOTA

    2007-01-01

    The polymer treatment with a low-temperature plasma jet generated on the atmospheric pressure surface discharge (SD) plasma is performed.The change of the surface property over time,in comparison with low pressure oxygen (O2) plasma treatment,is examined.As one compares the treatment by atmospheric pressure plasma to that by the low pressure O2 plasma of PS (polystyrene) the treatment effects were almost in complete agreement.However,when the atmospheric pressure plasma was used for PP(polypropylene),it produced remarkable hydrophilic effects.

  7. FRACTURING CHARACTERISTICS AND TREATMENT OF A DIVERSION TUNNEL%某引水隧洞断裂特征及处理措施

    Institute of Scientific and Technical Information of China (English)

    陈运东

    2001-01-01

    某引水隧洞于1993年断裂,本文在介绍其断裂特点的基础上,概论了工程处理措施。运行实践表明:处理效果良好。%The failure of a water supply tunnel happened in 1993.This paper introduces briefly the treatment based on the failure characteristics.The results of operation shows that the effect of the treatment is good.

  8. Colour and toxic characteristics of metakaolinite-hematite pigment for integrally coloured concrete, prepared from iron oxide recovered from a water treatment plant of an abandoned coal mine

    Science.gov (United States)

    Sadasivam, Sivachidambaram; Thomas, Hywel Rhys

    2016-07-01

    A metakaolinite-hematite (KH) red pigment was prepared using an ocherous iron oxide sludge recovered from a water treatment plant of an abandoned coal mine. The KH pigment was prepared by heating the kaolinite and the iron oxide sludge at kaolinite's dehydroxylation temperature. Both the raw sludge and the KH specimen were characterised for their colour properties and toxic characteristics. The KH specimen could serve as a pigment for integrally coloured concrete and offers a potential use for the large volumes of the iron oxide sludge collected from mine water treatment plants.

  9. Characteristics of substance abuse treatment programs providing services for HIV/AIDS, hepatitis C virus infection, and sexually transmitted infections: the National Drug Abuse Treatment Clinical Trials Network.

    Science.gov (United States)

    Brown, Lawrence S; Kritz, Steven Allan; Goldsmith, R Jeffrey; Bini, Edmund J; Rotrosen, John; Baker, Sherryl; Robinson, Jim; McAuliffe, Patrick

    2006-06-01

    Illicit drug users sustain the epidemics of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), hepatitis C (HCV), and sexually transmitted infections (STIs). Substance abuse treatment programs present a major intervention point in stemming these epidemics. As a part of the "Infections and Substance Abuse" study, established by the National Drug Abuse Treatment Clinical Trials Network, sponsored by National Institute on Drug Abuse, three surveys were developed; for treatment program administrators, for clinicians, and for state and District of Columbia health and substance abuse department administrators, capturing service availability, government mandates, funding, and other key elements related to the three infection groups. Treatment programs varied in corporate structure, source of revenue, patient census, and medical and non-medical staffing; medical services, counseling services, and staff education targeted HIV/AIDS more often than HCV or STIs. The results from this study have the potential to generate hypotheses for further health services research to inform public policy. PMID:16716846

  10. 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

    Background: Preoperative patient characteristics may influence patient choice for participating in RCT’s. Purpose / Aim of Study: This study aimed to compare patient characteristics, level of pain, physical function and joint space width in patients with severe hip osteoarthritis (OA) who accepted...... 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......, analgesic use, exercise habits), the radiographic hip OA state and their responses to Hip dysfunction and Osteoarthritis Outcome Score (HOOS, 0-100) and European Quality of Life Scale (EQ-5D-5L) questionnaires. Findings / Results: The between-group HOOS scores were significantly different in three out...

  11. CHLORINE DIOXIDE TREATMENT OF SISAL FIBRE: SURFACE LIGNIN AND ITS INFLUENCES ON FIBRE SURFACE CHARACTERISTICS AND INTERFACIAL BEHAVIOUR OF SISAL FIBRE/PHENOLIC RESIN COMPOSITES

    OpenAIRE

    Linxin Zhong; Shiyu Fu; Feng Li; Huaiyu Zhan

    2010-01-01

    This paper describes an investigation of the influences of chlorine dioxide treatment on fibre surface lignin. The fibre surface characteristics and the interfacial behaviour of the sisal fibre/phenolic resin composites were also studied by SEM, AFM, and XPS. The results show that the surface of the untreated fibre contains a large amount of lignin with granular structure and non-granular structure. The surface lignin concentration is up to 51% for the untreated fibre, and then it decreases t...

  12. Differences in Characteristics and Treatment Received among Depressed Adolescent Psychiatric Outpatients with and without Co-Occuring Alcohol Misuse: A 1-Year Follow-Up Study

    Directory of Open Access Journals (Sweden)

    Tiia Pirkola

    2011-01-01

    Full Text Available Objectives. We aimed at examining the differences between depressed psychiatric adolescent outpatients with and without cooccurring alcohol misuse in psychosocial background, clinical characteristics, and treatment received during one-year followup. Furthermore, we investigated factors related to nonattendance at treatment. Materials and Methods. Consecutive 156 adolescent (13–19 years psychiatric outpatients with a unipolar depressive disorder at baseline were interviewed using structured measures at baseline and at 12 months. Alcohol misuse was defined as having an AUDIT score of 8 or more points. The outpatients received “treatment as usual” of clinically defined duration. Results. Among depressive outpatients, poor parental support, parental alcohol use and decreased attendance at treatment associated with alcohol misuse. The severity of alcohol use as measured by AUDIT-score was the strongest factor independently predicting nonattendance at treatment in multivariate analysis. Conclusions. Alcohol misuse indicates family problems, has a deleterious effect on treatment attendance, and should be taken into account when managing treatment for depressive adolescent outpatients.

  13. Using dual plasma treatment to improve electrical characteristics and reduce flicker noise of high-κ HfO2 LTPS-TFTs

    Science.gov (United States)

    Chang, Kow-Ming; Huang, Bo-Wen; Wu, Chien-Hung; Deng, I.-Chung; Chang, Ting-Chia; Lin, Sheng-Chia

    2015-09-01

    This study demonstrated the application of a dual plasma treatment to low-temperature polycrystalline-silicon thin-film transistors (LTPS-TFTs) comprising a self-aligned phosphorus implantation source and drain, high-κ HfO2 gate dielectric, and aluminum metal gate. The dual plasma treatment involves a pre-deposition CF4 plasma treatment at a high-κ/poly-Si interface and post-deposition N2 plasma treatment at a high-κ HfO2 gate dielectric; this treatment enables reducing the interface-trap-state defects at the high-κ/poly-Si interface, grain boundary traps in the poly-Si channel film, and oxygen vacancy Vo in the high-κ HfO2 gate dielectric. Thus, LTPS-TFTs with dual plasma treatment demonstrate excellent electrical characteristics such as threshold voltage, subthreshold swing, transconductance, driving current, and on/off current ratio. Flicker noise, also referred to as 1/f noise, caused by fluctuations of carriers transported in the grain boundary and the trapped carriers per unit oxide volume (Nt) can be suppressed. Therefore, high performance LTPS-TFTs subjected to dual plasma treatment can be appropriately applied to active matrix liquid phase-crystal display on system-on-panel technology.

  14. Mental Health and Substance Use Characteristics of Flight Attendants Enrolled in an In-Patient Substance Abuse Treatment Program

    Science.gov (United States)

    Horton, Gail; Diaz, Naelys; McIlveen, John; Weiner, Michael; Mullaney, Donald

    2011-01-01

    The purpose of this study was to explore the prevalence rates of co-occurring mental health problems among 70 flight attendants in substance abuse treatment. Results indicated that flight attendants in treatment were more likely to experience alcohol dependency than drug dependency. A high proportion of participants reported clinical levels of…

  15. Mechanisms of the formation of magnetic characteristics of a cobalt-based amorphous magnetically soft alloy under heat treatment in air

    Science.gov (United States)

    Skulkina, N. A.; Ivanov, O. A.; Stepanova, E. A.; Shubina, L. N.; Kuznetsov, P. A.; Mazeeva, A. K.

    2015-12-01

    Physical causes of the formation of magnetic characteristics of cobalt-based alloys with a near to zero saturation magnetostriction under heat treatment in air have been studied using the Co-Fe-Ni-Cr-Si-B amorphous magnetically soft alloy as an example. The results of the study have shown the possibility of using the vapor treatment of surfaces of ribbons made of amorphous magnetically soft alloys to determine the sign of magnetostriction. The dependence of the sign of magnetostriction on the structural state of a ribbon, which is produced by the heat treatment, has been experimentally found. It has been established that physical causes of the formation of magnetic characteristics of the cobalt-based alloys are the same as those for iron-based alloys. Changes in the magnetic characteristics after annealing result from the relaxation of quenchinginduced internal stresses, as well as from the effect of stresses induced by hydrogen and oxygen atoms incorporated into the surface of the ribbon in the course of its interaction with water vapor in air and by the formation of an amorphous-crystalline surface layer.

  16. Effects of ultrasound pretreatment on the characteristic evolutions of drinking water treatment sludge and its impact on coagulation property of sludge recycling process.

    Science.gov (United States)

    Zhou, Zhiwei; Yang, Yanling; Li, Xing

    2015-11-01

    Large amounts of drinking water treatment sludge (DWTS) are produced during the flocculation or flotation process. The recycling of DWTS is important for reducing and reclaiming the waste residues from drinking water treatment. To improve the coagulation step of the DWTS recycling process, power ultrasound was used as a pretreatment to disintegrate the DWTS and degrade or inactivate the constituents that are difficult to remove by coagulation. The effects of ultrasound pretreatment on the characteristics of DWTS, including the extent of disintegration, variation in DWTS floc characteristics, and DWTS dewaterability, were investigated. The capacity of the recycling process to remove particulates and organic matter from low-turbidity surface water compared to a control treatment process without DWTS was subsequently evaluated. The coagulation mechanism was further investigated by analyzing the formation, breakage, and re-growth of re-coagulated flocs. Our results indicated that under the low energy density applied (0.03-0.033 W/mL) for less than 15 min at a frequency of 160 kHz, the level of organic solubilization was less elevated, which was evidenced by the lower release of proteins and polysaccharides and lower fluorescence intensities of humic- and protein-like substances. The applied ultrasound conditions had an adverse effect on the dewaterability of the DWTS. Ultrasound pretreatment had no significant impact on the pH or surface charge of the DWTS flocs, whereas particle size decreased slightly and the specific surface area was moderately increased. The pollution removal capacity decreased somewhat for the recycled sonicated DWTS treatment, which was primarily ascribed to organic solubilization rather than variability in the floc characteristics of sonicated DWTS. The main coagulation mechanism was floc sweeping and physical adsorption. The breakage process of the flocs formed by the recycling process displayed distinct irreversibility, and the flocs were

  17. Effects of ultrasound pretreatment on the characteristic evolutions of drinking water treatment sludge and its impact on coagulation property of sludge recycling process.

    Science.gov (United States)

    Zhou, Zhiwei; Yang, Yanling; Li, Xing

    2015-11-01

    Large amounts of drinking water treatment sludge (DWTS) are produced during the flocculation or flotation process. The recycling of DWTS is important for reducing and reclaiming the waste residues from drinking water treatment. To improve the coagulation step of the DWTS recycling process, power ultrasound was used as a pretreatment to disintegrate the DWTS and degrade or inactivate the constituents that are difficult to remove by coagulation. The effects of ultrasound pretreatment on the characteristics of DWTS, including the extent of disintegration, variation in DWTS floc characteristics, and DWTS dewaterability, were investigated. The capacity of the recycling process to remove particulates and organic matter from low-turbidity surface water compared to a control treatment process without DWTS was subsequently evaluated. The coagulation mechanism was further investigated by analyzing the formation, breakage, and re-growth of re-coagulated flocs. Our results indicated that under the low energy density applied (0.03-0.033 W/mL) for less than 15 min at a frequency of 160 kHz, the level of organic solubilization was less elevated, which was evidenced by the lower release of proteins and polysaccharides and lower fluorescence intensities of humic- and protein-like substances. The applied ultrasound conditions had an adverse effect on the dewaterability of the DWTS. Ultrasound pretreatment had no significant impact on the pH or surface charge of the DWTS flocs, whereas particle size decreased slightly and the specific surface area was moderately increased. The pollution removal capacity decreased somewhat for the recycled sonicated DWTS treatment, which was primarily ascribed to organic solubilization rather than variability in the floc characteristics of sonicated DWTS. The main coagulation mechanism was floc sweeping and physical adsorption. The breakage process of the flocs formed by the recycling process displayed distinct irreversibility, and the flocs were

  18. Characteristics and treatment outcomes of tuberculosis patients who “transfer-in” to health facilities in Harare City, Zimbabwe: a descriptive cross-sectional study

    Directory of Open Access Journals (Sweden)

    Takarinda Kudakwashe C

    2012-11-01

    Full Text Available Abstract Background Zimbabwe is among the 22 Tuberculosis (TB high burden countries worldwide and runs a well-established, standardized recording and reporting system on case finding and treatment outcomes. During TB treatment, patients transfer-out and transfer-in to different health facilities, but there are few data from any national TB programmes about whether this process happens and if so to what extent. The aim of this study therefore was to describe the characteristics and outcomes of TB patients that transferred into Harare City health department clinics under the national TB programme. Specific objectives were to determine i the proportion of a cohort of TB patients registered as transfer-in, ii the characteristics and treatment outcomes of these transfer-in patients and iii whether their treatment outcomes had been communicated back to their respective referral districts after completion of TB treatment. Methods Data were abstracted from patient files and district TB registers for all transfer-in TB patients registered from January to December 2010 within Harare City. Descriptive statistics were calculated. Results Of the 7,742 registered TB patients in 2010, 263 (3.5% had transferred-in: 148 (56% were males and overall median age was 33 years (IQR, 26–40. Most transfer-in patients (74% came during the intensive phase of TB treatment, and 58% were from rural health-facilities. Of 176 patients with complete data on the time period between transfer-in and transfer-out, only 85 (48% arrived for registration in Harare from referral districts within 1 week of being transferred-out. Transfer-in patients had 69% treatment success, but in 21% treatment outcome status was not evaluated. Overall, 3/212 (1.4% transfer-in TB patients had their TB treatment outcomes reported back to their referral districts. Conclusion There is need to devise better strategies of following up TB patients to their referral Directly Observed Treatment (DOT centres

  19. Effect of high pressure--low temperature treatments on structural characteristics of whey proteins and micellar caseins.

    Science.gov (United States)

    Baier, Daniel; Purschke, Benedict; Schmitt, Christophe; Rawel, Harshadrai M; Knorr, Dietrich

    2015-11-15

    In this study, structural changes in micellar caseins and whey proteins due to high pressure--low temperature treatments (HPLT) were investigated and compared to changes caused by high pressure treatments at room temperature. Whey protein isolate (WPI) solutions as well as micellar casein (MC) dispersions and mixtures were treated at 500 MPa (pH 7.0 and 5.8) at room temperature, -15 °C and -35 °C. Surface hydrophobicity and accessible thiol groups remained nearly unchanged after HPLT treatments whereas HP treatments at room temperature caused an unfolding of the WPI, resulting in an increase in surface hydrophobicity and exposure of the thiol groups. For HPLT treatments, distinct changes in the secondary structure (increase in the amount of β-sheets) were observed while the tertiary structure remained unchanged. Large flocs, stabilized by hydrophobic interactions and hydrogen bonds, were formed in casein containing samples due to HPLT treatments. Depending on the pH and the applied HPLT treatment parameters, these interactions differed significantly from the interactions determined in native micelles.

  20. Real-life Data on Patient Characteristics, Cost and Effectiveness of Field-directed Treatment for Actinic Keratoses: An Observational Study.

    Science.gov (United States)

    van Rijsingen, Margit C J; Seubring, Inge; Grutters, Janneke P C; Maessen-Visch, M Birgitte; Alkemade, Hans A C; van Doorn, Remco; Groenewoud, Hans; van de Kerkhof, Peter C M; van der Wilt, Gert Jan; Gerritsen, Marie-Jeanne P

    2016-03-01

    Actinic keratoses (AK) occur frequently; however, real-life clinical data on personalized treatment choice and costs are scarce. This multicentre one-year observational study investigated patient-characteristics, cost and effectiveness of methylaminolaevulinate photodynamic therapy (MAL-PDT), imiquimod (IMI) and 5-fluorour-acil (5-FU) in patients with AKs on the face/scalp. A total of 104 patients preferred MAL-PDT, 106 preferred IMI and 110 preferred 5-FU. At baseline, significant differences between treatment groups were found; most patients were severely affected (mean 32.5 AK in PDT-group, 20.2 in IMI-group, 22.8 in 5-FU-group). A mean reduction in lesions of 81% after MAL-PDT, 82% after IMI and 88% after 5-FU was found after one year. Annual costs were €1,950 for MAL-PDT, €877 for IMI and €738 for 5-FU. These results show that, compared with clinical trials, in the real-life clinical setting AK patients are usually more severely affected and treatment costs are much higher. Furthermore, patient characteristics are important factors in treatment choice.

  1. The characteristic and changes of the event-related potentials (ERP and brain topographic maps before and after treatment with rTMS in subjective tinnitus patients.

    Directory of Open Access Journals (Sweden)

    Haidi Yang

    Full Text Available OBJECTIVES: To compare the event-related potentials (ERPs and brain topographic maps characteristic and change in normal controls and subjective tinnitus patients before and after repetitive transcranial magnetic stimulation (rTMS treatment. METHODS AND PARTICIPANTS: The ERPs and brain topographic maps elicited by target stimulus were compared before and after 1-week treatment with rTMS in 20 subjective tinnitus patients and 16 healthy controls. RESULTS: Before rTMS, target stimulus elicited a larger N1 component than the standard stimuli (repeating soundsin control group but not in tinnitus patients. Instead, the tinnitus group pre-treatment exhibited larger amplitude of N1 in response to standard stimuli than to deviant stimuli. Furthermore tinnitus patients had smaller mismatch negativity (MMN and late discriminative negativity (LDNcomponent at Fz compared with the control group. After rTMS treatment, tinnitus patients showed increased N1 response to deviant stimuli and larger MMN and LDN compared with pre-treatment. The topographic maps for the tinnitus group before rTMS -treatment demonstrated global asymmetry between the left and right cerebral hemispheres with more negative activities in left side and more positive activities in right side. In contrast, the brain topographic maps for patients after rTMS-treatment and controls seem roughly symmetrical. The ERP amplitudes and brain topographic maps in post-treatment patient group showed no significant difference with those in controls. CONCLUSIONS: The characterical changes in ERP and brain topographic maps in tinnitus patients maybe related with the electrophysiological mechanism of tinnitus induction and development. It can be used as an objective biomarker for the evaluation of auditory central in subjective tinnitus patients. These findings support the notion that rTMS treatment in tinnitus patients may exert a beneficial effect.

  2. A comparison of patient characteristics, prognosis, treatment modalities, and survival according to age group in gastric cancer patients

    OpenAIRE

    Tural Deniz; Selçukbiricik Fatih; Serdengeçti Süheyla; Büyükünal Evin

    2012-01-01

    Abstract Background The aim of this study was to investigate age-specific incidence rates and to compare disease stage, treatment, and survival according to age group in patients with gastric adenocarcinoma. Methods Gastric cancer patients treated at our hospital between 1999 and 2010 were retrospectively evaluated. We divided the cases into two subgroups: group 1 consisted of patients older than 70 years at the time of treatment, and group 2 included patients aged 70 years or younger. In all...

  3. Diabetes treatment patterns and goal achievement in primary diabetes care (DiaRegis) - study protocol and patient characteristics at baseline

    OpenAIRE

    Deeg Evelin; Plate Tanja; Krekler Michael; Gitt Anselm K; Binz Christiane; Bramlage Peter; Tschöpe Diethelm

    2010-01-01

    Abstract Background Patients with type 2 diabetes are at an increased risk for disease and treatment related complications after the initial approach of oral mono/dual antidiabetic therapy has failed. Data from clinical practice with respect to this patient group are however scarce. Therefore we set up a registry in primary care documenting the course and outcomes of this patient group. Methods Diabetes Treatment Patterns and Goal Achievement in Primary Diabetes Care (DiaRegis) is a prospecti...

  4. Clinical characteristics and evaluation of LDL-cholesterol treatment of the Spanish Familial Hypercholesterolemia Longitudinal Cohort Study (SAFEHEART)

    Science.gov (United States)

    Familial hypercholesterolemia (FH) patients are at high risk for premature coronary heart disease (CHD). Despite the use of statins, most patients do not achieve an optimal LDL-cholesterol goal. The aims of this study are to describe baseline characteristics and to evaluate Lipid Lowering Therapy (L...

  5. [Characteristics on the diagnosis and treatment with acupuncture and moxibustion for the improvement of motor sensory function, urination and defecation in myelitis].

    Science.gov (United States)

    Cheng, Yanjun; Wang, Jia; Zhai, Yanbing; Liu, Zhishun

    2016-01-01

    The literature was analyzed on the improvement of motor sensory function, urination and defecation in myelitis treated with acupuncture and moxibustion and focused on the characteristics of the diagnosis and treatment. The literature on acupuncture and moxibustion treatment for myelitis was collected from CNKI, Wanfang, VIP and PubMed. The analysis included the characteristics of acupoint selection, methods of acupuncture and moxibustion, time of treatment, total treatment period, efficacy, follow-up, safety, etc. Totally, 26 articles were collected. The combined therapy of acupuncture and moxibustion was predominated (12/26, 46. 15%). For the motor and sensory impairment, the acupoints were mainly selected from the four limbs, the yangming meridians of hand and foot and those adjacent to the affected spinal segments and on the governor vessel as well as Jiaji (EX-B 2) points. For urinary impairment, the acupoints were selected mainly from the lower abdominal region on the conception vessel and the lumbosacral region on the bladder meridian. For the intestinal impairment, the acupoints were from the lower limb on the stomach meridian, the lower abdominal region on the conception vessel and the back points on the bladder meridian. The intervention started commonly in the first 3 months after onset. The total treatment period was in the range from 1 to 3 months. The efficacy of acupuncture and moxibustion was 69.19% to 82.56% for the improvement of motor sensory and urination, defecation function. The efficacy in follow-up was stable and the adverse reactions were not reported. It is viewed that on the basis of early diagnosis and active medication, acupuncture and moxibution achieve a certain of efficacy on the impairment of motor sensory function, urination and defecation. A clinical research is expected to further verify the efficacy. PMID:26946755

  6. A Systematic Review on the Characteristics, Treatments and Outcomes of the Patients with Primary Spinal Glioblastomas or Gliosarcomas Reported in Literature until March 2015.

    Directory of Open Access Journals (Sweden)

    Stefanie Beyer

    Full Text Available Our aim was to determine the characteristics, treatments and outcomes of patients with primary spinal glioblastomas (GB or gliosarcomas (GS reported in literature until March 2015. PubMed and Web of Science were searched for peer-reviewed articles pertaining to cases of glioblastomas / gliosarcomas with primary spinal origin, using predefined search terms. Furthermore we performed hand searches tracking the references from the selected papers. Eighty-two articles published between 1938 and March 2015 were eligible. They reported on 157 patients. Median age at diagnosis was 22 years. The proportion of patients who received adjuvant chemo- or radiotherapy clearly increased from the time before 1980 until present. Median overall survival from diagnosis was 8.0 ± 0.9 months. On univariate analysis age influenced overall survival, whereas tumor location, gender and the extent of initial resection did not. Outcomes did not differ between children (< 18 years and adults. However, the patients who were treated after 1980 achieved longer survival times than the patients treated before. On multivariable analysis only age (< 60 years and the time period of treatment (≥ 1980 were confirmed as positive independent prognostic factors. In conclusion, primary spinal GB / GS mainly affect younger patients and are associated with a dismal prognosis. However, most likely due to the increasing use of adjuvant treatment, modest therapeutic progress has been achieved over recent decades. The characteristics and treatments of primary spinal glioblastomas should be entered into a central registry in order to gain more information about the ideal treatment approach in the future.

  7. Differences in Starch Chain Length Distribution and Structure Characteristics of Early-Indica Rice Under Different Temperature Treatments During Grain Filling

    Institute of Scientific and Technical Information of China (English)

    ZHONG Lian-jin; CHENG Fang-min; ZHANG Guo-ping; SUN Zong-xiu

    2005-01-01

    Effects of temperature during grain-filling on chain length distribution and structure characteristics of 4 early-season indica rice cultivars were investigated under the environment-controlled conditions. The plants at flowering stage were subjected to two temperature treatments until maturity (the mean dairy air temperature, 22 and 32℃ for optimum temperature treatment and high temperature treatment, respectively). The result showed that high temperature during grain-filling significantly decreased the long B-chain content and increased the intermediate B-chain content. But the effect of high temperature on other starch chains appeared to be cultivar-dependant. The crystalline characteristics of rice starch were also affected by temperature during grain-filling. The intensity at 18° 2 θ of X-ray diffraction pattern of rice samples under high temperature was higher than those under optimum temperature, though all rice starches performed A-crystalline type. Moreover, the intensity at 18° 2 θ was positive correlation with intermediate B-chain content and negative correlation with long B-chain content.

  8. Treatment for Osteoporosis among Women in Japan: Associations with Patient Characteristics and Patient-Reported Outcomes in the 2008–2011 Japan National Health and Wellness Surveys

    Directory of Open Access Journals (Sweden)

    Masayo Sato

    2014-01-01

    Full Text Available This study was conducted to identify characteristics associated with treatment for osteoporosis among women aged 50 years and older in Japan and to explore differences among patients according to treatment regimen. Data were provided by a large annual survey representative of Japanese aged 18 and older; all measures were by self-report. Women aged 50 and older who reported diagnosed osteoporosis (N=900 were compared based on current treatment status using bivariate statistics and logistic regression. Approximately 1 in 3 women in this study reporting diagnosed osteoporosis were currently untreated. Factors associated with current treatment for osteoporosis included having ≥1 physician visit in the prior 6 months (OR = 5.4, P<0.001, self-rated moderate or severe osteoporosis (OR = 2.8, P<0.001, completion of menopause (OR = 1.6, P<0.05, and family history of osteoporosis (OR = 1.5, P<0.05, while longer duration of osteoporosis diagnosis (OR = 0.9, P<0.05 and arthritis (OR = 0.7, P<0.05 were associated with lower odds of treatment. These findings suggest that diagnosed patients are not being actively managed in the longer term, and efforts need to be made to ensure that patients stay engaged with their healthcare providers.

  9. Effects of heat treatment on characteristics of porous Ni-rich NiTi SMA prepared by SHS technique

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The effects of heat treatment on the microstructure and compressive properties of porous Ni-rich NiTi shape memory alloy (SMA) fabricated by self-propagating high-temperature synthesis (SHS) were investigated. The solution treatment at 1050℃ has little effects on stable Ti2Ni second phase, however, it decreases the amount of Ni4Ti3 phase derived from the SHS process and results in the improvement of the ductility of porous NiTi SMA. The subsequent aging treatment after solution treatment could lead to the precipitation of the discrete Ni4Ti3 phase in NiTi matrix grains, which increases the brittleness of porous NiTi SMA. Porous NiTi SMA presents a composite fracture behavior consisting of a ductile fracture of NiTi matrix and a cleavage fracture of second phase particles. Many cracks existing on the interfaces indicate that the bonding of the matrix with second phase particles is weak.

  10. Characteristics of atomic layer deposition grown HfO{sub 2} films after exposure to plasma treatments

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Y.W. [Kookje Electric Korea Co. LTD, 4-2 Chaam-Dong, Chonan-Si, Chungcheongnam-Do (Korea, Republic of)]. E-mail: ywkim@kekorea.co.kr; Roh, Y. [School of Advanced Materials Science and Engineering, Sungkyunkwan University, Suwon 440-746 (Korea, Republic of); Yoo, Ji-Beom [School of Information and Communication Engineering, Sungkyunkwan University, Suwon 440-746 (Korea, Republic of)]. E-mail: jibyoo@skku.ac.kr; Kim, Hyoungsub [School of Information and Communication Engineering, Sungkyunkwan University, Suwon 440-746 (Korea, Republic of)

    2007-01-22

    Ultra thin HfO{sub 2} films were grown by the atomic layer deposition (ALD) technique using tetrakismethylethylaminohafnium (Hf[N(CH){sub 3}(C{sub 2}H{sub 5})]{sub 4}) and ozone (O{sub 3}) as the precursors and subsequently exposed to various plasma conditions, i.e., CCP (capacitively coupled plasma) and MMT (modified magnetron typed plasma) in N{sub 2} or N{sub 2}/O{sub 2} ambient. The conventional CCP treatment was not effective in removing the carbon impurities, which were incorporated during the ALD process, from the HfO{sub 2} films. However, according to the X-ray photoelectron spectroscopy measurements, the MMT treated films exhibited a significant reduction in their carbon contents and the efficient incorporation of nitrogen atoms. Although the incorporated nitrogen was easily released during the post-thermal annealing of the MMT treated samples, it was more effective than the CCP treatment in removing the film impurities. Consequently, the MMT treated samples exhibited excellent electrical properties as compared to the as-deposited HfO{sub 2} films, including negligible hysteresis (flatband voltage shift), a low leakage current, and the reduced equivalent oxide thickness of the gate stack. In conclusion, MMT post treatment is more effective than conventional CCP treatment in improving the electrical properties of high-k films by reducing the carbon contamination and densifying the as-deposited defective films.

  11. What Drives Juvenile Probation Officers? Relating Organizational Contexts, Status Characteristics, and Personal Convictions to Treatment and Punishment Orientations

    Science.gov (United States)

    Ward, Geoff; Kupchik, Aaron

    2010-01-01

    Data from surveys of juvenile court probation officers in four states are analyzed to understand professional orientations toward two seemingly contrasting goals of contemporary juvenile justice systems: punishment and treatment. These self-reported juvenile probation officer orientations are considered in relation to three clusters of variables…

  12. Seasonal variation of diclofenac concentration and its relation with wastewater characteristics at two municipal wastewater treatment plants in Turkey.

    Science.gov (United States)

    Sari, Sevgi; Ozdemir, Gamze; Yangin-Gomec, Cigdem; Zengin, Gulsum Emel; Topuz, Emel; Aydin, Egemen; Pehlivanoglu-Mantas, Elif; Okutman Tas, Didem

    2014-05-15

    The pharmaceutically active compound diclofenac has been monitored during one year at separate treatment units of two municipal wastewater treatment plants (WWTPs) to evaluate its seasonal variation and the removal efficiency. Conventional wastewater characterization was also performed to assess the possible relationship between conventional parameters and diclofenac. Diclofenac concentrations in the influent and effluent of both WWTPs were detected in the range of 295-1376 and 119-1012ng/L, respectively. Results indicated that the higher diclofenac removal efficiency was observed in summer season in both WWTPs. Although a consistency in diclofenac removal was observed in WWTP_1, significant fluctuation was observed at WWTP_2 based on seasonal evaluation. The main removal mechanism of diclofenac in the WWTPs was most often biological (55%), followed by UV disinfection (27%). When diclofenac removal was evaluated in terms of the treatment units in WWTPs, a significant increase was achieved at the treatment plant including UV disinfection unit. Based on the statistical analysis, higher correlation was observed between diclofenac and suspended solids concentrations among conventional parameters in the influent whereas the removal of diclofenac was highly correlated with nitrogen removal efficiency.

  13. Design of field experiments: Influence of treatment response relative to standard deviation and blocking factor characteristics on efficient blocking strategy

    Science.gov (United States)

    Selection of experimental design can markedly influence efficiency of field research. This study used Monte Carlo simulations to compare the ability of different field experimental designs to distinguish defined treatment differences, and the paper concludes with a section on practical use of the in...

  14. Early Childhood Interventionists' Perceptions of the Child Abuse Prevention and Treatment Act: Provider Characteristics and Organizational Climate

    Science.gov (United States)

    Herman-Smith, Robert L.

    2013-01-01

    Research Findings: A 2003 amendment to the Child Abuse Prevention and Treatment Act (CAPTA) required states to develop plans to ensure that children younger than the age of 3 years who are victims of substantiated abuse or neglect have access to developmental screenings. Programs authorized under Part C of the Individuals with Disabilities…

  15. CHARACTERISTICS OF TREATMENT OF PATIENTS WITH ACUTE AND CHRONIC LARYNGITIS DEPENDING ON RESULTS OF BACTERIOLOGICAL EXAMINATION OF LARYNX MICROFLORA

    Directory of Open Access Journals (Sweden)

    K. I. Chuikova

    2014-01-01

    Full Text Available This paper describes study of larynx microflora in patients with acute laryngtis and exacerbations of chronic laryngitis. Therapeutic algorithm based on bacteriologic examination data was developed reduce. New algorithm helps reduce sickness terms and to decrease prevalence of desease.123 patients of age from 18 to 60 were under observation: 43 patients with acute laryngitis and 80 patients with exacerbation of chronic laryngitis. 22 patients with acute laryngitis and 58 patients with exacerbation of chronic laryngitis underwent etiotropic treatment with antibiotics. The group of comparison with acute laryngitis (21 patients and chronic laryngitis (22 patients received treatment according to the conventional scheme.Bacteriologic examination of larynx mucous, clinical study and functional voice test (time of maximum vowels phonation before and after treatment were carried out.As a result of the research it was established that the most common causative agent of acute and chronic inflammatory larynx diseases is S. aureus as a mono culture or combined with other bacterial associations (S. аnhemolyticus, Str. viridans etc..After the end of antibacterial therapy we found symptoms as hoarseness, irritation, dry laryngopharynx, hyperemia and swelling of larynx mucous reduced eather in new treatment group than controlled group. Time of maximum vowels phonation (in seconds also increased significantly.Sickness terms after prescription of new treatment was shorter than in comparison groups: (10.9 ± 7.9 days for acute laryngitis and (12.6 ± 7.3 days for chronic laryngitis respectively. Health index was 20.8 and 19.5% respectively.

  16. Characteristics of Asthma Syndrome Differentiation and Treatment in Classified Syndromes with Clear-Cut Treatments%《类证治裁》辨治喘证之要

    Institute of Scientific and Technical Information of China (English)

    麦舒桃; 韩云; 李芳

    2012-01-01

    文章从喘证的病因病机、证候特点、治则与论治等方面对《类证治裁》辨治喘证进行浅析,强调辨虚实、责肺肾和分治喘胀,从而更为系统地掌握对喘证的辨治要点.%This paper studies and organizes the syndrome differentiation of asthma in classified syndromes with Clear-Cut treatments, and emphasizes differention of excess, treats dyspnea and flatulence differently, otherwise, The pathogenesis of syndrome of internal organs are lung and kidney.

  17. A Randomized Clinical Trial on Comparing The Cycle Characteristics of Two Different Initiation Days of Letrozole Treatment in Clomiphene Citrate Resistant PCOS Patients in IUI Cycles

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    Nayereh Ghomian

    2015-04-01

    Full Text Available Background: There are still many questions about the ideal protocol for letrozole (LTZ as the commonest aromatase inhibitor (AI used in ovulation induction. The aim of this study is to compare the ultrasonographic and hormonal characteristics of two different initiation times of LTZ in clomiphene citrate (CC failure patients and to study androgen dynamics during the cycle. Materials and Methods: This randomized clinical trial was done from March to November 2010 at the Mashhad IVF Center, a university based IVF center. Seventy infertile polycystic ovarian syndrome (PCOS patients who were refractory to at least 3 CC treatment cycles were randomly divided into two groups. Group A (n=35 receiving 5 mg LTZ on cycle days 3-7 (CD3, and group B (n=35 receiving the same amount on cycle days 5-9 (CD5. Hormonal profile and ultrasonographic scanning were done on cycle day 3 and three days after completion of LTZ treatment (cycle day 10 or 12. Afterward, 5,000-10,000 IU human chorionic gonadotropin (hCG was injected if at least one follicle ≥18 mm was seen in ultrasonographic scanning. Intrauterine insemination (IUI has been done 36-40 hours later. The cycle characteristics, the ovulation and pregnancy rate were compared between two groups. The statistical analysis was done using Fisher’s exact test, t test, logistic regression, and Mann-Whitney U test. Results: There were no significant differences between two groups considering patient characteristics. The ovulation rate (48.6 vs. 32.4% in group A and B, respectively, the endometrial thickness, the number of mature follicles, and length of follicular phase were not significantly different between the two groups. Conclusion: LTZ is an effective treatment in CC failure PCOS patients. There are no significant differences regarding ovulation and pregnancy rates between two different protocols of LTZ starting on days 3 and 5 of menstrual cycle (Registration Number: IRCT201307096467N3.

  18. Treatment-time regimen of hypertension medications significantly affects ambulatory blood pressure and clinical characteristics of patients with resistant hypertension.

    Science.gov (United States)

    Hermida, Ramón C; Ríos, María T; Crespo, Juan J; Moyá, Ana; Domínguez-Sardiña, Manuel; Otero, Alfonso; Sánchez, Juan J; Mojón, Artemio; Fernández, José R; Ayala, Diana E

    2013-03-01

    Patients with resistant hypertension (RH) are at greater risk for stroke, renal insufficiency, and cardiovascular disease (CVD) events than are those for whom blood pressure (BP) is responsive to and well controlled by therapeutic interventions. Although all chronotherapy trials have compared the effects on BP regulation of full daily doses of medications when ingested in the morning versus at bedtime, prescription of the same medications in divided doses twice daily (BID) is frequent. Here, we investigated the influence of hypertension treatment-time regimen on the circadian BP pattern, degree of BP control, and relevant clinical and laboratory medicine parameters of RH patients evaluated by 48-h ambulatory BP monitoring (ABPM). This cross-sectional study evaluated 2899 such patients (1701 men/1198 women), 64.2 ± 11.8 (mean ± SD) yrs of age, enrolled in the Hygia Project. Among the participants, 1084 were ingesting all hypertension medications upon awakening (upon-awakening regimen), 1436 patients were ingesting the full daily dose of ≥1 of them at bedtime (bedtime regimen), and 379 were ingesting split doses of ≥1 medications BID upon awakening and at bedtime (BID regimen). Patients of the bedtime regimen compared with the other two treatment-time regimens had lower likelihood of microalbuminuria and chronic kidney disease; significantly lower albumin/creatinine ratio, glucose, total cholesterol, and low-density lipoprotein (LDL) cholesterol; plus higher estimated glomerular filtration rate and high-density lipoprotein (HDL) cholesterol. The bedtime regimen was also significantly associated with lower asleep systolic (SBP) and diastolic (DBP) BP means than the upon-awakening and BID regimens. The sleep-time relative SBP and DBP decline was significantly attenuated by the upon-awakening and BID regimens (p treatment-time regimen groups (80.5% and 77.3%, respectively) than in the bedtime regimen (54.4%; p treatment regimens, compared with the

  19. Clinical characteristic, diagnosis and effectiveness of treatment of tuberculosis in HIV-infected patients in the Saratov region

    Directory of Open Access Journals (Sweden)

    T. I. Morozova

    2016-01-01

    Full Text Available Aim: evaluate the clinical manifestations, efficacy of microbiologicaldiagnosis and results of treatment of patients with tuberculosis (TB in combination with HIV (TB/HIV, residing in the territory of the Saratov region.Materials and methods: analyzed the medical records (hospital records, medical history, personal record cards TB/HIV, 130 patients coinfected with TB/HIV who were on treatment in TB facilities of Saratov region in 2014.Results: it was found that the combination of TB and HIV infection was more common in men (71,5% aged 30–39 years, mostly (75,4% residents of large cities. TB in 64,6% of cases develop on the background of existing HIV infection with disease duration from 1 to 18 years. The dominant forms of TB were infiltrative – 50,8% and disseminated – 25,4% with high levels of multidrug resistance (MDR – 25% and polyresistance – 17,3%. Efficiency a course of treatment of ТВ which was completed in 2014 year amounted to 41,5% and was higher in the group of patients in which treatment with anti-tuberculosis therapy is used antiretroviral therapy (ARVT – 49,3% versus 30,9% without ARVT, p = 0,0416. It was found increase of CD4 cell counts after treatment in patients TB/HIV, which, together with anti-tuberculosis therapy received ARVT 301 ± 45 cells/microliter vs. 202,3 ± 32 cells/microliter in patients without ARVT, p=0,0416.Conclusion: determined that TB in patients with HIV infection characterized by severe course of the process with low efficiency of treatment and high MDR, which requires the strengthening of measures to control the spread of TB in these patients. 

  20. 抚生村公路崩塌体特征及治理措施%Characteristics of Fusheng country road collapse and its treatment method

    Institute of Scientific and Technical Information of China (English)

    杨帅

    2016-01-01

    崩塌是常见的地质灾害,公路两侧的崩塌严重影响了人们的财产与生命安全,本文针对抚生村公路地质情况及崩塌体特征做了分析研究,提出相应的治理措施。%Collapse is a common geological hazard. The collapse of the road has seriously affected people's property and life safety. This paper describes the geological conditions and the collapse characteristics of the Fusheng country road, and analysis the research. Put forward corresponding treatment method.

  1. The Research Process of TCM Characteristic Therapy in Treatment of Insomnia%中医特色疗法治疗失眠研究进展

    Institute of Scientific and Technical Information of China (English)

    陈伟玲

    2015-01-01

    Reviews the research process of TCM characteristic therapy in the treatment of insomnia from the aspects such as acupuncture therapy, au-ricular pressure therapy, acupoint application therapy, acpoint embedding therapy, and the prospect of its application is pointed out.%从针灸疗法、耳穴压豆疗法、穴位贴敷疗法、穴位埋线疗法等方面综述了中医特色疗法治疗失眠的研究进展,并指出了其应用前景。

  2. Most Trial Eligibility Criteria and Patient Baseline Characteristics Do Not Modify Treatment Effect in Trials Using Targeted Therapies for Rheumatoid Arthritis

    DEFF Research Database (Denmark)

    Christensen, Anton Wulf; Tarp, Simon; Furst, Daniel E;

    2015-01-01

    )) for rheumatoid arthritis (RA). METHODS: We conducted a meta-epidemiological study of all trials evaluating a targeted therapy approved by regulatory authorities for treating RA. The database search was completed on December 11th 2013. Eligible trials reported ACR20 data at months 3-6 and used an add-on design......OBJECTIVE: To determine if variations in trial eligibility criteria and patient baseline characteristics could be considered effect modifiers of the treatment response when testing targeted therapies (biological agents and targeted synthetic disease modifying antirheumatic drugs (DMARDs...

  3. Effects of substrate temperature and annealing treatment on the microstructure and magnetic characteristics of TbDyFe films

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A series of TbDyFe films were prepared by DC magnetron sputtering. The effects of substrate temperature and annealing temperature on the phase structure and the magnetic properties of the sample films were investigated. The annealing treatment has a significant influence on the microstructure and the magnetic properties of the sample. The results obtained by XRD indicate that the films deposited at a temperature lower than 525℃ are amorphous and have an easy magnetization direction perpendicular to the film plane. An RFe2 phase is formed in the sample annealed at 550℃ and the residual phases observed are Fe and rare earth oxide. The magnetic properties Hc and Mr/Ms of the film annealed at 550℃ obtain the maximum values, for which the formation of the RFe2 phase is mainly responsible. An annealing treatment leads to a rotation of the sample's easy axis from being parallel to the film surface to becoming vertical.

  4. Physical and Chemical Properties of Water Treatment Residue and the Characteristics of Red Pepper Growth by Using it

    OpenAIRE

    Park, Seok-Gon; Yahata, Hisashi; Kurosawa, Kiyoshi; Shin, Hyun-Tak

    2010-01-01

    Physical and chemical properties of the water treatment residue (WTR) and the WTR_, which contained compost (CP), were measured, and the effect of the properties on growth of the red pepper (Capsicum annuum‘Takanotsume’) was studied to reuse the WTR as an alternative material for decomposed granite soil (DGS). The physical properties of relative gas diffusivity (D/D_0), saturated hydraulic conductivity (K_s), water retention curve, porosity and plant-available water, and the chemical propert...

  5. Characteristics of elderly patients with COPD and newly diagnosed lung cancer, and factors associated with treatment decision

    OpenAIRE

    Qin, Jianwen

    2016-01-01

    Jianwen Qin, Guangsheng Li, Jingmin Zhou Department of Respiratory and Critical Care Medicine, Tianjin Chest Hospital, Tianjin, People’s Republic of China Objective: To investigate the clinical features, diagnosis, and treatment status of elderly patients with chronic obstructive pulmonary disease (COPD) complicated with lung cancer.Patients and methods: This was a retrospective study of 206 patients aged >60 years with COPD and newly diagnosed lung cancer at the T...

  6. Effect of pre-treatment of cheese milk on the composition and characteristics of whey and whey products

    OpenAIRE

    Outinen, Marko

    2010-01-01

    Cheese producers want to increase cheese yield. The yield is improved by enhanced transfer of milk proteins and fat to cheese. This requires modifications to the traditional cheese process. During high-temperature heat treatment (HH), whey proteins are partially denaturated and co-precipitated with the cheese matrix. Elevation of the protein concentration of milk enhances the formation of the protein network in which whey proteins and fat are enclosed. The protein concentration is usually inc...

  7. Characteristics and Treatment Technology of Hospital Wastewater%医院污水特点与处理技术

    Institute of Scientific and Technical Information of China (English)

    姜敏

    2013-01-01

      生活污水、工业废水是我国水体的主要污染源.对此,目前的污水处理技术已基本成熟并趋于完善.而医院污水成分复杂,含有有毒、有害污染物,且部分污水还带有相关疾病的传染源.2003年“非典”以后,很多国家对医院的污水处理要求更高更严密.医院污水处理涉及疾病的防疫、控制和防止二次污染的产生,一旦疏漏,对社会环境、自然环境都会造成重大影响.因此,医院污水的处理,尤其是传染病污水的处理非常重要.%Domestic sewage and industrial wastewater is the main source of water pollution in China. At present, the wastewater treatment technology has largely matured and became more refined. The content of hospital sewage is complex, and contains toxic and harmful pollutants, and part of the sewage has the infection source of the disease. Since"SARS"event in 2003, many countries have higher demand for wastewater treatment. The hospital wastewater treatment involves in the disease prevention, control and prevention of secondary pollution, once it is ignored, it will have a significant impact on the social environment and the natural environment. Therefore, hospital wastewater treatment, in particular sewage disposal of infectious diseases, is very important.

  8. Estimating Pollutant Removal Requirements for Landfills in the UK: I. Benchmark Study and Characteristics of Waste Treatment Technologies

    OpenAIRE

    Hall, D H; Drury, D.; Gronow, Jan R.; Rosevear, Alan; Pollard, Simon J. T.; Smith, Richard

    2006-01-01

    Introduction of the EU Landfill Directive is having a significant impact on waste management in the UK and in other member states that have relied on landfilling. This paper considers the length of the aftercare period required by the municipal solid waste streams that the UK will most probably generate following implementation of the Landfill Directive. Data were derived from literature to identify properties of residues from the most likely treatment processes and the prob...

  9. Enhancement of Gas Sensing Characteristics of Multiwalled Carbon Nanotubes by CF4 Plasma Treatment for SF6 Decomposition Component Detection

    Directory of Open Access Journals (Sweden)

    Xiaoxing Zhang

    2015-01-01

    Full Text Available H2S and SO2 are important gas components of decomposed SF6 of partial discharge generated by insulation defects in gas-insulated switchgear (GIS. Therefore, H2S and SO2 detection is important in the state evaluation and fault diagnosis of GIS. In this study, dielectric barrier discharge was used to generate CF4 plasma and modify multiwalled carbon nanotubes (MWNTs. The nanotubes were plasma-treated at optimum discharge conditions under different treatment times (0.5, 1, 2, 5, 8, 10, and 12 min. Pristine and treated MWNTs were used as gas sensors to detect H2S and SO2. The effects of treatment time on gas sensitivity were analyzed. Results showed that the sensitivity, response, and recovery time of modified MWNTs to H2S were improved, but the recovery time of SO2 was almost unchanged. At 10 min treatment time, the MWNTs showed good stability and reproducibility with better gas sensing properties compared with the other nanotubes.

  10. Surface modification of poly(dimethylsiloxane) through oxygen and nitrogen plasma treatment to improve its characteristics towards biomedical applications

    International Nuclear Information System (INIS)

    Polymeric materials successfully applied in biomedical applications have an issue of poor surface properties which may restrict their applications as biomaterials. The present paper aims to study the effect of oxygen and nitrogen plasma treatment on physico-chemical properties of poly(dimethylsiloxane) (PDMS) and enhancement in its biocompatibility. Various characterization techniques including Fourier transform infrared spectroscopy, x-ray photoelectron spectroscopy, scanning electron microscopy (SEM), atomic force microscopy were used to evaluate the changes in surface chemistry and morphology of plasma treated PDMS. Changes in the wettability after plasma treatments and the effects of ageing on wettability were studied by contact angle measurement. Ageing studies showed that the contact angle was stable after two hours. The effect of plasma treatment on biocompatibility was studied through cell adhesion and MTT using 3T3 fibroblast cells. Morphology of cells obtained through SEM was analyzed using ImageJ software. Among the different treated and untreated samples, substantial enhancement in biocompatibility was observed for nitrogen plasma treated PDMS for 5 min in terms of highest cell area observed from cell adhesion test and highest cell viability observed from MTT test. This may be probably due to its highest polarity (0.4) and surface energy (33.3 N mm−2) with a moderate surface roughness (Rrms = 100.24 nm) among the other treated and untreated samples. (paper)

  11. Effects of cultural treatments, seedling type and morphological characteristics on survival and growth of wild cherry seedlings in Turkey

    Directory of Open Access Journals (Sweden)

    Çetintas C

    2012-12-01

    Full Text Available Wild cherry (Prunus avium L. is receiving increasing attention from foresters in Europe and Turkey for its fast growth, highly-valued wood and benefits for wildlife and biodiversity. Little documentation may be found concerning the selection of appropriate cultural treatments and the quality and types of seedlings used for wild cherry plantations. This study reports the effects of various combinations of intensive cultural treatments (including weed control, soil tillage, and fertilization and seedling types on early growth, survival, and nutrition of one-year-old wild cherry seedlings out-planted on four different sites in the western Black Sea Region of Turkey. After two years, early seedling survival and growth were clearly enhanced for potted seedlings. For bare-root seedlings, initial seedling root-collar diameter and height successfully correlated with survival two years after planting. Seedlings with a root-collar diameter of 6-8 mm and height of 60-70 cm demonstrated the best survival rates in the field. The wild cherry seedlings were shown to be highly sensitive to herbaceous weed competition early in their establishment, warranting effective weed control. When used in addition to weed control, neither intensive fertilization nor soil tillage treatments significantly increased seedling survival and growth two years after planting. Therefore, intensive site preparation, as well as fertilization, are not recommended at this stage for planting sites without severe nutrient deficiencies.

  12. Carcinogenicity and teratogenicity vs. psychogenicity: Psychological characteristics associated with self-reported Agent Orange exposure among Vietnam combat veterans who seek treatment for substance abuse

    Energy Technology Data Exchange (ETDEWEB)

    Robinowitz, R.; Roberts, W.R.; Dolan, M.P.; Patterson, E.T.; Charles, H.L.; Atkins, H.G.; Penk, W.E. (Univ. of Texas Health Science Center, Dallas (USA))

    1989-09-01

    This study asked, What are the psychological characteristics of Vietnam combat veterans who claim Agent Orange exposure when compared with combat-experienced cohorts who do not report such contamination The question was researched among 153 heroin addicts, polydrug abusers, and chronic alcoholics who were seeking treatment: 58 reported moderate to high defoliant exposure while in combat; 95 reported minimal to no exposure while in Vietnam. The null hypothesis was accepted for measures of childhood and present family social climate, premilitary backgrounds, reasons for seeking treatment, patterns and types of illicit drug and alcohol use, interpersonal problems, intellectual functioning, and short-term memory. The null hypothesis was rejected for personality differences, however, those who self-reported high Agent Orange exposure scored significantly higher on MMPI scales F, Hypochondriasis, Depression, Paranoia, Psychasthenia, Schizophrenia, Mania, and Social interoversion. The results suggest that clinicians carefully assess attributional processing of those who report traumatic experience.

  13. Scaling characteristics of depletion type, fully transparent amorphous indium-gallium-zinc-oxide thin-film transistors and inverters following Ar plasma treatment

    Science.gov (United States)

    Kim, Joonwoo; Jeong, Soon Moon; Jeong, Jaewook

    2015-11-01

    We fabricated depletion type, transparent amorphous indium-gallium-zinc-oxide (a-IGZO) thin-film transistors (TFTs) and inverters with an Ar plasma treatment and analyzed their scaling characteristics with channel lengths ranging from 2 to 100 µm. The improvement of the field-effect mobility of a-IGZO TFTs is apparent only for short channel lengths. There is also an unexpected side effect of the Ar plasma treatment, which introduces back-channel interfacial states and induces a positive shift in the threshold voltage of a-IGZO TFTs. The resulting increase in the field-effect mobility and the positive shift in the threshold voltage of each TFT increase the differential gain up to 3 times and the positive shift in the transient point of the transparent inverters.

  14. Impact of medical treatment on lung diffusion capacity in elderly patients with heart failure. Baseline characteristics and 1-year follow up after medical treatment

    DEFF Research Database (Denmark)

    Petersen, Claus Leth; Kjaer, Andreas

    2005-01-01

    AIM: The aim of this investigation was (1) to study the effect of untreated chronic heart failure (CHF) on alveolar membrane diffusion capacity (transfer coefficient, K(CO)) in elderly patients and (2) to study the impact of the standard regime of medical treatment with diuretics and ACE......-inhibitor/angiotensin-II receptor antagonists on K(CO) in these patients. METHODS: Non-medicated patients (except for diuretics) with symptoms of heart failure (NYHA II-III) and echocardiographically estimated left ventricular ejection fraction (LVEF) ... of multiple ECG-gated radionuclide ventriculography (MUGA). LVEFheart failure (HF). A total of 20 patients fulfilled the criteria. All patients had a lung function test including measurement of K(CO) and a MUGA for LVEF measurement performed prior to medical...

  15. Characteristics and treatment interests among individuals with substance use disorders and a history of past six-month violence: Findings from an emergency department study

    Science.gov (United States)

    Chermack, Stephen T.; Murray, Regan; Kraus, Shane; Walton, Maureen A.; Cunningham, Rebecca M.; Barry, Kristen L.; Booth, Brenda M.; Blow, Frederic C.

    2014-01-01

    The study examined clinical characteristics and treatment interests of individuals identified to have substance use disorders (SUDs) in an urban emergency department (ED) who reported past six-month history of violence or victimization. Specifically, participants were 1441 ED patients enrolled in a randomized controlled trial of interventions designed to link those with SUDs to treatment. To examine factors related to violence type, four groups based on participants’ reports of violence toward others were created: no violence (46.8%), partner violence only (17.3%), non-partner violence only (20.2%), and both partner and non-partner violence (15.7%). Four groups based on participants’ reports of victimization were also created: no violence (42.1%), victimization from partner only (18.7%), victimization from non-partner only (20.2%), and both partner and non-partner victimization (17.7%). Separate multinomial logistic regression analyses were conducted to examine which variables distinguished the violence and victimization groups from those reporting no violence or victimization. For violence toward others, demographic variables, alcohol and cocaine disorders, and rating treatment for psychological problems were higher for violence groups, with some differences depending on type of violence. For victimization, demographic variables, having an alcohol disorder, and rating treatment for family/social problems were higher for violence groups, also with some differences depending on type of violence. Findings from the present study could be useful for designing effective brief interventions and services for ED settings. PMID:24148140

  16. Characteristics of back corona discharge in a honeycomb catalyst and its application for treatment of volatile organic compounds.

    Science.gov (United States)

    Feng, Fada; Zheng, Yanyan; Shen, Xinjun; Zheng, Qinzhen; Dai, Shaolong; Zhang, Xuming; Huang, Yifan; Liu, Zhen; Yan, Keping

    2015-06-01

    The main technical challenges for the treatment of volatile organic compounds (VOCs) with plasma-assisted catalysis in industrial applications are large volume plasma generation under atmospheric pressure, byproduct control, and aerosol collection. To solve these problems, a back corona discharge (BCD) configuration has been designed to evenly generate nonthermal plasma in a honeycomb catalyst. Voltage-current curves, discharge images, and emission spectra have been used to characterize the plasma. Grade particle collection results and flow field visualization in the discharge zones show not only that the particles can be collected efficiently, but also that the pressure drop of the catalyst layer is relatively low. A three-stage plasma-assisted catalysis system, comprising a dielectric barrier discharge (DBD) stage, BCD stage, and catalyst stage, was built to evaluate toluene treatment performance by BCD. The ozone analysis results indicate that BCD enhances the ozone decomposition by collecting aerosols and protecting the Ag-Mn-O catalyst downstream from aerosol contamination. The GC and FTIR results show that BCD contributes to toluene removal, especially when the specific energy input is low, and the total removal efficiency reaches almost 100%. Furthermore, this removal results in the emission of fewer byproducts. PMID:25941906

  17. Influence of the rate of increase in the induction on the spectral characteristics of luminescence of ZnS: Mn under treatment in a magnetic field

    Science.gov (United States)

    Bacherikov, Yu. Yu.

    2010-08-01

    This paper reports on the results of the investigation of photoluminescence and luminescence excitation spectra of a ZnS powder thermally doped with MnCl · 4H2O or MnS and subjected to a series of treatments in a pulsed magnetic field with the same maximum amplitude of the magnetic field induction ( B max = 0.3 T) but with different rates of its increase dot B ( t) to a maximum value. It has been revealed that pulsed magnetic fields with different rates of increase in the induction B nonlinearly affect the spectral characteristics of the ZnS: Mn compounds. The processes occurring in the material, which can lead to a change in its spectral characteristics due to the manifestation of the magnetoplastic effect, and the influence of the parameter dot B ( t) of the magnetic field on the efficiency of the external action have been discussed. It has been demonstrated that a variation in the parameter dot B ( t) makes it possible to control the location of defects in the nearest environment of Mn2+ ions in the ZnS compound after the completion of treatment of the material in a magnetic field. The mechanisms responsible for the different effects exerted by energetically identical external disturbances on the system have been proposed.

  18. The prevalence of severe pain, its etiopathological characteristics and treatment profile of patients referred to a tertiary cancer care pain clinic

    Directory of Open Access Journals (Sweden)

    P N Jain

    2015-01-01

    Full Text Available Pain is the most feared symptom in cancer. About 52-77% patients suffer pain despite World Health Organization (WHO recommendations. Out of total, one-third patients suffer moderate to severe pain. This study was undertaken to determine the prevalence, etiopathogenesis and characteristics of severe pain and treatment response among pain clinic referrals in a busy tertiary care cancer center. This study found a high prevalence (31.5% of severe pain. A total of 251 patients who had complete pain data were analyzed for etiopathological characteristics and treatment response. Head and neck cancer contributed the highest prevalence among all regions. Oncologists prescribed non-steroidal anti-inflammatory drugs (NSAIDs or paracetamol with or without mild opioids to 14% patients and pain clinic physicians prescribed opioids and overall 63.7% patients had a better response after pain clinic referral, even then, morphine was not prescribed to many deserving patients. Doctors need pain education about opioids to remove any fear of prescribing opioids in presence of severe pain.

  19. Treatment characteristics and mortality of a large insured female population with advanced or metastatic breast cancer by receipt of HER2-targeted agents

    Directory of Open Access Journals (Sweden)

    Hao Y

    2015-04-01

    Full Text Available Yanni Hao,1 Nicole Meyer,2 Pamela Landsman-Blumberg,2 William Johnson,2 Jaqueline Willemann Rogerio1 1Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 2Truven Health Analytics, Cambridge, MA, USA Purpose: This retrospective administrative claims study of women diagnosed with advanced or metastatic breast cancer compared treatment characteristics and mortality by receipt of human epithelial growth factor receptor 2 (HER2-targeted agents and by disease stage and age group among patients using HER2-targeted agents. Patients and methods: Adult women diagnosed with stage III or IV breast cancer (index date between 2008 and 2012 were identified from MarketScan® databases containing medical and pharmacy claims for >40 million enrollees insured with >100 US health plans. Patients were followed until the earlier of the following: end of enrollment, inpatient death, or December 31, 2012. Study cohorts were women ± HER2-targeted agent use, HER2-targeted agent users' subgroups of stages III and IV, and age group. Pre- and postindex breast cancer treatments were compared among study cohorts. Overall survival was compared using log-rank tests. Cox proportional-hazards models were used to study the predictors of overall survival. Results: Of 30,660 eligible women, 14.4% received HER2-targeted agents. HER2-targeted agent users received more aggressive pre- and postindex cancer treatments compared to those with no HER2-targeted agents. HER2-targeted agents had higher rates of pre- and postindex breast cancer surgery, adjuvant/neoadjuvant chemotherapy, radiation therapy, chemotherapy, and biologics-based therapy. Among HER2-targeted agent users, younger women and those with stage III breast cancer received more aggressive treatments. After adjusting for clinically relevant patient characteristics, women receiving HER2-targeted agents had a 20% reduced risk of death compared to patients not receiving HER2-targeted agents. Among all patients and the

  20. A comparison of patient characteristics, prognosis, treatment modalities, and survival according to age group in gastric cancer patients

    Directory of Open Access Journals (Sweden)

    Tural Deniz

    2012-11-01

    Full Text Available Abstract Background The aim of this study was to investigate age-specific incidence rates and to compare disease stage, treatment, and survival according to age group in patients with gastric adenocarcinoma. Methods Gastric cancer patients treated at our hospital between 1999 and 2010 were retrospectively evaluated. We divided the cases into two subgroups: group 1 consisted of patients older than 70 years at the time of treatment, and group 2 included patients aged 70 years or younger. In all, 151 patients over 70 years of age and 715 patients age 70 years or younger were analyzed. Categorical and continuous variables were summarized using descriptive statistics and compared using statistical software. Overall survival rates were estimated via the Kaplan-Meier method. Results Median age at diagnosis was 58 years (range: 22 to 90 years. Between 1999 and 2002 the annual median age for patients aged older than70 years was 9.8%, which increased to 20% between 2007 and 2010. The one-year survival rate for patients with metastatic disease (stage IV was 10.9% (95% CI: 8.9% to 12.9% and 27.8% (95% CI: 17.3% to 38.2% in groups 1 and 2, respectively (P = 0.015. The five-year survival rate for patients with non-metastatic disease (in whom curative surgery was performed was 15.5% (95% CI = 12% to 19% and 26.9% (95% CI = 25.9% to 27.9% in groups 1 and 2, respectively (P = 0.03. There were no significant differences in gender, tumor localization in the stomach, tumor histology, perineural invasion (PNI, lymphovascular invasion (LVI, tumor stage, or type of surgery between the two groups. However, fewer of the patients in group 1 underwent adjuvant treatment (P = 0.02 and palliative chemotherapy (P = 0.007 than group 2 patients that were non-metastatic and metastatic at presentation, respectively. Conclusions Groups 1 and 2 were similar in terms of histopathological features and surgical modality; however, the survival rate was lower in group 1 than in group 2

  1. Effect of Aging Treatment on Microstructural and Mechanical Characteristics of PEO Coatings on Mg-Al Alloy

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Cast Mg-6 wt pct Al alloy solution-treated at 683 K for 16 h and aged at 498 K was coated by plasma electrolytic oxidation (PEO) method. The Mg-6 wt pct Al alloy aged for 16 h exhibited the highest microhardness and wear resistance. After PEO coating, however, the microhardness and wear resistance of coatings on Mg-6 wt pct Al alloy showed a tendency to decrease with increasing aging time, which was in aggrement with the change of thickness with aging time. In addition, the coatings on solution-treated Mg-6 wt pct Al alloy had better microhardness and wear resistance than those on aged Mg-6 wt pct Al alloys. Consequently, it can be understood that the aging treatment has a deleterious influence on the mechanical properties of coatings on Mg-6 wt pct Al alloy.

  2. Study on the treatment of photovoltaic wastewater using electrocoagulation: fluoride removal with aluminium electrodes--characteristics of products.

    Science.gov (United States)

    Drouiche, N; Aoudj, S; Hecini, M; Ghaffour, N; Lounici, H; Mameri, N

    2009-09-30

    In this work, treatment of synthetic fluoride-containing solutions by electrocoagulation method using aluminium electrodes has been studied. Electrocoagulation was investigated for applied potential (10-30 V), electrolysis time and supporting electrolyte (NaCl) concentration (0-100mg/L). The results showed that with increasing applied potential and electrolysis time, the Al(3+) dosage increases, and thereby favouring the fluoride ions removal. It was also observed that defluoridation is dependant on the concentration of supporting electrolyte. Finally, X-ray diffraction, scanning electron microscopy, energy dispersive spectroscopy of X-rays and Fourier transform infrared spectroscopy were used to characterize the solid products formed by aluminium electrodes during the EC process.

  3. Study on the treatment of photovoltaic wastewater using electrocoagulation: Fluoride removal with aluminium electrodes-Characteristics of products

    Energy Technology Data Exchange (ETDEWEB)

    Drouiche, N., E-mail: nadjibdrouiche@yahoo.fr [Silicon Technology Development Unit (UDTS), 2, Bd Frantz Fanon BP140, Alger-7-merveilles, 16200 (Algeria); Laboratory of Environmental Biotechnologies, Ecole Polytechnique d' Alger - 10, Avenue Pasteur El-Harrach (Algeria); Aoudj, S.; Hecini, M. [Silicon Technology Development Unit (UDTS), 2, Bd Frantz Fanon BP140, Alger-7-merveilles, 16200 (Algeria); Ghaffour, N. [Middle East Desalination Research Center, P.O. Box 21, P.C.133, Muscat (Oman); Lounici, H.; Mameri, N. [Laboratory of Environmental Biotechnologies, Ecole Polytechnique d' Alger - 10, Avenue Pasteur El-Harrach (Algeria)

    2009-09-30

    In this work, treatment of synthetic fluoride-containing solutions by electrocoagulation method using aluminium electrodes has been studied. Electrocoagulation was investigated for applied potential (10-30 V), electrolysis time and supporting electrolyte (NaCl) concentration (0-100 mg/L). The results showed that with increasing applied potential and electrolysis time, the Al{sup 3+} dosage increases, and thereby favouring the fluoride ions removal. It was also observed that defluoridation is dependant on the concentration of supporting electrolyte. Finally, X-ray diffraction, scanning electron microscopy, energy dispersive spectroscopy of X-rays and Fourier transform infrared spectroscopy were used to characterize the solid products formed by aluminium electrodes during the EC process.

  4. Design, rationale, and baseline characteristics of a cluster randomized controlled trial of pay for performance for hypertension treatment: study protocol

    Directory of Open Access Journals (Sweden)

    Lutschg Meghan Z

    2011-10-01

    Full Text Available Abstract Background Despite compelling evidence of the benefits of treatment and well-accepted guidelines for treatment, hypertension is controlled in less than one-half of United States citizens. Methods/design This randomized controlled trial tests whether explicit financial incentives promote the translation of guideline-recommended care for hypertension into clinical practice and improve blood pressure (BP control in the primary care setting. Using constrained randomization, we assigned 12 Veterans Affairs hospital outpatient clinics to four study arms: physician-level incentive; group-level incentive; combination of physician and group incentives; and no incentives (control. All participants at the hospital (cluster were assigned to the same study arm. We enrolled 83 full-time primary care physicians and 42 non-physician personnel. The intervention consisted of an educational session about guideline-recommended care for hypertension, five audit and feedback reports, and five disbursements of incentive payments. Incentive payments rewarded participants for chart-documented use of guideline-recommended antihypertensive medications, BP control, and appropriate responses to uncontrolled BP during a prior four-month performance period over the 20-month intervention. To identify potential unintended consequences of the incentives, the study team interviewed study participants, as well as non-participant primary care personnel and leadership at study sites. Chart reviews included data collection on quality measures not related to hypertension. To evaluate the persistence of the effect of the incentives, the study design includes a washout period. Discussion We briefly describe the rationale for the interventions being studied, as well as the major design choices. Rigorous research designs such as the one described here are necessary to determine whether performance-based payment arrangements such as financial incentives result in meaningful

  5. [Investigation of pollution characteristics of erythromycin resistance genes in a sewage treatment plant and the relevant selective factors].

    Science.gov (United States)

    Li, Kan-Zhu; Wu, Li-Le; Huang, Sheng-Lin; He, Shi; Liu, Zhen-Hong; Xue, Gang; Gao, Pin

    2014-12-01

    Occurrence and distribution of twelve pharmaceutical and personal care products (PPCPs) were investigated in a sewage treatment plant in Shanghai using solid-phase extraction combined with high-performance liquid chromatography-tandem mass spectrometry (SPE-HPLC-MS/MS). Quantitative PCR (qPCR) was used to determine the distribution and removal of seven erythromycin resistance genes (ERY-ARGs). The results showed that five PPCPs including sulfamethoxazole, erythromycin, tetracycline, carbamazepine and triclosan were detected in the collected wastewater samples with concentrations in the ranges of 24.5- 38.7, 47.5-49.2, 43.1-85.4, 2.5-3.9 and 423.2-8 973.3 ng x L(-1), respectively. During the wastewater treatment process, a significant reduction of triclosan was observed, but the removal efficiencies for the other detected PPCPs were relatively low. Additionally, all target ERY-ARGs were detected in the wastewater samples ranging from 9.28 x 10(3) (ermA) to 1.83 x 10(8) (ereA) copies x L(-1) in raw influent. Though significant reductions (1.19 log-3.97 log) of ERY-ARGs were obtained, their concentrations found in the final effluent were still high. Moreover, the concentration of ERY-ARGs exhibited significant positive correlation with the concentration of erythromycin and triclosan (P < 0.05), respectively, elucidating that erythromycin played an important role in the occurrence and spread of ERY-ARGs, while triclosan may confer cross-selection for ERY-ARGs. PMID:25826929

  6. Characteristics of UV-MicroO3 Reactor and Its Application to Microcystins Degradation during Surface Water Treatment

    Directory of Open Access Journals (Sweden)

    Guangcan Zhu

    2015-01-01

    Full Text Available The UV-ozone (UV-O3 process is not widely applied in wastewater and potable water treatment partly for the relatively high cost since complicated UV radiation and ozone generating systems are utilized. The UV-microozone (UV-microO3, a new advanced process that can solve the abovementioned problems, was introduced in this study. The effects of air flux, air pressure, and air humidity on generation and concentration of O3 in UV-microO3 reactor were investigated. The utilization of this UV-microO3 reactor in microcystins (MCs degradation was also carried out. Experimental results indicated that the optimum air flux in the reactor equipped with 37 mm diameter quartz tube was determined to be 18∼25 L/h for efficient O3 generation. The air pressure and humidity in UV-microO3 reactor should be low enough in order to get optimum O3 output. Moreover, microcystin-RR, YR, and LR (MC-RR, MC-YR, and MC-LR could be degraded effectively by UV-microO3 process. The degradation of different MCs was characterized by first-order reaction kinetics. The pseudofirst-order kinetic constants for MC-RR, MC-YR, and MC-LR degradation were 0.0093, 0.0215, and 0.0286 min−1, respectively. Glucose had no influence on MC degradation through UV-microO3. The UV-microO3 process is hence recommended as a suitable advanced treatment method for dissolved MCs degradation.

  7. Clinical characteristics and evaluation of LDL-cholesterol treatment of the Spanish Familial Hypercholesterolemia Longitudinal Cohort Study (SAFEHEART

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    Piedecausa Mar

    2011-06-01

    Full Text Available Abstract Aim Familial hypercholesterolemia (FH patients are at high risk for premature coronary heart disease (CHD. Despite the use of statins, most patients do not achieve an optimal LDL-cholesterol goal. The aims of this study are to describe baseline characteristics and to evaluate Lipid Lowering Therapy (LLT in FH patients recruited in SAFEHEART. Methods and Results A cross-sectional analysis of cases recruited in the Spanish FH cohort at inclusion was performed. Demographic, lifestyle, medical and therapeutic data were collected by specific surveys. Blood samples for lipid profile and DNA were obtained. Genetic test for FH was performed through DNA-microarray. Data from 1852 subjects (47.5% males over 19 years old were analyzed: 1262 (68.1%, mean age 45.6 years had genetic diagnosis of FH and 590 (31.9%, mean age 41.3 years were non-FH. Cardiovascular disease was present in 14% of FH and in 3.2% of non-FH subjects (P Conclusion Although most of this high risk population is receiving LLT, prevalence of cardiovascular disease and LDL-c levels are still high and far from the optimum LDL-c therapeutic goal. However, LDL-c levels could be reduced by using more intensive LLT such as combined therapy with maximum statin dose and ezetimibe.

  8. Characteristics of type I Gaucher disease associated with persistent thrombocytopenia after treatment with imiglucerase for 4-5 years.

    Science.gov (United States)

    Hollak, Carla E M; Belmatoug, Nadia; Cole, J Alexander; Vom Dahl, Stephan; Deegan, Patrick B; Goldblatt, Jack; Rosenbloom, Barry; van Dussen, Laura; Tylki-Szymańska, Anna; Weinreb, Neal J; Zimran, Ari; Cappellini, Maria Domenica

    2012-08-01

    The characteristics of Gaucher disease (GD) associated with persistent thrombocytopenia despite imiglucerase enzyme therapy in type 1 GD (GD1) were investigated by retrospective analysis of International Collaborative Gaucher Group (ICGG) Registry data. The study involved 1016 GD1 patients with an intact spleen for whom date of diagnosis, therapy initiation, and platelet counts were known, and who received continuous imiglucerase therapy for 4 to 5 years. These patients were stratified by last platelet count: ≥ 120 × 10(9) /l (n = 772); ≥ 100 to <120 × 10(9) /l (n = 94); ≥ 80 to <100 × 10(9) /l (n = 80); and <80 × 10(9) /l (n = 70; 20 with <60 × 10(9) /l) and characterized by initial and cumulative average imiglucerase dose, body mass index, platelet count, anaemia, hepatomegaly, splenomegaly, and skeletal assessments at baseline and after 4-5 years of therapy. Statistically significant associations were found between persistent thrombocytopenia and baseline platelet count (<80 × 10(9) /l), splenomegaly, and anaemia (all P < 0·0001). After 4-5 years, statistically significant associations were found with splenomegaly (P < 0·0001), anaemia (P < 0·0001), white blood cell count (P = 0·049), hepatomegaly (P = 0·004) and bone pain (P = 0·035). Exponential platelet decay in relation to splenomegaly suggests that platelets increase only when spleen volume decreases substantially. PMID:22640238

  9. Effect of operating parameters and membrane characteristics on air gap membrane distillation performance for the treatment of highly saline water

    KAUST Repository

    Xu, Jingli

    2016-04-07

    In this study, ten different commercially available PTFE, PP and PVDF membranes were tested in desalination of highly saline water by air gap membrane distillation (AGMD). Process performance was investigated under different operating parameters, such as feed temperatures, feed flow velocities and salt concentrations reaching 120 g/L, and different membrane characteristics, such as membrane material, thickness, pore size and support layer, using a locally designed and fabricatd AGMD module and spacer. Results showed that increasing feed temperature increases permeate flux regardless of the feed concentration. However, feed flow velocity does not significantly affect the flux, especially at low feed temperatures. The PP membrane showed a better performance than the PVDF and PTFE membranes. Permeate flux decreases with the increase of salt concentration of feed solution, especially at higher concentrations above 90 g/L. The existence of membrane support layer led to a slight decrease of permeate flux. Membranes with pore sizes of 0.2 and 0.45 μm gave the best performance. Smaller pore size led to lower flux and larger pore size led to pore wetting due to lower LEP values. The effect of concentration polarization and temperature polarization has also been studied and compared.

  10. Clinical characteristics and risk behavior as a function of HIV status among heroin users enrolled in methadone treatment in northern Taiwan

    Directory of Open Access Journals (Sweden)

    Shih Chien-Yu

    2011-04-01

    Full Text Available Abstract Background Methadone treatment was introduced in Taiwan in 2006 as a harm-reduction program in response to the human immunodeficiency virus (HIV, which is endemic among Taiwanese heroin users. The present study was aimed at examining the clinical and behavioral characteristics of methadone patients in northern Taiwan according to their HIV status. Methods The study was conducted at four methadone clinics. Participants were patients who had undergone methadone treatment at the clinics and who voluntarily signed a consent form. Between August and November 2008, each participant completed a face-to-face interview that included questions on demographics, risk behavior, quality of life, and psychiatric symptoms. Data on HIV and hepatitis C virus (HCV infections, methadone dosage, and morphine in the urine were retrieved from patient files on the clinical premises, with permission of the participants. Results Of 576 participants, 71 were HIV positive, and 514 had hepatitis C. There were significant differences between the HIV-positive and HIV-negative groups on source of treatment payment, HCV infection, urine test results, methadone dosage, and treatment duration. The results indicate that HIV-negative heroin users were more likely to have sexual intercourse and not use condoms during the 6 months prior to the study. A substantial percent of the sample reported anxiety (21.0%, depression (27.2%, memory loss (32.7%, attempted suicide (32.7%, and administration of psychiatric medications (16.1%. There were no significant differences between the HIV-positive and HIV-negative patients on psychiatric symptoms or quality of life. Conclusions HIV-positive IDUs were comorbid with HCV, indicating the need to refer both HIV- and HCV-infected individuals for treatment in methadone clinics. Currently, there is a gap between psychiatric/psychosocial services and patient symptoms, and more integrated medical services should be provided to heroin

  11. Effects of cooling method after intercritical heat treatment on microstructural characteristics and mechanical properties of as-cast high-strength low-alloy steel

    International Nuclear Information System (INIS)

    Highlights: • The effect of cooling method after intercritical heat treatment on microstructure evolution was investigated. • Fracture mechanism of tensile and impact after different intercritical heat treatment has been analyzed. • The crack initiation and propagation after different intercritical heat treatment was compared in details. - Abstract: The effect of cooling method after intercritical heat treatment on the microstructures and mechanical properties of as-cast steel produced by electroslag casting was investigated. The microstructure characteristics were analyzed by optical microscope (OM), scanning electron microscope (SEM), transmission electron microscopy (TEM) and electron back scatter diffraction (EBSD). The mechanical performance was evaluated by tensile testing at ambient temperature and Charp V-notch impact tests at various temperatures (−40 °C, −20 °C, 20 °C). The tensile and impact fracture micromechanisms were discussed in details. The results of microstructure investigation indicated that water cooling after intercritical heat treatment led to a mixed microstructure of ferrite and tempered martensite, while a composite microstructure of ferrite and tempered bainite was obtained after air cooling. The carbides of Cr, Mo and Nb in matrix after water quenching were finer than the ones after air cooling. Compared with water cooling, a good balance of strength and toughness was obtained after air cooling. The crack propagation path in the steel after water cooling can propagate along the long axis direction of ferrite bands, directly across the intersecting banded ferrite and martensite as well as along the interfaces between ferrite and martensite. However, the crack propagation path in the steel after air cooling depends on the shape, size and distribution of M/A islands

  12. [Characteristics of central nervous system activity in patients with complications of arterial hypertension and dependence on psychomotor status and treatment].

    Science.gov (United States)

    Usenko, A G; Velichko, N P; Usenko, G A; Nishcheta, O V; Kozyreva, T Iu; Demin, A A

    2013-01-01

    Changes in certain CNS characteristics were used as indicators of the efficacy of antihypertensive therapy (AHT) both targeted (T-AHT) and empirical (E-AHT) designed to suppress activity of the sympathetic component of vegetative nervous system (VNS) and renin-angiotensin-aldosterone system (RAAS) in patients of different psychic status and AH. A group of 835 men (mean age 54.2+-1.8yr) was divided into cholerics, sanguinics, melancholics and phlegmatics with a high and low anxiety level (HA and LA). 416 healthy men served as controls. The following parameters were estimated: mobility of cortical processes, balance between sympathetic and parasympathetic activities, blood corrisol and aldosterone levels, oxygen utilization coefficient, resistance to breath holding, severity of dyscirculatory encephalopathy and the fraction of patients with AH complications during 12 month T-AHT for the suppression of sympathetic activity in cholerics and sanguinics by beta-adrenoblockers and PAA C- ACE inhibitors in phlegmatics and melancholics and during E-AHT (ACE inhibitors in cholerics and sanguinics, BAB in phlegmatics and melancholics). The functional activity of CNS in phlegmatics and melancholics before and during AHT was lower and severity of encephalopathy and the number ofAH complications higher than in cholerics and sanguinics. . The changes wiere more pronounced in patients with HA than in those with LA. Unlike E-AHT T-AHT (anxiolytics for cholerics and sanguinics with HA, antidepressants for phlegmatics and melancholics with HA) normalized the study parameters and decreased the frequency of complications by 2-3 times.

  13. Diabetes treatment patterns and goal achievement in primary diabetes care (DiaRegis - study protocol and patient characteristics at baseline

    Directory of Open Access Journals (Sweden)

    Deeg Evelin

    2010-09-01

    Full Text Available Abstract Background Patients with type 2 diabetes are at an increased risk for disease and treatment related complications after the initial approach of oral mono/dual antidiabetic therapy has failed. Data from clinical practice with respect to this patient group are however scarce. Therefore we set up a registry in primary care documenting the course and outcomes of this patient group. Methods Diabetes Treatment Patterns and Goal Achievement in Primary Diabetes Care (DiaRegis is a prospective, observational, German, multicenter registry including patients with type-2 diabetes in which oral mono/dual antidiabetic therapy has failed. Data were recorded at baseline and will be prospectively documented during visits at 6 ± 1, 12 ± 2 and 24 ± 2 months. The primary objective is to estimate the proportion of patients with at least 1 episode of severe hypoglycemia within one year. Results 313 primary care offices included 4,048 patients between June 2009 and March 2010 of which 3,810 patients fulfilled the in- and exclusion criteria. 46.7% of patients were female; patients had a median diabetes duration of 5.5 years and most were obese with respect to BMI or waist circumference. HbA1c at baseline was 7.4%, fasting plasma glucose 142 mg/dl and postprandial glucose 185 mg/dl. Co-morbidity in this patient population was substantial with 17.9% having coronary artery disease, 14.4% peripheral neuropathy, 9.9% heart failure and 6.0% peripheral arterial disease. 68.6% of patients received oral monotherapy, 31.4% dual oral combination therapy. The most frequent antidiabetic agent used as monotherapy was metformin (79.0% followed by sulfonylureas (14.8%. Conclusions DiaRegis is a large, prospective registry in primary diabetes care to document the course and outcomes of patients with type-2 diabetes in which the initial approach of oral mono/dual antidiabetic therapy has failed. The two year follow-up will allow for a prospective evaluation of these patients

  14. TREATMENT CHARACTERISTICS AND OPERATIONAL PARAMETERS OF A NEWLY DEVELOPED REACTOR WITH SLUDGE SEPARATION FILTER AND AIRLIFT PUMP FOR CARBON AND NITROGEN REMOVAL

    Directory of Open Access Journals (Sweden)

    Fumitake Nishimura

    2014-01-01

    Full Text Available Nutrient removal from sewage is one of the most urgently required issues from the viewpoint of prevention of eutrophication and preservation of water quality for water supply system. Among several nutrient removal methods, biological treatment, which is a modified activated sludge system, is widely applied. However, biological nitrogen removal process, which consists of nitrification and denitrification steps, needs opposite operations at several stages such as necessity of oxygen and requirement of electron donor of organic compounds. In this study, treatment characteristics of a reactor with both sludge separation filter and airlift pump are investigated. This reactor has sludge separation filter in the middle part and airlift pump that supplies oxygen and circulate liquid from aerobic zone to anoxic zone in order to cut down the required energy. From laboratory scale experiments, design and operational parameters are investigated and it is shown that NH4-N loading rate of 35 mgN/(L-media・hr at aerobic zone and DO loading rate of less than 0.15 kgDO/(kgMLSS・d to anoxic zone are required for stable treatment.

  15. Adsorption characteristics of multiple microcystins and cylindrospermopsin on sediment: Implications for toxin monitoring and drinking water treatment.

    Science.gov (United States)

    Maghsoudi, Ehsan; Prévost, Michèle; Vo Duy, Sung; Sauvé, Sébastien; Dorner, Sarah

    2015-09-01

    Adsorption of mixtures of cyanotoxins onto sediment as a dominant mechanism in the elimination of cyanotoxins from the aqueous phase has not been extensively investigated. The aim of this study was to investigate adsorption and desorption behavior of six microcystins including microcystin (MC)-LR, RR, YR, LY, LW and LF and cylindrospermopsin (CYN) on natural sediment. Freundlich and Langmuir isotherms could be fitted for MC-LR, RR, YR and CYN. Sorption kinetics showed immediate rapid adsorption for all cyanotoxins: CYN, MCLW and MCLF were adsorbed 72.6%, 56.7% and 55.3% respectively within 2 h. Results of desorption experiments demonstrated that less than 9% of cyanotoxins desorbed from sediment within 96 h. Adsorption of cyanotoxins onto three fractionated sediments particles, clay-silt (<75 μm), find sand (75-315 μm) and coarse sand (315-2000 μm) demonstrated that adsorption capacity of coarse sand fraction for all the tested cyanotoxins was less than 4% of the clay-silt fraction. Results of this study revealed that there is a potential for cyanotoxins to accumulate in the sediments of lakes, as well as in drinking water treatment plants. Monitoring programs must consider cyanotoxins in the particulate phase to avoid largely underestimating toxin concentrations following their release from blooms.

  16. Glomerulonephritis associated with marginal zone B-cell lymphoma: clinical, pathological characteristics of renal injury and treatment (clinical cases

    Directory of Open Access Journals (Sweden)

    B. T. Dzhumabaeva

    2015-12-01

    Full Text Available Glomerulonephritis associated with marginal zone B-cell lymphoma at the onset of disease is rarely diagnosed. In this article we reported two patient of the extranodal marginal zone B-cell lymphoma with kidney damage. The first patient with the extranodal marginal zone B-cell lymphoma involved the stomach, lymph nodes, bone marrow and associated with mesangioproliferative glomerulonephritis and renal failure. The second patient with the splenic form of marginal zone B-cell lymphoma associated with fibrillary glomerulonephritis and hepatitis C and involve the lymph nodes, liver, bone marrow, and synthesis monoclonal immunoglobulin (IgMκ, cryoglobulin type II. Glomerulonephritis of the both cases were established on the renal biopsies by the morphological investigation, immunofluorescence, and electron microscopy.Both patients received therapy with bendamustine and rituximab, which has resulted in complete remission for lymphatic tumors and improve of kidney function. Overall and event-free survival in the first case corresponds to 21 and 16 months, the second 29 and 20, respectively.These cases illustrates that the kidney may be initially involved by extranodal marginal zone B-cell lymphoma, and the need for expanded investigation of the possible dissemination. Combination of bendamustine and rituximab were effective and safety treatment in these cases.

  17. The removal characteristics of natural organic matter in the recycling of drinking water treatment sludge: Role of solubilized organics.

    Science.gov (United States)

    Zhou, Zhiwei; Yang, Yanling; Li, Xing; Ji, Siyang; Zhang, Hao; Wang, Shuai; Zeng, Qingping; Han, Xinghang

    2016-01-01

    To clarify the role of solubilized organics derived from drinking water treatment sludge (DWTS) in the elimination of natural organic matter (NOM) in the DWTS recycling process, a probe sonoreactor at a frequency of 25 kHz was used to solubilize the organics at varied specific energies. The coagulation behavior related to NOM removal in recycling the sonicated DWTS with and without solubilized organics was evaluated, and the effect on organic fractionations in coagulated water was determined. The study results could provide useful implications in designing DWTS recycling processes that avoid the enrichment of organic matter. Our results indicate that DWTS was disrupted through a low release of soluble chemical oxygen demand (SCOD) and proteins, which could deteriorate the coagulated water quality under the specific energy of 37.87-1212.1 kW h/kg TS. The optimal coagulation behavior for NOM removal was achieved by recycling the sonicated DWTS without solubilized organics at 151.5 kW h/kg TS specific energy. Recycling the sonicated DWTS could increase the enrichment potential of weakly hydrophobic acid, hydrophilic matter, and recycling the sonicated DWTS without solubilized organics, the removal of humic-like substances was limited, whereas removal of protein-like substances was enhanced, lowering the enrichment potential of protein-like substances.

  18. Characteristics associated with low treatment satisfaction in patients with implanted cardioverter defibrillators: results from the LICAD study.

    Science.gov (United States)

    Ladwig, Karl-Heinz; Deisenhofer, Isabelle; Simon, Heidi; Schmitt, Claus; Baumert, Jens J

    2005-06-01

    The evaluation of low treatment satisfaction (LTS) with an implanted cardioverter defibrillator (ICD) remains a neglected area of clinical research. However, a trustful attitude toward an ICD is crucial. Within the scope of ICD health technology assessment, we searched for predictors of LTS. Of 195 ICD patients enrolled (mean 59.8 years, standard deviation 12.6), 163 (83.6%) were men and 26 (16.4%) were women. We measured anxiety, helplessness, and depression with standardized instruments and LTS with 11 dichotomous items concerning a mistrustful attitude, a negative body image, and low appraisal. A total of 47 (24.1%) patients were considered as LTS patients. Multivariate logistic regression was used for assessment of LTS. Adjusted for age and survey, LTS was significantly more prevalent in depressed, anxious, and phobic patients. Multivariate logistic regression including medical and psychological covariates revealed the experience of > or =5 shocks with an odds ratio (OR) of 10.17 (95% CI 3.57-29.00, P effect on LTS. Age, educational status, and depression were not significant. LTS patients required more support for living with the ICD (P < or = 0.001). Thus, LTS serves as surrogate measure for deteriorated psychic health. Clinicians should be advised to identify LTS patients and to consider psychotherapeutic counseling for them. PMID:15955182

  19. Epidemiological analysis of demographic characteristics and type of injuries in patients with multiple trauma with respect to conclusive treatment outcome

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    Zagorac Slaviša

    2008-01-01

    Full Text Available Introduction Multiple trauma is one of the leading causes of mortality and morbidity in the population of people under 45 years of age. The consequences of multiple trauma have huge epidemiological, social and economic significance. Objective The aim of the paper was to analyze the conclusive treatment outcome of multiply traumatized patients with respect to their sex, age, injury mechanism and type. METHOD This retrospective study included 100 patients with multiple injuries (ISS>16 treated in the Emergency Room of the Clinical Centre of Serbia in the course of 2004. Clinical, X-ray, laboratory and numerical presentation methods - scores (ISS and GCS were used to show the injury severity. Results Most of the injured were males (80%, and the average age was 40±20 (5-83. Out of the total number of patients who died, 23 (82% were males, and 5 (18% were females. The average age of the patients with fatal outcomes was 48±21 (8-86. Traffic accidents were the leading cause of injury (59%. The median GCS was 10±3 (3-15. The average ISS was 30 (20-66 in the surviving patients, and 53 (27-77 in those who died. Conclusion With respect to sex, in most cases multiple trauma affects males (p<0.01, with the average age of about 40. With respect to injury mechanism, the main cause of the occurrence of multiple trauma is traffic accidents (p<0.01. There is a statistically significant difference in the values of GCS and ISS relative to the definitive outcome (p<0.01. Statistical data processing indicated that there was a statistically significant correlation between mortality and type of injury in a given organic system (p<0.01, but that there was no statistically significant correlation between mortality and age. .

  20. [Characteristics of dissolved organic matter in A/DAT-IAT system for municipal wastewater treatment based on ecological safety].

    Science.gov (United States)

    Yang, Sai; Zhou, Qi-Xing; Hua, Tao

    2014-02-01

    To ensure the water-quality safety and harmlessness of effluent from municipal wastewater, based on the lab-scale improved SBR-A/DAT-IAT process, dissolved organic matter (DOM) in municipal wastewater, demand aeration tank (DAT) supernatant and final effluent were classified and separated by applying the ultrafiltration membranes, and indexes such as TOC, UV254, 3D-EEM and toxicity were measured, to find out the sources of the toxic substances. The results showed that the lab-scale A/DAT-IAT process performed well on each molecular-weight fraction of DOM. The main composition in the effluent was humic-like substance. Along the process, The DOM distribution presented a trend of shifting to high molecular weight. Meanwhile, the aromaticity of DOM in the fraction with relative molecular weight below 1 x 10(3) increased significantly, leading to the increase in the reactivity of effluent with chlorine, which then increased the risk of disinfection by-products. In the raw wastewater, the toxic effects were originated from the fraction with relative molecular weight below 1 x 10(3), although the toxic effects were still originated from the same fraction in the effluent, they came from the biological treatment itself instead of the raw wastewater. Based on the analysis of TOC, UV254, 3D-EEM and toxicity, the removal of low molecular-weight humic-like substance should be emphasized to achieve the effluent organic emissions standards and to control the risk of chlorination by-products and toxicity. Therefore, future studies should focus on the removal of this fraction of DOM by adjusting technological parameters or adding a targeted processing unit. PMID:24812958

  1. BK Virus-Hemorrhagic Cystitis Following Allogeneic Stem Cell Transplantation: Clinical Characteristics and Utility of Leflunomide Treatment

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    Young Hoon Park

    2016-08-01

    Full Text Available Objective: BK virus-hemorrhagic cystitis (BKV-HC is a potential cause of morbidity and mortality in patients having undergone allogeneic stem cell transplantation (Allo-SCT. We analyzed the clinical features of BKV-HC following Allo-SCT and reported the utility of leflunomide therapy for BKV-HC. Materials and methods: From January 2005 to June 2014, among the 69 patients underwent Allo-SCT in our institution, the patients who experienced BKV-HC were investigated retrospectively. Results: Hemorrhagic cystitis (HC was observed in 30 patients (43.5%, and among them, 18 patients (26.1% were identified as BKV-HC. The median age of the patients (12 males and 6 females was 45 years (range, 13-63. Patients received Allo-SCT from acute myeloid leukemia (n=11, aplastic anemia (n=4, myelodysplastic syndrome (n=2, and non-Hodgkin lymphoma (n=1.The donor types were a HLA-matched sibling donor for 6 patients, HLA-matched unrelated donor for 9, and a haploidentical familial donor for 2. The median onset and duration of BKV-HC was on day 21 (range, 7-97 after transplantation and 22 days (range, 6-107. Eleven patients (62.1% had grade I-II HC and seven patients (38.9% had grade III-IV (high-grade HC. Among the seven patients who had high-grade HC, one had complete response (CR, one partial response (PR, and five no response (NR. Among the five non-responders, one died of BKV-HC associated complications. The remaining four patients were treated with leflunomide, with achieving CR (n=2 and PR (n=2. The median duration from the start of leflunomide therapy to response was 13 days (range, 8–17 days. All patients tolerated the leflunomide treatment well, with three patients having mild gastrointestinal symptoms, including anorexia and abdominal bloating. Conclusion: BKV-HC was commonly observed in patients with HC following Allo-SCT. In high-grade BKV-HC patients who fail supportive care, leflunomide may be a feasible option without significant toxicity. Materials

  2. Clinical characteristics and treatment of Ebola virus disease%埃博拉病毒病临床特征与治疗

    Institute of Scientific and Technical Information of China (English)

    张健; 苏海滨

    2016-01-01

    Ebola virus disease (EVD) is a fatal disease caused by Ebola virus infection with high morbidity rate. Clinical manifestations of EVD are not specific and the diagnosis of EVD is confirmed mainly by etiology examination. So far, the mainstay therapy is supportive care, and efforts to develop other potential therapies are ongoing. This article focuses on the clinical characteristics and treatment of EVD.%埃博拉病毒病(Ebola virus disease, EVD)是由埃博拉病毒引起的烈性传染病,致死率高.EVD 临床表现无特异性,确诊主要依靠病原学检查.目前以对症支持治疗为主,其他可能的治疗方案在不断研究探索中.本文对 EVD 的临床特征及治疗进行综述.

  3. Effect of chemical treatment on surface characteristics of sputter deposited Ti-rich NiTi shape memory alloy thin-films

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, S.K., E-mail: drsudhirsharma@gmail.com; Mohan, S.

    2014-04-01

    Graphical abstract: FTIR spectra recorded for sputter deposited (a) untreated and (b) chemically treated NiTi SMA thin-films. - Highlights: • The effect of chemical treatment on surface properties of NiTi films demonstrated. • Chemically treated films offer strong ability to form protective TiO{sub 2} layer. • TiO{sub 2} layer formation offer great application prospects in biomedical fields. - Abstract: NiTi thin-films were deposited by DC magnetron sputtering from single alloy target (Ni/Ti:45/55 at.%). The rate of deposition and thickness of sputter deposited films were maintained to ∼35 nm min{sup −1} and 4 μm respectively. A set of sputter deposited NiTi films were selected for specific chemical treatment with the solution comprising of de-ionized water, HF and HNO{sub 3} respectively. The influence of chemical treatment on surface characteristics of NiTi films before and after chemical treatment was investigated for their structure, micro-structure and composition using different analytical techniques. Prior to chemical treatment, the composition of NiTi films using energy dispersive X-ray dispersive spectroscopy (EDS), were found to be 51.8 atomic percent of Ti and 48.2 atomic percent of Ni. The structure and morphology of these films were investigated by X-ray diffraction (XRD) and scanning electron microscopy (SEM). XRD investigations, demonstrated the presence of dominant Austenite (1 1 0) phase along with Martensite phase, for untreated NiTi films whereas some additional diffraction peaks viz. (1 0 0), (1 0 1), and (2 0 0) corresponding to Rutile and Anatase phase of Titanium dioxide (TiO{sub 2}) along with parent Austenite (1 1 0) phase were observed for chemically treated NiTi films. FTIR studies, it can be concluded that chemically treated films have higher tendency to form metal oxide/hydroxide than the untreated NiTi films. XPS investigations, demonstrated the presence of Ni-free surface and formation of a protective metal oxide (TiO{sub 2

  4. Effect of chemical treatment on surface characteristics of sputter deposited Ti-rich NiTi shape memory alloy thin-films

    International Nuclear Information System (INIS)

    Graphical abstract: FTIR spectra recorded for sputter deposited (a) untreated and (b) chemically treated NiTi SMA thin-films. - Highlights: • The effect of chemical treatment on surface properties of NiTi films demonstrated. • Chemically treated films offer strong ability to form protective TiO2 layer. • TiO2 layer formation offer great application prospects in biomedical fields. - Abstract: NiTi thin-films were deposited by DC magnetron sputtering from single alloy target (Ni/Ti:45/55 at.%). The rate of deposition and thickness of sputter deposited films were maintained to ∼35 nm min−1 and 4 μm respectively. A set of sputter deposited NiTi films were selected for specific chemical treatment with the solution comprising of de-ionized water, HF and HNO3 respectively. The influence of chemical treatment on surface characteristics of NiTi films before and after chemical treatment was investigated for their structure, micro-structure and composition using different analytical techniques. Prior to chemical treatment, the composition of NiTi films using energy dispersive X-ray dispersive spectroscopy (EDS), were found to be 51.8 atomic percent of Ti and 48.2 atomic percent of Ni. The structure and morphology of these films were investigated by X-ray diffraction (XRD) and scanning electron microscopy (SEM). XRD investigations, demonstrated the presence of dominant Austenite (1 1 0) phase along with Martensite phase, for untreated NiTi films whereas some additional diffraction peaks viz. (1 0 0), (1 0 1), and (2 0 0) corresponding to Rutile and Anatase phase of Titanium dioxide (TiO2) along with parent Austenite (1 1 0) phase were observed for chemically treated NiTi films. FTIR studies, it can be concluded that chemically treated films have higher tendency to form metal oxide/hydroxide than the untreated NiTi films. XPS investigations, demonstrated the presence of Ni-free surface and formation of a protective metal oxide (TiO2) layer on the surface of the films

  5. Influence of heat treatment on the sensory and physical characteristics and carbohydrate fractions of french-fried potatoes (Solanum tuberosum L.

    Directory of Open Access Journals (Sweden)

    Natalia Carvalho Montenegro de VASCONCELOS

    2015-09-01

    Full Text Available AbstractThe aim of this study was to analyze the impact that heat treatment with salts and freezing processes on the sensory, instrumental, and physico-chemical characteristics of fried potatoes of the Monalisa cultivar. The potatoes were blanched in distilled water (P; sodium chloride solution (B1; calcium chloride solution (B2, and a solution with both of these salts (B3. They were then pre-cooked and frozen for 24 hours and for 30 days. After frying, sensory characteristics were analyzed (color, texture, flavor, oiliness, along with overall preference and instrumental determinations of texture, color, and oil content. Further tests were conducted on the sample with the best results in the sensory analysis (B1, along with sample P as a control, to determine granule microstructure, carbohydrate fractions, glycemic index, and glycemic load. Blanching B3, despite reducing oil absorption and providing less oiliness, obtained lesser overall preference. Freezing for 30 days increased the lightness, except for when sodium chloride was used, which intensified the color yellow. The use of sodium chloride did not interfere with the type of starch granules, nor with the formation of resistant starch; however, longer freezing time reduced the glycemic index and concentrated the dietary fiber content. All samples exhibited low glycemic index and moderate glycemic loads.

  6. Characteristics of hemodynamics in abdominal aortic aneurysm and its treatment%腹主动脉瘤血流动力学特点和对策

    Institute of Scientific and Technical Information of China (English)

    舒畅; 王暾

    2012-01-01

    The research of hemodynamic characteristics in abdominal aortic aneurysm focuses on blood pressure, blood flow, aortic wall stress, shear stress, as well as the physiopathologic changes caused by the specific hemodynamic situations. The hemodynamic characteristics lead to aortic aneurysm progressing, asymmetry and mural thrombosis. Meanwhile, the spatial structure of abdominal aortic aneurysm results in the particular hemodynamic characteristics. Researching of the hemodynamic status is an important method of analyzing the development and rupture risk of abdominal aortic aneurysm, and make prevention and treatment strategies.%腹主动脉瘤内的血流动力学主要研究瘤体内的动脉压、血流的状况,以及血流作用于主动脉壁的张力和剪切力的分布情况,同时研究主动脉壁随血流动力学改变发生的相应的结构和功能改变.血流动力学因素导致腹主动脉瘤发生并逐渐增大,呈不规则形态生长,瘤体内形成附壁血栓;而瘤体的形态改变同时也改变其内血流动力学特点.明确腹主动脉瘤内的血流动力学特点,有助于分析疾病进程,评估腹主动脉瘤破裂的风险,指导临床治疗工作,同时为早期预防腹主动脉瘤的发生和发展提供理论依据.

  7. 运动骨骼肌受力特征分析及对韧带损伤治疗%Skeletal Muscle Stree Characteristics and Ligament Injury Treatment

    Institute of Scientific and Technical Information of China (English)

    张博; 王屹博

    2015-01-01

    Objective: In the movement of the human body, exercise in skeletal muscle of the unbalanced stress or stress will lead to muscle and ligament injury, the study of skeletal muscle by force characteristics and the analysis of the effect of ligament injury, guiding the movement of the muscle and ligament injury treatment. Methods:The mechanical characteris-tics of the skeletal muscle were analyzed by computer simulation and medical clinical tracking, and the effect of the treat-ment for the injury of the ligament was analyzed. By wearing in the crotch of the acceleration sensor of the human body to do motion characteristics of the raw data in the running, standing, walking and jumping several actions under, the choice of two acceleration sensors, quantitative analysis human action type of action and behavior patterns, and extract the relevant information, express, guiding the ligament injury treatment. Results:Analysis of patients with different activity of skeletal muscles by the force of tension model, in skeletal muscle tetanic contraction curve, muscle has not been restored, it will pro-duce new records infinitum, become continuous muscle response. Conclusion:The treatment of ligament injury improves the recovery rate of ligament injury, and improves the prevention and treatment effect of the injury of the injured ligament.%目的:在人体的各项运动中,运动骨骼肌的受力不均衡或者受力不当,都会导致肌肉和韧带损伤,研究运动骨骼肌受力特征并对分析其对韧带损伤的影响,指导运动肌肉和韧带损伤治疗.方法:采用计算机仿真模拟和医学临床跟踪方法分析运动骨骼肌的受力特征,并分析对韧带损伤的治疗效果.利用佩戴在胯部的加速度传感器对人体在跑步、静止、走路和跳跃几种动作下进行运动特征的原始数据采集,选用两个加速度传感器,定量分析人体运动行为的动作类型、行为模式,并提取相关的信息,指导韧带损伤

  8. TECHNIQUE OF ESTIMATION OF ERROR IN THE REFERENCE VALUE OF THE DOSE DURING THE LINEAR ACCELERATOR RADIATION OUTPUT CALIBRATION PROCEDURE. Part 2. Dependence on the characteristics of collimator, optical sourse-distance indicator, treatment field, lasers and treatment couch

    Directory of Open Access Journals (Sweden)

    Y. V. Tsitovich

    2016-01-01

    Full Text Available To ensure the safety of radiation oncology patients needed to provide consistent functional characteristics of the medical linear accelerators, which affect the accuracy of dose delivery. To this end, their quality control procedures, which include the calibration of radiation output of the linac, the error in determining the dose reference value during which must not exceed 2 %, is provided. The aim is to develop a methodology for determining the error (difference between a measured value of quantity and its true value in determining this value, depending on the characteristics of the collimator, the source to surface distance pointer, lasers, radiation field and treatment table. To achieve the objectives have been carried out dosimetric measurements of Trilogy S/N 3567 linac dose distributions, on the basis of which dose errors depending on the accuracy setting the zero position of the collimator, the deviation of the collimator rotation isocenter, the sourcesurface distance pointer accuracy, field size accuracy, the accuracy of lasers and treatment table positioning were obtained. It was found that the greatest impact on the value of the error has the error in the optical SSD indication and the error in the lasers position in the plane perpendicular to the plane of incidence of the radiation beam (up to 3.64 % for the energy of 6 MV. Dose errors caused by error in the field size were different for two photon energies, and reached 2.54 % for 6 MeV and 1.33% for 18 MeV. Errors caused by the rest of the characteristic do not exceed 1 %. Thus, it is possible to express the results of periodic quality control of these devices integrated in linac in terms of dose and use them to conduct a comprehensive assessment of the possibility of clinical use of a linear accelerator for oncology patients irradiation on the basis of the calibration of radiation output in case of development of techniques that allow to analyze the influence dosimetric

  9. CHLORINE DIOXIDE TREATMENT OF SISAL FIBRE: SURFACE LIGNIN AND ITS INFLUENCES ON FIBRE SURFACE CHARACTERISTICS AND INTERFACIAL BEHAVIOUR OF SISAL FIBRE/PHENOLIC RESIN COMPOSITES

    Directory of Open Access Journals (Sweden)

    Linxin Zhong

    2010-11-01

    Full Text Available This paper describes an investigation of the influences of chlorine dioxide treatment on fibre surface lignin. The fibre surface characteristics and the interfacial behaviour of the sisal fibre/phenolic resin composites were also studied by SEM, AFM, and XPS. The results show that the surface of the untreated fibre contains a large amount of lignin with granular structure and non-granular structure. The surface lignin concentration is up to 51% for the untreated fibre, and then it decreases to 24% and 20% for fibres treated with 1.5 % and 2.0% chlorine dioxide, respectively. The removal of lignin from the fibre surface can enhance the interfacial strength of the composites, giving rise to increases by 36% and 28% in tensile strength and internal bonding strength. These results indicate that the surface properties of single sisal fibres can be tailored to improve the fibre/resin interface. Chlorine dioxide treatment has potential for surface modification of sisal fibre in engineering the interfacial behaviour of composites.

  10. l例青年原发性高血压临床特点与治疗%Clinical Characteristics and Treatment of L Patients with Primary Hypertension

    Institute of Scientific and Technical Information of China (English)

    王丛华

    2015-01-01

    目的探讨青年原发性高血压的临床特点及治疗。方法选青年高血压患者100例为青年高血压组,血压正常的青年健康体检者116例为正常对照组,中老年高血压患者110例为中老年高血压组,分析各组的有关指标、危险因素及青年高血压组的治疗特点。结果青年高血压组有阳性家族史和不良生活方式者较多,体质量指数明显高于其它两组,舒张压升高明显,甘油三酯与血尿酸较高(均<0.05)。结论青年高血压的发生与遗传和生活方式有关,通过改善生活方式,辅以药物治疗,可有效控制血压,β受体拮抗剂可作为首选药物。%Objective To investigate the clinical characteristics and the treatment of young people with essential hypertensio.Methods 100 cases of young patients with hypertension selected as the group of youth hypertension,Young healthy 116 cases of normal blood pressure as the control group,110 cases of middle-aged and elderly patients with hypertension as the middle-aged and elderly group,Analyzed the related indicators,risk factors in each group,and the treatment characteristics of youth hypertension.Results Positive family history of hypertension and unhealthy lifestyles were more in youth hypertensio group,Body mass index (BMI)was significantly higher than the other two groups,had higher diastolic blood pressure,Higher triglycerides and uric acid (al <0.05).Conclusion Youth hypertension primarily related to genetic and lifestyle,By improving lifestyle,Combined with drug treatment,Can ef ectively control blood pressure,β-blockers can be used as the drug of choice.

  11. Clinical characteristics,diagnosis and treatment of children liver cirrhosis%小儿肝硬化临床特点及诊治

    Institute of Scientific and Technical Information of China (English)

    陆增强

    2015-01-01

    Objective:To explore the clinical characteristics,diagnosis and treatment of children liver cirrhosis.Methods:The etiology,clinical characteristic,treatment and outcome of 40 cases of children liver cirrhosis were summarized and analyzed,and they were compared with adult liver cirrhosis in the same period.Results:25 cases(62.5% ) were viral children liver cirrhosis, including 20 cases were hepatitis B.Followed by 6 cases(15%) were biliary cirrhosis,4 cases(10.0%) were prospective vein spongy degeneration.The main symptoms of patients with children liver cirrhosis were fatigue and edema.The main signs were liver and spleen ascites,enlargement,jaundice and so on.Conclusion:The laboratory examination has no specific diagnostic value in children liver cirrhosis.Combined with the physiological features of children,early diagnosis and treatment are the keys to prevent or reverse the disease.%目的:探究小儿肝硬化的临床特点及其诊治。方法:对40例小儿肝硬化的病因、临床特点、治疗和转归进行总结和分析,并与同时期的成人肝硬化进行对比。结果:病毒性小儿肝硬化25例(62.5%),其中乙型肝炎20例;其次是胆汁性肝硬化6例(15.0%),前瞻性静脉海绵样变性4例(10.0%)。小儿肝硬化患者的主要症状为乏力、浮肿,其主要体征为肝脾腹水、肿大、黄疸等。结论:实验室检查对小儿肝硬化并没有特异性的诊断价值;结合小儿的生理学特点,尽早诊断与治疗是防止和逆转该病的关键。

  12. The study of clinical characteristics of treatment-resistant depression%难治性抑郁症临床特征研究

    Institute of Scientific and Technical Information of China (English)

    郑军然; 张波; 孙学礼; 李静

    2011-01-01

    Objective: To explore the clinical characteristics of treatment-resistant depression (TRD).Method:25 patients with TRD and 50 patients with non-TRD were interviewed for collecting general demographic information and assessed with Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA) and Minnesota muitiphasic personality inventory (MMPI).Results:Compared to non-TRD group,TRD group had more male patients, and the patients had lower education level, younger first onset age, longer course of disease, more times of onset, and suffered more long-term life events ( all P > O.05 ).There was no significant difference in the symptom of depression and anxiety between two groups ( P > 0.05 ).TRD group showed higher score on depression,hysteria and psychopathic deviation subscale of MMPI than non-TRD group (all P <0.05 ).Conclusion: Compared to patients with non treatment-resistant depression ,the patients with treatment-resistant depression have longer course of disease, more times of onset, lower education level, younger first onset age, more long-term life events and may have special personality characteristics.%目的:探讨难治性抑郁症患者的临床特征.方法:25例难治性抑郁症患者(难治组)和50例非难治性抑郁症患者(非难治组),进行一般情况评定,17项汉密尔顿抑郁量表(HAMD)、14项汉密尔顿焦虑量表(HAMA)量表评分,明尼苏达多项人格问卷(MMPI)评定.结果:难治组与非难治组比较,男性较多,受教育水平较低,发病年龄较早,总病程较长,发作次数较多,长期存在应激事件的概率较多,以上差异均有统计学意义(P均0.05);MMPI各项得分的比较,难治组患者抑郁、癔症、心理变态得分均高于非难治组(P<0.05).结论:难治性抑郁症患者存在病程较长,发病年龄较早,发作次数较多,受教育年限较少;并具有一定的人格特征.

  13. SOCIO - DEMOGRAPHIC PROFILE AND BASAL METABOLIC INDEX CHARACTERISTICS OF PATIENTS WITH PULMONARY TUBERCULOSIS AND THEIR TREATMENT OUTCOME IN MEDICAL COLLEGE HOSPITAL, AMRITSAR, INDIA

    Directory of Open Access Journals (Sweden)

    Kajal

    2015-03-01

    Full Text Available INTRODUCTION: Tuberculosis is an ancient disease associated with high degree of morbidity and mortality worldwide, more so in developing countries having overwhelming problems of poverty, poor living conditions, illiteracy, malnutrition, drug addiction. OBJECTIVES: To evaluate the socio - demographic profile and BMI characteristics of patients with pulmonary tuberculosis and their treatment outcome. MATERIAL & METHOD: This prospective study was conducted on 200 new sputum smear positive patients having ag e >15 years. OBSERVATIONS & RESULT: The present study (n= 200 with 121 males and 79 female revealed that 75.8% of males and 87.5% of females were in the age group of 15 - 45 years, being the most productive years of life. 60.5% cases lived in overcrowded houses with inadequate ventilation (7 3%, poor lighting (68.5%, majority with lower socio - economic status (72.5%. 66% were from medium to large sized families, 65% joint family while 35% with nuclear families. 57.5% were working & thus were included in income generating activity group. illi teracy was observed in 40% & addiction in 47%. 69.5% of the cases were underweight (BMI < 18.5kg/m2 at initiation of treatment and percentage improved to 62.5% at the end of anti - tubercular treatment. CONCLUSION: The study findings emphasise the associati on of the socio - demographic profile including overcrowding, inadequate ventilation of the dwellings, ill - ventilated kitchens, under - nutrition with poor BMI, poor level of education (illiteracy, ignorance, poor knowledge about the disease, low socio - econom ic status with poverty contributing as significant risk factors for tuberculosis & its spread in family & community.

  14. Generation of soluble microbial products by bio-activated carbon filter during drinking water advanced treatment and its influence on spectral characteristics.

    Science.gov (United States)

    Shen, Hong; Chen, Xin; Zhang, Dong; Chen, Hong-Bin

    2016-11-01

    In order to improve our understanding of bio-activated carbon (BAC) filter, the water quality of influent and effluent treated with BAC in a drinking water treatment plant (DWTP) of Shanghai during 2015 was valued. Combining the results from UV254, SUVA254, dissolved organic carbon (DOC) and scanning electron microscopic (SEM), it is found that performance of BAC treatment will be affected by characteristics of activated carbon (AC), which is relevant to the type of activated carbon (including shape and operating time) in this study. Fluorescence excitation-emission matrix (FEEM) shows that the humification index (HIX) and index of recent autochthonous contribution (BIX) is a reliable indicator to descript the variation of dissolved organic matter (DOM) during BAC process. The pattern of variation in BIX and HIX implies that soluble microbial products (SMPs) are formed and humic-like substances are removed during BAC treatment, which is also confirmed by the change of peaks of FEEM in BAC effluent. Large, positive correlations between SUVA254 and disinfection by-products formation potential yield (DBPFP yield) demonstrate that UV-absorbing DOM is directly related to the generation of DBPs. Poor correlations of HIX with DBPFP suggest that non-humic substances with UV-absorbing properties play an important role in the generation of DBPs in water with low SUVA254. Finally, strong but negative correlations between BIX and DBPFP suggest that vigorous microbial metabolism of BAC results in a decrease in DBPFP. However, the DBPFP yield will be enhanced for the generation of SMPs by BAC, especially in summer. PMID:27436775

  15. 老年创伤性骨折的特点及临床治疗%Characteristics and clinical treatment of traumatic fracture of elderly patients

    Institute of Scientific and Technical Information of China (English)

    周楚坤

    2015-01-01

    目的:探讨骨外科临床上老年创伤性骨折的特点以及其临床治疗方法,以期为该疾病患者的临床治疗方案的确定提供借鉴。方法对2012年4月~2014年4月我院骨外科收治的103例老年创伤性骨折患者临床资料进行回顾性分析,根据患者入院时的病例号,采用随机数表的方法将其分为两组,常规治疗组50例患者采用临床常规的抗生素等药物治疗,动静结合组53例患者则采用动静结合方法进行治疗,比较两组患者临床治疗的总优良率以及治疗的满意率情况。结果大部分患者是由于外伤所致,例如高处坠落、交通意外等;而少数患者并发急性或者慢性隐匿性的疾病所致,如体位性低血压、突发性晕厥以及老年性自主神经功能障碍等疾病。经过临床治疗,动静结合组患者的临床治疗总有效率为92.45%(49/53),常规治疗组患者的临床治疗总有效率为86.00%(43/50),两组数据差异有统计学意义(P<0.05);动静结合组患者的临床治疗的满意率为94.34%(50/53),常规治疗组患者的临床治疗的满意率为82.00%(41/50),两组数据差异有统计学意义(P<0.01)。结论本研究结果表明,临床上导致老年人群出现创伤性骨折的因素较多并且较为复杂,对于本病的预防带来较大困难,而临床上对于这类患者采用动静结合方法进行治疗的临床效果显著优于常规的抗生素治疗,值得临床推广使用。%ObjectiveTo analyze characteristics and clinical treatment of traumatic fracture of elderly patients in clinical orthopedic surgery to provide reference for clinical treatment of patients with the disease.MethodsData of 103 elderly patients with traumatic fracture who were treated in department of orthopedic surgery from April 2012 to 2014 in our hospital were retrospectively analyzed and they were allocated to the routine treatment group with 50

  16. Occlusal characteristics and orthodontic treatment need in black adolescents in Salvador/BA (Brazil: an epidemiologic study using the Dental Aesthetics Index

    Directory of Open Access Journals (Sweden)

    Arthur Costa Rodrigues Farias

    2013-02-01

    Full Text Available OBJECTIVE: The objective of this article is to evaluate the need of orthodontic treatment, prevalence and severity of the malocclusions in individuals of black ethnicity in a representative sample of schoolchildren of the city of Salvador/Brazil, as well as to verify if the malocclusion was affected by socio-demographic conditions such as age and gender. METHODS: The reference population was constituted of schoolchildren with age between 12 and 15 years, enrolled in public and private schools. The malocclusion was evaluated in 486 students of black ethnicity, with ages varying from 12 to 15 years, selected in random sample in multiple stages. The adopted significance level was 1% and the power of the test was 90%. A questionnaire registering demographic characteristics was filled out by each individual. The Dental Aesthetics Index (DAI was used by previously calibrated examiners (kappa 0.89, according to criteria of the World Health Organization. RESULTS: It was verified that most of the individuals (76% had little or any need for orthodontic treatment. About 24% showed a condition of severe malocclusion, culminating in a vital need for orthodontic treatment. The main occlusal characteristics found in the group with high need of orthodontic treatment were dental crowding and accentuated overjet. The age was positively related to the improvement of the maxillary overjet and to the presence of crowding. CONCLUSION: The development of public politics that aim the insertion of orthodontic treatment among the procedures of health programs, with the implementation and development of specialized centers, is fundamental.OBJETIVO: averiguar a necessidade de tratamento ortodôntico, prevalência e severidade das más oclusões em indivíduos negros numa amostra representativa de escolares da cidade de Salvador/BA (Brasil, além de determinar se as más oclusões eram afetadas por condições sociodemográficas como idade e sexo. MÉTODOS: o desenho

  17. Dyscalculia: Characteristics, Causes, and Treatments

    Directory of Open Access Journals (Sweden)

    Gavin R. Price

    2013-01-01

    Full Text Available Developmental Dyscalculia (DD is a learning disorder affecting the ability to acquire school-level arithmetic skills, affecting approximately 3-6% of individuals. Progress in understanding the root causes of DD and how best to treat it have been impeded by lack of widespread research and variation in characterizations of the disorder across studies. However, recent years have witnessed significant growth in the field, and a growing body of behavioral and neuroimaging evidence now points to an underlying deficit in the representation and processing of numerical magnitude information as a potential core deficit in DD. An additional product of the recent progress in understanding DD is the resurgence of a distinction between ‘primary’ and ‘secondary’ developmental dyscalculia. The first appears related to impaired development of brain mechanisms for processing numerical magnitude information, while the latter refers to mathematical deficits stemming from external factors such as poor teaching, low socio-economic status, and behavioral attention problems or domain-general cognitive deficits. Increased awareness of this distinction going forward, in combination with longitudinal empirical research, offers great potential for deepening our understanding of the disorder and developing effective educational interventions.

  18. Immunohistochemical characteristics of muscular tissue during surgical treatment of patients with ІІІ degree chronic ischemia of lower limb

    Directory of Open Access Journals (Sweden)

    Shkuropat V.M.

    2015-03-01

    , Baranov IV, Safronkov NA. [Immunohistochemical characteristics of muscular tissue during surgical treatment of patients with ІІІ degree chronic ischemia of lower limb]. Morphologia. 2015;9(1:71-7. Ukrainian.

  19. Study on the effect of prostaglandin F2α treatment on semen characteristics and enzymatic activates of Awassi rams in breeding and non breeding seasons

    Directory of Open Access Journals (Sweden)

    Osama Ibrahim Azawi,

    2011-05-01

    Full Text Available The purpose of this research work was to determine the effects of PGF2α, given immediately before semen collection, on semen characteristics and libido in Awassi rams during breeding and non breeding season. The experiment was conducted in late summer to early autumn when major breeding activities commence and winter during the non breeding season at Mosul region in northern Iraq at the Animal Research and Practice Farm of the College of The Veterinary Medicine, University of Mosul. Twelve mature Awassi rams were used in this study. Animals were randomly allocated into two equal groups, the first group was administered 7.5 mg IM of PGF2αweekly and the second group as a control group received 1 ml of N-saline solution. Semen samples were collected from the Awassi rams 24 h after IM administration. Scrotal circumference (SC and testicular volume were measured weekly during the study period. Semen ejaculates were evaluated for semen volume, sperm concentration, sperm concentration/ejaculate, mass motility, individual motility, percentage live sperm, sperm abnormalities, and sperm acrosomal defects. Samples of seminal plasma were analyzed for the estimation of alanine amino transferase (ALT, aspartate amino transferase (AST, acid phosphatase (ACP, alkaline phosphatase (ALP and lactic dehydrogenase (LDH. Results of the present showed that PGF2α treatment to Awassi rams did not improve most semen characteristics in both breeding and non breeding seasons compared with the group. The only improvement of Awassi semen quality observed was in sperm concentration in the breeding season. The testicular volume showed a significant increase (P<0.05 in Awassi rams treated with PGF2α in breeding season compared to the control group and PGF2α treated group in the non breeding season. The mean activity of LDH enzyme estimated in the PGF2αtreated group and control group showed a significant difference (P<0.05 between the two groups in the breeding season and

  20. The summary of characteristic and treatment of Pilon fracture with intact fibula%不伴腓骨骨折的Pilon骨折的特点及治疗

    Institute of Scientific and Technical Information of China (English)

    蒋靓君; 郑强; 潘志军; 李杭; 冯刚; 王建卫

    2016-01-01

    目的:探讨不伴腓骨骨折的Pilon骨折的受伤机制、骨折特点、治疗策略及预后。方法收集2009年1月至2014年12月28例(29侧)不伴腓骨骨折的Pilon骨折患者病历资料,男22例,女6例;年龄23~75岁,平均46岁。受伤原因:摔伤14例、高处坠落8例、车祸5例、重物砸伤1例;10例存在合并损伤,2例开放性损伤。28例(29侧)不伴腓骨骨折的Pi⁃lon骨折患者中,符合OA/ATO骨折分型43B型15侧(51.7%),43C型14侧(48.3%);Rüedi⁃Allgower分型Ⅱ型14侧(48.3%,14/29),Ⅲ型15侧(51.7%,15/29)。记录患者手术方式、手术时间、手术入路、骨折愈合时间,并采用踝关节Mazur评分、骨折Burwell⁃Charnley复位评分评价疗效,记录并分析术后并发症。结果28例(29侧)不伴腓骨骨折的Pilon骨折的受伤机制,开放性损伤较少,多为中低能量损伤;骨折形态特点方面,累及胫骨远端前部关节面28侧(96.6%)。28例(29侧)骨折的治疗,25侧采用单切口入路及单纯内植物,平均手术时间119 min,骨折平均愈合时间7.1个月,踝关节Mazur评分优良率为86.2%,Burwell⁃Charnley骨折复位评价满意率为93.1%。3例患者术后出现皮肤感染并发症,积极对症抗感染治疗后切口愈合。结论不伴腓骨骨折的Pilon骨折大多为中低能量损伤引起的踝关节中立位或内翻位的Pilon骨折,以足背伸致胫骨远端前部关节面损伤为主,一般采用单一前方入路可完成切开复位内固定手术,术后并发症较少,骨折复位相对令人满意,术后踝关节功能恢复较好。%Objective To investigate the injury mechanism, fracture characteristics, treatment strategy and prognosis of Pilon fracture without fibula fracture. Methods 28 cases of Pilon fracture without fibula fracture (29 fractures) treated in our hos⁃pital were adapted from January 2009 to December 2014. 22 cases were

  1. Who Should We Target? The Impact of Individual and Family Characteristics on the Expressed Need for Community-Based Treatment Support in HIV Patients in South Africa

    Science.gov (United States)

    Wouters, Edwin; Booysen, Frederik le Roux; Masquillier, Caroline

    2016-01-01

    Reviews of impact evaluations of community-based health workers and peer support groups highlight the considerable variability in the effectiveness of such support in improving antiretroviral treatment (ART) outcomes. Evidence indicates that community-based support interventions targeting patients known to be at risk will probably display better results than generic interventions aimed at the entire population of people living with HIV. It is however difficult to identify these at-risk populations, rendering knowledge on the characteristics of patients groups who are in need of community-based support a clear research priority. The current study aims to address the knowledge gap by exploring the predictors of the willingness to (1) receive the support from a community-based health worker or (2) to participate in a support group in public sector ART programme of the Free State Province of South Africa. Based on the Individual-Family-Community framework for HIV research, the study employs a comprehensive approach by not only testing classical individual-level but also family-level predictors of the willingness to receive community-based support. In addition to individual-level predictors—such as age, health status and coping styles—our analysis demonstrated the importance of family characteristics. The results indicated that discrepancies in the family’s changeability level were an important predictor of the demand for community-based support services. Conversely, the findings indicated that patients living in a family more flexible than deemed ideal are more likely to require the support of a community health worker. The current study expands theory by indicating the need to acknowledge all social ecological levels in the study of chronic HIV care. The detection of both individual level and family level determinants of the expressed need for community-based support can inform health policy to devise strategies to target scarce resources to those vulnerable

  2. The clinical characteristics of senile epilepsy and its treatment%老年性癫痫的临床特征及其治疗

    Institute of Scientific and Technical Information of China (English)

    徐慧文; 刘菁菁; 周祥琴

    2012-01-01

    Objective To investigate the clinical characteristics,treatment and prognosis of senile epilepsy. Methods The clinical characteristics of 180 elderly patients with epilepsy were retrospectively studied. Results The common causes of senile epilepsy were cerebrovascular disease (8 cases,4.4%),brain tumor(24 cases,13.3%),brain trauma and operation (18 cases,10.0%),brain atrophy (6 cases,3.3 % ),The most type of seizures were focal seizures (106 cases,58.9 %) or focal seizures preceding a generalized (62 cases,34.4%). Electroencephalogram (EEG) usually showed focal slow wave activity or rhythm.Most of seizures were responsive well to single antiepilepsy drug. Conclusions The causes of elderly epilepsy are cerebrovascular disease,brain tumor,brain trauma, brain operation, brain atrophy. Senile epilepsy is more likely to have symptomatic and focal seizures,and can be controlled by anti-epilepsy drugs.%目的 研究老年性癫痫的临床特征、治疗及预后. 方法 对180例老年性癫痫临床资料进行回顾性分析. 结果 老年性癫痫常见病因为蛛网膜下腔出血8例(4.4%),脑肿瘤24例(13.3%)、脑外伤和脑手术后癫痫18例(10.0%)、脑萎缩6例(3.3%)等.早发性与迟发性癫痫分别为52例和74例.发作类型大多数为局灶性发作106例(58.9%)或局灶性发作继发全身泛化62例(34.4%).脑电图特点常可见局灶性慢波活动120例.多数患者对单一抗癫痫药反应良好. 结论 老年性癫痫常见原因为脑血管病、脑肿瘤、外伤和脑手术后;大多数发作为局灶性发作或局灶性发作继发全身泛化;对抗癫痫药反应良好.

  3. 外伤性脑梗塞的临床特点及防治%The Clinical Characteristics, Prophylaxis and Treatment of Traumatic Cere-bral Infarction

    Institute of Scientific and Technical Information of China (English)

    王福录; 高廷军

    2015-01-01

    Objective To investigate the clinical characteristics of traumatic cerebral infarction (TCI) and early positive prevention, detection and treatment of the disease should be done. Methods A review was conducted on the diagnosis and treatment of 51 TCI patients among the hospitalized patients with craniocerebral trauma in the Department of Neurosurgery of our hospital from January 2009 to March 2014. Results 3.9% of the patients with craniocerebral trauma hospitalized during the same period had TCI. 12 months after injury, GOS was 1 point in 7 patients, 2 points in 5 patients, 3 points in 10 cases, 4 points in 12 patients, and 5 points in 12 patients. The mortality and disability rate (MADR) was 43%. Conclusion TCI is a major complication that causes the increase of MADR in craniocerebral trauma patients. The early prophylaxis of TCI based on its special occurrence and progression pattern is the key to reducing the incidence of traumatic cerebral infarction and its MADR.%目的:探讨外伤性脑梗塞的临床特点,做到积极预防、早期发现、早期治疗。方法回顾性分析该院2009年1月-2014年3月,神经外科颅脑外伤住院患者中,51例发生外伤性脑梗塞患者的诊治经过。结果外伤性脑梗塞发生率占同期颅脑创伤住院患者总数的3.9%。伤后12个月GOS评分1分7例;2分5例;3分10例;4分12例;5分17例。死亡及重残比率为43%。结论外伤性脑梗塞是导致颅脑外伤患者死残率增高的主要并发症,依据其发生、发展的特有规律早期预防,是减少外伤性脑梗塞发生率,降低死亡及重残比率的关键。

  4. Low prevalence of liver disease but regional differences in HBV treatment characteristics mark HIV/HBV co-infection in a South African HIV clinical trial.

    Directory of Open Access Journals (Sweden)

    Prudence Ive

    Full Text Available BACKGROUND: Hepatitis B virus (HBV infection is endemic in South Africa however, there is limited data on the degree of liver disease and geographic variation in HIV/HBV coinfected individuals. In this study, we analysed data from the CIPRA-SA 'Safeguard the household study' in order to assess baseline HBV characteristics in HIV/HBV co-infection participants prior to antiretroviral therapy (ART initiation. METHODS: 812 participants from two South African townships Soweto and Masiphumelele were enrolled in a randomized trial of ART (CIPRA-SA. Participants were tested for hepatitis B surface antigen (HBsAg, hepatitis B e antigen (HBeAg, and HBV DNA. FIB-4 scores were calculated at baseline. RESULTS: Forty-eight (5.9% were HBsAg positive, of whom 28 (58.3% were HBeAg positive. Of those with HBV, 29.8% had an HBV DNA<2000 IU/ml and ALT<40 IU/ml ; 83.0% had a FIB-4 score <1.45, consistent with absent or minimal liver disease. HBV prevalence was 8.5% in Masiphumelele compared to 3.8% in Soweto (relative risk 2.3; 95% CI: 1.3-4.0. More participants in Masiphumelele had HBeAg-negative disease (58% vs. 12%, p = 0.002 and HBV DNA levels ≤2000 IU/ml, (43% vs. 6% p<0.007. CONCLUSION: One third of HIV/HBV co-infected subjects had low HBV DNA levels and ALT while the majority had indicators of only mild liver disease. There were substantial regional differences in HBsAg and HbeAg prevalence in HIV/HBV co-infection between two regions in South Africa. This study highlights the absence of severe liver disease and the marked regional differences in HIV/HBV co-infection in South Africa and will inform treatment decisions in these populations.

  5. Ultrastructural characteristics of muscular tissue during surgical treatment of patients with ІІІ degree chronic ischemia of lower limb

    Directory of Open Access Journals (Sweden)

    Shkuropat V.M.

    2014-12-01

    characteristics of muscular tissue during surgical treatment of patients with ІІІ degree chronic ischemia of lower limb]. Morphologia. 2014;8(4:55-62. Ukrainian.

  6. Characteristics of high-sulfate wastewater treatment by two-phase anaerobic digestion process with Jet-loop anaerobic fluidized bed

    Institute of Scientific and Technical Information of China (English)

    WEI Chao-hai; WANG Wen-xiang; DENG Zhi-yi; WU Chao-fei

    2007-01-01

    A new anaerobic reactor,Jet-loop anaerobic fluidized bed(JLAFB),was designed for treating high-sulfate wastewater.The treatment characteristics,including the effect of influent COD/SO42- ratio and alkalinity and sulfide inhibition in reactors,were discussed for a JLAFB and a general anaerobic fluidized bed(AFB)reactor used as sulfate-reducing phase and methane-producing phase,respectively,in two-phase anaerobic digestion process.The formation of granules in the two reactors was also examined.The results indicated that COD and sulfate removal had different demand of influent COD/S042- ratios.When total COD removal Was up to 85%,the ratio was only required up to 1.2,whereas,total sulfate removal up to 95%required it exceeding 3.0.The alkalinity in the two reactors increased linearly with the growth of influent alkalinity.Moreover,the change of influent alkalinity had no significant effect on pH and volatile fatty acids(VFA)in the two reactors.Influent alkalinity kept at 400-500 mg/t,could meet the requirement of the treating process.The JLAFB reactor had great advantage in avoiding sulfide and free-H2S accumulation and toxicity inhibition on microorganisms.When sulfate loading rate was up to 8.1 kg/(m3·d),the sulfide and free-H2S concentrations in JLAFB reactor were 58.6 and 49.7 mg/L,respectively.Furthermore,the granules,with offwhite color,ellipse shape and diameters of 1.0-3.0 mm,could be developed in JLAFB reactor.In granules,different groups of bacteria were distributed in different layers,and some inorganic metal compounds such as Fe,Ca,Mg etc.were found.

  7. 中医药治疗肿瘤特点分析%Analysis on characteristics of traditional Chinese medicine in treatment of carcinoma

    Institute of Scientific and Technical Information of China (English)

    胡玲; 王洪琦; 邢海伦

    2005-01-01

    AIM: It was to propose the initial ideas of Chinese medicine in treatment of carcinoma by comparing the different characteristics and analyzing the advantages and disadvantages between Chinese and western medicine.METHODS: Pubmed and the relevant papers in biological medical jourment of carcinoma with Chinese-western medicine published from 2003 to 2004. The discussion was carried out among relevant information.RESULTS: It was viewed that western medicine receives rather high recent therapeutic effective rate, but it only achieved complete relief in clinic rather than eliminates cancer cell thoroughly; for which, it was difficult to avoid the reoccurrence and metastasis terminally. In recent years, the aroused genetic therapy was still at the experimental phase and had not be applied formally in clinic since some of questions had not been solved completely yet, such as being susceptible to lose activity, poor targeting treatment, transfective carcinogenesis, etc. Chinese medicine was characterized as the holistic regulation by improving clinical symptoms, enhancing life quality and prolonging survival span. Although its recent effective rate was low, the remote stability rate was high. But, in Chinese medicine,the criterion of relevant syndromes and evaluation on therapeutic effects were still lack of objectivity and standardization; besides, the discussion on functional mechanism was not deep enough.CONCLUSION: It was proposed initially by analysis that the prevention and treatment of Chinese medicine for carcinoma should emphasize on standardization of syndromes, stress on stability rate, pay attention to mass observation, carry on actively the 2nd grade prevention, strength mechanic research and screen and develop effective new drugs.%目的:通过比较中、西医治疗肿瘤的不同特点,分析中、西药在治疗肿瘤方面的优势与不足,提出中药防治肿瘤的初步思路.方法:检索Pubmed和中文生物医学期刊中的相关论文,以2003

  8. Clinical characteristics and treatment for vertebral basilar artery dissection%椎-基底动脉夹层的临床特点和治疗

    Institute of Scientific and Technical Information of China (English)

    郑峥; 程琼; 李永坤; 刘君鹏; 陈莹; 汪银洲

    2012-01-01

    Objective To investigate the clinical characteristics, therapeutic strategies and efficacy of vertebral basilar artery dissection (VAD). Methods Twenty-eight patients with VAD diagnosed by DSA or CTA were collected. 21 of the patients wilh posterior circulation ischemia (PCI) were treated with clopidogrel (75 mg/d) or aspirin (100 mg/d) alone, 3 underwent endovascular treatment, and 2 with sub-arachnoid hemorrhage (SAH) were treated with stent-assisted coil embolization of the aneurysms and vertebral artery occlusion. The clinical characteristics and follow-up results were analyzed. Results ①In the 28 patients, 24 had clear causes or incentive factors, including abnormal movement of the head and neck (15/24, 53.6% ), atherosclerosis (4/24, 16.7%), upper respiratory tract infection (12.5% , 3/24), thrombocytosis (4. 2% , 1/24), and alcoholism (4.2% , 1/24); 4 were cryptogenic. ② In the 28 patients, 25 (89.3% ) had PCI (21 of them had posterior circulation infarct, 4 had repeated transient episodes of vertigo), and 3 patients( 10.7% ) had SAH. ③DSA or CTA showed that 30 vertebral arteries and 1 basilar artery had dissection, 16 (51.6%) showed "linear sign", 9 (29.0%) showed fusiform or saccular aneurysm6, 6(19.4%) showed "pearl and string sign", and 2(6.5%) had double-lumen sign. Most dissections were oc-cured in the V4 segments (71.0% ,up to 22/31), then Mowed by V2 segments (19.4% , 6/31). ④In the 25 patients with PCI, 21 were treated with medication, 19 had good and 2 had poor prognosis. 9 patients received CTA or DSA reexamination, the degree of vascular stenosis reduced in 4 patients, no significant change in 4 patients, and 1 patient's vertebral artery was occluded. Three patients treated with endovascular treatment, and their prognosis was good. CTA reexamination no vascular restenosis or aneurysm recurrence was found. Two of the 3 patients with SAH had good prognosis. CTA reexamination showed no recurrence of aneurysms; 1 patient was only treated with

  9. 自身免疫性痴呆的临床特点及治疗措施%Autoimmune disease analysis of the clinical characteristics and treatment application

    Institute of Scientific and Technical Information of China (English)

    徐戌珅

    2015-01-01

    目的:分析自身免疫性痴呆的临床特点及治疗措施应用的疗效。方法选取2010年2月至2014年12月本院收治的25例自身免疫性痴呆患者为研究对象,观察患者的临床表现、相关检查及治疗措施疗效。结果患者25例,男:女性别比例为(1.0:1.5)。其中,多发性硬化性痴呆9例,副肿瘤性边缘叶脑炎性痴呆6例,桥本脑病性痴呆3例,血管炎性痴呆3例,自身免疫性脑病性痴呆4例;均主要为急性、亚急性或波动性,慢性发病较少。性别、年龄等差异在疾病种类和分期方面比较差异无统计学意义(P>0.05)。治疗前所有患者均有记忆力下降,其中5例(20.0%)信息处理能力下降、7例(28.0%)注意力明显不集中、6例(24.0%)计算能力下降、9例(36.0%)执行能力下降、4例(16.0%)失语;治疗后各项相关检查指数分别为5例(20.0%)、1例(4.0%)、1例(4.0%)、2例(8.0%)、2例(8.0%)、1例(4.0%)、1例(4.0%),治疗前后比较差异有统计学意义(P>0.05)。结论自身免疫性痴呆患者针对其原发病进行免疫学治疗疗效较佳,能有效改善患者的记忆力、癫痫发作、执行力下降等症状。免疫学及影像学检查可以为疾病诊断提供有力支持。%Objective To analyze the effect of the clinical characteristics and treatment application of autoimmune disease curative effect.Methods in February 2010 to December 2014 in our hospital 25 cases of autoimmune dementia patients ,the clinical manifestations were observed and related checks.Results 25 patients, male: female ratio respectively (1.0: 1.5).Among them, 9 cases of onset of the multiple sclerosis,mparaneoplastic limbic encephalitis have disease 6 cases、Hashimoto’ s encephalopathy have disease in 3 patients,vasculitis have disease in 3 patients, unclassified autoimmune disease onset

  10. 甲状腺功能亢进性肝损害的临床特点及治疗%Clinical Characteristics and Treatment of Hyperthyroidism Liver Injury

    Institute of Scientific and Technical Information of China (English)

    雷鸣; 邓力珲; 唐红

    2012-01-01

    Objective To investigate the clinical characteristics and treatment of hyperthyroidism liver injury (HLI). Methods Data of 49 patients with HLI who were treated in our hospital from January 2008 to December 2010 were retrospectively analyzed. According to the different treatment regime, the patients were divided into two groups: the group of anti-thyroid treatment and the group of simple liver-protection. We compared the condition of liver function recovery after treatment between the two groups. Results All patients had hepatic insufficiency with unknown reasons at the admission to the hospital, and later were diagnosed to have HLI. There were 29 (59.2%) female and 20 (40.8%) male patients with their age ranging from 10 to 70 years old, averaging 45.08 ± 1.90. Weight loss (65.3%) was the most frequent symptom, followed by heart palpitations (51.1%), hotness and hydrosis (49.0%), and being sick of fat and anorexia (44.9%). The main signs included 18 cases (36.7%) of thyroid enlargement, 12 (24.5%) of lower lamb edema, 8 (16.3%) of heart enlargement, 7 (14.3%) of jaundice, and 6 (12.2%) of hepatosplenomegaly. The elevations of alanine aminotransferase (ALT) (68.9%) and aspartate aminotransferase (AST) (57.8%) were most frequently detected, followed by increased gamma glutamyltransferase (GGT) (69.4%), direct bilirubin (DB) (59.2%), total bilirubin (TB) (44.9%), alkaline phosphatase (ALP) (42.9%) and lactic dehydrogenase (LDH) (26.5%), and decreased albumin (ALB) (32.7%). The total mortality was 6.1% (3/49). The results of Wilcoxon test indicated that TB and DB values of the thyroid treatment group were significantly lower than those of the simple liver-protection group (P < 0.05). Conclusions These patients present the clinical manifestations of both hyperthyroidism and liver dysfunction, and the results of liver functions were characterized by cholestatic hepatitis. The disease has a relatively good prognosis, and the anti-thyroid medication is the key to the

  11. 蒿芩清胆汤之证治特点浅析%Brief Analysis on the Treatment Characteristics with Haoqin Qingdan Decoction

    Institute of Scientific and Technical Information of China (English)

    杨涛; 邓虎; 陈彩丽; 梁丽君; 冯明

    2015-01-01

    One hundred and sixty medical cases met the inclusive criteria were collected. After the normalization of the symptoms and medicines in the medical cases,the related data sheet was set up for the frequency statistical analysis and the summarization of the characteristics in symptoms,pulse condition and medicines,etc. By the frequency statistical analysis on the common symptoms,tongue condition,pulse condi-tion,original formula and supplementary medicines in 160 cases of the medical masters in contemporary era, the treatment characteristics with haoqin qingdan decoction in clinic were analyzed. The study discovered that in the clinical application of haoqin qingdan decoction,the common symptoms included chest oppression,dis-tention and pain in the chest and hypochondriac region,retching,hiccup,alternative chills and fever,no desire of hungry,yellow urine,dry stool,fever,hesitant sweating,acid reflux with bitter taste in the mouth,red tongue with sticky coating,wiry,rolling and rapid pulse. The ingredients included artemisia apiacea,scutellaria ba-icalensis,caulis bambusae in taeniam,fructus aurantii,pericarpium citri reticulatae,pinellia ternate and poria cocos. The common supplementary herbs were fructus gardenia,radix bupleuri,rhizome atractylodis,trichosan-thes kirilowii maxim,gypsum,schizonepeta,etc.%选取符合标准的160例医案,对医案中的症状、药物进行规范后,建立相关数据表,进行频数统计,总结症状、脉象、药物等方面的特点。通过对160例当代医家临床验案中的常见症状、舌象脉象、原方药物及加味药物等资料进行频数统计,分析蒿芩清胆汤现代临床应用的证治特点。研究发现蒿芩清胆汤在现代临床应用中,常见症状有胸闷、胸胁胀疼、干呕呃逆、寒热如疟、不饥、小便黄、大便干、发热、汗出不畅、吐酸苦水,舌红苔腻,脉弦滑数。原方药物多用青蒿、黄芩、竹茹、枳壳、陈皮、半夏、茯苓

  12. 儿童感染性心内膜炎临床表现与治疗对策%Clinical characteristics and treatment of infective endocarditis in children

    Institute of Scientific and Technical Information of China (English)

    罗丽娟; 曹清; 周云芳; 潘淑华; 王希华

    2015-01-01

    目的:分析儿童感染性心内膜炎的临床特征、治疗和预后。方法回顾性分析1998—2012年收治的83例感染性心内膜炎患儿的临床资料。结果共83例患儿,男53例、女30例,平均年龄(6.8±4.6)岁,临床特征以发热(77.1%)、轻中度贫血(71.1%)、C反应蛋白升高(67.5%)、红细胞沉降率增高(60.2%)、白细胞增高(47.0%)为主;出现栓塞症状20例(24.1%);血培养阳性56例(67.5%),以革兰阳性菌为主,链球菌属及葡萄球菌属占89.3%;万古霉素等敏感抗生素治疗有效;超声检查检出赘生物68例(82%)。55例(66.2%)患儿接受心脏手术,最终死亡7例(8.4%)。结论近年来感染性心内膜炎的病原菌变迁,缓症链球菌及金黄色葡萄球菌成为主要病原菌,需万古霉素等敏感抗生素治疗;心脏超声检出赘生物阳性率较高。%Objective To study the clinical characteristics, treatment and prognosis of infective endocarditis in children. Methords Clinical data from 83 patients of infective endocarditis admitted from 1998 to 2012 were retrospectively analyzed. Results In a total of 83 patients, there were 53 males and 30 females, and the average age was 6.8±4.6 years. The main clinical characteristics were fever (77.1%) and mild to moderate anemia (71.1%). The C-reaction protein (67.5%), erythrocyte sedimen-tation rate (60.2%), and white blood cell (47.0%) were elevated. Twenty (24.1%) patients had embolism. Blood culture was pos-itive in 56 (67.5%) cases with bacteria mainly being Gram-positive and Streptococcus and Staphylococcus accounted for 89.3%. Vancomycin and other sensitive antibiotics were effective. Neoplasm was detected in 68 cases (82%) by transthoracic echocar-diograerphy. Fifty-ifve (66.2%) patients underwent cardio surgery. Seven patients (8.4%) died. Conclusion In recent years, the distribution of pathogenic bacteria in infective endocarditis had changed. Streptococcus mitis and Staphylococcus aureus has

  13. Phase transformations in nickel-rich nickel-titanium alloys: Influence of strain-rate, temperature, thermomechanical treatment and nickel composition on the shape memory and superelastic characteristics

    Science.gov (United States)

    Adharapurapu, Raghavendra R.

    Nearly four decades of academic research and industrial interest on Nitinol has largely focused on the superelastic applications in the bio-medical sector and in the development of 'smart' shape-memory based sensors involving the low-strain rate (˜0.001/s) response of NiTi. It is only within the last decade that there has been a growing interest in the exploitation of Nitinol towards high-strain rate applications such as seismic damping, blast-mitigation or energy-absorbing applications. However, a systematic study of the influence of high-strain rate and temperature on the shape memory characteristics of NiTi is severely lacking. The current research program reports the findings on: (1) The phase-transformation mechanisms in Ni-rich Ni-Ti alloys. These include (a) diffusionless multiple-stage martensitic transformations and (b) diffusion-based phase transformations that govern the precipitation reactions in Ni-rich alloys and the overall time-temperature-transformation (TTT) curves. (2) The systematic study of the high-strain rate response of Ni-rich NiTi alloys as a function of temperature (between -196°C and 400°C) and thermomechanical treatment, viz., fully annealed, work-hardened and precipitation hardened conditions. Two Ni-rich Nitinol alloys, a commercial 50.8-NiTi (at.%) and a new 55-NiTi (at.%), were selected for the study, since the Ni composition determines the precipitation processes and, critically, the transformation temperatures in NiTi alloys. It was observed that the presence of dislocations (through work-hardening) and the presence of Ni-rich precipitates (through age-hardening) contribute to a more complex two-stage or multiple-stage transformations and also improve the overall strength of the NiTi alloy. Based on the microstructural changes, such as recovery, recrystallization and precipitation formation in 50.8-NiTi alloys, the current work uniquely provides a unified and general understanding of the various multiple-stage transformations

  14. A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics

    DEFF Research Database (Denmark)

    Clausen, Loa; Jones, Allan

    2014-01-01

    OBJECTIVE: Involuntary treatment of anorexia nervosa is controversial and costly. A better understanding of the conditions that determine involuntary treatment, as well as the effect of such treatment is needed in order to adequately assess the legitimacy of this model of care. The aim of the pre......OBJECTIVE: Involuntary treatment of anorexia nervosa is controversial and costly. A better understanding of the conditions that determine involuntary treatment, as well as the effect of such treatment is needed in order to adequately assess the legitimacy of this model of care. The aim...... the involuntary treatment of individuals diagnosed with anorexia nervosa. RESULTS: The studies included in the review contained people treated in an inpatient setting for severe or severe and enduring anorexia nervosa. People that were treated involuntarily were characterised by a more severe psychiatric load...

  15. 糖尿病并发泌尿系统感染特点与治疗%Infection Characteristics and Treatments on Diabetic Urinary Tract Infections

    Institute of Scientific and Technical Information of China (English)

    董玉梅; 靳桂明

    2016-01-01

    Diabetes complicated with urinary tract infection is influenced by many factors, such as low immune function, high blood and urine glucose environment prone for bacterial growth, and nervous lesion.Diabetic urinary tract infections are characterized by insidious onset, high recurrence rate, correlation with high blood glucose and difficulty to control.The related bacterial pathogens are mainly gram-negative bacillus genus ( 58. 59%-76. 19%) , in which the detection rates of extended spectrum β lactamases( ESBLs) Escherichia coli and Klebsiella pneumonia were the highest, followed by Enterobacter cloacae. Gram-positive bacteria only accounted for 23%. Drug-resistant bacteria and fungi would increase under the condition of repeated infection and irrational usage of antibiotics.In recent years, the urine-derived sepsis caused by urinary tract infection had become a popular clinical research topic because of its concealed symptoms, acute onset, rapid development and high mortality. By reviewing domestic and foreign literatures and expert consensus, this article is intended to explore the characteristics and treatment of diabetic urinary tract infections to supply reference for early prevention, correct diagnosis and effective treatments.%糖尿病并发泌尿系统感染受诸多因素的影响,一般而言,糖尿病患者的机体防疫功能减弱,高血糖、高尿糖环境有利于细菌生长繁殖,血管神经病变等因素是导致发生感染的原因。糖尿病并发泌尿系统感染具有起病隐匿、易反复、高血糖的程度与感染呈正相关,并发感染后难以控制等特点。糖尿病并发泌尿系统感染的病原菌以革兰阴性杆菌属为主,占58.59%~76.19%,其中以产超广谱β-内酰胺酶( ESBLs)大肠埃希菌、肺炎克雷白杆菌检出率高,其次是阴沟肠杆菌,革兰阳性菌约占23%。如果反复感染,大量使用抗菌药物可以导致耐药细菌和真菌增加。近年来由尿

  16. Occurrence Characteristics and Comprehensive Treatment Techniques of Wheat Armyworm%小麦粘虫的发生特点与综合治理技术

    Institute of Scientific and Technical Information of China (English)

    陈金安

    2014-01-01

    为了有效地控制小麦粘虫的发生和危害,采用田间系统调查的方法对小麦粘虫的发生特点进行了调查,在此基础上进行了小麦粘虫综合治理技术和不同生物药剂对小麦粘虫幼虫的控制效果研究。结果表明:该虫在孝感市北部地区1年发生4~5代,以幼虫或蛹在麦田土中、稻桩和杂草堆等处越冬;第1代卵孵化盛期在3月下旬至4月上旬,为幼虫最重危害代。综合防治措施以农业防治和生态防治为主,重视保护和利用本地天敌,加强稻草把及糖醋诱剂诱杀成虫,推广使用生物药剂防治,控制使用化学防治的小麦粘虫综合治理策略。生物药剂对小麦粘虫幼虫的控制效果最好的是60 g/L乙基多杀菌素 SC 2000倍液,药后7 d校正防效达95.96%;其次是2.0%阿维菌素 EC 2000倍液,校正防效为95.12%;20%三唑磷 EC 1000倍液的持效性较差,校正防效仅为78.72%;其余3种生物药剂的校正防效均超过89%。%To effectively control the occurrence and hazard of the wheat armyworm,a field system investigation was conducted to explore the occurrence characteristics of wheat armyworm,and based on this the control effects of comprehensive treatment techniques and different biological insecticides.The results showed that this worn existed in the north of Xiaogan City for 4~5 generations,and passed the winter when it is in the generation of larva or insect pupa in wheat field soil,rice stub,a mass of weeds or other places.The first generation egg hatched in late March to early April,this generation of larvae was of the most hazard.Through the study on comprehensive treatment techniques of wheat armyworm,the authors put forward to control agricultural and ecological prevention,protection and pay much attention on local natural enemy,strengthen the straw and sweet and sour attractant for adults worms.At the same time,we should promote the use of bio

  17. Technological characteristics and selected bioactive compounds of Opuntia dillenii cactus fruit juice following the impact of pulsed electric field pre-treatment.

    Science.gov (United States)

    Moussa-Ayoub, Tamer E; Jaeger, Henry; Youssef, Khaled; Knorr, Dietrich; El-Samahy, Salah; Kroh, Lothar W; Rohn, Sascha

    2016-11-01

    Selected technological characteristics and bioactive compounds of juice pressed directly from the mash of whole Opuntia dillenii cactus fruits have been investigated. The impact of pulsed electric fields (PEF) for a non-thermal disintegration on the important juice characteristics has been evaluated in comparison to microwave heating and use of pectinases. Results showed that the cactus juice exhibited desirable technological characteristics. Besides, it also contained a high amount of phenolic compounds being the major contributors to the overall antioxidant activity of juice. HPLC-DAD/ESI-MS(n) measurements in the fruits' peel and pulp showed that isorhamnetin 3-O-rutinoside was determined as the single flavonol found only in the fruit's peel. Treating fruit mash with a moderate electric field strength increased juice yield and improved juice characteristics. Promisingly, the highest release of isorhamnetin 3-O-rutinoside from fruit's peel into juice was maximally achieved by PEF. PMID:27211645

  18. Technological characteristics and selected bioactive compounds of Opuntia dillenii cactus fruit juice following the impact of pulsed electric field pre-treatment.

    Science.gov (United States)

    Moussa-Ayoub, Tamer E; Jaeger, Henry; Youssef, Khaled; Knorr, Dietrich; El-Samahy, Salah; Kroh, Lothar W; Rohn, Sascha

    2016-11-01

    Selected technological characteristics and bioactive compounds of juice pressed directly from the mash of whole Opuntia dillenii cactus fruits have been investigated. The impact of pulsed electric fields (PEF) for a non-thermal disintegration on the important juice characteristics has been evaluated in comparison to microwave heating and use of pectinases. Results showed that the cactus juice exhibited desirable technological characteristics. Besides, it also contained a high amount of phenolic compounds being the major contributors to the overall antioxidant activity of juice. HPLC-DAD/ESI-MS(n) measurements in the fruits' peel and pulp showed that isorhamnetin 3-O-rutinoside was determined as the single flavonol found only in the fruit's peel. Treating fruit mash with a moderate electric field strength increased juice yield and improved juice characteristics. Promisingly, the highest release of isorhamnetin 3-O-rutinoside from fruit's peel into juice was maximally achieved by PEF.

  19. Effect of post weld heat treatment on tensile properties and microstructure characteristics of friction stir welded armour grade AA7075-T651 aluminium alloy

    Institute of Scientific and Technical Information of China (English)

    P. SIVARAJ; D. KANAGARAJAN; V. BALASUBRAMANIAN

    2014-01-01

    This paper reports the effects of post weld heat treatments, namely artificial ageing and solution treatment followed by artificial ageing, on microstructure and mechanical properties of 12 mm thick friction stir welded joints of precipitation hardenable high strength armour grade AA7075-T651 aluminium alloy. The tensile properties, such as yield strength, tensile strength, elongation and notch tensile strength, are evaluated and correlated with the microhardness and microstructural features. The scanning electron microscope is used to characterie the fracture surfaces. The solution treatment followed by ageing heat treatment cycle is found to be marginally beneficial in improving the tensile properties of friction stir welds of AA7075-T651 aluminium alloy.

  20. 下咽癌386例临床特征及疗效分析%The clinical characteristics and treatment outcomes of 386 patients with hypopharyngeal cancer

    Institute of Scientific and Technical Information of China (English)

    曹轶倓; 周梁; 吴海涛; 李筱明; 黄维庭; 陈小玲; 李采; 陶磊

    2016-01-01

    Objective To investigate the clinical characteristics,surgical treatment outcomes and prognostic factors of hypopharyngea] carcinoma Methods A retrospective review of the Eye & ENT Hospital of Fudan University patients' database between January 2003 and June 2013 was conducted and a total of 386 patients were enrolled in the study.Patients' clinical and oncological information was collected and survival rates were analyzed using Kaplan-Meier curves.Prognostic factors were evaluated with multivariate Cox model survival analysis.Results Among the 386 patients 95.9% were males and 4.1%were females,with an average age of (58.4 ± 9.4) years.The primary tumor sites were pyriform sinus (76.7%),posterior hypopharyngeal wall (17.3%) and postcricoid region (6.0%).There were 31(8.0%),83(21.5%),175 (45.3%) and 97 (25.1%) patients with stage T1 to T4,respectively,99(25.6%),74(19.2%),181 (46.9%) and 32(8.3%) patients with stage N0 to N3,respectively,and 3 patients with distant metastasis to lung on initial diagnosis.Second primary cancers were found in 28 cases (7.3%).The 5-year overall survival (OS),disease specific survival (DSS) and disease free survival (DFS) were 45.8%,48.1% and 46.0% respectively according to Kaplan-Meier survival curves.Multivariate Cox regression model showed significant association between 5-year overall survival rate and T stage (P < 0.001),N stage (P =0.003) and second primary tumors (P =0.017).Advanced T stage and lymphovascular invasion were associated with a higher rate of recurrence (P < 0.001).Conclusions Hypopharyngeal squamous cell carcinoma has a dismal prognosis,with high rates of submucosal infiltration,cervical lymph node metastasis and distant metastasis.Treatment choices should be made according to TNM stage and overall health conditions in order to achieve ideal oncologic and functional results.Surgery with postoperative chemoradiation therapy is the main treatment for advanced-stage hypopharyngeal

  1. 炭质岩地区公路工程地质病害特征与处治技术探讨%On Characteristics and Treatment of Geological Diseases of Highway Projects in Areas of Carbonaceous Rocks

    Institute of Scientific and Technical Information of China (English)

    黄文秀

    2013-01-01

    Through project cases, this paper analyzes and summarizes characteristics of geological diseases of highway projects in areas of carbonaceous rocks, proposing relative treatment measures for reference.%  根据工程经验,分析和总结炭质岩地区公路工程的地质病害特征,提出工程处治技术措施。

  2. Characteristics of a transmission detector for dosimetry real-time IMRT treatments; Caracteristicas de un detector de transmision para dosimetria en tiempo real en tratamientos de IMRT

    Energy Technology Data Exchange (ETDEWEB)

    Delgado, J. M.; Sanchez Cayuela, C.; Brosed, M. L.; Pereza, C.; Casal, M. D.; Sanchez, A.

    2011-07-01

    This work aims to study a transmission chamber for the determination of the influence of each field / segment modulated treatment to verify by direct dosimetry in a planner that uses the same anatomy that has been used in prescribing treatment, the dose received at each session and compared with that calculated by the scheduler.

  3. Clinical characteristics and treatment of purulent meningitis in adults%成人化脓性脑膜炎临床特点与诊治分析

    Institute of Scientific and Technical Information of China (English)

    薄宇清; 王智勇; 吴景录

    2013-01-01

    目的 分析探讨成人化脓性脑膜炎的临床特点,提高成人化脓性脑膜炎的诊治水平.方法 回顾性分析医院2007年1月—2011年12月收治的26例成人化脓性脑膜炎患者的临床资料.结果 患者入院后根据脑脊液生化检查结果诊断化脓性脑膜炎,脑脊液细菌培养阳性16例,其中肺炎链球菌感染9例,大肠埃希菌及肺炎杆菌感染各2例,金黄色葡萄球菌、肺炎克雷伯菌、表皮葡萄球菌感染各1例;经抗感染治疗后,患者住院3~25 d,平均住院天数12 d;好转23例,死亡3例.结论 成人化脓性脑膜炎的多有明确的病因,临床表现不特异,脑脊液及颅脑影像学检查有助于诊断,根据脑脊液细菌培养及药敏结果给予抗菌药物治疗,可以取得一定效果.%OBJECTIVE To analyze the clinical characteristics of purulent meningitis in adults so as to improve the level of diagnosis and treatment of the purulent meningitis in the adults.METHODS A total of 26 cases of adult patients with purulent meningitis,who were treated in the hospital from Jan 2007 to Dec 2011,were ebrolled in the study,then the clinical data of the patients were retrospectively analyzed.RESULTS The purulent meningitis was diagnosed with cerebral spinal fluid (CSF) biochemical test results after the patient were enrolled,the bacterial culture of cerebrospinal fluid was positive in 16 cases,among which there were 9 cases with Streptococcus pneumoniae infections,2 cases with Escherichia coli infections,2 cases with Pneumobacillus infections,1 case with Staphylococcus aureus infections,1 case with Klebsiella pneumoniae infections,and 1 case with Staphylococcus epidermidis infections.After the anti-infection therapy,the hospitalization duration varied from 3 days to 25 days with the mean time of 12 days,23 cases improved,and 3 cases died.CONCLUSION There are many definite causes of purulent meningitis in the adults,and the clinical manifestations are atypical

  4. Effects of thermal treatment on characteristics of tender chicken thigh%加热对三黄鸡腿肉特性的影响研究

    Institute of Scientific and Technical Information of China (English)

    吴兵; 张立彦

    2011-01-01

    考察了加热对三黄鸡腿肉物理化学特性及微观结构的影响.结果表明:鸡腿肉的蒸煮损失在75-85℃间随温度增加而显著增大;肉的红度a*值不断减小,而在55~75℃间亮度L*和黄度b*值不断增大;pH在75℃时达到最大;硬度随温度升高持续增大,而弹性、咀嚼性则分别在75℃和85℃达到最大值后又显著减小;盐溶性蛋白溶解度随温度升高逐渐减小,胶原蛋白溶解度却逐渐增加;在55~65℃间肌内膜、肌柬膜先发生热收缩,肌纤维直径减小,肌纤维间隙增大,在65~75℃间肌纤维间隙内出现明显的"颗粒化"现象,而后随温度的升高肌纤维间隙逐渐减小,肌纤维直径逐渐增大,相邻肌纤维彼此排列紧实、致密,剪切力显著增大.以上结果表明,温度在75℃左右对鸡腿肉的各种特性影响最为显著.%The effects of thermal treatment on physiochemical properties and microstructure of tender chicken thigh were investigated.The results demonstrated that the greatest increment in cooking loss was observed between 75℃ and 85℃.With increasing temperature,the redness a* value decreased continuously,while the value of L* and b * increased continuously between 55~75℃.pH reached its maximum at 75℃.The hardness of chicken thigh increased steadily,springiness and chewiness reached a maximum at 75℃ and 85℃, respectively, followed by a significantly decrease with temperature increasing.The solubility of salt-soluble protein decreased with temperature increasing while the solubility of heat-soluble collagen increased.SEM micrographs showed that from 55℃ to 65℃, thermal shrinkage of endomysium and perimysium occurred originally, muscle fiber diameter decreased and the gap between muscle fibers widened, followed by a obvious phenomenon of granulation at 65℃.After that, fiber diameter gradually increased and the gap narrowed, adjacent muscle fiber arrangement became more compact and firm, the shear force

  5. Effect of post weld heat treatment on tensile properties and microstructure characteristics of friction stir welded armour grade AA7075-T651 aluminium alloy

    Directory of Open Access Journals (Sweden)

    P. Sivaraj

    2014-03-01

    Full Text Available This paper reports the effects of post weld heat treatments, namely artificial ageing and solution treatment followed by artificial ageing, on microstructure and mechanical properties of 12 mm thick friction stir welded joints of precipitation hardenable high strength armour grade AA7075-T651 aluminium alloy. The tensile properties, such as yield strength, tensile strength, elongation and notch tensile strength, are evaluated and correlated with the microhardness and microstructural features. The scanning electron microscope is used to characterie the fracture surfaces. The solution treatment followed by ageing heat treatment cycle is found to be marginally beneficial in improving the tensile properties of friction stir welds of AA7075-T651 aluminium alloy.

  6. Influences of post weld heat treatment on tensile strength and microstructure characteristics of friction stir welded butt joints of AA2014-T6 aluminum alloy

    Science.gov (United States)

    Rajendran, C.; Srinivasan, K.; Balasubramanian, V.; Balaji, H.; Selvaraj, P.

    2016-08-01

    Friction stir welded (FSWed) joints of aluminum alloys exhibited a hardness drop in both the advancing side (AS) and retreating side (RS) of the thermo-mechanically affected zone (TMAZ) due to the thermal cycle involved in the FSW process. In this investigation, an attempt has been made to overcome this problem by post weld heat treatment (PWHT) methods. FSW butt (FSWB) joints of Al-Cu (AA2014-T6) alloy were PWHT by two methods such as simple artificial aging (AA) and solution treatment followed by artificial aging (STA). Of these two treatments, STA was found to be more beneficial than the simple aging treatment to improve the tensile properties of the FSW joints of AA2014 aluminum alloy.

  7. Demographics, Clinical Characteristics, and Treatment of Aggressive Patients Admitted to the Acute Behavioral Unit of a Community General Hospital: A Prospective Observational Study

    OpenAIRE

    Nourse, Rosemary; Reade, Cynthia; Stoltzfus, Jill; Mittal, Vikrant

    2014-01-01

    Objective: Aggressive patients are not uncommon in acute inpatient behavioral health units of general hospitals. Prior research identifies various predictors associated with aggressive inpatient behavior. This prospective observational study examines the demographic and clinical characteristics of aggressive inpatients and the routine medications these patients were receiving at discharge.

  8. Puberty induction in Turner syndrome: Results of oestrogen treatment on development of secondary sexual characteristics, uterine dimensions and serum hormone levels

    NARCIS (Netherlands)

    Bannink, E.M.N.; Sassen, C. van; Buuren, S. van; Jong, F.H. de; Lequin, M.; Mulder, P.G.H.; Muinck Keizer-Schrama, S.M.P.F. de

    2009-01-01

    Background: Besides short stature, gonadal dysgenesis leading to a lack of oestrogen is one of the main characteristics of Turner syndrome (TS). In most TS girls, puberty is induced with exogenous oestrogens. Objective: To describe the pubertal development and uterine dimensions achieved by low-dose

  9. Efeitos do consumo prévio de carboidratos sobre a resposta glicêmica e desempenho Efectos del consumo previo de carbohidratos sobre la respuesta de glicemia y desempeño Effect of prior consumption of carbohydrate on the glycaemia and performance

    Directory of Open Access Journals (Sweden)

    Katiuce Borges Sapata

    2006-08-01

    ocasionó alteraciones en la glicemia y en la frecuencia cardiaca durante el ejercicio. Aunque se especule que oscilaciones en la glicemia durante el ejercicio puedan perjudicar el desempeño en ejercicios de larga duración, este hecho no fue verificado en nuestro presente estudio.BASES AND OBJECTIVE: Nutrition is an important tool for the sport practice. Among the nutrients, the carbohydrates are one of the most important. In that way the aim of this study was analyze the influence of glycaemic response on performance of healthy subjects, after intake of different carbohydrate solutions. METHODS: Ten healthy male subjects, 23 ± 2.1 years old, were asked to answer a three days nutritional and physical activity recordatory. Anthropometric data were collected and a progressive test in cycle ergometer was performed to measure the maximal oxygen uptake and ventilatory thresholds. Each subject performed three submaximal tests at the intensity of second ventilatory threshold. Thirty minutes before each submaximal test, 250 ml of each drink: maltodextrin (Malto, glucose (Glicose plus sport drink or dietetic juice (Placebo was ingested. Venous blood was collected to determine the glycaemic index and lactate. RESULTS AND CONCLUSION: There was a significant increase after 30 minutes when the subjects ingested maltodextrin solution (87.4 ± 11.2 to 116.9 ± 19.6 ml.dl¹. After 15 minutes of exercise, there was a decrease in the glycaemia after the consumption of Malto (116.9 ± 19.6 to 77.6 ± 14.5 ml.dl¹ and Glicose (113.2 ± 23.5 to 81.8 ± 13.1 ml.dl¹ plus sport drink solutions when compared with Placebo solution. The glucose plus sport drink solution induced a significant increase in the heart rate during exercise (167.7 ± 14.2 and 177.1 ± 10.4 bpm. The consumption of different carbohydrate solutions with high glycaemic index before exercise was not capable to change the performance of the volunteers. However it induced changes in the glycaemia and heart rate during

  10. Demography, baseline disease characteristics and treatment history of patients with psoriasis enrolled in a multicentre, prospective, disease-based registry (PSOLAR)*

    OpenAIRE

    Kimball, AB; Leonardi, C; Stahle, M.; Gulliver, W; Chevrier, M; Fakharzadeh, S; Goyal, K.; Calabro, S; Langholff, W; Menter, A

    2014-01-01

    Summary Background: Psoriasis is associated with several comorbidities and behavioural risk factors. Objectives: To evaluate demographic and disease characteristics in patients enrolled in the Psoriasis Longitudinal Assessment and Registry (PSOLAR). Methods: PSOLAR is a global, prospective, longitudinal, disease-based registry that includes a postmarketing commitment to evaluate safety in patients with psoriasis. Enrolled patients had to be receiving, or be eligible to receive, conventional s...

  11. Occlusal force characteristics of masseteric muscles after intramuscular injection of botulinum toxin A(BTX - A)for treatment of temporomandibular disorder.

    Science.gov (United States)

    Zhang, Long-Dan; Liu, Qi; Zou, De-Rong; Yu, Lv-Feng

    2016-09-01

    Our aim was to evaluate the occlusal force and therapeutic efficacy of the masseteric muscles after intramuscular injection of botulinum toxin A (BTX-A) for the treatment of patients with concurrent temporomandibular disorders (TMD) and bruxism. Thirty patients with TMD associated with bruxism were randomised into three groups (n=10 in each group), and treated by bilateral intramuscular injection of BTX-A into the masseter, placebo, or control. We used an occlusal force analysis system to collect several measures of occlusal force such as duration of biting and closing, the maximum occlusal force, and the distribution of occlusal force. The occlusal force in the intercuspid position was reduced in all three groups. There was a significant difference between the BTX-A and placebo groups (F(df=1)=8.08, p=0.01) but not between the control group and the other two(F(df=1)=4.34, p=0.047). The duration of occlusion was significantly increased in the BTX-A group after 3 months' treatment (t=4.07, p=0.003). The asymmetrical distribution of occlusal force was reduced in all three groups, but not significantly so (Levene's test F(df=2)=0.25, p=0.78,ANOVA F(df=2)=0.50, p=0.61). Treatment of TMD with BTX-A is effective in reducing the occlusal force, but psychological intervention plays an important part in treatment. PMID:27138229

  12. Applied research of pediatric pneumonia serum CK, CTnT levels and ECG change characteristics in diagnosis and treatment of disease and prognostic evaluation

    Institute of Scientific and Technical Information of China (English)

    Yun Zhang; Yan-Lin Xiao; Xian-Bin Li

    2015-01-01

    Objective:To study pneumonia infant's serum creatine kinase and troponin T level changes and combined with electrocardiogram analysis to discuss its meaning to pneumonia infant's clinical diagnosis and treatment.Method: 73 cases of pneumonia infants were selected as study group in our hospital from January 2014 to June 2014, meanwhile select 58 cases of healthy infants as control group, to proceed serum CK and CTnT and electrocardiogram examination of both groups.Results: Before treatment, ordinary pneumonia group's CK level rised, CK-MB and CTnT levels significantly rised, 65.71% of children with pneumonia appeared abnormal electrocardiogram, mainly showed atrial premature beats and sinus tachycardia; severe pneumonia group's CK level significantly rised, CK-MB and CTnT levels highly significantly rised, 86.84% of children with pneumonia appeared abnormal electrocardiogram, mainly showed atrial premature beats, sinus tachycardia, bundle-branch block, P-wave high point and so on. After treatment, ordinary pneumonia group's CK, CK-MB and CTnT levels recovered to normal range, ECG returned to normal mostly; severe pneumonia group's CK level obviously returned to normal range, but CK-MB and CTnT levels still exist significant difference. After treatment, severe pneumonia group's CK, CK-MB and CTnT levels were highly significantly lower than before treatment; Compared with ordinary group after treatment, its CK, CK-MB and CTnT levels were higher, but no significant difference, electrocardiogram also returned to normal, only sinus tachycardia and bundle branch block were difficult to return to normal. Conclusion: Serum CK, CK-MB and CTnT levels of pneumonia infants rise along with the aggravation of disease, and ECG level is abnormal, after treatment, most pneumonia infants are cured. This illustrates infant pneumonia could easily cause multiple organ system damage, especially myocardial injury, monitoring CK, CK-MB and CTnT levels, combined with electrocardiogram data

  13. 从小儿体质特点探讨性早熟防治的重要性%Importance investigation of prevention and treatment of precocious puberty based on the physical characteristics of children

    Institute of Scientific and Technical Information of China (English)

    王亚君; 琚玮; 郑宏

    2013-01-01

    With the development of society, the incidence of precocious puberty in children was significantly higher than before. This paper analyzes the correlation of precocious puberty and physical characteristics that explore the importance of prevention and treatment of precocious puberty.%随着社会的发展,小儿性早熟的发病率明显增高,本文通过分析性早熟与体质特征的相关性,探讨防治性早熟的重要性。

  14. Viral hepatitis B in children:clinical characteristics and antiviral treatment%儿童慢性乙型肝炎特征及抗病毒治疗

    Institute of Scientific and Technical Information of China (English)

    赵卫峰; 陈良云

    2011-01-01

    Chronic hepatitis B is a common and frequent disease occurring in children in China.Chronic hepatitis B virus infection during childhood may cause serious clinical consequences.Reasonable treatment is extremely important for children with therapeutic indications.However, there are many challenges in the treatment of chronic hepatitis B in children, such as treatment indications and the choice of antiviral therapy.This paper describes the natural history of HBV infection in children, indications for antiviral therapy, goals of antiviral treatment, and choice of antiviral drugs.%在我国儿童中,慢性乙型肝炎是常见病、多发病.儿童时期感染乙型肝炎病毒可致严重临床后果,因此,对有治疗指征患者及时采取合理治疗方案极为重要.而当前国内外对儿童慢性乙型肝炎的治疗尚存诸多问题及争论,如:儿童慢性乙型肝炎患者的治疗指征:选择何种抗病毒药物进行治疗等.为方便广大医师对儿童慢性乙型肝炎做出正确的治疗选择,本文对儿童乙型肝炎病毒感染的自然史、抗病毒治疗指征、抗病毒治疗目标以及抗病毒药物的选择进行系统阐述.

  15. Results of the Dyslipidemia International Study (DYSIS-Middle East: clinical perspective on the prevalence and characteristics of lipid abnormalities in the setting of chronic statin treatment.

    Directory of Open Access Journals (Sweden)

    Saud N Al Sifri

    Full Text Available BACKGROUND: Therapeutic intervention with low-density lipoprotein cholesterol-lowering agents known as statins has been demonstrated to reduce cardiovascular risk. However, many patients on statin treatment have persistent dyslipidemia and remain at a high risk of cardiovascular disease. Therefore, the objective of this study was to assess the frequency of lipid abnormalities in patients receiving chronic statin treatment. METHODS: As part of an international, cross-sectional, observational study, DYSIS-Middle East enrolled 2,182 patients in the United Arab Emirates (UAE, Saudi Arabia, Lebanon and Jordan. All patients were over 45 years of age and had been on statin treatment for at least three months. Data on demographics, lipid parameters and cardiovascular risk profile were recorded. Cardiovascular risk was defined according the guidelines of the European Society of Cardiology. RESULTS: The majority of patients (82.6% were classified as being at very high risk of cardiovascular events, and 61.8% of all patients did not attain LDL-C target levels. Low high-density lipoprotein cholesterol levels and elevated triglyceride levels were noted in 55.5% and 48.5% of patients, respectively. Multivariate logistical regression modeling indicated that factors independently associated with LDL-C levels not being at goal were lifestyle choices, diabetes mellitus, ischemic heart disease, and blood pressure ≥ 140/90 mmHg. CONCLUSIONS: Almost two-thirds of statin-treated patients in the United Arab Emirates, Saudi Arabia, Lebanon and Jordan had inadequately controlled lipid levels. More comprehensive surveillance, awareness and treatment regimens, as well as modification of lifestyle choices, is necessary to halt the rise in cardiovascular disease-related mortality.

  16. Adsorption characteristics of ammonium exchange by zeolite and the optimal application in the tertiary treatment of coking wastewater using response surface methodology.

    Science.gov (United States)

    Zhao, Cui; Zheng, Zhongyuan; Zhang, Jing; Wen, Donghui; Tang, Xiaoyan

    2013-01-01

    Natural zeolite is a favorable NH(4)(+)-ion exchanger in the tertiary wastewater treatment. In this study, a natural Chinese zeolite was anatomized using the mercury injection method, X-ray diffraction, and scanning electron micrographs. The kinetic process of ammonium adsorption onto the zeolite was best described by the pseudo second order model; the adsorption equilibrium data fitted better to the Freundlich isotherm; and the exchange between ammonium and alkali/alkaline earth cations was in the order of Na(+) > Ca(2+) > K(+) > Mg(2+). Finally, the zeolite powder was applied for the tertiary treatment of coking wastewater, which still contained high concentration of ammonium after the secondary treatment by a sequencing batch reactor. The Box-Behnken design was used to design the experimental protocol, and the response surface methodology (RSM) was used for the optimization of adsorption factors. The RSM analysis showed the optimal adsorption factors as particle size, 0.03 mm; initial dosage of zeolite powder, 50.0 g/L; and contact time, 24 h. The highest ammonium removal rate was 75.0% predicted by the RMS. Considering settleability of the zeolite powder, the particle size of 0.25 mm was recommended in practice with a little loss of the ammonium removal: 70.9% as the RMS predicted.

  17. Chlorine treatment effectiveness and physico-chemical and bacteriological characteristics of treated water supplies in distribution networks of Accra-Tema Metropolis, Ghana

    Science.gov (United States)

    Karikari, A. Y.; Ampofo, J. A.

    2013-06-01

    Drinking water quality from two major treatment plants in Ghana; Kpong and Weija Plants, and distribution networks in the Accra-Tema Metropolis were monitored monthly for a year at fifteen different locations. The study determined the relationship between chlorine residual, other physico-chemical qualities of the treated water, and, bacteria regrowth. Results indicated that the treated water at the Kpong and Weija Treatment Plants conformed to WHO guidelines for potable water. However, the water quality deteriorated bacteriologically, from the plants to the delivery points with high numbers of indicator and opportunistic pathogens. This could be due to inadequate disinfection residual, biofilms or accidental point source contamination by broken pipes, installation and repair works. The mean turbidity ranged from 1.6 to 2.4 NTU; pH varied from 6.8 to 7.4; conductivity fluctuated from 71.1 to 293 μS/cm. Chlorine residual ranged from 0.13 to 1.35 mg/l. High residual chlorine was observed at the treatment plants, which decreased further from the plants. Results showed that additional chlorination does not take place at the booster stations. Chlorine showed inverse relationship with microbial counts. Total coliform bacteria ranged from 0 to 248 cfu/100 ml, and faecal coliform values varied from 0 to 128 cfu/100 ml. Other microorganisms observed in the treated water included Aeromonas spp., Clostridium spp. and Pseudomonas spp. Boiling water in the household before consumption will reduce water-related health risks.

  18. Applied research of pediatric pneumonia serum CK, CTnT levels andECG change characteristics in diagnosis and treatment of disease and prognostic evaluation

    Institute of Scientific and Technical Information of China (English)

    Ying Ma

    2015-01-01

    Objective: Through studying pneumonia infant's serum creatine kinase and troponin T level changes and combined with electrocardiogram analysis to discuss its meaning to pneumonia infant's clinical diagnosis and treatment. Method: 73 cases of pneumonia infants were selected as the study group in our hospital from January 2014 to June 2014, meanwhile 58 cases of healthy infants were selected as the control group, to proceed serum CK and CTnT and electrocardiogram examination of both groups. Results: Before treatment, ordinary pneumonia group's CK level raised (P>0.05),CK-MB and CTnT levels significantly raised (P0.05), ECG returned to normal; severe pneumonia group's CK level obviously returned to normal range (P>0.05), but CK-MB and CTnT levels still exist significant difference (P0.05), electrocardiogram also returned to normal, only sinus tachycardia and bundle branch block were difficult to return to normal. Conclusion: Serum CK, CK-MB and CTnT levels of pneumonia infants rise along with the aggravation of disease, and ECG level is abnormal, after treatment, most pneumonia infants are cured. This illustrates infant pneumonia could easily cause multiple organ system damage, especially myocardial injury, monitoring CK, CK-MB and CTnT levels, combined with electrocardiogram data has important reference value to the diagnosis of pneumonia.

  19. Influence of maternal dexamethasone treatment on morphometric characteristics of pituitary GH cells and body weight in near-term rat fetuses.

    Directory of Open Access Journals (Sweden)

    V Milosević

    2007-03-01

    Full Text Available Growth hormone (GH and glucocorticoids have a powerful influence on controlling fetal growth, differentiation and maturation of numerous tissues. In the present study, the effect of maternal dexamethasone (Dx treatment on GH cells and body weight in 19- and 21-day-old rat fetuses was investigated using immunocytochemical and morphometric methods. Pregnant female rats received daily injections of 1.0-0.5-0.5 mg Dx/kg b.w. on days 16-18 of pregnancy (experimental group, while the control group received an equal volume of saline. Dx treatment of pregnant rats enhanced immunostaining intensity and significantly increased (p<0.05 GH nuclear and cell volume, as well as volume density and number of GH cells per square millimeter in 19-day-old fetuses compared to the controls. In 21-day-old fetuses after maternal Dx administration, immunoreactivity, volume density and number of GH cells remained significantly increased (p<0.05. Dx treatment of pregnant rats resulted in marked body weight reduction of 21-day-old but not 19 days old fetuses in comparison with the corresponding controls. The presented results demonstrate that maternal Dx application has pronounced effect on morphometric parameters of GH cells of 19- and 21-day-old fetuses. Also, in near-term rat fetuses body weight was largely independent of pituitary GH cell activity.

  20. A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

    Directory of Open Access Journals (Sweden)

    Justin Shmalberg

    2015-01-01

    Full Text Available Integrative veterinary medicine, the combination of complementary and alternative therapies with conventional care, is increasingly prevalent in veterinary practice and a focus of clinical instruction in many academic teaching institutions. However, the presenting complaints, therapeutic modalities, and patient population in an integrative medicine service have not been described. A retrospective analysis of 5,195 integrative patient treatment sessions in a veterinary academic teaching hospital demonstrated that patients most commonly received a combination of therapeutic modalities (39% of all treatment sessions. The 274 patients receiving multiple modalities were most frequently treated for neurologic and orthopedic disease (50.7% versus 49.6% of all presenting complaints, resp.. Older neutered or spayed dogs (mean age = 9.0 years and Dachshunds were treated more often than expected based on general population statistics. Acupuncture, laser therapy, electroacupuncture, and hydrotherapy were frequently administered (>50% patients. Neurologic patients were more likely to receive acupuncture, electroacupuncture, and therapeutic exercises but less likely than orthopedic patients to receive laser, hydrotherapy, or therapeutic ultrasound treatments (P<0.05. The results suggest that the application of these specific modalities to orthopedic and neurologic diseases should be subjected to increased evidence-based investigations. A review of current knowledge in core areas is presented.

  1. Quality Characteristics of Wholemeal Flour and Bread from Durum Wheat (Triticum turgidum L subsp. durum Desf.) after Field Treatment with Plant Water Extracts.

    Science.gov (United States)

    Carrubba, Alessandra; Comparato, Andrea; Labruzzo, Andrea; Muccilli, Serena; Giannone, Virgilio; Spina, Alfio

    2016-09-01

    The use of selected plant water extracts to control pests and weeds is gaining growing attention in organic and sustainable agriculture, but the effects that such extracts may exert on the quality aspects of durum wheat are still unexplored. In 2014, 5 plant water extracts (Artemisia arborescens, Euphorbia characias, Rhus coriaria, Thymus vulgaris, Lantana camara) were prepared and distributed on durum wheat cv Valbelice to evaluate their potential herbicidal effects. After crop harvesting, the major physicochemical and technological parameters of wholemeal flours obtained from each treatment were measured and compared with those from chemical weeding and untreated controls. A baking test was also performed to evaluate the breadmaking quality. In wholemeal flours obtained after the treatment with plant extracts protein and dry gluten content were higher than in control and chemical weeding. Wholemeal flours obtained after chemical weeding reached the highest Mixograph parameters, and that from durum wheat treated with R. coriaria extract demonstrated a very high α-amylase activity. We concluded that the treatments with plant water extracts may influence many quality traits of durum wheat. This occurrence must be taken into account in overall decisions concerning the use of plant extracts in pest and weed management practice.

  2. Effect of Ultrastructure on Changes of Textural Characteristics between Crisp Grass Carp (Ctenopharyngodon Idellus C.Et V) and Grass Carp (Ctenopharyngodon Idellus) Inducing Heating Treatment.

    Science.gov (United States)

    Lin, Wan-Ling; Yang, Xian-Qing; Li, Lai-Hao; Hao, Shu-Xian; Wang, Jin-Xu; Huang, Hui; Wei, Ya; Wu, Yan-Yan

    2016-02-01

    The research studies the ultrastructure effect on texture of crisp grass carp (CGC) and grass carp (GC) fillets inducing heating for 15, 25, and 40 min with boiling water. After heating, the hardness, fracturability, springiness, chewiness, resilience, and cohesiveness of CGC were higher than that of raw CGC, whereas the all textural characteristics of heating GC were lower obviously than that of raw GC. The hardness, fracturability, springiness, chewiness, resilience, and cohesiveness of CGC for heating 15 min were higher by 6.3%, 9.0%, 27.0%, 71.8%, 9.4%, and 23.9%, respectively, than that of raw CGC (RCGC). The hardness increasing of CGC flesh with the extension of heating time related closely to more coagulating connective tissue in interstitial spaces, especially relating to smaller muscle fiber diameter and denser muscle fiber density. The more and larger spaces between fiber and fiber with the extension of heating time results in the decrease of cohesiveness and resilience of CGC flesh. For chewiness, the stronger chewiness of cooked CGC associated with more detachment of myofiber-myocommata and fiber-fiber. Overall, the results show that the changes of texture characteristics of CGC fillet with extension of heating time correlates positively with the ultrastructure. PMID:26757426

  3. 宁河县芦台桥北污水处理厂设计参数及特点%Design parameters and characteristics of north sewage treatment plant of Lutai bridge in Ninghe county

    Institute of Scientific and Technical Information of China (English)

    霍贞; 王舜和; 卢凯

    2012-01-01

    This paper introduces Qiaobei sewage treatment plant engineering condition and technical procedure, specifically describes main architectures and design parameters, and summarizes the technical design characteristics, which has certain guiding meaning for the construction of other sewage treatment plant.%介绍了桥北污水处理厂工程概况及工艺流程,详细阐述了主要构筑物及设计参数,总结出本工程的工艺设计特点,积累的相关经验对其他污水处理厂的建设具有指导意义。

  4. Clinical characteristics,complications and rehabilitation treatment of myocardial infarcti among elders%老年心肌梗死特点、并发症分析及康复对策

    Institute of Scientific and Technical Information of China (English)

    季瑞芬; 江少生; 刘映霞

    2002-01-01

    Objective In order to determine correct rehabilitation treatment,we analyze characteristics,complications of myocardial infarcti in elders.Method Regression analysis method was used to evaluate pathogenesis,complications and prognosis.After comparison with control group,rehabilitation treatment was determined.Result Risk factors such as hypertension,hyperlipemia,diabetes mellitus were more severe than control group.Compared with control group,hypertension was more apparent in study group.Incidence of untypical angina pectoris,complications such as cardiogenicshock,conduction block,cerebrovascular event of study group was higher than control group.So healthy education,exercise,heart scanning and use of drugs should be strengthened in elders.Conclusion Heart infarction of elders involved many risk factors,its clinical symptoms is untypical.Complications are more common.and mortality is high.So strengthening of healthy education,exercise is necessary.

  5. Efecto del secado térmico y el tratamiento alcalino en las características microbiológicas y químicas de biosólidos de plantas de tratamiento de aguas residuales domésticas Effect of thermal drying and alkaline treatment on the microbiological and chemical characteristics of biosolids from domestic wastewater treatment plants

    Directory of Open Access Journals (Sweden)

    Jorge Silva-Leal

    2013-01-01

    Full Text Available We evaluated the effect of thermal drying (60 to 75 ºC and times from 0 to 12.58 h and alkaline treatment (Ca(OH2 and CaO at doses from 8 to 10%. on the microbiological and chemical characteristics of biosolids from the Cañaveralejo WWTP. The results showed that in thermal drying all temperatures studied were sufficient to achieve the sanitation of biosolids. In the alkaline treatment the two types of lime showed the total elimination of fecal coliforms, E. coli and helminth eggs, however, the process of alkalization of biosolids had significant influences on organic carbon and calcium.

  6. Effects of time-of-day of hypertension treatment on ambulatory blood pressure and clinical characteristics of patients with type 2 diabetes.

    Science.gov (United States)

    Moyá, Ana; Crespo, Juan J; Ayala, Diana E; Ríos, María T; Pousa, Lorenzo; Callejas, Pedro A; Salgado, José L; Mojón, Artemio; Fernández, José R; Hermida, Ramón C

    2013-03-01

    Generally, hypertensive patients ingest all their blood pressure (BP)-lowering agents in the morning. However, many published prospective trials have reported clinically meaningful morning-evening, treatment-time differences in BP-lowering efficacy, duration of action, and safety of most classes of hypertension medications, and it was recently documented that routine ingestion of ≥1 hypertension medications at bedtime, compared with ingestion of all of them upon awakening, significantly reduces cardiovascular disease (CVD) events. Non-dipping (hypertension treatment-time regimen on the circadian BP pattern, degree of BP control, and relevant clinical and analytical parameters of hypertensive patients with type 2 diabetes evaluated by 48-h ABPM. This cross-sectional study involved 2429 such patients (1465 men/964 women), 65.9 ± 10.6 (mean ± SD) yrs of age, enrolled in the Hygia Project, involving primary care centers of northwest Spain and designed to evaluate prospectively CVD risk by ABPM. Among the participants, 1176 were ingesting all BP-lowering medications upon awakening, whereas 1253 patients were ingesting ≥1 medications at bedtime. Among the latter, 336 patients were ingesting all BP-lowering medications at bedtime, whereas 917 were ingesting the full daily dose of some hypertension medications upon awakening and the full dose of others at bedtime. Those ingesting ≥1 medications at bedtime versus those ingesting all medications upon awakening had lower likelihood of metabolic syndrome and chronic kidney disease (CKD); had significantly lower albumin/creatinine ratio, glucose, total cholesterol, and low-density lipoprotein (LDL) cholesterol; and had higher estimated glomerular filtration rate and high-density lipoprotein (HDL) cholesterol. Moreover, patients ingesting all medications at bedtime had lowest fasting glucose, serum creatinine, uric acid, and prevalence of proteinuria and CKD. Ingestion of ≥1 medications at bedtime was also

  7. Recurrent differentiated thyroid cancer: towards personalized treatment based on evaluation of tumor characteristics with PET (THYROPET Study): study protocol of a multicenter observational cohort study

    International Nuclear Information System (INIS)

    After initial treatment of differentiated thyroid carcinoma (DTC) patients are followed with thyroglobulin (Tg) measurements to detect recurrences. In case of elevated levels of Tg and negative neck ultrasonography, patients are treated 'blindly' with Iodine-131 (131I). However, in up to 50% of patients, the post-therapy scan reveals no 131I-targeting of tumor lesions. Such patients derive no benefit from the blind therapy but are exposed to its toxicity. Alternatively, iodine-124 (124I) Positron Emission Tomography/Computed Tomography (PET/CT) has become available to visualize DTC lesions and without toxicity. In addition to this, 18F-fluorodeoxyglucose (18F-FDG) PET/CT detects the recurrent DTC phenotype, which lost the capacity to accumulate iodine. Taken together, the combination of 124I and 18F-FDG PET/CT has potential to stratify patients for treatment with 131I. In a multicenter prospective observational cohort study the hypothesis that the combination of 124I and 18F-FDG PET/CT can avoid futile 131I treatments in patients planned for ‘blind’ therapy with 131I, is tested. One hundred patients planned for 131I undergo both 124I and 18F-FDG PET/CT after rhTSH stimulation. Independent of the outcome of the scans, all patients will subsequently receive, after thyroid hormone withdrawal, the 131I therapy. The post 131I therapeutic scintigraphy is compared with the outcome of the 124I and 18F-FDG PET/CT in order to evaluate the diagnostic value of the combined PET modalities. This study primary aims to reduce the number of futile 131I therapies. Secondary aims are the nationwide introduction of 124I PET/CT by a quality assurance and quality control (QA/QC) program, to correlate imaging outcome with histopathological features, to compare 124I PET/CT after rhTSH and after withdrawal of thyroid hormone, and to compare 124I and 131I dosimetry. This study aims to evaluate the potential value of the combination of 124I and 18F-FDG PET/CT in the prevention

  8. Endocrine active chemicals, pharmaceuticals, and other chemicals of concern in surface water, wastewater-treatment plant effluent, and bed sediment, and biological characteristics in selected streams, Minnesota-design, methods, and data, 2009

    Science.gov (United States)

    Lee, Kathy E.; Langer, Susan K.; Barber, Larry B.; Writer, Jeff H.; Ferrey, Mark L.; Schoenfuss, Heiko L.; Furlong, Edward T.; Foreman, William T.; Gray, James L.; ReVello, Rhiannon C.; Martinovic, Dalma; Woodruff, Olivia R.; Keefe, Steffanie H.; Brown, Greg K.; Taylor, Howard E.; Ferrer, Imma; Thurman, E. Michael

    2011-01-01

    This report presents the study design, environmental data, and quality-assurance data for an integrated chemical and biological study of selected streams or lakes that receive wastewater-treatment plant effluent in Minnesota. This study was a cooperative effort of the U.S. Geological Survey, the Minnesota Pollution Control Agency, St. Cloud State University, the University of St. Thomas, and the University of Colorado. The objective of the study was to identify distribution patterns of endocrine active chemicals, pharmaceuticals, and other organic and inorganic chemicals of concern indicative of wastewater effluent, and to identify biological characteristics of estrogenicity and fish responses in the same streams. The U.S. Geological Survey collected and analyzed water, bed-sediment, and quality-assurance samples, and measured or recorded streamflow once at each sampling location from September through November 2009. Sampling locations included surface water and wastewater-treatment plant effluent. Twenty-five wastewater-treatment plants were selected to include continuous flow and periodic release facilities with differing processing steps (activated sludge or trickling filters) and plant design flows ranging from 0.002 to 10.9 cubic meters per second (0.04 to 251 million gallons per day) throughout Minnesota in varying land-use settings. Water samples were collected from the treated effluent of the 25 wastewater-treatment plants and at one point upstream from and one point downstream from wastewater-treatment plant effluent discharges. Bed-sediment samples also were collected at each of the stream or lake locations. Water samples were analyzed for major ions, nutrients, trace elements, pharmaceuticals, phytoestrogens and pharmaceuticals, alkylphenols and other neutral organic chemicals, carboxylic acids, and steroidal hormones. A subset (25 samples) of the bed-sediment samples were analyzed for carbon, wastewater-indicator chemicals, and steroidal hormones; the

  9. 微波辐照技术的工艺特性及其在水处理中的应用%Characteristics of microwave irradiation technology and its application to water treatment

    Institute of Scientific and Technical Information of China (English)

    李亚峰; 王景新; 李志成; 冯朋

    2012-01-01

    The technological characteristics of microwave irradiation technology and its applied mechanisms in water treatment are analyzed. The research situation and application situation of microwave irradiation technology applied to wastewater treatment are introduced. The technological types of microwave irradiation technology used for treating wastewater and their reaction effects are summarized. Some problems existing in the developing stage of water treatment are analyzed, too. Corresponding opinion and suggestion are put forward. The development tendency of microwave irradiation technology of water treatment is forecast.%分析了微波辐照技术的工艺特性及其在水处理中的作用机理,介绍了微波辐照技术用于废水处理领域中的研究状况与应用情况,综述了微波辐照技术用于废水处理的工艺类型及反应效果.结合相关研究与工程应用情况,分析了微波辐照技术在水处理应用中存在的问题,并提出了相应的意见和建议.展望了微波辐照技术在水处理中的发展方向.

  10. Yoga as a complementary treatment for smoking cessation: rationale, study design and participant characteristics of the Quitting-in-Balance study

    Directory of Open Access Journals (Sweden)

    Jennings Ernestine

    2010-04-01

    Full Text Available Abstract Background Tobacco smoking remains the leading preventable cause of death among American women. Exercise has shown promise as an aid to smoking cessation because it reduces weight gain and weight concerns, improves affect, and reduces nicotine withdrawal symptoms and cigarette craving. Studies have shown that the practice of yoga improves weight control, and reduces perceived stress and negative affect. Yoga practice also includes regulation of breathing and focused attention, both of which may enhance stress reduction and improve mood and well-being and may improve cessation outcomes. Methods/Design This pilot efficacy study is designed to examine the rates of cessation among women randomized to either a novel, 8-week Yoga plus Cognitive Behavioral Therapy (CBT smoking cessation intervention versus a Wellness program plus the same CBT smoking cessation intervention. Outcome measures include 7-day point prevalence abstinence at end of treatment, 3 and 6 months follow up and potential mediating variables (e.g., confidence in quitting smoking, self-efficacy. Other assessments include measures of mindfulness, spirituality, depressive symptoms, anxiety and perceived health (SF-36. Discussion Innovative treatments are needed that address barriers to successful smoking cessation among men and women. The design chosen for this study will allow us to explore potential mediators of intervention efficacy so that we may better understand the mechanism(s by which yoga may act as an effective complementary treatment for smoking cessation. If shown to be effective, yoga can offer an alternative to traditional exercise for reducing negative symptoms that often accompany smoking cessation and predict relapse to smoking among recent quitters. Trial Registration ClinicalTrials NCT00492310

  11. Clinical characteristics of tuberculous meningitis and correlated treatment%结核性脑膜炎的临床特点观察与治疗分析

    Institute of Scientific and Technical Information of China (English)

    宋贵军; 尹琳; 曹云鹏; 刘文静

    2012-01-01

    OBJECTIVE To summarize and analyze the clinical manifestations of tuberculous meningitis and related treatments.METHODS The clinical data of 87 patients with tuberculous meningitis were summarized, and the incidence, clinical manifestation, and clinical treatment were analyzed.RESULTS Totally 87 patients with tuberculous meningitis mainly occurred in childhood, youth, and senile patients, among which 57 cases were cured, 2 cases died, the effective rate was 87.36%.CONCLUSION The clinical manifestations of tuberculous meningitis are complex, early diagnosis and standardized treatment can effectively reduce brain edema and complications thus to improve the cure rate of tuberculous meningitis.%目的 对结核性脑膜炎的临床表现和相关治疗进行总结分析.方法 总结87例结核性脑膜炎患者的临床资料,对其发病情况、临床表现、临床治疗进行分析.结果 87例结核性脑膜炎患者主要分布于幼年、青年和老年,其中痊愈57例,死亡2例,有效率为87.36%.结论 结核性脑膜炎的临床表现错综复杂,早期诊断、规范治疗能有效减轻脑水肿,减少并发症,提高结核性脑膜炎治愈率.

  12. Prevalence and characteristics of avoidant/restrictive food intake disorder in a cohort of young patients in day treatment for eating disorders

    OpenAIRE

    Nicely, Terri A; Lane-Loney, Susan; Masciulli, Emily; Hollenbeak, Christopher S.; Ornstein, Rollyn M

    2014-01-01

    Background Avoidant/Restrictive Food Intake Disorder (ARFID) is a “new” diagnosis in the recently published DSM-5, but there is very little literature on patients with ARFID. Our objectives were to determine the prevalence of ARFID in children and adolescents undergoing day treatment for an eating disorder, and to compare ARFID patients to other eating disorder patients in the same cohort. Methods A retrospective chart review of 7-17 year olds admitted to a day program for younger patients wi...

  13. Utilization as solid fuel and its physicochemical characteristic of hydroponic cultured plants for wastewater treatment; Suiko saibai shokubutsutai no kotai nenryoka to butsurigakuteki tokusei

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, M.; Hirano, K. [Kanagawa Environmental Research Center, Kanagawa (Japan); Inamori, Y. [National Inst. for Environmental Studies, Tsukuba (Japan)

    1996-10-10

    A treatment of the wasted flower plants used for the waste water treatment process by the indoor drying and pressing method was studied for their effective reuse as columnar solid fuel. Three kinds of wasted flower plants were processed for making samples by indoor drying method for about two months. The samples which were chop plants about 10cm long, half powdery ones and powdery ones were made into the columnar solid fuels under 1-5 t{center_dot}cm{sup -2} pressure. According to the drop`s strength test for the solid fuels, it was investigated that they lost their physical strength rapidly in proportion to the elapsed time. The solid fuel made of powdery processed plants particularly lost its strength most rapidly. In the case of solid fuels made of chops, when they were pressed by the method that the trunk and the branches filled into the press`s vessel in the same direction against the press`s one, their physical strength were maintained for a long time. Furthermore, the form of solid fuels processed by this method looked like keeping their original one for a relatively long term. It was found that their combustible efficiency was excellent because the combustible calorie of the wasted plants ranged from 3,600 cal{center_dot}g{sup -1} to 3,800 cal{center_dot}g{sup -1}. 18 refs., 11 figs., 2 tabs.

  14. 颅底脊索瘤影像特征及治疗进展%Imaging characteristics and treatment progress of skull base chordoma

    Institute of Scientific and Technical Information of China (English)

    覃相志; 雷进

    2015-01-01

    脊索瘤是局部呈侵袭性生长的罕见肿瘤,起源于胚胎残余的脊索,<1/3发生于颅底。手术是颅底脊索瘤的首选治疗方案,术后常结合放射治疗,但由于其解剖位置、生物学特性、预后不良等使脊索瘤治疗相对棘手。近年来随着神经影像学技术和微创神经外科的发展,脊索瘤的诊断和预后在一定程度上得到改善。%Chordoma,originated from the spinal cord of embryonic residual,is a rare tumor whose growth is invasive lo-cally.Around one third of the cases start from the base of skull.Surgery is used as a first treatment plan for chordoma, often combined with postoperative radiotherapy,because of its anatomical location,biological characterstics and undesir-able prognosis,the treatment is relatively difficult.In recent years,with the development of neuroimaging techniques and minimally invasive neurosurgery,the diagnosis and the prognosis are improved to a certain extent.

  15. Influence of wastewater sludge treatment using combined peroxyacetic acid oxidation and inorganic coagulants re-flocculation on characteristics of extracellular polymeric substances (EPS).

    Science.gov (United States)

    Zhang, Weijun; Cao, Bingdi; Wang, Dongsheng; Ma, Teng; Xia, Hua; Yu, Dehong

    2016-01-01

    Extracellular polymeric substances (EPS) are highly hydrated biopolymers and play important roles in bioflocculation, floc stability, and solid-water separation processes. Destroying EPS structure will result in sludge reduction and release of trapped water. In this study, the effects of combined process of peracetic acid (PAA) pre-oxidation and chemical re-flocculation on morphological properties and distribution and composition of EPS of the resultant sludge flocs were investigated in detail to gain insights into the mechanism involved in sludge treatment. It was found that sludge particles were effectively solubilized and protein-like substances were degraded into small molecules after PAA oxidation. A higher degradation of protein-like substances was observed at acid environments under PAA oxidation. Microscopic analysis revealed that no integral sludge floc was observed after oxidation with PAA at high doses. The floc was reconstructed with addition of inorganic coagulants (polyaluminium chloride (PACl) and ferric chloride (FeCl3)) and PACl performed better in flocculation due to its higher charge neutralization and bridging ability. Combined oxidative lysis and chemical re-flocculation provide a novel solution for sludge treatment. PMID:26584344

  16. Performance characteristics of a conformal ultra-wideband multilayer applicator (CUMLA) for hyperthermia in veterinary patients: a pilot evaluation of its use in the adjuvant treatment of non-resectable tumours.

    Science.gov (United States)

    Smrkovski, O A; Koo, Y; Kazemi, R; Lembcke, L M; Fathy, A; Liu, Q; Phillips, J C

    2013-03-01

    Performance and clinical characteristics of a novel hyperthermia antenna operating at 434 MHz were evaluated for the adjuvant treatment of locally advanced superficial tumours in cats, dogs and horses. Electromagnetic simulations were performed to determine electric field characteristics and compared to simulations for a flat microwave antenna with similar dimensions. Simulation results show a reduced skin surface and backfield irradiation and improved directional irradiation (at broadside) compared to a flat antenna. Radiated power and penetration is notably increased with a penetration depth of 4.59 cm compared to 2.74 cm for the flat antenna. Clinical use of the antenna was then evaluated in six animals with locoregionally advanced solid tumours receiving adjuvant chemotherapy. During clinical applications, therapeutic temperatures were achieved at depths ≥4 cm. Objective responses were seen in all patients; tissue toxicity in one case limited further therapy. This antenna provides compact, efficient, focused and deep-penetrating clinical hyperthermia for the treatment of solid tumours in veterinary patients.

  17. The effects of mischmetal, cooling rate and heat treatment on the eutectic Si particle characteristics of A319.1, A356.2 and A413.1 Al-Si casting alloys

    Energy Technology Data Exchange (ETDEWEB)

    Sebaie, O. El; Samuel, A.M. [Universite du Quebec a Chicoutimi, Chicoutimi, Quebec, G7H 2B1 (Canada); Samuel, F.H. [Universite du Quebec a Chicoutimi, Chicoutimi, Quebec, G7H 2B1 (Canada)], E-mail: fhsamuel@uqac.ca; Doty, H.W. [GM Powertrain Group, Metal Casting Technology, Inc., Milford, NH 03055 (United States)

    2008-05-15

    The effects of mischmetal, cooling rate and heat treatment on the eutectic Si particle characteristics of A319.1, A356.2 and A413.1 Al-Si casting alloys were investigated and recorded for this study. Mischmetal was added to the alloys in the form of Al-20% mischmetal master alloy to produce four levels of mischmetal addition (0, 2, 4 and 6 wt%). The alloys were also modified with strontium ({approx}250 ppm) to study the combined modification effect of Sr and mischmetal at both high and low cooling rates corresponding to dendrite arm spacings of {approx}40 and 120 {mu}m, respectively. The alloys were subjected to solution heat treatment (495 deg. C/8 h for A319.1 and A413.1 alloys, and 540 deg. C/8 h for A356.2 alloy) to investigate its effect on the eutectic Si particle morphology. An optical microscope-image analyzer system was used to measure the characteristics of eutectic Si particles such as area, length, roundness ratio and aspect ratio, in order to monitor the modifying effect of mischmetal, as well as the combined modification effect of mischmetal and Sr. For each alloy sample examined, the Si particle characteristics were measured over an area of 50 fields and the average particle characteristics were thus determined. The eutectic Si particle measurements revealed that partial modification was obtained with the addition of mischmetal while full modification was achieved with the addition of Sr in the as-cast condition, at both high and low cooling rates. The interaction between Sr and mischmetal was observed to weaken the effectiveness of Sr as a Si particle-modifying agent. This effect was particularly evident at the low cooling rate. During solution heat treatment, the eutectic Si particles in the non-modified alloys underwent rapid coarsening, otherwise known as Ostwald ripening, whereas those in the Sr-modified alloys exhibited a high spheroidization rate. The coarsening was evidenced by an increase in the thickness of the Si particles, clearly

  18. Surface characteristics of an alkaline degreasing treatment on Pinus massoniana veneer%碱性脱脂处理对马尾松单板表面特性的影响

    Institute of Scientific and Technical Information of China (English)

    卫佩行; 周定国

    2012-01-01

    Wood surface characteristics are very complicated, which is very important for wood bonding. Therefore, after Pinus massoniana veneer alkali degreased, related research of surface characteristics were studied. The influence of NaOH alkaline degreasing treatment on Pinus massoniana veneer was studied. Surface characteristics, such as surface free radical concentration, surface shape, and surface free energy, all with and without the degreasing process, were analyzed. The surface characteristics factors, such as surface free radical concentration, surface shape, and surface free energy, before and after degreasing process, were investigated by Electron Spin Resonance Spectroscopy (ESR), Scanning Electron Microscope (SEM), and Scanning Tunneling Microscopy (STM) , respectively. The results showed that the free radicals' peak strength of Pinus massoniana veneer decreased after dilute alkali degreasing, but the concentration of free radicals had no change (17.649 4 and 17.672 8). SEM of the surface shape revealed that the alkali degreasing treatment greatly in the wood, but it also reduced smoothness of the wood surface. In addition, the surface contact angle decreased, and the surface free energy increased slightly (about 8.7%). Based on the results, alkaline degreasing treatment on Pinus massoniana veneer impoved the wood bonding inefficiently%对马尾松Pinus massoniana单板进行氢氧化钠碱液脱脂处理,借助电子自旋振动波谱仪、扫描电镜和表面张力仪分析脱脂处理对马尾松单板表面特性因子的影响.结果表明:稀碱脱脂处理以后,马尾松单板的自由基峰强度降低,但是马尾松单板脱脂前后自由基浓度分别为17.6494和17.6728,几乎没有变化;脱脂前后马尾松单板表面形貌的变化发现,稀碱脱脂处理大大降低了木材的脂含量,但是会增大木材表面粗糙度;脱脂处理以后,马尾松单板表面接触角变小,表面自由能增加了8.63%.

  19. Influence of heat treatment on the mechanical and electrical characteristics of Ni0.5Ti0.5 alloy prepared by electron-beam melting

    International Nuclear Information System (INIS)

    Nickel titanium alloys (Ni0.5Ti0.5) were successfully produced from elemental Ni/Ti powders by electron-beam melting method and then subjected to annealing and aging treatment. Microstructure of the alloys was examined by XRD and SEM. The mechanical properties of the alloyed surface were examined. The microhardness was studied as a function of annealing temperature and time. It was found that the microhardness decreases with increasing annealing temperature until 660 °C after which the microhardness increases. Electrical resistance measurements were carried out in order to study the transformation behavior. The electrical measurements point out the importance of temperature dependence of Ni0.5Ti0.5 electrical resistance for the identification of particular transformation. The influence of aging on the development of electrical resistivity was also investigated

  20. Landfill leachate characteristics and treatment in Harbin%哈尔滨垃圾填埋场渗滤液的特性及回灌处理

    Institute of Scientific and Technical Information of China (English)

    刘雪雁; 赵庆良; 齐旭东; 刘志刚

    2007-01-01

    Landfill leachate recirculation treatment process is a promising and economic way in northeast China due to the distinct season variation. In order to study the effects of leachate recycle on leachate production, leachate quality and waste stabilization, two simulated sanitary landfill reactors, one with leachate recirculation and the other without, were placed outdoor in Harbin. The three - year experimental results indicated that leachate production was reduced by 87.6% with leachate recirculation which meant less or no facility for leachate treatment was required. Recirculation could improve leachate quality dramatically with lower TOC, COD, BOD, VFA, NH4+ - N, SS and higher pH level which made leachate treatment easy. Recirculation also could enhance waste degradation and stabilization and improve the efficiency of landfill. This study confirmed that leachate recirculation was a feasible way for on - site landfill leachate treatment and waste stabilization in cold area like northeast China.%由于东北地区四季变化明显,冰冻期较长,渗滤液的产生具有明显的不连续性,回灌技术在该地区具有广阔的应用前景.为研究渗滤液回灌对渗滤液水质、水量和固体废物稳定化的影响,选择典型生活垃圾,并在室外建立两个模拟垃圾填埋场,一个采用渗滤液回灌技术,另一个没有渗滤液回灌做为对比参考,进行三年连续的监测研究.实验结果表明:回灌能减少87.6%的渗滤液,节省处理设施;回灌能明显改善渗滤液水质,显著降低总有机碳(TOC)、化学需氧量(COD)、生化需氧量(BOD)、挥发性脂肪酸(VFA)、氨氮(NH4+-N)和悬浮固体(SS)浓度,并提高pH值,降低渗滤液处理难度.同时渗滤液回灌技术能强化固体废物的降解和稳定化过程,提高填埋场的使用效率.此成果对垃圾渗滤液回灌处理技术在东北寒冷地区的应用具有一定的实践指导意义.

  1. Photodynamic therapy with conventional and PEGylated liposomal formulations of mTHPC (temoporfin: comparison of treatment efficacy and distribution characteristics in vivo

    Directory of Open Access Journals (Sweden)

    Reshetov V

    2013-10-01

    Full Text Available Vadzim Reshetov,1–3 Henri-Pierre Lassalle,1,2 Aurélie François,1,2,4 Dominique Dumas,5 Sebastien Hupont,5 Susanna Gräfe,6 Vasco Filipe,7 Wim Jiskoot,7 François Guillemin,1,2,4 Vladimir Zorin,3 Lina Bezdetnaya1,2,41Université de Lorraine, Centre de Recherche en Automatique de Nancy, Campus Sciences, Vandœuvre-lès-Nancy, France; 2Centre National de la Recherche Scientifique, Centre de Recherche en Automatique de Nancy, France; 3Laboratory of Biophysics and Biotechnology, Physics Faculty, Belarusian State University, Minsk, Belarus; 4Lorraine Cancer Institute, Vandoeuvre-lès-Nancy, France; 5Université de Lorraine, Plate forme d'Imagerie et de Biophysique Cellulaire Plate Forme IBiSA d'Imagerie et de Biophysique Cellulaire de Nancy, Centre National de la Recherche Scientifique, Vandœuvre-lès-Nancy, France; 6Biolitec Research GmbH, Research and Development, Jena, Germany; 7Division of Drug Delivery Technology, Leiden/Amsterdam Center for Drug Research, Leiden University, Leiden, the NetherlandsAbstract: A major challenge in the application of a nanoparticle-based drug delivery system for anticancer agents is the knowledge of the critical properties that influence their in vivo behavior and the therapeutic performance of the drug. The effect of a liposomal formulation, as an example of a widely-used delivery system, on all aspects of the drug delivery process, including the drug's behavior in blood and in the tumor, has to be considered when optimizing treatment with liposomal drugs, but that is rarely done. This article presents a comparison of conventional (Foslip® and polyethylene glycosylated (Fospeg® liposomal formulations of temoporfin (meta-tetra[hydroxyphenyl]chlorin in tumor-grafted mice, with a set of comparison parameters not reported before in one model. Foslip® and Fospeg® pharmacokinetics, drug release, liposome stability, tumor uptake, and intratumoral distribution are evaluated, and their influence on the efficacy of

  2. A prospective, multicenter, observational study of complicated skin and soft tissue infections in hospitalized patients: clinical characteristics, medical treatment, and outcomes

    Directory of Open Access Journals (Sweden)

    Lipsky Benjamin A

    2012-09-01

    Full Text Available Abstract Background Complicated skin and soft tissue infections (cSSTIs occur frequently, but limited data do not allow any consensus on an optimal treatment strategy. We designed this prospective, multicenter, observational study to to explore the current epidemiology, treatment, and resulting clinical outcomes of cSSTIs to help develop strategies to potentially improve outcomes. Methods From June 2008 to December 2009 we enrolled a pre-specified number of adults treated in 56 U.S. hospitals with intravenous antibiotic(s for any of the following cSSTIs: diabetic foot infection (DFI; surgical site infection (SSI; deep soft tissue abscess (DSTA; or, cellulitis. Investigators treated all patients per their usual practice during the study and collected data on a standardized form. Results We enrolled 1,033 patients (DFI 27%; SSI 32%; DSTA 14%; cellulitis 27%; mean age 54 years; 54% male, of which 74% had healthcare-associated risk factors. At presentation, 89% of patients received initial empiric therapy with intravenous antibiotics; ~20% of these patients had this empiric regimen changed or discontinued based on culture and sensitivity results. Vancomycin was the most frequently used initial intravenous antibiotic, ordered in 61% of cases. During their stay 44% of patients underwent a surgical procedure related to the study infection, usually incision and drainage or debridement. The mean length of stay was 7.1 days, ranging from 5.8 (DSTA to 8.1 (SSI. Conclusion Our findings from this large prospective observational study that characterized patients with cSSTIs from diverse US inpatient populations provide useful information on the current epidemiology, clinical management practices and outcomes of this common infection.

  3. Characteristics of treatment naive chronic hepatitis B in Bangladesh: Younger populations are more affected; HBeAg-negatives are more advanced

    Directory of Open Access Journals (Sweden)

    Alam Shahinul

    2008-01-01

    Full Text Available Background/Aim: Bangladesh is a densely populated country with intermediate endemicity for chronic hepatitis B (CHB. The aim of the present study was to evaluate the biochemical, virological and histological character of CHB patients and to examine the relationship between these indices. Materials and Methods: One thousand and twenty-two patients of CHB fulfilled our inclusion criteria. Inclusion criteria were (1 HBsAg positive for at least 6 months, (2 HBeAg-positive or negative and (3 hepatitis B virus (HBV DNA positive. Patients with detectable antibodies to human immunodeficiency virus (HIV, hepatitis Delta virus (HDV or hepatitis C virus (HCV, with previous antiviral treatment, overt cirrhosis and hepatocellular carcinoma, were excluded. Of these, 191 patients were randomly selected for liver biopsy and were evaluated for analysis. Results: In the 191 patients, male to female ratio was 4.6:1; age distribution was 26.5 ± 8.5 (mean ± standard deviation years. One hundred and seventy-eight (93.2% patients were under 40 years. Sixty-eight (35.6% patients were HBeAg-negative, had less DNA load, and were significantly older, more fibrotic and cirrhotic ( P < 0.001. Correlation was not found between DNA level and histological activity. Histological activity was not correlated with ALT level in HBeAg-positive patients ( P < 0.001. Conclusion: CHB affects the younger population in Bangladesh. HBeAg-positive CHB was associated with more fibrosis and cirrhosis. Serum HBV DNA levels do not correlate with the severity of histological lesions in all patients. Evaluation by liver biopsy remains gold standard for taking decision of treatment.

  4. Distribution characteristics of clarithromycin and azithromycin, macrolide antimicrobial agents used for treatment of respiratory infections, in lung epithelial lining fluid and alveolar macrophages.

    Science.gov (United States)

    Togami, Kohei; Chono, Sumio; Morimoto, Kazuhiro

    2011-10-01

    The distribution characteristics of clarithromycin (CAM) and azithromycin (AZM), macrolide antimicrobial agents, in lung epithelial lining fluid (ELF) and alveolar macrophages (AMs) were evaluated. In the in vivo animal experiments, the time-courses of the concentrations of CAM and AZM in ELF and AMs following oral administration (50 mg/kg) to rats were markedly higher than those in plasma, and the area under the drug concentration-time curve (AUC) ratios of ELF/plasma of CAM and AZM were 12 and 2.2, and the AUC ratios of AMs/ELF were 37 and 291, respectively. In the in vitro transport experiments, the basolateral-to-apical transport of CAM and AZM through model lung epithelial cell (Calu-3) monolayers were greater than the apical-to-basolateral transport. MDR1 substrates reduced the basolateral-to-apical transport of CAM and AZM. In the in vitro uptake experiments, the intracellular concentrations of CAM and AZM in cultured AMs (NR8383) were greater than the extracellular concentrations. The uptake of CAM and AZM by NR8383 was inhibited by ATP depletors. These data suggest that the high distribution of CAM and AZM to AMs is due to the sustained distribution to ELF via MDR1 as well as the high uptake by the AMs themselves via active transport mechanisms.

  5. Distribution characteristics of telithromycin, a novel ketolide antimicrobial agent applied for treatment of respiratory infection, in lung epithelial lining fluid and alveolar macrophages.

    Science.gov (United States)

    Togami, Kohei; Chono, Sumio; Seki, Toshinobu; Morimoto, Kazuhiro

    2009-01-01

    The distribution characteristics of telithromycin (TEL), a novel ketolide antimicrobial agent, in lung epithelial fluid (ELF) and alveolar macrophages (AMs) were evaluated. In vivo animal experiments, the time-courses of the concentrations of TEL in ELF and AMs following oral administration of TEL solution (50 mg/4 mL/kg) to rats were markedly higher than in plasma, and areas under drug concentration-time curve (AUC) ratios of ELF/plasma and AMs/plasma were 2.4 and 65.3, respectively. In vitro transport experiments, the basolateral-to-apical transport of TEL through model lung epithelial cell (Calu-3) monolayers was greater than apical-to-basolateral transport. Rhodamine123 and verapamil, MDR1 substrates, reduced the basolateral-to-apical transport of TEL. In vitro uptake experiments, the intracellular equilibrated concentration of TEL in cultured AMs (NR8383) was approximately 40 times the extracellular concentration. The uptake of TEL by NR8383 was inhibited by rotenone and FCCP, ATP depletors and was temperature-dependent. These data suggest that the high distribution of TEL to AMs is due to the sustained distribution to ELF via MDR1 as well as the high uptake by AMs themselves via active transport mechanisms.

  6. Microstructural characteristics and mechanism of toughness improvement of laser and electron-beam welds of V-4Cr-4Ti following postwelding heat-treatment

    Energy Technology Data Exchange (ETDEWEB)

    Chung, H.M.; Park, J.H.; Gazda, J.; Smith, D.L. [Argonne National Laboratory, IL (United States)

    1996-10-01

    The authors are conducting a program to develop an optimal laser welding procedure for large-scale fusion-reactor structural components to be fabricated from vanadium-base alloys. Microstructural characteristics were investigated by optical microscopy, X-ray diffraction, transmission electron microscopy, and chemical analysis to provide an understanding of the mechanism of the drastic improvement of impact toughness of laser and electron-beam (EB) welds of V-4Cr-4Ti following postwelding annealing at 1000{degrees}C. Transmission electron microscopy (TEM) revealed that annealed weld zones were characterized by extensive networks of fine V(C,O,N) precipitates, which appear to clean away O, C, and N from grain matrices. This process is accompanied by simultaneous annealing-out of the dense dislocations present in the weld fusion zone. It seems possible to produce high-quality welds under practical conditions by controlling and adjusting the cooling rate of the weld zone by some innovative method to maximize the precipitation of V(C,O,N).

  7. Increasing transfers-out from an antiretroviral treatment service in South Africa: patient characteristics and rates of virological non-suppression.

    Directory of Open Access Journals (Sweden)

    Mweete D Nglazi

    Full Text Available OBJECTIVES: To determine the proportion, characteristics and outcomes of patients who transfer-out from an antiretroviral therapy (ART service in a South African township. METHODS: This retrospective cohort study included all patients aged ≥15 years who enrolled between September 2002 and December 2009. Follow-up data were censored in December 2010. Kaplan-Meier survival analysis was used to describe time to transfer-out and cox proportional hazard analysis was used to determine associated risk factors. RESULTS: 4511 patients (4003 ART-naïve and 508 non-naïve at baseline received ART during the study period. Overall, 597 (13.2% transferred out. The probability of transferring out by one year of ART steadily increased from 1.4% in 2002/2004 cohort to 8.9% for the 2009 cohort. Independent risk factors for transfer-out were more recent calendar year of enrolment, younger age (≤25 years and being ART non-naïve at baseline (i.e., having previously transferred into this clinic from another facility. The proportions of patients transferred out who had a CD4 cell count 1000 copies/mL around the time of transfer, suggesting the need for careful adherence counseling and assessment of medication supplies among those planning transfer.

  8. Hazardous waste inventory, characteristics, generation, and facility assessment for treatment, storage, and disposal alternatives considered in the U.S. Department of Energy Waste Management Programmatic Environmental Impact Statement

    International Nuclear Information System (INIS)

    This report focuses on the generation of hazardous waste (HW) and the treatment, storage, and disposal (TSD) of HW being generated by routine US Department of Energy (DOE) facility operations. The wastes to be considered are managed by the DOE Waste Management (WM) Division (WM HW). The waste streams are to be sent to WM operations throughout the DOE complex under four management alternatives: No Action, Decentralization, Regionalized 1, and Regionalized 2. On-site and off-site capabilities for TSD are examined for each alternative. This report (1) summarizes the HW inventories and generated amounts resulting from WM activities, focusing on the largest DOE HW generators; (2) presents estimates of the annual amounts shipped off-site, as well as the amounts treated by various treatment technology groups; (3) describes the existing and planned treatment and storage capabilities of the largest HW-generating DOE installations, as well as the use of commercial TSD facilities by DOE sites; (4) presents applicable technologies (destruction of organics, deactivation/neutralization of waste, removal/recovery of organics, and aqueous liquid treatment); and (5) describes the four alternatives for consideration for future HW management, and for each alternative provides the HW loads and the approach used to estimate the source term for routine TSD operations. In addition, potential air emissions, liquid effluents, and solid residuals associated with each alternative are presented. Furthermore, this report is supplemented with an addendum that includes detailed information related to HW inventory, characteristics, generation, and facility assessment for the TSD alternatives. The addendum also presents source terms, emission rates, and throughput totals by alternative and treatment installation

  9. Learner Characteristics

    NARCIS (Netherlands)

    Drachsler, Hendrik; Kirschner, Paul A.

    2011-01-01

    Drachsler, H., & Kirschner, P. A. (2012). Learner Characteristics. In N. M. Seel (Ed.), Encyclopedia of the Sciences of Learning, Volume 4 (pp. 1743-1745). New York: Springer. DOI: 10.1007/978-1-4419-1428-6_347

  10. 正常压力脑积水的临床特征和手术治疗%Clinical characteristics and surgical treatment of normal pressure hydrocephalus

    Institute of Scientific and Technical Information of China (English)

    赵希敏; 刘勇; 刘霞

    2011-01-01

    目的 探讨正常压力脑积水(NPH)的临床特征和手术治疗效果.方法 NPH患者32例,其中17例应用中压分流管、15例用可调压分流管行脑室-腹腔分流术治疗.结果 应用可调压分流管分流者的症状改善率为86.7%(13/15),应用中压分流管者为41.2%(7/17),两者相差显著(P<0.01).结论 应用可调压分流管行脑室-腹腔分流是治疗NPH的有效方法.%Objective To study the clinical characteristics, surgical strategy of normal pressure hydrocephalus (NPH) based on our experience. Method The clinical data of 32 patients with NPH who were treated by ventriculo-peritoneal (V-P) shunt were analyzed respectively. Results Of 32 patients, 15 received V-P shunt with adjustable valves and 17 with middle pressure and non-adjustable valves. The effective rate (86.7%, 13/15) of patients undergoing the adjustable valve shunt was significantly higher than that (42.1%, 7/ 17) in the patients undergoing middle pressure and non-adjustable valve shunt (P<0.05). Conclusion V-P shunt with an adjustable valve is an effective method to treat normal pressure hydrocephalus.

  11. Treatment Characteristics of Qian Yi for Malnutrition of Children%钱乙关于小儿疳证论治的特色

    Institute of Scientific and Technical Information of China (English)

    迟炘

    2012-01-01

    Objective;To analyze the academic thinking of Qian Yi in treating malnutrition of children. Methods; Argument and treatment methods of Qian Yi in malnutrition of children were collected and organized to analyze his academic content. Results;.Qian Yi set forth the pathogenesis of exhaustion of jinye in spleen and stomach,revealed that the essence of malnutrition was the exhaustion of jinye,first adopted the method of supporting spleen and nourishing stomach,pointed out that the nourishment of stomach yin should be emphasized at the beginning of disease and supporting spleen yang was the priority for long illness and created Baizhu Powder for the beginning stage of malnutrition and Yihuang Powder (also known as Bupi Powder) for the late stage of malnutrition. Conclusion;For the treatment of children with malnutrition, Qian Yi would analyze comprehensively, balance the advantages and disadvantages and prudently select the medicines and formulae, thus establishing norms and models of medicines and formulae of pediatrics in clinic for future generations.%目的:探析钱乙有关小儿疳证论治的学术思想.方法:搜集并整理钱乙关于小儿疳证的论述及理法方药,探析其学术内涵.结果:钱氏立脾胃亡津之病机,揭示了疳证本质是“亡津液”,开扶脾养胃法先河,指出治初病侧重养胃阴,疗久疾功擅扶脾阳.并创制治疳证初病而设之白术散及疳证后期之益黄散(又名补脾散).结论:钱乙论治小儿疳证,分析综合,权衡利弊,审慎地制方遣药,为后世儿科临床的理法方药确立了规范楷模.

  12. 煤层气产出水水质特征及处理技术研究进展%Progress in the research on the water quality characteristics and treatment technologies of coal bed methane produced effluent

    Institute of Scientific and Technical Information of China (English)

    温彩哨; 余志晟; 刘新春; 琚宜文; 张洪勋

    2014-01-01

    论述了国内外煤层气产出水的水质特征及其处理技术的研究进展。煤层气产出水具有高钠度和高矿化度的特征。反渗透法普遍运用于处理煤层气产出水,并且已投入实际工程应用,通常和纳滤或超滤联用,处理后的产出水可进行再利用。而其他处理技术如离子交换法、电容去离子法、电絮凝法、吸附法和化学法等仍处于试点研究阶段。%Progress in the research on the water quality characteristics and treatment technologies of coal bed methane produced effluent(CBMPE) in China and abroad have been reviewed. The CBMPE is characterized by high salinity and sodicity. Reverse osmosis has widely been used for treating CBMPE and applied to actual projects. It ’s usually used by combining with nanofiltration or ultrafiltration ,and the produced water after treatment could be reused. However,other treatment technologies such as ion exchange,capacitive deionization,electrocoagulation,ad-sorption,etc. are still in the stage of pilot study.

  13. Study on Friction and Wear Characteristics and Structure of Compound Layer from Combined Treatment of Ion Nitrocarburizing-Ion Sulphurizing of CrMoCu Alloy Cast Iron

    Institute of Scientific and Technical Information of China (English)

    MA Shi-ning; HU Chun-hua; LI Xin; QIU Ji

    2004-01-01

    The technics of combined treatment of ion nitrocarburizing-ion sulphurizing of CrMoCu alloy cast iron has been investigated and the compound layer with nitrocarbonide and sulphide has been made on the surface of CrMoCu alloy cast iron. The compound layer is composed of sulfide surface layer and the nitrocarbonide hypo-surface layer and its diffusing layer. The size of sulfide globular grains distributing equably on the surface is in nano-micron-scale, and the phase structure of the compound layer is composed of FeS、 FeS2、 Fe2C and Fe3N. Under dry sliding condition, the friction-reducing of sulphurized surface is good, but its function time can't last very long. The nitrocarbonided+sulphurized surface can greatly improve the wear-resistance and the friction-reducing of CrMoCu alloy cast iron, and its integrated friction and wear properties are better than plain and sulphurized surfaces'.

  14. Study on Friction and Wear Characteristics and Structure of Compound Layer from Combined Treatment of Ion Nitrocarburizing-Ion Sulphurizing of CrMoCu Alloy Cast Iron

    Institute of Scientific and Technical Information of China (English)

    MAShi-ning; HUChun-hua; LIXin; QIUJi

    2004-01-01

    The technics of combined treatment of ion nitrocarburizing-ion sulpburizing of CrMoCu alloy cast iron has been investigated and the compound layer with nitrocabonide and sulphide has been made on the surface of CrMoCu alloy cast iron. The compound layer is composed of sulfide surface layer and the nitrocarbonide hypo-surface layer and its diffusing laye. The size of sulfide globular grains distributing equably on the surface is in nano-micmn-scale, and the phase structure of the compound layer is composed of FeS, FeS2, Fe2C and FerN. Under dry sliding condition, the friction-reducing of sulphurized surface is good, but its function time can't last vet3. long, The nitrocarbonided+sulphurized surface can gready improve the wear-resistance and the friction-reducing of CrMoCu alloy cast iron, and its integrated friction and wear properties are better than plain and sulphurized surfaces.

  15. Influences of heat treatment on electrochemical characteristics of La0.75 Mg0.25 Ni2.8 Co0.5 hydrogen storage electrode alloy

    Institute of Scientific and Technical Information of China (English)

    刘永锋; 潘洪革; 高明霞; 朱云峰; 雷永泉

    2003-01-01

    The influences of annealing treatment on the electrochemical and structural properties of La0.75 Mg0.25-Ni2.8 Co0.5 hydrogen storage alloy were investigated by means of electrochemical studies and X-ray diffraction(XRD)analyses. The XRD results reveal that the peak width gets narrower with increasing annealing temperature, whichcan be ascribed to the structural change and more homogeneous composition after being annealed. Electrochemicalstudies show that the discharge capacity and the cycle stability of the alloy electrodes increase after being annealed.The maximum discharge capacity, exchange current density J0 and limiting current density JL of the as-cast alloy are 388mA @ h/g, 340. 5 mA/g and 3 068 mA/g, respectively, and they are increased to 400 mA @ h/g, 372. 1 mA/g and 3 399mA/g for the alloy annealed at 1 123 K for 8 h, respectively. Meanwhile, as the discharge current density is 1 250 mA/g,the high rate dischargeability(HRD) increases from 77.4 % for the as-cast alloy to 83.3 % for the alloy annealed at 1123 K.

  16. Influence of powdered activated carbon addition on water quality, sludge properties, and microbial characteristics in the biological treatment of commingled industrial wastewater.

    Science.gov (United States)

    Hu, Qing-Yuan; Li, Meng; Wang, Can; Ji, Min

    2015-09-15

    A powdered activated carbon-activated sludge (PAC-AS) system, a traditional activated sludge (AS) system, and a powdered activated carbon (PAC) system were operated to examine the insights into the influence of PAC addition on biological treatment. The average COD removal efficiencies of the PAC-AS system (39%) were nearly double that of the AS system (20%). Compared with the average efficiencies of the PAC system (7%), COD removal by biodegradation in the PAC-AS system was remarkably higher than that in the AS system. The analysis of the influence of PAC on water quality and sludge properties showed that PAC facilitated the removal of hydrophobic matter and metabolic acidic products, and also enhanced the biomass accumulation, sludge settleability, and specific oxygen uptake rate inside the biological system. The microbial community structures in the PAC-AS and AS systems were monitored. The results showed that the average well color development in the PAC-AS system was higher than that in the AS system. The utilization of various substrates by microorganisms in the two systems did not differ. The dissimilarity index was far less than one; thus, showing that the microbial community structures of the two systems were the same. PMID:25863578

  17. Evaluation of blood pressure reduction response and responder characteristics to fixed-dose combination treatment of amlodipine and losartan: a post hoc analysis of pooled clinical trials.

    Science.gov (United States)

    Unniachan, Sreevalsa; Wu, David; Rajagopalan, Srinivasan; Hanson, Mary E; Fujita, Kenji P

    2014-09-01

    Data from four clinical trials compared reductions in systolic blood pressure (SBP) and diastolic blood pressure (DBP) among patients treated with amlodipine/losartan 5/50 mg vs 5/100 mg and amlodipine/losartan 5/50 mg vs amlodipine 5 mg and 10 mg. Response rate was assessed as reduction in SBP or DBP (>20/10 mm Hg) and proportion of patients achieving SBP losartan 5/50 mg (n=182) and amlodipine/losartan 5/100 mg (n=95) users across all baseline quartiles. Patients using amlodipine/losartan 5/50 mg had significantly greater SBP and DBP reductions vs amlodipine 5 mg (P=.001 and P=.02, respectively). Amlodipine/losartan 5/50 mg users had significantly greater SBP reduction vs amlodipine 10 mg (SBP P=.02; DBP P=not significant). The odds of responding to therapy were significantly greater with amlodipine/losartan 5/50 mg vs amlodipine 5 mg (odds ratio, 5.33; 95% confidence interval, 1.42-25.5) and were similar vs amlodipine 10 mg (odds ratio, 0.67; 95% confidence interval, 0.017-9.51). These results support the use of combination therapy early in the treatment of hypertension.

  18. Characteristics of DOM and Removal of DBPs Precursors across O3-BAC Integrated Treatment for the Micro-Polluted Raw Water of the Huangpu River

    Directory of Open Access Journals (Sweden)

    Xiwu Lu