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Sample records for children receiving highly

  1. Dyslipidemia in a Cohort of HIV-infected Latin American Children Receiving Highly Active Antiretroviral Therapy*

    OpenAIRE

    Brewinski, Margaret; Megazzini, Karen; Freimanis Hance, Laura; Cruz, Miguel Cashat; Pavia-Ruz, Noris; Della Negra, Marinella; Ferreira, Flavia Gomes Faleiro; Marques, Heloisa; Hazra, Rohan

    2010-01-01

    In order to describe the prevalence of hypercholesterolemia and hypertriglyceridemia in a cohort of HIV-infected children and adolescents in Latin America and to determine associations with highly active antiretroviral therapy (HAART), we performed this cross-sectional analysis within the NICHD International Site Development Initiative pediatric cohort study. Eligible children had to be at least 2 years of age and be on HAART. Among the 477 eligible HIV-infected youth, 98 (20.5%) had hypercho...

  2. Serum Creatinine Versus Plasma Methotrexate Levels to Predict Toxicities in Children Receiving High-dose Methotrexate.

    Science.gov (United States)

    Tiwari, Priya; Thomas, M K; Pathania, Subha; Dhawan, Deepa; Gupta, Y K; Vishnubhatla, Sreenivas; Bakhshi, Sameer

    2015-01-01

    Facilities for measuring methotrexate (MTX) levels are not available everywhere, potentially limiting administration of high-dose methotrexate (HDMTX). We hypothesized that serum creatinine alteration after HDMTX administration predicts MTX clearance. Overall, 122 cycles in 50 patients of non-Hodgkin lymphoma or acute lymphoblastic leukemia aged ≤18 years receiving HDMTX were enrolled prospectively. Plasma MTX levels were measured at 12, 24, 36, 48, 60, and 72 hours; serum creatinine was measured at baseline, 24, 48, and 72 hours. Correlation of plasma MTX levels with creatinine levels and changes in creatinine from baseline (Δ creatinine) were evaluated. Plasma MTX levels at 72 hours showed positive correlation with serum creatinine at 48 hours (P = .011) and 72 hours (P = .013) as also Δ creatinine at 48 hours (P = .042) and 72 hours (P = .045). However, cut-off value of either creatinine or Δ creatinine could not be established to reliably predict delayed MTX clearance. Greater than 50% Δ creatinine at 48 and 72 hours significantly predicted grade 3/4 leucopenia (P = .036 and P = .001, respectively) and thrombocytopenia (P = .012 and P = .009, respectively) but not mucositis (P = .827 and P = .910, respectively). Delayed MTX elimination did not predict any grade 3/4 toxicity. In spite of demonstration of significant correlation between serum creatinine and Δ creatinine with plasma MTX levels at 72 hours, cut-off value of either variable to predict MTX delay could not be established. Thus, either of these cannot be used as a surrogate for plasma MTX estimation. Interestingly, Δ creatinine effectively predicted hematological toxicities, which were not predicted by delayed MTX clearance.

  3. Reasons Parents Exempt Children from Receiving Immunizations

    Science.gov (United States)

    Luthy, Karlen E.; Beckstrand, Renea L.; Callister, Lynn C.; Cahoon, Spencer

    2012-01-01

    School nurses are on the front lines of educational efforts to promote childhood vaccinations. However, some parents still choose to exempt their children from receiving vaccinations for personal reasons. Studying the beliefs of parents who exempt vaccinations allows health care workers, including school nurses, to better understand parental…

  4. MRI in children receiving total parenteral nutrition

    International Nuclear Information System (INIS)

    Cranial MRI was obtained in 13 of a group of 57 children receiving long-term parenteral nutrition, who were being investigated for hypermanganasaemia. Increased signal intensity on T1-weighted images has been reported in adult patients on long-term parenteral nutrition and with encephalopathy following chronic manganese exposure in arc welding. It has been postulated that these changes are due to deposition of the paramagnetic trace element manganese. In excess manganese is hepato- and neurotoxic and we present the correlation of whole blood manganese levels with imaging findings. The age range of our patients was 6 months to 10 years, and the duration of therapy 3 months to 10 years. In 7 children we found characteristic increased signal intensity on T1-weighted images, with no abnormality on T2-weighted images. All patients had elevated whole blood manganese levels, suggesting that the basis for this abnormality is indeed deposition of manganese within the tissues. (orig.). With 3 figs

  5. High rates of virological failure and drug resistance in perinatally HIV-1-infected children and adolescents receiving lifelong antiretroviral therapy in routine clinics in Togo

    Directory of Open Access Journals (Sweden)

    Mounerou Salou

    2016-04-01

    Full Text Available Introduction: Antiretroviral treatment (ART has been scaled up over the last decade but compared to adults, children living with HIV are less likely to receive ART. Moreover, children and adolescents are more vulnerable than adults to virological failure (VF and emergence of drug resistance. In this study we determined virological outcome in perinatally HIV-1-infected children and adolescents receiving ART in Togo. Methods: HIV viral load (VL testing was consecutively proposed to all children and adolescents who were on ART for at least 12 months when attending HIV healthcare services for their routine follow-up visit (June to September 2014. Plasma HIV-1 VL was measured using the m2000 RealTime HIV-1 assay (Abbott Molecular, Des Plaines, IL, USA. Genotypic drug resistance was done for all samples with VL>1000 copies/ml. Results and discussion: Among 283 perinatally HIV-1-infected children and adolescents included, 167 (59% were adolescents and 116 (41% were children. The median duration on ART was 48 months (interquartile range: 28 to 68 months. For 228 (80.6%, the current ART combination consisted of two nucleoside reverse transcriptase inhibitors (NRTIs (zidovudine and lamivudine and one non-nucleoside reverse transcriptase inhibitor (NNRTI (nevirapine or efavirenz. Only 28 (9.9% were on a protease inhibitor (PI-based regimen. VL was below the detection limit (i.e. 40 copies/ml for 102 (36%, between 40 and 1000 copies/ml for 35 (12.4% and above 1000 copies/ml for 146 (51.6%. Genotypic drug-resistance testing was successful for 125/146 (85.6%; 110/125 (88.0% were resistant to both NRTIs and NNRTIs, 1/125 (0.8% to NRTIs only, 4/125 (3.2% to NNRTIs only and three harboured viruses resistant to reverse transcriptase and PIs. Overall, 86% (108/125 of children and adolescents experiencing VF and successfully genotyped, corresponding thus to at least 38% of the study population, had either no effective ART or had only a single effective drug in

  6. High-Rate Receiver Design Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose an initial architectural and preliminary hardware design study for a high-rate receiver capable of decoding modulation suites specified by CCSDS...

  7. Ceramic high temperature receiver design and tests

    Science.gov (United States)

    Davis, S. B.

    1982-01-01

    The High Temperature Solar Thermal Receiver, which was tested a Edwards AFB, CA during the winter of 1980-1981, evolved from technologies developed over a five year period of work. This receiver was tested at the Army Solar Furnace at White Sands, NM in 1976. The receiver, was tested successfully at 1768 deg F and showed thermal efficiencies of 85%. The results were sufficiently promising to lead ERDA to fund our development and test of a 250 kW receiver to measure the efficiency of an open cavity receiver atop a central tower of a heliostat field. This receiver was required to be design scalable to 10, 50, and 100 MW-electric sizes to show applicability to central power tower receivers. That receiver employed rectagular silicon carbide panels and vertical stanchions to achieve scalability. The construction was shown to be fully scalable; and the receiver was operated at temperatures up to 2000 deg F to achieve the performance goals of the experiment during tests at the GIT advanced components test facility during the fall of 1978.

  8. The Expression of Distress by Children Receiving Medical Treatment.

    Science.gov (United States)

    Ballard, Brenda D.; Gipson, Martin

    The nature of children's distress reactions to medical treatment is examined in terms of age and sex differences and initial normative data are provided. Predominately white, middle class children, ages 1 to 11, were observed while receiving allergy treatment injections. Males were observed on 453 injection occasions while females were observed on…

  9. Improving child support enforcement for children receiving SSI.

    Science.gov (United States)

    Wilschke, S

    Less than half of all children who receive Supplemental Security Income (SSI) benefits and live in a single-parent home receive child support services. Although filing for child support is a condition of eligibility for income assistance programs such as Temporary Assistance for Needy Families (TANF), it is not a condition of eligibility for SSI benefits. Requiring single custodial parents applying for SSI on behalf of their children to pursue child support payments might result in more children on SSI receiving child support, and since the Social Security Administration (SSA) excludes one-third of child support when determining benefit amounts, increased receipt of child support would enhance the financial well-being of SSI children. Improving access to data on child support would enhance the integrity of the SSI program by reducing overpayments to children receiving child support. This article looks at the child support provisions in SSI and other means-tested programs and discusses policy options for improving receipt of child support and access to related data. Requiring cooperation with child support enforcement agencies would be consistent with the philosophy that the SSI program should serve as a program of last resort. Whenever possible, both parents should take primary responsibility for their children. While such a requirement has the potential to improve the financial status of children receiving SSI, factors such as their low-income status and their involvement with the TANF program raise questions about how much those children will actually benefit from such a requirement. Even if many additional children do not receive child support, the requirement demonstrates SSA's dedication to the stewardship of the SSI program. However, if custodial parents fail to comply with the requirement, children may be worse off as a result of the requirement. SSA should carefully pursue a requirement to induce cooperation while protecting children to the greatest extent

  10. Improving child support enforcement for children receiving SSI.

    Science.gov (United States)

    Wilschke, S

    Less than half of all children who receive Supplemental Security Income (SSI) benefits and live in a single-parent home receive child support services. Although filing for child support is a condition of eligibility for income assistance programs such as Temporary Assistance for Needy Families (TANF), it is not a condition of eligibility for SSI benefits. Requiring single custodial parents applying for SSI on behalf of their children to pursue child support payments might result in more children on SSI receiving child support, and since the Social Security Administration (SSA) excludes one-third of child support when determining benefit amounts, increased receipt of child support would enhance the financial well-being of SSI children. Improving access to data on child support would enhance the integrity of the SSI program by reducing overpayments to children receiving child support. This article looks at the child support provisions in SSI and other means-tested programs and discusses policy options for improving receipt of child support and access to related data. Requiring cooperation with child support enforcement agencies would be consistent with the philosophy that the SSI program should serve as a program of last resort. Whenever possible, both parents should take primary responsibility for their children. While such a requirement has the potential to improve the financial status of children receiving SSI, factors such as their low-income status and their involvement with the TANF program raise questions about how much those children will actually benefit from such a requirement. Even if many additional children do not receive child support, the requirement demonstrates SSA's dedication to the stewardship of the SSI program. However, if custodial parents fail to comply with the requirement, children may be worse off as a result of the requirement. SSA should carefully pursue a requirement to induce cooperation while protecting children to the greatest extent

  11. Early Intervention for Children with Hearing Loss: Information Parents Receive about Supporting Children's Language

    Science.gov (United States)

    Decker, Kalli B.; Vallotton, Claire D.

    2016-01-01

    Family-centered early intervention for children with hearing loss is intended to strengthen families' interactions with their children to support children's language development, and should include providing parents with information they can use as part of their everyday routines. However, little is known about the information received by families…

  12. Oral manifestations of HIV infection in children and adults receiving highly active anti-retroviral therapy [HAART] in Dar es Salaam, Tanzania.

    NARCIS (Netherlands)

    Hamza, O.; Matee, M.I.N.; Simon, E.N.; Kikwilu, E.; Moshi, M.J.; Mugusi, F.; Mikx, F.H.M.; Verweij, P.E.; Ven, A.J.A.M. van der

    2006-01-01

    ABSTRACT: BACKGROUND: The aim of the study was to compare the prevalence and types of HIV-related oral lesions between children and adult Tanzanian patients on HAART with those not on HAART and to relate the occurrence of the lesions with anti-HIV drug regimen, clinical stage of HIV disease and CD4+

  13. Should children with inherited metabolic disorders receive varicella vaccination?

    LENUS (Irish Health Repository)

    Varghese, M

    2011-01-01

    The aim was to determine the rate of varicella infection and complications in children with disorders of intermediary metabolism (IEM) between the ages of 1 and 16 years attending our national metabolic referral centre. Of 126 children identified, a response was received from 122. A history of previous varicella infection was identified in 64 cases (53%) and of varicella vaccination in 5 (4%). Fifty-three (43%) patients apparently did not have a history of clinical varicella infection. Of the 64 children with a history of varicella infection, five required hospitalisation for complications, including life-threatening lactic acidosis in one patient with mitochondrial disease and metabolic decompensation in four patients. In conclusion, varicella infection may cause an increased risk of metabolic decompensation in patients with IEMs. We propose that a trial of varicella vaccination be considered for this cohort of patients with monitoring of its safety and efficacy.

  14. High-stability detectors for radioastronomical receivers

    Science.gov (United States)

    Teuber, Ute; Schmidt, Axel

    The increased bandwidths of radioastronomical receivers has increased the detector stability requirements. A detector with a short-term stability of 0.01 percent, required in a receiver with a 9 mm wavelength receiver, could not be achieved using previously available detectors and dc amplifiers. This paper describes a switched detector which meets these requirements, and presents resulting rms values as a function of integration time.

  15. Parameters of anesthesia/sedation in children receiving radiotherapy

    International Nuclear Information System (INIS)

    Previous reports establish low risk of complications in pediatric treatments under anesthesia/sedation (A/S) in the outpatient setting. Here, we present our institutional experience with A/S by age and gender in children receiving daily proton RT. After Institutional Review Board approval, we reviewed our center’s records between 9/9/2004 and 6/30/2013 with respect to age and gender of A/S requirement in our pediatric patients (defined as patients ≤18 years of age). Of 390 patients treated in this era, 182 were girls. Children aged ≤3 invariably required A/S; and by age 7–8, approximately half of patients do not. For pediatric patients ≥ 12 years of age, approximately 10% may require A/S for different reasons. There was no difference by gender. Beyond age 3, the requirement for A/S decreases in an age-dependent fashion, with a small cadre of older children having difficulty enough with sustained immobilization that A/S is necessary. In our experience, there is no difference in A/S requirement by gender

  16. Dominican Children with HIV Not Receiving Antiretrovirals: Massage Therapy Influences their Behavior and Development

    Directory of Open Access Journals (Sweden)

    Maria Hernandez-Reif

    2008-01-01

    Full Text Available Forty-eight children (M age = 4.8 years infected with HIV/AIDS and living in the Dominican Republic were randomly assigned to a massage therapy or a play session control group. The children in the massage therapy group received two weekly 20-min massages for 12 weeks; the children in the control group participated in a play session (coloring, playing with blocks for the same duration and length as the massage therapy group. Overall, the children in the massage therapy group improved in self-help abilities and communication, suggesting that massage therapy may enhance daily functioning for children with HIV/AIDS. Moreover, the HIV infected children who were six or older also showed a decrease in internalizing behaviors; specifically depressive/anxious behaviors and negative thoughts were reduced. Additionally, baseline assessments revealed IQ equivalence below normal functioning for 70% of the HIV infected children and very high incidences of mood problems (depression, withdrawn for 40% of the children and anxiety problems for 20% of the children, suggesting the need for better monitoring and alternative interventions in countries with limited resources to improve cognition and the mental health status of children infected with HIV/AIDS.

  17. 25 CFR 20.400 - Who should receive Services to Children, Elderly, and Families?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Who should receive Services to Children, Elderly, and... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Services to Children, Elderly, and Families § 20.400 Who should receive Services to Children, Elderly, and Families? Services to Children, Elderly, and...

  18. Serum Thyroid Hormone Levels in Epileptic Children Receiving Anticonvulsive Drugs

    Directory of Open Access Journals (Sweden)

    Abolfazl MAHYAR

    2011-12-01

    Full Text Available How to Cite this Article: Mahyar A, Ayazi P, Dalirani R, Hosseini SM, Daneshi Kohan MM. Serum Thyroid Hormone Levels in Epileptic Children Receiving AnticonvulsiveDrugs. Iranian Journal of Child Neurology 2011;5(4:21-24.ObjectiveThe aim of this study was to investigate serum thyroid hormone levels in epileptic children receiving anticonvulsive drugs.Materials & MethodsIn this case- control study, 30 epileptic children who were receiving anticonvulsive drugs (case group were compared with 30 healthy children (control group. This study was carried out in the Qazvin Children's Hospital (Qazvin, Iran from October to December 2007. Both groups were matched for age and sex. Thyroid hormone levels were measured using a radioimmunoassay and immunoradiometric assay. Data were analyzed using Chi-square and Student's t-tests.ResultsThe mean serum T3 and T4 levels in the case group were 2.36 ± 0.73 nmol/L and 95.96 ± 27.01 nmol/L, respectively, and the corresponding values in the control group were 1.88 ± 0.93 nmol/L and 147.46 ± 35.77 nmol/L, respectively. The mean serum thyroid-stimulating hormone (TSH levels in the case and control groups were 2.73±0.73 mIU/mL and 2.49 ± 2.17mIU/mL, respectively.ConclusionThis study revealed that long-term consumption of anticonvulsive drugs resulted in a decline in serum T4 levels and an increase in serum T3 levels, but had no effect on TSH levels. 1. Johnston M. Neurodegenerative disorders of childhood;Spingolipidoses. Nelson textbook of pediatrics, 17th edPhiladelphia: Saunders; 2004.P.2031-2.2. Sankar R, Koh S, Wu J, Menkes J. Paroxysmal disorders.In(eds: Menkes JH, Sarnat HB, Maria BL. ChildNeurology; 2006.P.7:877.3. Shiva S, Ashrafi M, Mostafavi F, Abasi F, RahbariA, Shabanian R. Effects of anticonvulsant drugs onthyroid function tests. Iranian Journal of pediatrics2003;13(02:101.4. Kimura M, Yoshino K, Suzuki N, Maeoka Y. Effect ofantiepileptic drugs on thyroid function. Psychiatry andclinical neurosciences

  19. Cognitive and neuropsychological characteristics of attention deficit hyperactivity disorder children receiving stimulant medications.

    Science.gov (United States)

    Risser, M G; Bowers, T G

    1993-12-01

    10 children receiving stimulant medication for Attention Deficit Hyperactivity Disorder were compared to normal children on cognitive and neuropsychological dimensions in a pilot study. When compared with 10 normal children the ADHD children showed significant differences on cognitive measures, including the Wechsler Developmental Index, the Bender Visual-motor Gestalt Test, and the Benton Revised Visual Retention Test. Elevated levels of polyspike EEG activity were also noted for these children. Analysis suggested that ADHD children receiving stimulant medications may have persisting neuropsychological difficulty. Further research on the neuropsychological correlates of ADHD seems warranted.

  20. High temperature helical tubular receiver for concentrating solar power system

    Science.gov (United States)

    Hossain, Nazmul

    In the field of conventional cleaner power generation technology, concentrating solar power systems have introduced remarkable opportunity. In a solar power tower, solar energy concentrated by the heliostats at a single point produces very high temperature. Falling solid particles or heat transfer fluid passing through that high temperature region absorbs heat to generate electricity. Increasing the residence time will result in more heat gain and increase efficiency. A novel design of solar receiver for both fluid and solid particle is approached in this paper which can increase residence time resulting in higher temperature gain in one cycle compared to conventional receivers. The helical tubular solar receiver placed at the focused sunlight region meets the higher outlet temperature and efficiency. A vertical tubular receiver is modeled and analyzed for single phase flow with molten salt as heat transfer fluid and alloy625 as heat transfer material. The result is compared to a journal paper of similar numerical and experimental setup for validating our modeling. New types of helical tubular solar receivers are modeled and analyzed with heat transfer fluid turbulent flow in single phase, and granular particle and air plug flow in multiphase to observe the temperature rise in one cyclic operation. The Discrete Ordinate radiation model is used for numerical analysis with simulation software Ansys Fluent 15.0. The Eulerian granular multiphase model is used for multiphase flow. Applying the same modeling parameters and boundary conditions, the results of vertical and helical receivers are compared. With a helical receiver, higher temperature gain of heat transfer fluid is achieved in one cycle for both single phase and multiphase flow compared to the vertical receiver. Performance is also observed by varying dimension of helical receiver.

  1. Progress and Outcomes for Children with Autism Receiving Parent-Managed Intensive Interventions.

    Science.gov (United States)

    Eikeseth, Svein; Martin, Neil T.; Mudford, Oliver C.; Reeves, David

    2001-01-01

    Data were analyzed from 66 young children with autism served by 25 different early intervention consultants and receiving parent-managed interventions. Parent-managed intensive interventions resulted in progress for 60 children for mental age, adaptive behavior, and language skills. Interventions did not reproduce results from clinic-based…

  2. Factors related to the institutionalization of children and adolescents received in the district of Uberaba - MG

    OpenAIRE

    Daniela Tavares Gontijo; Paula Cardoso Buiati; Rosana Lourenço dos Santos; André Tuma Delbim Ferreira

    2012-01-01

    Objective: To describe the socio-demographic profile and factors related to the institutionalization of children and adolescents received in the District of Uberaba in 2009. Methods: Descriptive, documental, retrospective study, which included all children and adolescents who have been housed, by judicial decision, in the District of Uberaba-MG, Brazil, in 2009. Data collected from the judicial proceedings was analyzed using descriptive statistics. Results: Of 169 children and adolescen...

  3. Brief Report: Adherence to Fluid Recommendations in Children Receiving Treatment for Retentive Encopresis

    OpenAIRE

    Kuhl, Elizabeth S.; Felt, Barbara T.; Patton, Susana R

    2009-01-01

    Objective Limited data are available regarding whether children being treated for retentive encopresis are adherent to recommendations to increase their daily fluid intake. The purpose of this study was to examine fluid adherence in children who received treatment for retentive encopresis. Methods A retrospective chart review was performed using diet diary data for 26 children (ages 3–12) who completed a group behavioral intervention for retentive encopresis. Results Mean daily intake of clea...

  4. The majority of sick children receive paracetamol during the winter

    DEFF Research Database (Denmark)

    Ertmann, Ruth Kirk; Møller, Janne Julie; Waldorff, Frans Boch;

    2012-01-01

    INTRODUCTION: Even though fever is a common symptom in childhood, it often worries parents and they may try to reduce discomfort by giving the child paracetamol, which is currently the most commonly sold over-the-counter medicine. The objective of this study was to investigate parent-administered......INTRODUCTION: Even though fever is a common symptom in childhood, it often worries parents and they may try to reduce discomfort by giving the child paracetamol, which is currently the most commonly sold over-the-counter medicine. The objective of this study was to investigate parent...... was given in 37% of days with fever. The most frequent combinations of symptoms to trigger paracetamol administration were fever and earache with a probability of 64%. For the symptoms of vomiting and earache, the probability was 60%. In the rare cases with monosymptomatic fever, some 23% used paracetamol....... CONCLUSION: The majority of ill toddlers received paracetamol if they had several symptoms. However, paracetamol was administrated in 37% of days with fever. This use of paracetamol seems reasonable as the parents differentiate between degrees of illness and withhold paracetamol until the second day...

  5. Development of a window cooling for high temperature solar receivers

    OpenAIRE

    Uhlig, Ralf; Röger, Marc

    2004-01-01

    ANSYS/FLOTRAN had been used to calcualte the air flow in a gap between two quartz glass windows. This was done to design a cooling system for high temperature solar receivers, which are used to convert concentrated sunlight into high temperature heat. The most important thermal influences as radiation exchange between the windows and the absorber as well as the radiation to space of the pressure window had been considered. With a 2D axially symmetric parametric modell the CPU t...

  6. Abnormal Myocardial Strain Indices in Children Receiving Anthracycline Chemotherapy.

    Science.gov (United States)

    Pignatelli, Ricardo H; Ghazi, Payam; Reddy, S Chandra-Bose; Thompson, Patrick; Cui, Qiqiong; Castro, Jacqueline; Okcu, Mehmet F; Jefferies, John Lynn

    2015-12-01

    Anthracycline chemotherapy (AC) is associated with impaired left ventricular (LV) systolic function. LV ejection fraction (EF %) obtained by two-dimensional echocardiography is the current gold standard for detection and monitoring of LV systolic function. However, dependence on LVEF has been shown to be unreliable due to its inherent limitations. Speckle tracking echocardiography (STE) measures myocardial strain and is a sensitive method to detect LV systolic dysfunction with demonstrated utility in such detection in adult and pediatric cohort studies. Compare myocardial strain indices derived by STE with LVEF to detect ACT-induced LV systolic dysfunction. Prospective, cross-sectional measurements of LV myocardial strain indices derived from STE with LVEF. Pediatric cohort of 25 patients (pts): 17 females, eight males with a mean age 9.8 ± 5.8 years, who received anthracyclines (AC); median cumulative dose ≥150 ± 124.4 mg/m(2), range 60-450 mg/m(2) showing normal LV end-diastolic diameter (mm) and normal LVEF (≥55 %) underwent STE to obtain LV myocardial strain indices: strain and strain rate. The inter- and intraobserver variability for the strain indices was 5 %. Fifteen of 25 pts (60 %) showed abnormal global longitudinal peak systolic strain (GLPSS) and 19/25 pts (76 %) showed abnormal peak circumferential strain (PCS) compared to age-matched controls (p = 0.005). In contrast, no significant differences was observed in either indices with the dose of AC. Likewise, no significant changes in the systolic or diastolic strain rate were noted with the dose of AC (r (2) = 0.0076 for peak E, r (2) = 0.072 for peak A, p = NS). GLPSS and PCS were diminished and, however, correlated poorly with the cumulative dose of AC. These observations indicate an early onset of LV systolic dysfunction by the strain indices in pts who continue to show a normal LVEF implying presence of occult LV systolic dysfunction. These novel strain indices may assist in

  7. Contrasting two models of academic self-efficacy--domain-specific versus cross-domain--in children receiving and not receiving special instruction in mathematics.

    Science.gov (United States)

    Jungert, Tomas; Hesser, Hugo; Träff, Ulf

    2014-10-01

    In social cognitive theory, self-efficacy is domain-specific. An alternative model, the cross-domain influence model, would predict that self-efficacy beliefs in one domain might influence performance in other domains. Research has also found that children who receive special instruction are not good at estimating their performance. The aim was to test two models of how self-efficacy beliefs influence achievement, and to contrast children receiving special instruction in mathematics with normally-achieving children. The participants were 73 fifth-grade children who receive special instruction and 70 children who do not receive any special instruction. In year four and five, the children's skills in mathematics and reading were assessed by national curriculum tests, and in their fifth year, self-efficacy in mathematics and reading were measured. Structural equation modeling showed that in domains where children do not receive special instruction in mathematics, self-efficacy is a mediating variable between earlier and later achievement in the same domain. Achievement in mathematics was not mediated by self-efficacy in mathematics for children who receive special instruction. For normal achieving children, earlier achievement in the language domain had an influence on later self-efficacy in the mathematics domain, and self-efficacy beliefs in different domains were correlated. Self-efficacy is mostly domain specific, but may play a different role in academic performance depending on whether children receive special instruction. The results of the present study provided some support of the Cross-Domain Influence Model for normal achieving children.

  8. Study of the factors associated with dental caries in children who receive early dental care

    OpenAIRE

    FRAIZ Fabian Calixto; Luiz Reynaldo de Figueiredo WALTER

    2001-01-01

    The present study investigated the factors associated with the development of dental caries in preschool children who receive regular dental care and follow-up. The research was carried out at the Baby Clinic, Londrina State University, and comprised two hundred preschool children, whose ages ranged from 24 to 48 months, as well as their mothers, who had already taken part in a dental program at the Baby Clinic during, at least, the previous twelve months. Regarding oral hygiene habits, there...

  9. The effect of chewing gum on oral mucositis in children receiving chemotherapy

    OpenAIRE

    Ocakcı, Ayşe Ferda; Ayverdi, Didem; Ekim, Ayfer

    2014-01-01

    Abstract Background: Oral mucositis is an important clinical problem, resulting in significant patient morbidity, a change in health-related quality of life, and supportive care. The purpose of this study was to assess the efficiency of chewing gum on children, who are receiving chemotherapy regimens, for prevention and treatment of oral mucositis. Method and Material: The study sample consisted of 60 children (30 study group-30 control group) between the ages 6-...

  10. Caregiver Participation in Community-based Mental Health Services for Children Receiving Outpatient Care

    OpenAIRE

    Fawley-King, Kya; Haine-Schlagel, Rachel; Trask, Emily V.; Zhang, Jinjin; Garland, Ann F

    2013-01-01

    Caregiver participation in child mental health treatment has been associated with better youth outcomes, but little is known about the amount and type of caregiver participation in usual care services for children. This study examined 1255 caregivers’ reports of their participation in the outpatient services their children received through a large, public mental health system in the Southwest. The majority of the caregivers reported that they participated in their child's services. Extent of ...

  11. Assessing Progress during Treatment for Young Children with Autism Receiving Intensive Behavioural Interventions

    Science.gov (United States)

    Hayward, Diane; Eikeseth, Svein; Gale, Catherine; Morgan, Sally

    2009-01-01

    This study examined progress after 1 year of treatment for children with autism who received a mean of 36 hours per week one-to-one University of California at Los Angeles Applied Behavior Analysis (UCLA ABA) treatment. Two types of service provision were compared: an intensive clinic based treatment model with all treatment personnel (N = 23),…

  12. Children's spontaneous emotional expressions while receiving (un)wanted prizes in the presence of peers.

    Science.gov (United States)

    Visser, Mandy; Krahmer, Emiel; Swerts, Marc

    2015-01-01

    Although current emotion theories emphasize the importance of contextual factors for emotional expressive behavior, developmental studies that examine such factors are currently thin on the ground. In this research, we studied the course of emotional expressions of 8- and 11-year-old children after winning a (large) first prize or a (substantially smaller) consolation prize, while playing a game competing against the computer or a physically co-present peer. We analyzed their emotional reactions by conducting two perception tests in which participants rated children's level of happiness. Results showed that co-presence positively affected children's happiness only when receiving the first prize. Moreover, for children who were in the presence of a peer, we found that eye contact affected children's expressions of happiness, but that the effect was different for different age groups: 8-year-old children were negatively affected, and 11-year-old children positively. Overall, we can conclude that as children grow older and their social awareness increases, the presence of a peer affects their non-verbal expressions, regardless of their appreciation of their prize.

  13. Impact of effective nursing interventions to the fatigue syndrome in children who receive chemotherapy.

    Science.gov (United States)

    Ekti Genc, Rabia; Conk, Zeynep

    2008-01-01

    This experimental, randomized controlled study was conducted for children with cancer who are 7 to 12 years of age and receiving chemotherapy treatment to detect the impact of appropriate nursing interventions on decreasing the fatigue syndrome. The research sample is composed of a total of 60 children with cancer, with 30 children being included in the experimental group and 30 children included in the control group with their mothers. In the experimental group, after the 7th to 10th day of the chemotherapy treatment, throughout a week, the researcher conducted the effective nursing interventions every day for 45 to 60 minutes. In the control group, routine nursing interventions were carried out. The experimental and control group children's mean scores for the Fatigue Scale-Child and those of mothers for Fatigue Scale-Parent were compared. A statistically significant difference was found between the Fatigue Scale-Child and Fatigue Scale-Parent mean scores of the experimental and the control group children (P < .00). These results suggest that fatigue of children with cancer can be reduced by implementing appropriate nursing interventions. PMID:18600119

  14. Factors related to the institutionalization of children and adolescents received in the district of Uberaba - MG

    Directory of Open Access Journals (Sweden)

    Daniela Tavares Gontijo

    2012-06-01

    Full Text Available Objective: To describe the socio-demographic profile and factors related to the institutionalization of children and adolescents received in the District of Uberaba in 2009. Methods: Descriptive, documental, retrospective study, which included all children and adolescents who have been housed, by judicial decision, in the District of Uberaba-MG, Brazil, in 2009. Data collected from the judicial proceedings was analyzed using descriptive statistics. Results: Of 169 children and adolescents received in 2009, 82 (51.47% were female. Ages between 4 and 6 (33 - 19.53% and between 13 to 15 (30 - 17.75% were the most prevalent age groups. Among school-age children, only 41(24.26% had education level appropriate to age. In 109 (65.08% of cases, the father figure was not identified as present within the family composition. The main reasons for institutional sheltering were negligence, socio-economic conditions of the family, use of alcohol and drugs by those responsible, abuse, abandonment, physical violence and sexual violence. Conclusions: Data point to the process of social vulnerability experienced by families, which raises the articulation and strengthening of policies and intersectoral actions, with active partipation of the society, seeking the promotion of better living and health conditions for children and adolescents.

  15. Assessment of antibody titers and immunity to Hepatitis B in children receiving chemotherapy

    Science.gov (United States)

    Shams Shahemabadi, A; Salehi, F; Hashemi, A; Vakili, M; Zare, F; Esphandyari, N; Kashanian, S

    2012-01-01

    Background There is a decrease in vaccine-specific antibody to certain vaccine-preventable diseases in children after chemotherapy, but the frequency of non-immune patients is not clear. In the present case-control study, was taken under investigation protection level to Hepatitis B infection in children 6 months after completing chemotherapy. Materials and Methods In this study 68 patients with cancer and 68 healthy children were enrolled. Patients were 1.5 -12 years old with completed standard chemotherapy at least for 6 months. All the patients and healthy children were negative for HBsAg and HBeAg and had received Hepatitis B vaccination. IgG antibody concentrations against Hepatitis B Virus (HBV) were determined in the patients receiving chemotrapy and healthy subjects serum by ELISA method. IgG antibody titer > 10 mIU/ml was considered as baseline protective titer for preventing HBV infection. Results Anti-HBs antibody titer in 19.12% of patients was less than 10 mIU/ml and 11.76% of the patients had borderline antibody titer (10-20 mIU/ml). In healthy subjects, 2.94% and 5.88% had antibody titer < 10 mIU/ml and 10-20 mIU/ml, respectively. According to statistical analysis, frequency of non immune subjects in children with cancer was significantly higher than those in healthy children (P-value=0.024). Conclusion HBV vaccination post-intensive chemotherapy in the children with cancer is strongly recommended. PMID:24575253

  16. Design of a High Sensitivity GNSS receiver for Lunar missions

    Science.gov (United States)

    Musumeci, Luciano; Dovis, Fabio; Silva, João S.; da Silva, Pedro F.; Lopes, Hugo D.

    2016-06-01

    This paper presents the design of a satellite navigation receiver architecture tailored for future Lunar exploration missions, demonstrating the feasibility of using Global Navigation Satellite Systems signals integrated with an orbital filter to achieve such a scope. It analyzes the performance of a navigation solution based on pseudorange and pseudorange rate measurements, generated through the processing of very weak signals of the Global Positioning System (GPS) L1/L5 and Galileo E1/E5 frequency bands. In critical scenarios (e.g. during manoeuvres) acceleration and attitude measurements from additional sensors complementing the GNSS measurements are integrated with the GNSS measurement to match the positioning requirement. A review of environment characteristics (dynamics, geometry and signal power) for the different phases of a reference Lunar mission is provided, focusing on the stringent requirements of the Descent, Approach and Hazard Detection and Avoidance phase. The design of High Sensitivity acquisition and tracking schemes is supported by an extensive simulation test campaign using a software receiver implementation and navigation results are validated by means of an end-to-end software simulator. Acquisition and tracking of GPS and Galileo signals of the L1/E1 and L5/E5a bands was successfully demonstrated for Carrier-to-Noise density ratios as low as 5-8 dB-Hz. The proposed navigation architecture provides acceptable performances during the considered critical phases, granting position and velocity errors below 61.4 m and 3.2 m/s, respectively, for the 99.7% of the mission time.

  17. Effect of High Receiver Thermal Loss Per Unit Area on the Performance of Solar Central Receiver Systems Having Optimum Heliostat Fields and Optimum Receiver Aperture Areas.

    Science.gov (United States)

    Pitman, Charles L.

    Recent efforts in solar central receiver research have been directed toward high temperature applications. Associated with high temperature processes are greater receiver thermal losses due to reradiation and convection. This dissertation examines the performance of central receiver systems having optimum heliostate fields and receiver aperture areas as a function of receiver thermal loss per unit area of receiver aperture. The results address the problem of application optimization (loss varies) as opposed to the problem of optimization of a design for a specific application (loss fixed). A reasonable range of values for the primary independent variable L (the average reradiative and convective loss per unit area of receiver aperture) and a reasonable set of design assumptions were first established. The optimum receiver aperture area, number and spacings of heliostats, and field boundary were then determined for two tower focal heights and for each value of L. From this, the solar subsystem performance for each optimized system was calculated. Heliostat field analysis and optimization required a detailed computational analysis. A significant modification to the standard method of solving the optimization equations, effectively a decoupling of the solution process into collector and receiver subsystem parts, greatly aided the analysis. Results are presented for tower focal heights of 150 and 180 m. Values of L ranging from 0.04 to 0.50 MW m('-2) were considered, roughly corresponding to working fluid temperatures (at receiver exit) in the range of 650 to 1650 C. As L increases over this range, the receiver thermal efficiency and the receiver interception factor decrease. The optimal power level drops by almost half, and the cost per unit of energy produced increases by about 25% for the base case set of design assumptions. The resulting decrease in solar subsystem efficiency (relative to the defined annual input energy) from 0.57 to 0.35 is about 40% and is a

  18. Transient occult cardiotoxicity in children receiving continuous beta-agonist therapy

    Institute of Scientific and Technical Information of China (English)

    Christopher L Carroll; Melinda Coro; Allison Cowl; Kathleen A Sala; Craig M Schramm

    2014-01-01

    Background: Continuous beta-agonist therapy, typically in the form of inhaled albuterol, is the first line therapy for the treatment of acute and severe bronchospasm in children. Although this treatment is commonly used, concerns about cardiotoxicity have been raised. We aimed to investigate the cardiotoxic effects of continuous beta-agonist therapy in children. Methods: We conducted a retrospective review of children admitted to the intensive care unit (ICU) between May 2008 and April 2009, who were treated with continuous beta-agonist therapy (intravenous and nebulized). Results: Twenty of the 36 children treated with continuous albuterol had repeated serum troponin-T and lactate levels measured. Eleven patients (55%) were also treated with continuous intravenous terbutaline. Elevated levels of troponin-T levels were found in 25% of children, and elevated lactate levels were found in 60%. However, all returned to normal levels within 48 hours of ICU admission, despite continued beta-agonist therapy. No children experienced arrhythmias during therapy. There was no association between intravenous terbutaline use and elevated troponin-T [odds ratio (OR), 1.3; 95% CI, 0.2-10.3] or with elevated serum lactate (OR, 0.6; 95% CI, 0.1-3.7). There was also no association between elevated troponin-T or lactate and ICU or hospital length of stay. Conclusions: In this small study, a significant proportion of children had elevated serum troponin-T and lactate levels while receiving inhaled continuous beta-agonist therapy, irrespective of intravenous therapy. However, these abnormal values all returned to normal within 48 hours of ICU admission and were not associated with increased duration of hospitalization.

  19. Reducing the Digital Divide among Children Who Received Desktop or Hybrid Computers for the Home

    Directory of Open Access Journals (Sweden)

    Gila Cohen Zilka

    2016-06-01

    Full Text Available Researchers and policy makers have been exploring ways to reduce the digital divide. Parameters commonly used to examine the digital divide worldwide, as well as in this study, are: (a the digital divide in the accessibility and mobility of the ICT infrastructure and of the content infrastructure (e.g., sites used in school; and (b the digital divide in literacy skills. In the present study we examined the degree of effectiveness of receiving a desktop or hybrid computer for the home in reducing the digital divide among children of low socio-economic status aged 8-12 from various localities across Israel. The sample consisted of 1,248 respondents assessed in two measurements. As part of the mixed-method study, 128 children were also interviewed. Findings indicate that after the children received desktop or hybrid computers, changes occurred in their frequency of access, mobility, and computer literacy. Differences were found between the groups: hybrid computers reduce disparities and promote work with the computer and surfing the Internet more than do desktop computers. Narrowing the digital divide for this age group has many implications for the acquisition of skills and study habits, and consequently, for the realization of individual potential. The children spoke about self improvement as a result of exposure to the digital environment, about a sense of empowerment and of improvement in their advantage in the social fabric. Many children expressed a desire to continue their education and expand their knowledge of computer applications, the use of software, of games, and more. Therefore, if there is no computer in the home and it is necessary to decide between a desktop and a hybrid computer, a hybrid computer is preferable.

  20. Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation

    Directory of Open Access Journals (Sweden)

    Soleimani Farin

    2009-10-01

    Full Text Available Communication, cognition, language, and speech are interrelated and develop together. It should come as no surprise to us that the key to intervention with deaf children is to establish, as early as possible, a functional communication system for the child and the parents. Early intervention programs need to be multidisciplinary, technologically sound and most important, it should take cognizance of the specific context (community, country in which the child and family function. The main aim of this study was to obtain oral communication development regarding current status of the intervention (aural habilitation and speech therapyfor children with severe to profound hearing impairment in Iran. A prospective longitudinal study was undertaken on a consecutive group of children with severe to profound deafness. Nine severe to profound hearing-impaired children out of the primer 42 cases, who were detected below two years old, had been selected in the previous study to receive aural habilitation. The average of their speech intelligibility scores was near 70% at age 6, which was accounted as poor oral communication and only two of them were able to communicate by spoken language. An integrated intervention services continued again for one year and their oral communication skill was assessed by their speech intelligibility. The intelligibility test of children was recorded on audio-tape, when they read 10 questions such as where is your home. This can be answered only in one word. Each tape was presented to10 normal hearing listeners, and their task was to write down, the answers in Persian orthography. At the beginning (at age 6 the average speech intelligibility score of these children was 72% and only two of them had score of 90% and 100%. At age 7, all of the severe groups were over 90%, and only two profound ones achieved the score of 48% and 62%. All of severe groups develop oral communication, but profound ones had a semi-intelligible speech

  1. Impact of varied center volume categories on volume-outcome relationship in children receiving ECMO for heart operations.

    Science.gov (United States)

    Rettiganti, Mallikarjuna; Seib, Paul M; Robertson, Michael J; Wilcox, Andrew; Gupta, Punkaj

    2016-09-01

    To study the volume-outcome relationship among children receiving extracorporeal membrane oxygenation (ECMO), different studies from different databases use different volume categories. The objective of this study was to evaluate if different center volume categories impact the volume-outcome relationship among children receiving ECMO for heart operations. We performed a post hoc analysis of data from an existing national database, the Pediatric Health Information System. Centers were classified into five different volume categories using different cut-offs and different variables. Mortality rates were compared between the varied volume categories using a mixed effects logistic regression model after adjusting for patient- and center-level risk factors. Data collection included demographic information, baseline characteristics, pre-ECMO risk factors, operation details, patient diagnoses, and center data. In unadjusted analysis, there was a significant relationship between center volume and mortality, with low-and medium-volume centers associated with higher mortality rates compared to high-volume centers in all volume categories, except the hierarchical clustering volume category. In contrast, there was no significant association between center-volume and mortality among all volume categories in adjusted analysis. We concluded that high-volume centers were not associated with improved outcomes for the majority of the categorization schemes despite using different cut-offs and different variables for volume categorization.

  2. Sufentanil reduces emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl

    Institute of Scientific and Technical Information of China (English)

    LI Jun; HUANG Zhi-lian; ZHANG Xu-tong; LUO Ke; ZHANG Zhan-qin; MAO Yi; ZHUANG Xiao-biao; LIAN Qing-quan; CAO Hong

    2011-01-01

    Background Emergence agitation is a common problem in pediatric anesthesia,especially after sevoflurane induction and maintenance anesthesia.The purpose of this study was to investigate the effect of sufentanil to reduce emergence agitation after sevoflurane anesthesia in children undergoing adenotonsillectomy compared with fentanyl.Methods One hundred and five children,aged 3-11 years,were randomly allocated to receive normal saline (control group),sufentanil 0.2 μg/kg (S2) or fentanyl 2 μg/kg (F2) 1 minute after loss of the eyelash reflex.Anesthesia was induced and maintained with sevoflurane.Time to tracheal extubation,recovery time,Paediatric Anesthesia Emergence Delirium (PAED) scale,and emergence behavior were assessed.Results The incidence of severe agitation was significantly lower in S2 and F2 groups vs.the control group,4/32 and 15/34 vs.24/34 respectively,(P=0.002,0.009,respectively).PAED scales were significantly different among three groups (P=0.007),and lower in the S2 and F2 groups than in the control group (P=0.007 and P=0.025,respectively).And the incidence of severe agitation and the PAED scale score was significantly different between the S2 and F2 groups (P=0.007,P=0.019,respectively).Time to tracheal extubation and recovery time were similar in all three groups.Conclusions Administration of sufentanil at 0.2 μg/kg after induction of anesthesia reduced emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl.This was without delaying the recovery time or causing significant hypotension.

  3. Percentage of Children Aged 5--17 Years Ever Receiving a Diagnosis of Learning Disability, United States, 2007--2009

    Science.gov (United States)

    ... 5--17 Years Ever Receiving a Diagnosis of Learning Disability,* by Race/Ethnicity † and Family Income Group § --- National ... professional ever told you that [child] had a learning disability?" † White and black children are non-Hispanic children ...

  4. Metabolic and Hormonal Changes of Severely Burned Children Receiving Long-Term Oxandrolone Treatment

    Science.gov (United States)

    Przkora, Rene; Jeschke, Marc G.; Barrow, Robert E.; Suman, Oscar E.; Meyer, Walter J.; Finnerty, Celeste C.; Sanford, Arthur P.; Lee, Jong; Chinkes, David L.; Mlcak, Ronald P.; Herndon, David N.

    2005-01-01

    Objective: When given to children for 1 year after a severe burn, oxandrolone significantly improves lean body mass, bone mineral content, and muscle strength. The beneficial effects of oxandrolone on height and weight were observed 1 year after treatment was discontinued. To study the efficacy of oxandrolone in severely burned children for 12 months after burn and 12 months after the drug was discontinued. Summary Background Data: Oxandrolone attenuates body catabolism during the acute phase after burn. It is unclear whether oxandrolone would have any beneficial effects during long-term treatment or if there were any effects after the drug was stopped. Methods: Sixty-one children with 40% total body surface area burns were enrolled in this study. Patients were randomized into those to receive oxandrolone (n = 30) or placebo (n = 31) for the first 12 months. Treatment was discontinued after 12 months, and the patients were studied without the drug for the following 12 months. At discharge and 6, 12, 18, and 24 months after burn, height, weight, body composition, resting energy expenditure, muscle strength, and serum human growth hormone, insulin-like growth factor-I (IGF-1), IGF binding protein-3, insulin, cortisol, parathyroid hormone, tri-iodothyronine uptake (T3 uptake), and free thyroxine index (FTI) were measured. Statistical analysis used Tukey multiple comparison test. Significance was accepted at P < 0.05. Results: Oxandrolone improved lean body mass, bone mineral content and muscle strength compared with controls during treatment, P < 0.05. Serum IGF-1, T3 uptake, and FTI were significantly higher during drug treatment compared with controls, P < 0.05. Significant increases in height and weight with oxandrolone were observed after the end of treatment. Conclusions: Oxandrolone improved body composition and strength in severely burned children during the 12 months of treatment. Its effect on height and weight continued after treatment was discontinued. PMID

  5. High-resolution magnetic resonance imaging of the anal sphincter using a dedicated endoanal receiver coil

    Energy Technology Data Exchange (ETDEWEB)

    DeSouza, N.M.; Williams, A.D.; Gilderdale, D.J. [Dept. of Radiology, Imperial College School of Medicine, London (United Kingdom)

    1999-04-01

    The use of a surface coil in MR imaging improves signal-to-noise ratio of adjacent tissues of interest. We therefore devised an endoanal receiver coil for imaging the anal sphincter. The probe is solid and re-usable: it comprises a saddle geometry receiver with integral tuning, matching and decoupling. It is placed in the anal canal and immobilised externally. Both in vitro and in vivo normal anatomy is identified. The mucosa is high signal intensity, the submucosa low signal intensity, the internal sphincter uniformly high signal intensity and the external sphincter low signal intensity on T1- and T2-weighted images. In females, the transverse perineal muscle bridges the inferior part of the external sphincter anteriorly. In perianal sepsis, collections and the site of the endoanal opening are identified. In early-onset fecal incontinence following obstetric trauma/surgery, focal sphincter defects are demonstrated; in late-onset fecal incontinence external sphincter atrophy is seen. In fecally incontinent patients with scleroderma, forward deviation of the anterior sphincter musculature with descent of rectal air and feces into the anal canal is noted. The extent of sphincter invasion is assessed in low rectal tumours. In children with congenital anorectal anomalies, abnormalities of the muscle components are defined using smaller-diameter coils. Such information is invaluable in the assessment and surgical planning of patients with a variety of anorectal pathologies. (orig.) With 15 figs., 26 refs.

  6. Antibody responses to Hepatitis B and measles-mumps-rubella vaccines in children who received chemotherapy for acute lymphoblastic leukemia

    Directory of Open Access Journals (Sweden)

    Simone Santana Viana

    2012-01-01

    Full Text Available OBJECTIVE: To evaluate viral vaccine antibody levels in children with acute lymphoblastic leukemia after chemotherapy and after vaccine booster doses. METHODS: Antibody levels against hepatitis B, rubella, measles and mumps vaccine antigens were evaluated in 33 children after completing chemotherapy (before and after vaccine booster doses and the results were compared to the data of 33 healthy children matched for gender, age and social class. RESULTS: After chemotherapy, 75.9%, 67.9%, 59.3% and 51.7% of the patients showed low antibody titers that would be unlikely to protect against exposure to measles, rubella, hepatitis B and mumps, respectively. After receiving a vaccine booster dose for these antigens the patients had high antibody levels consistent with potential protection against measles, mumps and hepatitis B, but not against rubella. CONCLUSION: Extra doses of measles-mumps-rubella plus hepatitis B vaccines are recommended in acute lymphoblastic leukemia patients submitted to treatment after hematologic recovery. After this, viral vaccine antibody levels should be verified to define the individual's protective status.

  7. PLASMA AND ERYTHROCYTE NITRIC OXIDE LEVELS IN EPILEPTIC CHILDREN RECEIVING LONG-TERM SODIUM VALPROATE THERAPY

    OpenAIRE

    ÖZEROL, Elif; ÖZEROL, İbrahim; Aslan, Mehmet; GÜLEÇ, Mukaddes; YAKINCI, Cengiz; AKYOL, ÖMER

    2003-01-01

    Valproate (VPA) is a widely used drug as the first-line treatment for epilepsy in children. Nitric oxide (NO) is an important intercellular physiological messenger capable of evoking a number of cellular responses. It is generally believed that the erytrocyte membrane is highly permeable to NO. It has been claimed that VPA may show its antiepileptic effect throughout NO. Therefore, the aim of our study were to evaluate whether differences exist in the plasma and erythrocyte NO concentrati...

  8. Thyroid dysfunction and neoplasia in children receiving neck irradiation for cancer

    Energy Technology Data Exchange (ETDEWEB)

    Fleming, I.D.; Black, T.L.; Thompson, E.I.; Pratt, C.; Rao, B.; Hustu, O.

    1985-03-15

    The reported relationship of radiation exposure and thyroid carcinoma stimulated this retrospective study of 298 patients treated at St. Jude Children's Hospital with radiation therapy to the neck for childhood cancer to identify patients who developed subsequent thyroid abnormalities. This series includes 153 patients with Hodgkin's disease, 95 with acute lymphocytic leukemia, 28 with lymphoepithelioma, and 22 with miscellaneous tumors. Inclusion in the study required 5 years of disease-free survival following therapy for their original tumor, which included thyroid irradiation. Follow-up has been 100%. Most patients also received chemotherapy. Seventeen patients were found to have decreased thyroid reserve with normal levels of free triiodothyroxine (T3) or free thyroxin, (T4) and an elevated level of thyroid-stimulating hormone (TSH). In nine patients hypothyroidism developed, with decreased T3 or T4 levels and an elevated level of TSH. One hyperthyroid patient was identified. Two patients had thyroiditis, and seven had thyroid neoplasms: (carcinoma in two, adenoma in two, colloid nodule in one, and undiagnosed nodules in two). This survey has demonstrated an increased incidence of thyroid dysfunction and thyroid neoplasia when compared to the general population. The importance of long-term follow-up for thyroid disease is emphasized in patients who have received thyroid irradiation. The possible role of subclinical hypothyroidism with TSH elevation coupled with radiation damage to the thyroid gland as a model for the development of neoplastic disease is discussed.

  9. Shortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africa.

    Science.gov (United States)

    Coetzee, Bronwyne; Kagee, Ashraf; Bland, Ruth

    2016-03-01

    In order to achieve optimal benefits of antiretroviral therapy (ART), caregivers of children receiving ART are required to attend routine clinic visits monthly and administer medication to the child as prescribed. Yet, the level of adherence to these behaviours varies considerably in many settings. As a way to achieve optimal adherence in rural KwaZulu-Natal, caregivers are required to attend routine counselling sessions at HIV treatment clinics that are centred on imparting information, motivation, and behavioural skills related to medication administration. According to the information-motivation-behavioural skills model, information related to adherence, motivation, and behavioural skills are necessary and fundamental determinants of adherence to ART. The purpose of the study was to observe and document the content of adherence counselling sessions that caregivers attending rural clinics in KwaZulu Natal receive. We observed 25 adherence counselling sessions, which lasted on average 8.1 minutes. Counselling typically consisted of counsellors recording patient attendance, reporting CD4 count and viral load results to caregivers, emphasising dose times, and asking caregivers to name their medications and dosage amounts. Patients were seldom asked to demonstrate how they measure the medication. They were also not probed for problems regarding treatment, even when an unsuppressed VL was reported to a caregiver. This paper calls attention to the sub-optimal level of counselling provided to patients on ART and the urgent need to standardise and improve the training, support, and debriefing provided to counsellors.

  10. Factors associated with HIV/AIDS diagnostic disclosure to HIV infected children receiving HAART: a multi-center study in Addis Ababa, Ethiopia.

    Directory of Open Access Journals (Sweden)

    Sibhatu Biadgilign

    Full Text Available BACKGROUND: Diagnostic disclosure of HIV/AIDS to a child is becoming an increasingly common issue in clinical practice. Nevertheless, some parents and health care professionals are reluctant to inform children about their HIV infection status. The objective of this study was to identify the proportion of children who have knowledge of their serostatus and factors associated with disclosure in HIV-infected children receiving HAART in Addis Ababa, Ethiopia. METHODS: A cross-sectional study was conducted in five hospitals in Addis Ababa from February 18, 2008-April 28, 2008. The study populations were parents/caretakers and children living with HIV/AIDS who were receiving Highly Active Antiretroviral Therapy (HAART in selected hospitals in Addis Ababa. Univariate and multivariate logistic regression analysis were carried out using SPSS 12.0.1 statistical software. RESULTS: A total of 390 children/caretaker pairs were included in the study. Two hundred forty three children (62.3% were between 6-9 years of age. HIV/AIDS status was known by 68 (17.4% children, 93 (29% caretakers reported knowing the child's serostatus two years prior to our survey, 180 (46.2% respondents said that the child should be told about his/her HIV/AIDS status when he/she is older than 14 years of age. Children less than 9 years of age and those living with educated caregivers are less likely to know their results than their counterparts. Children referred from hospital's in-patient ward before attending the HIV clinic and private clinic were more likely to know their results than those from community clinic. CONCLUSION: The proportion of disclosure of HIV/AIDS diagnosis to HIV-infected children is low. Strengthening referral linkage and health education tailored to educated caregivers are recommended to increase the rate of disclosure.

  11. Infrared-Reflective Coating on Fused Silica for a Solar High-Temperature Receiver

    OpenAIRE

    Röger, Marc; Rickers, Christoph; Uhlig, Ralf; Neumann, Frank; Polenzky, Christina

    2007-01-01

    In concentrating solar power, high-temperature solar receivers can provide heat to highly efficient cycles for electricity or chemical production. Excessive heating of the fused-silica window and the resulting recrystallization are major problems of high-temperature receivers using windows. Excessive window temperatures can be avoided by applying an infrared-reflective solar-transparent coating on the fused-silica window inside. Both glass temperatures and receiver losses can be reduced. An i...

  12. Prospective study of cognitive function in children receiving whole-brain radiotherapy and chemotherapy: 2-year results

    International Nuclear Information System (INIS)

    As survival rates have risen for children with malignant primary brain tumors, so has the concern that many survivors have significant permanent cognitive deficits. Cranial irradiation (CRT) has been implicated as the major cause for cognitive dysfunction. To clarify the etiology, incidence, and severity of intellectual compromise in children with brain tumors after CRT, a prospective study was undertaken comparing the neuropsychological outcome in 18 consecutive children with malignant brain tumors treated with CRT to outcome in 14 children harboring brain tumors in similar sites in the nervous system who had not received CRT. Children with cortical or subcortical brain tumors were not eligible for study. Neuropsychological testing was performed after surgery prior to radiotherapy, after radiotherapy, and at 1- and 2-year intervals thereafter. Children who had received CRT had a mean full-scale intelligence quotient (FSIQ) of 105 at diagnosis which fell to 91 by Year 2. Similar declines were noted in their performance intelligence quotient (IQ) and verbal IQ. After CRT, patients demonstrated a statistically significant decline from baseline in FSIQ (p less than 0.02) and verbal IQ (p less than 0.04). Children who had not received CRT did not demonstrate a fall in any cognitive parameter over time. The decline between baseline testing and testing performed at Year 2 in patients who had CRT was inversely correlated with age (p less than 0.02), as younger children demonstrated the greatest loss of intelligence. Children less than 7 years of age at diagnosis had a mean decline in FSIQ of 25 points 2 years posttreatment. No other clinical parameter correlated with the overall IQ or decline in IQ. After CRT, children demonstrated a wide range of dysfunction including deficits in fine motor, visual-motor, and visual-spatial skills and memory difficulties

  13. Síndrome da lipodistrofia e fatores de risco cardiovasculares em crianças e adolescentes infectados pelo HIV/AIDS em uso de terapia antirretroviral de alta potência Lipodystrophy syndrome and cardiovascular risk factors in children and adolescents infected with HIV/AIDS receiving highly active antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Maria L. F. Werner

    2010-02-01

    Full Text Available OBJETIVO: Descrever o perfil lipídico, alterações da conformação corporal e fatores de risco cardiovasculares em crianças e adolescentes infectados pelo HIV/AIDS, tratados com terapia antirretroviral de alta potência. MÉTODOS: Foram estudadas 43 crianças e adolescentes em uso dessa terapia atendidas no ambulatório de doenças infecciosas em Pediatria do Instituto Fernandes Figueira/Fundação Oswaldo Cruz, Rio de Janeiro (RJ. Foram realizadas dosagens de colesterol total, lipoproteína de alta densidade, lipoproteína de baixa densidade, triglicerídeos, teste de tolerância à glicose e avaliada a distribuição de gordura corporal, estado nutricional, ingestão dietética e história familiar de risco cardiovascular. As análises estatísticas foram realizadas com o teste t de Student. O nível de significância estatístico do p foi menor que 0,05. RESULTADOS: Observou-se alteração lipídica em 88,3% e de conformação corporal em 13,9% dos casos. O estado nutricional foi adequado na maioria (81,3% da população do estudo. A ingestão de colesterol em crianças com mais de 9 anos foi acima do recomendado. CONCLUSÃO: A prevalência de dislipidemia e, consequentemente, o risco para doenças cardiovasculares foram altos durante o uso de terapia antirretroviral de alta potência.OBJECTIVE: To describe lipid profile, body shape changes, and cardiovascular risk factors in children and adolescents infected with HIV/AIDS receiving highly active antiretroviral therapy. METHODS: We investigated 43 children and adolescents being treated with this therapy at the outpatient clinic of pediatric infectious diseases of Instituto Fernandes Figueira/Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. Values of total cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides were determined. We also performed glucose tolerance test and analyzed body fat distribution, nutritional status, dietary intake, and family history of

  14. Survival of Mexican Children with Acute Myeloid Leukaemia Who Received Early Intensification Chemotherapy and an Autologous Transplant

    Science.gov (United States)

    Jiménez-Hernández, Elva; Dueñas-González, María Teresa; Arellano-Galindo, José; Medrano-Ortíz-De-Zárate, María Elena; Bekker-Méndez, Vilma Carolina; Berges-García, Adolfina; Solís-Labastida, Karina; Sánchez-Jara, Berenice; Tiznado-García, Héctor Manuel; Jaimes-Reyes, Ethel Zulie; García-Jiménez, Xochiketzalli; Espinoza-Hernández, Laura; Núñez-Villegas, Nora Nancy; Franco-Ornelas, Sergio; Pérez-Casillas, Ruy Xavier; Martínez Villegas, Octavio; Palomares, Teresa Marin; Mejía-Aranguré, Juan Manuel

    2015-01-01

    Background. In Mexico and other developing countries, few reports of the survival of children with acute leukaemia exist. Objective. We aimed at comparing the disease-free survival of children with acute myeloid leukaemia who, in addition to being treated with the Latin American protocol of chemotherapy and an autologous transplant, either underwent early intensified chemotherapy or did not undergo such treatment. Procedure. This was a cohort study with a historical control group, forty patients, less than 16 years old. Group A (20 patients), diagnosed in the period 2005–2007, was treated with the Latin American protocol of chemotherapy with an autologous transplant plus early intensified chemotherapy: high doses of cytarabine and mitoxantrone. Group B (20 patients), diagnosed in the period 1999–2004, was treated as Group A, but without the early intensified chemotherapy. Results. Relapse-free survival for Group A was 90% whereas that for Group B it was 60% (P = 0.041). Overall survival for Group A (18, 90%) was higher than that for Group B (60%). Complete remission continued for two years of follow-up. Conclusions. Relapse-free survival for paediatric patients treated with the Latin American protocol of chemotherapy with an autologous transplant plus early intensified chemotherapy was higher than that for those who did not receive early intensified chemotherapy. PMID:25821830

  15. Survival of Mexican Children with Acute Myeloid Leukaemia Who Received Early Intensification Chemotherapy and an Autologous Transplant

    Directory of Open Access Journals (Sweden)

    Elva Jiménez-Hernández

    2015-01-01

    Full Text Available Background. In Mexico and other developing countries, few reports of the survival of children with acute leukaemia exist. Objective. We aimed at comparing the disease-free survival of children with acute myeloid leukaemia who, in addition to being treated with the Latin American protocol of chemotherapy and an autologous transplant, either underwent early intensified chemotherapy or did not undergo such treatment. Procedure. This was a cohort study with a historical control group, forty patients, less than 16 years old. Group A (20 patients, diagnosed in the period 2005–2007, was treated with the Latin American protocol of chemotherapy with an autologous transplant plus early intensified chemotherapy: high doses of cytarabine and mitoxantrone. Group B (20 patients, diagnosed in the period 1999–2004, was treated as Group A, but without the early intensified chemotherapy. Results. Relapse-free survival for Group A was 90% whereas that for Group B it was 60% (P=0.041. Overall survival for Group A (18, 90% was higher than that for Group B (60%. Complete remission continued for two years of follow-up. Conclusions. Relapse-free survival for paediatric patients treated with the Latin American protocol of chemotherapy with an autologous transplant plus early intensified chemotherapy was higher than that for those who did not receive early intensified chemotherapy.

  16. High Sensitivity, Radiation Hard InGaAs LIDAR Receiver for Unmanned Aircraft Systems (UAS) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA has a requirement for a large-area, high-quantum-efficiency, high-throughput optical receiver for ground-, air-, and space-based LIDAR systems. A...

  17. Increasing Daily Water Intake and Fluid Adherence in Children Receiving Treatment for Retentive Encopresis

    OpenAIRE

    Kuhl, Elizabeth S.; Hoodin, Flora; Rice, Jennifer; Felt, Barbara T.; Rausch, Joseph R.; Patton, Susana R

    2010-01-01

    Objective To examine the efficacy of an enhanced intervention (EI) compared to standard care (SC) in increasing daily water intake and fluid goal adherence in children seeking treatment for retentive encopresis. Methods Changes in beverage intake patterns and fluid adherence were examined by comparing 7-week diet diary data collected during participation in the EI to achieved data for families who had previously completed the SC. Results Compared to children in SC (n = 19), children in the EI...

  18. Fabry-Perot Based Ranging Interferometer Receiver for High Spectral Resolution Lidar Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Michigan Aerospace Corporation (MAC) is pleased to present the following Phase II proposal for a Fabry-Perot Based Interferometer Receiver for the High Spectral...

  19. Early Identification of Educationally High Potential and High Risk Children.

    Science.gov (United States)

    Keogh, Barbara K.; Smith, Carol E.

    Early identification of educationally high potential and high risk children was investigated by following the same 49 children from kindergarten entrance through grade five of a regular school program. Kindergarten predictive measures were the Bender Gestalt Test and teachers' evaluations; follow-up measures were yearly standard achievement test…

  20. High Blood Pressure and Children: What Parents Need to Know

    Science.gov (United States)

    ... and Blood Institute Alternate Language URL Español High Blood Pressure and Children: What Parents Need to Know Page Content Children can have high blood pressure. Did you know that children could have high ...

  1. Accuracy of Knowledge of Child Development in Mothers of Children Receiving Early Intervention Services

    Science.gov (United States)

    Zand, Debra H.; Pierce, Katherine J.; Bultas, Margaret W.; McMillin, Stephen Edward; Gott, Rolanda Maxim; Wilmott, Jennifer

    2015-01-01

    Parents' involvement in early intervention (EI) services fosters positive developmental trajectories in young children. Although EI research on parenting skills has been abundant, fewer data are available on parents' knowledge of normative child development. Sixty-seven mothers of children participating in a Midwestern city's EI program completed…

  2. Outcome for Children Receiving the Early Start Denver Model before and after 48 Months

    Science.gov (United States)

    Vivanti, Giacomo; Dissanayake, Cheryl

    2016-01-01

    The Early Start Denver Model (ESDM) is an intervention program recommended for pre-schoolers with autism ages 12-48 months. The rationale for this recommendation is the potential for intervention to affect developmental trajectories during early sensitive periods. We investigated outcomes of 32 children aged 18-48 months and 28 children aged…

  3. Asking, Giving, Receiving: Friendship as Survival Strategy among Accra's Street Children

    Science.gov (United States)

    Mizen, Phillip; Ofosu-Kusi, Yaw

    2010-01-01

    This article considers friendship among street children in Accra. Drawing upon the findings of a three-year qualitative research project, the article argues that friendship is a neglected element of research yet cooperation, mutuality and exchange between friends are essential to street children's survival. Living within the extremities of the…

  4. Design of a high linearity and high gain accuracy analog baseband circuit for DAB receiver

    Science.gov (United States)

    Li, Ma; Zhigong, Wang; Jian, Xu; Yiqiang, Wu; Junliang, Wang; Mi, Tian; Jianping, Chen

    2015-02-01

    An analog baseband circuit of high linearity and high gain accuracy for a digital audio broadcasting receiver is implemented in a 0.18-μm RFCMOS process. The circuit comprises a 3rd-order active-RC complex filter (CF) and a programmable gain amplifier (PGA). An automatic tuning circuit is also designed to tune the CF's pass band. Instead of the class-A fully differential operational amplifier (FDOPA) adopted in the conventional CF and PGA design, a class-AB FDOPA is specially employed in this circuit to achieve a higher linearity and gain accuracy for its large current swing capability with lower static current consumption. In the PGA circuit, a novel DC offset cancellation technique based on the MOS resistor is introduced to reduce the settling time significantly. A reformative switching network is proposed, which can eliminate the switch resistor's influence on the gain accuracy of the PGA. The measurement result shows the gain range of the circuit is 10-50 dB with a 1-dB step size, and the gain accuracy is less than ±0.3 dB. The OIP3 is 23.3 dBm at the gain of 10 dB. Simulation results show that the settling time is reduced from 100 to 1 ms. The image band rejection is about 40 dB. It only draws 4.5 mA current from a 1.8 V supply voltage.

  5. Comparison of Environmental Attitudes and Experiences of Five-Year-Old Children Receiving Preschool Education in the Village and City Centre

    Science.gov (United States)

    Durkan, Nazmi; Güngör, Hande; Fetihi, Leyla; Erol, Ahmet; Gülay Ogelman, Hülya

    2016-01-01

    The purpose of the study is to compare environmental attitudes and experiences of five-year-old children receiving preschool education in the village and city centre. The first group comprised 54 five-year-old children who received preschool education and attended kindergartens of two primary schools in the Karateke and Kocabas villages of Honaz…

  6. Prevalence of Lipodystrophy in HIV-infected Children in Tanzania on Highly Active Antiretroviral Therapy

    NARCIS (Netherlands)

    Kinabo, G.; Sprengers, M.; Msuya, L.J.; Shayo, A.M.; Asten, H.A.G.H. van; Dolmans, W.M.V.; Ven, A.J.A.M. van der; Warris, A.

    2013-01-01

    OBJECTIVE: : Highly active antiretroviral therapy (HAART) has been associated with lipodystrophy (LD) in adults but data are more limited for children. The purpose of this study was to determine the prevalence of and risk factors for LD in Tanzanian children receiving HAART by clinical assessment an

  7. Design of a high linearity and high gain accuracy analog baseband circuit for DAB receiver

    International Nuclear Information System (INIS)

    An analog baseband circuit of high linearity and high gain accuracy for a digital audio broadcasting receiver is implemented in a 0.18-μm RFCMOS process. The circuit comprises a 3rd-order active-RC complex filter (CF) and a programmable gain amplifier (PGA). An automatic tuning circuit is also designed to tune the CF's pass band. Instead of the class-A fully differential operational amplifier (FDOPA) adopted in the conventional CF and PGA design, a class-AB FDOPA is specially employed in this circuit to achieve a higher linearity and gain accuracy for its large current swing capability with lower static current consumption. In the PGA circuit, a novel DC offset cancellation technique based on the MOS resistor is introduced to reduce the settling time significantly. A reformative switching network is proposed, which can eliminate the switch resistor's influence on the gain accuracy of the PGA. The measurement result shows the gain range of the circuit is 10–50 dB with a 1-dB step size, and the gain accuracy is less than ±0.3 dB. The OIP3 is 23.3 dBm at the gain of 10 dB. Simulation results show that the settling time is reduced from 100 to 1 ms. The image band rejection is about 40 dB. It only draws 4.5 mA current from a 1.8 V supply voltage. (semiconductor integrated circuits)

  8. Decreased sleep quality in high myopia children

    Science.gov (United States)

    Ayaki, Masahiko; Torii, Hidemasa; Tsubota, Kazuo; Negishi, Kazuno

    2016-01-01

    The aim of the present study was to evaluate sleep quality in myopic children and adults. This cross sectional study surveyed 486 participants aged from 10 to 59 years with refractive errors using a questionnaire containing the Pittsburgh Sleep Quality Index (PSQI) and Hospital Anxiety and Depression Scale (HADS). Children (sleep duration (P sleep scores (P sleep duration (P Sleep efficacy (P sleep quality in children was significantly correlated with myopic error, with the high myopia group worst affected. PMID:27650408

  9. Detection of antinuclear and antilaminin antibodies in autistic children who received thimerosal-containing vaccines.

    Science.gov (United States)

    Singh, Vijendra K; Rivas, Wyatt H

    2004-01-01

    Autism, a neurodevelopmental disorder, may involve autoimmune pathogenesis. Since mercury is potentially a risk factor for autoimmunity, we conducted a study of mercury-induced antinuclear and antilaminin antibodies in autistic and normal children who had been pre-administered with thimerosal-containing vaccines. Laboratory analysis by different immunoassays showed that the serum level of these two autoimmune markers did not significantly differ between autistic and normal children. This finding suggests that the mercury as in thimerosal-containing vaccines is likely not related to autoimmune phenomenon in autism.

  10. Survival and secondary tumors in children with medulloblastoma receiving radiotherapy and adjuvant chemotherapy: results of Children's Oncology Group trial A9961

    OpenAIRE

    PACKER, ROGER J.; Zhou, Tianni; Holmes, Emi; Vezina, Gilbert; Gajjar, Amar

    2012-01-01

    The purpose of the trial was to determine the survival and incidence of secondary tumors in children with medulloblastoma receiving radiotherapy plus chemotherapy. Three hundred seventy-nine eligible patients with nondisseminated medulloblastoma between the ages of 3 and 21 years were treated with 2340 cGy of craniospinal and 5580 cGy of posterior fossa irradiation. Patients were randomized between postradiation cisplatin and vincristine plus either CCNU or cyclophosphamide. Survival, pattern...

  11. Children with FASD- Related Disabilities Receiving Services from Child Welfare Agencies in Manitoba

    Science.gov (United States)

    Fuchs, Don; Burnside, Linda; Marchenski, Sheila; Mudry, Andria

    2010-01-01

    Fetal Alcohol Spectrum Disorder (FASD) is a serious social and health problem for the child welfare, health and education systems in North America and other parts of the world. This article describes the population of children in care of the child welfare system in Manitoba. Also this article will highlight the relevance of these research findings…

  12. Which Sexual Abuse Victims Receive a Forensic Medical Examination?: The Impact of Children's Advocacy Centers

    Science.gov (United States)

    Walsh, Wendy A.; Cross, Theodore P.; Jones, Lisa M.; Simone, Monique; Kolko, David J.

    2007-01-01

    Objective: This study examines the impact of Children's Advocacy Centers (CAC) and other factors, such as the child's age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. Methods: This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of…

  13. Family Perceptions of Participation in Educational Planning for Children Receiving Mental Health Services

    Science.gov (United States)

    Jivanjee, Pauline; Kruzich, Jean M.; Friesen, Barbara J.; Robinson, Adjoa

    2007-01-01

    Family participation in educational planning for children with disabilities is believed to result in plans that are more responsive to the child's needs and that lead to better social, emotional, and educational outcomes. Participation in educational planning is also a fundamental right of parents and a cornerstone of special education…

  14. Effects of ketamine and midazolam on emergence agitation after sevoflurane anaesthesia in children receiving caudal block: a randomized trial

    Directory of Open Access Journals (Sweden)

    Ayse Ozcan

    2014-12-01

    Full Text Available Background and objectives: Emergence agitation is a common postanaesthetic problem in children after sevoflurane anaesthesia. We aimed to compare the effects of ketamine and midazolam administered intravenously, before the end of surgery, for prevention of emergence agitation in children who received caudal block for pain relief under sevoflurane anaesthesia. Methods: 62 American Society of Anesthesiologists patient classification status I children, aged 2–7 years, scheduled for inguinal hernia repair, circumcision or orchidopexy were enrolled to the study. Anaesthesia was induced with sevoflurane 8% in a mixture of 50% oxygen and nitrous oxide. After achieving adequate depth of anaesthesia, a laryngeal mask was placed and then caudal block was performed with 0.75 mL kg−1, 0.25% bupivacaine. At the end of the surgery, ketamine 0.25 mg kg−1, midazolam 0.03 mg kg−1 and saline were given to ketamine, midazolam and control groups, respectively. Agitation was assessed using Paediatric Anaesthesia Emergence Delirium scale and postoperative pain was evaluated with modified Children's Hospital of Eastern Ontario Pain Scale. Results and conclusions: Modified Children's Hospital of Eastern Ontario Pain Scale scores were found higher in control group than in ketamine and midazolam groups. Paediatric Anaesthesia Emergence Delirium scores were similar between groups. Modified Children's Hospital of Eastern Ontario Pain Scale and Paediatric Anaesthesia Emergence Delirium scores showed a significant decrease by time in all groups during follow-up in postanaesthesia care unit. The present study resulted in satisfactory Paediatric Anaesthesia Emergence Delirium scores which are below 10 in all groups. As a conclusion, neither ketamine nor midazolam added to caudal block under sevoflurane anaesthesia did show further effect on emergence agitation. In addition, pain relief still seems to be the major factor in preventing emergence agitation after

  15. Retrospective reports of parenting received in their families of origin: relationships to adult attachment in adult children of alcoholics.

    Science.gov (United States)

    Kelley, Michelle L; Nair, Veena; Rawlings, Tanaya; Cash, Thomas F; Steer, Kate; Fals-Stewart, William

    2005-09-01

    The present study examined general and romantic attachment and parenting students received in their families of origin among 401 college students who resided with an alcohol-abusing parent prior to age 16 years as compared to those who did not reside with alcohol-abusing parents. Participants completed the Children's Report of Parent Behavior Instrument [Schludermann, E. and Schludermann, S. (1970). Children's Report of Parent Behavior Inventory (CRPBI). Canada: University of Manitoba], Experiences in Close Relationships--Revised [Fraley, R. C., Waller, N. G., and Brennan, K. G. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350-365], Relationship Scale Questionnaire [Griffin, D. W. and Bartholomew, K. (1994). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67, 430-445], and the Children of Alcoholics Screening Test [Jones, J. W. (1983). The Children of Alcoholics Screening Test: Test manual. Chicago: Camelot]. Young adults who met criteria for ACOAs reported more anxious and avoidant behavior in romantic relationships and a more fearful style of general adult attachment. Parenting behavior in one's family of origin predicted anxious behavior in romantic relationships and a fearful overall style of attachment, whereas being an ACOA and parenting in one's family of origin predicted avoidant behavior in romantic relationships. PMID:15896922

  16. Retrospective reports of parenting received in their families of origin: relationships to adult attachment in adult children of alcoholics.

    Science.gov (United States)

    Kelley, Michelle L; Nair, Veena; Rawlings, Tanaya; Cash, Thomas F; Steer, Kate; Fals-Stewart, William

    2005-09-01

    The present study examined general and romantic attachment and parenting students received in their families of origin among 401 college students who resided with an alcohol-abusing parent prior to age 16 years as compared to those who did not reside with alcohol-abusing parents. Participants completed the Children's Report of Parent Behavior Instrument [Schludermann, E. and Schludermann, S. (1970). Children's Report of Parent Behavior Inventory (CRPBI). Canada: University of Manitoba], Experiences in Close Relationships--Revised [Fraley, R. C., Waller, N. G., and Brennan, K. G. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350-365], Relationship Scale Questionnaire [Griffin, D. W. and Bartholomew, K. (1994). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67, 430-445], and the Children of Alcoholics Screening Test [Jones, J. W. (1983). The Children of Alcoholics Screening Test: Test manual. Chicago: Camelot]. Young adults who met criteria for ACOAs reported more anxious and avoidant behavior in romantic relationships and a more fearful style of general adult attachment. Parenting behavior in one's family of origin predicted anxious behavior in romantic relationships and a fearful overall style of attachment, whereas being an ACOA and parenting in one's family of origin predicted avoidant behavior in romantic relationships.

  17. Use of deuterium oxide to measure breast-milk intake in children aged 7 to 12 months receiving complementary foods

    International Nuclear Information System (INIS)

    The present study is being conducted to pilot the use of the deuterium oxide method for the measurement of breast-milk intake in children 7 - 12 months of age receiving complementary foods. This will be applied to a community efficacy study to determine the effects on total energy and nutrient intake and on breast-milk consumption of an intensive education intervention using locally available, culturally acceptable complementary foods. In order to apply the methodology to this evaluation the washout period of deuterium from the mother and the child after the administration of a dose to the mother is being determined and the comparison of this methodology with the test weighing technique for breast-milk intake. The measurement of deuterium oxide using the infrared spectrometer of the Instituto de Investigacion Nutricional [IIN] is being compared with the IR Mass Spectrometer of INTA Chile. During the present period we have conducted a pilot study to measure breast-milk intake using deuterium oxide in 9 mother-child pairs of children aged 7 - 11 months of age; samples of saliva have been taken for analyses. One child has completed the 28 days of the study and 8 children are in process. Test weighing for 48 hours has been conducted on 5 children; unadjusted breast-milk intake ranges from 589 to 682 g per 24 hours. The samples are awaiting analysis for deuterium oxide. (author)

  18. Use of deuterium oxide to measure breast milk intake in children aged 7-12 months receiving complementary foods

    International Nuclear Information System (INIS)

    In the present study we performed a pilot study using deuterium oxide method to determine the breast-milk intake in children 7-12 months of age receiving complementary food. This is applied to a community efficacy study to determine the effects on total energy and nutrient intake and on breast-milk consumption of an intensive education intervention using locally available, culturally acceptable complementary foods. We determined the washout period for the deuterium finding a value of 21 days for the mother and child. This measurement was performed using the infrared spectrometer of the Instituto de Investigacion Nutricional and compared with the values obtained with the IR Mass Spectrometer of INTA Chile. The test weighing was conduced on 14 children and compared with the values obtained using the deuterium methodology. Our result suggest that the breast milk intake determined by the weighing test was lower with regard to the value obtained with the deuterium methodology. (author)

  19. PREVALENCE OF CYTOMEGALOVIRUS IN CHILDREN WHO RECEIVE BONE MARROW TRANSPLANTATION BY MEANS OF REAL-TIME POLYMERASE CHAIN REACTION

    Directory of Open Access Journals (Sweden)

    López-Montanero Edith Elizabeth

    2015-01-01

    Full Text Available Introduction: The citomegalovirus (CMV is an important virus worldwide. The early and mass-produced detection of the viral load for CMV helps to treat in an early way the infection and to avoid the disease in immunodeficient patients that in several cases could be lethal. Objective: To determine the prevalence of CMV in immunodeficient children who received bone marrow transplantation by means of real-time polymerase chain reaction. Methods: Retrospective, descriptive and cross-sectional study. The viral load was determined in plasma samples recollected since 2009 to 2012 in children who received bone marrow transplantation in the Hospital de la Sociedad de Lucha contra el Cáncer (SOLCA in Guayaquil, Ecuador. Results: 38 samples were analyzed. The average age was 7.2 years, and 57.9% (n=22 were men and 42.1% (n=16 women, with a male-female relationship 1:4. Of the analyzed samples, five patients presented positive results in the mentioned technique, who were the 80% of the female gender. And the population with the higher number of cases with positive results were Los Ríos, Guayas and Esmeraldas. The patients who were transplanted due to acute lymphoblastic leukemia and lymphoma with leukemization to acute lymphoblastic leukemia had positive results for active infection by CMV, 80% and 20%, respectively. Conclusion: The prevalence of CMV in children who received bone marrow transplantation by means of real-time polymerase chain reaction was of 13%, higher in the female gender. Rev.cienc.biomed. 2015;6(1:53-59 KEYWORDS Cytomegalovirus; Cytomegalovirus Infections; Transplant Recipients; Polymerase Chain Reaction.

  20. Acupressure in Controlling Nausea in Young Patients Receiving Highly Emetogenic Chemotherapy | Division of Cancer Prevention

    Science.gov (United States)

    RATIONALE: Acupressure wristbands may prevent or reduce nausea and caused by chemotherapy. It is not yet known whether standard care is more effective with or without acupressure wristbands in controlling acute and delayed nausea. PURPOSE: This randomized phase III trial is studying how well acupressure wristbands work with or without standard care in controlling nausea in young patients receiving highly emetogenic chemotherapy. |

  1. Zecotk receives MAPD solid-state photo detector order from Institute of high energy physics research

    CERN Multimedia

    2007-01-01

    "Zecotek Photonics Inc. (TSX VENTURE:ZMS)(FRANKFURT;W11), formerly Zecotek Medical Systemps Inc., today announced that it has received an order for a supply if its proprietary Micro-pixel Avalanche Photo Diodes (MAPD) solid-state photo detectors from the Institute of High Energy Physics Research (INR). (1 page)

  2. Zecotek receives MAPD solid-state photo detector order from Institute of High Energy Physics Research

    CERN Multimedia

    2007-01-01

    "Zecotk Photonics Inc., (TSX VENTURE: ZMS)(FRANKFURT:W11), formerly Zecotek Medical Systems Int., today announced that it has received an order for a supply of its proprietary Micro-pixel Avalanche Photo Diodes (MAPD) solid-state photo detectors from the Institute of High Energy Physics Research (INR). (2/3 page)

  3. Zecotk receives MPD solid-state photo detector order from Institute of high energy physics research

    CERN Multimedia

    2007-01-01

    "Zecotk Photonics Inc., (TSX VENTURE: ZMS)(FRANKFURT:W11), formerly Zecotek Medical Systems Int., today announced that it has received an order for a supply of its proprietary Micro-pixel Avalanche Photo Diodes (MAPD) solid-state photo detectors from the Institute of High Energy Physics Research (INR). (2/3 page)

  4. A Tradeoff between Rich Multipath and High Receive Power in MIMO Capacity

    Directory of Open Access Journals (Sweden)

    Zimu Cheng

    2013-01-01

    channel condition varyies. When the scatterer number in channel is low, the high receive SNR is more important to capacity. The multipath richness will have greater influence when the scatterer number exceeds a certain threshold. However, the channel capacity will not change much as the scatterers continue to increase.

  5. Trained, generalized, and collateral behavior changes of preschool children receiving gross-motor skills training.

    OpenAIRE

    Kirby, K C; Holborn, S W

    1986-01-01

    Three preschool children participated in a behavioral training program to improve their gross-motor skills. Ten target behaviors were measured in the training setting to assess direct effects of the program. Generalization probes for two gross-motor behaviors, one fine-motor skill, and two social behaviors were conducted in other settings. Results indicated that the training program improved the gross-motor skills trained and that improvements sometimes generalized to other settings. Contrary...

  6. Do children who receive an ‘early dose’ of MMR vaccine during a measles outbreak return for their regularly scheduled dose? A retrospective population-based study

    Science.gov (United States)

    Guo, Xiaoyan; Simmonds, Kimberley A; Svenson, Jill; MacDonald, Shannon E

    2016-01-01

    Background Children under the age of 12 months may receive an early dose of measles–mumps–rubella (MMR) vaccine to provide short-term protection in the case of a disease outbreak. Following a measles outbreak in Alberta, Canada, there was concern that children who received an early dose may not be returning for their routinely scheduled dose at 12 months, leaving them vulnerable to disease in the long term. Methods This population-based study of children born between 2006 and 2014 used administrative health data to assess coverage and timeliness of the first routine dose of MMR vaccine administered at age 12–24 months for children who received an early dose of the vaccine due to a disease outbreak. We compared this group to children who received an early dose due to travel to a measles-endemic region and to children who did not receive an early dose. Results Only 5.5% of 366 351 children received an early dose. Coverage for the routine dose at age 24 months was 96.5% for children receiving an outbreak dose, 92.2% for those travelling to measles-endemic regions and 86.6% for those without an early dose (paHR): 1.52, 95% CI 1.44 to 1.60), followed by the travel group (aHR: 1.26, 95% CI 1.18 to 1.34). Conclusions It is reassuring that the majority of children who received an early dose returned for their routine dose and did so in a timely manner. PMID:27580838

  7. New development of high-resolution imaging for forward-looking SAR with multiple receiving antennas

    Science.gov (United States)

    Dai, Shengli; Liu, Min; Sun, Yajun

    2001-09-01

    The paper provides some new developments based on the azimuth synthetic and compressing method to achieve a high azimuth resolution and unambiguous image for forward-looking SAR (F-SAR) with multiple receiving antennas. The first point of the new development is addressed on how to select and optimize the reference functions for azimuth compression. The second new point is addressed on how to configure the parameters such as wavelength and the distances between the receiving antennas. Ans the effect of these parameters to the practical implementation of F-SAR system will be also discussed. The third point is addressed on the methods to fuse the data from different receiving antennas for solving the left/right azimuth ambiguity.

  8. Probabilistic forecasting of ionospheric scintillation and GNSS receiver signal tracking performance at high latitudes

    Directory of Open Access Journals (Sweden)

    Paul Prikryl

    2013-06-01

    Full Text Available At high latitudes, phase scintillation occurs predominantly on the dayside in the ionospheric footprint of the magnetospheric cusp, and in the nightside auroral oval. A new technique of probabilistic forecasting of phase scintillation occurrence relative to the arrival time of high-speed solar wind from coronal holes and interplanetary coronal mass ejections has recently been proposed [Prikryl et al. 2012]. Cumulative probability distribution functions for the phase-scintillation occurrence that are obtained can be specified for low (below-median and high (above-median values of various solar wind plasma parameters. Recent advances in modeling of high-speed solar wind and coronal mass ejections, combined with the probabilistic forecasting of scintillation, will lead to improved operational space weather forecasting applications. Scintillation forecasting and mitigation techniques need to be developed to avoid potential costly failures of technology-based Global Navigation Satellite Systems in the near future, in particular during the upcoming solar maximum. The Global Navigation Satellite Systems receiver-tracking performance during severe scintillation conditions can be assessed by the analysis of receiver phase-locked-loop jitter. Tracking jitter maps [Sreeja et al. 2011] offers a potentially useful tool to provide users with expected tracking conditions, if based on scintillation predictions as proposed above. Scintillation indices are obtained from L1 GPS data collected with the Canadian High Arctic Ionospheric Network. Combined with high rate amplitude and phase data, they can be used as input to receiver tracking models to develop scintillation mitigation techniques.

  9. Patching the gaps towards the 90–90–90 targets: outcomes of Nigerian children receiving antiretroviral treatment who are co-infected with tuberculosis

    Directory of Open Access Journals (Sweden)

    Dick D Chamla

    2015-12-01

    Full Text Available Introduction: Nigeria has a high burden of children living with HIV and tuberculosis (TB. This article examines the magnitude of TB among children receiving antiretroviral treatment (ART, compares their ART outcomes with their non-TB counterparts and argues that addressing TB among children on ART is critical for achieving the 90–90–90 targets. Methods: This was a facility-based, retrospective analysis of medical records of children aged <15 years who were newly initiated on ART between 2011 and 2012. Structured tools were used to collect data. STATA software was used to perform descriptive, survival and multivariate analyses. Results: A total of 1142 children with a median age of 3.5 years from 20 selected facilities were followed for 24 months. Of these, 95.8% were assessed for TB at ART initiation and 14.7% had TB. Children on ART were more likely to have TB if they were aged 5 years or older (p<0.01 and had delayed ART initiation (p<0.05. The cotrimoxazole and isoniazid prophylaxes were provided to 87.9 and 0.8% of children, respectively. The rate of new TB cases was 3 (2.2–4.0 per 100 person-years at six months and declined to 0.2 (0.06–1.4 per 100 person-years at 24 months. TB infection [adjusted hazard ratio (aHR: 4.3; 2.3–7.9], malnutrition (aHR: 5.1; 2.6–9.8, delayed ART initiation (aHR: 3.2; 1.5–6.7 and age less than 1 year at ART initiation (aHR: 4.0; 1.4–12.0 were associated with death. Additionally, patients with TB (aHR: 1.3; 1.1–1.6 and children below the age of 1 at ART initiation (aHR: 2.9; 1.7–5.2 were more likely to be lost to follow-up (LFU. Conclusions: Children on ART with TB are less likely to survive and more likely to be LFU. These risks, along with low isoniazid uptake and delayed ART initiation, present a serious challenge to achieving the 90–90–90 targets and underscore an urgent need for inclusion of childhood TB/HIV in global plans and reporting mechanisms.

  10. Probabilistic Forecasting of Ionospheric Scintillation and GNSS Receiver Signal Tracking Performance at High Latitudes

    Science.gov (United States)

    Prikryl, P.; Sreeja, V.; Aquino, M.; Jayachandran, P. T.

    2012-12-01

    At high latitudes, phase scintillation occurs predominantly on the dayside in the ionospheric footprint of magnetospheric cusp and in the nightside auroral oval. A new technique of probabilistic forecast of phase scintillation occurrence relative to arrival time of high-speed solar wind (HSSW) from coronal holes and interplanetary coronal mass ejections (ICMEs) has recently been proposed [Prikryl et al., 2012]. Cumulative probability distribution functions for the phase scintillation occurrence that are obtained can be specified for low and high (below- and above-median) values of various solar wind plasma parameters. Recent advances in solar wind modeling of HSSW and ICMEs combined with the probabilistic forecasting of scintillation will lead to improved operational space weather forecasting applications. Scintillation forecasting and mitigation techniques need to be developed to avoid potential costly failures of Global Navigation Satellite Systems (GNSS)-based technology in the near future, in particular during the upcoming solar maximum. GNSS receiver tracking performance during severe scintillation conditions can be assessed by the analysis of receiver phase lock loop (PLL) jitter variance. Tracking jitter variance maps [Sreeja et al, 2011] offer a potentially useful tool to provide users with expected tracking conditions, if based on scintillation prediction as proposed above. Scintillation indices are obtained from L1 GPS data collected with the Canadian High Arctic Ionospheric Network (CHAIN). Combined with high rate amplitude and phase data they can be used as input to receiver tracking models to develop scintillation mitigation techniques. References Prikryl, P., P. T. Jayachandran, S. C. Mushini, and I. G. Richardson (2012), Towards the Probabilistic Forecasting of High-Latitude GPS Phase Scintillation, Space Weather, doi:10.1029/2012SW000800, in press. Sreeja, V., M. Aquino, and Z. G. Elmas (2011), Impact of ionospheric scintillation on GNSS receiver

  11. Performance Analysis of Ultra Wideband Receivers for High Data Rate Wireless Personal Area Network System

    Directory of Open Access Journals (Sweden)

    Bikramaditya Das

    2010-03-01

    Full Text Available For high data rate ultra wideband communication system, performance comparison of Rake, MMSE andRake-MMSE receivers is attempted in this paper. Further a detail study on Rake-MMSE time domainequalizers is carried out taking into account all the important parameters such as the effect of the numberof Rake fingers and equalizer taps on the error rate performance. This receiver combats inter-symbolinterference by taking advantages of both the Rake and equalizer structure. The bit error rateperformances are investigated using MATLAB simulation on IEEE 802.15.3a defined UWB channelmodels. Simulation results show that the bit error rate probability of Rake-MMSE receiver is much betterthan Rake receiver and MMSE equalizer. Study on non-line of sight indoor channel models illustratesthat bit error rate performance of Rake-MMSE (both LE and DFE improves for CM3 model with smallerspread compared to CM4 channel model. It is indicated that for a MMSE equalizer operating at low tomedium SNR values, the number of Rake fingers is the dominant factor to improve system performance,while at high SNR values the number of equalizer taps plays a more significant role in reducing the errorrate.

  12. Design requirements, challenges, and solutions for high-temperature falling particle receivers

    Science.gov (United States)

    Christian, Joshua; Ho, Clifford

    2016-05-01

    Falling particle receivers (FPR) utilize small particles as a heat collecting medium within a cavity receiver structure. Previous analysis for FPR systems include computational fluid dynamics (CFD), analytical evaluations, and experiments to determine the feasibility and achievability of this CSP technology. Sandia National Laboratories has fabricated and tested a 1 MWth FPR that consists of a cavity receiver, top hopper, bottom hopper, support structure, particle elevator, flux target, and instrumentation. Design requirements and inherent challenges were addressed to enable continuous operation of flowing particles under high-flux conditions and particle temperatures over 700 °C. Challenges include being able to withstand extremely high temperatures (up to 1200°C on the walls of the cavity), maintaining particle flow and conveyance, measuring temperatures and mass flow rates, filtering out debris, protecting components from direct flux spillage, and measuring irradiance in the cavity. Each of the major components of the system is separated into design requirements, associated challenges and corresponding solutions. The intent is to provide industry and researchers with lessons learned to avoid pitfalls and technical problems encountered during the development of Sandia's prototype particle receiver system at the National Solar Thermal Test Facility (NSTTF).

  13. Diagnostic accuracy of serum biochemical fibrosis markers in children with chronic hepatitis B evaluated by receiver operating characteristics analysis

    Institute of Scientific and Technical Information of China (English)

    Dariusz Marek Lebensztejn; El(z)bieta Skiba; Jolanta Tobolczyk; Maria El(z)bieta Sobaniec-Lotowska; Maciej Kaczmarski

    2005-01-01

    AIM: To investigate the diagnostic accuracy of potent serum biochemical fibrosis markers in children with chronic hepatitis B evaluated by receiver operating characteristics (ROC) analysis.METHODS: We determined the serum level of apolipoprotein A-I (APO A-I), haptoglobin (HPT) and a-2macroglobulin (A2M) with an automatic nephelometer in 63 children (age range 4-17 years, mean 10 years)with biopsy-verified chronic HBeAg-positive hepatitis B.Fibrosis stage and inflammation grade were assessed in a blinded fashion according to Batts and Ludwig. We defined mild liver fibrosis as a score ≤2 and advanced fibrosis as a score equal to 3. ROC analysis was used to calculate the power of the assays to detect advanced liver fibrosis (AccuROC, Canada).RESULTS: Serum concentrations of APO A-I, HPT and A2M were not significantly different in patients with chronic hepatitis B compared to controls. However, APO A-I level of 1.19 ng/L had a sensitivity of 85.7% and a specificity of 60.7% (AUC = 0.7117, P = 0.035) to predict advanced fibrosis. All other serum biochemical markers and their combination did not allow a useful prediction.None of these markers was a good predictor of histologic inflammation.CONCLUSION: Apolipoprotein A-I may be a suitable serum marker to predict advanced liver fibrosis in children with chronic hepatitis B.

  14. Large Aperture "Photon Bucket" Optical Receiver Performance in High Background Environments

    Science.gov (United States)

    Vilnrotter, Victor A.; Hoppe, D.

    2011-01-01

    The potential development of large aperture groundbased "photon bucket" optical receivers for deep space communications, with acceptable performance even when pointing close to the sun, is receiving considerable attention. Sunlight scattered by the atmosphere becomes significant at micron wavelengths when pointing to a few degrees from the sun, even with the narrowest bandwidth optical filters. In addition, high quality optical apertures in the 10-30 meter range are costly and difficult to build with accurate surfaces to ensure narrow fields-of-view (FOV). One approach currently under consideration is to polish the aluminum reflector panels of large 34-meter microwave antennas to high reflectance, and accept the relatively large FOV generated by state-of-the-art polished aluminum panels with rms surface accuracies on the order of a few microns, corresponding to several-hundred micro-radian FOV, hence generating centimeter-diameter focused spots at the Cassegrain focus of 34-meter antennas. Assuming pulse-position modulation (PPM) and Poisson-distributed photon-counting detection, a "polished panel" photon-bucket receiver with large FOV will collect hundreds of background photons per PPM slot, along with comparable signal photons due to its large aperture. It is demonstrated that communications performance in terms of PPM symbol-error probability in high-background high-signal environments depends more strongly on signal than on background photons, implying that large increases in background energy can be compensated by a disproportionally small increase in signal energy. This surprising result suggests that large optical apertures with relatively poor surface quality may nevertheless provide acceptable performance for deep-space optical communications, potentially enabling the construction of cost-effective hybrid RF/optical receivers in the future.

  15. Low-Cost High-Performance 10 G Transmitter and Receiver Optical Subassembly

    Institute of Scientific and Technical Information of China (English)

    K.S.; Cheng; E.; Cheung; R.; Cheung; S.; Cheung; A.; Chow; C.W.; Fan; H.W.; Ho; A.; Hui; M.W.K.; Mak; S.K.; Lam; S.L.; Lau; K.S.; Lee; A.; Siu; S.K.; Yau; F.; Tong

    2003-01-01

    We describe briefly here the recent R&D activities in the optical subassembly packaging technologies at the Hong Kong Applied Science and Technology Research Institute (ASTRI). We have designed, developed and prototyped multiple of low-cost high performance packages for serial and parallel transmitters and receivers, in particular, the novel chip-in-plastic (CiP) package designed for 10G serial transmission for data communications.

  16. High accuracy alignment facility for the receiver and transmitter of the BepiColombo Laser Altimeter

    OpenAIRE

    Chakraborty, Sumita; Affolter, Michael; Gunderson, Kurt; Neubert, Jakob; Thomas, Nicolas; Beck, Thomas; Gerber, Michael; Graf, Stefan; Piazza, Daniele; Pommerol, Antoine; Röthlisberger, Guillaume; Seiferlin, Karsten

    2012-01-01

    The accurate co-alignment of the transmitter to the receiver of the BepiColombo Laser Altimeter is a challenging task for which an original alignment concept had to be developed. We present here the design, construction and testing of a large collimator facility built to fulfill the tight alignment requirements. We describe in detail the solution found to attenuate the high energy of the instrument laser transmitter by an original beam splitting pentaprism group. We list the different steps o...

  17. An Integrated Chip High-Voltage Power Receiver for Wireless Biomedical Implants

    Directory of Open Access Journals (Sweden)

    Vijith Vijayakumaran Nair

    2015-06-01

    Full Text Available In near-field wireless-powered biomedical implants, the receiver voltage largely overrides the compliance of low-voltage power receiver systems. To limit the induced voltage, generally, low-voltage topologies utilize limiter circuits, voltage clippers or shunt regulators, which are power-inefficient methods. In order to overcome the voltage limitation and improve power efficiency, we propose an integrated chip high-voltage power receiver based on the step down approach. The topology accommodates voltages as high as 30 V and comprises a high-voltage semi-active rectifier, a voltage reference generator and a series regulator. Further, a battery management circuit that enables safe and reliable implant battery charging based on analog control is proposed and realized. The power receiver is fabricated in 0.35-μm high-voltage Bipolar-CMOS-DMOStechnology based on the LOCOS0.35-μm CMOS process. Measurement results indicate 83.5% power conversion efficiency for a rectifier at 2.1 mA load current. The low drop-out regulator based on the current buffer compensation and buffer impedance attenuation scheme operates with low quiescent current, reduces the power consumption and provides good stability. The topology also provides good power supply rejection, which is adequate for the design application. Measurement results indicate regulator output of 4 ± 0.03 V for input from 5 to 30 V and 10 ± 0.05 V output for input from 11 to 30 V with load current 0.01–100 mA. The charger circuit manages the charging of the Li-ion battery through all if the typical stages of the Li-ion battery charging profile.

  18. Metabolic syndrome in patients with severe mental illness undergoing psychiatric rehabilitation receiving high dose antipsychotic medication

    Directory of Open Access Journals (Sweden)

    Bapu V Ravindranath

    2012-01-01

    Full Text Available Background: To review evidence of chronic antipsychotic medication and the association with metabolic syndrome in mentally ill patients. This evidence was used to analyse a cohort of patients with severe mental illness and to deduce a correlation between the prevalence of metabolic syndrome and their dose regimens. Materials and Methods: Twenty-four male patients undergoing Psychiatric rehabilitation underwent a review of current medication and assessment of risk factors for metabolic syndrome. Assessment criteria was based upon National Cholesterol Education Programme expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult Treatment Panel III (NCEP ATP III criteria, incorporating waist circumference, raised triglycerides, reduced high density lipoprotein, raised blood pressure and fasting blood glucose. PubMed, Nature and Science Direct databases have been used to compile the medical and scientific background on metabolic syndrome and antipsychotic medication and the effect on patients particularly on high dose. Results: Out of 24 patients, 10 patients (41.7% were receiving high dose antipsychotics (HDA and four were on maximum dosage limits of 100%. 8.3% (2/24 patients were receiving only one first generation antipsychotics (FGA, 37.5% (9/24 patients were receiving only one second generation antipsychotic (SGA, 45.8% patients (11/24 were receiving two or more SGA only, and only one patient was receiving two or more FGA. One patient was receiving a combination of FGA and SGA. PRN ("as needed" therapy was not included in this study as their usage was limited. Clozapine was mostly prescribed in these patients (10/24, 41.6%. Four out of the 24 patients refused blood tests therefore were excluded from the following results. In the patients evaluated, 55% (11/20 had confirmed metabolic syndrome. In these patients with metabolic syndrome, 45.4% (5/11 were on HDA and 27.3% (3/11 were on maximum British National

  19. Performance Analysis of Ultra Wideband Receivers for High Data Rate Wireless Personal Area Network System

    CERN Document Server

    Das, Bikramaditya; 10.5121/jgraphhoc.2010.2104

    2010-01-01

    For high data rate ultra wideband communication system, performance comparison of Rake, MMSE and Rake-MMSE receivers is attempted in this paper. Further a detail study on Rake-MMSE time domain equalizers is carried out taking into account all the important parameters such as the effect of the number of Rake fingers and equalizer taps on the error rate performance. This receiver combats inter-symbol interference by taking advantages of both the Rake and equalizer structure. The bit error rate performances are investigated using MATLAB simulation on IEEE 802.15.3a defined UWB channel models. Simulation results show that the bit error rate probability of Rake-MMSE receiver is much better than Rake receiver and MMSE equalizer. Study on non-line of sight indoor channel models illustrates that bit error rate performance of Rake-MMSE (both LE and DFE) improves for CM3 model with smaller spread compared to CM4 channel model. It is indicated that for a MMSE equalizer operating at low to medium SNR values, the number o...

  20. Use of high sensitivity GNSS receiver Doppler measurements for indoor pedestrian dead reckoning.

    Science.gov (United States)

    He, Zhe; Renaudin, Valérie; Petovello, Mark G; Lachapelle, Gérard

    2013-03-28

    Dead-reckoning (DR) algorithms, which use self-contained inertial sensors combined with gait analysis, have proven to be effective for pedestrian navigation purposes. In such DR systems, the primary error is often due to accumulated heading drifts. By tightly integrating global navigation satellite system (GNSS) Doppler measurements with DR, such accumulated heading errors can usually be accurately compensated. Under weak signal conditions, high sensitivity GNSS (HSGNSS) receivers with block processing techniques are often used, however, the Doppler quality of such receivers is relatively poor due to multipath, fading and signal attenuation. This often limits the benefits of integrating HSGNSS Doppler with DR. This paper investigates the benefits of using Doppler measurements from a novel direct vector HSGNSS receiver with pedestrian dead-reckoning (PDR) for indoor navigation. An indoor signal and multipath model is introduced which explains how conventional HSGNSS Doppler measurements are affected by indoor multipath. Velocity and Doppler estimated by using direct vector receivers are introduced and discussed. Real experimental data is processed and analyzed to assess the veracity of proposed method. It is shown when integrating HSGNSS Doppler with PDR algorithm, the proposed direct vector method are more helpful than conventional block processing method for the indoor environments considered herein.

  1. High-temperature ceramic heat exchanger element for a solar thermal receiver

    Science.gov (United States)

    Strumpf, H. J.; Kotchick, D. M.; Coombs, M. G.

    1982-01-01

    A study was performed by AiResearch Manufacturing Company, a division of The Garrett Corporation, on the development a high-temperature ceramic heat exchanger element to be integrated into a solar receiver producing heated air. A number of conceptual designs were developed for heat exchanger elements of differing configuration. These were evaluated with respect to thermal performance, pressure drop, structural integrity, and fabricability. The final design selection identified a finned ceramic shell as the most favorable concept. The shell is surrounded by a larger metallic shell. The flanges of the two shells are sealed to provide a leak-tight pressure vessel. The ceramic shell is to be fabricated by an innovative combination of slip casting the receiver walls and precision casting the heat transfer finned plates. The fins are bonded to the shell during firing. The unit is sized to produce 2150 F ar at 2.7 atm pressure, with a pressure drop of about 2 percent of the inlet pressure. This size is compatible with a solar collector providing a receiver input of 85 kw(th). Fabrication of a one-half scale demonstrator ceramic receiver has been completed.

  2. A high temperature ceramic heat exchanger element for a solar thermal receiver

    Science.gov (United States)

    Strumpf, H. J.; Kotchick, D. M.; Coombs, M. G.

    1982-01-01

    The development of a high-temperature ceramic heat exchanger element to be integrated into a solar receiver producing heated air was studied. A number of conceptual designs were developed for heat exchanger elements of differing configuration. These were evaluated with respect to thermal performance, pressure drop, structural integrity, and fabricability. The final design selection identified a finned ceramic shell as the most favorable concept. The shell is surrounded by a larger metallic shell. The flanges of the two shells are sealed to provide a leak-tight pressure vessel. The ceramic shell is to be fabricated by a innovative combination of slip casting the receiver walls and precision casting the heat transfer finned plates. The fins are bonded to the shell during firing. The unit is sized to produce 2150 F air at 2.7 atm pressure, with a pressure drop of about 2 percent of the inlet pressure. This size is compatible with a solar collector providing a receiver input of 85 kw(th). Fabrication of a one-half scale demonstrator ceramic receiver was completed.

  3. GNSS Signal Tracking Performance Improvement for Highly Dynamic Receivers by Gyroscopic Mounting Crystal Oscillator.

    Science.gov (United States)

    Abedi, Maryam; Jin, Tian; Sun, Kewen

    2015-08-31

    In this paper, the efficiency of the gyroscopic mounting method is studied for a highly dynamic GNSS receiver's reference oscillator for reducing signal loss. Analyses are performed separately in two phases, atmospheric and upper atmospheric flights. Results show that the proposed mounting reduces signal loss, especially in parts of the trajectory where its probability is the highest. This reduction effect appears especially for crystal oscillators with a low elevation angle g-sensitivity vector. The gyroscopic mounting influences frequency deviation or jitter caused by dynamic loads on replica carrier and affects the frequency locked loop (FLL) as the dominant tracking loop in highly dynamic GNSS receivers. In terms of steady-state load, the proposed mounting mostly reduces the frequency deviation below the one-sigma threshold of FLL (1σ(FLL)). The mounting method can also reduce the frequency jitter caused by sinusoidal vibrations and reduces the probability of signal loss in parts of the trajectory where the other error sources accompany this vibration load. In the case of random vibration, which is the main disturbance source of FLL, gyroscopic mounting is even able to suppress the disturbances greater than the three-sigma threshold of FLL (3σ(FLL)). In this way, signal tracking performance can be improved by the gyroscopic mounting method for highly dynamic GNSS receivers.

  4. [Estimates of trace elements requirements of children receiving total parenteral nutrition].

    Science.gov (United States)

    Ricour, C; Duhamel, J F; Gros, J; Mazière, B; Comar, D

    1977-01-01

    Ten children on total parenteral nutrition were studied. Plasma copper, zinc, manganese and selenium levels were determined by neutron activation and gamma spectrometry, every 10 days. With a copper intake of 20 microgram/kg/24 h, the average level 120 microgram% (94-144) was normal (N: 118 microgram +/- 11%). With a manganese intake of 40 microgram/kg/24 h, the level increased to 2.6 microgram% (1.3-4.5) (N: 1.1 microgram +/- 0.2%). With a zinc intake of 30 microgram/kg/24 h, the level decreased to 45.9 microgram % (20-63) (N: 83 microgram +/- 28%); with an intake of 50 microgram/kg/24 h the level remained under normal. With a selenium intake of 1 microgram/kg/24 h, the level decreased to 10.6 ng/ml (3.6-21.6) (N: 38.2 ng/ml +/- 11.9), but was normalized with an intake of 3 microgram/kg/24 h. From these results, with all reserves that estimation implies, the authors suggest that the disorders due to deficit or excess of trace elements could be avoided by daily intakes per kg of body weight: copper 20 microgram, zinc 100 microgram, manganese 10 microgram and selenium 3 microgram, with supplementation of iron, iodine and fluoride.

  5. Hybrid solar receiver as a source of high-temperature medium for an absorption chiller supply

    Science.gov (United States)

    Przenzak, Estera; Filipowicz, Mariusz

    2016-03-01

    This article discusses the problems related with the cold production, i.e. energy efficiency of the process. The idea of solar cooling systems has been presented as the solution of the problem of big electricity demand. The paper discusses the principle of the operation of absorption chillers. Disadvantages and advantages of the solar cooling systems were discussed. The installation for manufacturing high-temperature heat based on solar collectors and concentrator of solar radiation constructed in AGH in Cracow has been presented. This installation is a first stage of projected, complete solar cooling system. The special attention is paid to the dedicated solar high-temperature heat receiver as a most important element of the system. The achieved values of temperature, power and efficiency depending on the working medium flow has been presented and discussed. The intensity of solar radiation during the measurements has been taken into account. Two versions of heat receiver were investigated: non-insulated and insulated with mineral wool. The obtained efficiency of the heat receiver (less than 30%) is not satisfactory but possibility of improvements exist.

  6. Hybrid solar receiver as a source of high-temperature medium for an absorption chiller supply

    Directory of Open Access Journals (Sweden)

    Przenzak Estera

    2016-01-01

    Full Text Available This article discusses the problems related with the cold production, i.e. energy efficiency of the process. The idea of solar cooling systems has been presented as the solution of the problem of big electricity demand. The paper discusses the principle of the operation of absorption chillers. Disadvantages and advantages of the solar cooling systems were discussed. The installation for manufacturing high-temperature heat based on solar collectors and concentrator of solar radiation constructed in AGH in Cracow has been presented. This installation is a first stage of projected, complete solar cooling system. The special attention is paid to the dedicated solar high-temperature heat receiver as a most important element of the system. The achieved values of temperature, power and efficiency depending on the working medium flow has been presented and discussed. The intensity of solar radiation during the measurements has been taken into account. Two versions of heat receiver were investigated: non-insulated and insulated with mineral wool. The obtained efficiency of the heat receiver (less than 30% is not satisfactory but possibility of improvements exist.

  7. Power Supply Unit For Highly Demanding SAR Antenna Transmitter/Receiver Modules

    Science.gov (United States)

    Cantamessa, Marco; Calcaterra, Paolo; Galantini, Paolo; Schoenfeldt, Uwe; Scorzafava, Edmondo

    2011-10-01

    This paper describes how the specific requirements relevant to the Power Supply Unit (PSU) [or Tile Power Supply Unit - TPSU] for the Transmitter and Receiver (TR) modules of a Synthetic Aperture Radar (SAR) has been dealt with in different applications. The PSU is a multi output DC/DC converter providing the high power and low power supplies to the Transmitter and Receiver modules and the control logic, with a controlled switch on and switch off sequence. The PSU shall have to adapt to the SAR antenna structure and to cope with the severe constraints imposed by the application. The PSU characteristics in different X-band, C-band, L- band SAR applications, in particular as far as the conversion efficiency, the mass, size and power quality are concerned, are reported. In flight operation, qualification test results and development status are also addressed.

  8. High-temperature ceramic heat exchanger element for a solar thermal receiver

    Science.gov (United States)

    Strumpf, H. J.; Kotchick, D. M.; Coombs, M. G.

    1982-01-01

    A study has been completed on the development of a high-temperature ceramic heat exchanger element to be integrated into a solar reciver producing heated air. A number of conceptual designs were developed for heat exchanger elements of differing configuration. These were evaluated with respect to thermal performance, pressure drop, structural integrity, and fabricability. The final design selection identified a finned ceramic shell as the most favorable concept. The ceramic shell is surrounded by a larger metallic shell. The flanges of the two shells are sealed to provide a leak-tight pressure vessel. The ceramic shell is fabricated by an innovative combination of slip casting the receiver walls and precision casting the heat transfer finned plates. The fins are bonded to the shell during firing. Fabrication of a one-half scale demonstrator ceramic receiver has been completed.

  9. High Involvement Mothers of High Achieving Children: Potential Theoretical Explanations

    Science.gov (United States)

    Hunsaker, Scott L.

    2013-01-01

    In American society, parents who have high aspirations for the achievements of their children are often viewed by others in a negative light. Various pejoratives such as "pushy parent," "helicopter parent," "stage mother," and "soccer mom" are used in the common vernacular to describe these parents. Multiple…

  10. Terahertz oscillators and receivers using electron devices for high-capacity wireless communication

    Science.gov (United States)

    Suzuki, Safumi; Asada, Masahiro

    2015-05-01

    Recent progress in room-temperature resonant-tunneling-diode (RTD) terahertz (THz) oscillators and high-electron-mobility- transistor (HEMT) THz receivers is reported in this paper. In this study, oscillations up to 1.86 THz were obtained using an optimized antenna and RTD. Using a two-element oscillator array, high output power of 0.6 mW at 620 GHz was obtained. THz communication up to 3 Gbps was demonstrated. A structure for high-speed direct modulation was fabricated, and the intensity modulation up to 30 GHz was achieved. A novel oscillator structure was proposed and fabricated for extraction of output power without using a Si lens. A short-gate InGaAs HEMT detector integrated with a broadband bow-tie antenna was fabricated, and a high current sensitivity of ~5 A/W was obtained at 280 GHz.

  11. 30 CFR 75.704 - Grounding frames of stationary high-voltage equipment receiving power from ungrounded delta systems.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Grounding frames of stationary high-voltage...-UNDERGROUND COAL MINES Grounding § 75.704 Grounding frames of stationary high-voltage equipment receiving power from ungrounded delta systems. The frames of all stationary high-voltage equipment receiving...

  12. High exposures to radiation received by workers inside the Chernobyl sarcophagus

    Energy Technology Data Exchange (ETDEWEB)

    Sevan`kaev, A.V.; Moiseenko, V.V. [Medical Radiological Research Centre, Obninsk (Russian Federation); Lloyd, D.C.; Edwards, A.A. [National Radiological Protection Board, Chilton (United Kingdom)

    1995-09-01

    Data are presented from quartz fibre electrometer measurements and chromosomal aberration analyses for six men sampled from a group of about 15 subjects who, for several years, have undertaken a variety of tasks inside the sarcophagus that covers the ruined reactor at Chernobyl. Personal doses estimated by both methods are subject to a number of uncertainties and approximations which are discussed. Broad agreement between the physical and biological dosimetry methods was found indicating that very high, albeit fractionated and protracted, exposures have been received with approximate total doses ranging from 1-15 Gy. (author).

  13. Improved high temperature solar absorbers for use in Concentrating Solar Power central receiver applications.

    Energy Technology Data Exchange (ETDEWEB)

    Stechel, Ellen Beth; Ambrosini, Andrea; Hall, Aaron Christopher; Lambert, Timothy L.; Staiger, Chad Lynn; Bencomo, Marlene

    2010-09-01

    Concentrating solar power (CSP) systems use solar absorbers to convert the heat from sunlight to electric power. Increased operating temperatures are necessary to lower the cost of solar-generated electricity by improving efficiencies and reducing thermal energy storage costs. Durable new materials are needed to cope with operating temperatures >600 C. The current coating technology (Pyromark High Temperature paint) has a solar absorptance in excess of 0.95 but a thermal emittance greater than 0.8, which results in large thermal losses at high temperatures. In addition, because solar receivers operate in air, these coatings have long term stability issues that add to the operating costs of CSP facilities. Ideal absorbers must have high solar absorptance (>0.95) and low thermal emittance (<0.05) in the IR region, be stable in air, and be low-cost and readily manufacturable. We propose to utilize solution-based synthesis techniques to prepare intrinsic absorbers for use in central receiver applications.

  14. A high temperature superconductor tape RF receiver coil for a low field magnetic resonance imaging system

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, M C; Yan, B P; Lee, K H; Ma, Q Y; Yang, E S [Jockey Club MRI Centre, University of Hong Kong, Hong Kong (China)

    2005-08-01

    High temperature superconductor (HTS) thin films have been applied in making a low loss RF receiver coil for improving magnetic resonance imaging image quality. However, the application of these coils is severely limited by their limited field of view (FOV). Stringent fabrication environment requirements and high cost are further limitations. In this paper, we propose a simpler method for designing and fabricating HTS coils. Using industrial silver alloy sheathed Bi{sub (2-x)}Pb{sub x}Sr{sub 2}Ca{sub 2}Cu{sub 3}O{sub 10} (Bi-2223) HTS tapes, a five-inch single-turn HTS solenoid coil has been developed, and human wrist images have been acquired with this coil. The HTS tape coil has demonstrated an enhanced FOV over a six-inch YBCO thin film surface coil at 77 K with comparable signal-to-noise ratio.

  15. 30 CFR 77.703 - Grounding frames of stationary high-voltage equipment receiving power from ungrounded delta systems.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Grounding frames of stationary high-voltage equipment receiving power from ungrounded delta systems. 77.703 Section 77.703 Mineral Resources MINE SAFETY... stationary high-voltage equipment receiving power from ungrounded delta systems. The frames of all...

  16. Performance and durability of high emittance heat receiver surfaces for solar dynamic power systems

    Science.gov (United States)

    Degroh, Kim K.; Roig, David M.; Burke, Christopher A.; Shah, Dilipkumar R.

    1994-01-01

    Haynes 188, a cobalt-based superalloy, will be used to make thermal energy storage (TES) containment canisters for a 2 kW solar dynamic ground test demonstrator (SD GTD). Haynes 188 containment canisters with a high thermal emittance (epsilon) are desired for radiating heat away from local hot spots, improving the heating distribution, which will in turn improve canister service life. In addition to needing a high emittance, the surface needs to be durable in an elevated temperature, high vacuum environment for an extended time period. Thirty-five Haynes 188 samples were exposed to 14 different types of surface modification techniques for emittance and vacuum heat treatment (VHT) durability enhancement evaluation. Optical properties were obtained for the modified surfaces. Emittance enhanced samples were exposed to VHT for up to 2692 hours at 827 C and less than or equal to 10(exp -6) torr with integral thermal cycling. Optical properties were taken intermittently during exposure, and after final VHT exposure. The various surface modification treatments increased the emittance of pristine Haynes 188 from 0.11 up to 0.86. Seven different surface modification techniques were found to provide surfaces which met the SD GTD receiver VHT durability requirement. Of the 7 surface treatments, 2 were found to display excellent VHT durability: an alumina based (AB) coating and a zirconia based coating. The alumina based coating was chosen for the epsilon enhancement surface modification technique for the SD GTD receiver. Details of the performance and vacuum heat treatment durability of this coating and other Haynes 188 emittance surface modification techniques are discussed. Technology from this program will lead to successful demonstration of solar dynamic power for space applications, and has potential for application in other systems requiring high emittance surfaces.

  17. A differential low-voltage high gain current-mode integrated RF receiver front-end

    Energy Technology Data Exchange (ETDEWEB)

    Wang Chunhua; Ma Minglin; Sun Jingru; Du Sichun; Guo Xiaorong; He Haizhen, E-mail: wch1227164@sina.com [School of Information Science and Technology, Hunan University, Changsha 410082 (China)

    2011-02-15

    A differential low-voltage high gain current-mode integrated RF front end for an 802.11b WLAN is proposed. It contains a differential transconductance low noise amplifier (G{sub m}-LNA) and a differential current-mode down converted mixer. The single terminal of the G{sub m}-LNA contains just one MOS transistor, two capacitors and two inductors. The gate-source shunt capacitors, C{sub x1} and C{sub x2}, can not only reduce the effects of gate-source C{sub gs} on resonance frequency and input-matching impedance, but they also enable the gate inductance L{sub g1,2} to be selected at a very small value. The current-mode mixer is composed of four switched current mirrors. Adjusting the ratio of the drain channel sizes of the switched current mirrors can increase the gain of the mixer and accordingly increase the gain of RF receiver front-end. The RF front-end operates under 1 V supply voltage. The receiver RFIC was fabricated using a chartered 0.18 {mu}m CMOS process. The integrated RF receiver front-end has a measured power conversion gain of 17.48 dB and an input referred third-order intercept point (IIP3) of -7.02 dBm. The total noise figure is 4.5 dB and the power is only 14 mW by post-simulations. (semiconductor integrated circuits)

  18. Receiver Jitter Tracking Characteristics in High-Speed Source Synchronous Links

    Directory of Open Access Journals (Sweden)

    Ahmed Ragab

    2011-01-01

    Full Text Available High-speed links which employ source synchronous clocking architectures have the ability to track correlated jitter between clock and data channels up to high frequencies. However, system timing margins are degraded by channel skew between clock and data signals and high-frequency loss. This paper describes how these key channel effects impact the jitter performance and influence the clocking architecture of high-speed source synchronous links. Tradeoffs in complexity and jitter tracking performance of common per-channel de-skew circuits are discussed, along with how band-pass filtering can be leveraged to provide additional jitter filtering at the receiver. Jitter tolerance analysis for a 10 Gb/s system shows that a near all-pass delay-locked loop (DLL and phase-interpolator- (PI- based de-skew performs best under low skew conditions, while, at high skew, architectures which leverage band-pass clock filtering or a phase-locked loop (PLL for increased jitter filtering are more suitable. De-skew based on injection-locked oscillators (ILOs offer a reduced complexity design and competitive jitter tolerance over a wide skew range.

  19. Partially neutralizing potency against emerging genotype I virus among children received formalin-inactivated Japanese encephalitis virus vaccine.

    Directory of Open Access Journals (Sweden)

    Yi-Chin Fan

    Full Text Available BACKGROUND: Genotype I (GI Japanese encephalitis virus (JEV that replaced GIII virus has become the dominant circulating virus in Asia. Currently, all registered live and inactivated JEV vaccines are derived from genotype III viruses. In Taiwan, the compulsory JEV vaccination policy recommends that children receives four doses of formalin-inactivated Nakayama (GIII JEV vaccine. METHODOLOGY/PRINCIPAL FINDINGS: To evaluate the influence of genotype replacement on the post-vaccination viral neutralizing ability by GIII and GI viruses, the small panel of vaccinated-children serum specimens was assembled, and the reciprocal 50% plaque-reduction neutralizing antibody titers (PRNT(50 were measured against Nakayama vaccine strain, CJN GIII human brain isolate and TC2009-1 GI mosquito isolate. The seropositivity rate (PRNT(50 ≥ 1:10 and geometric mean titers (GMT against the TC2009-1 virus were the lowest among the three viruses. The protective threshold against the CJN and TC2009-1 viruses could only be achieved when the GMT against Nakayama virus was ≥ 1:20 or ≥ 1:80, respectively. Using undiluted vaccinees' sera, the enhancement of JEV infection in K562 cells was observed in some low or non-neutralizing serum specimens. CONCLUSIONS/SIGNIFICANCE: Our preliminary study has shown that neutralizing antibodies, elicited by the mouse brain-derived and formalin-inactivated JEV Nakayama vaccine among a limited number of vaccinees, have reduced neutralizing capacity against circulating GI virus, but more detailed studies are needed to address the potential impact on the future vaccine policy.

  20. High performance felt-metal-wick heat pipe for solar receivers

    Science.gov (United States)

    Andraka, Charles E.; Moss, Timothy A.; Baturkin, Volodymyr; Zaripov, Vladlen; Nishchyk, Oleksandr

    2016-05-01

    Sodium heat pipes have been identified as a potentially effective heat transport approach for CSP systems that require near-isothermal input to power cycles or storage, such as dish Stirling and highly recuperated reheat-cycle supercritical CO2 turbines. Heat pipes offer high heat flux capabilities, leading to small receivers, as well as low exergetic losses through isothermal coupling with the engine. Sandia developed a felt metal wick approach in the 1990's, and demonstrated very high performance1. However, multiple durability issues arose, primarily the structural collapse of the wick at temperature over short time periods. NTUU developed several methods of improving robustness of the wick2, but the resulting wick had limited performance capabilities. For application to CSP systems, the wick structures must retain high heat pipe performance with robustness for long term operation. In this paper we present our findings in developing an optimal balance between performance and ruggedness, including operation of a laboratory-scale heat pipe for over 5500 hours so far. Application of heat pipes to dish-Stirling systems has been shown to increase performance as much as 20%3, and application to supercritical CO2 systems has been proposed.

  1. High accuracy alignment facility for the receiver and transmitter of the BepiColombo Laser Altimeter.

    Science.gov (United States)

    Chakraborty, Sumita; Affolter, Michael; Gunderson, Kurt; Neubert, Jakob; Thomas, Nicolas; Beck, Thomas; Gerber, Michael; Graf, Stefan; Piazza, Daniele; Pommerol, Antoine; Roethlisberger, Guillaume; Seiferlin, Karsten

    2012-07-10

    The accurate co-alignment of the transmitter to the receiver of the BepiColombo Laser Altimeter is a challenging task for which an original alignment concept had to be developed. We present here the design, construction and testing of a large collimator facility built to fulfill the tight alignment requirements. We describe in detail the solution found to attenuate the high energy of the instrument laser transmitter by an original beam splitting pentaprism group. We list the different steps of the calibration of the alignment facility and estimate the errors made at each of these steps. We finally prove that the current facility is ready for the alignment of the flight instrument. Its angular accuracy is 23 μrad. PMID:22781273

  2. High fetal irradiation: about one pregnant woman receiving infra diaphragmatic radiotherapy for Hodgkin lymphoma

    International Nuclear Information System (INIS)

    We report the case of a 19-year-old young woman for whom was discovered a pregnancy at the end of the irradiation for a Hodgkin lymphoma (stage IV bone Bb), initially treated by chemotherapy. The radiotherapy delivered 36 Gy in infra-diaphragmatic volumes (lumbo-aortic, spleen, L5), beginning in a pregnant patient for less than 4 amenorrhea weeks. The calculated received fetal dose (literature data, measurement with software T.P.S., measurement on phantom) is high: it's between 2.8 and 5 Gy. With a current follow-up of 4 years since the radiotherapy's end, the patient is in complete remission and her child presents with a normal development for the age, in spite of the infra diaphragmatic irradiation. (authors)

  3. Tri-Lateral Noor al Salaam High Concentration Solar Central Receiver Program

    Energy Technology Data Exchange (ETDEWEB)

    Blackmon, James B

    2008-03-31

    This report documents the efforts conducted primarily under the Noor al Salaam (“Light of Peace”) program under DOE GRANT NUMBER DE-FC36-02GO12030, together with relevant technical results from a closely related technology development effort, the U.S./Israel Science and Technology Foundation (USISTF) High Concentration Solar Central Receiver program. These efforts involved preliminary design, development, and test of selected prototype power production subsystems and documentation of an initial version of the system definition for a high concentration solar hybrid/gas electrical power plant to be built in Zaafarana, Egypt as a first step in planned commercialization. A major part of the planned work was halted in 2007 with an amendment in October 2007 requiring that we complete the technical effort by December 31, 2007 and provide a final report to DOE within the following 90 days. This document summarizes the work conducted. The USISTF program was a 50/50 cost-shared program supported by the Department of Commerce through the U.S./Israel Science and Technology Commission (USISTC). The USISTC was cooperatively developed by President Clinton and the late Prime Minister Rabin of Israel "to encourage technological collaboration" and "support peace in the Middle East through economic development". The program was conducted as a follow-on effort to Israel's Magnet/CONSOLAR Program, which was an advanced development effort to design, fabricate, and test a solar central receiver and secondary optics for a "beam down" central receiver concept. The status of these hardware development programs is reviewed, since they form the basis for the Noor al Salaam program. Descriptions are provided of the integrated system and the major subsystems, including the heliostat, the high temperature air receiver, the power conversion unit, tower and tower reflector, compound parabolic concentrator, and the master control system. One objective of the USISTF program was to conduct

  4. High Bandwidth, Multi-Purpose Passive Radar Receiver Design For Aerospace and Geoscience Targets

    Science.gov (United States)

    Vertatschitsch, Laura

    Passive radar permits inexpensive and stealthy detection and tracking of aerospace and geoscience targets. Transmitters of opportunity such as commercial FM broadcast, DTV broadcast, and cell phone towers are already illuminating many populated areas with continuous power. Passive radar receivers can be located at a distance from the transmitter, and can sense this direct transmission as well as any reflections from ground clutter, aircraft, ionospheric turbulence and meteor trails. The 100% duty cycle allows for long coherent integration, increasing the sensitivity of these instruments greatly. Traditional radar receivers employ analog front end downconverters to translate the radio frequency spectrum to an intermediate frequency (IF) for sampling and signal processing. Such downconverters limit the spectrum available for study, and can introduce nonlinearities which limit the detectability of weak signals in the presence of strong signals. With suitably fast digitizers one can bypass the downconversion stage completely. Very fast digitizers may have relatively few bits, but precision is recovered in subsequent signal processing. We present a new passive radar receiver designed to utilize a broad spectrum of commercial transmitters without the use of a front end analog downconverter. The receiver centers around a Reconfigurable Open Architecture Computing Hardware (ROACH) board developed by the Collaboration for Astronomy Signal Processing and Electronics Research (CASPER) group. Fast sampling rates (8-bit samples as fast as 3 GSps) combined with 640 multiply/addition operations on the Virtex-5 FPGA centered on the ROACH allows for coherent processing of broad spectrum and dynamic decision-making on one device all while sharing a single front end, putting this device on the cutting edge of wideband receiver technology. The radar is also designed to support mobile operation. It fits within a 19'' rack, it is equipped with solid state hard drives, and can run off an

  5. Caregiver perceptions and motivation for disclosing or concealing the diagnosis of HIV infection to children receiving HIV care in Mbarara, Uganda: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Julius Kiwanuka

    Full Text Available BACKGROUND: Disclosure of the diagnosis of HIV to HIV-infected children is challenging for caregivers. Despite current recommendations, data suggest that levels of disclosure of HIV status to HIV-infected children receiving care in resource-limited settings are very low. Few studies describe the disclosure process for children in these settings, particularly the motivators, antecedent goals, and immediate outcomes of disclosure to HIV-infected children. This study examined caregivers' perception of the disclosure concept prior to disclosure, their motivation towards or away from disclosure, and their short- and long-term intentions for disclosure to their HIV-infected children. METHODS: In-depth interviews were conducted with primary caregivers of 40 HIV-infected children (ages 5-15 years who were receiving HIV care but did not know their HIV status. RESULTS: Caregivers of HIV-infected children mainly perceived disclosure as a single event rather than a process of gradual delivery of information about the child's illness. They viewed disclosure as potentially beneficial both to children and themselves, as well as an opportunity to explain the parents' role in the transmission of HIV to the children. Caregivers desired to personally conduct the disclosure; however, most reported being over-whelmed with fear of negative outcomes and revealed a lack of self-efficacy towards managing the disclosure process. Consequently, most cope by deception to avoid or delay disclosure until they perceive their own readiness to disclose. CONCLUSIONS: Interventions for HIV disclosure should consider that caregivers may desire to be directly responsible for disclosure to children under their care. They, however, need to be empowered with practical skills to recognize opportunities to initiate the disclosure process early, as well as supported to manage it in a phased, developmentally appropriate manner. The potential role for peer counselors in the disclosure

  6. Benzodiazepine prescribing in children under 15 years of age receiving free medical care on the General Medical Services scheme in Ireland.

    LENUS (Irish Health Repository)

    O'Sullivan, K

    2015-06-01

    To examine the prevalence and secular trends in benzodiazepine (BZD) prescribing in the Irish paediatric population. In addition, we examine coprescribing of antiepileptic, antipsychotic, antidepressant and psychostimulants in children receiving BZD drugs and compare BZD prescribing in Ireland to that in other European countries.

  7. Effects of Cross-Language Transfer on First-Language Phonological Awareness and Literacy Skills in Chinese Children Receiving English Instruction

    Science.gov (United States)

    Chen, Xi; Xu, Fen; Nguyen, Thien-Kim; Hong, Guanglei; Wang, Yun

    2010-01-01

    The present investigation consists of two studies examining the effects of cross-language transfer on the development of phonological awareness and literacy skills among Chinese children who received different amounts of English instruction. Study 1 compared Chinese students in regular English programs (92 first graders and 93 third graders) with…

  8. RECEIVING OF COMPOSITION OF THE RELEASE COATINGS BASED ON HIGH-MOLECULAR COMPOUNDS FOR MOLDING OF ALUMINUM ALLOYS UNDER PRESSURE

    Directory of Open Access Journals (Sweden)

    A. A. Pivovarchik

    2014-01-01

    Full Text Available The results of researches on determination of optimal technological parameters of the emulsions preparation, enabling to receive composition of separating covering with high sediment stability, are given.

  9. Placental malaria among HIV-infected and uninfected women receiving anti-folates in a high transmission area of Uganda

    Directory of Open Access Journals (Sweden)

    Dorsey Grant

    2009-11-01

    Full Text Available Abstract Background HIV infection increases the risk of placental malaria, which is associated with poor maternal and infant outcomes. Recommendations in Uganda are for HIV-infected pregnant women to receive daily trimethoprim-sulphamethoxazole (TS and HIV-uninfected women to receive intermittent sulphadoxine-pyrimethamine (SP. TS decreases the risk of malaria in HIV-infected adults and children but has not been evaluated among pregnant women. Methods This was a cross sectional study comparing the prevalence of placental malaria between HIV-infected women prescribed TS and HIV-uninfected women prescribed intermittent preventive therapy with sulphadoxine-pyrimethamine (IPT-SP in a high malaria transmission area in Uganda. Placental blood was evaluated for malaria using smear and PCR. Results Placentas were obtained from 150 HIV-infected women on TS and 336 HIV-uninfected women on IPT-SP. The proportion of HIV-infected and HIV-uninfected women with placental malaria was 19% vs. 26% for those positive by PCR and 6% vs. 9% for those positive by smear, respectively. Among all infants, smear+ placental malaria was most predictive of low birth weight (LBW. Primigravidae were at higher risk than multigravidae of having placental malaria among HIV-uninfected, but not HIV-infected, women. Adjusting for gravidity, age, and season at the time of delivery, HIV-infected women on TS were not at increased risk for placental malaria compared to HIV-uninfected women on IPT-SP, regardless of the definition used. Conclusion Prevalence of placental malaria was similar in HIV-infected women on TS and HIV-uninfected women on IPT-SP. Nonetheless, while nearly all of the women in this study were prescribed anti-folates, the overall risk of placental malaria and LBW was unacceptably high. The population attributable risk of placental malaria on LBW was substantial, suggesting that future interventions that further diminish the risk of placental malaria may have a

  10. High-temperature thermal storage systems for advanced solar receivers materials selections

    Science.gov (United States)

    Wilson, D. F.; Devan, J. H.; Howell, M.

    1990-01-01

    Advanced space power systems that use solar energy and Brayton or Stirling heat engines require thermal energy storage (TES) systems to operate continuously through periods of shade. The receiver storage units, key elements in both Brayton and Stirling systems, are designed to use the latent heat of fusion of phase-change materials (PCMs). The power systems under current consideration for near-future National Aeronautics and Space Administration space missions require working fluid temperatures in the 1100 to 1400 K range. The PCMs under current investigation that gave liquid temperatures within this range are the fluoride family of salts. However, these salts have low thermal conductivity, which causes large temperature gradients in the storage systems. Improvements can be obtained, however, with the use of thermal conductivity enhancements or metallic PCMs. In fact, if suitable containment materials can be found, the use of metallic PCMs would virtually eliminate the orbit associated temperature variations in TES systems. The high thermal conductivity and generally low volume change on melting of germanium and alloys based on silicon make them attractive for storage of thermal energy in space power systems. An approach to solving the containment problem, involving both chemical and physical compatibility, preparation of NiSi/NiSi2, and initial results for containment of germanium and NiSi/NiSi2, are presented.

  11. High Dynamic Range RF Front End with Noise Cancellation and Linearization for WiMAX Receivers

    Directory of Open Access Journals (Sweden)

    J.-M. Wu

    2012-06-01

    Full Text Available This research deals with verification of the high dynamic range for a heterodyne radio frequency (RF front end. A 2.6 GHz RF front end is designed and implemented in a hybrid microwave integrated circuit (HMIC for worldwide interoperability for microwave access (WiMAX receivers. The heterodyne RF front end consists of a low-noise amplifier (LNA with noise cancellation, an RF bandpass filter (BPF, a downconverter with linearization, and an intermediate frequency (IF BPF. A noise canceling technique used in the low-noise amplifier eliminates a thermal noise and then reduces the noise figure (NF of the RF front end by 0.9 dB. Use of a downconverter with diode linearizer also compensates for gain compression, which increases the input-referred third-order intercept point (IIP3 of the RF front end by 4.3 dB. The proposed method substantially increases the spurious-free dynamic range (DRf of the RF front end by 3.5 dB.

  12. Crustal structure of the Eastern Sierras Pampeanas of Argentina using high frequency local receiver functions

    Science.gov (United States)

    Perarnau, Marcelo; Gilbert, Hersh; Alvarado, Patricia; Martino, Roberto; Anderson, Megan

    2012-12-01

    The Eastern Sierras Pampeanas are basement cored outcrops uplifted in the Andean foreland where the easternmost segment of the Pampean flat slab segment starts dipping more steeply into the deeper mantle. These ranges of central Argentina known as the Sierras de Córdoba have an enriched-quartz composition and are bounded by a series of reverse faults. Different models have been suggested to represent the style of the thick-skinned deformation in this area. However the overall structure linking the exposed faults and terrane boundaries with their probable continuation at depth is unknown. In this paper we present images of the crustal structure beneath the Sierras de Córdoba using the common conversion point stacking method of high frequency local receiver functions recorded by the ESP broadband seismic array. The work consists of two transects located around 31°S and 32°S across the Sierras de Córdoba. The results show a consistent sharp Moho signal associated with a high contrast in seismic velocities in good agreement with the granitic character of the crust lying above the mafic upper mantle. The Moho morphology varies exhibiting thicknesses of 38 km in the west to 35 km in the east with a vertical shifting under the Sierra Chica. We relate this variable character to the presence of the boundary between the Pampia terrane and the Rio de La Plata craton. Our results for the intra-crustal structure indicate the presence of three discontinuities in the northern transect and at least two discontinuities in the southern transect. These discontinuities appear vertically displaced beneath the surface traces of the major range bounding faults providing evidence for the continuation to mid-crustal depths of the exposed reverse faults. Thus, the reverse faults seem to have displaced several horizontal intra-crustal interfaces. Finally in the lower crust we found a region which seems to be aseismic.

  13. An assessment of the dose received by children from CT examinations along with the quality control parameters from a conventional CT system

    International Nuclear Information System (INIS)

    In 2000, the UNSCEAR reported that CT constitutes 5% of all the medical x-ray examinations and it contributes 34% of the resultant collective dose worldwide. Children are more sensitive to the ionizing radiations than adults. So, routine quality control tests are expected to be carried out periodically on the CT scanners. The aim of this research was to estimate the effective doses received by the children below two years of age from routine CT examinations carried out at an educational imaging center in Tehran. It was also aimed to evaluate the quality control parameters of the mentioned CT scanner at the same time. Materials and Methods: In this study, the Computed Tomography Dose Index were measured at the central axis of the CT gantry in air and in the standard quality control phantoms of the head and body (as recommended by the FDA) using a pencil ionization chamber and LiF TLD pellets for a single scan. By using the measured Computed Tomography Dose Index values and the IrnPACT software, the effective doses were calculated for every routine CT examination protocol. In this study, the quality control parameters such as noise, CT number calibration, high and low contrast resolution and the flatness of the CT image were also evaluated. These parameters were also measured using standard procedures and test objects. Results: The effective dose estimated in this research ranged from 2.05 to 21.45 and 2.05 to 15.7 mSv for the female and male children, respectively. The measured values of the Computed Tomography Dose Index in the standard head and body phantoms were 20.6) 2.01 and 11.13 f 1.04 mGy1100 mAs, respectively. The high and low contrast resolution was estimated to be 0.8 mm and 1.0 rnm, respectively. Conclusion: The estimated values of the effective doses in this research were less than the values reported for the Netherlands, the USA, Germany and were comparable with the values reported in the UK. The measured Computed Tomography Dose Index values were 11

  14. High Fat Intakes Are Unhealthy But Do Children Know?

    Science.gov (United States)

    Sherratt, Emma

    1996-01-01

    A British survey of dietary awareness and food preferences received 7,825 replies from 9,600 children in years 7 and 10. Although aware of the link between fat consumption and heart disease, many lacked knowledge about the fat content of foods and ways to make healthy lifestyle choices. (SK)

  15. Children who received PCV-10 vaccine from a two-dose vial without preservative are not more likely to develop injection site abscess compared with those who received pentavalent (DPT-HepB-Hib vaccine: a longitudinal multi-site study.

    Directory of Open Access Journals (Sweden)

    Yemane Berhane

    Full Text Available BACKGROUND: The single dose pneumonia ten-valent vaccine has been widely used and is highly efficacious against selected strains Streptococcus pneumonia. A two-dose vial without preservative is being introduced in developing countries to reduce the cost of the vaccine. In routine settings improper immunization practice could result in microbial contamination leading to adverse events following immunization. OBJECTIVE: To monitor adverse events following immunization recommended for routine administration during infancy by comparing the rate of injection-site abscess between children who received PCV-10 vaccine and children who received the Pentavalent (DPT-HepB-Hib vaccine. METHODS: A longitudinal population-based multi-site observational study was conducted between September 2011 and October 2012. The study was conducted in four existing Health and Demographic Surveillance sites run by public universities of Abraminch, Haramaya, Gondar and Mekelle. Adverse events following Immunization were monitored by trained data collectors. Children were identified at the time of vaccination and followed at home at 48 hour and 7 day following immunization. Incidence of abscess and relative risk with the corresponding 95% Confidence Intervals were calculated to examine the risk difference in the comparison groups. RESULTS: A total of 55, 268 PCV and 37, 480 Pentavalent (DPT-HepB-Hib vaccinations were observed. A total of 19 adverse events following immunization, 10 abscesses and 9 deaths, were observed during the one year study period. The risk of developing abscess was not statistically different between children who received PCV-10 vaccine and those received Pentavalent (RR = 2.7, 95% CI 0.576-12.770, and between children who received the first aliquot of PCV and those received the second aliquot of PCV (RR = 1.72, 95% CI 0.485-6.091. CONCLUSION: No significant increase in the risk of injection site abscess was observed between the injection sites of PCV

  16. Message-Passing Receiver for OFDM Systems over Highly Delay-Dispersive Channels

    DEFF Research Database (Denmark)

    Barbu, Oana-Elena; Manchón, Carles Navarro; Rom, Christian;

    2016-01-01

    severely limits its equalization and detection capabilities. As a result, the bit-error-rate performance is drastically impaired. In this paper, we propose a receiver algorithm designed to cope with the interference resulting in these channel conditions. The algorithm works with blocks of received OFDM...... symbols. It implements a variational Bayesian inference method that combines the mean-field approximation for soft channel estimation, noise estimation and equalization, and belief propagation for soft detection and decoding. To exploit the property of the channel impulse response to be sparse, i...... algorithm performs better than receivers applying traditional interference cancellation and pilot-based schemes, and approaches the performance of an ideal receiver with full channel state information and perfect interference cancellation capabilities....

  17. Thermogravimetric Study of Oxidation-Resistant Alloys for High-Temperature Solar Receivers

    Science.gov (United States)

    Olivares, Rene I.; Stein, Wes; Marvig, Paul

    2013-12-01

    Three special alloys likely to be suitable for high-temperature solar receivers were studied for their resistance to oxidation up to a temperature of 1050°C in dry atmospheres of CO2 and air. The alloys were Haynes HR160, Hastelloy X, and Haynes 230, all nickel-based alloys with greater than 20% chromium content. The oxidation rate of specimens cut from sample master alloys was followed by thermogravimetry by continuously monitoring the weight change with a microbalance for a test duration of 10 h. The corrosion resistance was deduced from the total weight increase of the specimens and the morphology of the oxide scale. The surface oxide layer formed (scale) was characterized by scanning electron microscopy and energy dispersive x-ray spectroscopy and in all cases was found to be chromia. Oxidation was analyzed by means of parabolic rate law, albeit in some instances linear breakaway corrosion was also observed. For the temperature range investigated, all alloys corroded more in CO2 than in air due to the formation of a stronger and more protective oxide scale in the presence of air. At 1000°C, the most resistant alloy to corrosion in CO2 was Haynes 230. Alloy Haynes HR160 was the most oxidized alloy at 1000°C in both CO2 and air. Hastelloy X oxidized to a similar extent in CO2 at both 900°C and 1000°C, but in air, it resisted oxidation better at 1000°C than either at 900°C or 1000°C.

  18. Hypercholesterolemia is associated with the apolipoprotein C-III (APOC3 genotype in children receiving HAART: an eight-year retrospective study.

    Directory of Open Access Journals (Sweden)

    Carlos A Rocco

    Full Text Available Polymorphisms in apolipoprotein genes have shown to be predictors of plasma lipid levels in adult cohorts receiving highly active antiretroviral therapy (HAART. Our objective was to confirm the association between the APOC3 genotype and plasma lipid levels in an HIV-1-infected pediatric cohort exposed to HAART. A total of 130 HIV-1-infected children/adolescents that attended a reference center in Argentina were selected for an 8-year longitudinal study with retrospective data collection. Longitudinal measurements of plasma triglycerides, total cholesterol, HDL-C and LDL-C were analyzed under linear or generalized linear mixed models. The contribution of the APOC3 genotype at sites -482, -455 and 3238 to plasma lipid levels prediction was tested after adjusting for potential confounders. Four major APOC3 haplotypes were observed for sites -482/-455/3238, with estimated frequencies of 0.60 (C/T/C, 0.14 (T/C/C, 0.11 (C/C/C, and 0.11 (T/C/G. The APOC3 genotype showed a significant effect only for the prediction of total cholesterol levels (p<0.0001. However, the magnitude of the differences observed was dependent on the drug combination (p = 0.0007 and the drug exposure duration at the time of the plasma lipid measurement (p = 0.0002. A lower risk of hypercholesterolemia was predicted for double and triple heterozygous individuals, mainly at the first few months after the initiation of Ritonavir-boosted protease inhibitor-based regimens. We report for the first time a significant contribution of the genotype to total cholesterol levels in a pediatric cohort under HAART. The genetic determination of APOC3 might have an impact on a large portion of HIV-1-infected children at the time of choosing the treatment regimens or on the counter-measures against the adverse effects of drugs.

  19. Experimental evaluation of a non-isothermal high temperature solar particle receiver

    International Nuclear Information System (INIS)

    The experimental evaluation of a solar particle receiver is reported. Concentrated irradiation was converted into thermal energy in a gas flow by a cloud of radiation absorbing sub-micrometre carbon particles. Average solar concentration was 2500 on an 80 mm diameter aperture. Cloud particle mass fractions were in the range of 0.2-0.5%. Exit gas temperatures exceeding 2100 K were measured with nitrogen, 1900 K with CO2, and 2000 K with air, which is 1000 K higher than previously reported using a particle receiver. The air heating tests reveal that the particle/gas heat transfer exceeded the oxygen/carbon oxidation rate up to 2000 K. A carbon particle mass fraction of less than 0.5% in the gas stream ensures that the heated air contains only a negligible amount of CO2 and NOx. The axial receiver cavity wall temperature increased with distance from the aperture, peaking at 60% of the total cavity length, and then slightly decreasing towards the exit plane. At steady conditions, the wall temperatures in the gas exit plane were at least 100 K cooler than the gas's, alleviating structural constraints associated with conventional volumetric receivers. Estimated radiation to thermal energy conversion efficiencies surpassed 80% at the highest mass flow rates. The receiver accumulated over 12 net hours at temperatures above 1700 K without any major failures

  20. Iodine status of young Burkinabe children receiving small-quantity lipid-based nutrient supplements and iodised salt: a cluster-randomised trial.

    Science.gov (United States)

    Hess, Sonja Y; Abbeddou, Souheila; Yakes Jimenez, Elizabeth; Ouédraogo, Jean-Bosco; Brown, Kenneth H

    2015-12-14

    The objective of the present study was to assess the impact of providing small-quantity lipid-based nutrient supplements (SQ-LNS) on the I status of young Burkinabe children. In total, thirty-four communities were assigned to intervention (IC) or non-intervention cohorts (NIC). IC children were randomly assigned to receive 20 g lipid-based nutrient supplements (LNS)/d containing 90 µg I with 0 or 10 mg Zn from 9 to 18 months of age, and NIC children received no SQ-LNS. All the children were exposed to iodised salt through the national salt iodization programme. Spot urinary iodine (UI), thyroid-stimulating hormone (TSH) and total thyroxine (T4) in dried blood spots as well as plasma thyroglobulin (Tg) concentrations were assessed at 9 and 18 months of age among 123 IC and fifty-six NIC children. At baseline and at 18 months, UI, TSH and T4 did not differ between cohorts. Tg concentration was higher in the NIC v. IC at baseline, but this difference did not persist at 18 months of age. In both cohorts combined, the geometric mean of UI was 339·2 (95% CI 298·6, 385·2) µg/l, TSH 0·8 (95% CI 0·7, 0·8) mU/l, T4 118 (95 % CI 114, 122) nmol/l and Tg 26·0 (95% CI 24·3, 27·7) µg/l at 18 months of age. None of the children had elevated TSH at 18 months of age. Marginally more children in NIC (8·9%) had low T4 (15 ppm). A reduction of SQ-LNS I content could be considered in settings with similarly successful salt iodisation programmes.

  1. Iodine status of young Burkinabe children receiving small-quantity lipid-based nutrient supplements and iodised salt: a cluster-randomised trial.

    Science.gov (United States)

    Hess, Sonja Y; Abbeddou, Souheila; Yakes Jimenez, Elizabeth; Ouédraogo, Jean-Bosco; Brown, Kenneth H

    2015-12-14

    The objective of the present study was to assess the impact of providing small-quantity lipid-based nutrient supplements (SQ-LNS) on the I status of young Burkinabe children. In total, thirty-four communities were assigned to intervention (IC) or non-intervention cohorts (NIC). IC children were randomly assigned to receive 20 g lipid-based nutrient supplements (LNS)/d containing 90 µg I with 0 or 10 mg Zn from 9 to 18 months of age, and NIC children received no SQ-LNS. All the children were exposed to iodised salt through the national salt iodization programme. Spot urinary iodine (UI), thyroid-stimulating hormone (TSH) and total thyroxine (T4) in dried blood spots as well as plasma thyroglobulin (Tg) concentrations were assessed at 9 and 18 months of age among 123 IC and fifty-six NIC children. At baseline and at 18 months, UI, TSH and T4 did not differ between cohorts. Tg concentration was higher in the NIC v. IC at baseline, but this difference did not persist at 18 months of age. In both cohorts combined, the geometric mean of UI was 339·2 (95% CI 298·6, 385·2) µg/l, TSH 0·8 (95% CI 0·7, 0·8) mU/l, T4 118 (95 % CI 114, 122) nmol/l and Tg 26·0 (95% CI 24·3, 27·7) µg/l at 18 months of age. None of the children had elevated TSH at 18 months of age. Marginally more children in NIC (8·9%) had low T4 (15 ppm). A reduction of SQ-LNS I content could be considered in settings with similarly successful salt iodisation programmes. PMID:26411504

  2. Ultra-wideband wireless receiver front-end for high-speed indoor applications

    Directory of Open Access Journals (Sweden)

    Zhe-Yang Huang

    2014-12-01

    Full Text Available Low-noise, ultra-wideband (UWB wireless receiver front-end circuits were presented in this study. A two-stage common-source low-noise amplifier with wideband input impedance matching network, an active-balun and a double-balanced down-conversion mixer were adopted in the UWB wireless receiver front-end. The proposed wireless receiver front-end circuits were implemented in 0.18 μm radio-frequency-CMOS process. The maximum down-conversion power gain of the front-end is 25.8 dB; minimum single-sideband noise figure of the front-end is 4.9 dB over complete UWB band ranging from 3.1 to 10.6 GHz. Power consumption including buffers is 39.2 mW.

  3. Exploring Sedimentary Basins with High Frequency Receiver Function: the Dublin Basin Case Study

    Science.gov (United States)

    Licciardi, A.; Piana Agostinetti, N.

    2015-12-01

    The Receiver Function (RF) method is a widely applied seismological tool for the imaging of crustal and lithospheric structures beneath a single seismic station with one to tens kilometers of vertical resolution. However, detailed information about the upper crust (0-10 km depth) can also be retrieved by increasing the frequency content of the analyzed RF data-set (with a vertical resolution lower than 0.5km). This information includes depth of velocity contrasts, S-wave velocities within layers, as well as presence and location of seismic anisotropy or dipping interfaces (e.g., induced by faulting) at depth. These observables provides valuable constraints on the structural settings and properties of sedimentary basins both for scientific and industrial applications. To test the RF capabilities for this high resolution application, six broadband seismic stations have been deployed across the southwestern margin of the Dublin Basin (DB), Ireland, whose geothermal potential has been investigated in the last few years. With an inter-station distance of about 1km, this closely spaced array has been designed to provide a clear picture of the structural transition between the margin and the inner portion of the basin. In this study, a Bayesian approach is used to retrieve the posterior probability distributions of S-wave velocity at depth beneath each seismic station. A multi-frequency RF data-set is analyzed and RF and curves of apparent velocity are jointly inverted to better constrain absolute velocity variations. A pseudo 2D section is built to observe the lateral changes in elastic properties across the margin of the basin with a focus in the shallow portion of the crust. Moreover, by means of the harmonic decomposition technique, the azimuthal variations in the RF data-set are isolated and interpreted in terms of anisotropy and dipping interfaces associated with the major fault system in the area. These results are compared with the available information from

  4. Decreased sleep quality in high myopia children.

    Science.gov (United States)

    Ayaki, Masahiko; Torii, Hidemasa; Tsubota, Kazuo; Negishi, Kazuno

    2016-01-01

    The aim of the present study was to evaluate sleep quality in myopic children and adults. This cross sectional study surveyed 486 participants aged from 10 to 59 years with refractive errors using a questionnaire containing the Pittsburgh Sleep Quality Index (PSQI) and Hospital Anxiety and Depression Scale (HADS). Children (myopia group exhibited the poorest PSQI scores (P myopia groups had the shortest sleep duration (P myopia group worst affected. PMID:27650408

  5. High-speed optical receivers with integrated photodiode in nanoscale CMOS

    CERN Document Server

    Tavernier, Filip

    2011-01-01

    This book describes the design of optical receivers that use the most economical integration technology, while enabling performance that is typically only found in very expensive devices. To achieve this, all necessary functionality, from light detection to digital output, is integrated on a single piece of silicon. All building blocks are thoroughly discussed, including photodiodes, transimpedance amplifiers, equalizers and post amplifiers.

  6. High sensitivity broadband 360GHz passive receiver for TeraSCREEN

    Science.gov (United States)

    Wang, Hui; Oldfield, Matthew; Maestrojuán, Itziar; Platt, Duncan; Brewster, Nick; Viegas, Colin; Alderman, Byron; Ellison, Brian N.

    2016-05-01

    TeraSCREEN is an EU FP7 Security project aimed at developing a combined active, with frequency channel centered at 360 GHz, and passive, with frequency channels centered at 94, 220 and 360 GHz, imaging system for border controls in airport and commercial ferry ports. The system will include automatic threat detection and classification and has been designed with a strong focus on the ethical, legal and practical aspects of operating in these environments and with the potential threats in mind. Furthermore, both the passive and active systems are based on array receivers with the active system consisting of a 16 element MIMO FMCW radar centered at 360 GHz with a bandwidth of 30 GHz utilizing a custom made direct digital synthesizer. The 16 element passive receiver system at 360 GHz uses commercial Gunn diode oscillators at 90 GHz followed by custom made 90 to 180 GHz frequency doublers supplying the local oscillator for 360 GHz sub-harmonic mixers. This paper describes the development of the passive antenna module, local oscillator chain, frequency mixers and detectors used in the passive receiver array of this system. The complete passive receiver chain is characterized in this paper.

  7. Special Education Services Received by Students with Autism Spectrum Disorders from Preschool through High School

    Science.gov (United States)

    Wei, Xin; Wagner, Mary; Christiano, Elizabeth R. A.; Shattuck, Paul; Yu, Jennifer W.

    2014-01-01

    Little is known about how special education services received by students with Autism Spectrum Disorders (ASDs) differ by age, disability severity, and demographic characteristics. Using three national data sets, the Pre-Elementary Education Longitudinal Study, the Special Education Elementary Longitudinal Study, and the National Longitudinal…

  8. Utility of high-sensitivity cardiac troponin T in patients receiving anthracycline chemotherapy

    Directory of Open Access Journals (Sweden)

    Blaes AH

    2015-11-01

    Full Text Available Anne H Blaes,1 Aamer Rehman,2 David M Vock,3,4 Xianghua Luo,3,4 Mark Menge,5 Douglas Yee,3 Emil Missov,6 Daniel Duprez6 1Division of Hematology/Oncology/Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, 2Division of Cardiology, University of Louisville, Louisville, KY, 3Masonic Cancer Center, 4Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, 5Park Nicollet Frauenshuh Cancer Center, St Louis Park, 6Division of Cardiology, Department of Medicine, University of Minnesota, Minneapolis, MN, USA Background: Anthracycline chemotherapy remains an integral part of the care for curative intent chemotherapy in breast cancer and non-Hodgkin lymphoma patients. Better tools need to be identified to predict cardiac complications of anthracycline chemotherapy. Materials and methods: We investigated the utility of high-sensitivity cardiac troponin T (hscTnT, N-terminal pro-B-type natriuretic peptide, cardiac troponin T and I, and creatine kinase (CK-MB in cancer patients receiving anthracycline-based chemotherapy, in order to determine whether baseline levels or changes in these biomarkers may help predict the onset of congestive heart failure. Results: Eighteen consecutive patients with a pathologic diagnosis of breast cancer or non-Hodgkin lymphoma were enrolled. The median dose of doxorubicin exposure was 240 mg/m2 (range 240–400 mg/m2. After treatment with doxorubicin, the hscTnT increased to 19.1 pg/mL (P<0.001. CKMB and N-terminal pro-B-type natriuretic peptide levels increased to 1.1 ng/mL and 88.3 pg/mL, respectively (P=0.02. When subjects who had a decline in left ventricular ejection fraction (LVEF by equilibrium radionuclide ventriculography were compared to those who did not have a change in LVEF, there was a suggestion that those subjects with an elevated baseline hscTnT were more likely to have a decline in LVEF (2.7 pg/mL and 0.1 pg/mL, respectively; P=0.07. Spearman

  9. NIH Research: Children Research Volunteers Receive Care and Help Advance Knowledge | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... hereditary illness found in fewer than 1,000 children worldwide. It used to be a death sentence for kids before they reached age 10. But thanks to her mother, who wouldn’t accept that scenario, at age ...

  10. THE USE OF SUPEROXIDE DISMUTASE IN ACCELERATING SYMPTOM RELIEF IN ASTHMATIC AND HOUSE DUST MITE ALLERGIC CHILDREN RECEIVING HOUSE DUST MITE IMMUNOTHERAPY: DOUBLE BLIND RANDOMIZED CONTROLLED CLINICAL TRIAL

    Directory of Open Access Journals (Sweden)

    Anang Endaryanto

    2015-09-01

    Full Text Available Objective: To evaluate the efficacy of superoxide dismutase (SOD in lung function (FEV1 reversibility and respiratory symptoms (drug scores, symptoms scores in asthmatic and house dust mite allergic children receiving house dust mites immunotherapy. Methods: Forty subjects aged 6–17 years old with asthma, tested positive for house dust mite allergy on skin prick test, and received immunotherapy were enrolled in this study. All subjects completed clinical based assessments and diary-based assessments for drug and symptom scores. Following a four-week baseline assessment, all subjects were randomized to receive SOD or placebo. Respiratory symptoms (drug and symptoms score and FEV1 were evaluated at the end of the 1st, 2nd, 3rd, and 4th weeks after randomization. Drug score, symptoms score, and FEV1 reversibility test results were analyzed using a Paired t test and repeated measure of ANOVA. Results: There was a significant difference in drug scores, symptoms score, and FEV1 reversibility test outcomes between SOD and placebo. SOD group showed a significant decrease in all outcome measures compared to those in placebo group. Conclusions: The use of SOD as antioxidants is effective in accelerating symptom relief for children with asthma and house dust mite allergy receiving house dust mite immunotherapy.

  11. A Conceptual Design Study of a High Temperature Solar Thermal Receiver

    Science.gov (United States)

    Robertson, C. S.; Ehde, C. L.; Stacy, L. E.; Abujawdeh, S. S.; Narayanan, R.; Mccreight, L. R.; Gatti, A.; Rauch, H. W., Sr.

    1980-01-01

    A conceptual design was made for a solar thermal receiver capable of operation in the 1095 to 1650 C (2000 to 3000 F) temperature range. This receiver is designed for use with a two-axis paraboloidal concentrator in the 25 to 150 kW sub t power range, and is intended for industrial process heat, Brayton engines, or chemical/fuels reactions. Three concepts were analyzed parametrically. One was selected for conceptual design. Its key feature is a helical coiled tube of sintered silicon nitride which serves as the heat exchanger between the incident solar radiation and the working fluid. A mechanical design of this concept was prepared, and both thermal and stress analysis performed. The analysis showed good performance, low potential cost in mass production, and adaptability to both Brayton cycle engines and chemical/fuels production.

  12. Group Music Intervention Reduces Aggression and Improves Self-esteem in Children with Highly Aggressive Behavior: A Pilot Controlled Trial

    OpenAIRE

    Ae-Na Choi; Myeong Soo Lee; Jung-Sook Lee

    2008-01-01

    We investigated the effects of group music intervention on aggression and self-esteem in children with highly aggressive behavior. Forty-eight children were allocated to either a music intervention group or an untreated control group. The music intervention group received 50 min of music intervention twice weekly for 15 consecutive weeks. The outcome measures were Child Behavior Checklist Aggression Problems Scale (Parents), Child Aggression Assessment Inventory (Teachers) and Rosenberg Self-...

  13. Facial Emotion Recognition in Children with High Functioning Autism and Children with Social Phobia

    Science.gov (United States)

    Wong, Nina; Beidel, Deborah C.; Sarver, Dustin E.; Sims, Valerie

    2012-01-01

    Recognizing facial affect is essential for effective social functioning. This study examines emotion recognition abilities in children aged 7-13 years with High Functioning Autism (HFA = 19), Social Phobia (SP = 17), or typical development (TD = 21). Findings indicate that all children identified certain emotions more quickly (e.g., happy [less…

  14. Design and evaluation of a high temperature/pressure supercritical carbon dioxide direct tubular receiver for concentrating solar power applications

    Science.gov (United States)

    Ortega, Jesus Daniel

    This work focuses on the development of a solar power thermal receiver for a supercritical-carbon dioxide (sCO2), Brayton power-cycle to produce ~1 MWe. Closed-loop sCO2 Brayton cycles are being evaluated in combination with concentrating solar power to provide higher thermal-to-electric conversion efficiencies relative to conventional steam Rankine cycles. High temperatures (923--973 K) and pressures (20--25 MPa) are required in the solar receiver to achieve thermal efficiencies of ~50%, making concentrating solar power (CSP) technologies a competitive alternative to current power generation methods. In this study, the CSP receiver is required to achieve an outlet temperature of 923 K at 25 MPa or 973 K at 20 MPa to meet the operating needs. To obtain compatible receiver tube material, an extensive material review was performed based the ASME Boiler and Pressure Vessel Code, ASME B31.1 and ASME B313.3 codes respectively. Subsequently, a thermal-structural model was developed using a commercial computational fluid (CFD) dynamics and structural mechanics software for designing and analyzing the tubular receiver that could provide the heat input for a ~2 MWth plant. These results were used to perform an analytical cumulative damage creep-fatigue analysis to estimate the work-life of the tubes. In sequence, an optical-thermal-fluid model was developed to evaluate the resulting thermal efficiency of the tubular receiver from the NSTTF heliostat field. The ray-tracing tool SolTrace was used to obtain the heat-flux distribution on the surfaces of the receiver. The K-ω SST turbulence model and P-1 radiation model used in Fluent were coupled with SolTrace to provide the heat flux distribution on the receiver surface. The creep-fatigue analysis displays the damage accumulated due to the cycling and the permanent deformation of the tubes. Nonetheless, they are able to support the required lifetime. The receiver surface temperatures were found to be within the safe

  15. Measuring coverage in MNCH: challenges in monitoring the proportion of young children with pneumonia who receive antibiotic treatment.

    Directory of Open Access Journals (Sweden)

    Harry Campbell

    Full Text Available Pneumonia remains a major cause of child death globally, and improving antibiotic treatment rates is a key control strategy. Progress in improving the global coverage of antibiotic treatment is monitored through large household surveys such as the Demographic and Health Surveys (DHS and the Multiple Indicator Cluster Surveys (MICS, which estimate antibiotic treatment rates of pneumonia based on two-week recall of pneumonia by caregivers. However, these survey tools identify children with reported symptoms of pneumonia, and because the prevalence of pneumonia over a two-week period in community settings is low, the majority of these children do not have true pneumonia and so do not provide an accurate denominator of pneumonia cases for monitoring antibiotic treatment rates. In this review, we show that the performance of survey tools could be improved by increasing the survey recall period or by improving either overall discriminative power or specificity. However, even at a test specificity of 95% (and a test sensitivity of 80%, the proportion of children with reported symptoms of pneumonia who truly have pneumonia is only 22% (the positive predictive value of the survey tool. Thus, although DHS and MICS survey data on rates of care seeking for children with reported symptoms of pneumonia and other childhood illnesses remain valid and important, DHS and MICS data are not able to give valid estimates of antibiotic treatment rates in children with pneumonia.

  16. A Comparative Study of the Spontaneous Social Interactions of Children with High-Functioning Autism and Children with Asperger's Disorder

    Science.gov (United States)

    Macintosh, Kathleen; Dissanayake, Cheryl

    2006-01-01

    A comparative observational study was undertaken of the spontaneous social interactions of children with high-functioning autism and Asperger's disorder. The sample comprised 20 children with high-functioning autism, 19 children with Asperger's disorder and 17 typically developing children matched on chronological age and overall mental age. A…

  17. A 128-Channel Receive-Only Cardiac Coil for Highly Accelerated Cardiac MRI at 3 Tesla

    OpenAIRE

    Schmitt, Melanie; Potthast, Andreas; Sosnovik, David E; Polimeni, Jonathan R; Wiggins, Graham C.; Triantafyllou, Christina; Wald, Lawrence L.

    2008-01-01

    A 128-channel receive-only array coil is described and tested for cardiac imaging at 3T. The coil is closely contoured to the body with a “clam-shell” geometry with 68 posterior and 60 anterior elements, each 75 mm in diameter, and arranged in a continuous overlapped array of hexagonal symmetry to minimize nearest neighbor coupling. Signal-to-noise ratio (SNR) and noise amplification for parallel imaging (G-factor) were evaluated in phantom and volunteer experiments. These results were compar...

  18. High-Speed Near Infrared Optical Receivers Based on Ge Waveguide Photodetectors Integrated in a CMOS Process

    Directory of Open Access Journals (Sweden)

    Gianlorenzo Masini

    2008-01-01

    Full Text Available We discuss our approach to monolithic intergration of Ge photodectors with CMOS electronics for high-speed optical transceivers. Receivers based on Ge waveguide photodetectors achieve a sensitivity of −14.2 dBm (10−12 bit error rate (BER at 10 Gbps and 1550 nm.

  19. A clinically prognostic scoring system for patients receiving highly active antiretroviral therapy: results from the EuroSIDA study

    DEFF Research Database (Denmark)

    Lundgren, Jens Dilling; Mocroft, Amanda; Gatell, Jose M;

    2002-01-01

    The risk of clinical progression for human immunodeficiency virus (HIV)-infected persons receiving treatment with highly active antiretroviral therapy (HAART) is poorly defined. From an inception cohort of 8457 HIV-infected persons, 2027 patients who started HAART during prospective follow-up wer...

  20. Who's There to Help? Assessment of Social Supports Received by Homeless and Unaccompanied Youth in High School

    Science.gov (United States)

    Brase, Monica Kay

    2011-01-01

    The purpose of this qualitative study was to examine how urban, young adults assessed received social supports (Vaux, 1988) during homelessness in high school. According to the National Alliance to End Homelessness (2007), approximately 1 to 1.5 million youth under the age of 18 in America experience at least one incident of homelessness each…

  1. Application of Single-Mode Fiber-Coupled Receivers in Optical Satellite to High-Altitude Platform Communications

    OpenAIRE

    Oswald Wallner; Franz Fidler

    2008-01-01

    Abstract In a free-space optical communication system employing fiber-optic components, the phasefront distortions induced by atmospheric turbulence limit the efficiency with which the laser beam is coupled into a single-mode fiber. We analyze different link scenarios including a geostationary (GEO) satellite, a high-altitude platform (HAP), and an optical ground station (OGS). Single-mode coupled optically preamplified receivers allow for efficient suppression of background noise and highly ...

  2. A Study of Messages Received by Children Who Viewed an Episode of "The Harlem Globetrotters Popcorn Machine".

    Science.gov (United States)

    Child Research Service, Inc., New York, NY.

    A total of 687 children, aged 7 through 11, was interviewed in fall, 1974 to determine the extent to which the Harlem Globetrotters Popcorn Machine television programs communicated "pro-social" messages to its audience. Viewers of four different episodes of the Globetrotters were questioned about the program they had seen. Among the findings were:…

  3. The Development and Validation of an Auditory Perception Test in Spanish for Hispanic Children Receiving Reading Instruction in Spanish.

    Science.gov (United States)

    Morrison, James A.; Michael, William B.

    1982-01-01

    A Spanish auditory perception test, La Prueba de Analisis Auditivo, was developed and administered to 158 Spanish-speaking Latino children, kindergarten through grade 3. Psychometric data for the test are presented, including its relationship to SOBER, a criterion-referenced Spanish reading measure. (Author/BW)

  4. A Qualitative Exploration of Therapeutic Relationships from the Perspective of Six Children Receiving Speech-Language Therapy

    Science.gov (United States)

    Fourie, Robert; Crowley, Niamh; Oliviera, Ana

    2011-01-01

    Although some studies have explored the adult therapeutic relationship in speech-language pathology, few, if any, have examined it with regard to children. This study aimed to explore the therapeutic relationship in pediatric speech and language therapy, focusing on the child's experience. Accordingly, the study was qualitative and involved the…

  5. Evaluation of annual efficiencies of high temperature central receiver concentrated solar power plants with thermal energy storage.

    Energy Technology Data Exchange (ETDEWEB)

    Ehrhart, Brian David; Gill, David Dennis

    2013-07-01

    The current study has examined four cases of a central receiver concentrated solar power plant with thermal energy storage using the DELSOL and SOLERGY computer codes. The current state-of-the-art base case was compared with a theoretical high temperature case which was based on the scaling of some input parameters and the estimation of other parameters based on performance targets from the Department of Energy SunShot Initiative. This comparison was done for both current and high temperature cases in two configurations: a surround field with an external cylindrical receiver and a north field with a single cavity receiver. There is a fairly dramatic difference between the design point and annual average performance, especially in the solar field and receiver subsystems, and also in energy losses due to the thermal energy storage being full to capacity. Additionally, there are relatively small differences (<2%) in annual average efficiencies between the Base and High Temperature cases, despite an increase in thermal to electric conversion efficiency of over 8%. This is due the increased thermal losses at higher temperature and operational losses due to subsystem start-up and shut-down. Thermal energy storage can mitigate some of these losses by utilizing larger thermal energy storage to ensure that the electric power production system does not need to stop and re-start as often, but solar energy is inherently transient. Economic and cost considerations were not considered here, but will have a significant impact on solar thermal electric power production strategy and sizing.

  6. Long-range high-speed visible light communication system over 100-m outdoor transmission utilizing receiver diversity technology

    Science.gov (United States)

    Wang, Yiguang; Huang, Xingxing; Shi, Jianyang; Wang, Yuan-quan; Chi, Nan

    2016-05-01

    Visible light communication (VLC) has no doubt become a promising candidate for future wireless communications due to the increasing trends in the usage of light-emitting diodes (LEDs). In addition to indoor high-speed wireless access and positioning applications, VLC usage in outdoor scenarios, such as vehicle networks and intelligent transportation systems, are also attracting significant interest. However, the complex outdoor environment and ambient noise are the key challenges for long-range high-speed VLC outdoor applications. To improve system performance and transmission distance, we propose to use receiver diversity technology in an outdoor VLC system. Maximal ratio combining-based receiver diversity technology is utilized in two receivers to achieve the maximal signal-to-noise ratio. A 400-Mb/s VLC transmission using a phosphor-based white LED and a 1-Gb/s wavelength division multiplexing VLC transmission using a red-green-blue LED are both successfully achieved over a 100-m outdoor distance with the bit error rate below the 7% forward error correction limit of 3.8×10-3. To the best of our knowledge, this is the highest data rate at 100-m outdoor VLC transmission ever achieved. The experimental results clearly prove the benefit and feasibility of receiver diversity technology for long-range high-speed outdoor VLC systems.

  7. Programmable High-Rate Multi-Mission Receiver for Space Communications Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Current and upcoming NASA space links require both highly reliable low-rate communications links supporting critical TT&C, ranging and voice services and highly...

  8. Retention in care and outpatient costs for children receiving antiretroviral therapy in Zambia: a retrospective cohort analysis.

    Directory of Open Access Journals (Sweden)

    Callie A Scott

    Full Text Available BACKGROUND: There are few published estimates of the cost of pediatric antiretroviral therapy (ART in Africa. Our objective was to estimate the outpatient cost of providing ART to children remaining in care at six public sector clinics in Zambia during the first three years after ART initiation, stratified by service delivery site and time on treatment. METHODS: Data on resource utilization (drugs, diagnostics, outpatient visits, fixed costs and treatment outcomes (in care, died, lost to follow up were extracted from medical records for 1,334 children at six sites who initiated ART at 50% at four sites. At the two remaining sites, outpatient visits and fixed costs together accounted for >50% of outpatient costs. The distribution of costs is slightly skewed, with median costs 3% to 13% lower than average costs during the first year after ART initiation depending on site. CONCLUSIONS: Outpatient costs for children initiating ART in Zambia are low and comparable to reported outpatient costs for adults. Outpatient costs and retention in care vary widely by site, suggesting opportunities for efficiency gains. Taking advantage of such opportunities will help ensure that targets for pediatric treatment coverage can be met.

  9. High-quality chronic care delivery improves experiences of chronically ill patients receiving care

    NARCIS (Netherlands)

    J.M. Cramm (Jane); A.P. Nieboer (Anna)

    2013-01-01

    markdownabstract__Abstract__ Objective. Investigate whether high-quality chronic care delivery improved the experiences of patients. Design. This study had a longitudinal design. Setting and Participants. We surveyed professionals and patients in 17 disease management programs targeting patients wi

  10. Secondary Neoplasms in Children with Hodgkin’s Lymphoma Receiving C-MOPP and Radiotherapy: Presentation of Four Cases

    OpenAIRE

    Sevgi Gözdaşoğlu; İsmail Haluk Gökçora; Ömer Uluoğlu

    2016-01-01

    Patients who survive Hodgkin lymphoma (HL) are at increased risk of secondary neoplasms (SNs). A wide variety of SNs have been reported, including leukemias, non-Hodgkin’s lymphomas, and solid tumors, specifically breast and thyroid cancers. Herein we report subsequent neoplasms in four patients with HL receiving chemoradiotherapy. It is interesting that three SNs, fibrosarcoma, thyroid carcinoma, and retrobulbar meningioma, were observed in the radiation area in one of o...

  11. Recognizing young children with high potential: U-STARS∼PLUS.

    Science.gov (United States)

    Coleman, Mary Ruth

    2016-08-01

    Hands-on science is the ideal platform for observing young children's ability to solve problems, think deeply, and use their creative ingenuity to explore the world around them. Science is naturally interesting and offers authentic reasons to read for information and use math skills to collect, compile, and analyze data. This chapter will share one approach to nurturing and recognizing young children with high-potential: U-STARS∼PLUS (Using Science, Talents, and Abilities to Recognize Students∼Promoting Learning for Underrepresented Students). Each of the five components (high-end learning environments; teacher's observations of potential; engaging science activities; partnerships with parents; and capacity building for system change) will be explained. Concrete examples will be given for each area showing how it works and why it is important. Special attention will be paid to the needs of educationally vulnerable gifted children who remain underserved: racially, ethnically, and linguistically different; economically disadvantaged, and children who are twice exceptional (2e).

  12. Receiving voluntary family planning services has no relationship with the paradoxical situation of high use of contraceptives and abortion in Vietnam: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Nguyen Phuong

    2012-05-01

    Full Text Available Abstract Background Vietnam shows a paradoxical situation where high contraceptive prevalence goes together with high abortion rates. This study examined the associations between self-reports of having received voluntary family planning (VFP services and induced abortions. Methods A cross sectional survey was conducted in Thai Nguyen province, covering a total of 1281 women. Data were derived from a sample of 935 married women aged 18–49 years who were ever-users (93.5% and current users of contraceptives (84%, and had completed birth histories. The dependent variables were the likelihood of having an induced abortion and repeated (two or more induced abortions. The main independent variable was having received the three VFP dimensions (counselling, broader information, and access to availability. The association was examined using multivariate logistic regressions, taking into account women’s socio-demographic characteristics. Results The overall induced abortion percentage was 19.4 per 100 pregnancies. None of the three VFP dimensions was significantly associated with the odds of having an induced abortion or having repeated induced abortions. Mother’s age of 35 or older, having more than three living children, and ever used female contraception methods significantly doubled or more the odds of having an induced abortion and significantly tripled the odds of having repeated abortions. Conclusions Results indicate that women receiving VFP services were not less likely to have induced abortions. The provision of family planning counselling, information on contraceptive method mix, and management skills to ensure availability, are in need of reinforcement in a new set of policy and program strategies in the future.

  13. Exploratory study describing 6 month outcomes for young children with autism who receive treatment as usual in Italy

    Directory of Open Access Journals (Sweden)

    Muratori F

    2014-04-01

    Full Text Available Filippo Muratori,1,2 Antonio Narzisi1IDIA group 1Department of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Pisa, Italy; 2University of Pisa, Calambrone, Pisa, Italy Background: In the last few years, the results of different studies have confirmed, in different ways, the importance of early intervention for autism. This study aims to evaluate the role of early "as usual" interventions in the outcome of toddlers diagnosed with autism spectrum disorder (ASD. Method: Seventy children with ASD aged between 24 and 48 months were recruited at different centers in Italy. They were evaluated by blind researchers at baseline and after 6 months of using Autism Diagnostic Observation Schedule-Generic (ADOS-G, Griffiths Mental Developmental Scales, and Vineland Adaptive Behavior scales. Parents filled out the MacArthur Inventory, Social Communication Questionnaire, and Child Behavior Check List. All children were referred to community providers for available interventions. Results: At the endpoint, most of the children were still classified as having an ADOS-G classification of ASD. However, 21 (34.2% passed from autism to autism spectrum, and 3 (4.2% passed from autism spectrum to no spectrum. Treatment effects were obtained for cognitive functioning, language, adaptive behavior, and child behavior without differences between development-oriented and behavior-oriented interventions. Parent involvement was a mediator for the best clinical outcome. Baseline low impairments of communication, language comprehension, and gesture were predictors of positive outcome. Conclusion: Treatment as usual, composed of individual therapy plus school-supported inclusion, may be an effective intervention in ASD. Better initial levels of communication in child and parent involvement during treatment have an important role for a positive outcome. Keywords: autism, preschoolers, treatment as usual, early intervention

  14. Accurate Solution of Navigation Equations in GPS Receivers for Very High Velocities Using Pseudorange Measurements

    Directory of Open Access Journals (Sweden)

    N. Rahemi

    2014-01-01

    Full Text Available GPS is a satellite-based navigation system that is able to determine the exact position of objects on the Earth, sky, or space. By increasing the velocity of a moving object, the accuracy of positioning decreases; meanwhile, the calculation of the exact position in the movement by high velocities like airplane movement or very high velocities like satellite movement is so important. In this paper, seven methods for solving navigation equations in very high velocities using least squares method and its combination with the variance estimation methods for weighting observations based on their qualities are studied. Simulations on different data with different velocities from 100 m/s to 7000 m/s show that proposed method can improve the accuracy of positioning more than 50%.

  15. High-latitude geomagnetically induced current events observed on very low frequency radio wave receiver systems

    OpenAIRE

    Clilverd, Mark A.; Rodger, Craig J.; Dietrich, Sarah; Raita, Tero; Ulich, Thomas; Clarke, Ellen; Thomson, Alan W.P.; Kavanagh, Andrew J.

    2010-01-01

    Noise burst events observed at Sodankylä, Finland, in the frequency range 20–25 kHz during January–April 2005 last up to 4 s, occur more often at midnight, are associated with high geomagnetic activity, and exhibit a quasi-constant amplitude perturbation ∼15 dB above the background noise levels. We considered the possibility that the events could be caused by lightning noise breakthrough. The association of the noise burst events with local midnight and high geomagnetic activity argues agains...

  16. High pollutant removal efficacy of a large constructed wetland leads to receiving stream improvements.

    Science.gov (United States)

    Mallin, Michael A; McAuliffe, Janie A; McIver, Matthew R; Mayes, David; Hanson, Michael A

    2012-01-01

    Hewletts Creek, in Wilmington, North Carolina, drains a large suburban watershed and as such is affected by high fecal bacteria loads and periodic algal blooms from nutrient loading. During 2007, a 3.1-ha wetland was constructed to treat stormwater runoff from a 238-ha watershed within the Hewletts Creek drainage. A rain event sampling program was performed in 2009-2010 to evaluate the efficacy of the wetland in reducing pollutant loads from the stormwater runoff passing through the wetland. During the eight storms sampled, the wetland greatly moderated the hydrograph and retained and/or removed 50 to 75% of the inflowing stormwater volume. High removal rates of fecal coliform bacteria were achieved, with an average load reduction of 99% and overall concentration reduction of >90%. Particularly high (>90%) reductions of ammonium and orthophosphate loads also occurred, and lesser but still substantial reductions of total phosphorus (89%) and total suspended solids loads (88%) were achieved. Removal of nitrate was seasonally dependent, with lower removal occurring in cold weather and a high percentage (90%+) of nitrate load removal occurring in the growing season when water temperature exceeded 15°C. Long-term before-and-after sampling in downstream Hewletts Creek proper showed that, after wetland construction, statistically significant average decreases of 43% for nitrate, 72% for ammonium, and 59% for fecal coliform bacteria were realized. Wetland features contributing to the high pollutant control efficacy included available space for a large wetland, construction of deep forebays, and a dense and diverse aquatic and shoreline plant assemblage. PMID:23128761

  17. VLSI Implementation of Novel Class of High Speed Pipelined Digital Signal Processing Filter for Wireless Receivers

    Directory of Open Access Journals (Sweden)

    Rozita Teymourzadeh

    2010-01-01

    Full Text Available Problem statement: The need for high performance transceiver with high Signal to Noise Ratio (SNR has driven the communication system to utilize latest technique identified as over sampling systems. It was the most economical modulator and decimation in communication system. It has been proven to increase the SNR and is used in many high performance systems such as in the Analog to Digital Converter (ADC for wireless transceiver. Approach: This research presented the design of the novel class of decimation and its VLSI implementation which was the sub-component in the over sampling technique. The design and realization of main unit of decimation stage that was the Cascaded Integrator Comb (CIC filter, the associated half band filters and the droop correction are also designed. The Verilog HDL code in Xilinx ISE environment has been derived to describe the proposed advanced CIC filter properties. Consequently, Virtex-II FPGA board was used to implement and test the design on the real hardware. The ASIC design implementation was performed accordingly and resulted power and area measurement on chip core layout. Results: The proposed design focused on the trade-off between the high speed and the low power consumption as well as the silicon area and high resolution for the chip implementation which satisfies wireless communication systems. The synthesis report illustrates the maximum clock frequency of 332 MHz with the active core area of 0.308×0.308 mm2. Conclusion: It can be concluded that VLSI implementation of proposed filter architecture is an enabler in solving problems that affect communication capability in DSP application.

  18. Development of a high temperature solar receiver for high-efficient thermionic conversion systems; Fukugo netsuden henkan system yo chokoon taiyo junetsuki no kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    Umeoka, T.; Naito, H.; Yugami, H.; Arashi, H. [Tohoku University, Sendai (Japan). Faculty of Engineering

    1996-10-27

    For thermionic conversion systems (TIC) using concentrated sunlight as heat source, the newly developed solar receiver was tested. Concentrated sunlight aims at the inner surface of the cavity type solar receiver. The emitter of TIC installed in the rear of the solar receiver is uniformly heated over 1700K by thermal radiation from the rear of the solar receiver, emitting thermion. Electric power is generated by collecting the thermion by collector. Mo is used as emitter material, however, because of poor heat absorption of Mo, high-absorptive TiC is used for heat absorption surface to heat Mo by thermal conduction from high-temperature TiC. Functionally gradient material (FGM) with an intermediate layer of gradient TiC/Mo ratios between TiC and Mo is used as emitter material. The emitter is thus uniformly heated at high temperatures of 1723{plus_minus}12K. As a result, the developed solar receiver is applicable to heat the emitter of TIC. Heat flux measurement at the graphite cavity clarified that cavity temperature of as high as 1780K and heat flow of 50W/cm{sup 2} are obtained at 4.7kW in input. 6 figs.

  19. The effects of two Lactobacillus plantarum strains on rat lipid metabolism receiving a high fat diet.

    Science.gov (United States)

    Salaj, Rastislav; Stofilová, Jana; Soltesová, Alena; Hertelyová, Zdenka; Hijová, Emília; Bertková, Izabela; Strojný, Ladislav; Kružliak, Peter; Bomba, Alojz

    2013-01-01

    The aim of our study was to evaluate the effects of the different probiotic strains, Lactobacillus plantarum LS/07 and Lactobacillus plantarum Biocenol LP96, on lipid metabolism and body weight in rats fed a high fat diet. Compared with the high fat diet group, the results showed that Lactobacillus plantarum LS/07 reduced serum cholesterol and LDL cholesterol, but Lactobacillus plantarum Biocenol LP96 decreased triglycerides and VLDL, while there was no change in the serum HDL level and liver lipids. Both probiotic strains lowered total bile acids in serum. Our strains have no significant change in body weight, gain weight, and body fat. These findings indicate that the effect of lactobacilli on lipid metabolism may differ among strains and that the Lactobacillus plantarum LS/07 and Lactobacillus plantarum Biocenol LP96 can be used to improve lipid profile and can contribute to a healthier bowel microbial balance.

  20. Patterns of postural sway in high anxious children

    Directory of Open Access Journals (Sweden)

    van Dokkum Elisabeth H

    2009-10-01

    Full Text Available Abstract Background Current research suggests that elevated levels of anxiety have a negative impact on the regulation of balance. However, most studies to date examined only global balance performance, with little attention to the way body posture is organized in space and time. The aim of this study is to examine whether posturographic measures can reveal (subclinical balance deficits in children with high levels of anxiety. Methods We examined the spatio-temporal structure of the centre-of-pressure (COP fluctuations in children with elevated levels of anxiety and a group of typically developing children while maintaining quiet stance on a force plate in various balance challenging conditions. Balance was challenged by adopting sensory manipulations (standing with eyes closed and/or standing on a foam surface and using a cognitive manipulation (dual-tasking. Results Across groups, postural performance was strongly influenced by the sensory manipulations, and hardly by the cognitive manipulation. We also found that children with anxiety had overall more postural sway, and that their postural sway was overall less complex than sway of typically developing children. The postural differences between groups were present even in the simple baseline condition, and the group differences became larger with increasing task difficulty. Conclusion The pattern of postural sway suggests that balance is overall less stable and more attention demanding in children with anxiety than typically developing children. The findings provide further evidence for a neuro-behavioral link between psychopathology and the effectiveness of postural control.

  1. Hybrid solar receiver as a source of high-temperature medium for an absorption chiller supply

    OpenAIRE

    Przenzak Estera; Filipowicz Mariusz

    2016-01-01

    This article discusses the problems related with the cold production, i.e. energy efficiency of the process. The idea of solar cooling systems has been presented as the solution of the problem of big electricity demand. The paper discusses the principle of the operation of absorption chillers. Disadvantages and advantages of the solar cooling systems were discussed. The installation for manufacturing high-temperature heat based on solar collectors and concentrator of solar radiation construct...

  2. High Speed Digital Sample Rate Conversion for a Real-Time Ground Station Receiver

    OpenAIRE

    Carrick, Brian Joseph

    2016-01-01

    Small satellites are becoming a popular spacecraft option because of their low cost, and complexity. Past small satellites had simple communication systems with low data rates that rarely exceeded 38.4 kbps. Engineers, researchers, and students, from Space Dynamics Laboratory and Utah State University, have recently created and launched a pair of small satellites called the Dynamic Ionosphere CubeSat Experiment (DICE). This mission was revolutionary because of its high-speed data link, with d...

  3. Application of Single-Mode Fiber-Coupled Receivers in Optical Satellite to High-Altitude Platform Communications

    Directory of Open Access Journals (Sweden)

    Oswald Wallner

    2008-05-01

    Full Text Available In a free-space optical communication system employing fiber-optic components, the phasefront distortions induced by atmospheric turbulence limit the efficiency with which the laser beam is coupled into a single-mode fiber. We analyze different link scenarios including a geostationary (GEO satellite, a high-altitude platform (HAP, and an optical ground station (OGS. Single-mode coupled optically preamplified receivers allow for efficient suppression of background noise and highly sensitive detection. While GEO-to-OGS communication suffers from atmospheric turbulence, we demonstrate that GEO-to-HAP communication allows for close to diffraction-limited performance when applying tip-tilt correction.

  4. Application of Single-Mode Fiber-Coupled Receivers in Optical Satellite to High-Altitude Platform Communications

    Directory of Open Access Journals (Sweden)

    Fidler Franz

    2008-01-01

    Full Text Available Abstract In a free-space optical communication system employing fiber-optic components, the phasefront distortions induced by atmospheric turbulence limit the efficiency with which the laser beam is coupled into a single-mode fiber. We analyze different link scenarios including a geostationary (GEO satellite, a high-altitude platform (HAP, and an optical ground station (OGS. Single-mode coupled optically preamplified receivers allow for efficient suppression of background noise and highly sensitive detection. While GEO-to-OGS communication suffers from atmospheric turbulence, we demonstrate that GEO-to-HAP communication allows for close to diffraction-limited performance when applying tip-tilt correction.

  5. Optical design of a 4-off-axis-unit Cassegrain ultra-high concentrator photovoltaics module with a central receiver.

    Science.gov (United States)

    Ferrer-Rodríguez, Juan P; Fernández, Eduardo F; Almonacid, Florencia; Pérez-Higueras, Pedro

    2016-05-01

    Ultra-high concentrator photovoltaics (UHCPV), with concentrations higher than 1000 suns, have been pointed out by different authors as having great potential for being a cost-effective PV technology. This Letter presents a UHCPV Cassegrain-based optical design in which the sunrays are concentrated and sent from four different and independent paraboloid-hyperboloid pairs optical units onto a single central receiver. The optical design proposed has the main advantage of the achievement of ultra-high concentration ratios using relative small mirrors with similar performance values of efficiency, acceptance angle, and irradiance uniformity to other designs.

  6. Epstein-Barr virus DNA loads in adult human immunodeficiency virus type 1-infected patients receiving highly active antiretroviral therapy

    Science.gov (United States)

    Ling, Paul D.; Vilchez, Regis A.; Keitel, Wendy A.; Poston, David G.; Peng, Rong Sheng; White, Zoe S.; Visnegarwala, Fehmida; Lewis, Dorothy E.; Butel, Janet S.

    2003-01-01

    Patients with human immunodeficiency virus type 1 (HIV-1) infection are at high risk of developing Epstein-Barr virus (EBV)-associated lymphoma. However, little is known of the EBV DNA loads in patients receiving highly active antiretroviral therapy (HAART). Using a real-time quantitative polymerase chain reaction assay, we demonstrated that significantly more HIV-1-infected patients receiving HAART than HIV-1-uninfected volunteers had detectable EBV DNA in blood (57 [81%] of 70 vs. 11 [16%] of 68 patients; P=.001) and saliva (55 [79%] of 68 vs. 37 [54%] of 68 patients; P=.002). The mean EBV loads in blood and saliva samples were also higher in HIV-1-infected patients than in HIV-1-uninfected volunteers (P=.001). The frequency of EBV detection in blood was associated with lower CD4+ cell counts (P=.03) among HIV-1-infected individuals, although no differences were observed in the EBV DNA loads in blood or saliva samples in the HIV-1-infected group. Additional studies are needed to determine whether EBV-specific CD4+ and CD8+ cells play a role in the pathogenesis of EBV in HIV-1-infected patients receiving HAART.

  7. Wireless power-receiving assembly for a telemetry system in a high-temperature environment of a combustion turbine engine

    Energy Technology Data Exchange (ETDEWEB)

    Bevly, III, Alex J.; McConkey, Joshua S.

    2016-08-16

    In a telemetry system (100) in a high-temperature environment of a combustion turbine engine (10), a wireless power-receiving coil assembly (116) may be affixed to a movable component (104) of the turbine engine. Power-receiving coil assembly (116) may include a radio-frequency transparent housing (130) having an opening (132). A lid (134) may be provided to close the opening of the housing. Lid (134) may be positioned to provide support against a surface (120) of the movable component. An induction coil (133) is disposed in the housing distally away from the lid and encased between a first layer (136) and a last layer (140) of a potting adhesive. Lid (134) is arranged to provide vibrational buffering between the surface (120) of the movable component (104) and the layers encasing the induction coil.

  8. Secondary Neoplasms in Children with Hodgkin's Lymphoma Receiving C-MOPP and Radiotherapy: Presentation of Four Cases.

    Science.gov (United States)

    Gözdaşoğlu, Sevgi; Pamir, Ali; Ünal, Emel; Gökçora, İsmail Haluk; Uluoğlu, Ömer; Ceyhan, Koray; Deda, Haluk; Işıkman, Erdoğan; Yavuz, Gülsan; Taçyıldız, Nurdan; Çavdar, Ayhan

    2016-03-01

    Patients who survive Hodgkin lymphoma (HL) are at increased risk of secondary neoplasms (SNs). A wide variety of SNs have been reported, including leukemias, non-Hodgkin's lymphomas, and solid tumors, specifically breast and thyroid cancers. Herein we report subsequent neoplasms in four patients with HL receiving chemoradiotherapy. It is interesting that three SNs, fibrosarcoma, thyroid carcinoma, and retrobulbar meningioma, were observed in the radiation area in one of our patients. A hypopharyngeal epithelioid malignant peripheral nerve sheath tumor as an unusual secondary malignant neoplasm developed in another patient, while a benign thyroid nodule and invasive ductal breast carcinoma were observed at different times in the female patient. Follicular adenoma of the thyroid gland developed in one of our patients. PMID:26377258

  9. Secondary Neoplasms in Children with Hodgkin’s Lymphoma Receiving C-MOPP and Radiotherapy: Presentation of Four Cases

    Directory of Open Access Journals (Sweden)

    Sevgi Gözdaşoğlu

    2016-03-01

    Full Text Available Patients who survive Hodgkin lymphoma (HL are at increased risk of secondary neoplasms (SNs. A wide variety of SNs have been reported, including leukemias, non-Hodgkin’s lymphomas, and solid tumors, specifically breast and thyroid cancers. Herein we report subsequent neoplasms in four patients with HL receiving chemoradiotherapy. It is interesting that three SNs, fibrosarcoma, thyroid carcinoma, and retrobulbar meningioma, were observed in the radiation area in one of our patients. A hypopharyngeal epithelioid malignant peripheral nerve sheath tumor as an unusual secondary malignant neoplasm developed in another patient, while a benign thyroid nodule and invasive ductal breast carcinoma were observed at different times in the female patient. Follicular adenoma of the thyroid gland developed in one of our patients.

  10. Secondary Neoplasms in Children with Hodgkin’s Lymphoma Receiving C-MOPP and Radiotherapy: Presentation of Four Cases

    Science.gov (United States)

    Gözdaşoğlu, Sevgi; Pamir, Ali; Ünal, Emel; Gökçora, İsmail Haluk; Uluoğlu, Ömer; Ceyhan, Koray; Deda, Haluk; Işıkman, Erdoğan; Yavuz, Gülsan; Taçyıldız, Nurdan; Çavdar, Ayhan

    2016-01-01

    Patients who survive Hodgkin lymphoma (HL) are at increased risk of secondary neoplasms (SNs). A wide variety of SNs have been reported, including leukemias, non-Hodgkin’s lymphomas, and solid tumors, specifically breast and thyroid cancers. Herein we report subsequent neoplasms in four patients with HL receiving chemoradiotherapy. It is interesting that three SNs, fibrosarcoma, thyroid carcinoma, and retrobulbar meningioma, were observed in the radiation area in one of our patients. A hypopharyngeal epithelioid malignant peripheral nerve sheath tumor as an unusual secondary malignant neoplasm developed in another patient, while a benign thyroid nodule and invasive ductal breast carcinoma were observed at different times in the female patient. Follicular adenoma of the thyroid gland developed in one of our patients. PMID:26377258

  11. The High Burden of Malaria in Primary School Children in Southern Malawi.

    Science.gov (United States)

    Mathanga, Don P; Halliday, Katherine E; Jawati, Mpumulo; Verney, Allison; Bauleni, Andrew; Sande, John; Ali, Doreen; Jones, Rebecca; Witek-McManus, Stefan; Roschnik, Natalie; Brooker, Simon J

    2015-10-01

    Malaria among school children has received increased attention recently, yet there remain few detailed data on the health and educational burden of malaria, especially in southern Africa. This paper reports a survey among school children in 50 schools in Zomba District, Malawi. Children were assessed for Plasmodium infection, anemia, and nutritional status and took a battery of age-appropriate tests of attention, literacy, and numeracy. Overall, 60.0% of children were infected with Plasmodium falciparum, 32.4% were anemic and 32.4% reported sleeping under a mosquito net the previous night. Patterns of P. falciparum infection and anemia varied markedly by school. In multivariable analysis, higher odds of P. falciparum infection were associated with younger age and being stunted, whereas lower odds were associated with reported net use, higher parental education, and socioeconomic status. The odds of anemia were significantly associated with P. falciparum infection, with a dose-response relationship between density of infection and odds of anemia. No clear relationship was observed between health status and cognitive and educational outcomes. The high burden of malaria highlights the need to tackle malaria among school children. PMID:26283750

  12. Magnetic resonance imaging evaluation of lipodystrophy in HIV-positive patients receiving highly active antiretroviral therapy.

    Science.gov (United States)

    Eichler, K; Bickel, T M; Klauke, S; Eisen, J; Vogl, T J; Zangos, S

    2015-07-01

    We evaluated retrospectively an automated method for the separate detection of subcutaneous and visceral fat in the abdominal region by magnetic resonance studies in HIV-positive patients on highly active antiretroviral therapy. The patients were divided into four different groups: lipoatrophy, lipohypertrophy, mixed and the control group. The use of software for the automated detection of abdominal compartment visceral adipose tissue (VAT), total adipose tissue (TAT) and subcutaneous adipose tissue (SAT) was compared to manual evaluation methods (fuzzy C-mean). The results of ROC analysis showed that the parameters, particularly the VAT, are better than the VAT/TAT and at identifying patients with the symptoms of abdominal fat accumulation. A sensitivity of 80.3% and a specificity of 79.5% resulted from a threshold VAT value of >87 cm(2). Moreover, the manual evaluation method was shown to provide greater values for VAT and the VAT/TAT ratio than those given by the automated method. In the present study, a rapid MRI protocol for the detection and assessment of the course of lipodystrophy was presented and tested on a group of patients with signs of HALS, as well as on an antiretroviral naïve control group.

  13. Mother-Child Interactions in Depressed Children and Children at High Risk and Low Risk for Future Depression

    Science.gov (United States)

    Dietz, Laura J.; Birmaher, Boris; Williamson, Douglas E.; Silk, Jennifer S.; Dahl, Ronald E.; Axelson, David A.; Ehmann, Mary; Ryan, Neal D.

    2008-01-01

    A study to investigate the differences in mother and child interactions of depressed children and adolescents, nondepressed high-risk youths, and healthy controls was conducted. Results revealed increased family discord with depressed children whereas intermediate levels of control and disengagement were seen in families with high-risk children.

  14. Birth outcomes in South African women receiving highly active antiretroviral therapy: a retrospective observational study

    Directory of Open Access Journals (Sweden)

    van der Merwe Karin

    2011-08-01

    Full Text Available Abstract Background Use of highly active antiretroviral therapy (HAART, a triple-drug combination, in HIV-infected pregnant women markedly reduces mother to child transmission of HIV and decreases maternal morbidity. However, there remains uncertainty about the effects of in utero exposure to HAART on foetal development. Methods Our objectives were to investigate whether in utero exposure to HAART is associated with low birth weight and/or preterm birth in a population of South African women with advanced HIV disease. A retrospective observational study was performed on women with CD4 counts ≤250 cells/mm3 attending antenatal antiretroviral clinics in Johannesburg between October 2004 and March 2007. Low birth weight ( Results Among HAART-unexposed infants, 27% (60/224 were low birth weight compared with 23% (90/388 of early HAART-exposed (exposed 3 increase, 95% CI 0.45-0.71, p 3 increase, 95% CI 0.55-0.85, p = 0.001. HAART exposure was associated with an increased preterm birth rate (15%, or 138 of 946, versus 5%, or seven of 147, in unexposed infants, p = 0.001, with early nevirapine and efavirenz-based regimens having the strongest associations with preterm birth (AOR 5.4, 95% CI 2.1-13.7, p Conclusions In this immunocompromised cohort, in utero HAART exposure was not associated with low birth weight. An association between NNRTI-based HAART and preterm birth was detected, but residual confounding is plausible. More advanced immunosuppression was a risk factor for low birth weight and preterm birth, highlighting the importance of earlier HAART initiation in women to optimize maternal health and improve infant outcomes.

  15. Radio receivers

    Science.gov (United States)

    Bankov, V. N.; Barulin, L. G.; Zhodzishskii, M. I.; Malyshev, I. V.; Petrusinskii, V. V.

    The book is concerned with the design of microelectronic radio receivers and their components based on semiconductor and hybrid integrated circuits. Topics discussed include the hierarchical structure of radio receivers, the synthesis of structural schemes, the design of the principal functional units, and the design of radio receiver systems with digital signal processing. The discussion also covers the integrated circuits of multifunctional amplifiers, analog multipliers, charge-transfer devices, frequency filters, piezoelectronic devices, and microwave amplifiers, filters, and mixers.

  16. Astragalus membranaceus reduces free radical-mediated injury to renal tubules in rabbits receiving high-energy shock waves

    Institute of Scientific and Technical Information of China (English)

    SHENG Bin-wu; CHEN Xing-fa; ZHAO Jun; HE Da-lin; NAN Xun-yi

    2005-01-01

    Background Recent studies have revealed the important role of free radicals in renal damage induced by high-energy shock waves (HESW). This study aimed at investigating the effects of Astragalus membranaceus, a traditional Chinese medicinal herb, on free radical-mediated HESW-induced damage to renal tubules in a live rabbit model.Methods Forty-five healthy male New Zealand white rabbits were randomly divided into three groups: control group (n=15), sham group (n=15), and herb-treated group (n=15). Three days prior to HESW application, the controls received verapamil (0.4 mg/kg), the shams received physiological saline (20 ml), and the herb-treated animals received Astragalus membranaceus (2.4 g/kg) intravenously. HESW (1500 shocks, 18kV) was applied to the right kidneys of all anesthetized rabbits. We measured superoxide dismutase (SOD) and malondialdehyde (MDA) levels before and after shock treatment in blood and kidney homogenates. Histopathological changes were also observed.Results MDA levels increased and SOD activity decreased significantly in the sham group (P0.05). SOD values were significantly higher in the controls than in the shams (P<0.05). By contrast, SOD levels recovered rapidly in the rabbits receiving Astragalus membranaceus, reaching a nadir within 24 hours, and returning to baseline more quickly than in control and sham rabbits (P<0.05). Histopathological examinations showed that renal tubular damage in the controls was less severe than in the shams, while damage in the Astragalus membranaceus group was even more mild, with rapid recovery in comparison with the controls.Conclusion This study provides preliminary evidence indicating that Astragalus membranaceus has strong protective effects on free radical-mediated renal tubular damage induced by HESW and that these effects are superior to the effects of verapamil.

  17. Multi-transmitter/multi-receiver high-speed measurements of soil resistivity and induced polarization - Hydrological application

    Science.gov (United States)

    Gance, Julien; Texier, Benoît; Leite, Orlando; Bernard, Jean; Truffert, Catherine; Lebert, François; Yamashita, Yoshihiro

    2016-04-01

    Electrical resistivity tomography (ERT) is an adapted tool for the monitoring of soil moisture variations in aquifers (Binley et al., 2015). Nevertheless, in some specific cases, like for highly permeable soils or fractured aquifers, the measurements from the device can be slower than the water flow through the entire investigated zone. Therefore, the monitoring of such phenomena cannot be performed with classical devices. In such cases, we require a high-speed measurement of soils resistivity. Since 20 years, the speed of acquisition of the resistivity meters has been improved by the development of multi-channel devices allowing to perform multi-electrode (> 4) measurements. The switching capabilities of the actual devices allow to measure over long profiles up to hundreds of electrodes only using one transmitter. Based on this multi-receiver technology and on previous work from Yamashita et al. (2013), authors have developed a 250 W multi-transmitter device for the high speed measurement of resistivity and induced polarization. Current is therefore injected simultaneously in the soil through six injection electrodes. The injected current is coded for each transmitter using Code Division Multiple Access (CDMA, Yamashita et al., 2014) so that the different voltages induced by each sources can be reconstructed from the total potential measurement signal at each receiver, allowing to save acquisition time. The first operational prototype features 3 transmitters and 6 receivers. Its performances are compared to a mono-transmitter device for different sequences of acquisition in 2D and 3D configurations both in theory and on real field data acquired on a shallow sedimentary aquifer in the Loire valley in France. This device is promising for the accurate monitoring of rapid water flows in heterogeneous aquifers.

  18. Children's Books in a High School Library? A Risky Question Worth Asking.

    Science.gov (United States)

    Johnson, Keith

    2001-01-01

    An online survey seeking librarians' opinions about including children's books in the high school library returned many positive responses. Lists ways children's books could be used in high school. Discusses the new wave of children's literature; children's books made into movies; commonality of high school libraries having collections of…

  19. Direct contrast enhanced Venography MR in the study of central venous accesses in children receiving total parenteral nutrition

    International Nuclear Information System (INIS)

    Purpose. To present direct contrast enhanced Magnetic Resonance Venography, a recently developed method for the study of central venous accesses. Materials and methods. Six patients (4 males and 2 females; age range 15-18 Years) with severe intestinal failure treated with indwelling central Venous catheter since childhood were studied by MR-angiography. The examination was carried out with a 1.5 Philips Gyroscan Intera Magnet, sequences during the simultaneous injection of about 60 ml/limb paramagnetic contrast material, Gd DTPA, diluted with saline solution at a ratio of 1:12. The images were processed with maximum intensity coronal projections and compared with the phlebographic images obtained earlier. Results. In 4 cases the method demonstrated superior vena cava occlusion, in 2 cases inferior vena cava occlusion. The examination was well tolerated by all patients and image quality was very similar to that of the gold standard Study, conventional phlebography. Conclusions. We believe direct contrast-enhanced MR-venography to be a minimally invasive, panoramic and diagnostically reliable method, which should be considered the first choice in the study of central venous accesses of patients receiving total parental nutrition for the medical treatment of intestinal failure. The method does not expose the patients to ionizing radiation or require iodinated contrast material, and is relatively short with a room lime of about 30-40 minutes

  20. A high-efficiency, low-noise power solution for a dual-channel GNSS RF receiver

    Science.gov (United States)

    Jian, Shi; Taishan, Mo; Jianlian, Le; Yebing, Gan; Chengyan, Ma; Tianchun, Ye

    2012-08-01

    A high-efficiency low-noise power solution for a dual-channel GNSS RF receiver is presented. The power solution involves a DC—DC buck converter and a followed low-dropout regulator (LDO). The pulse-width-modulation (PWM) control method is adopted for better noise performance. An improved low-power high-frequency PWM control circuit is proposed, which halves the average quiescent current of the buck converter to 80 μA by periodically shutting down the OTA. The size of the output stage has also been optimized to achieve high efficiency under a light load condition. In addition, a novel soft-start circuit based on a current limiter has been implemented to avoid inrush current. Fabricated with commercial 180-nm CMOS technology, the DC—DC converter achieves a peak efficiency of 93.1% under a 2 MHz working frequency. The whole receiver consumes only 20.2 mA from a 3.3 V power supply and has a noise figure of 2.5 dB.

  1. The High Burden of Malaria in Primary School Children in Southern Malawi.

    OpenAIRE

    Mathanga, DP; Halliday, KE; Jawati, M; Verney, A; Bauleni, A; Van Sande, J; Ali, D.; Jones, R.; Witek-McManus, S; Roschnik, N; Brooker, SJ

    2015-01-01

    : Malaria among school children has received increased attention recently, yet there remain few detailed data on the health and educational burden of malaria, especially in southern Africa. This paper reports a survey among school children in 50 schools in Zomba District, Malawi. Children were assessed for Plasmodium infection, anemia, and nutritional status and took a battery of age-appropriate tests of attention, literacy, and numeracy. Overall, 60.0% of children were infected with Plasmodi...

  2. Emerging pneumococcal carriage serotypes in a high-risk population receiving universal 7-valent pneumococcal conjugate vaccine and 23-valent polysaccharide vaccine since 2001

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    Stubbs Liz

    2009-08-01

    Full Text Available Abstract Background In Australia in June 2001, a unique pneumococcal vaccine schedule commenced for Indigenous infants; seven-valent pneumococcal conjugate vaccine (7PCV given at 2, 4, and 6 months of age and 23-valent pneumococcal polysaccharide vaccine (23PPV at 18 months of age. This study presents carriage serotypes following this schedule. Methods We conducted cross sectional surveys of pneumococcal carriage in Aboriginal children 0 to 6 years of age living in remote Aboriginal communities (RACs in 2003 and 2005. Nasal secretions were collected and processed according to published methods. Results 902 children (mean age 25 months living in 29 communities in 2003 and 818 children (mean age 35 months in 17 communities in 2005 were enrolled. 87% children in 2003 and 96% in 2005 had received two or more doses of 7PCV. From 2003 to 2005, pneumococcal carriage was reduced from 82% to 76% and reductions were apparent in all age groups; 7PCV-type carriage was reduced from 11% to 8%, and 23PPV-non-7PCV-type carriage from 31% to 25% respectively. Thus non-23PPV-type carriage increased from 57% to 67%. All these changes were statistically significant, as were changes for some specific serotypes. Shifts could not be attributed to vaccination alone. The top 10 of 40 serotypes identified were (in descending order 16F, 19A, 11A, 6C, 23B, 19F, 6A, 35B, 6B, 10A and 35B. Carriage of penicillin non-susceptible (MIC > = 0.12 μg/mL strains (15% overall was detected in serotypes (descending order 19A, 19F, 6B, 16F, 11A, 9V, 23B, and in 4 additional serotypes. Carriage of azithromycin resistant (MIC > = 2 μg/mL strains (5% overall, was detected in serotypes (descending order 23B, 17F, 9N, 6B, 6A, 11A, 23F, and in 10 additional serotypes including 6C. Conclusion Pneumococcal carriage remains high (~80% in this vaccinated population. Uptake of both pneumococcal vaccines increased, and carriage was reduced between 2003 and 2005. Predominant serotypes in combined

  3. Design of high-order HTS dual-band bandpass filters with receiver subsystem for future mobile communication systems

    Science.gov (United States)

    Sekiya, N.

    2016-08-01

    We have developed two high-order high-temperature superconducting (HTS) dual-band bandpass filters (BPFs) with a receiver subsystem for future mobile communication systems. They feature stub-loaded hair-pin resonators with two types of microstrip lines between them. One has a six-pole design, and the other has an eight-pole design. Both were designed to operate at 2.15 GHz with a 43-MHz (2%) bandwidth for the lower passband and at 3.50 GHz with a 70-MHz (2%) bandwidth for the upper one. They were fabricated using YBa2Cu3Oy thin film on a CeO2-bufferd r-Al2O3 substrate. The measured results for both filters agree well with the simulated ones. The HTS dual-band BPF receiver subsystem uses a pulse tube cryocooler and a wideband low noise amplifier (LNA). We measured the frequency response of the six-pole dual-band BPF with and without a wideband LNA with a gain of 10 dB. The measured return losses were close.

  4. Receiver system for radio observation of high-energy cosmic ray air showers and its behaviour in self trigger mode

    International Nuclear Information System (INIS)

    The observation of high-energy cosmic rays is carried out by indirect measurements. Thereby the primary cosmic particle enters into the earth's atmosphere and generates a cosmic ray air shower by interactions with the air molecules. The secondary particles arriving at ground level are detected with particle detector arrays. The fluorescence light from the exited nitrogen molecules along the shower axis is observed with reflector telescopes in the near-ultraviolet range. In addition to these well-established detection methods, the radio observation of the geosynchrotron emission from cosmic ray air showers is investigated at present as a new observation method. Geosynchrotron emission is generated by the acceleration of the relativistic electron-positron-pairs contained in the air shower by Lorentz forces in the earth's magnetic field. At ground level this causes a single pulse of the electric field strength with a continuous frequency spectrum ranging from a few MHz to above 100 MHz. In this work, a suitable receiver concept is developed based on the signal properties of the geosynchrotron emission and the analysis of the superposed noise and radio frequency interferences. As the required receiver system was not commercially available, it was designed in the framework of this work and realised as system including the antenna, the receiver electronics and suitable data acquisition equipment. In this concept considerations for a large scale radio detector array have already been taken into account, like low power consumption to enable solar power supply and cost effectiveness. The result is a calibrated, multi-channel, digital wideband receiver for the complete range from 40 MHz to 80 MHz. Its inherent noise and RFI suppression essentially results from the antenna directional characteristic and frequency selectivity and allows effective radio observation of cosmic ray air showers also in populated environment. Several units of this receiver station have been deployed

  5. Children who screen positive for autism at 2.5 years and receive early intervention: a prospective naturalistic 2-year outcome study

    Science.gov (United States)

    Spjut Jansson, Birgitta; Miniscalco, Carmela; Westerlund, Joakim; Kantzer, Anne-Katrin; Fernell, Elisabeth; Gillberg, Christopher

    2016-01-01

    Background Previous research has stressed the importance of early identification and intervention for children with autism spectrum disorders. Methods Children who had screened positive for autism at the age of 2.5 years in a general population screening and then received a diagnosis of autism spectrum disorder were enrolled in an intervention program provided by Swedish habilitation services. The following interventions were available: a comprehensive intervention based on Applied Behavior Analysis – Intensive Learning (IL) – in two settings, which included home- and preschool-based (IL Regular) and only home-based (IL Modified) and eclectic interventions. Results There was considerable variability in terms of outcome, but intervention group status was not associated with any of the chosen outcome variables. Conclusion The main finding was that the type of intervention was not critical for outcome of adaptive or global functioning. The variability in outcome demonstrates the need for continuous assessments and evaluation of the child’s function and behavior throughout the intervention period. PMID:27621636

  6. Children who screen positive for autism at 2.5 years and receive early intervention: a prospective naturalistic 2-year outcome study

    Directory of Open Access Journals (Sweden)

    Spjut Jansson B

    2016-09-01

    Full Text Available Birgitta Spjut Jansson,1–3 Carmela Miniscalco,1,4 Joakim Westerlund,1,5 Anne-Katrin Kantzer,1,6 Elisabeth Fernell,1 Christopher Gillberg1 1Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, 2Unit of Child and Adolescent Habilitation, 3Department of Psychology, University of Gothenburg, 4Division of Speech and Language Pathology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, 5Department of Psychology, University of Stockholm, Stockholm, 6Department of Child and Adolescent Psychiatry, NU Hospital Organization, Trollhättan, Sweden Background: Previous research has stressed the importance of early identification and intervention for children with autism spectrum disorders. Methods: Children who had screened positive for autism at the age of 2.5 years in a general population screening and then received a diagnosis of autism spectrum disorder were enrolled in an intervention program provided by Swedish habilitation services. The following interventions were available: a comprehensive intervention based on Applied Behavior Analysis – Intensive Learning (IL – in two settings, which included home- and preschool-based (IL Regular and only home-based (IL Modified and eclectic interventions.Results: There was considerable variability in terms of outcome, but intervention group status was not associated with any of the chosen outcome variables. Conclusion: The main finding was that the type of intervention was not critical for outcome of adaptive or global functioning. The variability in outcome demonstrates the need for continuous assessments and evaluation of the child’s function and behavior throughout the intervention period. Keywords: autism spectrum disorder, preschool children, early intervention, ABA, cognitive function, follow-up

  7. Hookah use among high school children in an Indian city

    OpenAIRE

    Nayak Prathibha Anand; Khandelwal Vishal; Nayak Ullal Anand; Khandelwal Sushma; Ninawe Nupur

    2013-01-01

    Context: Use of hookah is on the rise among youngsters. A growing body of evidence suggests that these children are experimenting with this form of tobacco. Aims: The study was carried out to know prevalence estimates of hookah use and factors associated with it among high school students.Settings and Design: This study adds to the current literature by providing prevalence estimates and factors associated with hookah use among high school students of Indore - a city in central India.Material...

  8. Hypertension, high-dose corticosteroids, and renal infiltration in children with acute lymphoblastic leukemia

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    Andry Juliansen

    2014-11-01

    Full Text Available Background Hypertension is a rarely recognized complication of acute lymphoblastic leukemia (ALL. The incidence of hypertension in ALL patients in Indonesia remains unknown, but the most common risk factors are corticosteroid use during induction-phase chemotherapy and renal leukemic infiltration. Objective To determine the incidence of hypertension in children with ALL, and to assess for associations of high-dose corticosteroids, renal infiltration, and hyperleukocytosis to hypertension. Methods This was a cross-sectional study involving 100 children aged 2-18 years. Subjects were newly diagnosed ALL patients and those underwent induction-phase chemotherapy in the Pediatric Ward or Outpatient Clinic at Cipto Mangunkusumo or Dharmais Hospitals. Results Hypertension occurred in 6 (10% of 60 newly diagnosed ALL patients and 8 (20% of 40 patients who had received high-dose corticosteroids, but the difference was not statistically significant (OR=2.25; 95%CI 0.72 to 7.07; P=0.239. Hypertension was reported in 8 of 29 subjects who received dexamethasone, but in none of the subjects who received prednisone. However, the difference in these subgroups was also not statistically significant. Renal enlargement was found in 1 of 14 hypertensive patients, but it was not associated with hypertension (OR=0.80; 95%CI 0.52 to 1.24; P=0.417. Hyperleukocytosis was also not associated with hypertension (OR= 0.79; 95% CI 0.20 to 3.11; P=1.000. Conclusion The incidence of hypertension in ALL patients was 14%. Hypertension is not associated with renal infiltration or hyperleukocytosis. Furthermore, hypertension is not associated with corticosteroid dose, though is found only in subjects who receive dexamethasone. [Paediatr Indones. 2014;54:372-6.].

  9. Dental Caries Prevalence in Human Immunodeficiencyb Virus Infected Patients Receiving Highly Active Anti-Retroviral Therapy in Kermanshah, Iran

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    Loghman Rezaei-Soufi

    2014-03-01

    Full Text Available Objective: Introduction of new approaches for the treatment of human immunodeficiency virus (HIV infection such as anti-retroviral medicines has resulted in an increase in the life expectancy of HIV patient. Evaluating the dental health status as a part of their general health care is needed in order to improve the quality of life in these patients. The aim of this study was to compare the root and crown caries rate in HIV patients receiving highly active antiretroviral therapy (HAART with that rate in HIV patients without treatment option. Materials and Methods: This cross sectional study consisting of 100 individuals of both genders with human immunodeficiency virus were divided into two groups: i. group 1 (treatment group including 50 patients with acquired immunodeficiency syndrome (AIDS receiving HAART and ii. group 2 (control group including 50 HIV infected patients not receiving HAART. Dental examinations were done by a dentist under suitable light using periodontal probe. For each participant, numbers of decay (D, missed (M, filled (F, Decayed missed and filled teeth (DMFT, decay surface (Ds, missed surface (Ms, filled surface (Fs, Decayed missed and filled surfaces (DMFS, and tooth and root caries were recorded. Data were analyzed using Chi-square test and independent t test using SPSS 13.0, while p-value of <0.05 was considered statistically significant in all analysis. Results: The mean and standard deviation (SD of decayed, missed and filled teeth of those who were on highly active antiretroviral therapy was 6.86 ± 3.57, 6.39 ± 6.06 and 1.89 ± 1.93, respectively. There was no significant difference between these values regarding to the treatment of patients. The mean and standard deviation of DMFT, DMFS and the number of decayed root surfaces were 15.14 ± 6.09, 56.79 ± 28.56, and 4.96 ± 2.89 in patients treated by anti-retroviral medicine which were not significantly different compared to those without this treatment

  10. Recognizing young children with high potential: U-STARS∼PLUS.

    Science.gov (United States)

    Coleman, Mary Ruth

    2016-08-01

    Hands-on science is the ideal platform for observing young children's ability to solve problems, think deeply, and use their creative ingenuity to explore the world around them. Science is naturally interesting and offers authentic reasons to read for information and use math skills to collect, compile, and analyze data. This chapter will share one approach to nurturing and recognizing young children with high-potential: U-STARS∼PLUS (Using Science, Talents, and Abilities to Recognize Students∼Promoting Learning for Underrepresented Students). Each of the five components (high-end learning environments; teacher's observations of potential; engaging science activities; partnerships with parents; and capacity building for system change) will be explained. Concrete examples will be given for each area showing how it works and why it is important. Special attention will be paid to the needs of educationally vulnerable gifted children who remain underserved: racially, ethnically, and linguistically different; economically disadvantaged, and children who are twice exceptional (2e). PMID:27680943

  11. High Reading Skills Mask Dyslexia in Gifted Children

    Science.gov (United States)

    van Viersen, Sietske; Kroesbergen, Evelyn H.; Slot, Esther M.; de Bree, Elise H.

    2016-01-01

    This study investigated how gifted children with dyslexia might be able to mask literacy problems and the role of possible compensatory mechanisms. The sample consisted of 121 Dutch primary school children that were divided over four groups (typically developing [TD] children, children with dyslexia, gifted children, gifted children with…

  12. 儿童髓母细胞瘤34例三维适形放射治疗的疗效分析%The follow-up of 34 children with medulloblastoma who received 3-dimensional conformal radiation therapy

    Institute of Scientific and Technical Information of China (English)

    Dongfeng He; Siheng Ha; Changsheng Wang

    2009-01-01

    Objective: In our investigation, we studied the patients with medulloblastoma who received 3-dimensional con- formal radiation therapy (3DCRT) and recorded their effects, side effects and failure reasons. Methods: From August 2001 to August 2007, 34 children with medulloblastoma were treated in our hospital. The age at diagnosis was 3-16 years old, and the mean age at diagnosis was 9.5 years old. Among all the patients, 16 cases were included in the high risk group and 18cases were included in the low risk group. All the patients were performed total resection or subtotal resection and no patientsreceived radiotherapy or chemotherapy before operation. All patients received 3DCRT within 3 weeks after resection. The dose of 30 Gy were given to the whole brain and whole spine, followed by 20-25 Gy boosted to the posterior brain fossa. The median fraction dose was 180 cGy. Every patient received the chemotherapy scheme of the Lomustine, Cisplatinum and Vincristine. Nobody received intrathecal chemotherapy. The tests of the complete blood count, blood biochemistry, hepatic and renal functions were required before every cycle of chemotherapy. Results: 5-year overall survival (OS) and 5-year disease free survival (DFS) were 71% and 62% respectively. The median follow-up time was 36.5 months. The 5-year OS of the high risk group was 71% compared to 62% of the low risk group. There were significant difference between the two groups (P = 0.01). There were 13 failure cases in all the patients. Of these 13 patients, 10 were dead and the other 3 were alive with tumor. The complete remission (CR) rate was 70.5% and the partial remission (PR) rate was 14%. Among the failure patients, there were 3 patients (8.8%) with the recurrences located in the brain of cribriform region. The 5-year OS of the patients with preoperative metastases was 12.5% (1/8), and which of the patients with residual tumor volume > 1.5 cm3 was 0% (0/5). Through the statistic analysis, it was found that both

  13. Performance Investigation on Scan-On-Receive and Adaptive Digital Beam-Forming for High-Resolution Wide-Swath Synthetic Aperture Radar

    OpenAIRE

    Bordoni, Federica; Younis, Marwan; Makhoul Varona, Eduardo; Gebert, Nicolas; Krieger, Gerhard

    2009-01-01

    The work investigates the performance of the Smart Multi-Aperture Radar Technique (SMART) Synthetic Aperture Radar (SAR) system for high-resolution wide-swath imaging based on Scan-on-Receive (SCORE) algorithm for receive beam steering. SCORE algorithm works under model mismatch conditions in presence of topographic height. A study on the potentiality of an adaptive approach for receive beam steering based on spatial spectral estimation is presented. The impact of topographic height on SCORE ...

  14. Plasma uric acid and tumor volume are highly predictive of outcome in nasopharyngeal carcinoma patients receiving intensity modulated radiotherapy

    International Nuclear Information System (INIS)

    The combined predictive value of plasma uric acid and primary tumor volume in nasopharyngeal carcinoma (NPC) patients receiving intensity modulated radiation therapy (IMRT) has not yet been determined. In this retrospective study, plasma uric acid level was measured after treatment in 130 histologically-proven NPC patients treated with IMRT. Tumor volume was calculated from treatment planning CT scans. Overall (OS), progression-free (PFS) and distant metastasis-free (DMFS) survival were compared using Kaplan-Meier analysis and the log rank test, and Cox multivariate and univariate regression models were created. Patients with a small tumor volume (<27 mL) had a significantly better DMFS, PFS and OS than patients with a large tumor volume. Patients with a high post-treatment plasma uric acid level (>301 μmol/L) had a better DMFS, PFS and OS than patients with a low post-treatment plasma uric acid level. Patients with a small tumor volume and high post-treatment plasma uric acid level had a favorable prognosis compared to patients with a large tumor volume and low post-treatment plasma uric acid level (7-year overall OS, 100% vs. 48.7%, P <0.001 and PFS, 100% vs. 69.5%, P <0.001). Post-treatment plasma uric acid level and pre-treatment tumor volume have predictive value for outcome in NPC patients receiving IMRT. NPC patients with a large tumor volume and low post-treatment plasma uric acid level may benefit from additional aggressive treatment after IMRT

  15. Ultra-High-Efficiency Multijunction Cell and Receiver Module, Phase 1B: High Performance PV Exploring and Accelerating Ultimate Pathways; Final Subcontract Report, 13 May 2005 - 10 December 2008

    Energy Technology Data Exchange (ETDEWEB)

    King, R. R.

    2010-03-01

    Spectrolab's two High Performance Photovoltaics primary objectives: (1) develop ultra-high-efficiency concentrator multijunction cells and (2) develop a robust concentrator cell receiver package.

  16. High prevalence of malaria parasitemia and anemia among hospitalized children in Rakai, Uganda.

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    Valerian L Kiggundu

    Full Text Available BACKGROUND: There is a paucity of data on malaria among hospitalized children in malaria endemic areas. We determined the prevalence, presentation and treatment outcomes of malaria and anemia among children in two hospitals in Rakai, Uganda. METHODS: Children under five years hospitalized in Kalisizo hospital or Bikira health center in Rakai district, Uganda between May 2011 and May 2012 were enrolled and followed-up until discharge, death or referral. Data were collected on social-demographic characteristics, current and past illnesses and clinical signs and symptoms. Blood smears, hemoglobin (Hgb levels and HIV testing were performed from finger/heel prick blood. The associations between malaria infection and other factors were estimated using log-binomial regression to estimate adjusted prevalence risk ratios (aPRR and 95% confidence intervals (CIs, controlling for clustering at health facilities. RESULTS: 2471 children were enrolled. The most common medical presentations were fever (96.2%, cough (61.7%, vomiting (44.2%, diarrhea (20.8%, and seizures (16.0%. The prevalence of malaria parasitemia was 54.6%. Children with malaria were more likely to present with a history of fever (aPRR 2.23; CI 1.18-4.24 and seizures (aPRR 1.12; CI 1.09-1.16. Confirmed malaria was significantly lower among girls than boys (aPRR 0.92; CI 0.91-0.93, HIV infected children (aPRR 0.60 CI 0.52-0.71, and children with diarrhea (aPRR 0.76; CI 0.65-0.90. The overall prevalence of anemia (Hgb<10 g/dl was 56.3% and severe anemia (Hgb<6 g/dL was 17.8%. Among children with severe anemia 76.8% had malaria parasitemia, of whom 93.1% received blood transfusion. Malaria associated mortality was 0.6%. CONCLUSION: There was a high prevalence of malaria parasitemia and anemia among inpatient children under five years. Malaria prevention is a priority in this population.

  17. High flow nasal cannula in children: a literature review.

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    Mikalsen, Ingvild Bruun; Davis, Peter; Øymar, Knut

    2016-01-01

    High flow nasal cannula (HFNC) is a relatively new non-invasive ventilation therapy that seems to be well tolerated in children. Recently a marked increase in the use of HFNC has been seen both in paediatric and adult care settings. The aim of this study was to review the current knowledge of HFNC regarding mechanisms of action, safety, clinical effects and tolerance in children beyond the newborn period.We performed a systematic search of the databases PubMed, Medline, EMBASE and Cochrane up to 12th of May 2016. Twenty-six clinical studies including children on HFNC beyond the newborn period with various respiratory diseases hospitalised in an emergency department, paediatric intensive care unit or general ward were included. Five of these studies were interventional studies and 21 were observational studies. Thirteen studies included only children with bronchiolitis, while the other studies included children with various respiratory conditions. Studies including infants hospitalised in a neonatal ward, or adults over 18 years of age, as well as expert reviews, were not systematically evaluated, but discussed if appropriate.The available studies suggest that HFNC is a relatively safe, well-tolerated and feasible method for delivering oxygen to children with few adverse events having been reported. Different mechanisms including washout of nasopharyngeal dead space, increased pulmonary compliance and some degree of distending airway pressure may be responsible for the effect. A positive clinical effect on various respiratory parameters has been observed and studies suggest that HFNC may reduce the work of breathing. Studies including children beyond the newborn period have found that HFNC may reduce the need of continuous positive airway pressure (CPAP) and invasive ventilation, but these studies are observational and have a low level of evidence. There are no international guidelines regarding flow rates and the optimal maximal flow for HFNC is not known, but few

  18. Influenza vaccination in children at high risk of respiratory disease.

    Science.gov (United States)

    Patria, Maria Francesca; Tagliabue, Claudia; Longhi, Benedetta; Esposito, Susanna

    2013-05-01

    Chronic respiratory diseases (CRDs) are a heterogeneous group of diseases that can affect the pediatric population and health authorities throughout the world recommend influenza vaccination because of the significant risk of influenza-related complications. However, despite this recommendation, vaccine coverage is generally unsatisfactory. The aim of this review is to analyze the impact of influenza on children at high risk of respiratory disease, and the immunogenicity, safety and efficacy of influenza vaccination in such children. The results show that there is a significant risk of influenza-related complications in preterm neonates and infants, in whom influenza vaccines are immunogenic and safe (although their efficacy has not been specifically studied). There are conflicting data concerning the effect of influenza infection on asthma morbidity in children, and whether or not influenza vaccination helps to prevent asthma exacerbations. Recent data provide no evidence that influenza is more frequent in patients with cystic fibrosis than in healthy subjects, or that it is responsible for increased lower respiratory tract morbidity. The lack of any clear correlate of protection suggests that future studies should also consider the efficacy of the different influenza vaccines and not only evaluate them in terms of immunogenicity. Furthermore, there is a need for clinical studies to assess the effectiveness of the available vaccines in patients with other rare CRDs and other chronic underlying diseases with possibly severe respiratory involvement. It is also important to determine whether children with recurrent respiratory tract infections should be included in the list of those for whom influenza vaccination is recommended. In the meantime, given the increasing evidence of the burden of influenza on the population as a whole and the benefits associated with vaccination, annual influenza vaccinations should be recommended for all children at high risk of

  19. Study of the factors associated with dental caries in children who receive early dental care Estudo de fatores associados à cárie dental em crianças que recebem atendimento odontológico precoce

    OpenAIRE

    FRAIZ Fabian Calixto; Luiz Reynaldo de Figueiredo WALTER

    2001-01-01

    The present study investigated the factors associated with the development of dental caries in preschool children who receive regular dental care and follow-up. The research was carried out at the Baby Clinic, Londrina State University, and comprised two hundred preschool children, whose ages ranged from 24 to 48 months, as well as their mothers, who had already taken part in a dental program at the Baby Clinic during, at least, the previous twelve months. Regarding oral hygiene habits, there...

  20. Cognitive and psychosocial development of HIV pediatric patients receiving highly active anti-retroviral therapy: a case-control study

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    Theodoridou Maria

    2010-12-01

    Full Text Available Abstract Background The psychosocial development of pediatric HIV patients has not been extensively evaluated. The study objectives were to evaluate whether emotional and social functions are differentially associated with HIV-related complications. Methods A matched case-control study design was conducted. The case group (n = 20 consisted of vertically infected children with HIV (aged 3-18 years receiving HAART in Greece. Each case was matched with two randomly selected healthy controls from a school-based population. CNS imaging and clinical findings were used to identify patients with HIV-related neuroimaging abnormalities. The Wechsler Intelligence Scale III and Griffiths Mental Abilities Scales were applied to assess cognitive abilities. The age specific Strengths and Difficulties Questionnaire was used to evaluate emotional adjustment and social skills. The Fisher's exact test, student's t-test, and Wilcoxon rank sum test were used to compare categorical, continuous, and ordinal scores, respectively, of the above scales between groups. Results HIV patients without neuroimaging abnormalities did not differ from patients with neuroimaging abnormalities with respect to either age at HAART initiation (p = 0.306 or months of HAART treatment (p = 0.964. While HIV patients without neuroimaging abnormalities had similar cognitive development with their healthy peers, patients with neuroimaging abnormalities had lower mean General (p = 0.027 and Practical (p = 0.042 Intelligence Quotient scores. HIV patients without neuroimaging abnormalities had an increased likelihood of both Abnormal Emotional Symptoms (p = 0.047 and Hyperactivity scores (p = 0.0009. In contrast, HIV patients with neuroimaging abnormalities had an increased likelihood of presenting with Abnormal Peer Problems (p = 0.033. Conclusions HIV patients without neuroimaging abnormalities are more likely to experience maladjustment with respect to their emotional and activity spheres

  1. Serum levels of brain-derived neurotrophic factor in alcohol-dependent patients receiving high-dose baclofen.

    Science.gov (United States)

    Geisel, Olga; Hellweg, Rainer; Müller, Christian A

    2016-06-30

    The neurotrophin brain-derived neurotrophic factor (BDNF) has been suggested to be involved in the development and maintenance of addictive and other psychiatric disorders. Also, interactions of γ-aminobutyric acid (GABA)-ergic compounds and BDNF have been reported. The objective of this study was to investigate serum levels of BDNF over time in alcohol-dependent patients receiving individually titrated high-dose treatment (30-270mg/d) with the GABA-B receptor agonist baclofen or placebo for up to 20 weeks. Serum levels of BDNF were measured in patients of the baclofen/placebo group at baseline (t0), 2 weeks after reaching individual high-dose of baclofen/placebo treatment (t1) and after termination of study medication (t2) in comparison to carefully matched healthy controls. No significant differences in serum levels of BDNF between the baclofen and the placebo group or healthy controls were found at t0, t1, or at t2. Based on these findings, it seems unlikely that baclofen exerts a direct effect on serum levels of BDNF in alcohol-dependent patients. Future studies are needed to further explore the mechanism of action of baclofen and its possible relationship to BDNF in alcohol use disorders. PMID:27107672

  2. Use of occlusal sealant in a community program and caries incidence in high- and low-risk children

    Directory of Open Access Journals (Sweden)

    Vânia Baldini

    2011-08-01

    Full Text Available OBJECTIVE: The aims of this study were to investigate the effectiveness of sealant placement under the guidelines of the Oral Health Promotion Program for Children and Adolescents (Portugal, and to test the influence of clinical and socioeconomic variables on the DMFT increment in 277 children, born in 1997. MATERIAL AND METHODS: A dental hygienist performed the initial examinations and sealant placement (Helioseal, Vivadent on the permanent first molars in 2005. These activities were registered in dental records that were assessed in 2007. Children were classified according to caries risk at baseline [high (HR: DMFT+dmft>0; low (LR: DMFT+dmft=0 risk] and sealant placement as follows: HR-S and LR-S Groups (with sealant placement; HR-NS and LR-NS Groups (without sealant placement. A calibrated dentist performed the final examination in 2007 at school, based on the World Health Organization recommendations. The variables collected were: dental caries, visible dental plaque, malocclusions, and socioeconomic level (questionnaire sent to children's parents. For univariate (Chi-square or Fisher tests and multivariate (Multiple logistic regression analyses the DMFT increment >0 was selected as dependent variable. RESULTS: Approximately 17.0% of the children showed DMFT increment>0 (mean=0.25. High-risk children presented a significant increase in the number of decayed and/or filled teeth. These children had 7.94 more chance of developing caries. Children who did not receive sealant were 1.8 more prone to have DMFT increment >0. CONCLUSION: It appears that sealant placement was effective in preventing dental caries development. Moreover, the variables "risk" and "sealant placement" were predictors for DMFT increment in the studied children.

  3. Immune Activation and Viral Replication after Vaccination with an Influenza A H1N1 2009 Vaccine in HIV-Infected Children Receiving Antiretroviral Therapy

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    Nattawat Onlamoon

    2013-01-01

    Full Text Available Immunization with a pandemic influenza A H1N1 2009 was recommended for HIV-infected patients. However, there is limited information concerning the impact of immunization with this vaccine on immune activation and HIV viral replication. In this study, 45 HIV-infected children and adolescents receiving antiretroviral therapy were immunized with a 2-dose series of nonadjuvated monovalent influenza A H1N1 2009 vaccine upon enrollment and approximately 1 month later. Immunogenicity was determined by haemagglutination inhibition assay. The level of immune activation was determined by identification of CD38 and HLA-DR on CD8+ T cells. Patients were divided into 2 groups which include patients who had an undetectable HIV viral load (HIV detectable group and patients who show virological failure (HIV nondetectable group. The results showed seroconversion rate of 55.2% in HIV nondetectable group, whereas 31.3% was found in HIV detectable group. Both groups of patients showed no major increase in immune activation after immunization. Interestingly, a decrease in the frequency of CD8+ T cells that coexpressed CD38 and HLA-DR was observed after immunization in both groups of patients. We suggested that immunization with influenza A H1N1 2009 vaccine can induce immune response to the pandemic virus without major impact on HIV viral replication and immune activation.

  4. High resolution CT in children with cystic fibrosis

    International Nuclear Information System (INIS)

    High resolution CT (HRCT) was performed in 24 children (median age 57.9 months) suffering from cystic fibrosis (CF). In 23 patients (one examination unacceptable because of motion artifacts) the most frequent finding was bronchial wall thickening, shown in 21 patients (91%), followed by bronchiectasis in 15 patients (65%). Less frequent findings were mucus plugging and patchy consolidations, which could be demonstrated in 11 patients each (48%). Findings were classified using a CT scoring system and including only irreversible pulmonary changes; a statistically significant correlation with lung function tests could be established. HRCT to date seems to be the most valuable method to determine extent and severity of lung involvement in children with CF and should therefore be routinely used for the staging of this disease. (orig.)

  5. The relationship between moral judgment and cooperation in children with high-functioning autism.

    Science.gov (United States)

    Li, Jing; Zhu, Liqi; Gummerum, Michaela

    2014-01-01

    This study investigated moral judgment in children with high-functioning autism and their cooperation in prisoner's dilemma game with partners of different moralities. Thirty-eight 6- to 12-year-old high-functioning autistic (HFA) children and 31 typically developing (TD) children were recruited. Children were asked to judge story protagonists' morality. After making this moral judgment correctly, they were asked to play with the morally nice and the morally naughty child in a repeated prisoner's dilemma game. Results showed that both HFA and TD children made correct moral judgments, and that HFA children might even have more rigid criteria for what constitutes morally naughty acts. HFA children's cooperation did not differ depending on the morality of the interaction partner, while TD children showed higher cooperation when interacting with the morally nice than the morally naughty child did. Thus, partner's morality did influence TD children's but not HFA children's subsequent cooperation. PMID:24603775

  6. Low complexity MIMO receivers

    CERN Document Server

    Bai, Lin; Yu, Quan

    2014-01-01

    Multiple-input multiple-output (MIMO) systems can increase the spectral efficiency in wireless communications. However, the interference becomes the major drawback that leads to high computational complexity at both transmitter and receiver. In particular, the complexity of MIMO receivers can be prohibitively high. As an efficient mathematical tool to devise low complexity approaches that mitigate the interference in MIMO systems, lattice reduction (LR) has been widely studied and employed over the last decade. The co-authors of this book are world's leading experts on MIMO receivers, and here they share the key findings of their research over years. They detail a range of key techniques for receiver design as multiple transmitted and received signals are available. The authors first introduce the principle of signal detection and the LR in mathematical aspects. They then move on to discuss the use of LR in low complexity MIMO receiver design with respect to different aspects, including uncoded MIMO detection...

  7. Low Noise and Highly Linear Wideband CMOS RF Front-End for DVB-H Direct-Conversion Receiver

    Science.gov (United States)

    Nam, Ilku; Moon, Hyunwon; Woo, Doo Hyung

    In this paper, a wideband CMOS radio frequency (RF) front-end for digital video broadcasting-handheld (DVB-H) receiver is proposed. The RF front-end circuit is composed of a single-ended resistive feedback low noise amplifier (LNA), a single-to-differential amplifier, an I/Q down-conversion mixer with linearized transconductors employing third order intermodulation distortion cancellation, and a divide-by-two circuit with LO buffers. By employing a third order intermodulation (IMD3) cancellation technique and vertical NPN bipolar junction transistor (BJT) switching pair for an I/Q down-conversion mixer, the proposed RF front-end circuit has high linearity and low low-frequency noise performance. It is fabricated in a 0.18µm deep n-well CMOS technology and draws 12mA from a 1.8V supply voltage. It shows a voltage gain of 31dB, a noise figure (NF) lower than 2.6dB, and an IIP3 of -8dBm from 470MHz to 862MHz.

  8. Why are children still having preventable extractions under general anaesthetic? A service evaluation of the views of parents of a high caries risk group of children.

    Science.gov (United States)

    Olley, R C; Hosey, M T; Renton, T; Gallagher, J

    2011-04-23

    Introduction Despite overall improvements in oral health, the number of children admitted to hospital for extraction of teeth due to caries under general anaesthesia (GA) has been reported as increasing dramatically in England. The new UK government plans to transform NHS dentistry by improving oral health.Aim To evaluate the dental care received by children who required caries-related extractions under GA and obtain the views of their parents or guardians on their experiences of oral health services and the support they would like to improve their child's oral health, to inform future planning.Method An interview questionnaire was designed and piloted to collect data from a consecutive sample of 100 parents or guardians during their child's pre-operative assessment appointment. This took place at one London dental hospital between November 2009 and February 2010.Results Most children were either white (43%) or black British (41%); the average age was seven years (range 2-15, SD 3.1, SE 0.31) and the female:male ratio was 6:5. Most (84%) had experienced dental pain and 66% were referred by a general dental practitioner (GDP). A large proportion of parents or guardians (47%) reported previous dental treatment under GA in their children or child's sibling/s. Challenges discussed by parents in supporting their child's oral health included parenting skills, child behaviour, peer pressure, insufficient time, the dental system and no plans for continuing care for their child. Three out of four parents (74%) reported that they would like support for their child's oral health. Sixty percent of all parents supported school/nursery programmes and 55% supported an oral health programme during their pre-assessment clinic.Discussion These findings suggest that the oral health support received by high caries risk children is low. Health promotion programmes tailored to this cohort are necessary and our findings suggest that they would be welcomed by parents. PMID:21508990

  9. Comparison of active cycle of breathing and high-frequency oscillation jacket in children with cystic fibrosis.

    Science.gov (United States)

    Phillips, Gillian E; Pike, Sarah E; Jaffé, Adam; Bush, Andrew

    2004-01-01

    High-frequency chest compressions (HFCC) have been suggested as an alternative to conventional chest physiotherapy to aid sputum clearance in patients with cystic fibrosis (CF). We aimed to compare the active cycle of breathing techniques (ACBT) with the Hayek Oscillator Cuirass, performing HFCC on secretion clearance in children with CF during an exacerbation. Ten children (7 males; median age, 14 years; range, 9-16) received either two supervised sessions using HFCC or two self-treatment ACBT sessions in random order on successive days. Baseline pulmonary function was similar prior to treatments. Sputum weight increased significantly with ACBT compared with HFCC during treatment (5.2 g vs. 1.1 g, P HFCC. Compared with ACBT, HFCC by Hayek Cuirass is not an effective airway clearance treatment modality for children with CF during an infective exacerbation.

  10. Children with High-Functioning Autism and Asperger's Syndrome: Can We Differentiate Their Cognitive Profiles?

    Science.gov (United States)

    Planche, Pascale; Lemonnier, Eric

    2012-01-01

    The aim of this study was to investigate whether children with high-functioning autism (HFA) and Asperger's syndrome (AS) can be differentiated from each other and from typically developing children on their cognitive profiles. The present study included a total of 45 participants: children with autism (high-functioning autism or Asperger's…

  11. Conversion factors for determining organ doses received by paediatric patients in high-resolution single slice computed tomography with narrow collimation

    Energy Technology Data Exchange (ETDEWEB)

    Seidenbusch, Michael C.; Schneider, Karl [Muenchen Univ. (Germany). Paediatric Radiology; Harder, Dietrich [Goettingen Univ. (Germany). Medical Physics and Biophysics; Regulla, Dieter F. [Helmholtz Zentrum Muenchen German Research Center for Environmental Health, Neuherberg (Germany). Research Unit Medical Radiation Physics and Diagnostics

    2014-09-01

    Estimations of organ doses D{sub T} received during computed tomographic examinations are usually performed by applying conversion factors to basic dose indicators like the computed tomography dose index (CTDI) or the dose-length-product (DLP). In addition to the existing conversion factors for beam apertures of 5 mm or 10 mm, we present new DLP-D{sub T} conversion factors adapted to high-resolution CT (HRCT) examinations of infants and young children with beam apertures of the order of 1 mm and under consideration of bow tie filtration. Calculations are performed on mathematical MIRD phantoms for an age range from 0, 1, 5, 10, 15 up to (for comparison) 30 years by adapting PCXMC, a Monte Carlo algorithm originally developed by STUK (Helsinki, Finland) for dose reconstructions in projection radiography. For this purpose, each single slice CT examination is approximated by a series of corresponding virtual planar radiographies comprising all focus positions. The transformation of CT exposure parameters into exposure parameters of the series of corresponding planar radiographies is performed by a specially developed algorithm called XCT. The DLP values are evaluated using the EGSRay code. The new method is verified at a beam aperture of 10 mm by comparison with formerly published conversion factors. We show that the higher spatial resolution leads to an enhanced DLP-D{sub T} conversion factor if a small organ (e.g. thyroid gland, mammae, uterus, ovaries, testes) is exactly met by the chosen CT slice, while the conversion factor is drastically reduced if the chosen CT slice is positioned above or below the organ. This effect is utilized for dose-saving examinations with only a few single slices instead a full scan, which technique is applied in about 10% of all paediatric chest CT examinations. (orig.)

  12. Conversion factors for determining organ doses received by paediatric patients in high-resolution single slice computed tomography with narrow collimation.

    Science.gov (United States)

    Seidenbusch, Michael C; Harder, Dietrich; Regulla, Dieter F; Schneider, Karl

    2014-05-01

    Estimations of organ doses DT received during computed tomographic examinations are usually performed by applying conversion factors to basic dose indicators like the computed tomography dose index (CTDI) or the dose-length-product (DLP). In addition to the existing conversion factors for beam apertures of 5 mm or 10 mm, we present new DLP-DT conversion factors adapted to high-resolution CT (HRCT) examinations of infants and young children with beam apertures of the order of 1 mm and under consideration of bow tie filtration. Calculations are performed on mathematical MIRD phantoms for an age range from 0, 1, 5, 10, 15 up to (for comparison) 30 years by adapting PCXMC, a Monte Carlo algorithm originally developed by STUK (Helsinki, Finland) for dose reconstructions in projection radiography. For this purpose, each single slice CT examination is approximated by a series of corresponding virtual planar radiographies comprising all focus positions. The transformation of CT exposure parameters into exposure parameters of the series of corresponding planar radiographies is performed by a specially developed algorithm called XCT. The DLP values are evaluated using the EGSRay code. The new method is verified at a beam aperture of 10 mm by comparison with formerly published conversion factors. We show that the higher spatial resolution leads to an enhanced DLP-DT conversion factor if a small organ (e. g. thyroid gland, mammae, uterus, ovaries, testes) is exactly met by the chosen CT slice, while the conversion factor is drastically reduced if the chosen CT slice is positioned above or below the organ. This effect is utilized for dose-saving examinations with only a few single slices instead a full scan, which technique is applied in about 10% of all paediatric chest CT examinations. PMID:24630933

  13. High reading skills mask dyslexia in gifted children

    NARCIS (Netherlands)

    van Viersen, Sietske; Kroesbergen, Evelyn; Slot, Esther; de Bree, Elise

    2014-01-01

    This study investigated how gifted children with dyslexia might be able to mask literacy problems and the role of possible compensatory mechanisms. The sample consisted of 121 Dutch primary school children that were divided over four groups (typically developing [TD] children, children with dyslexia

  14. Hookah use among high school children in an Indian city

    Directory of Open Access Journals (Sweden)

    Nayak Prathibha Anand

    2013-01-01

    Full Text Available Context: Use of hookah is on the rise among youngsters. A growing body of evidence suggests that these children are experimenting with this form of tobacco. Aims: The study was carried out to know prevalence estimates of hookah use and factors associated with it among high school students.Settings and Design: This study adds to the current literature by providing prevalence estimates and factors associated with hookah use among high school students of Indore - a city in central India.Materials and Methods: A cross-sectional survey of 1000 students from high schools was conducted to find hookah users and factors associated with its use. Results: Hookah users in this study population were 7.6%. Most of them first learned about hookah from friends (63.2%. They usually smoked in hookah lounges (85.5%. These children believed that hookah was safer and more socially acceptable than cigarettes.Conclusions: Misperceptions of safety and popularity of hookah among the younger generation are cause for concern. Presence of hookah lounges should be a target for further regulation. Prevention activities are necessary to prevent this rising public health concern.

  15. Occult gastrointestinal bleeding in high-risk intensive care unit patients receiving antacid prophylaxis: frequency and significance.

    Science.gov (United States)

    Derrida, S; Nury, B; Slama, R; Marois, F; Moreau, R; Soupison, T; Sicot, C

    1989-02-01

    Gastroccult reagent was used every 4 h to detect blood in gastric juice in 41 ICU patients at risk of GI bleeding (GB) and receiving antacid prophylaxis (gastric pH greater than 3.5). Of the present patients, 27% (11/41) had at least one episode of occult GB (three consecutive positive determinations; a total of 14 episodes). Endoscopy identified acute gastroduodenal mucosal lesions (stress ulcers) as the most frequent lesion in this group (eight patients). Sepsis was the most frequent underlying condition associated with occult GB due to stress ulcer. Hematemesis occurred in 36% (4/11) of patients with occult GB and was due to stress ulcer in three patients and to benign gastric tumor in one. No overt GB occurred in the absence of previous occult GB. We conclude that: a) risk of GB persists in critically ill ICU patients in spite of antacid prophylaxis (gastric pH greater than 3.5); b) high-risk patients can be identified through periodic testing for the presence of blood in gastric juice using the reagent; c) when occult GB occurs, treatment should be based on the endoscopy results. In the absence of acute gastroduodenal mucosal lesions, antacid prophylaxis should not be modified, and specific treatment of the identified lesion(s) should be initiated. In the presence of stress lesions, antacid prophylaxis should be reinforced if the pH of the gastric content is less than 3.5 and a septic complication should be actively sought if the pH is greater than 3.5. PMID:2783669

  16. Fate and transport of some selected PhACs in a river receiving a high load of treated sewage

    Science.gov (United States)

    Bendz, D.; Ginn, T. R.; Paxeus, N.

    2003-04-01

    Pharmaceutical active compounds (PhACs) have lately been acknowledged to constitute a risk for humans and for the terrestrial and aquatic environment. Human and veterinary applications are the main sources of PhACs in the environment and the major pathway are excretion and discharge to the environment. Sewage treatment plants (STPs) play a crucial role for the introduction of the human PhACs in the environment through its removal efficiency and by separating these compounds into two exposure pathways associated with the aquatic and the solid (sludge) phase, respectively. Actually, STPs are recognized as being the main point discharge sources of human PhACs to the aquatic environment. In this study the fate and transport of a selected human PhACs belonging to different therapeutic classes (NSAIDs- non-steroidal antiinflamatory drugs, lipid regulators, antiepileptics, antibiotics and &beta-blockers) are investigated in a small river in the very south of Sweden receiving a high load of treated wastewater. In addition to the PhACs, triclosan (commonly used biocide) was included in this study. Water samples were taken of incoming and outgoing wastewater from the treatment plant, at the effluent in the river, and along the river up to 8 kilometers downstream were the river flows into the sea. After enrichment by solid-phase extraction the compounds were analyzed using GC-MS (methylated derivatives) or LC-MS/MS. In addition to the target compounds a screening analysis of the extracts revealed the presence of other wastewater related pollutants (caffeine, flame retardants, antioxidants). Several of the investigated substances demonstrate a surprising persistence in the aquatic environment. This emphasizes the need for a broader view on the concept of persistence by taking into account the recharge/loading rate in addition to removal mechanisms; transformation, volatility and physical sequestration by solids and the influence of different environmental media (Soil organic

  17. No evidence of chromosome damage in children and adolescents with differentiated thyroid carcinoma after receiving {sup 131}I radiometabolic therapy, as evaluated by micronucleus assay and microarray analysis

    Energy Technology Data Exchange (ETDEWEB)

    Federico, Giovanni; Fiore, Lisa; Massart, Francesco; Saggese, Giuseppe [Azienda Ospedaliero-Universitaria Pisana, Department of Pediatrics, Unit of Pediatric Endocrinology and Diabetes, Pisa (Italy); Boni, Giuseppe; Lazzeri, Patrizia; Mariani, Giuliano [Azienda Ospedaliero-Universitaria Pisana, Unit of Nuclear Medicine, Pisa (Italy); Fabiani, Barbara; Verola, Carmela; Scarpato, Roberto [University of Pisa, Department of Biology, Unit of Genetics, Mutagenesis and Environmental Epidemiology, Pisa (Italy); Traino, Claudio [Azienda Ospedaliero-Universitaria Pisana, Health Physics Service, Pisa (Italy)

    2008-11-15

    As {sup 131}I therapy, used to achieve ablation of thyroid gland remnant, can cause chromosome damage in cultured peripheral lymphocytes especially, we investigated whether administration of radioiodine may induce early genome damage in peripheral T lymphocytes of adolescents with differentiated thyroid carcinoma (DTC). We studied 11 patients, aged 14.8 {+-} 3.1 years, who assumed {sup 131}I (range: 1.11-4.44 GBq) to ablate thyroid remnant. A blood sample for micronucleus assay and for evaluating expression of some genes involved in the DNA repair or the apoptosis pathways was obtained from each patient 1 h before (T{sub 0}) and 24 (T{sub 1}) and 48 h (T{sub 2}) post-radioiodine administration. Compared to T{sub 0}, we did not find any difference in the number of micronucleated cells at both T{sub 1} and T{sub 2} in any subject. Nine out of 11 patients had altered expression levels in a majority of the DNA repair and apoptosis genes at T{sub 1}, which decreased at T{sub 2}. We demonstrated for the first time that peripheral cells of DTC children and adolescents who received {sup 131}I at a mean dosage of 3.50 {+-} 0.37 GBq did not show chromosome damage within 48 h from the end of radiometabolic therapy. This may be due to a prompt activation of the cell machinery that maintains the integrity of the genome to prevent harmful double-strand breaks from progressing to chromosome mutations, either by repairing the lesions or by eliminating the most seriously damaged cells via apoptosis. (orig.)

  18. Predictors of treatment failure and time to detection and switching in HIV-infected Ethiopian children receiving first line anti-retroviral therapy

    Directory of Open Access Journals (Sweden)

    Bacha Tigist

    2012-08-01

    to have treatment failure retrospectively by the authors based on their records. Hence, they were not detected and these patients were not offered second line ARTs. Conclusions Having chronic malnutrition, low CD4 at base line, chronic diarrhea after initiation of first line ART, substitution of ART drugs and age less than 3 years old were found to be independent predictors of first line ART failure in children. Most of the first line ART failure cases were not detected early and those that were detected were not switched to second line drugs in a timely fashion. Children with the above risk factors should be closely monitored for a timely switch to second line highly active anti-retroviral therapy.

  19. Developmental and Cognitive Characteristics of “High-Level Potentialities” (Highly Gifted Children

    Directory of Open Access Journals (Sweden)

    Laurence Vaivre-Douret

    2011-01-01

    Full Text Available This study covers the interesting field of the development in gifted children which is often neglected in pediatrics because psychomotor development data are still rare, since “gifted” children are generally noticed towards the end of their primary schooling by IQ measurement. Developmental studies have shown the evidence from several fields that children identified as “high-level potentialities” or “intellectually gifted” develop sensory, locomotor, neuropsychological, and language skills earlier than typically expected. The hypothesis is offered that the earlier development originates from biological processes affecting the physical development of the brain and in turn even intellectual abilities are developed earlier, potentially allowing for advanced development. Further it is discussed how these developmental advances interact with the social environment and in certain circumstances may entail increased risk for developing socioemotional difficulties and learning disabilities that often go unaddressed due to the masking by the advance intellectual abilities.

  20. Measles virus antibody responses in children randomly assigned to receive standard-titer edmonston-zagreb measles vaccine at 4.5 and 9 months of age, 9 months of age, or 9 and 18 months of age

    DEFF Research Database (Denmark)

    Martins, Cesario; Garly, May-Lill; Bale, Carlitos;

    2014-01-01

    The World Health Organization recommends administration of measles vaccine (MV) at age 9 months in low-income countries. We tested the measles virus antibody response at 4.5, 9, 18, and 24 months of age for children randomly assigned to receive standard-titer Edmonston-Zagreb MV at 4.5 and 9 months...... levels at 24 months of age. In addition, the response at both 9 and 24 months of age was inversely correlated with the antibody level at receipt of the first dose of MV, and the second dose of MV, received at 9 months of age, provided a significant boost in antibody level to children who had low antibody...... levels. In the group of 318 children who received MV at 9 months of age, with or without a second dose at 18 months of age, 99% (314) had protective levels at 24 months of age. The geometric mean titer at 24 months of age was significantly lower in the group that received MV at 4.5 and 9 months of age...

  1. A multi-factorial genetic model for prognostic assessment of high risk melanoma patients receiving adjuvant interferon.

    Directory of Open Access Journals (Sweden)

    Ena Wang

    Full Text Available PURPOSE: IFNa was the first cytokine to demonstrate anti-tumor activity in advanced melanoma. Despite the ability of high-dose IFNa reducing relapse and mortality by up to 33%, large majority of patients experience side effects and toxicity which outweigh the benefits. The current study attempts to identify genetic markers likely to be associated with benefit from IFN-a2b treatment and predictive for survival. EXPERIMENTAL DESIGN: We tested the association of variants in FOXP3 microsatellites, CTLA4 SNPs and HLA genotype in 284 melanoma patients and their association with prognosis and survival of melanoma patients who received IFNa adjuvant therapy. RESULTS: Univariate survival analysis suggested that patients bearing either the DRB1*15 or HLA-Cw7 allele suffered worse OS while patients bearing either HLA-Cw6 or HLA-B44 enjoyed better OS. DRB1*15 positive patients suffered also worse RFS and conversely HLA-Cw6 positive patients had better RFS. Multivariate analysis revealed that a five-marker genotyping signature was prognostic of OS independent of disease stage. In the multivariate Cox regression model, HLA-B38 (p = 0.021, HLA-C15 (p = 0.025, HLA-C3 (p = 0.014, DRB1*15 (p = 0.005 and CT60*G/G (0.081 were significantly associated with OS with risk ratio of 0.097 (95% CI, 0.013-0.709, 0.387 (95% CI, 0.169-0.889, 0.449 (95% CI, 0.237-0.851, 1.948 (95% CI, 1.221-3.109 and 1.484 (95% IC, 0.953-2.312 respectively. CONCLUSION: These results suggest that gene polymorphisms relevant to a biological occurrence are more likely to be informative when studied in concert to address potential redundant or conflicting functions that may limit each gene individual contribution. The five markers identified here exemplify this concept though prospective validation in independent cohorts is needed.

  2. Incidence of tuberculosis among HIV-infected patients receiving highly active antiretroviral therapy in Europe and North America

    NARCIS (Netherlands)

    Costagliola, D; Dabis, F; Monforte, AD; de Wolf, F; Egger, M; Fatkenheuer, G; Gill, J; Hogg, R; Justice, A; Ledergerber, B; Lundgren, J; May, M; Phillips, A; Reiss, P; Sabin, C; Staszewski, S; Sterne, J; Weller, H.H.; May, M; Beckthold, B; Yip, B; Dauer, B; Fusco, J; Grabar, S; Lanoy, E; Junghans, C; Lavignolle, V.; van Leth, F; Pereira, E; Pezzotti, P; Phillips, A; Sabin, C; Schmeisser, N; Billaud, E; Boue, F; Duval, J.; Duvivier, C; Enel, P; Fournier, S; Gasnault, J; Gaud, C; Gilquin, J; Grabar, S; Khuong, MA; Lang, JM; Mary-Krause, M; Matheron, S; Meyohas, MC; Pialoux, G; Poizot-Martin, I.; Pradier, C; Rouveix, E; Salmon-Ceron, D; Sobel, A; Tattevin, P; Tissot-Dupont, H; Yasdanpanah, Y; Aronica, E; Tirard-Fleury, V.; Tortay, I.; Abgrall, S; Guiguet, M; Leneman, H; Lievre, L; Potard, V.; Saidi, S; Matheron, S; Vilde, JL; Leport, C; Yeni, P; Bouvet, E; Gaudebout, C; Crickx, B; Picard-Dahan, C; Weiss, L; Tisne-Dessus, D; Sicard, D; Salmon, D; Auperin, A; Viard, JP; Roudiere, L; Delfraissy, JF; Goujard, C; Lesprit, P; Jung, C; Meyohas, MC; Meynard, JL; Picard, O; Desplanque, N; Cadranel, J; Mayaud, C; Rozenbaum, W; Bricaire, F; Katlama, C; Herson, S; Simon, A; Decazes, JM; Molina, JM; Clauvel, JP; Gerard, L; Widal, GHLF; Sellier, P; Diemer, M; Dupont, C; Berthe, H; Saiag, P; Mortier, L; Mortier, E; Chandemerle, C; de Truchis, P; Bentata, M; Honore, P; Tassi, S; Jeantils, V.; Mechali, D; Taverne, B; Laurichesse, H; Gourdon, F; Lucht, F; Fresard, A; Faller, JP; Eglinger, P; Bazin, C; Verdon, R; Peyramond, D; Boibieux, A; Touraine, JL; Livrozet, JM; Trepo, C; Cotte, L; Ravaux, I.; Delmont, JP; Moreau, J; Gastaut, JA; Soubeyrand, J; Retornaz, F; Blanc, PA; Allegre, T; Galinier, A; Ruiz, JM; Lepeu, G; Granet-Brunello, P; Pelissier, L; Esterni, JP; Nezri, M; Cohen-Valensi, R; Laffeuillade, A; Chadapaud, S; Reynes, J; May, T; Rabaud, C; Raffi, F; Pugliese, P; Michelet, C; Arvieux, C; Caron, F; Borsa-Lebas, F; Lang, JM; Fraisse, P; Massip, P; Cuzin, L; Arlet-Suau, E; Legrand, MFT; Yasdanpanah, Y; Sobesky, M; Pradinaud, R; Guyon, F; Contant, M; Montroni, M; Scalise, G; Braschi, MC; Aviano, AR; Tirelli, U; Cinelli, R; Pastore, G; Ladisa, N; Minafra, G; Suter, F; Arici, C; Chiodo, F; Colangeli, V.; Fiorini, C; Coronado, O; Carosi, G; Cadeo, GP; Torti, C; Minardi, C; Bertelli, D; Rizzardini, G; Melzi, S; Manconi, PE; Catanzaro, PP; Cosco, L; Scerbo, A; Vecchiet, J; D'Alessandro, M; Santoro, D; Pusterla, L; Carnevale, G; Citterio, P; Vigano, P; Mena, M; Ghinelli, F; Sighinolfi, L; Leoncini, F; Mazzotta, F; Pozzi, M; Lo Caputo, S; Angarano, G; Grisorio, B; Saracino, A; Ferrara, S; Grima, P; Tundo, P; Pagano, G; Cassola, G; Alessandrini, A; Piscopo, R; Toti, M; Chigiotti, S; Soscia, F; Tacconi, L; Orani, A; Perini, P; Scasso, A; Vincenti, A; Chiodera, F; Castelli, P; Scalzini, A; Palvarini, L; Moroni, M; Lazzarin, A; Cargnel, A; Vigevani, GM; Caggese, L; Monforte, AD; Repetto, D; Galli, A; Merli, S; Pastecchia, C; Moioli, MC; Esposito, R; Mussini, C; Abrescia, N; Chirianni, A; Izzo, CM; Piazza, M; De Marco, M; Viglietti, R; Manzillo, E; Nappa, S; Colomba, A; Abbadessa, V.; Prestileo, T; Mancuso, S; Ferrari, C; Pizzaferri, P; Filice, G; Minoli, L; Bruno, R; Novati, S; Baldelli, F; Tinca, M; Petrelli, E; Cioppi, A; Alberici, F; Ruggieri, A; Menichetti, F; Martinelli, C; De Stefano, C; La Gala, A; Ballardini, G; Rizzo, E; Magnani, G; Ursitti, MA; Arlotti, M; Ortolani, P; Cauda, R; Dianzani, F; Ippolito, G; Antinori, A; Antonucci, G; D'Elia, S; Narciso, P; Petrosillo, N; Vullo, V.; De Luca, A; Bacarelli, A; Zaccarelli, M; Acinapura, R; De Longis, P; Brandi, A; Trotta, MP; Noto, P; Lichtner, M; Capobianchi, MR; Carletti, F; Girardi, E; Pezzotti, P; Rezza, G; Mura, MS; Mannazzu, M; Caramello, P; Di Perri, G; Soranzo, ML; Orofino, GC; Arnaudo, I.; Bonasso, M; Grossi, PA; Basilico, C; Poggio, A; Bottari, G; Raise, E; Ebo, F; De Lalla, F; Tositti, G; Resta, F; Loso, K; Lepri, AC; Battegay, M; Bernasconi, E; Boni, J; Bucher, H; Burgisser, P; Cattacin, S; Cavassini, M; Dubs, R; Egger, M; Elzi, L; Erb, P; Fantelli, K; Fischer, M; Flepp, M; Fontana, A; Francioli, P; Furrer, H; Gorgievski, M; Hirschel, B; Kaiser, L; Kind, C; Klimkait, T; Lauper, U; Ledergerber, B; Opravil, M; Paccaud, F; Pantaleo, G; Perrin, L; Piffaretti, JC; Rickenbach, M; Rudin, C; Schmid, P; Schupbach, J; Speck, R; Telenti, A; Trkola, A; Vernazza, P; Weber, R; Yerly, S; Bronsveld, W; Hillebrand-Haverkort, ME; Prins, JM; Bos, JC; Schattenkerk, JKME; Geerlings, SE; Godfried, MH; Lange, JMA; van Leth, FC; Lowe, SH; van der Meer, JTM; Nellen, FJB; Pogany, K; van der Poll, T; Reiss, P; Ruys, TA; Sankatsing, S; Steingrover, R; van Twillert, G; van der Valk, M; van Vonderen, MGA; Vrouenraets, SME; van Vugt, M; Wit, FWMN; Kuijpers, TW; Pajkrt, D; Scherpbier, HJ; van Eeden, A; ten Veen, JH; van Dam, PS; Roos, JC; Brinkman, K; Frissen, PHJ; Weigel, HM

    2005-01-01

    Background. We obtained estimates of the incidence of tuberculosis (TB) among patients receiving HAART and identified determinants of the incidence. Methods. We analyzed the incidence of TB during the first 3 years after initiation of HAART among 17,142 treatment-naive, AIDS- free persons starting H

  3. A fixed collector employing reversible vee-trough concentrator and a vacuum tube receiver for high temperature solar energy systems

    Science.gov (United States)

    Selcuk, M. K.

    1976-01-01

    A solar heat collection system employing non-tracking reflectors integrated with a fixed vacuum tube receiver which achieves modest year-round concentration (about 2) of the sunlight at low capital costs is discussed. The axis of the vee-trough reflector lies in a east-west direction and requires reversal of the reflector surfaces only twice a year without disturbing the receiver tubes and associated plumbing. It collects most of the diffuse flux. The vacuum tube receiver with selective absorber has no convection losses while radiation and conduction losses are minimal. Significant cost reductions are offered since the vee-trough can be fabricated from inexpensive polished or plastic reflector laminated sheet metal covering 2/3 of the collection area, and only about 1/3 of the area is covered with the more expensive vacuum tube receivers. Thermal and economic performance of the vee-trough vacuum tube system, year-round variation of the concentration factor, incident flux, useful heat per unit area at various operation temperatures and energy cost estimates are presented. The electrical energy cost is estimated to be 77 mills/kWh, and the system construction cost is estimated to be $1140/kWe.

  4. Meeting High Expectations: Healthy Thinking, Resiliency, and Deaf and Hard of Hearing Children

    Science.gov (United States)

    Egbert, Lisalee D.; LaMarr, Todd; Hossler, Tami; Davenport, Carrie; Crace, Jodee

    2014-01-01

    The authors present a positive outlook for deaf and hard of hearing children in meeting the high expectations set before them. Like all children, deaf and hard of hearing children thrive in environments that support and promote healthy ways of thinking. When individuals have healthy ways of thinking, they have what researchers call a "growth…

  5. Explicit Instruction in Decoding Benefits Children High in Phonemic Awareness and Alphabet Knowledge.

    Science.gov (United States)

    Fielding-Barnsley, Ruth

    1997-01-01

    Notes that 32 preschool children were trained to a high level in phonemic awareness over a 12-week period, and then in kindergarten, the children were taught 10 real words using either decoding and encoding techniques or a whole word method. Finds that children taught decoding and encoding techniques were superior in reading and writing compared…

  6. High Reading Skills Mask Dyslexia in Gifted Children.

    Science.gov (United States)

    van Viersen, Sietske; Kroesbergen, Evelyn H; Slot, Esther M; de Bree, Elise H

    2016-01-01

    This study investigated how gifted children with dyslexia might be able to mask literacy problems and the role of possible compensatory mechanisms. The sample consisted of 121 Dutch primary school children that were divided over four groups (typically developing [TD] children, children with dyslexia, gifted children, gifted children with dyslexia). The test battery included measures of literacy (reading/spelling) and cognitive abilities related to literacy and language (phonological awareness [PA], rapid automatized naming [RAN], verbal short-term memory [VSTM], working memory [WM], grammar, and vocabulary). It was hypothesized that gifted children with dyslexia would outperform children with dyslexia on literacy tests. In addition, a core-deficit model including dyslexia-related weaknesses and a compensational model involving giftedness-related strengths were tested using Bayesian statistics to explain their reading/spelling performance. Gifted children with dyslexia performed on all literacy tests in between children with dyslexia and TD children. Their cognitive profile showed signs of weaknesses in PA and RAN and strengths in VSTM, WM, and language skills. Findings indicate that phonology is a risk factor for gifted children with dyslexia, but this is moderated by other skills such as WM, grammar, and vocabulary, providing opportunities for compensation of a cognitive deficit and masking of literacy difficulties.

  7. High Reading Skills Mask Dyslexia in Gifted Children.

    Science.gov (United States)

    van Viersen, Sietske; Kroesbergen, Evelyn H; Slot, Esther M; de Bree, Elise H

    2016-01-01

    This study investigated how gifted children with dyslexia might be able to mask literacy problems and the role of possible compensatory mechanisms. The sample consisted of 121 Dutch primary school children that were divided over four groups (typically developing [TD] children, children with dyslexia, gifted children, gifted children with dyslexia). The test battery included measures of literacy (reading/spelling) and cognitive abilities related to literacy and language (phonological awareness [PA], rapid automatized naming [RAN], verbal short-term memory [VSTM], working memory [WM], grammar, and vocabulary). It was hypothesized that gifted children with dyslexia would outperform children with dyslexia on literacy tests. In addition, a core-deficit model including dyslexia-related weaknesses and a compensational model involving giftedness-related strengths were tested using Bayesian statistics to explain their reading/spelling performance. Gifted children with dyslexia performed on all literacy tests in between children with dyslexia and TD children. Their cognitive profile showed signs of weaknesses in PA and RAN and strengths in VSTM, WM, and language skills. Findings indicate that phonology is a risk factor for gifted children with dyslexia, but this is moderated by other skills such as WM, grammar, and vocabulary, providing opportunities for compensation of a cognitive deficit and masking of literacy difficulties. PMID:24935885

  8. Functional Literacy and/or Minimum Competency Testing in the Nation's Schools as a Prerequisite to Receiving a High School Diploma: Some Economic Implications.

    Science.gov (United States)

    Lloyd, R. Grann

    1980-01-01

    In addition to stigmatizing and prejudicing the future of young people, the denial of a high school diploma based on test scores represents a waste of public funds and human resources. In recent years, however, the educational system has been increasingly concerned with testing school children rather than teaching them. (Author/GC

  9. An Odyssey of Connecticut's Children: KIDS COUNT Data Book 2001.

    Science.gov (United States)

    Sampson, Amy E.

    This Kids Count Data Book provides state and regional trends in the well-being of Connecticut's children. The statistical portrait is based on 19 indicators of well-being: (1) children in families receiving welfare; (2) children receiving free or reduced-price meals; (3) high school employment; (4) births to teen mothers; (5) low birth weight; (6)…

  10. [Sex education : representations of 13- to 15-year-old junior high school children and slow learners].

    Science.gov (United States)

    Berger, Dominique; Rochigneux, Jean-Claude; Bernard, Sandie; Morand, Josette; Mougniotte, Alain

    2015-01-01

    In France, the National Education system has attributed an important health and sex education role to its teachers, based on a global and positive vision of sexuality Parents, teachers, public services and specialized resources each have a role to play in sex education for children and adolescents so that each young person can receive an education allowing him or her to enjoy a healthy sexuality. This study investigated the individual representations of sexuality, declared practices and knowledge of junior high schoolchildren and Section d'Enseignement G6n6ral et Professionnel Adapt6 (SEGPA) students, a structure for children with serious learning difficulties. The study methodology was based on administration of questionnaires (n = 524) to the two cohorts concerned. The secondary objective was to compare these two populations and identify the specificities of SEGPA pupils. The conclusions of this study should allow adults in charge of sex education in junior high schools and SEGPA to adapt sex education tools.

  11. [Sex education : representations of 13- to 15-year-old junior high school children and slow learners].

    Science.gov (United States)

    Berger, Dominique; Rochigneux, Jean-Claude; Bernard, Sandie; Morand, Josette; Mougniotte, Alain

    2015-01-01

    In France, the National Education system has attributed an important health and sex education role to its teachers, based on a global and positive vision of sexuality Parents, teachers, public services and specialized resources each have a role to play in sex education for children and adolescents so that each young person can receive an education allowing him or her to enjoy a healthy sexuality. This study investigated the individual representations of sexuality, declared practices and knowledge of junior high schoolchildren and Section d'Enseignement G6n6ral et Professionnel Adapt6 (SEGPA) students, a structure for children with serious learning difficulties. The study methodology was based on administration of questionnaires (n = 524) to the two cohorts concerned. The secondary objective was to compare these two populations and identify the specificities of SEGPA pupils. The conclusions of this study should allow adults in charge of sex education in junior high schools and SEGPA to adapt sex education tools. PMID:26164952

  12. High occurrence of giardiasis in children living on a 'landless farm workers' settlement in Araras, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Oswaldo Aparecido de Lima Junior

    2013-06-01

    Full Text Available Enteric parasitosis remains an important public health problem in many areas around the world including in Brazil, and it is frequently associated with poverty and lack of sanitation facilities. Research carried out over the course of a year revealed that 96.6% (28/29 of children randomly selected from a 'landless farm workers' settlement in Araras, São Paulo, aged 4 - 15 years, presented Giardia intestinalis cysts. After referral to the neighborhood Health Office, all the children received tinidazole, given as a single dose of 50 mg/kg and 12 months later, new fecal samples were collected and analyzed. Despite the low adherence to the study, a high percentage (64.3% - 9/14 of the children remained positive for the parasite. This study showed a high positivity of giardiasis in child residents of the settlement, even after treatment; adults were not sensitized to the study and did not collected and/or deliver children fecal samples. The precarious living conditions are consistent with a high susceptibility to parasitic diseases, suggesting that the treatment of the infected individuals without identifying and eradicating the means of contamination is simply a palliative measure.

  13. Erratum to "Progress and Outcomes for Children with Autism Receiving Parent-Managed Intensive Interventions" [Research in Developmental Disabilities 22 (2001) 425-447].

    Science.gov (United States)

    Bibby, Peter; Eikeseth, Svein; Martin, Neil T.; Mudford, Oliver C.; Reeves, David

    2002-01-01

    This corrected article on parent-managed interventions with children with autism reports on analysis of data on 66 children. Findings generally indicated that, after 31.6 months of intervention, IQ scores had not changed but adaptive behavior scores had increased significantly (n=21). However, overall interventions did not reproduce results from…

  14. 高温热管太阳能接收器的可靠性比较%Reliability Comparison of High Temperature Heat Pipe Solar Receiver

    Institute of Scientific and Technical Information of China (English)

    许辉; 张红; 白穜; 丁莉; 庄骏

    2012-01-01

    接收器是碟式太阳能热发电系统的核心部件,为太阳能/电能的转换提供吸热传热功能。介绍了几种高温热管接收器的结构,针对高温太阳能热利用的特点,提出了高温热管太阳能接收器的可靠性评估模型,比较组合式高温热管接收器与典型高温热管接收器的可靠性和寿命。结果表明:在热管单体故障率相同的情况下,组合式高温热管接收器具有更高的可靠性,因此具有更长的使用寿命,可以适应碟式太阳能热发电系统的运行需求。%As the core component of dish solar thermal power system,the receiver can absorb incoming concentrated solar energy and then transmit thermal power to the working fluid of the engine.This paper describes the structure characteristics of various types of high temperature heat pipe receivers.Then the reliability model of high temperature heat pipe solar receivers is presented in the light of the utilization features of high temperature solar thermal power.The reliabilities and life span are compared between combined high temperature heat pipe receiver and typical heat pipe receiver by the model.The research results indicate that the combined type high temperature heat pipe solar receiver possesses higher reliability and longer working life,adaptable to the requirements of dish solar thermal power system.

  15. Nature of the seismic lithosphere-asthenosphere boundary within normal oceanic mantle from high-resolution receiver functions

    Science.gov (United States)

    Olugboji, Tolulope Morayo; Park, Jeffrey; Karato, Shun-ichiro; Shinohara, Masanao

    2016-04-01

    Receiver function observations in the oceanic upper mantle can test causal mechanisms for the depth, sharpness, and age dependence of the seismic wave speed decrease thought to mark the lithosphere-asthenosphere boundary (LAB). We use a combination of frequency-dependent harmonic decomposition of receiver functions and synthetic forward modeling to provide new seismological constraints on this "seismic LAB" from 17 ocean-bottom stations and 2 borehole stations in the Philippine Sea and northwest Pacific Ocean. Underneath young oceanic crust, the seismic LAB depth follows the ˜1300 K isotherm but a lower isotherm (˜1000 K) is suggested in the Daito ridge, the Izu-Bonin-Mariana trench, and the northern Shikoku basin. Underneath old oceanic crust, the seismic LAB lies at a constant depth ˜70 km. The age dependence of the seismic LAB depth is consistent with either a transition to partial-melt conditions or a subsolidus rheological change as the causative factor. The age dependence of interface sharpness provides critical information to distinguish these two models. Underneath young oceanic crust, the velocity gradient is gradational, while for old oceanic crust, a sharper velocity gradient is suggested by the receiver functions. This behavior is consistent with the prediction of the subsolidus model invoking anelastic relaxation mediated by temperature and water content, but is not readily explained by a partial-melt model. The Ps conversions display negligible two-lobed or four-lobed back azimuth dependence in harmonic stacks, suggesting that a sharp change in azimuthal anisotropy with depth is not responsible for them. We conclude that these ocean-bottom observations indicate a subsolidus elastically accommodated grain-boundary sliding (EAGBS) model for the seismic LAB. Because EAGBS does not facilitate long-term ductile deformation, the seismic LAB may not coincide with the conventional transition from lithosphere to asthenosphere corresponding to a change in

  16. Homogeneous and Inhomogeneous Model for Flow and Heat Transfer in Porous Materials as High Temperature Solar Air Receivers

    OpenAIRE

    Smirnova, Olena; Fend, Thomas; Schwarzbözl, Peter; Schöllgen, Daniel

    2010-01-01

    Results of calculations on flow and heat transfer in a porous Silicon Carbide honeycomb structure applied as a solar air receiver are presented. In this application porous materials are put in concentrated solar radiation. Flux densities of up to 1000 MW/m² are reached. Simultaneously, ambient air flows through the material to be heated up to temperatures of app. 800°C. This hot air is then used to feed the steam generator of a steam turbine to generate solar electricity (solar tower technolo...

  17. Antiemetic Therapy With or Without Olanzapine in Preventing Chemotherapy-Induced Nausea and Vomiting in Patients With Cancer Receiving Highly Emetogenic Chemotherapy | Division of Cancer Prevention

    Science.gov (United States)

    This randomized phase III trial studies antiemetic therapy with olanzapine to see how well they work compared to antiemetic therapy alone in preventing chemotherapy-induced nausea and vomiting in patients with cancer receiving highly emetogenic (causes vomiting) chemotherapy. Antiemetic drugs, such as palonosetron hydrochloride, ondansetron, and granisetron hydrochloride, may help lessen or prevent nausea and vomiting in patients treated with chemotherapy. |

  18. My partner wants a child: A cross-sectional study of the determinants of the desire for children among mutually disclosed sero-discordant couples receiving care in Uganda

    Directory of Open Access Journals (Sweden)

    Mirembe Florence

    2010-05-01

    Full Text Available Abstract Background The percentages of couples in HIV sero-discordant relationships range from 5 to 31% in the various countries of Africa. Given the importance of procreation and the lack of assisted reproduction to avoid partner transmission, members of these couples are faced with a serious dilemma even after the challenge of disclosing their HIV status to their spouses. Identifying the determinants of the decision to have children among sero-discordant couples will help in setting reproductive intervention priorities in resource-poor countries. Methods We conducted a survey among 114 mutually disclosed sero-discordant couples (228 individuals receiving HIV care at four centres in Greater Kampala, between June and December 2007. The data we collected was classified according to whether the man or the woman was HIV-positive. We carried out multivariate logistic regression modelling to determine factors (age, gender, and the influences of relatives and of health workers, ART knowledge, and disclosure that are independently associated with a desire for children. Results The majority, 59%, of the participants, desired to have children. The belief that their partner wanted children was a major determinant of the desire to have children, irrespective of the HIV sero-status (adjusted odds ratio 24.0 (95% CI 9.15, 105.4. Among couples in which the woman was HIV-positive, young age and relatives' expectations for children were significantly associated with increased fertility desire, while among couples in which the man was positive; knowledge of ART effectiveness was associated with increased fertility desire. Availability of information on contraception was associated with decreased fertility desire. Conclusions The gender of the positive partner affects the factors associated with a desire for children. Interventions targeting sero-discordant couples should explore contraceptive choices, the cultural importance of children, and partner

  19. Group Music Intervention Reduces Aggression and Improves Self-Esteem in Children with Highly Aggressive Behavior: A Pilot Controlled Trial

    Directory of Open Access Journals (Sweden)

    Ae-Na Choi

    2010-01-01

    Full Text Available We investigated the effects of group music intervention on aggression and self-esteem in children with highly aggressive behavior. Forty-eight children were allocated to either a music intervention group or an untreated control group. The music intervention group received 50 min of music intervention twice weekly for 15 consecutive weeks. The outcome measures were Child Behavior Checklist Aggression Problems Scale (Parents, Child Aggression Assessment Inventory (Teachers and Rosenberg Self-esteem Scale. After 15 weeks, the music intervention group showed significant reduction of aggression and improvement of self-esteem compared with the control group. All outcome measures were significantly lower in the music intervention group than prior to treatment, while there was no change in the control group. These findings suggest that music can reduce aggressive behavior and improve self-esteem in children with highly aggressive behavior. Music intervention is an easily accessible therapy for children and as such may be an effective intervention for aggressive behavior. Further more, objective and replicable measures are required from a randomized controlled trial with a larger sample size and active comparable control.

  20. MRI measurements of the brain stem and cerebellum in high functioning autistic children

    Energy Technology Data Exchange (ETDEWEB)

    Hashimoto, Toshiaki; Tayama, Masanobu; Miyazaki, Masahito; Murakawa, Kazuyoshi; Kuroda, Yasuhiro (Tokushima Univ. (Japan). School of Medicine)

    1994-01-01

    To determine involvements of the brain stem and/or cerebellum in autism, we compared midsagittal magnetic resonance images of the brains of high functioning autistic children with those of normal controls. We found that the midbrain and medulla oblongata were significantly smaller in these autistic children than in the control children. The pons area did not differ between the two groups, nor was there any difference in the cerebellar vermis area. The ratio of the brain stem and cerebellum to the posterior fossa area did not differ significantly between the high functioning autistic and the control children. The development of the cerebellar vermis area was delayed in autistic children as compared with that in the control children. Thus, it was suggested that significant anatomical changes in the midbrain and medulla oblongata existed in the autistic children. (author).

  1. MRI measurements of the brain stem and cerebellum in high functioning autistic children

    International Nuclear Information System (INIS)

    To determine involvements of the brain stem and/or cerebellum in autism, we compared midsagittal magnetic resonance images of the brains of high functioning autistic children with those of normal controls. We found that the midbrain and medulla oblongata were significantly smaller in these autistic children than in the control children. The pons area did not differ between the two groups, nor was there any difference in the cerebellar vermis area. The ratio of the brain stem and cerebellum to the posterior fossa area did not differ significantly between the high functioning autistic and the control children. The development of the cerebellar vermis area was delayed in autistic children as compared with that in the control children. Thus, it was suggested that significant anatomical changes in the midbrain and medulla oblongata existed in the autistic children. (author)

  2. Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents

    OpenAIRE

    Kim, So Yeon; Kim, Jeong Min; Lee, Jae Hoon; Kang, Young Ran; Jeong, Seung Ho; Koo, Bon-Nyeo

    2013-01-01

    Background Active upper respiratory tract infection (URI), orotracheal intubation and use of inhalation anesthetics are known risk factors for perioperative respiratory adverse events (RAE). This study investigated the risk factors of perioperative RAE in children with these risk factors. Methods The records of 159 children who underwent general anesthesia with an orotracheal tube and inhalation were reviewed. These patients also had at least one of the following URI symptoms on the day of su...

  3. Regression of Some High-risk Features of Age-related Macular Degeneration (AMD in Patients Receiving Intensive Statin Treatment

    Directory of Open Access Journals (Sweden)

    Demetrios G. Vavvas

    2016-03-01

    Conclusions: High-dose statins may result in resolution of drusenoid pigment epithelial detachments (PEDs and improvement in VA, without atrophy or neovascularization in a high-risk subgroup of AMD patients. Confirmation from larger studies is warranted.

  4. Characterizing Vibratory Kinematics in Children and Adults with High-Speed Digital Imaging

    Science.gov (United States)

    Patel, Rita; Dubrovskiy, Denis; Döllinger, Michael

    2014-01-01

    Purpose: The aim of this study is to quantify and identify characteristic vibratory motion in typically developing prepubertal children and young adults using high-speed digital imaging. Method: The vibrations of the vocal folds were recorded from 27 children (ages 5-9 years) and 35 adults (ages 21-45 years), with high speed at 4,000 frames per…

  5. Relationship between Social Competence and Sensory Processing in Children with High Functioning Autism Spectrum Disorders

    Science.gov (United States)

    Hilton, Claudia; Graver, Kathleen; LaVesser, Patricia

    2007-01-01

    Purpose: This study examines the relationship between social competence and sensory processing in children with high functioning autism spectrum disorders. Methodology: Children, ages 6-10 (N = 36), with high functioning autism spectrum disorders were assessed using the Social Responsiveness Scale (SRS) and the Sensory Profile (SP). A bivariate…

  6. Social Skills and Problem Behaviours in School Aged Children with High-Functioning Autism and Asperger's Disorder

    Science.gov (United States)

    Macintosh, Kathleen; Dissanayake, Cheryl

    2006-01-01

    The social skills and problem behaviours of children with high-functioning autism and Asperger's Disorder were compared using parent and teacher reports on the Social Skills Rating System. The participants were 20 children with high-functioning autism, 19 children with Asperger's Disorder, and 17 typically developing children, matched on…

  7. Abnormal humoral immune response to influenza vaccination in pediatric type-1 human immunodeficiency virus infected patients receiving highly active antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Carlos J Montoya

    2007-06-01

    Full Text Available Given that highly active antiretroviral therapy (HAART has been demonstrated useful to restore immune competence in type-1 human immunodeficiency virus (HIV-1-infected subjects, we evaluated the specific antibody response to influenza vaccine in a cohort of HIV-1-infected children on HAART so as to analyze the quality of this immune response in patients under antiretroviral therapy. Sixteen HIV-1-infected children and 10 HIV-1 seronegative controls were immunized with a commercially available trivalent inactivated influenza vaccine containing the strains A/H1N1, A/H3N2, and B. Serum hemagglutinin inhibition (HI antibody titers were determined for the three viral strains at the time of vaccination and 1 month later. Immunization induced a significantly increased humoral response against the three influenza virus strains in controls, and only against A/H3N2 in HIV-1-infected children. The comparison of post-vaccination HI titers between HIV-1+ patients and HIV-1 negative controls showed significantly higher HI titers against the three strains in controls. In addition, post vaccination protective HI titers (defined as equal to or higher than 1:40 against the strains A/H3N2 and B were observed in a lower proportion of HIV-1+ children than in controls, while a similar proportion of individuals from each group achieved protective HI titers against the A/H1N1 strain. The CD4+ T cell count, CD4/CD8 T cells ratio, and serum viral load were not affected by influenza virus vaccination when pre- vs post-vaccination values were compared. These findings suggest that despite the fact that HAART is efficient in controlling HIV-1 replication and in increasing CD4+ T cell count in HIV-1-infected children, restoration of immune competence and response to cognate antigens remain incomplete, indicating that additional therapeutic strategies are required to achieve a full reconstitution of immune functions.

  8. Analysis on detection results of trace elements in 2 963 children receiving physical examination in Chengdu city%成都市2963例体检儿童微量元素检测结果分析

    Institute of Scientific and Technical Information of China (English)

    刘芳; 甘春玉; 李文胜; 沈川; 柳晓琴; 石华

    2013-01-01

    目的:了解成都地区0 ~14岁儿童体内微量元素的含量,分析其异常的原因,探讨干预措施及纠正方法.方法:原子吸收光谱法检测2 963例正常儿童全血微量元素(铜、锌、钙、镁、铁、铅、镉)含量,比较年龄、性别对微量元素异常的影响.结果:成都地区正常体检儿童血锌、钙、铁和铅的异常率相对较高,血铅有随年龄增加异常率增加的趋势,血铁及血钙5岁以下组与5岁以上组异常率比较差异有统计学意义(P<0.05),各微量元素测定结果无性别差异.结论:儿童微量元素含量与生理周期及喂养习惯有密切关系,婴儿期应注意补铁,幼儿期侧重补钙,良好的生活环境及个人卫生习惯可以预防铅中毒的发生.%Objective: To understand the contents of trace elements in 0 - 14 years old children in Chengdu city, analyze the causes of abnormal trace elements contents, and explore the interventional measures and correction methods.Methods: Atomic absorption spec-trometry was used to detect the contents of copper, zinc, calcium, magnesium, iron, lead, and cadmium in whole blood of 2 963 normal children, the effects of age and gender on abnormal trace elements.Results: The abnormal rates of blood zinc, calcium, iron, and lead in children receiving physical examination in Chengdu city were relatively high, the abnormal rate of blood lead showed an increasing trend with age, there were statistically significant differences in abnormal rates of blood iron and calcium between under 5 years old group and more than 5 years old group ( P < 0.05 ) , there was no gender difference in detection results of trace elements.Conclusion: The contents of trace elements in children are correlated with physiological cycle and feeding habits.Iron supplementation during infant period should be paid more attention, and calcium supplementation should be focused on during toddle period.Good living environment and personal health habits can

  9. Intraocular lens exchange for high myopia in pseudophakic children.

    Science.gov (United States)

    Kraus, C L; Trivedi, R H; Wilson, M E

    2016-09-01

    PurposeThe purpose of this study was to examine the preoperative factors and postoperative outcomes following intraocular lens (IOL) exchange for high myopia in pseudophakic children.MethodsThe medical records of all patients undergoing IOL exchange for high myopia were retrospectively reviewed.ResultsA total of 15 eyes were identified that had undergone an IOL exchange for myopic shift. Average age of cataract extraction (CE) was 5.4 months. In all, 10/15 had a unilateral cataract. IOL exchange usually occurred at an average of 6 years following cataract surgery. The average spherical equivalent (SE) of the refractive error at that time was -9.6 D. Following IOL exchange, SE was -1.3 D. A two-line reduction in best-corrected visual acuity was observed in 1/13 of our patients for whom pre- and post-exchange data were available. The average axial length (AL) of the eye undergoing the IOL exchange was 24.0 mm, average AL in the non-operative eye was 22.1 mm. On average, the operative eyes grew 4.4 mm and the non-operative eyes 3.02 mm. No adverse events were seen in the operative eyes.ConclusionYounger age at the time of CE creates a greater likelihood of AL elongation and predisposes a child to myopic shift. IOL exchange should be considered an option to reduce anisometropia and associated aniseikonia to improve visual outcomes. Successful visual rehabilitation and predictable post-exchange refractions were seen with our patients.

  10. A Comparison of the Cognitive Development of 3-6 Year-Old Children Who Receive Family-Supported Preschool Education, Institutional Education and No Education

    Science.gov (United States)

    Zembat, Rengin; Kuday, Fatma Servet

    2010-01-01

    This study aims to examine the effects of Family Supported Preschool Education programs on the development of preschool children. By measuring the effects of family-supported preschool education on cognitive development, this study helps support alternative methods of making preschool education more widespread. The study uses the experimental…

  11. Immunogenicity and safety of monovalent RIVM meningococcal B OMP vesicle F91 vaccine administered to children that received hexavalent meningococcal B vaccine 2.5 years ago

    NARCIS (Netherlands)

    Lafeber AB; Limpt CJP van; Berbers GAM; Labadie J; Kleijn ED de; Groot R de; Rumke HC; Alphen AJW van; Sophia Kinderziekenhuis /; LVO

    2000-01-01

    This report describes the results with respect to immunogenicity as well as reactogenicity of a monovalent P1.7h,4 OMV vaccine (MonoMen) used as booster vaccination in children previously vaccinated with a hexavalent MenB vaccine. The participants in this study were immunised in 1995-1996 with hexav

  12. 高实时性GPS时间比对接收机实现方案%Development of the High Real-time GPS Time Transfer Receiver

    Institute of Scientific and Technical Information of China (English)

    黄艳; 高源; 张晗; 李波

    2013-01-01

    全球定位系统(global positioning system,GPS)共/全视法的核心是GPS时间比对接收机及后处理算法.自主研制了基于EURO-160 GPS引擎的高实时性GPS多通道时间比对接收机及实时数据处理算法.为了验证接收机的精度,与国外商用GPS P3码接收机进行了零基线共钟与零基线不共钟的实验.实验结果表明,研制的高实时性GPS时间比对接收机与国外商用GPS P3码接收机技术水平相当.%Global positioning system (GPS) common/all-view method is currently international hot technology for long-distance time and frequency transfer,and it is also one of the main tools.Its core is the GPS time transfer receiver and post-processing algorithms.The high real-time multi-channel GPS time transfer receiver based on EURO-160 GPS board and the real-time data processing algorithms are introduced in this paper.To verify the accuracy,the experiments of common clock and non-common clock on zero-based line with the foreign commercial GPS P3 code receivers are carried out.Results show that the high real-time GPS receiver and the foreign commercial GPS P3 code receiver have the same technology level.

  13. High prevalence of autoimmune urticaria in children with chronic urticaria

    DEFF Research Database (Denmark)

    Brunetti, Luigia; Francavilla, Ruggiero; Miniello, Vito L;

    2004-01-01

    The etiology of chronic urticaria (CU) in childhood often remains unrecognized. Recently, in adults it has been shown that approximately 40% of patients with CU have autoimmune urticaria (AU); however, no data are available in children.......The etiology of chronic urticaria (CU) in childhood often remains unrecognized. Recently, in adults it has been shown that approximately 40% of patients with CU have autoimmune urticaria (AU); however, no data are available in children....

  14. Resilience in highly stressed urban children: concepts and findings.

    OpenAIRE

    Cowen, E. L.; Wyman, P. A.; Work, W. C.

    1996-01-01

    The Rochester Child Resilience Project is a coordinated set of studies of the correlates and antecedents of outcomes relating to resilience among profoundly stressed urban children. The studies have been conducted over the course of the past decade. Based on child test data, parent, teacher, and self ratings of child adjustment, and in-depth individual interviews with parents and children, a cohesive picture has developed of child and family milieu variables that consistently differentiate ch...

  15. High-Temperature Thermal Storage System for Solar Tower Power Plants with Open-Volumetric Air Receiver Simulation and Energy Balancing of a Discretized Model

    OpenAIRE

    Kronhardt, Valentina; Alexopoulos, Spiros; Reißel, Martin; Sattler, Johannes; Hoffschmidt, Bernhard; Hänel, Matthias; Doerbeck, Till

    2013-01-01

    This paper describes the modeling of a high-temperature storage system for an existing solar tower power plant with open volumetric receiver technology, which uses air as heat transfer medium (HTF). The storage system model has been developed in the simulation environment Matlab/Simulink®. The storage type under investigation is a packed bed thermal energy storage system which has the characteristics of a regenerator. Thermal energy can be stored and discharged as required via the HTF air. ...

  16. Highly-linear sampling receivers in silicon and BiCMOS processes for multi-GS/s optically and electrically sampled systems

    OpenAIRE

    Gathman, Timothy D.

    2012-01-01

    In this dissertation, high-linearity sampling circuits are presented for wideband (multi-GS/s) electrical and optical sampling, millimeter-wave circuits are discussed for wideband communication, and injection-locking is presented for nonlinear sampling and spectrum analysis. A 2GS/s sampling receiver with 4.5 measured effective-number-of-bits is presented for spectrally efficient optical communication in a 45nm SOI CMOS process. Next, jitter limitations for broadband sampling circuits are dis...

  17. Advanced and flexible multi-carrier receiver architecture for high-count multi-core fiber based space division multiplexed applications

    OpenAIRE

    Rameez Asif

    2016-01-01

    Space division multiplexing (SDM), incorporating multi-core fibers (MCFs), has been demonstrated for effectively maximizing the data capacity in an impending capacity crunch. To achieve high spectral-density through multi-carrier encoding while simultaneously maintaining transmission reach, benefits from inter-core crosstalk (XT) and non-linear compensation must be utilized. In this report, we propose a proof-of-concept unified receiver architecture that jointly compensates optical Kerr effec...

  18. Communication received from the Governor of Norway to the Agency concerning the International Symposium of Minimisation of Highly Enriched Uranium in the Civilian Nuclear Sector

    International Nuclear Information System (INIS)

    The Director General has received a communication from the Governor of Norway, attaching the Chair's Summary of the discussions held during the International Symposium of Minimisation of Highly Enriched Uranium in the Civilian Nuclear Sector which was held in Oslo from 17 to 20 June 2006 as well as the summary from the technical workshop of the Symposium. The communication and, as requested therein, the attached two summaries, are herewith circulated for the information of Member States

  19. HIGH AND LOW DOSE IVIG THERAPY IN GUILLAIN-BARRE SYNDROME CHILDREN: A COMPARISON

    Directory of Open Access Journals (Sweden)

    P. KARIMZADEH MD

    2009-05-01

    Full Text Available Objective:Acute inflammatory demyelinating peripheral neuropathy (Guillain-Barre-Syndrome is by far the most common cause of immune-medicated peripheral nervous system disease in children; with the near disappearance of poliomyelitis, GBS is responsible for the great majority of cases of acute flaccid paralysis. So far, in several controlled studies, corticosteroids, plasmapheresis and IVIG have been utilized in pediatric patients, afflicted with GBS. Regarding IVIG therapy, two methods have been used; the high dose (1 gr/kg/day for 2 days, and the low dose (400mg/kg/day for 5 days. Review of literature shows that a faster rate of recovery can be accomplished in patients who receive total dose of IVIG in 2 days as compared to the dose being given over 5 days.Materials & Methods:In this study we have compared these two types of treatment in an investigation, conducted in the Mofid Children Hospital on pediatric patients who had sudden onset of acute flaccid  paralysis, and were diagnosed as having GBS. Based on histories, physical examination and electrodiagnosis, subjects were divided in two groups, the high dose IVIG treatment, 1gr/kg/day for 2 days (experimental group, and the low dose IVIG treatment, 400 mg/kg/day for 5 days (control group. Statistical analyses were then carried out using the appropriate software.Results:Result of this study showed a faster rate of recovery for patients in the high dose IVIG group; in this group duration of weakness of limbs was shorter and returning of DTR was faster than in controls. In fact, in this type of treatment, the relationship between high dose IVIG therapy and drug side effects was not significant.Conclusion:Base upon the finding in the present study, we conclude that the high dose IVIG therapy is superior to low dose, in view of faster duration of recovery and shorter hospital stay. Also we may infer that shorter hospital stay could be a factor in reducing of more nasocomial infection. In

  20. Mothers’ Attitudes and Self-Esteem among Deaf Children in Iranian High Schools

    OpenAIRE

    Effat Hamed Sardar; Rusnani Abdul Kadir

    2012-01-01

    This study examines the relationship between mothers’ attitude and self-esteem among deaf children who are currently enrolled in deaf high schools in Iran. While family system theory is typically used in trying counseling and therapy, much can be learned from examining it by studying the relationship between deaf children and their mothers. Family systems theory has been used in trying to understand problems of communication between children and their families (Widerman, 1995). In general, at...

  1. High "intelligence," low "IQ"? Speed of processing and measured IQ in children with autism

    OpenAIRE

    Scheuffgen, K.; Happe, F.; Anderson, M.,; Frith, U.

    2000-01-01

    The uneven profile of performance on standard assessments of intelligence and the high incidence of savant skills have prompted interest in the nature of intelligence in autism. The present paper reports the first group study of speed of processing in children with autism (IQ 1 SD below average) using an inspection time task. The children with autism showed inspection times as fast as an age-matched group of young normally developing children (IQ 1 SD above average). They were also significan...

  2. Evidences of Protective Potentials of Microdoses of Ultra-High Diluted Arsenic Trioxide in Mice Receiving Repeated Injections of Arsenic Trioxide

    Directory of Open Access Journals (Sweden)

    Pathikrit Banerjee

    2011-01-01

    Full Text Available The present study was undertaken to examine if microdoses of ultra-high diluted arsenic trioxide (a potentized homeopathic remedy, Arsenicum Album 200C, diluted 10-400 times have hepatoprotective potentials in mice subjected to repeated injections of arsenic trioxide. Arsenic intoxicated mice were divided into: (i those receiving Arsenicum Album-200C daily, (ii those receiving the same dose of diluted succussed alcohol (Alc 200C and (iii another group receiving neither drug nor succussed alcohol. Two other control groups were also maintained: one fed normal diet only and the other receiving normal diet and Alc-200C. Toxicity biomarkers like aspartate and alanine aminotransferases, glutathione reductase, catalase, succinate dehydrogenase, superoxide dismutase and reduced glutathione contents were periodically assayed keeping the observer “blinded”. Additionally, electron microscopic studies and gelatin zymography for matrix metalloproteinases of liver tissues were made at day 90 and 120. Blood glucose, hemoglobin, estradiol and testosterone contents were also studied. Compared to controls, Arsenicum Album-200C fed mice showed positive modulations of all parameters studied, thereby providing evidence of protective potentials of the homeopathic drug against chronic arsenic poisoning.

  3. Longitudinal assessment of high blood pressure in children with nonalcoholic fatty liver disease.

    Directory of Open Access Journals (Sweden)

    Jeffrey B Schwimmer

    Full Text Available Nonalcoholic fatty liver disease (NAFLD affects 9.6% of children and may put these children at elevated risk of high blood pressure and subsequent cardiovascular morbidity and mortality. Therefore, we sought to determine the prevalence of and risk factors for high blood pressure in children with NAFLD.Cohort study performed by the NIDDK NASH Clinical Research Network. There were 484 children with NAFLD ages 2 to 17 at enrollment; 382 children were assessed both at enrollment and 48 weeks afterwards. The main outcomes were high blood pressure at baseline and persistent high blood pressure at both baseline and 48 weeks.Prevalence of high blood pressure at baseline was 35.8% and prevalence of persistent high blood pressure was 21.4%. Children with high blood pressure were significantly more likely to have worse steatosis than children without high blood pressure (mild 19.8% vs. 34.2%, moderate 35.0% vs. 30.7%, severe 45.2% vs. 35.1%; P = 0.003. Higher body mass index, low-density lipoprotein, and uric acid were independent risk factors for high blood pressure (Odds Ratios: 1.10 per kg/m2, 1.09 per 10 mg/dL, 1.25 per mg/dL, respectively. Compared to boys, girls with NAFLD were significantly more likely to have persistent high blood pressure (28.4% vs.18.9%; P = 0.05.In conclusion, NAFLD is a common clinical problem that places children at substantial risk for high blood pressure, which may often go undiagnosed. Thus blood pressure evaluation, control, and monitoring should be an integral component of the clinical management of children with NAFLD.

  4. Association between diarrhea and quality of life in HIV-infected patients receiving highly active antiretroviral therapy

    NARCIS (Netherlands)

    Tramarin, A; Parise, N; Campostrini, S; Yin, DD; Postma, MJ; Lyu, R; Grisetti, R; Capetti, A; Cattelan, AM; Di Toro, MT; Mastroianni, A; Pignattari, E; Mondardini, [No Value; Calleri, G; Raise, E; Starace, F

    2004-01-01

    Diarrhea is a common symptom that many HIV patients experience either as a consequence of HIV infection or of highly active antiretroviral therapy (HAART). A multicenter, prospective observational study was conducted in 11 AIDS clinics in Italy to determine the effect of diarrhea on health-related q

  5. Virologic and immunologic outcomes after 24 weeks in HIV type 1-infected adolescents receiving highly active antiretroviral therapy

    NARCIS (Netherlands)

    Flynn, PM; Rudy, BJ; Douglas, SD; Lathey, J; Spector, SA; Martinez, J; Silio, M; Belzer, M; Friedman, L; D'Angelo, L; McNamara, J; Hodge, J; Hughes, MD; Lindsey, JC

    2004-01-01

    Background. Adolescents represent the fastest growing demographic group of new human immunodeficiency virus (HIV) infections in the United States. At present, there is little information available about their response to therapy. Methods. We studied 120 adolescents infected via high-risk behaviors w

  6. Soluble urokinase plasminogen activator receptor is a marker of dysmetabolism in HIV-infected patients receiving highly active antiretroviral therapy

    DEFF Research Database (Denmark)

    Andersen, Ove; Eugen-Olsen, Jesper; Kofoed, Kristian;

    2008-01-01

    Circulating soluble urokinase plasminogen activator receptor (suPAR) reflects the immune and pro-inflammatory status of the HIV-infected patient. Highly active antiretroviral therapy (HAART) suppresses suPAR. Independent of the immune response to HAART, suPAR remains elevated in some HIV-infected...

  7. Validity of Measures Reflecting Visual Discrimination and Linguistic Constructs for a Sample of Second-Grade Hispanic Children Receiving Reading Instruction in Spanish.

    Science.gov (United States)

    Morrison, James A.; Michael, William B.

    1984-01-01

    The concurrent and discriminant validity of La Prueba de Analisis Auditivo, a Spanish auditory perception test, and the validity of the perceptual deficit hypothesis and of hypotheses derived from verbal processing theory were evaluated in a sample of 114 second-grade Hispanic pupils receiving reading instruction in Spanish. (Author/BW)

  8. Effectiveness of high-dose methotrexate in T-cell lymphoblastic leukemia and advanced-stage lymphoblastic lymphoma: a randomized study by the Children's Oncology Group (POG 9404)

    OpenAIRE

    Asselin, Barbara L; Devidas, Meenakshi; Wang, Chenguang; Pullen, Jeanette; Borowitz, Michael J.; Hutchison, Robert; Lipshultz, Steven E.; Camitta, Bruce M.

    2011-01-01

    The Pediatric Oncology Group (POG) phase 3 trial 9404 was designed to determine the effectiveness of high-dose methotrexate (HDM) when added to multi-agent chemotherapy based on the Dana-Farber backbone. Children with T-cell acute lymphoblastic leukemia (T-ALL) or advanced lymphoblastic lymphoma (T-NHL) were randomized at diagnosis to receive/not receive HDM (5 g/m2 as a 24-hour infusion) at weeks 4, 7, 10, and 13. Between 1996 and 2000, 436 patients were enrolled in the methotrexate randomiz...

  9. Design and Simulation of High-Dynamic GPS Receiver%高动态GPS接收机的设计与仿真

    Institute of Scientific and Technical Information of China (English)

    肖洪兵; 何飞云

    2013-01-01

    与一般环境下卫星定位信号的接收相比,高动态环境下GPS信号产生较大的多普勒频移,产生较大的定位误差,因而对卫星定位信号接收机提出了较高要求:一是要更可靠地捕获卫星定位信号;二是接收机要具有低功耗、小型化、通用性的特点.针对上述要求,提出了采用FPGA的GPS接收机方案,给出了系统的总体设计以及各个主要模块的设计与仿真过程;并根据设计平台,进行了相关实验.实验结果表明,所设计的高动态GPS接收机能够很好地捕捉到卫星信号.系统具有体积小、灵活性强、易升级扩展等特点,在高端民用领域和相关军事领域都具有广阔的应用前景.%Compared with the satellite positioning signal receiver in the general environment, the high dynamic environments result in a large position error due to the larger Doppler frequency shift in the GPS receiver. Thus the higher requirements of the satellite positioning receiver are needed. On one hand, it is necessary to capture the satellite positioning signal more reliably; on the other hand, the receiver is of the characteristics of low power consumption , miniaturization, and versatility. In response to these requests, this paper presented a FPGA - based GPS receiver solution. First, the system design was introduced, and then the design and simulation processes were discussed, at last the related results were given based upon the designed platform. The experimental results show that the design of high dynamic GPS receiver is able to capture the satellite signal accurately. In addition, the system is small, flexible, and easy to upgrade, which has broad applications in the high - end civilian areas and military areas.

  10. Large-scale traveling ionospheric disturbances observed using GPS receivers over high-latitude and equatorial regions

    Science.gov (United States)

    Idrus, Intan Izafina; Abdullah, Mardina; Hasbi, Alina Marie; Husin, Asnawi; Yatim, Baharuddin

    2013-09-01

    This paper presents the first results of large-scale traveling ionospheric disturbances (LSTIDs) observation during two moderate magnetic storm events on 28 May 2011 (SYM-H∼ -94 nT and Dst∼-80 nT) and 6 August 2011 (SYM-H∼-126 nT and Dst∼-113 nT) over the high-latitude region in Russia, Sweden, Norway, Iceland and Greenland and equatorial region in the Peninsular Malaysia using vertical total electron content (VTEC) from the Global Positioning System (GPS) observations measurement. The propagation of the LSTID signatures in the GPS TEC measurements over Peninsular Malaysia was also investigated using VTEC map. The LSTIDs were found to propagate both equatorward and poleward directions during these two events. The results showed that the LSTIDs propagated faster at high-latitude region with an average phase velocity of 1074.91 m/s than Peninsular Malaysia with an average phase velocity of 604.84 m/s. The LSTIDs at the high-latitude region have average periods of 150 min whereas the ones observed over Peninsular Malaysia have average periods of 115 min. The occurrences of these LSTIDs were also found to be the subsequent effects of substorm activities in the auroral region. To our knowledge, this is the first result of observation of LSTIDs over Peninsular Malaysia during the 24th solar cycle.

  11. High-resolution imaging of the Kaapvaal Craton using P and S wave receiver functions and P- and S- finite frequency tomography

    Science.gov (United States)

    Youssof, M.; Thybo, H.; Levander, A.; Artemieva, I. M.

    2012-12-01

    We are investigating the Kaapvaal craton with Ps- and Sp-wave receiver functions and P- and S- finite-frequency body wave tomography. We have produced 3D common conversion point (CCP) stacks of Ps and Sp receiver functions image volumes for comparison to 3D body wave finite-frequency travel-time inversions. These two methods together provide high vertical and lateral resolution of the upper mantle beneath the Kaapvaal craton. For a conversion point d, we have calculated the ray path of converted phases PdS and Sdp and their arrival times relative to P and S, respectively, by ray tracing the 1D AK135 velocity model. About ~1000 individual S-wave receiver functions and ~7000 P-wave receiver functions have been converted to depth and laterally migrated to their conversion point in 3D using the 1D reference velocity model, with signals stacked for signal enhancement. Converted wave imaging and traveltime tomography complement one another: The tomograms provide the laterally variable velocity structures needed for image focusing. The converted wave images provide higher resolution images of both lateral and vertical impedance changes, removing some of the smearing inherent in tomographic methods. In our particular case of investigating the Kaapvaal craton, the seismic imaging has confirmed the existence of a boundary beneath the Kaapvaal at 350 km, which we speculate is an unusually deep Lithosphere-Asthenosphere Boundary (LAB). The topography of the LAB varies considerably from shallow depths (150 km) beneath the non-Archean regions to the deepest point (350 km) beneath the center of the Kaapvaal craton. In the receiver functions the LAB appears as a strong negative amplitude (in comparison to the Moho) beneath the Kaapvaal craton including under its edges, but it is a much weaker signal under the surrounding mobile belts. Our new model of Kaapvaal craton enhances the evidence for the existence of extremely deep cratonic keel, which reach 350 km with clear layered

  12. Mucositis Prevention for Patients Receiving High Dose Chemotherapy and Stem Cell Transplantation : Preventive Strategies - There is Always More to do

    OpenAIRE

    Svanberg, Anncarin

    2012-01-01

    The aim of this thesis was to investigate oral cryotherapy (OC) as prophy-laxis against oral mucositis (OM) in patients given high-dose chemotherapy for stem cell transplantation (SCT). A new mouth rinse device was tested for possible additive effect to OC. For study I-III, 78 patients were randomised to OC or standard oral care (SOC). Papers I and II showed that OC patients had significantly less severe mucositis, pain, opioid use, lower C-reactive protein and less parenteral nutrition treat...

  13. Community participatory physical activity intervention targets children at high risk for obesity

    Science.gov (United States)

    This community participatory research evaluated the feasibility of a summer soccer and nutrition education program to increase physical activity (PA) in rural Mississippi Delta children at high risk of obesity and previously not exposed to soccer. Children aged 4-12 were recruited through school and...

  14. The Use of Grammatical Morphemes by Mandarin-Speaking Children with High Functioning Autism

    Science.gov (United States)

    Zhou, Peng; Crain, Stephen; Gao, Liqun; Tang, Ye; Jia, Meixiang

    2015-01-01

    The present study investigated the production of grammatical morphemes by Mandarin-speaking children with high functioning autism. Previous research found that a subgroup of English-speaking children with autism exhibit deficits in the use of grammatical morphemes that mark tense. In order to see whether this impairment in grammatical morphology…

  15. Direct Social Support for Young High Risk Children: Relations with Behavioral and Emotional Outcomes across Time

    Science.gov (United States)

    Appleyard, Karen; Egeland, Byron; Sroufe, L. Alan

    2007-01-01

    This study is unique in addressing developmental correlates of direct social support for young children in a high risk sample, in contrast to previous studies addressing social support for caregivers. Participants were drawn from a prospective, longitudinal study of at-risk children. Social support was rated from maternal interviews throughout…

  16. Preference for High Status Predicts Implicit Outgroup Bias among Children from Low-Status Groups

    Science.gov (United States)

    Newheiser, Anna-Kaisa; Dunham, Yarrow; Merrill, Anna; Hoosain, Leah; Olson, Kristina R.

    2014-01-01

    Whereas members of high-status racial groups show ingroup preference when attitudes are measured implicitly, members of low-status racial groups--both adults and children--typically show no bias, potentially reflecting awareness of the ingroup's low status. We hypothesized that when status differences are especially pronounced, children from…

  17. Linguistic Processing in Hebrew-Speaking Children from Low and High SES Backgrounds

    Science.gov (United States)

    Schiff, Rachel; Ravid, Dorit

    2012-01-01

    The aim of this study was to investigate the impact of Socio-Economic Status (SES) on Hebrew-speaking children's developing ability to pluralize nouns and mark adjectives in agreement with them. Participants were 180 gradeschool children from mid-high SES and 180 peers from low SES, in six consecutive grade levels. The task consisted of 32…

  18. High Detection Rates of Enteropathogens in Asymptomatic Children Attending Day Care

    NARCIS (Netherlands)

    Enserink, Remko; Scholts, Rianne; Bruijning-Verhagen, Patricia; Duizer, Erwin; Vennema, Harry; de Boer, Richard; Kortbeek, Titia; Roelfsema, Jeroen; Smit, Henriette; Kooistra-Smid, Mirjam; van Pelt, Wilfrid

    2014-01-01

    Background: Gastroenteritis morbidity is high among children under the age of four, especially amongst those who attend day care. Objective: To determine the prevalence of a range of enteropathogens in the intestinal flora of children attending day care and to relate their occurrence with characteri

  19. A Pilot Study Examining Activity Participation, Sensory Responsiveness, and Competence in Children with High Functioning Autism Spectrum Disorder

    Science.gov (United States)

    Reynolds, Stacey; Bendixen, Roxanna M.; Lawrence, Tami; Lane, Shelly J.

    2011-01-01

    This pilot study explored activity patterns in children with and without ASD and examined the role of sensory responsiveness in determining children's level of competence in activity performance. Twenty-six children with high functioning ASD and twenty-six typically-developing children 6-12 years old were assessed using the Sensory Profile and the…

  20. Evaluation of Parental Satisfaction of Children's Spaces Within High Rise Apartment Environments

    Directory of Open Access Journals (Sweden)

    Sharghi Ali

    2014-11-01

    Full Text Available In the design process of open spaces within residential apartments, little attention is paid to children and their attitude to the environment is often ignored. Children, especially those who live in high-rise apartments, were found to have less connection with nature. Children supposedly need to engage in physical activities within outdoor areas, but urban planners, with the approval of managers or parents, must adequately design the open space for children. This paper initially reviews different research in this area. It consequently attempts to evaluate parental satisfaction regarding children's connectivity to open spaces as a dependent variable, and their preferences and perception of safety as independent variables. The research method is based on a questionnaire survey addressed to 261 parents and adults, in two localities in Tehran, Iran. The result of this research shows that parental attitude to open space has an effect on children's outdoor activities. Moreover, parents with young children express lower satisfaction to open spaces than those adults without young children. Families with children need open spaces in residential high-rise apartments for their siblings’ physical activities, and the designers should consider such an important need.

  1. Electronic warfare receivers and receiving systems

    CERN Document Server

    Poisel, Richard A

    2014-01-01

    Receivers systems are considered the core of electronic warfare (EW) intercept systems. Without them, the fundamental purpose of such systems is null and void. This book considers the major elements that make up receiver systems and the receivers that go in them.This resource provides system design engineers with techniques for design and development of EW receivers for modern modulations (spread spectrum) in addition to receivers for older, common modulation formats. Each major module in these receivers is considered in detail. Design information is included as well as performance tradeoffs o

  2. Study of the factors associated with dental caries in children who receive early dental care Estudo de fatores associados à cárie dental em crianças que recebem atendimento odontológico precoce

    Directory of Open Access Journals (Sweden)

    Fabian Calixto FRAIZ

    2001-09-01

    Full Text Available The present study investigated the factors associated with the development of dental caries in preschool children who receive regular dental care and follow-up. The research was carried out at the Baby Clinic, Londrina State University, and comprised two hundred preschool children, whose ages ranged from 24 to 48 months, as well as their mothers, who had already taken part in a dental program at the Baby Clinic during, at least, the previous twelve months. Regarding oral hygiene habits, there was no significant difference between the preschool children who presented with caries and those who did not present with caries. However, the presence of visible bacterial plaque on the upper incisors was strongly associated with the presence of dental caries. Other factors associated with the presence of caries were: period of formal education of the father or of both parents equal or inferior to 8 years, high sugar consumption and bottle-feeding during sleep. In the studied population, the dietary pattern is still the main cause of carious lesions. In addition, the presence of visible bacterial plaque on the labial surface of the upper incisors must be considered as an important clinical sign, often associated with inadequate patterns of diet and oral hygiene.Esta pesquisa estudou os fatores associados com o desenvolvimento de cárie dentária em pré-escolares que recebem acompanhamento e intervenção odontológica. O estudo abrangeu 200 crianças, de 24 a 48 meses de idade, que participavam do programa da Bebê-Clínica (Universidade Estadual de Londrina havia pelo menos 12 meses. A comparação entre as crianças com cárie e sem cárie não apresentou diferenças estatisticamente significantes com relação aos hábitos de higiene bucal. No entanto, a presença de placa visível nos incisivos superiores esteve fortemente associada com a presença de cárie dentária. Outros fatores relacionados à presença de cárie foram a educação formal

  3. Education-Related Parameters in High Myopia: Adults versus School Children.

    Directory of Open Access Journals (Sweden)

    Jost B Jonas

    Full Text Available Since high myopia in the younger generation may differ etiologically from high myopia in older generations, we examined whether education-related parameters differ between high myopia in today´s school children and high pathological myopia in today´s elderly generation.The investigation included the adult populations of the population-based Beijing Eye Study (BES (3468 adults;mean age:64.6±9.8years;range:50-93years and Central India Eye and Medical Study (CIEMS (4711 adults;age:49.±13.2years;range:30-100years, and the children and teenager populations of the Shandong Children Eye Study (SCES (6026 children;age:9.7±3.3years;range:4-18years;cycloplegic refractometry, Gobi Desert Children Eye Study (1565;age:11.9±3.5years;range:6-21 years;cycloplegic refractometry, Beijing Pediatric Eye Study (681 children;age:7.7±1.6years;range:5-13 years;non-cycloplegic refractometry,calculation of axial length to corneal curvature radius ratio, Beijing Children Eye Study (15066 children;age:13.2±3.4years;range:7-18years;non-cycloplegic refractometry, Beijing High School Teenager Eye Study (4677 children;age:16.9±0.7years;range:16-18years;non-cycloplegic refractometry.In the BES and CIEMS, educational level did not differ significantly between, or was significantly lower in the highly myopic group (myopic refractive error ≥6 diopters than in the non-highly myopic group. In all non-adult study populations, higher prevalence of high myopia was significantly associated with higher degree of education related parameters such as attendance of high-level schools, and more time spent for indoors near work versus time spent outdoors.Comparing associations of old or genetic high myopia in adults with new or acquired high myopia in school children revealed that education-related parameters did not show a clear association with old or genetic high myopia, while in contrast, new high myopia showed strong associations with education. It confirms previous studies

  4. Advanced solar thermal receiver technology

    Science.gov (United States)

    Kudirka, A. A.; Leibowitz, L. P.

    1980-01-01

    Development of advanced receiver technology for solar thermal receivers designed for electric power generation or for industrial applications, such as fuels and chemical production or industrial process heat, is described. The development of this technology is focused on receivers that operate from 1000 F to 3000 F and above. Development strategy is mapped in terms of application requirements, and the related system and technical requirements. Receiver performance requirements and current development efforts are covered for five classes of receiver applications: high temperature, advanced Brayton, Stirling, and Rankine cycle engines, and fuels and chemicals.

  5. Estimation of plasma levels of warfarin and 7-hydroxy warfarin by high performance liquid chromatography in patients receiving warfarin therapy.

    Science.gov (United States)

    Krishna Kumar, Dhakchinamoorthi; Gopal Shewade, Deepak; Parasuraman, Subramani; Rajan, Sundaram; Balachander, Jayaraman; Sai Chandran, B V; Adithan, Chandrasekaran

    2013-03-01

    Warfarin is one of the most commonly prescribed oral anticoagulant for prevention of thromboembolic events. The effect of this drug is measured by monitoring prothrombin time expressed as International Normalized Ratio (INR). In some cases, however, the measurement of plasma concentration of warfarin was emphasized. In the present study, reversed phase high performance liquid chromatography (HPLC) was used to estimate the plasma drug levels. A total of 185 patients were enrolled in this study. Five milliliter of venous blood was collected using sodium EDTA tubes for pharmacokinetic analysis. Solid phase extraction was used to recover the warfarin and it's metabolite from plasma using isopropanol and potassium phosphate buffer (40:60) mobile phase. Warfarin, 7-hydroxy warfarin and carbamazepine (internal standard) were separated on a C18 column and had the retention time 3.6 min, 2.9 min and 5.9 min, respectively. The assay was linear in warfarin concentration ranges of 0.1-5 μg/ml. The extraction recovery was found to be ≃85%. The mean plasma concentrations of warfarin and 7-hydroxy warfarin were found to be 3.47 ± 1.87 (SD) μg/ml, 1.25 ± 0.81 (SD) μg/ml, respectively. Through the present study the plasma concentrations of warfarin, 7-hydroxy warfarin and their metabolic ratio was determined. The assay was sensitive to follow warfarin pharmacokinetics in a patient with warfarin therapy for 3 months and above. PMID:24023446

  6. Assessment of indoor radiation dose received by the residents of natural high background radiation areas of coastal villages of Kanyakumari district, Tamil Nadu, India

    International Nuclear Information System (INIS)

    Radiation exposure and effective dose received through two routes of exposure, viz. external and internal, via inhalation, by residents of 10 villages belonging to Natural High Background Radiation Areas (NHBRA) of coastal regions of Kanyakumari District and Tamil Nadu in India were studied. While the indoor gamma radiation levels were monitored using Thermo Luminescent Dosimeters (TLDs), the indoor radon and thoron gas concentrations were measured using twin chamber dosimeters employing Solid State Nuclear Track Detectors (SSNTDs, LR-115-II). The average total annual effective dose was estimated and found to be varying from 2.59 to 8.76 mSv. -- Highlights: → The effective dose received by the villages of Natural High Background Area (NHBRA) such as Enayam, Midalam and Mel Midalam is high when compared with other study areas. → The high dose indicates higher concentration of radioactive nuclides like Thorium and Uranium in the soil. → As radiation is harmful to human life, the external and internal doses can be reduced by removing the monazite content present in the soil by mineral separation. → Contribution from vegetables, fruits, fish and other non vegetarian items are also being examined. → These results along with other socio-economic factors can throw considerable light on the epidemiological impacts due to low levels of chronic exposure.

  7. Assessment of indoor radiation dose received by the residents of natural high background radiation areas of coastal villages of Kanyakumari district, Tamil Nadu, India

    Energy Technology Data Exchange (ETDEWEB)

    Deva Jayanthi, D., E-mail: d.devajayanthi@gmail.co [Department of Physics, Women' s Christian College, Nagercoil 629001 (India); Maniyan, C.G. [Environmental Assessment Division, BARC, Mumbai 400085 (India); Perumal, S. [Department of Physics and Research Centre, S.T.Hindu College, Nagercoil 629002 (India)

    2011-07-15

    Radiation exposure and effective dose received through two routes of exposure, viz. external and internal, via inhalation, by residents of 10 villages belonging to Natural High Background Radiation Areas (NHBRA) of coastal regions of Kanyakumari District and Tamil Nadu in India were studied. While the indoor gamma radiation levels were monitored using Thermo Luminescent Dosimeters (TLDs), the indoor radon and thoron gas concentrations were measured using twin chamber dosimeters employing Solid State Nuclear Track Detectors (SSNTDs, LR-115-II). The average total annual effective dose was estimated and found to be varying from 2.59 to 8.76 mSv. -- Highlights: {yields} The effective dose received by the villages of Natural High Background Area (NHBRA) such as Enayam, Midalam and Mel Midalam is high when compared with other study areas. {yields} The high dose indicates higher concentration of radioactive nuclides like Thorium and Uranium in the soil. {yields} As radiation is harmful to human life, the external and internal doses can be reduced by removing the monazite content present in the soil by mineral separation. {yields} Contribution from vegetables, fruits, fish and other non vegetarian items are also being examined. {yields} These results along with other socio-economic factors can throw considerable light on the epidemiological impacts due to low levels of chronic exposure.

  8. Pretend Play in High-Risk and Developmentally Delayed Children.

    Science.gov (United States)

    Sigman, Marian; Sena, Rhonda

    1993-01-01

    Discusses the use of pretend play as a cognitive assessment tool. Examines the failure of developmental progression of play in preterm, drug-exposed, malnourished, Down's syndrome, mentally retarded, and autistic children. Examines individual differences in play, and the relationship between language and play, in these groups. (AC)

  9. Analysis and design of a high-linearity receiver RF front-end with an improved 25%-duty-cycle LO generator for WCDMA/GSM applications

    Institute of Scientific and Technical Information of China (English)

    胡嵩; 李伟男; 黄煜梅; 洪志良

    2012-01-01

    A fully integrated receiver RF front-end that meets WCDMA/GSM system requirements is presented.It supports SAW-less operation for WCDMA.To improve the linearity in terms of both IP3 and IP2,the RF front-end is comprised of multiple-gated LNAs with capacitive desensitization,current-mode passive mixers with the proposed IP2 calibration circuit and reconfigurable Tow-Thomas-like biquad TIAs.A new power-saving multi-mode divider with low phase noise is proposed to provide the 4-phase 25%-duty-cycle LO.In addition,a constant-gm biasing with an on-chip resistor is adopted to make the conversion gain invulnerable to the process and temperature variations of the transimpedance.This RF front-end is integrated in a receiver with an on-chip frequency synthesizer in 0.13 μm CMOS.The measurement results show that owing to this high-linearity RF front-end,the receiver achieves -6 dBm IIP3 and better than +60 dBm IIP2 for all modes and bands.

  10. Motavizumab for prophylaxis of respiratory syncytial virus in high-risk children: a noninferiority trial

    DEFF Research Database (Denmark)

    Carbonell-Estrany, Xavier; Simões, Eric A F; Dagan, Ron;

    2009-01-01

    OBJECTIVE: Palivizumab reduces respiratory syncytial virus (RSV) hospitalization in children at high risk by approximately 50% compared with placebo. We compared the efficacy and safety of motavizumab, an investigational monoclonal antibody with enhanced anti-RSV activity in preclinical studies...

  11. Pharmacokinetics, safety, and efficacy of APF530 (extended-release granisetron) in patients receiving moderately or highly emetogenic chemotherapy: results of two Phase II trials

    International Nuclear Information System (INIS)

    Despite advances with new therapies, a significant proportion of patients (>30%) suffer delayed-onset chemotherapy-induced nausea and vomiting (CINV) despite use of antiemetics. APF530 is a sustained-release subcutaneous (SC) formulation of granisetron for preventing CINV. APF530 pharmacokinetics, safety, and efficacy were studied in two open-label, single-dose Phase II trials (C2005-01 and C2007-01, respectively) in patients receiving moderately emetogenic chemotherapy or highly emetogenic chemotherapy. In C2005-01, 45 patients received APF530 250, 500, or 750 mg SC (granisetron 5, 10, or 15 mg, respectively). In C2007-01, 35 patients were randomized to APF530 250 or 500 mg SC. Injections were given 30 to 60 minutes before single-day moderately emetogenic chemotherapy or highly emetogenic chemotherapy. Plasma granisetron was measured from predose to 168 hours after study drug administration. Safety and efficacy were also evaluated. APF530 pharmacokinetics were dose proportional, with slow absorption and elimination of granisetron after a single SC dose. Median time to maximum plasma concentration and half-life were similar for APF530 250 and 500 mg in both trials, with no differences between the groups receiving moderately and highly emetogenic chemotherapy. Exposure to granisetron was maintained at a therapeutic level over the delayed-onset phase, at least 168 hours. Adverse events in both trials were as expected for granisetron; injection site reactions (eg, erythema and induration) were predominantly mild and seen in ≤20% of patients. Complete responses (no emesis, with no rescue medication) were obtained in the acute, delayed, and overall phases in ≥80% and ≥75% of patients in both trials with the 250 and 500 mg doses, respectively. After a single injection of APF530, there were dose-proportional pharmacokinetics and sustained concentrations of granisetron over 168 hours. The 250 and 500 mg doses were well tolerated and maintained therapeutic granisetron

  12. HIGH AND LOW DOSE IVIG THERAPY IN GUILLAIN-BARRE SYNDROME CHILDREN: A COMPARISON

    Directory of Open Access Journals (Sweden)

    P. KARIMZADEH

    2006-06-01

    Full Text Available Introduction:Acute inflammatory demyelinating peripheral neuropathy (GuillainBarre-Syndrome is by far the most common cause of immune-medicatedperipheral nervous system disease in children; with the near disappearanceof poliomyelitis, GBS is responsible for the great majority of cases ofacute flaccid paralysis. So far, in several controlled studies, corticosteroids,plasmapheresis and IVIG have been utilized in pediatric patients, afflictedwith GBS. Regarding IVIG therapy, two methods have been used; thehigh dose (1 gr/kg/day for 2 days, and the low dose (400mg/kg/day for5 days. Review of literature shows that a faster rate of recovery can beaccomplished in patients who receive total dose of IVIG in 2 days ascompared to the dose being given over 5 days.Materials & Methods: In this study we have compared these two types of treatment in aninvestigation, conducted in the Mofid Children Hospital on pediatricpatients who had sudden onset of acute flaccid paralysis, and werediagnosed as having GBS. Based on histories, physical examination andelectrodiagnosis, subjects were divided in two groups, the high doseIVIG treatment, 1gr/kg/day for 2 days (experimental group, and the lowdose IVIG treatment, 400 mg/kg/day for 5 days (control group. Statisticalanalyses were then carried out using the appropriate software.Results: Result of this study showed a faster rate of recovery for patients in thehigh dose IVIG group; in this group duration of weakness of limbs wasshorter and returning of DTR was faster than in controls. In fact, in thistype of treatment, the relationship between high dose IVIG therapy anddrug side effects was not significant.Conclusion: Base upon the finding in the present study, we conclude that the highdose IVIG therapy is superior to low dose, in view of faster duration ofrecovery and shorter hospital stay.Also we may infer that shorter hospital stay could be a factor in reducingof more nasocomial infection.In conclusion, we suggest using

  13. Blood Lead Concentration Is Not Altered by High Dose Vitamin D Supplementation in Children and Young Adults with HIV

    Science.gov (United States)

    Groleau, Veronique; Herold, Rachel A; Schall, Joan I; Wagner, Julia L; Dougherty, Kelly A; Zemel, Babette S; Rutstein, Richard M; Stallings, Virginia A

    2014-01-01

    OBJECTIVES Optimal vitamin D status is known to have beneficial health effects and vitamin D supplements are commonly used. It has been suggested that vitamin D supplementation may increase blood lead in children and adults with previous lead exposure. The objective was to determine the safety regarding lead toxicity during 12 weeks of high dose vitamin D3 supplementation in children and young adults with HIV. METHODS Subjects with HIV (age 8 to 24 yrs) were randomized to vitamin D3 supplementation of 4000 IU/day or 7000 IU/day and followed at 6 and 12 weeks for changes in 25D and whole blood lead concentration. This was a secondary analysis of a larger study of vitamin D3 supplementation in children and adolescents with HIV. RESULTS In 44 subjects (75% African American), the baseline mean ± SD serum 25D was 48.3 ± 18.6 nmol/L. 50% of subjects had baseline serum 25D 5.0 μg/dL at baseline or during subsequent visits. Whole blood lead and 25D were not correlated at baseline, and were negatively correlated after 12 weeks of supplementation (p= 0.014). Whole blood lead did not differ between those receiving 4000 IU versus 7000 IU of vitamin D3. CONCLUSION High dose vitamin D3 supplementation and the concomitant increased serum 25D did not result in increased whole blood lead concentration in this sample of children and young adults living in a northeastern urban city. PMID:23059649

  14. Continuous glucose monitors prove highly accurate in critically ill children

    OpenAIRE

    Bridges, Brian C.; Preissig, Catherine M; Maher, Kevin O.; Rigby, Mark R

    2010-01-01

    Introduction Hyperglycemia is associated with increased morbidity and mortality in critically ill patients and strict glycemic control has become standard care for adults. Recent studies have questioned the optimal targets for such management and reported increased rates of iatrogenic hypoglycemia in both critically ill children and adults. The ability to provide accurate, real-time continuous glucose monitoring would improve the efficacy and safety of this practice in critically ill patients...

  15. Co-relationship between sexual dysfunction and high-risk sexual behavior in patients receiving buprenorphine and naltrexone maintenance therapy for opioid dependence

    Directory of Open Access Journals (Sweden)

    Santosh Ramdurg

    2015-01-01

    Full Text Available Introduction: People suffering from substance dependence suffer from various sexual dysfunctions and are at risk for indulging in various high-risk sexual behaviors and thus are vulnerable to acquire various infections such as HIV/AIDS and other sexually transmitted infections. AIM: The aim of the study was to evaluate the correlation between sexual dysfunction and high-risk sexual behavior in opioid-dependent men receiving buprenorphine and naltrexone maintenance therapy. Materials and Methods: Semi-structured questionnaire, brief male sexual functioning inventory and HIV-risk taking behavior scale was administered to a sample of 60 sexually active men, receiving buprenorphine (n = 30 and naltrexone (n = 30 maintenance therapy for opioid dependence. Results: The main outcomes are correlation between severity of sexual dysfunction and HIV-risk taking behavior. The study results showed 83% of the men on buprenorphine and 90% on naltrexone reported at least one of the sexual dysfunction symptoms. There was a negative correlation between sexual dysfunction and HIV-risk taking behavior that suggest severe the dysfunction, higher the risk taking behavior. Significant correlation was present with overall sexual dysfunction and HIV-risk taking behavior (P = 0.028 and in naltrexone receiving group premature ejaculation versus HIV-risk taking behavior however, (P = 0.022, P < 0.05 there were no significant differences among both the groups except above findings. Conclusion: Conclusion was treatment is associated with sexual dysfunctions and HIV-risk taking behavior, which has clinical implication. Future research should explore this further using biochemical analyses.

  16. Adaptive antennas and receivers

    CERN Document Server

    Weiner, Melvin M

    2005-01-01

    In our modern age of remote sensing, wireless communication, and the nearly endless list of other antenna-based applications, complex problems require increasingly sophisticated solutions. Conventional antenna systems are no longer suited to high-noise or low-signal applications such as intrusion detection. Detailing highly effective approaches to non-Gaussian weak signal detection, Adaptive Antennas and Receivers provides an authoritative introduction to state-of-the-art research on the modeling, testing, and application of these technologies.Edited by innovative researcher and eminent expert

  17. Health-related quality of life in children with high-functioning autism.

    Science.gov (United States)

    Potvin, Marie-Christine; Snider, Laurie; Prelock, Patricia A; Wood-Dauphinee, Sharon; Kehayia, Eva

    2015-01-01

    The health-related quality of life of school-aged children with high-functioning autism is poorly understood. The objectives of this study were to compare the health-related quality of life of children with high-functioning autism to that of typically developing peers and to compare child-self and parent-proxy reports of health-related quality of life of children. A cross-sectional study of children with high-functioning autism (n = 30) and peers (n = 31) was conducted using the Pediatric Quality of Life Inventory 4.0 Generic Core Scales. Children with high-functioning autism had significantly poorer health-related quality of life than peers whether reported by themselves (p autism as compared to a sample of peers, from the child's perspective. It strengthens earlier findings that children with high-functioning autism experience poorer health-related quality of life than those without this disorder and points to the importance of clinicians working with families to identify areas in a child's life that promote or hinder their sense of well-being.

  18. Efficacy of a high-dose in addition to daily low-dose vitamin A in children suffering from severe acute malnutrition with other illnesses.

    Directory of Open Access Journals (Sweden)

    Samima Sattar

    Full Text Available BACKGROUND: Efficacy of high-dose vitamin A (VA in children suffering from severe acute malnutrition (SAM has recently been questioned. This study compared the efficacy of a single high-dose (200,000 IU in addition to daily low-dose (5000 IU VA in the management of children suffering from SAM with diarrhea and/or acute lower respiratory tract infection (ALRI. METHODS: In a randomized, double-blind, controlled clinical trial in icddr,b, Bangladesh during 2005-07, children aged 6-59 months with weight-for-height <-3 Z-score and/or bipedal edema (SAM received either a high-dose VA or placebo on admission day. Both the groups received 5,000 IU/day VA in a multivitamins drop for 15 days and other standard treatment which is similar to WHO guidelines. RESULTS: A total 260 children (130 in each group were enrolled. All had diarrhea, 54% had concomitant ALRI, 50% had edema, 48.5% were girl with a mean±SD age of 16±10 months. None had clinical signs of VA deficiency. Mean±SD baseline serum retinol was 13.15±9.28 µg/dl, retinol binding protein was 1.27±0.95 mg/dl, and pre-albumin was 7.97±3.96 mg/dl. Median (inter quartile range of C-reactive protein was 7.8 (2.1, 22.2 mg/L. Children of the two groups did not differ in any baseline characteristic. Over the 15 days treatment period resolution of diarrhea, ALRI, edema, anthropometric changes, and biochemical indicators of VA were similar between the groups. The high-dose VA supplementation in children with SAM did not show any adverse event. CONCLUSIONS: Efficacy of daily low-dose VA compared to an additional single high-dose was not observed to be better in the management of children suffering from SAM with other acute illnesses. A single high-dose VA may be given especially where the children with SAM may leave the hospital/treatment center early. TRIAL REGISTRATION: ClinicalTrials.gov NCT00388921.

  19. A partitioned central solar receiver

    International Nuclear Information System (INIS)

    Else of solar energy as substitute for conventional fuels at a competitive cost requires efficient conversion from solar radiation to usable forms of energy. In solar thermal or thermochemical applications, high efficiency usually re- quires high temperature and high concentration of incoming radiation. The main form of energy loss from high temperature solar central receivers is thermal emission ('re radiation'), at an effective temperature close to the maximum receiver temperature. This loss is reduced if the aperture is divided into segments, most of which are maintained at lower temperatures. A two-stage partitioned receiver demonstrating this concept is under construction at the Weizman Solar Tower. The high-temperature stage is the DIAPR (Directly Irradiated Annular Pressurized Receiver). The low-temperature stage is made of tubular cavity receivers of simpler design. Preliminary optical and thermal design of the partitioned receiver is presented. For the design exit temperature of 1500 K, the aperture size of the partitioned receiver is about 60% of the equivalent single-stage receiver, indicating a significant increase of conversion efficiency. The exit temperature of the low-temperature stage is around 1100 K, allowing simpler design and inexpensive construction. (authors)

  20. A prospective, open-label, non-comparative study of palivizumab prophylaxis in children at high risk of serious respiratory syncytial virus disease in the Russian Federation

    Directory of Open Access Journals (Sweden)

    Turti Tatyana V

    2012-09-01

    Full Text Available Abstract Background Respiratory syncytial virus (RSV is a leading cause of lower respiratory tract infections (LRTIs in children globally. Predisposing conditions for the development of serious RSV disease include preterm infants and those with cardiopulmonary illness, including congenital heart disease (CHD and bronchopulmonary dysplasia (BPD. No vaccine is currently approved for the prevention of RSV infection. It is recommended that children at high risk be prophylactically administered palivizumab, a monoclonal antibody that has been shown in a number of clinical studies to reduce hospitalization rates due to serious RSV infection. The objective of the current study was to determine the safety and effectiveness of palivizumab in preventing serious RSV disease in high-risk children in the Russian Federation. Children at high risk of serious RSV disease (ie, born at ≤35 wk gestational age and ≤6 mo of age, and/or aged ≤24 mo with BPD or hemodynamically significant CHD were enrolled. Subjects were to receive 3 to 5 monthly injections of palivizumab 15 mg/kg (depending on the month of the initial injection over the RSV season. The primary endpoint was RSV-related hospitalizations. Adverse events (AEs were reported through 100 days following the final injection. Results One hundred subjects received ≥1 injection of palivizumab; 94 completed their dosing schedule. There were no RSV hospitalizations or deaths. Six of 7 subjects hospitalized for respiratory/cardiac conditions had an RSV test, which was negative in all cases. Three non-serious AEs (acute intermittent rhinitis and rhinitis, 1 subject; atopic dermatitis, 1 subject were considered possibly related to palivizumab. All other AEs were mild or moderate and considered not related/probably not related to palivizumab. Conclusion Palivizumab was generally well tolerated and effectively prevented serious RSV infection in a mixed population of high-risk children in the Russian

  1. Clinical effect of Diskus dry-powder inhaler at low and high inspiratory flow-rates in asthmatic children

    DEFF Research Database (Denmark)

    Nielsen, K G; Auk, I L; Bojsen, K;

    1998-01-01

    at low (30 L x min[-1]) and high (90 L x min[-1]) flow rates. A pilot study in 129 children aged 3-10 yrs demonstrated that 99% of children of 3 yrs and above can generate a flow > or = 30 L x min(-1) through the device, while 26% performed > or = 90 L x min(-1). Eighteen children aged 8-15 yrs...... clinical effect at low and high flow rates in children....

  2. High-resolution MRI using orbit surface coils for the evaluation of metastatic risk factors in 143 children with retinoblastoma. Part 1: MRI vs. histopathology

    Energy Technology Data Exchange (ETDEWEB)

    Sirin, Selma; Schlamann, Marc; Schweiger, Bernd; Goericke, Sophia L. [University Hospital Essen, Department of Diagnostic and Interventional Radiology and Neuroradiology, Essen (Germany); Metz, Klaus A. [University Hospital Essen, Department of Pathology and Neuropathology, Essen (Germany); Bornfeld, Norbert; Holdt, Markus [University Hospital Essen, Department of Ophthalmology, Essen (Germany); Temming, Petra; Schuendeln, Michael M. [University Hospital Essen, Department of Pediatric Hematology and Oncology, Essen (Germany)

    2015-08-15

    A reliable detection of metastatic risk factors is important for children with retinoblastoma to choose the right therapeutic regimen. First studies using high-resolution magnetic resonance imaging (MRI) with orbit surface coils were promising. The aim of this study was therefore to evaluate the ability of high-resolution MRI to detect metastatic and especially advanced metastatic risk factors in a large group of children with retinoblastoma. One hundred forty-three consecutive children with retinoblastoma (148 enucleated eyes, 64 girls, 79 boys, mean age 19.7 ± 15.3) who received pretherapeutical high-resolution MRI with orbit surface coils on 1.5 T MR scanner systems between 2007 and 2012 and subsequent primary enucleation within 14 days were included in this retrospective study. Image analysis was performed by two neuroradiologists experienced in ocular imaging in consensus. Histopathology served as gold standard. Sensitivity/specificity for the detection of metastatic risk factors using high-resolution MRI with orbit surface coils were 60 %/88.7 % for postlaminar optic nerve infiltration, 65.5 %/95.6 % for choroidal invasion, 100 %/99.3 % for scleral invasion, and 100 %/100 % for peribulbar fat invasion, respectively. The results increased for the detection of advanced metastatic risk factors, 81.8 %/89.1 % for deep postlaminar optic nerve infiltration, 70.6 %/97.6 % for massive choroidal invasion. High-resolution MRI is clinically valuable for the detection of metastatic, especially of advanced metastatic risk factors in children with retinoblastoma. (orig.)

  3. High-resolution MRI using orbit surface coils for the evaluation of metastatic risk factors in 143 children with retinoblastoma. Part 1: MRI vs. histopathology

    International Nuclear Information System (INIS)

    A reliable detection of metastatic risk factors is important for children with retinoblastoma to choose the right therapeutic regimen. First studies using high-resolution magnetic resonance imaging (MRI) with orbit surface coils were promising. The aim of this study was therefore to evaluate the ability of high-resolution MRI to detect metastatic and especially advanced metastatic risk factors in a large group of children with retinoblastoma. One hundred forty-three consecutive children with retinoblastoma (148 enucleated eyes, 64 girls, 79 boys, mean age 19.7 ± 15.3) who received pretherapeutical high-resolution MRI with orbit surface coils on 1.5 T MR scanner systems between 2007 and 2012 and subsequent primary enucleation within 14 days were included in this retrospective study. Image analysis was performed by two neuroradiologists experienced in ocular imaging in consensus. Histopathology served as gold standard. Sensitivity/specificity for the detection of metastatic risk factors using high-resolution MRI with orbit surface coils were 60 %/88.7 % for postlaminar optic nerve infiltration, 65.5 %/95.6 % for choroidal invasion, 100 %/99.3 % for scleral invasion, and 100 %/100 % for peribulbar fat invasion, respectively. The results increased for the detection of advanced metastatic risk factors, 81.8 %/89.1 % for deep postlaminar optic nerve infiltration, 70.6 %/97.6 % for massive choroidal invasion. High-resolution MRI is clinically valuable for the detection of metastatic, especially of advanced metastatic risk factors in children with retinoblastoma. (orig.)

  4. High physical activity in young children suggests positive effects by altering autoantigen-induced immune activity.

    Science.gov (United States)

    Carlsson, E; Ludvigsson, J; Huus, K; Faresjö, M

    2016-04-01

    Physical activity in children is associated with several positive health outcomes such as decreased cardiovascular risk factors, improved lung function, enhanced motor skill development, healthier body composition, and also improved defense against inflammatory diseases. We examined how high physical activity vs a sedentary lifestyle in young children influences the immune response with focus on autoimmunity. Peripheral blood mononuclear cells, collected from 55 5-year-old children with either high physical activity (n = 14), average physical activity (n = 27), or low physical activity (n = 14), from the All Babies In Southeast Sweden (ABIS) cohort, were stimulated with antigens (tetanus toxoid and beta-lactoglobulin) and autoantigens (GAD65 , insulin, HSP60, and IA-2). Immune markers (cytokines and chemokines), C-peptide and proinsulin were analyzed. Children with high physical activity showed decreased immune activity toward the autoantigens GAD65 (IL-5, P < 0.05), HSP60 and IA-2 (IL-10, P < 0.05) and also low spontaneous pro-inflammatory immune activity (IL-6, IL-13, IFN-γ, TNF-α, and CCL2 (P < 0.05)) compared with children with an average or low physical activity. High physical activity in young children seems to have positive effects on the immune system by altering autoantigen-induced immune activity. PMID:25892449

  5. The better of two evils? Evidence that children exhibiting continuous conduct problems high or low on callous-unemotional traits score on opposite directions on physiological and behavioral measures of fear.

    Science.gov (United States)

    Fanti, Kostas A; Panayiotou, Georgia; Lazarou, Chrysostomos; Michael, Raphaelia; Georgiou, Giorgos

    2016-02-01

    The present study examines whether heterogeneous groups of children identified based on their longitudinal scores on conduct problems (CP) and callous-unemotional (CU) traits differ on physiological and behavioral measures of fear. Specifically, it aims to test the hypothesis that children with high/stable CP differentiated on CU traits score on opposite directions on a fear-fearless continuum. Seventy-three participants (M age = 11.21; 45.2% female) were selected from a sample of 1,200 children. Children and their parents completed a battery of questionnaires assessing fearfulness, sensitivity to punishment, and behavioral inhibition. Children also participated in an experiment assessing their startle reactivity to fearful mental imagery, a well-established index of defensive motivation. The pattern of results verifies the hypothesis that fearlessness, assessed with physiological and behavioral measures, is a core characteristic of children high on both CP and CU traits (i.e., receiving the DSM-5 specifier of limited prosocial emotions). To the contrary, children with high/stable CP and low CU traits demonstrated high responsiveness to fear, high behavioral inhibition, and high sensitivity to punishment. The study is in accord with the principle of equifinality, in that different developmental mechanisms (i.e., extremes of high and low fear) may have the same behavioral outcome manifested as phenotypic antisocial behavior. PMID:25916948

  6. Social cognition in children at familial high-risk of developing an eating disorder

    Science.gov (United States)

    Kothari, Radha; Barona, Manuela; Treasure, Janet; Micali, Nadia

    2015-01-01

    Objective: Diagnosis of an eating disorder (ED) has been associated with differences in social cognition. To date research investigating social cognition and ED has mainly employed patient and recovered samples. It is therefore unclear whether differences in social cognition are present prior to onset of ED, potentially contributing to development, or whether differences observed are a consequence of the disorder. We aimed to further explore whether individuals at high-risk for ED present social cognition characteristics previously found in ED groups. Methods: Our sample was drawn from a population-based cohort, the Avon Longitudinal Study of Parents and Children (ALSPAC). Data on maternal ED behaviors over the lifetime were collected through in-depth clinical interviews (n = 1128) conducted using the Structured Clinical Interview for DSM disorders (SCID), and were used to categorize mothers according to ED behaviors over the lifetime: Restricting and Excessive Exercising (n = 58), Purging (n = 70), Binge-eating (n = 72), Binging and Purging (n = 66), no ED (n = 862). High-risk status of children was determined using these maternal lifetime behavioral phenotypes. Children at high-risk (maternal ED exposure) were compared to children at low-risk (born to mothers with no ED) on three measures of social cognition: the Social Communication Disorders Checklist (SCDC) (n = 922), the faces subtest of the Diagnostic Analysis of Non-Verbal Accuracy (DANVA) (n = 722), and the Emotional Triangles Task (n = 750). Results: Children at high-risk for ED showed poorer performance on measures of social cognition compared to children at low-risk. Maternal lifetime binge-eating, and maternal lifetime binging and purging were associated with poorer social communication in children (OR: 2.4, 95% CI: 1.0, 5.7, p = 0.05; and OR: 2.7, 95% CI: 1.1, 6.5, p = 0.03 respectively). Maternal binging and purging was also found to be associated with differential facial emotion processing and

  7. Optimizing the interval between G-CSF therapy and F-18 FDG PET imaging in children and young adults receiving chemotherapy for sarcoma

    Energy Technology Data Exchange (ETDEWEB)

    Trout, Andrew T.; Sharp, Susan E.; Gelfand, Michael J. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Turpin, Brian K. [Cincinnati Children' s Hospital Medical Center, Cancer and Blood Diseases Institute, Division of Oncology, Cincinnati, OH (United States); Zhang, Bin [Cincinnati Children' s Hospital Medical Center, Division of Biostatistics and Epidemiology, Cincinnati, OH (United States)

    2015-07-15

    Granulocyte colony-stimulating factors (G-CSF) speed recovery from chemotherapy-induced myelosuppression but the marrow stimulation they cause can interfere with interpretation of F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET) exams. To assess the frequency of interfering G-CSF-induced bone marrow activity on FDG PET imaging in children and young adults with Ewing sarcoma and rhabdomyosarcoma and to define an interval between G-CSF administration and FDG PET imaging that limits marrow interference. Blinded, retrospective review of FDG PET exams performed in patients treated with long-acting G-CSF as part of their chemotherapeutic regimen. Exams were subjectively scored by two reviewers (R1 and R2) who assessed the level of marrow uptake of FDG and measured standardized uptake values in the marrow, liver, spleen and blood pool. FDG PET findings were correlated with time since G-CSF administration and with blood cell counts. Thirty-eight FDG PET exams performed in 17 patients were reviewed with 47.4% (18/38) of exams having marrow uptake of FDG sufficient to interfere with image interpretation. Primary predictors of marrow uptake of FDG were patient age (P = 0.0037) and time since G-CSF exposure (P = 0.0028 for subjective marrow uptake of FDG, P = 0.008 [R1] and P = 0.004 [R2] for measured maximum standardized uptake value (SUVmax)). The median interval between G-CSF administration and PET imaging in cases with marrow activity considered normal or not likely to interfere was 19.5 days (range: 7-55 days). In pediatric and young adult patients with Ewing sarcoma and rhabdomyosarcoma, an interval of 20 days between administration of the long-acting form of G-CSF and FDG PET imaging should limit interference by stimulated marrow. (orig.)

  8. What parents of children who have received emergency care think about deferring consent in randomised trials of emergency treatments: postal survey.

    Directory of Open Access Journals (Sweden)

    Carrol Gamble

    Full Text Available OBJECTIVE: To investigate parents' views about deferred consent to inform management of trial disclosure after a child's death. METHODS: A postal questionnaire survey was sent to members of the Meningitis Research Foundation UK charity, whose child had suffered from bacterial meningitis or meningococcal septicaemia within the previous 5 years. Main outcome measures were acceptability of deferred consent; timing of requesting consent; and the management of disclosure of the trial after a child's death. RESULTS: 220 families were sent questionnaires of whom 63 (29% were bereaved. 68 families responded (31%, of whom 19 (28% were bereaved. The majority (67% was willing for their child to be involved in the trial without the trial being explained to them beforehand; 70% wanted to be informed about the trial as soon as their child's condition had stabilised. In the event of a child's death before the trial could be discussed the majority of bereaved parents (66% 12/18 anticipated wanting to be told about the trial at some time. This compared with 37% (18/49 of non-bereaved families (p = 0.06. Parents' free text responses indicated that the word 'trial' held strongly negative connotations. A few parents regarded gaps in the evidence base about emergency treatments as indicating staff lacked expertise to care for a critically ill child. Bereaved parents' free text responses indicated the importance of individualised management of disclosure about a trial following a child's death. DISCUSSION: Deferred consent is acceptable to the majority of respondents. Parents whose children had recovered differed in their views compared to bereaved parents. Most bereaved parents would want to be informed about the trial in the aftermath of a child's death, although a minority strongly opposed such disclosure. Distinction should be drawn between the views of bereaved and non-bereaved parents when considering the acceptability of different consent processes.

  9. High plasma exposure to pemetrexed leads to severe hyponatremia in patients with advanced non small cell lung cancer receiving pemetrexed-platinum doublet chemotherapy

    International Nuclear Information System (INIS)

    Pemetrexed-platinum doublet therapy is a standard treatment for stage IIIb/IV nonsquamous non small cell lung cancer (NSCLC). While the regimen is associated with several grade ≥3 toxicities, hyponatremia is not a commonly reported adverse effect. Here we report an unusually high incidence of grade ≥3 hyponatremia in Indian patients receiving pemetrexed-platinum doublet, and the pharmacological basis for this phenomenon. Forty-six patients with advanced NSCLC were enrolled for a bioequivalence study of two pemetrexed formulations. All patients received the pemetrexed-platinum doublet for six cycles followed by single-agent pemetrexed maintenance until progression. Pharmacokinetic blood samples were collected at predefined time points during the first cycle and the concentration-time profile of pemetrexed was investigated by noncompartmental analysis. Hyponatremic episodes were investigated with serum electrolytes, serum osmolality, urinary sodium, and urine osmolality. Sixteen of 46 patients (35%) had at least one episode of grade ≥3 hyponatremia. Twenty-four episodes of grade ≥3 hyponatremia were observed in 200 cycles of doublet chemotherapy. Plasma exposure to pemetrexed was significantly higher in patients with high-grade hyponatremia than in those with low-grade or no hyponatremia (P=0.063 and P=0.001, respectively). Pemetrexed clearance in high-grade hyponatremia was quite low compared with normal and low-grade hyponatremia (P=0.001 and P=0.055, respectively). Median pemetrexed exposure in this cohort was much higher than that reported in the literature from Western studies. Higher exposure to pemetrexed is associated with grade ≥3 hyponatremia. The pharmacogenetic basis for higher exposure to pemetrexed in Indian patients needs further investigation

  10. High plasma exposure to pemetrexed leads to severe hyponatremia in patients with advanced non small cell lung cancer receiving pemetrexed-platinum doublet chemotherapy

    Science.gov (United States)

    Gota, Vikram; Kavathiya, Krunal; Doshi, Kartik; Gurjar, Murari; Damodaran, Solai E; Noronha, Vanita; Joshi, Amit; Prabhash, Kumar

    2014-01-01

    Background Pemetrexed-platinum doublet therapy is a standard treatment for stage IIIb/IV nonsquamous non small cell lung cancer (NSCLC). While the regimen is associated with several grade ≥3 toxicities, hyponatremia is not a commonly reported adverse effect. Here we report an unusually high incidence of grade ≥3 hyponatremia in Indian patients receiving pemetrexed-platinum doublet, and the pharmacological basis for this phenomenon. Methods Forty-six patients with advanced NSCLC were enrolled for a bioequivalence study of two pemetrexed formulations. All patients received the pemetrexed-platinum doublet for six cycles followed by single-agent pemetrexed maintenance until progression. Pharmacokinetic blood samples were collected at predefined time points during the first cycle and the concentration-time profile of pemetrexed was investigated by noncompartmental analysis. Hyponatremic episodes were investigated with serum electrolytes, serum osmolality, urinary sodium, and urine osmolality. Results Sixteen of 46 patients (35%) had at least one episode of grade ≥3 hyponatremia. Twenty-four episodes of grade ≥3 hyponatremia were observed in 200 cycles of doublet chemotherapy. Plasma exposure to pemetrexed was significantly higher in patients with high-grade hyponatremia than in those with low-grade or no hyponatremia (P=0.063 and P=0.001, respectively). Pemetrexed clearance in high-grade hyponatremia was quite low compared with normal and low-grade hyponatremia (P=0.001 and P=0.055, respectively). Median pemetrexed exposure in this cohort was much higher than that reported in the literature from Western studies. Conclusion Higher exposure to pemetrexed is associated with grade ≥3 hyponatremia. The pharmacogenetic basis for higher exposure to pemetrexed in Indian patients needs further investigation. PMID:24940080

  11. Developing Children's Awareness of the Human-Animal Bond: An Assessment of the Experiences and Benefits that Children Receive in the United Animal Nation's Humane Education Ambassador Readers (HEAR) Program

    Science.gov (United States)

    Stokes, Laura

    2009-01-01

    In 2007, the United Animal Nations (UAN) launched the Humane Education Ambassador Readers (HEAR), an innovation that focused on mitigation of animal suffering through education. In the HEAR program, adult volunteers read carefully selected story books to children in grades 3-6 in schools or other educational settings, and hold discussions with the…

  12. Children with High Functioning Autism show increased prefrontal and temporal cortex activity during error monitoring

    OpenAIRE

    Goldberg, Melissa C.; Spinelli, Simona; Joel, Suresh; Pekar, James J.; Denckla, Martha B.; Mostofsky, Stewart H.

    2011-01-01

    Evidence exists for deficits in error monitoring in autism. These deficits may be particularly important because they may contribute to excessive perseveration and repetitive behavior in autism. We examined the neural correlates of error monitoring using fMRI in 8–12-year-old children with high-functioning autism (HFA, n=11) and typically developing children (TD, n=15) during performance of a Go/No-Go task by comparing the neural correlates of commission errors versus correct response inhibit...

  13. Equitable rationing of highly specialised health care services for children: a perspective from South Africa.

    OpenAIRE

    Landman, W A; Henley, L D

    1999-01-01

    The principles of equality and equity, respectively in the Bill of Rights and the white paper on health, provide the moral and legal foundations for future health care for children in South Africa. However, given extreme health care need and scarce resources, the government faces formidable obstacles if it hopes to achieve a just allocation of public health care resources, especially among children in need of highly specialised health care. In this regard, there is a dearth of moral analysis ...

  14. Social Anxiety in High-Functioning Children and Adolescents with Autism and Asperger Syndrome

    Science.gov (United States)

    Kuusikko, Sanna; Pollock-Wurman, Rachel; Jussila, Katja; Carter, Alice S.; Mattila, Marja-Leena; Ebeling, Hanna; Pauls, David L.; Moilanen, Irma

    2008-01-01

    We examined social anxiety and internalizing symptoms using the Social Phobia and Anxiety Inventory for Children (SPAI-C), the Social Anxiety Scale for Children -Revised (SASC-R), and the Child Behavior Checklist (CBCL) in a sample of fifty-four high-functioning subjects with autism or Asperger syndrome (HFA/AS) (M = 11.2 plus or minus 1.7 years)…

  15. Pharmacokinetics, safety, and efficacy of APF530 (extended-release granisetron in patients receiving moderately or highly emetogenic chemotherapy: results of two Phase II trials

    Directory of Open Access Journals (Sweden)

    Gabrail N

    2015-03-01

    Full Text Available Nashat Gabrail,1 Ronald Yanagihara,2 Marek Spaczyński,3 William Cooper,4 Erin O'Boyle,5 Carrie Smith,1 Ralph Boccia6 1Gabrail Cancer Center, Canton, OH, USA; 2St Louise Regional Hospital, Gilroy, CA, USA; 3Department of Gynecology, Obstetrics and Gynecologic Oncology, University of Medical Sciences, Poznan, Poland; 4TFS International, Flemington, NJ, USA; 5FibroGen, Inc., San Francisco, CA, USA; 6Center for Cancer and Blood Disorders, Bethesda, MD, USA Background: Despite advances with new therapies, a significant proportion of patients (>30% suffer delayed-onset chemotherapy-induced nausea and vomiting (CINV despite use of antiemetics. APF530 is a sustained-release subcutaneous (SC formulation of granisetron for preventing CINV. APF530 pharmacokinetics, safety, and efficacy were studied in two open-label, single-dose Phase II trials (C2005-01 and C2007-01, respectively in patients receiving moderately emetogenic chemotherapy or highly emetogenic chemotherapy. Methods: In C2005-01, 45 patients received APF530 250, 500, or 750 mg SC (granisetron 5, 10, or 15 mg, respectively. In C2007-01, 35 patients were randomized to APF530 250 or 500 mg SC. Injections were given 30 to 60 minutes before single-day moderately emetogenic chemotherapy or highly emetogenic chemotherapy. Plasma granisetron was measured from predose to 168 hours after study drug administration. Safety and efficacy were also evaluated. Results: APF530 pharmacokinetics were dose proportional, with slow absorption and elimination of granisetron after a single SC dose. Median time to maximum plasma concentration and half-life were similar for APF530 250 and 500 mg in both trials, with no differences between the groups receiving moderately and highly emetogenic chemotherapy. Exposure to granisetron was maintained at a therapeutic level over the delayed-onset phase, at least 168 hours. Adverse events in both trials were as expected for granisetron; injection site reactions (eg, erythema

  16. Musical therapy for children receiving venous transfusion in outpatient department%浅析音乐治疗在儿内科门诊静脉穿刺输液治疗患儿中的应用

    Institute of Scientific and Technical Information of China (English)

    段建华; 张婧雯; 张倩丽

    2013-01-01

    目的 通过分析患儿在北京新世纪儿童医院儿内科门诊静脉穿刺输液治疗时接受音乐治疗前后行为及言语紧张度数据,积累音乐治疗在儿科静脉穿刺输液治疗中的应用经验.方法 北京新世纪儿童医院门诊接受静脉穿刺输液治疗同时接受音乐治疗的患儿23名,采取行为评价量表和家长问卷评价患儿接受音乐治疗前后的行为和语言指标.结果 在儿内科门诊静脉穿刺输液治疗时接受音乐治疗可以使患儿语言恐惧表达率和紧张性肢体动作出现率降低,差异有统计学意义.结论 音乐治疗可以减轻静脉穿刺输液治疗对儿童的不良情绪刺激.%Objective To share the experience of musical therapy for children who receive venous transfusion in outpatient department. Methods Behavior scales and parents questionnaire were developed to obtain data before and after musical therapy for children receiving venous transfusion. Results Musical therapy could significantly reduce fearful language expression and tonic limb action. Conclusion Musical therapy was effective in reducing anxiety and distress.

  17. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of High Enriched Uranium

    International Nuclear Information System (INIS)

    The Secretariat has received a note verbale dated 20 September 2012 from the Permanent Mission of the Federal Republic of Germany to the IAEA in the enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/5491 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2011. The Government of the Federal Republic of Germany has also made available a statement of the estimated amounts of highly enriched uranium (HEU) as of 31 December 2011

  18. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of High Enriched Uranium

    International Nuclear Information System (INIS)

    The Director General has received a note verbale dated 14 October 2010 from the Permanent Mission of the Federal Republic of Germany to the IAEA in enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/5491 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2009. The Government of the Federal Republic of Germany has also made available a statement of its annual figures for holdings of civil high enriched uranium (HEU) as of 31 December 2009

  19. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of Highly Enriched Uranium

    International Nuclear Information System (INIS)

    The Director General has received a Note Verbale dated 3 July 2007 from the Permanent Mission of the Federal Republic of Germany to the IAEA in the enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/549 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2006. The Government of the Federal Republic of Germany has also made available a statement of its annual figures for holdings of civil highly enriched uranium (HEU) as of 31 December 2006

  20. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of High Enriched Uranium

    International Nuclear Information System (INIS)

    The Director General has received a note verbale dated 29 April 2011 from the Permanent Mission of the Federal Republic of Germany to the IAEA in enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/5491 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2010. The Government of the Federal Republic of Germany has also made available a statement of its annual figures for holdings of civil high enriched uranium (HEU) as of 31 December 2010

  1. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of High Enriched Uranium

    International Nuclear Information System (INIS)

    The Secretariat has received a note verbale dated 2 July 2013 from the Permanent Mission of the Federal Republic of Germany to the IAEA in the enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/5491 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2012. The Government of the Federal Republic of Germany has also made available a statement of the estimated amounts of highly enriched uranium (HEU) as of 31 December 2012

  2. Communication Received from Germany Concerning its Policies regarding the Management of Plutonium. Statements on the Management of Plutonium and of High Enriched Uranium

    International Nuclear Information System (INIS)

    The Director General has received a letter dated 16 July 2009 from the Permanent Mission of the Federal Republic of Germany to the IAEA in enclosures of which the Government of Germany, in keeping with its commitment under the Guidelines for the Management of Plutonium (contained in INFCIRC/5491 of 16 March 1998 and hereinafter referred to as the 'Guidelines'), and in accordance with Annexes B and C of the Guidelines, has made available annual figures for holdings of civil unirradiated plutonium and the estimated amounts of plutonium contained in spent civil reactor fuel as of 31 December 2008. 2. The Government of the Federal Republic of Germany has also made available a statement of its annual figures for holdings of civil high enriched uranium (HEU) as of 31 December 2008

  3. Nonlinear waveform analysis for water-layer response and its application to high-frequency receiver function analysis using OBS array

    Science.gov (United States)

    Akuhara, Takeshi; Mochizuki, Kimihiro; Kawakatsu, Hitoshi; Takeuchi, Nozomu

    2016-07-01

    Determination of a response of the seawater column to teleseismic plane wave is important to suppress adverse effects of water reverberations in calculating receiver functions (RFs) using ocean-bottom seismometer (OBS) records. We present a novel nonlinear-waveform analysis method using the simulated annealing algorithm to determine such a water-layer response recorded by an OBS array. We then demonstrate its usefulness for the RF estimation through its application to synthetic and observed data. Synthetic experiments suggest that the water-layer response constrained in this way has a potential to improve RFs of OBS records drastically even in the high-frequency range (to 4 Hz). By applying it to data observed by the OBS array around the Kii Peninsula, southwestern Japan, we identified a low-velocity zone at the top of the subducting Philippine Sea plate. This zone may represent the incoming fluid-rich sediment layer that has been reported by active source seismic survey.

  4. Application of virtual reality to children receiving removal of baby teeth%虚拟现实技术在儿童乳牙拔除术中的应用

    Institute of Scientific and Technical Information of China (English)

    熊晓菊; 毛靖

    2012-01-01

    Objective To explore the effect of virtual reality as a distraction method on pain relief during baby teeth removal. Methods Totally. 120 children aged 5 - 12 years old who needed to have their baby teeth removed were recruited and divided into an observation group of 60 and a control group of 60 according to their order of treatment. Children in the control group received conventional treatment, while those in the observation group were asked to wear visual-aiding device of virtual reality system during the process of teeth removal. Results The observation group perceived less severe pain during the process of teeth removal than the control group (P<0. 01). Conclusion The application of virtual reality as a distraction method can effectively relieve pain during the process of baby teeth removal for children. However, the game imbedded in the virtual reality system is claimed by some children to be too simple, which makes development of varied games in catering to children in different age groups a necessity.%目的 探索虚拟现实技术分散注意力疗法缓解儿童乳牙拔除术中疼痛的效果.方法 将120例5~12岁需拔除乳牙的患儿纳入试验,按就诊先后顺序分配到观察组和对照组各60例.对照组患儿接受常规方法拔牙,观察组患儿在常规拔牙的基础上于拔牙前5 min使用虚拟现实系统直至拔牙结束.结果 观察组患儿拔牙时疼痛程度显著低于对照组(P<0.01).结论 虚拟现实技术分散注意力疗法能有效缓解患儿乳牙拔除术中的疼痛,但游戏方法稍显简单,应针对不同年龄患儿研发适合的游戏.

  5. High Incidences of Invasive Fungal Infections in Acute Myeloid Leukemia Patients Receiving Induction Chemotherapy without Systemic Antifungal Prophylaxis: A Prospective Observational Study in Taiwan.

    Directory of Open Access Journals (Sweden)

    Jih-Luh Tang

    Full Text Available Invasive fungal infections (IFIs is an important complication for acute myeloid leukemia (AML patients receiving induction chemotherapy. However, the epidemiological information is not clear in Southeastern Asia, an area of potential high incidences of IFIs. To clarify it, we enrolled 298 non-M3 adult AML patients receiving induction chemotherapy without systemic anti-fungal prophylaxis from Jan 2004 to Dec 2009, when we applied a prospective diagnostic and treatment algorithm for IFIs. Their demographic parameters, IFI characters, and treatment outcome were collected for analysis. The median age of these patients was 51 years. Standard induction chemotherapy was used for 246 (82.6% patients, and 66.8% of patients achieved complete remission (CR or partial remission. The incidence of all-category IFIs was 34.6% (5.7% proven IFIs, 5.0% probable IFIs and 23.8% possible IFIs. Candida tropicalis was the leading pathogen among yeast, and lower respiratory tract was the most common site for IFIs (75.4%, 80/106. Standard induction chemotherapy and failure to CR were identified as risk factors for IFIs. The presence of IFI in induction independently predicted worse survival (hazard ratio 1.536 (1.100-2.141, p value = 0.012. Even in those who survived from the initial IFI insults after 3 months, the presence of IFIs in induction still predicted a poor long-term survival. This study confirms high incidences of IFIs in Southeastern Asia, and illustrates potential risk factors; poor short-term and long-term outcomes are also demonstrated. This epidemiological information will provide useful perspectives for anti-fungal prophylaxis and treatment for AML patients during induction, so that best chances of cure and survival can be provided.

  6. High resolution receiver function imaging of the seismic velocity discontinuities in the crust and upper mantle beneath eastern margin of Tibetan Plateau

    Science.gov (United States)

    Wu, J.; Wang, W.; Fang, L.; Ming, Y.

    2015-12-01

    The collision between Indian and Eurasian plates started about 50 Ma has resulted in intense deformation and crustal shortening in the Tibetan Plateau. Though studied with decades, the mechanism of deformation and southeastward expansion of the Tibetan Plateau remain controversial. As the tectonic transitional zone between the uplifting Tibetan Plateau and the Yangtze block, the eastern margin of the Tibetan Plateau is of particular interest. In past 10 years, several large scale dense seismic arrays were deployed in the eastern Tibetan Plateau with an average inter-station distance about 35km. We collected the seismic data of these densely deployed seismic arrays and the permanent seismic network in the eastern margin of the Tibetan Plateau, and obtained more than 300,000 high quality teleseismic Ps receiver functions. We have obtained high-resolution topographies of the Moho and upper mantle discontinuities beneath the eastern Tibetan Plateau by using receiver function common conversion points stacking technique. The results show a strong lateral variation of the crustal thickness, the depths of 410km and 660km seismic velocity discontinuities, and the thickness of upper mantle transitional zone in this region. Although the depth of the upper mantle discontinuities beneath Sichuan basin is similar to that of the average earth model, the thickness of the upper mantle transitional zone in the southeastern margin of the Tibetan Plateau is about 30km thicker. The lateral variation of the thickness of upper mantle transitional zone in the region may be related to the subduction process of the India plate. The spatial distribution of the velocity discontinuities has a good correlation with surface tectonic structure, indicating the upper mantle dynamic process has great inference on the crustal deformation and shortening in eastern margin of Tibetan Plateau.

  7. A Cost of Illness Study of Children with High-Functioning Autism Spectrum Disorders and Comorbid Anxiety Disorders as Compared to Clinically Anxious and Typically Developing Children

    Science.gov (United States)

    Steensel, Francisca J.; Dirksen, Carmen D.; Bögels, Susan M.

    2013-01-01

    The study's aim was to estimate the societal costs of children with high-functioning ASD and comorbid anxiety disorder(s) (ASD + AD-group; n = 73), and to compare these costs to children with anxiety disorders (AD-group; n = 34), and typically developing children (controls; n = 87). Mean total costs for the ASD + AD-group amounted €17,380 per…

  8. 我国流动人口子女平等受教育权的立法保障问题探讨%Discussion about Protection of Migrant Childrens' Equal Rights to Receive Education in Legislation

    Institute of Scientific and Technical Information of China (English)

    柯罗妮娜

    2015-01-01

    There are many inequalities in enrolment conditions, education fees and sharing public education resources when comparing migrant children with residential children at present, which infringe the former's equal rights to receive education. As a constitutional right, kinds of social problems will arise if it is unrealized. By analyzing this problem, the article suggests from the aspect of legislative protection that the legislature record migration freedom into constitution, reform the household registration system, and enact education law and statutes aiming at protecting migrant children.%当前流动人口子女与城镇常住人口子女相比,在入学条件、费用负担、公共教育资源享用等方面存在着诸多不平等现象,平等受教育权受到严重侵害。平等受教育权是我国宪法规定的一项基本权利,而基本权利得不到实现容易导致诸多社会问题的产生。在对此问题的现状进行分析与探讨后,从立法保障层面提出了在宪法中增加“迁徙自由权”、改革户籍制度、制定专门保护流动人口子女的教育法规等建议。

  9. Low Vitamin D Status and Inadequate Nutrient Intakes of Elementary School Children in a Highly Educated Pacific Northwest Community

    Science.gov (United States)

    Frei, Simone; Frei, Balz; Bobe, Gerd

    2014-01-01

    Are Extension healthy youth programs needed in highly educated U.S. communities? To answer this question, 175 children from four public elementary schools in Corvallis, Oregon, self-reported in a cross-sectional study their dietary intake, and 71 children provided a blood sample for measuring vitamin D concentrations. Most children had…

  10. Change and Stability in Children's Social Network and Self-Perceptions during Transition from Elementary to Junior High School

    Science.gov (United States)

    Cantin, Stephane; Boivin, Michel

    2004-01-01

    This study examined the changes in children's social network and specific self-perceptions during the transition from elementary school to junior high school (JHS). The participants were 200 preadolescent children (104 girls, 96 boys). Children's self-perceptions (global self-worth, perceived academic competence, and perceived social acceptance)…

  11. The Impact of Children with High-Functioning Autism on Parental Stress, Sibling Adjustment, and Family Functioning

    Science.gov (United States)

    Rao, Patricia A.; Beidel, Deborah C.

    2009-01-01

    The article discuses a study conducted to investigate the impact of children with high-functioning autism (HFA) on parental stress, sibling adjustment, and family functioning; the study involves a sample of parents of 15 children with HFA and parents of 15 matched control children who completed questionnaires measuring the dependent variables. The…

  12. Brief Report: Compliance and Noncompliance to Parental Control Strategies in Children with High-Functioning Autism and Their Typical Peers

    Science.gov (United States)

    Bryce, Crystal I.; Jahromi, Laudan B.

    2013-01-01

    The present study examined children's compliance and noncompliance behaviors in response to parental control strategies in 20 children with high-functioning autism (HFA) and 20 matched typically-developing children. Observational coding was used to measure child compliance (committed, situational), noncompliance (passive, defiance, self-assertion,…

  13. High Fantasy Literature as a Genre for Gifted Children and Youth.

    Science.gov (United States)

    McIntosh, Margaret E.

    The paper considers the use of high fantasy (literature using preternatural settings, strong characters, teratological situations, and non-rational phenomena to show an alternative approach to reality) with gifted children and youth. Characteristics of high fantasy are considered, including the wonder it evokes, the archetypical elements it relies…

  14. Images of Women in High Fantasy for Children and Adults: A Comparative Analysis.

    Science.gov (United States)

    Solomon, Laura

    This paper presents a content analysis of 45 high fantasy novels randomly selected from the outstanding contemporary fantasy list in "Fantasy Literature for Children and Young Adults" (Ruth Nadelman Lynn), which divides high fantasy into three subgenres--travel to other worlds, alternate world/history, and myth. A comparison is made between male…

  15. Migration, Remittances, and Children's High School Attendance: The Case of Rural China

    Science.gov (United States)

    Hu, Feng

    2012-01-01

    This paper uses a large nationally representative survey data to examine the impact of China's rural-urban migration on high school attendance of left-behind children by disentangling the effect of remittances from that of migration. The results show that the absence of adult household members has a negative impact on the high school attendance of…

  16. Children of Armageddon. Common developmental threats in high-conflict divorcing families.

    Science.gov (United States)

    Roseby, V; Johnston, J R

    1998-04-01

    This article traces how parental vulnerability to the feelings of humiliation and loss (inherent in highly conflicted divorce and custody litigation) distorts parenting capacities and parent-child relationships in distinctive ways, putting children at risk for specific kinds of developmental difficulties. Pre-oedipal children often fail to achieve a complete separation from their primary caretakers. Oedipal children, already struggling with separation issues, manifest sexualized anxiety and discomfort with gender identity. By latency, these children present as fragmented within themselves and in relationships with others. Each stage-specific response is discussed and illustrated. It is argued that mental health and legal professionals can use this in-depth understanding of child responses to help parents reframe their disputing agendas in terms of the child's developmental concerns and preoccupations to produce custody settlements that are more protective of the child's best interests.

  17. Detecting children's lies: comparing true accounts about highly stressful injuries with unprepared, prepared, and coached lies.

    Science.gov (United States)

    Warren, Kelly L; Dodd, Elyse; Raynor, Graham; Peterson, Carole

    2012-01-01

    In this investigation, 514 university students judged whether children were telling the truth about highly emotional events. Eight children (half female, half 8-9 and the remainder 12-14 years old) had been injured seriously enough to require emergency room treatment and were interviewed a few days later. Each was yoked to three other children matched in age and gender who fabricated accounts under one of three conditions: lies that were unprepared, prepared (24 hours to prepare), and coached by parents. Participants were at chance when judging true accounts as well as unprepared and prepared lies. However, 74% of the coached lies were judged as true. Participants' confidence in their judgments, age, experience with children, and relevant coursework/training did not improve judgments. PMID:22566366

  18. Insomnia in school-age children with Asperger syndrome or high-functioning autism

    Directory of Open Access Journals (Sweden)

    Smedje Hans

    2006-04-01

    Full Text Available Abstract Background Asperger syndrome (AS and high-functioning autism (HFA are pervasive developmental disorders (PDD in individuals of normal intelligence. Childhood AS/HFA is considered to be often associated with disturbed sleep, in particular with difficulties initiating and/or maintaining sleep (insomnia. However, studies about the topic are still scarce. The present study investigated childhood AS/HFA regarding a wide range of parent reported sleep-wake behaviour, with a particular focus on insomnia. Methods Thirty-two 8–12 yr old children with AS/HFA were compared with 32 age and gender matched typically developing children regarding sleep and associated behavioural characteristics. Several aspects of sleep-wake behaviour including insomnia were surveyed using a structured paediatric sleep questionnaire in which parents reported their children's sleep patterns for the previous six months. Recent sleep patterns were monitored by use of a one-week sleep diary and actigraphy. Behavioural characteristics were surveyed by use of information gleaned from parent and teacher-ratings in the High-Functioning Autism Spectrum Screening Questionnaire, and in the Strengths and Difficulties Questionnaire. Results Parent-reported difficulties initiating sleep and daytime sleepiness were more common in children with AS/HFA than in controls, and 10/32 children with AS/HFA (31.2% but none of the controls fulfilled our definition of paediatric insomnia. The parent-reported insomnia corresponded to the findings obtained by actigraphy. Children with insomnia had also more parent-reported autistic and emotional symptoms, and more teacher-reported emotional and hyperactivity symptoms than those children without insomnia. Conclusion Parental reports indicate that in childhood AS/HFA insomnia is a common and distressing symptom which is frequently associated with coexistent behaviour problems. Identification and treatment of sleep problems need to be a routine

  19. A STUDY ON GROWTH STATUS OF HIGH SCHOOL CHILDREN IN RURAL SOUTH INDIA

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    Mahes h waran

    2013-11-01

    Full Text Available ABSTRACT: OBJECTIVE : To assess the growth status of High school children in Rural Primary health centre area of South India. METH ODS: C hildren from various High schools aged between 13 to 16 years belonging to a PHC area were surveyed in a School Health Program. Height and weight was measured following standard procedures. General nutritional status was assed clinically. SPSS Versio n 16 was used to analyze the data. R ESULTS: 630 students were examined. The overall prevalence of stunting was 44.6%. It was significantly higher in boys (47.7 than girls (41.6. Around 71% of the students were underweight, Boys (77.3% were significantly underweight as compared to girls (64.6. 21% of the children showed signs of malnutrition. CONCLUSION: The nutritional status of high school children in Rural Field Practice area is poor compared to many other studies

  20. 哮喘患儿吸入糖皮质激素治疗5年后过敏原变化观察%Allergen sensitization changes in asthmatic children receiving inhaled corticosteroid therapy for five years

    Institute of Scientific and Technical Information of China (English)

    汤正珍; 郑跃杰; 王和平; 宋萍; 刘晓莉; 刘萍; 白大明; 王莉

    2012-01-01

    目的 了解哮喘患儿吸入糖皮质激素(ICS)治疗5年后的过敏原变化情况.方法 对2003-2004年在深圳市儿童医院哮喘门诊登记且登记时均行皮肤点刺实验(SPT)并给予ICS治疗的133例哮喘患儿,进行现场回顾性调查.现场调查包括填写调查表和复查SPT.结果 133例哮喘患儿完成了5年前后的2次SPT检测,5年前121例(91%)SPT阳性,12例(9%)SPT阴性;5年后133例中119例 (89.5%)SPT检测阳性,14例(10.5%)SPT阴性,与5年前比较,差异无统计学意义(P>0.05).5年后吸入性过敏原和食物过敏原的阳性率均无明显变化,但蟑螂和树花粉明显增加(P>0.05),牛奶、鸡蛋明显减少(P>0.05).结论 哮喘患儿5年后过敏率变化不大,吸入性过敏有所增加,食物过敏有减少趋势.屋尘螨和粉尘螨仍然是主要过敏原.ICS治疗与否对过敏情况无明显影响.%Objective To assess the allergen -sensitization changes in asthmatic children receiving inhaled corticosteroid (ICS) therapy for 5 years. Methods . The retrospective study was carried out in 133 asthmatic children receiving treatment of ICS from 2003-2004 in Shenzhen Children' s Hospital. The patients were assessed by questionnaire and skin prick tests (SPT).Results Totally 133 patients finished the SPT before and after five years. The positive rate of SPT in 133 cases was 91% before five years,which was not significantly different(P > 0.05)from that of the patients (89.5%)af-ter five years . There was no significant increase in food and inhalant hypersensitivity (P > 0.05) ,but Cockroach and Tree-pollen increased obviously, and milk and eggs were reduced significantly.Conclusions Allergen sensitization changes in asthmatic children received inhaled corticosteroid therapy for five years are small.Inhalant allergens increase obviously, but the tendency of food hypersensitivity is reduced.Dermatophagoldes pteronyssinus and Dermatophagoides farina are still the main allergen.

  1. Correlation between high-risk pregnancy and developmental delay in children aged 4–60 months

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    Saba Amiri

    2012-09-01

    Full Text Available Background: The future development of children is considered more than ever now due to the advances in medical knowledge and thus the increase in survival rates of high-risk infants. This study investigated the correlation between high-risk pregnancy and developmental delay in children aged 4–60 months. Methods: This descriptive study was conducted on 401 mothers and their children (4–60 months who visited health service centers affiliated to Isfahan University of Medical Sciences, Iran, in 2011. Sampling was carried out in several stages, and the Ages and Stage Questionnaire was completed by the participants. Data were analyzed with SPSS 18 software and independent t-test; Mann-Whitney and logistic-regression tests were used. Results: The average age of children in the low-risk pregnancy group was 22±16 months, and that in the high-risk pregnancy group was 18.9±14.8 months. The majority of children were female (53.1%. The prevalence of high-risk pregnancies was 80.5%, and the prevalence of developmental delay was 18.7%. Multiple pregnancies, low birth weight, habitual abortions, maternal medical disorders in pregnancy, and gestational diabetes had significant correlations with developmental delay in children (P<0.04. In the logistic model, male gender, low birth weight, family marriage, and maternal medical disorders during pregnancy showed significant correlations with developmental delay in children (P<0.05. Additionally, abnormal body mass index (BMI and social and economic status showed probability values close to the significance level (P = 0.05, whereas other high-risk pregnancy variables had no correlation with developmental delay in children. A correlation between high-risk pregnancy and developmental delay (P = 0.002 and fine motor delay was observed (P = 0.02, but no correlation was observed between high-risk pregnancy and other developmental domains. Conclusion: This study showed that some high-risk pregnancy variables had a

  2. Assessment of radioactivity and estimation of effective dose received by villagers residing at natural high background areas of coastal regions of Tamil Nadu

    International Nuclear Information System (INIS)

    Radiation exposure and effective dose received by villagers residing at seven villages belonging to Natural High Background Radiation Areas (NHBRA) of coastal regions of Tamil Nadu were studied; five houses in each village were selected. The NHBRA villages were Chinnavilai, Periavilai, Kottilpadu, Puthoor Colachel, Kodimunai and Midalam. The houses were of similar construction pattern (brick wall-tiled roof, cement flooring). Measurements of radon (222Rn), thoron (220Rn) and their progeny, produced by the decay of naturally occurring radioisotopes uranium and thorium in dwellings are the largest contributor to the average internal effective dose received by human beings. Internal doses due to radon/thoron and their progeny were estimated using, Solid State Nuclear Track Detectors (SSNTD), LR-115, as the detector. External doses were estimated by gamma measurement using scintillometer and Thermo Luminescent Dosimeter (TLD). TLDs were exposed for one year, on a quarterly basis, inside the house at a height of 3 meters and about 1 meter away from the walls. The SSNTD cups were exposed adjacent to the TLDS, and the exposure was for a period of three months each. The SSNTDs were developed by standard procedures (10% NaOH, etching for 90 min at 60 deg C) and counted in a spark counter. Earlier the SSNTDs were calibrated using U and Th sources and calibration factors were obtained. Inhalation dose due to 232Th and Th (B) in mWL were estimated by collecting air samples from each house, for one hour each, during the replacement time of TLD and SSNTD Cups. For inhalation dose estimation the occupancy factor was assumed to be 0.8. The soil samples were also collected from each sampling point. (author)

  3. Technology's Covert Socialization of Children: High-Tech Toys.

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    Kritt, David W.

    2001-01-01

    Child's play may be at risk in today's technologically-oriented society. The limited interactive capacities of high-tech toys constrain the possibilities for cognitive development, interpersonal learning, and the quality of relationships that can be formed. Current high-tech toys change the nature of play, so that the object, rather than the…

  4. Comparison of the Bender Gestalt-II and VMI-V in Samples of Typical Children and Children with High-Functioning Autism Spectrum Disorders

    Science.gov (United States)

    Volker, Martin A.; Lopata, Christopher; Vujnovic, Rebecca K.; Smerbeck, Audrey M.; Toomey, Jennifer A.; Rodgers, Jonathan D.; Schiavo, Audrey; Thomeer, Marcus L.

    2010-01-01

    The visual-motor skills of 60 children with high-functioning autism spectrum disorders (HFASDs) and 46 typically developing children were assessed using the Bender Visual-Motor Gestalt Test-Second Edition (BG-II) and Beery-Buktenica Developmental Test of Visual-Motor Integration, Fifth Edition (VMI-V). Within-group comparisons yielded substantive…

  5. A Pilot Study of Intensified PEG-Asparaginase in High-risk Acute Lymphoblastic Leukemia: Children's Oncology Group Study AALL08P1.

    Science.gov (United States)

    Rodriguez, Vilmarie; Kairalla, John; Salzer, Wanda L; Raetz, Elizabeth A; Loh, Mignon Lc; Carroll, Andrew J; Heerema, Nyla A; Wood, Brent L; Borowitz, Michael J; Burke, Michael J; Asselin, Barbara L; Devidas, Meenakshi; Winick, Naomi J; Carroll, William L; Hunger, Stephen P; Dreyer, ZoAnn E

    2016-08-01

    AALL08P1 was designed to determine whether biweekly intensified pegaspargase (I-PEG) was feasible and safe in pediatric patients with newly diagnosed high-risk B-precursor lymphoblastic leukemia when given with Children's Oncology Group hemiaugmented BFM therapy. High-risk average (HR-Avg) patients received standard pegaspargase dosing (6 doses), whereas high-risk high (HR-High) patients received I-PEG biweekly from the start of Consolidation until day 1 of Maintenance. Feasibility and safety were defined in advance as ≥65% of patients tolerating at least 8 doses of I-PEG and 90% requiring ≤49 weeks from day 1 of Consolidation to the initiation of Maintenance. Targeted toxicities included allergic reactions, anaphylaxis, pancreatitis, thrombosis, bleeding, central nervous system events, and sepsis. AALL08P1 enrolled 104 patients; 54 were classified as HR-Avg and 30 as HR-High after completion of induction therapy. Only 53% (16/30) of the HR-High patients received ≥8 total doses of I-PEG and 50% (15/30) took ≤49 weeks from start of Consolidation to the initiation of Maintenance. I-PEG did not significantly increase grade 2 to 5 targeted toxicities. I-PEG was not feasible or safe as defined in AALL08P1. Complete assessment of this regimen was limited due to removal of patients from I-PEG regimen and early closure of the study. PMID:27299599

  6. High plasma exposure to pemetrexed leads to severe hyponatremia in patients with advanced non small cell lung cancer receiving pemetrexed-platinum doublet chemotherapy

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    Gota V

    2014-06-01

    Full Text Available Vikram Gota,1 Krunal Kavathiya,1 Kartik Doshi,1 Murari Gurjar,1 Solai E Damodaran,1 Vanita Noronha,2 Amit Joshi,2 Kumar Prabhash2 1Department of Clinical Pharmacology, Advanced Centre for Treatment Research and Education in Cancer, 2Department of Medical Oncology, Tata Memorial Hospital, Mumbai, India Background: Pemetrexed-platinum doublet therapy is a standard treatment for stage IIIb/IV nonsquamous non small cell lung cancer (NSCLC. While the regimen is associated with several grade ≥3 toxicities, hyponatremia is not a commonly reported adverse effect. Here we report an unusually high incidence of grade ≥3 hyponatremia in Indian patients receiving pemetrexed-platinum doublet, and the pharmacological basis for this phenomenon. Methods: Forty-six patients with advanced NSCLC were enrolled for a bioequivalence study of two pemetrexed formulations. All patients received the pemetrexed-platinum doublet for six cycles followed by single-agent pemetrexed maintenance until progression. Pharmacokinetic blood samples were collected at predefined time points during the first cycle and the concentration-time profile of pemetrexed was investigated by noncompartmental analysis. Hyponatremic episodes were investigated with serum electrolytes, serum osmolality, urinary sodium, and urine osmolality. Results: Sixteen of 46 patients (35% had at least one episode of grade ≥3 hyponatremia. Twenty-four episodes of grade ≥3 hyponatremia were observed in 200 cycles of doublet chemotherapy. Plasma exposure to pemetrexed was significantly higher in patients with high-grade hyponatremia than in those with low-grade or no hyponatremia (P=0.063 and P=0.001, respectively. Pemetrexed clearance in high-grade hyponatremia was quite low compared with normal and low-grade hyponatremia (P=0.001 and P=0.055, respectively. Median pemetrexed exposure in this cohort was much higher than that reported in the literature from Western studies. Conclusion: Higher exposure to

  7. Comparative study of preventive protocols in children at high cariogenic risk.

    Science.gov (United States)

    Martínez, María C; Tolcachir, Betina; Lescano de Ferrer, Alfonsina; Bojanich, María A; Barembaum, Silvina R; Calamari, Silvia E; Azcurra, Ana I

    2012-01-01

    The aim of this study was to compare the efficacy of two preventive protocols -fluoride gel (F) alone or combined with chlorhexidine varnishes (CHX) - on sialochemical, clinical and microbiological parameters in a group of children at high cariogenic risk Two therapeutic-preventive protocols were applied in 73 children at high cariogenic risk (average age 6.2 +/- 1.4 years old) and clinical parameters (simplified oral hygiene index: OHI-S; decayed, missing and filled teeth: dmf index; sugar intake and exposure to fluoride), as well as sialochemical parameters (salivary pH and flow, buffer capacity) and microbiological parameters (CFU/mg of dental biofilm of Streptococcus mutans group) were recorded and correlated before and after the protocols. Association was found between parameters that cause deficient control of dental biofilm: high values of OHIS index, CFU/mg dental biofilm, sugar intake and the d component of dmft index, and lower values of salivary flow rate and buffer capacity. After the protocols, a significant decrease was found in OHI-S and CFU/mg dental biofilm. No significant difference was found with children's gender and age. The association observed between OHI-S and cariogenic bacteria emphasizes the importance of prevention, especially regarding the oral health of the most vulnerable children. The early inclusion of F associated with CHX in the initial step of preventive and therapeutic protocols would provide benefits regarding oral microbe control while children acquire new habits of oral hygiene.

  8. PREVALENCE OF ASTHMA IN ISFAHAN JUNIOR HIGH SCHOOL CHILDREN (1998-1999

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    M GOLSHAN

    2000-06-01

    Full Text Available Introduction. Asthma is the most common chronic disease in children. Unfortunately there are not exact epidemiologic data concerning the prevalence of this disorder in Iranian children. The purpose of this study was to estimate the prevalence of asthma or respiratory symptoms in Isfahan Junior high school children. Methods. From 1998 Oct. to 1999 May. 3986 children from urban junior high schools children were selected by a proportional random cluster sampling. A self administered questionnaire prepared by International Study of Asthma and Allergies in Childhood (ISSAC modified by several supplementary questions was distributed among the selected children. The response rate was 98.5 percent (N=3924. Of these children, 2588 pupils who had at least one positive answer referring to respiratory symptoms were invited to AL-Zahra medical center for further evaluation, but 1710 pupils (66 percent of the invited attended the clinic and underwent complete medical interview, physical examination and post-exercise pulmonary function testing. Those children who failed to attend the clinic were examined at their schools (774 cases and 104 absent pupils were not examined. Our criterion for the diagnosis of asthma was the positive history of wheezing and dyspnea. Results. The overall prevalence of asthma was 19.6 percent with a male to female ratio of 1.7:1 (P<0.0001. The frequencies of wheezing ever in life and sleep disturbed by wheeze were 31.7 percent and 9.5 percent, respectively. Wheeze and rhoncus on chest auscultation while the children were examined in clinic or school was recorded in 4.2 percent and 3.5 percent of the population, respectively. Pulmonary function tests revealed FEV1:5,80 percent of predicted value (prd in 5.9 percent, FEF 25-75£70 Percent prd in 9.6 percent and FEF75£70 percent prd in 20.5 percent of tested children. The three later findings correlated to history of wheezing and dyspnea (P < 0.0001. Discussion. The prevalence of

  9. Clinical experience of the 23-valent capsular polysaccharide pneumococcal vaccination in HIV-1-infected patients receiving highly active antiretroviral therapy: a prospective observational study.

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    Hung, Chien-Ching; Chen, Mao-Yuan; Hsieh, Szu-Min; Hsiao, Chin-Fu; Sheng, Wang-Hwei; Chang, Shan-Chwen

    2004-05-01

    To assess the impact of vaccination with 23-valent pneumococcal polysaccharide vaccine on the risks for development of pneumococcal disease, all-cause community-acquired pneumonia, HIV progression, and mortality and immunologic and virologic responses among HIV-1-infected patients treated with highly active antiretroviral therapy (HAART), we conducted a 2-year prospective observational cohort study at a university hospital in Taiwan. A total of 305 HIV-1-infected patients who received 23-valent pneumococcal vaccine (vaccinees) and 203 patients who did not (non-vaccinees) were prospectively observed between 1 June 2000 and 31 October 2002. Changes of CD4+ and plasma viral load (PVL) from baseline to week 4 of vaccination were assessed in 31 randomly selected vaccinees. The incidence of pneumococcal disease and bacteremia of vaccinees was 2.1 per 1000 patient-years (PY) (95% confidence interval (95% CI), 1.7-2.5 per 1000 PY) over the median observation of 641 days (range, 37-832 days) following vaccination while that of non-vaccinee was 21.8 per 1000 PY (95% CI, 20.1-23.7 per 1000 PY) and 7.3 per 1000 PY (95% CI, 7.0-7.6 per 1000 PY), respectively, over the observation of 500 days (range, 32-851 days), with an adjusted odds ratio (AOR) for developing pneumococcal disease of 0.085 (95% CI, 0.010-0.735) and for bacteremia of 0.22 (95% CI, 0.018-2.561). The median CD4+ count increased by 45 x 10(6) l(-1) (P = 0.01) and median PVL change was 0 log(10) copies/ml (range of decrease, -0.74 to 2.47 log(10) copies/ml) after 1 month of pneumococcal vaccination among the subgroup of 31 vaccinees receiving HAART. The median CD4+ count increase from baseline to the end of study was 149 x 10(6) l(-1) for vaccinees and 107 x 10(6) l(-1) for non-vaccinees (P = 0.21). The AOR of developing all-cause community-acquired pneumonia and new AIDS-defining opportunistic illnesses (OI) of vaccinees as compared to non-vaccinees was 1.876 (95% CI, 0.785-4.485) and 0.567 (95% CI, 0

  10. Prevalence of oral candidiasis in HIV/AIDS children in highly active antiretroviral therapy era. A literature analysis.

    Science.gov (United States)

    Gaitán-Cepeda, Luis Alberto; Sánchez-Vargas, Octavio; Castillo, Nydia

    2015-08-01

    SummaryHighly active antiretroviral therapy has decreased the morbidity and mortality related to HIV infection, including oral opportunistic infections. This paper offers an analysis of the scientific literature on the epidemiological aspects of oral candidiasis in HIV-positive children in the combination antiretroviral therapy era. An electronic databases search was made covering the highly active antiretroviral therapy era (1998 onwards). The terms used were oral lesions, oral candidiasis and their combination with highly active antiretroviral therapy and HIV/AIDS children. The following data were collected from each paper: year and country in which the investigation was conducted, antiretroviral treatment, oral candidiasis prevalence and diagnostic parameters (clinical or microbiological). Prevalence of oral candidiasis varied from 2.9% in American HIV-positive children undergoing highly active antiretroviral therapy to 88% in Chilean HIV-positive children without antiretroviral therapy. With respect to geographical location and antiretroviral treatment, higher oral candidiasis prevalence in HIV-positive children on combination antiretroviral therapy/antiretroviral therapy was reported in African children (79.1%) followed by 45.9% reported in Hindu children. In HIV-positive Chilean children on no antiretroviral therapy, high oral candidiasis prevalence was reported (88%) followed by Nigerian children (80%). Oral candidiasis is still frequent in HIV-positive children in the highly active antiretroviral therapy era irrespective of geographical location, race and use of antiretroviral therapy.

  11. Enteropathogens Associated with Acute Diarrhea in Children from Households with High Socioeconomic Level in Uruguay

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    Gustavo Varela

    2015-01-01

    Full Text Available Infectious diarrhea, a common disease of children, deserves permanent monitoring in all social groups. To know the etiology and clinical manifestations of acute diarrhea in children up to 5 years of age from high socioeconomic level households, we conducted a descriptive, microbiological, and clinical study. Stools from 59 children with acute community-acquired diarrhea were examined, and their parents were interviewed concerning symptoms and signs. Rotavirus, adenovirus, and norovirus were detected by commercially available qualitative immunochromatographic lateral flow rapid tests. Salmonella, Campylobacter, Yersinia, and Shigella were investigated by standard bacteriological methods and diarrheagenic E. coli by PCR assays. We identified a potential enteric pathogen in 30 children. The most frequent causes of diarrhea were enteropathogenic E. coli (EPEC, viruses, Campylobacter, Salmonella, and Shiga-toxin-producing E. coli (STEC. Only 2 patients showed mixed infections. Our data suggest that children with viral or Campylobacter diarrhea were taken to the hospital earlier than those infected with EPEC. One child infected with STEC O26 developed “complete” HUS. The microbiological results highlight the importance of zoonotic bacteria such as atypical EPEC, Campylobacter, STEC, and Salmonella as pathogens associated with acute diarrhea in these children. The findings also reinforce our previous communications about the regional importance of non-O157 STEC strains in severe infant food-borne diseases.

  12. High-Normal Arterial Blood Pressure in Children With Excess Body Weight

    Science.gov (United States)

    Kolpa, Malgorzata; Jankowicz-Szymanska, Agnieszka; Jurkiewicz, Beata

    2016-01-01

    Background Childhood overweight and obesity are common causes of metabolic disorders that persist until adulthood. Objectives The purpose of this study was to determine the prevalence of high-normal arterial blood pressure (ABP) in children with excess body weight. Material and Methods A total of 1,093 schoolchildren aged 10 - 12 years (51% girls and 49% boys) participated in the study. The children’s weight, height, body fat percentage (BFP), waist and hip circumference, and ABP were measured. The waist-to-height ratio (WHtR) and body mass index (BMI) were calculated and compared to the normative reference values accepted by the International obesity task force (IOTF). Results Excess weight was identified in 20% of the participants, and obesity in 5%. A total of 35.5% of overweight children had above-normal ABP, which implied hypertension. In obese children, that proportion equaled 59.3%. BFP was 6.5% greater in children with hypertension than in those with normal BP. The children with hypertension also had a 7.6-cm larger waist circumference, a 7.6-cm larger hip circumference, and a greater WHtR (by 0.04). Conclusions Excess body weight was identified in 25% of children aged 10 - 12 years, significantly increasing their risk of developing hypertension.

  13. High-Normal Arterial Blood Pressure in Children With Excess Body Weight

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    Malgorzata Kolpa

    2016-06-01

    Full Text Available Background Childhood overweight and obesity are common causes of metabolic disorders that persist until adulthood. Objectives The purpose of this study was to determine the prevalence of high-normal arterial blood pressure (ABP in children with excess body weight. Material and Methods A total of 1,093 schoolchildren aged 10 - 12 years (51% girls and 49% boys participated in the study. The children’s weight, height, body fat percentage (BFP, waist and hip circumference, and ABP were measured. The waist-to-height ratio (WHtR and body mass index (BMI were calculated and compared to the normative reference values accepted by the International obesity task force (IOTF. Results Excess weight was identified in 20% of the participants, and obesity in 5%. A total of 35.5% of overweight children had above-normal ABP, which implied hypertension. In obese children, that proportion equaled 59.3%. BFP was 6.5% greater in children with hypertension than in those with normal BP. The children with hypertension also had a 7.6-cm larger waist circumference, a 7.6-cm larger hip circumference, and a greater WHtR (by 0.04. Conclusions Excess body weight was identified in 25% of children aged 10 - 12 years, significantly increasing their risk of developing hypertension.

  14. Comment on "Nature of the Seismic Lithosphere-Asthenosphere Boundary within Normal Oceanic Mantle from High-Resolution Receiver Functions" by Olugboji et al.

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    Kawakatsu, Hitoshi; Abe, Yuki

    2016-08-01

    The significance of sediment reverberations on receiver functions of broadband OBS data is discussed. In particular, the data analyzed by Olugboji et al. recently in this journal show such effects which need to be carefully modeled. We also suggest that the LQ-coordinate rotation for the receiver function analysis should be avoided for OBS data.

  15. High-resolution images above the Pampean flat slab of Argentina (31-32°S) from local receiver functions: Implications on regional tectonics

    Science.gov (United States)

    Ammirati, Jean-Baptiste; Pérez Luján, Sofía; Alvarado, Patricia; Beck, Susan; Rocher, Sebastián; Zandt, George

    2016-09-01

    In the flat slab region of the South Central Andes (∼31-32°S), geological observations suggest that the regional crustal structure is inherited from the accretion of different terranes during the Ordovician. These structures were later reactivated, first in extension during the Triassic and later in compression during the Andean uplift since the Miocene. Seismological observations confirmed that those fault structures extend to depth with décollement levels that accommodate current crustal shortening in the region. In order to get better insight on the regional tectonics we computed higher frequency receiver functions (RF) from local slab seismicity of intermediate ∼100 km depth. Using a common conversion point (CCP) stacking method we obtained cross sections showing high vertical resolution crustal structure at the transition between the Precordillera and the Frontal Cordillera. In addition we performed a joint inversion of our high frequency RFs with surface wave data from ambient noise tomography allowing us to constrain absolute seismic wave velocities. Our higher resolution images reveal more structural details down to a depth of 80 km and laterally over the flat slab in good agreement with previous studies. Our results help to better identify very shallow discontinuities in seismic velocities. Recent petrological analyses combined with our high-resolution RF structure correlates with a crustal mafic composition and partial eclogitization in the lower crust. We observe a shift in the crustal structure between the Precordillera (east) and the Frontal Cordillera (west). Regional seismicity and previously determined focal mechanisms superimposed over our images indicate this shifting is a thrust structure extending down to a depth of 40 km. Our results suggest the presence of a master fault between the Cuyania (Western Precordillera) and Chilenia (Frontal Cordillera) terranes that probably accommodates the crustal deformation in the Pampean flat slab region

  16. Development and linear growth in diabetic children who receiving insulin pigment%强化胰岛素治疗后1型糖尿病儿童生长发育情况调查

    Institute of Scientific and Technical Information of China (English)

    毛莉; 陆卫平; 季峰; 吕述军

    2011-01-01

    Objective:To ascertain if there is difference between the development and linear growth of children diagnosed with diabetes who have been receiving insulin pigment and unaffected children. Methods:Retrospective analysis of 57 children with diabetes who were diagnosed from the ages of 6 to 10 years old (26 boys and 31 girls),record their height and weight until they reached their 18th birthday. Results: At the onset of diabetes,diabetic children were slightly taller than unaffected children. When they reached their finial height,they were slightly shorter than unaffectd people,however,there was no significant difference between the two groups both in these two periods. The onset of puberty was delayed significantly both in boys and girls. The median age of onset of puberty was 12.62(95%CI 11.54~12.50) years in diabetic boys versus 10.55(10.27~10.79) years in general-population boys and 11.13 (95%CI 10.8~11.46) years versus 9.2 (9.06~9.32) years in girls,with the menarche of diabetic girls starting at 14.15 (13.64~14.65) years versus 12.27 (12.16~12.39) years. All the children with diabetes were thinner than the general-population children when they were diagnosed [male BMI:(14.45 ± 1.35) kg/m2 versus (16.08 ± 0.59) kg/m2,t = -0.63,P 0.05;female BMI (23.95 ± 2.37) kg/m2 versus(20.30 ± 0.00) kg/m2,t = 8.60,P < 0.05]. Conclusion:The development of patients with diabetes who have been receiving insulin pigment were still adversely affected but the finial height haven't been affected significantly. All the children, especially girls,became fatter when they reached their finial height.%目的:调查接受胰岛素治疗、血糖控制良好的1型糖尿病患儿的生长发育与一般人群是否存在差异。方法:选取自1993年1月~2003年1月于本院首次确诊的1型糖尿病患儿57例(男26例,女31例,起病年龄6~10岁)。记录并进行回顾分析其自起病至成年的身高、体重以及青春启动年龄和女性患儿

  17. School-Based Counseling of Abused Children

    Science.gov (United States)

    Brassard, Marla R.; Rivelis, Erin; Diaz, Vielka

    2009-01-01

    Abused children experience high rates of behavior, emotional, and learning problems but infrequently receive treatment. Most services provided to abused children and their families are not based on any clear evidence that they work. A number of evidence-based treatments (EBTs), demonstrated to be safe and effective in treating a range of…

  18. Effect of low and high glycaemic index drink on sleep pattern in children

    International Nuclear Information System (INIS)

    Objectives: To evaluate the effect of high and low glycaemic index drinks on children's sleep pattern. Methods: Eight children underwent 3 nights of full polysomnography study, one familiarization and two test nights consecutively. On the test nights, 1 hour before bedtime, the children had a milk drink of either low or high GI in a random order. The glycaemic loads (GL) were 7.4 and 52.8 for low and high GI drink respectively. Results: The mean of total arousal index in the first half of night after the high GI was greater than that of low GI drink. (12.9 +- 4.6 vs. 9.9 +- 2.2, P=0.03). NREM arousal index in the first half of night after the high GI was also higher than that of low GI drink. (12.7+- 4.8 vs. 9.6 +- 2.3, P=0.05). Other sleep parameters did not show any significant difference in low GI and high GI diets. Conclusion: NREM and total arousal indices were higher in those who consumed high GI drinks compared with low GI, one hour before sleep. It seems that the high quantity consumption of carbohydrates close to the bedtime is accompanied by frequent arousals and may affect the sleep quality. (author)

  19. Recognition of Facial Emotions among Maltreated Children with High Rates of Post-Traumatic Stress Disorder

    Science.gov (United States)

    Masten, Carrie L.; Guyer, Amanda E.; Hodgdon, Hilary B.; McClure, Erin B.; Charney, Dennis S.; Ernst, Monique; Kaufman, Joan; Pine, Daniel S.; Monk, Christopher S.

    2008-01-01

    Objective: The purpose of this study is to examine processing of facial emotions in a sample of maltreated children showing high rates of post-traumatic stress disorder (PTSD). Maltreatment during childhood has been associated independently with both atypical processing of emotion and the development of PTSD. However, research has provided little…

  20. Self-Management for Children with High-Functioning Autism Spectrum Disorders

    Science.gov (United States)

    Wilkinson, Lee A.

    2008-01-01

    Supporting children with autism spectrum disorders in the general education classroom presents a unique challenge to the teachers and schools that serve them. This article addresses the utility of self-management as a proactive strategy for increasing the task engagement and compliant behavior of high-functioning students with autism. The author…

  1. Detection of lipoatrophy in human immunodeficiency virus-1-infected children treated with highly active antiretroviral therapy.

    NARCIS (Netherlands)

    Hartman, K.; Verweel, G.; Groot, R. de; Hartwig, N.G.

    2006-01-01

    BACKGROUND: Highly active antiretroviral therapy has been associated with lipodystrophy in adults. Much is unknown about its characteristics, especially in children. OBJECTIVE: To obtain an objective case definition of the lipodystrophy syndrome. METHODS: This was a cross-sectional study. One invest

  2. High loading of polygenic risk for ADHD in children with comorbid aggression

    DEFF Research Database (Denmark)

    Hamshere, Marian L; Langley, Kate; Martin, Joanna;

    2013-01-01

    OBJECTIVE Although attention deficit hyperactivity disorder (ADHD) is highly heritable, genome-wide association studies (GWAS) have not yet identified any common genetic variants that contribute to risk. There is evidence that aggression or conduct disorder in children with ADHD indexes higher ge...

  3. The Modality Shift Experiment in Adults and Children with High Functioning Autism

    Science.gov (United States)

    Williams, Diane L.; Goldstein, Gerald; Minshew, Nancy J.

    2013-01-01

    This study used the modality shift experiment, a relatively simple reaction time measure to visual and auditory stimuli, to examine attentional shifting within and across modalities in 33 children and 42 adults with high-functioning autism as compared to matched numbers of age- and ability-matched typical controls. An exaggerated "modality shift…

  4. High Prevalence of Obesity in Ambulatory Children and Adolescents with Intellectual Disability

    Science.gov (United States)

    Stewart, L.; Van de Ven, L.; Katsarou, V.; Rentziou, E.; Doran, M.; Jackson, P.; Reilly, J. J.; Wilson, D.

    2009-01-01

    Background: Obesity prevalence is unusually high among adults with intellectual disability (ID). There is limited and conflicting evidence on obesity prevalence among ambulatory children and adolescents with ID. The present study aimed to estimate obesity prevalence in this group and to compare with population prevalence. Methods: Survey of nine…

  5. Virtual-Reality-Based Social Interaction Training for Children with High-Functioning Autism

    Science.gov (United States)

    Ke, Fengfeng; Im, Tami

    2013-01-01

    Employing the multiple-baseline across-subjects design, the authors examined the implementation and potential effect of a virtual-reality-based social interaction program on the interaction and communication performance of children with high functioning autism. The data were collected via behavior observation and analysis, questionnaires, and…

  6. High loading of polygenic risk for ADHD in children with comorbid aggression

    NARCIS (Netherlands)

    Hamshere, M.L.; Langley, K.; Martin, J.; Agha, S.S.; Stergiakouli, E.; Anney, R.J.; Buitelaar, J.; Faraone, S.V.; Lesch, K.P.; Neale, B.M.; Franke, B.; Sonuga-Barke, E.; Asherson, P.; Merwood, A.; Kuntsi, J.; Medland, S.E.; Ripke, S.; Steinhausen, H.C.; Freitag, C.; Reif, A.; Renner, T.J.; Romanos, M.; Romanos, J.; Warnke, A.; Meyer, J.; Palmason, H.; Vasquez, A.A.; Lambregts-Rommelse, N.; Roeyers, H.; Biederman, J.; Doyle, A.E.; Hakonarson, H.; Rothenberger, A.; Banaschewski, T.; Oades, R.D.; McGough, J.J.; Kent, L.; Williams, N.; Owen, M.J.; Holmans, P.; O'Donovan, M.C.; Thapar, A.

    2013-01-01

    OBJECTIVE Although attention deficit hyperactivity disorder (ADHD) is highly heritable, genome-wide association studies (GWAS) have not yet identified any common genetic variants that contribute to risk. There is evidence that aggression or conduct disorder in children with ADHD indexes higher genet

  7. Sensory Responsiveness as a Predictor of Social Severity in Children with High Functioning Autism Spectrum Disorders

    Science.gov (United States)

    Hilton, Claudia L.; Harper, Jacquelyn D.; Kueker, Rachel Holmes; Lang, Andrea Runzi; Abbacchi, Anna M.; Todorov, Alexandre; LaVesser, Patricia D.

    2010-01-01

    This study examines the relationship between sensory responsiveness and social severity in children with high functioning autism spectrum disorders (HFASD; N = 36) and age-matched controls (N = 26) between 6 and 10 years old. Significant relationships were found between social responsiveness scale scores and each of the six sensory profile sensory…

  8. White Matter Integrity and Pictorial Reasoning in High-Functioning Children with Autism

    Science.gov (United States)

    Sahyoun, Cherif P.; Belliveau, John W.; Mody, Maria

    2010-01-01

    The current study investigated the neurobiological role of white matter in visuospatial versus linguistic processing abilities in autism using diffusion tensor imaging. We examined differences in white matter integrity between high-functioning children with autism (HFA) and typically developing controls (CTRL), in relation to the groups' response…

  9. Response inhibition and immediate arousal in children with high-functioning autism

    NARCIS (Netherlands)

    Raymaekers, Ruth; van der Meere, Jaap; Roeyers, Herbert

    2006-01-01

    The current study compared high-functioning children with autism (HFA) and a peer control group on an immediate arousal task measuring response inhibition. In one condition go stimuli were presented whereas in another condition a tone preceded the go stimulus. The tone caused an immediate arousal ef

  10. Dynamic Analysis of Problem-Solving by Average and High Ability Children.

    Science.gov (United States)

    Kanevsky, Lannie; Rapagna, Socrates O.

    1990-01-01

    Forty children were divided into four groups and administered the Tower of Hanoi puzzle using static and dynamic approaches. The benefits of age and ability were indicated by significant improvement from the general failure of the four- to five-year olds to the success of the majority of the high ability seven- to eight-year olds. (Author/JDD)

  11. The antiretroviral efficacy of highly active antiretroviral therapy and plasma nevirapine concentrations in HIV-TB co-infected Indian patients receiving rifampicin based antituberculosis treatment

    Directory of Open Access Journals (Sweden)

    Sinha Sanjeev

    2011-11-01

    Full Text Available Abstract Background Rifampicin reduces the plasma concentrations of nevirapine in human immunodeficiency virus (HIV and tuberculosis (TB co-infected patients, who are administered these drugs concomitantly. We conducted a prospective interventional study to assess the efficacy of nevirapine-containing highly active antiretroviral treatment (HAART when co-administered with rifampicin-containing antituberculosis treatment (ATT and also measured plasma nevirapine concentrations in patients receiving such a nevirapine-containing HAART regimen. Methods 63 cases included antiretroviral treatment naïve HIV-TB co-infected patients with CD4 counts less than 200 cells/mm3 started on rifampicin-containing ATT followed by nevirapine-containing HAART. In control group we included 51 HIV patients without tuberculosis and on nevirapine-containing HAART. They were assessed for clinical and immunological response at the end of 24 and 48 weeks. Plasma nevirapine concentrations were measured at days 14, 28, 42 and 180 of starting HAART. Results 97 out of 114 (85.1% patients were alive at the end of 48 weeks. The CD4 cell count showed a mean increase of 108 vs.113 cells/mm3 (p=0.83 at 24 weeks of HAART in cases and controls respectively. Overall, 58.73% patients in cases had viral loads of less than 400 copies/ml at the end of 48 weeks. The mean (± SD Nevirapine concentrations of cases and control at 14, 28, 42 and 180 days were 2.19 ± 1.49 vs. 3.27 ± 4.95 (p = 0.10, 2.78 ± 1.60 vs. 3.67 ± 3.59 (p = 0.08, 3.06 ± 3.32 vs. 4.04 ± 2.55 (p = 0.10 respectively and 3.04 μg/ml (in cases. Conclusions Good immunological and clinical response can be obtained in HIV-TB co-infected patients receiving rifampicin and nevirapine concomitantly despite somewhat lower nevirapine trough concentrations. This suggests that rifampicin-containing ATT may be co administered in resource limited setting with nevirapine-containing HAART regimen without substantial reduction in

  12. A multiple receiver - multiple transmitter VLF high-order differential analysis evaluation network for near real-time detection and discrimination of seismic-ionospheric precursor phenomena

    Science.gov (United States)

    Skeberis, Christos; Zaharis, Zaharias; Xenos, Thomas; Spatalas, Spyridon; Stratakis, Dimitrios; Maggipinto, Tommaso; Biagi, Pier francesco

    2016-04-01

    This study provides an evaluation of the application of high-order differential analysis on VLF signals on a multiple-receiver multiple-transmitter network. This application provides a method for near-real-time detection of disturbances that can be attributed to seismic-ionospheric precursor phenomena and can discriminate disturbances that could be classified as false positives and thus should be attributed to other geomagnetic influences. VLF data acquired in Thessaloniki, Greece (40.59N, 22,78E) Herakleion, Greece (35.31N, 25.10E), Nicosia, Cyprus (35.17N, 33.35E), Italy (42.42N, 13.08E) and transmitted by the VLF station in Tavolara, Italy (ICV station 40.923N, 9.731E) and the station in Keflavik, Iceland (ICE 64.02N, 22.57W) from January 2015 to January 2016 were used for the purpose of this paper. The receivers have been developed by Elettronika Srl and are part of the International Network for Frontier Research on Earthquake Precursors (INFREP). The process applied for this study has been further developed and is based on differential analysis. The signals undergo transformation using an enhanced version of the Hilbert Huang Transform, and relevant spectra are produced. On the product of this process, differential analysis is applied. Finally, the method produces the correlation coefficient of signals that are on the same path over an earthquake epicenter in order to highlight disturbances, and on the opposite can make comparisons with unrelated transmitted signals of different paths to eliminate disturbances that are not localized to the area of interest. This improvement provides a simple method of noise cancellation to signals that would otherwise be considered as false positives. A further evaluation of the method is provided with the presentation and discussion of sample results. The method seems to be a robust tool of analysis of VLF signals and also an automatic detection tool with built-in noise cancellation of outside disturbances.

  13. Customizable Digital Receivers for Radar

    Science.gov (United States)

    Moller, Delwyn; Heavey, Brandon; Sadowy, Gregory

    2008-01-01

    Compact, highly customizable digital receivers are being developed for the system described in 'Radar Interferometer for Topographic Mapping of Glaciers and Ice Sheets' (NPO-43962), NASA Tech Briefs, Vol. 31, No. 7 (August 2007), page 72. The receivers are required to operate in unison, sampling radar returns received by the antenna elements in a digital beam-forming (DBF) mode. The design of these receivers could also be adapted to commercial radar systems. At the time of reporting the information for this article, there were no commercially available digital receivers capable of satisfying all of the operational requirements and compact enough to be mounted directly on the antenna elements. A provided figure depicts the overall system of which the digital receivers are parts. Each digital receiver includes an analog-to-digital converter (ADC), a demultiplexer (DMUX), and a field-programmable gate array (FPGA). The ADC effects 10-bit band-pass sampling of input signals having frequencies up to 3.5 GHz. The input samples are demultiplexed at a user-selectable rate of 1:2 or 1:4, then buffered in part of the FPGA that functions as a first-in/first-out (FIFO) memory. Another part of the FPGA serves as a controller for the ADC, DMUX, and FIFO memory and as an interface between (1) the rest of the receiver and (2) a front-panel data port (FPDP) bus, which is an industry-standard parallel data bus that has a high data-rate capability and multichannel configuration suitable for DBF. Still other parts of the FPGA in each receiver perform signal-processing functions. The digital receivers can be configured to operate in a stand-alone mode, or in a multichannel mode as needed for DBF. The customizability of the receiver makes it applicable to a broad range of system architectures. The capability for operation of receivers in either a stand-alone or a DBF mode enables the use of the receivers in an unprecedentedly wide variety of radar systems.

  14. What Teachers Perceive--Children Receive?

    Science.gov (United States)

    Algozzine, Robert

    1976-01-01

    Reports a study designed to ascertain the relationship between teacher perceived attractiveness and classroom interactions and suggests that "main effects" such as facial attractiveness of youngsters acts to determine individual potential for interactions with others. (MH)

  15. Treatment results of the Tokai-POSG 8610HR pilot protocol for children with high-risk acute lymphoblastic leukemia

    Energy Technology Data Exchange (ETDEWEB)

    Hongo, Teruaki; Inoue, Noriko [Hamamatsu Medical Univ., Shizuoka (Japan); Horibe, Keizo [and others

    1997-10-01

    We reported the treatment results of Tokai-POSG 8610HR pilot protocol for children with high-risk acute lymphoblastic leukemia (ALL). From Oct. 1986 to Jan. 1991, 43 eligible children were enrolled, who had one or more following high-risk factors: age{>=}10 years old, initial white blood cell count (WBC) of 50,000/{mu}l or more, and extramedullary leukemia. All patients received induction therapy consisting of vincristine, dexamethasone, cyclophosphamide and daunorubicin, followed by central nervous system prophylaxis by 24 Gy cranial irradiation, consolidation therapy and cyclic maintenance by multidrugs for 3 years after diagnosis. Complete remission was achieved in 39 patients. The 5-year event-free survival (EFS) rate was 72.6{+-}7.1%. The only factor of an adverse association with EFS was a initial WBC of 10,000/{mu}l or more (p=0.002) in the 24 patients who were 10 years old or over. The factors related to a negative survival were male gender (p=0.031) and an initial WBC of 10,000/{mu}l or more (p=0.0012) in 43 patients. The major toxicities of the therapy were pancreatitis and allergic reaction due to{sub L}-ASP administration, and growth hormone deficiency due to cranial irradiation. Tokai 8610HR pilot protocol was a promising regimen, but further intensive chemotherapy was needed for improvement or the prognosis of the older patients with high initial WBC greater than 10,000/{mu}l. (author)

  16. Impact of learning orientation on African American children's attitudes toward high-achieving peers.

    Science.gov (United States)

    Marryshow, Derrick; Hurley, Eric A; Allen, Brenda A; Tyler, Kenneth M; Boykin, A Wade

    2005-01-01

    This study examined Ogbu's widely accepted thesis that African American students reject high academic achievement because they perceive its limited utility in a world where their upward mobility is constrained by racial discrimination. Boykin's psychosocial integrity model contends that Black students value high achievement but that discrepancies between their formative cultural experiences and those imposed in school lead them to reject the modes of achievement available in classrooms. Ninety Black children completed a measure of attitudes toward students who achieve via mainstream or African American cultural values. Participants rejected the mainstream achievers and embraced the African American cultural achievers. Moreover, they expected their teachers to embrace the mainstream achievers and reject those who achieved through high-verve behavior. Results suggest that Boykin's thesis is a needed refinement to Ogbu's ideas. They indicate that Black children may reject not high achievement but some of the mainstream cultural values and behaviors on which success in mainstream classrooms is made contingent.

  17. Caries-preventive effect of topical amine fluoride in children with high and low salivary levels of mutans streptococci.

    Science.gov (United States)

    Brambilla, E; Gagliani, M; Felloni, A; García-Godoy, F; Strohmenger, L

    1999-01-01

    The aim of the study was to assess the relationship between the salivary mutans streptococci (SMS) level and the effectiveness of a preventive intervention based on a biannual application of an amine fluoride solution (AmF). A total of 284 schoolchildren aged 6 years were recruited from eleven classes of a primary school in Milan and randomly assigned to an experimental (A) and a control group (B). SMS counts were obtained at baseline and caries incidence data (diseased, missing, filled teeth, DMFT) were recorded every 6 months for 5 years. The participants of the experimental group received application of an AmF 1% F(-) solution twice a year on the enamel surfaces of the first permanent molars for 5 years. Control group subjects received application of a placebo solution twice a year on the enamel surfaces of the first molars for the same period. The mean DMFT in the experimental and control groups were 0.56 and 0.22, respectively, at the beginning and 1.14 and 2.06 after 5 years. SMS data allowed children to be classified into low- (0-10(5) CFU/ml of saliva) and high- (>10(5) CFU/ml of saliva) SMS subjects. Survival analysis, performed on the first molar data split by SMS group, showed a significantly higher caries reduction in low-SMS experimental group subjects compared to low-SMS control group subjects after 5 years. No significant differences were found between the two high-SMS experimental and control groups. These findings indicate that the preventive effects of the treatment were significantly lower in subjects who had high SMS. It is concluded that the effectiveness of a simple and economical topical fluoride intervention applicable at a community level is significantly influenced by the SMS level of the subjects involved. Simple AmF preventive interventions, applied on low-SMS subjects, can give significant results in terms of caries reduction. PMID:10529526

  18. Thyroid function after treatment of brain tumors in children.

    Science.gov (United States)

    Ogilvy-Stuart, A L; Shalet, S M; Gattamaneni, H R

    1991-11-01

    In 134 children who had been treated for a brain tumor not involving the hypothalamic-pituitary axis, thyroid function was assessed up to 24 years after treatment with cranial or craniospinal irradiation. In addition, 78 children received up to 2 years of cytotoxic chemotherapy. Of 85 children who received craniospinal irradiation, 30 (35%) had abnormalities of thyroid function, and 10 (20%) of 49 who received cranial irradiation had such abnormalities. Frank hypothyroidism developed in three children and thyrotoxicosis in one. Thirty-six children had an elevated thyroid-stimulating hormone level in the presence of a normal thyroxine level; in 16 of them the thyroid-stimulating hormone level subsequently returned to normal. Twenty-eight children who were treated between 1960 and 1970 were excluded from the analysis. Of 34 children who received cranial irradiation, five had thyroid dysfunction and 24 of 72 who received craniospinal irradiation had such dysfunction (p = 0.013). Thyroid dysfunction was present in 4 of 35 children who received no chemotherapy and in 25 of 71 who received chemotherapy (p = 0.014). Direct irradiation plus chemotherapy was more damaging than irradiation alone. These data confirm the high incidence of thyroid dysfunction when the thyroid gland is included in the radiation field. However, in a high proportion, the thyroid abnormalities are minor and revert to normal with time; life-long replacement therapy with thyroxine may be unnecessary. PMID:1941379

  19. Group Cognitive Behavior Therapy for Children with High-Functioning Autism Spectrum Disorders and Anxiety: A Randomized Trial

    Science.gov (United States)

    Reaven, Judy; Blakeley-Smith, Audrey; Culhane-Shelburne, Kathy; Hepburn, Susan

    2012-01-01

    Background: Children with high-functioning autism spectrum disorders (ASD) are at high risk for developing significant anxiety. Anxiety can adversely impact functioning across school, home and community environments. Cognitive behavioral therapies (CBT) are frequently used with success for children with anxiety symptoms. Modified CBT interventions…

  20. High Steroid Sensitivity among Children with Nephrotic Syndrome in Southwestern Nigeria

    Directory of Open Access Journals (Sweden)

    Taiwo Augustina Ladapo

    2014-01-01

    Full Text Available Recent reports from both Caucasian and black populations suggest changes in steroid responsiveness of childhood nephrotic syndrome. This study was therefore undertaken to determine the features and steroid sensitivity pattern of a cohort of black children with nephrotic syndrome. Records of children managed for nephrotic syndrome from January 2008 to April 2013 were reviewed. Details including age, response to treatment, and renal histology were analysed. There were 108 children (median age: 5.9 years, peak: 1-2 years, 90.2% of whom had idiopathic nephrotic syndrome. Steroid sensitivity was 82.8% among children with idiopathic nephrotic syndrome but 75.9% overall. Median time to remission was 7 days. Median age was significantly lower in steroid sensitive compared with resistant patients. The predominant histologic finding in resistant cases was focal segmental glomerulosclerosis (53.3%. No cases of quartan malaria nephropathy or hepatitis B virus nephropathy were diagnosed. Overall mortality was 6.5%. In conclusion, unusually high steroid sensitivity is reported among a cohort of black children. This is likely attributable to the lower age structure of our cohort as well as possible changing epidemiology of some other childhood diseases. Surveillance of the epidemiology of childhood nephrotic syndrome and corresponding modifications in practice are therefore recommended.

  1. Sources of toxicity and exposure information for identifying chemicals of high concern to children

    International Nuclear Information System (INIS)

    Due to the large number of chemicals in commerce without adequate toxicity characterization data, coupled with an ineffective federal policy for chemical management in the United States, many states are grappling with the challenge to identify toxic chemicals that may pose a risk to human health and the environment. Specific populations (e.g., children, elderly) are particularly sensitive to these toxic chemicals. In 2008, the Children's Safe Product Act (CSPA) was passed in Washington State. The CSPA included specific requirements to identify High Priority Chemicals (HPCs) and Chemicals of High Concern to Children (CHCCs). To implement this legislation, a methodology was developed to identify HPCs from authoritative scientific and regulatory sources on the basis of toxicity criteria. Another set of chemicals of concern was then identified from authoritative sources, based on their potential exposure to children. Exposure potential was evaluated by identifying chemicals detected in biomonitoring studies (i.e., human tissues), as well as those present in residential exposure media (e.g., indoor air, house dust, drinking water, consumer products). Accordingly, CHCCs were defined as HPCs that also appear in biomonitoring studies or relevant exposure media. For chemicals with unique Chemical Abstracts Service (CAS) numbers, we identified 2044 HPCs and 2219 chemicals with potential exposure to children, resulting in 476 CHCCs. The process of chemical identification is dynamic, so that chemicals may be added or subtracted as new information becomes available. Although beyond the scope of this paper, the 476 CHCCs will be prioritized in a more detailed assessment, based on the strength and weight of evidence of toxicity and exposure data. Our approach was developed to be flexible which allows the addition or removal of specific sources of toxicity or exposure information, as well as transparent to allow clear identification of inputs. Although the methodology was

  2. (1) H MRS in the human spinal cord at 7 T using a dielectric waveguide transmitter, RF shimming and a high density receive array.

    Science.gov (United States)

    Henning, A; Koning, W; Fuchs, A; Raaijmakers, A; Bluemink, J J; van den Berg, C A T; Boer, V O; Klomp, D W J

    2016-09-01

    Multimodal MRI is the state of the art method for clinical diagnostics and therapy monitoring of the spinal cord, with MRS being an emerging modality that has the potential to detect relevant changes of the spinal cord tissue at an earlier stage and to enhance specificity. Methodological challenges related to the small dimensions and deep location of the human spinal cord inside the human body, field fluctuations due to respiratory motion, susceptibility differences to adjacent tissue such as vertebras and pulsatile flow of the cerebrospinal fluid hinder the clinical application of (1) H MRS to the human spinal cord. Complementary to previous studies that partly addressed these problems, this work aims at enhancing the signal-to-noise ratio (SNR) of (1) H MRS in the human spinal cord. To this end a flexible tight fit high density receiver array and ultra-high field strength (7 T) were combined. A dielectric waveguide and dipole antenna transmission coil allowed for dual channel RF shimming, focusing the RF field in the spinal cord, and an inner-volume saturated semi-LASER sequence was used for robust localization in the presence of B1 (+) inhomogeneity. Herein we report the first 7 T spinal cord (1) H MR spectra, which were obtained in seven independent measurements of 128 averages each in three healthy volunteers. The spectra exhibit high quality (full width at half maximum 0.09 ppm, SNR 7.6) and absence of artifacts and allow for reliable quantification of N-acetyl aspartate (NAA) (NAA/Cr (creatine) 1.31 ± 0.20; Cramér-Rao lower bound (CRLB) 5), total choline containing compounds (Cho) (Cho/Cr 0.32 ± 0.07; CRLB 7), Cr (CRLB 5) and myo-inositol (mI) (mI/Cr 1.08 ± 0.22; CRLB 6) in 7.5 min in the human cervical spinal cord. Thus metabolic information from the spinal cord can be obtained in clinically feasible scan times at 7 T, and its benefit for clinical decision making in spinal cord disorders will be investigated in the future using the

  3. 短波宽带大动态射频信道的设计%Design of HF Wideband High Dynamic Range Receiver Channel

    Institute of Scientific and Technical Information of China (English)

    金国琼

    2009-01-01

    根据现代电子侦察系统的要求,结合现有的工程实现技术,研制了短波宽带数字侦察接收机.讨论了适用于大动态、高线性的射频信道的电路结构及性能特点.综合考虑了接收机的噪声系数、增益和动态范围,仔细选择所有元器件,研究了射频信道各部分的指标分配与整机性能指标优化设计,提出了自动增益控制扩展总动态的实现方案.在接收机高线性和大动态范围的设计与具体电路实现上具有一定的创新与独到之处.实验证明接收机具有85 dB的动态范围,满足短波宽带电子侦察系统设计指标要求.%According to the requirement of modern electronic reconnaissance system, a short wave widehand digital reconnaissance receiver is designed based on the state of arts engineering implementation techniques. The architecture and features of the analog forepart circuit with wide dynamic range and high linearity are discussed. It must be weighed that the noise figure, gain and dynamic range, and all elements of the configuration must be chose carefully. The method of parameters allocation and optimization of the analog forepart circuit are studied. This paper presents a method for improving dynamic range by means of Automatic Gain Control system. There are some innovations in the design of high linearity and high dynamic range, also in the circuitry realization. It is proved that the device has a dynamic range of 85dB by experiments. The device satisfies electronic reconnaissance system's needs.

  4. Advanced and flexible multi-carrier receiver architecture for high-count multi-core fiber based space division multiplexed applications.

    Science.gov (United States)

    Asif, Rameez

    2016-01-01

    Space division multiplexing (SDM), incorporating multi-core fibers (MCFs), has been demonstrated for effectively maximizing the data capacity in an impending capacity crunch. To achieve high spectral-density through multi-carrier encoding while simultaneously maintaining transmission reach, benefits from inter-core crosstalk (XT) and non-linear compensation must be utilized. In this report, we propose a proof-of-concept unified receiver architecture that jointly compensates optical Kerr effects, intra- and inter-core XT in MCFs. The architecture is analysed in multi-channel 512 Gbit/s dual-carrier DP-16QAM system over 800 km 19-core MCF to validate the digital compensation of inter-core XT. Through this architecture: (a) we efficiently compensates the inter-core XT improving Q-factor by 4.82 dB and (b) achieve a momentous gain in transmission reach, increasing the maximum achievable distance from 480 km to 1208 km, via analytical analysis. Simulation results confirm that inter-core XT distortions are more relentless for cores fabricated around the central axis of cladding. Predominantly, XT induced Q-penalty can be suppressed to be less than 1 dB up-to -11.56 dB of inter-core XT over 800 km MCF, offering flexibility to fabricate dense core structures with same cladding diameter. Moreover, this report outlines the relationship between core pitch and forward-error correction (FEC). PMID:27270381

  5. Prediction of high risk for death in patients with follicular lymphoma receiving rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone in first-line chemotherapy.

    Science.gov (United States)

    Murakami, Satsuki; Kato, Harumi; Higuchi, Yusuke; Yamamoto, Kazuhito; Yamamoto, Hideyuki; Saito, Toko; Taji, Hirofumi; Yatabe, Yasushi; Nakamura, Shigeo; Kinoshita, Tomohiro

    2016-08-01

    Risk stratification of patients with relapsed and refractory follicular lymphoma (FL) remains challenging. Recently, much attention has been paid to the impact of early progression of disease within 2 years of diagnosis (early POD) on subsequent survival. The aim of this study was to clarify the clinical features and prognostic factors of patients with FL who experienced early POD. Data were available for 94 patients diagnosed with FL (clinical stage II-IV) who had received immunochemotherapy. Early POD was seen in 20 % of these patients. The Cox proportional hazards model showed worse overall survival (OS) in the patients with early POD compared with those without early POD (5-year OS rates 48 % vs. 96 %, P < 0.0001). In multivariate analysis, early POD (P = 0.003) and poor performance status (P = 0.006) remained a significant factor for subsequent OS. In Follicular Lymphoma International Prognostic Index (FLIPI)- and Follicular Lymphoma International Prognostic Index-2 (FLIPI2)-adjusted Cox regression analysis, early POD was associated with markedly reduced OS with a hazard ratio of 11.2 [95 % confidence interval (CI) 3.13-40.3, P < 0.001] and 13.5 (95 % CI 3.22-56.3, P < 0.003), respectively. Among patients who had early POD, high levels of serum lactate dehydrogenase (LDH) both at the time of initial diagnosis and first progression could be associated with worse survival (2-year OS rates 33 vs. 92 %, P < 0.0001). Evaluation of LDH levels at the time of initial diagnosis and first progression may be important to define patients who were associated with worse prognosis. Risk stratification of patients with early POD could lead to improved clinical outcomes for FL patients. Further research is needed to investigate its value for decision making. PMID:27220639

  6. Advanced and flexible multi-carrier receiver architecture for high-count multi-core fiber based space division multiplexed applications

    Science.gov (United States)

    Asif, Rameez

    2016-06-01

    Space division multiplexing (SDM), incorporating multi-core fibers (MCFs), has been demonstrated for effectively maximizing the data capacity in an impending capacity crunch. To achieve high spectral-density through multi-carrier encoding while simultaneously maintaining transmission reach, benefits from inter-core crosstalk (XT) and non-linear compensation must be utilized. In this report, we propose a proof-of-concept unified receiver architecture that jointly compensates optical Kerr effects, intra- and inter-core XT in MCFs. The architecture is analysed in multi-channel 512 Gbit/s dual-carrier DP-16QAM system over 800 km 19-core MCF to validate the digital compensation of inter-core XT. Through this architecture: (a) we efficiently compensates the inter-core XT improving Q-factor by 4.82 dB and (b) achieve a momentous gain in transmission reach, increasing the maximum achievable distance from 480 km to 1208 km, via analytical analysis. Simulation results confirm that inter-core XT distortions are more relentless for cores fabricated around the central axis of cladding. Predominantly, XT induced Q-penalty can be suppressed to be less than 1 dB up-to ‑11.56 dB of inter-core XT over 800 km MCF, offering flexibility to fabricate dense core structures with same cladding diameter. Moreover, this report outlines the relationship between core pitch and forward-error correction (FEC).

  7. Delphi Accounts Receivable Module

    Data.gov (United States)

    Department of Transportation — Delphi accounts receivable module contains the following data elements, but are not limited to customer information, cash receipts, line of accounting details, bill...

  8. Screening Rastafarian children for nutritional rickets.

    OpenAIRE

    James, J A; Clark, C; Ward, P. S.

    1985-01-01

    We examined 42 Rastafarian children under 5 years of age who were registered with a single inner city general practice to determine the prevalence of nutritional rickets. Twenty children were receiving a strict vegan(I-tal) diet and were considered to be at high risk of developing rickets and were referred for biochemical and radiological investigation. Seven of 20 children investigated had rickets, giving an overall prevalence of 7/42. Treatment with oral cholecalciferol was successful in al...

  9. High density lipoproteins as indicators of endothelial dysfunction in children with diadetes type I

    Directory of Open Access Journals (Sweden)

    Lobanova S.M.

    2011-12-01

    Full Text Available The aim of the investigation was to study the level of blood high density lipoproteins (HDL in the groups of children with different course of diadetes type I in order to find out the dependence of course and complications of diabetes on that level. Materials and methods: Blood high density lipoprotein (HDL levels were investigated in children and adolescents with diadetes type I, depending on the duration of diadetes type I, age, stage of sexual development, the stage of diabetic nephropathy and levels of plasma endothelin-1 (E-1. Results: Decrease in HDL level with increasing duration of diadetes type I in prepubertate patients, higher indices of HDL cholesterol were determined in girls, especially with impaired puberty. HDL cholesterol was higher in diabetic nephropathy at the stage of proteinuria and high level of blood endothelin-1. Conclusion: The revealed changes were considered to cause deregulation of vascular endothelium as a manifestation of the initial stages of endothelial dysfunction

  10. Social Cognition in Children at Familial High Risk of Developing an Eating Disorder

    Directory of Open Access Journals (Sweden)

    Radha eKothari

    2015-08-01

    Full Text Available Diagnosis of an eating disorder (ED has been associated with differences in social cognition. To date research investigating social cognition and ED has mainly employed patient and recovered samples. It is therefore unclear whether differences in social cognition are present prior to onset of ED, potentially contributing to development, or whether differences observed are a consequence of the disorder. We aimed to further explore whether individuals at high-risk for ED present social cognition characteristics previously found in ED groups. MethodsOur sample was drawn from a population-based cohort, the Avon Longitudinal Study of Parents and Children (ALSPAC. Data on maternal ED behaviors over the lifetime were collected through in-depth clinical interviews (n = 1,128 conducted using the Structured Clinical Interview for DSM disorders (SCID, and were used to categorize mothers according to ED behaviors over the lifetime: Restricting & Excessive Exercising (n = 58, Purging (n = 70, Binge-eating (n = 72, Bingeing and Purging (n = 66, no ED (n = 862. High-risk status of children was determined using these maternal lifetime behavioral phenotypes. Children at high-risk (maternal ED exposure were compared to children at low-risk (born to mothers with no ED on three measures of social cognition: the Social Communication Disorders Checklist (n = 922, the faces subtest of the Diagnostic Analysis of Non-Verbal Accuracy (n = 722, and the Emotional Triangles Task (n = 750.ResultsChildren at high-risk for ED showed poorer performance on measures of social cognition compared to children at low-risk. Maternal lifetime binge-eating, and maternal lifetime bingeing and purging were associated with poorer social communication in children (OR: 2.4, 95% CI: 1.0, 5.7, p = 0.05; and OR: 2.7, 95% CI: 1.1, 6.5, p = 0.03 respectively. Maternal bingeing and purging was also found to be associated with differential facial emotion processing and poorer recognition of fear fr

  11. Heterogeneity in Perceptual Category Learning by High Functioning Children with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    Eduardo eMercado

    2015-06-01

    Full Text Available Previous research suggests that high functioning children with Autism Spectrum Disorder (ASD sometimes have problems learning categories, but often appear to perform normally in categorization tasks. The deficits that individuals with ASD show when learning categories have been attributed to executive dysfunction, general deficits in implicit learning, atypical cognitive strategies, or abnormal perceptual biases and abilities. Several of these psychological explanations for category learning deficits have been associated with neural abnormalities such as cortical underconnectivity. The present study evaluated how well existing neurally-based theories account for atypical perceptual category learning shown by high functioning children with ASD across multiple category learning tasks involving novel, abstract shapes. Consistent with earlier results, children’s performances revealed two distinct patterns of learning and generalization associated with ASD: one was indistinguishable from performance in typically developing children; the other revealed dramatic impairments. These two patterns were evident regardless of training regimen or stimulus set. Surprisingly, some children with ASD showed both patterns. Simulations of perceptual category learning could account for the two observed patterns in terms of differences in neural plasticity. However, no current psychological or neural theory adequately explains why a child with ASD might show such large fluctuations in category learning ability across training conditions or stimulus sets.

  12. On the Impact of Channel Cross-Correlations in High-Sensitivity Receivers for Galileo E1 OS and GPS L1C Signals

    Directory of Open Access Journals (Sweden)

    Davide Margaria

    2012-01-01

    Full Text Available One of the most promising features of the modernized global navigation satellite systems signals is the presence of pilot channels that, being data-transition free, allow for increasing the coherent integration time of the receivers. Generally speaking, the increased integration time allows to better average the thermal noise component, thus improving the postcorrelation SNR of the receiver in the acquisition phase. On the other hand, for a standalone receiver which is not aided or assisted, the acquisition architecture requires that only the pilot channel is processed, at least during the first steps of the procedure. The aim of this paper is to present a detailed investigation on the impact of the code cross-correlation properties in the reception of Galileo E1 Open Service and GPS L1C civil signals. Analytical and simulation results demonstrate that the S-curve of the code synchronization loop can be affected by a bias around the lock point. This effect depends on the code cross-correlation properties and on the receiver setup. Furthermore, in these cases, the sensitivity of the receiver to other error sources might increase, and the paper shows how in presence of an interfering signal the pseudorange bias can be magnified and lead to relevant performance degradation.

  13. Can gay and lesbian parents promote healthy development in high-risk children adopted from foster care?

    Science.gov (United States)

    Lavner, Justin A; Waterman, Jill; Peplau, Letitia Anne

    2012-10-01

    Adoption is known to promote cognitive and emotional development in children from foster care, but policy debates remain regarding whether children adopted by gay and lesbian parents can achieve these positive outcomes. This study compared the cognitive development and behavior problems at 2, 12, and 24 months postplacement of 82 high-risk children adopted from foster care in heterosexual and gay or lesbian households. On average, children in both household types showed significant gains in cognitive development and maintained similar levels of behavior problems over time, despite gay and lesbian parents raising children with higher levels of biological and environmental risks prior to adoptive placement. Results demonstrated that high-risk children show similar patterns of development over time in heterosexual and gay and lesbian adoptive households. PMID:23039344

  14. High rates of viral suppression in a cohort of HIV-positive adults receiving ART in Ethiopian health centers irrespective of concomitant tuberculosis

    Directory of Open Access Journals (Sweden)

    Anton Reepalu

    2014-11-01

    .49. Conclusions: High rates of VS were achieved in adults receiving ART at Ethiopian health centres managed by non-physician clinicians, with no significant difference with regard to TB co-infection. These findings demonstrate the feasibility of combined ART and anti-TB treatment at primary health care level in low-income countries. This study is registered with clinicaltrial.gov, NCT01433796.

  15. Percepción y expectativas de cuidadoras de niños con gran discapacidad: Sobre la atención sanitaria recibida Perception and expectations of mothers with seriously disable children on received sanitary attention

    Directory of Open Access Journals (Sweden)

    María Isabel Cruz-Escobosa

    2006-11-01

    Full Text Available Objetivos: (1 Conocer la percepción que tienen las cuidadoras principales de niños con Gran Discapacidad respecto a la atención recibida dentro del Sistema Sanitario Público de Andalucía. (2 Identificar propuestas de mejora para la atención integral tanto de los niños, como de sus cuidadoras. Metodología: estudio cualitativo mediante Grupo Focal con madres/padres de niños y niñas diagnosticados de patologías crónicas que generan gran dependencia con edades comprendidas entre 4 y 12 años. Resultados: las repercusiones de la enfermedad de sus hijos en sus familias y en ellas supusieron un impacto total. Expresan una falta de apoyo familiar efectivo y de tiempo para su autocuidado. Perciben un trato y una atención mejorable por parte de algunos de los profesionales de Atención Especializada. En el Centro de Salud ven muy positivo el trato de los profesionales, la accesibilidad, las facilidades que encuentran ante cualquier problema que les surge y ahora el plan de atención a cuidadoras de grandes discapacitados. Conclusiones: es necesario tener en cuenta la visión de las madres en el tratamiento de la enfermedad de sus hijos. Asumirla por los profesionales como una información valiosa va a producir una mejora en la calidad prestada. Valoran que se les informe con claridad y no técnicamente. Cualquier intervención del sistema socio-sanitario debe abarcar al paciente, a la cuidadora y a la familia, aumentar las prestaciones ofrecidas, especialmente el tratamiento rehabilitador y facilitar recursos para minimizar la sobrecarga económica y emocional.Objectives: (1 To know the perception which they have the main nursemaids of children with seriously disabilities about the attention received within the Public System Sanitary of Andalusia, identifying strong and weak points. (2 To as much identify proposals of improvement for the integral attention of the children, as of its nursemaids. Methodology: qualitative study by means of Focal

  16. Reversible bronchial dilatation in children: comparison of serial high-resolution computer tomography scans of the lungs

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard, E.A. E-mail: erol.gaillard@lwh-tr.nwest.nhs.uk; Carty, H.; Heaf, D.; Smyth, R.L

    2003-09-01

    Introduction: bronchiectasis is generally considered irreversible in the adult population, largely based on studies employing bronchography in cases with a significant clinical history. It is assumed, that the same is true for children. Few studies have examined the natural history of bronchiectasis in children and diagnostic criteria on high-resolution computer tomography of the lungs are derived from studies on adults. Frequently, bronchiectasis is reported in children in cases where localised bronchial dilatation is present, incorrectly labelling these children with an irreversible life-long condition. Objective: to evaluate changes in appearance of bronchial dilatation, unrelated to cystic fibrosis in children, as assessed by sequential high-resolution computer tomography (HRCT) of the lungs. Methods: the scans of 22 children with a radiological diagnosis of bronchiectasis, seen at Alder Hey Children's Hospital between 1994 and 2000, who had at least two CT scans of the lungs were reviewed by a single radiologist, who was blinded to the original report. Results: following a median scan interval of 21 months (range 2-43), bronchial dilatation resolved completely in six children and there was improvement in appearances in a further eight, with medical treatment alone. Discussion: a radiological diagnosis of bronchiectasis should be considered with caution in children as diagnostic criteria derived from studies in adults have not been validated in children and the condition is generally considered irreversible.

  17. Dissociation in performance of children with ADHD and high-functioning autism on a task of sustained attention

    OpenAIRE

    Gallagher, Louise; Gill, Michael; JOHNSON, KATHERINE ANNE; Robertson, Ian

    2007-01-01

    (242) PMID: 17433378 ABSTRACT: Attention deficit hyperactivity disorder (ADHD) and autism are two neurodevelopmental disorders associated with prominent executive dysfunction, which may be underpinned by disruption within fronto-striatal and fronto-parietal circuits. We probed executive function in these disorders using a sustained attention task with a validated brain-behaviour basis. Twenty-three children with ADHD, 21 children with high-functioning autism (HFA) and 18 control children were...

  18. Solar dynamic heat receiver technology

    Science.gov (United States)

    Sedgwick, Leigh M.

    1991-01-01

    A full-size, solar dynamic heat receiver was designed to meet the requirements specified for electrical power modules on the U.S. Space Station, Freedom. The heat receiver supplies thermal energy to power a heat engine in a closed Brayton cycle using a mixture of helium-xenon gas as the working fluid. The electrical power output of the engine, 25 kW, requires a 100 kW thermal input throughout a 90 minute orbit, including when the spacecraft is eclipsed for up to 36 minutes from the sun. The heat receiver employs an integral thermal energy storage system utilizing the latent heat available through the phase change of a high-temperature salt mixture. A near eutectic mixture of lithium fluoride and calcium difluoride is used as the phase change material. The salt is contained within a felt metal matrix which enhances heat transfer and controls the salt void distribution during solidification. Fabrication of the receiver is complete and it was delivered to NASA for verification testing in a simulated low-Earth-orbit environment. This document reviews the receiver design and describes its fabrication history. The major elements required to operate the receiver during testing are also described.

  19. Spatial and numerical processing in children with high and low visuospatial abilities.

    Science.gov (United States)

    Crollen, Virginie; Noël, Marie-Pascale

    2015-04-01

    In the literature on numerical cognition, a strong association between numbers and space has been repeatedly demonstrated. However, only a few recent studies have been devoted to examine the consequences of low visuospatial abilities on calculation processing. In this study, we wanted to investigate whether visuospatial weakness may affect pure spatial processing as well as basic numerical reasoning. To do so, the performances of children with high and low visuospatial abilities were directly compared on different spatial tasks (the line bisection and Simon tasks) and numerical tasks (the number bisection, number-to-position, and numerical comparison tasks). Children from the low visuospatial group presented the classic Simon and SNARC (spatial numerical association of response codes) effects but showed larger deviation errors as compared with the high visuospatial group. Our results, therefore, demonstrated that low visuospatial abilities did not change the nature of the mental number line but rather led to a decrease in its accuracy. PMID:25618380

  20. Differences in High School and College Students' Basic Knowledge and Perceived Education of Internet Safety: Do High School Students Really Benefit from the Children's Internet Protection Act?

    Science.gov (United States)

    Yan, Zheng

    2009-01-01

    The Children's Internet Protection Act (CIPA; 2000) requires an Internet filtering and public awareness strategy to protect children under 17 from harmful visual Internet depictions. This study compared high school students who went online with the CIPA restriction and college students who went online without the restriction in order to…

  1. Classroom risks and resources: Teacher burnout, classroom quality and children's adjustment in high needs elementary schools.

    Science.gov (United States)

    Hoglund, Wendy L G; Klingle, Kirsten E; Hosan, Naheed E

    2015-10-01

    The current paper presents two related sets of findings on the classroom context in high needs elementary schools. First, we investigated change over one school term in teacher burnout (emotional exhaustion, depersonalization, personal accomplishment) and classroom quality (emotional and instructional support, organization) and assessed the degree to which burnout and classroom quality co-varied over the term with each other and with aggregate externalizing behaviors (average child externalizing behaviors in the classroom). These analyses describe the classroom context in which the children are nested. Second, we examined change over one school term in children's social adjustment (relationship quality with teachers and friends) and academic adjustment (school engagement, literacy skills) and assessed how adjustment co-varied over time with child externalizing behaviors and was predicted by teacher burnout, classroom quality and aggregate externalizing behaviors. These models were tested with a sample of low-income, ethnically diverse children in kindergarten to grade 3 and their teachers. The children and teachers were assessed three times over one school term. Personal accomplishment co-varied positively with overall classroom quality. Reciprocally, classroom organization co-varied positively with overall teacher burnout. Aggregate externalizing behaviors co-varied positively with depersonalization and negatively with personal accomplishment and overall classroom quality, including emotional support and organization. In turn, teacher burnout interacted with aggregate externalizing behaviors to predict change in child social and academic adjustment. Alternatively, classroom quality interacted with aggregate and child externalizing behaviors to predict change in child social and academic adjustment. PMID:26407833

  2. Does consumption of high-fructose corn syrup beverages cause obesity in children?

    Science.gov (United States)

    Morgan, R E

    2013-08-01

    The consumption of high-fructose corn syrup (HFCS) beverages has increased since the 1970s. At the same time, childhood obesity is on the rise, causing children to be at risk of heart disease, diabetes and other diseases. Healthcare providers have attributed childhood obesity to the consumption of HFCS in the form of beverages. This article will look at the available research and determine if there is scientific evidence underlying the idea that sweetened soft drinks, especially those containing HFCS, could cause or contribute to childhood obesity. A thorough literature search was performed using the ISI Web of Sciences, PubMed and Scopus databases within the years 2006-2012. The search generated 19 results. The articles were screened, and six were deemed eligible: four systematic reviews and two meta-analyses. Two systematic reviews found that there is no relationship between consumption of HFCS beverages and obesity in children. The other two systematic reviews found possible links between HFCS and childhood obesity. The meta-analysis articles found that consumption of HFCS beverages can contribute to childhood obesity, and limitation of sweetened beverages may help decrease obesity in children. Available research studies demonstrate inconclusive scientific evidence definitively linking HFCS to obesity in children.

  3. High-Dose Amoxicillin with Clavulanate for the Treatment of Acute Otitis Media in Children

    Directory of Open Access Journals (Sweden)

    Chia-Huei Chu

    2014-01-01

    Full Text Available Objective. This study uses the acute otitis media clinical practice guideline proposed in 2004 as a reference to evaluate whether antibiotics doses that are in line with the recommendations lead to better prognosis. The study also attempts to clarify possible factors that influence the outcome. Study Design. Retrospective cohort study. Subjects and Methods. A total of 400 children with acute otitis media were enrolled. The dosage of amoxicillin was considered to be appropriate when in accord with clinical practice guidelines, that is, 80–90 mg/kg/day. The outcome was defined according to the description of tympanic membrane on medical records. Multivariate logistic regression was used to analyze the relationship between antibiotic dosage and prognosis after adjusting for baseline factors. Results. The majority of prescriptions were under dosage (89.1% but it was not noticeably associated with outcome (P= 0.41. The correlation between under dosage and poor prognosis was significant in children below 20 kg with bilateral acute otitis media (odds ratio 1.63; 95% CI 1.02–2.59, P=0.04. Conclusion. Treating acute otitis media in children, high-dose amoxicillin with clavulanate as recommended in the clinical practice guideline was superior to conventional doses only in children under 20 kg with bilateral diseases.

  4. Pencegahan primer pada anak yang berisiko karies tinggi (Primary prevention in children with high caries risk)

    OpenAIRE

    Ami Angela

    2005-01-01

    Oral and dental health has got improvement tremendously over the last century but the prevalence of dental caries in children has remained a significant clinical problem. Caries risk varies between individuals according to each subject’s balance between factors exposing to and protecting from caries attack. It is important to assess the risk of caries for all patients on a routine basis. Caries risk is divided into three levels: high, moderate, and low. Thereby, the dental professional is bet...

  5. High voltage electrical burn injuries in teenage children: case studies with similarities (an indian perspective)

    OpenAIRE

    Mathangi Ramakrishnan, K.; Babu, M.; Mathivanan,; B. Ramachandran; Balasubramanian, S.; Raghuram, K

    2013-01-01

    From 1992 to 2012, a total of 911 paediatric burns were admitted and treated at Kanchi Kamakoti Childs Trust Hospital Intensive Burn Care Unit, of these 28 children had suffered electrical injuries and burns. 7 teenagers suffered high voltage electrical burn injuries: 2 were involved in train accidents which caused fatal electrical injuries, and 5 had electrical burn injuries caused by similar types of accidents, requiring Paediatric Intensive Care Unit (PICU) care, repeated surgeries and ext...

  6. Maintaining high vitamin A supplementation coverage in children: lessons from Niger.

    Science.gov (United States)

    Aguayo, Victor M; Baker, Shawn K; Crespin, Xavier; Hamani, Harouna; MamadoulTaïbou, Aissa

    2005-03-01

    In 1997, the reduction of child mortality became a policy priority for the Government of Niger because Niger's child mortality rate was the highest in the world. The Ministry of Public Health, Helen Keller International (HKI), and UNICEF spearheaded a coalition-building process linking vitamin A deficiency (VAD) control to national child survival goals. An evidence-based advocacy strategy was developed around the child survival benefits of adequate and sustained VAD control with one unambiguous message: "VAD control can avert over 25,000 child deaths per year." As a result, in 1997 Niger became one of the first countries in Africa to effectively integrate vitamin A supplementation into National Immunization Days (NIDs) for polio eradication. The challenge was then to provide children with a second annual dose of vitamin A. This led in 1999 to the first ever National Micronutrient Days (NMDs) in Africa. NMDs are mobilization campaigns in which caregivers are actively encouraged to take their children for the delivery of vitamin A supplements. Since 1999, the combination of NIDs and NMDs has ensured that over 80% of children 6 to 59 months of age receive two vitamin A doses annually. The success of NIDs/NMDs has relied on five pillars: leadership and ownership by the Ministry of Public Health; district-level planning and implementation; effective training and flexible delivery mechanisms; effective social information, communication, and mobilization; and responsiveness and flexibility of Ministry of Public Health and development partners. This successful approach has been widely disseminated, notably through the West African Nutrition Focal Points Network. PMID:15810796

  7. High sensitivity C-reactive protein: a biomarker for heart failure in children with univentricular heart disease

    Directory of Open Access Journals (Sweden)

    Lowenthal A

    2012-08-01

    Full Text Available Alexander Lowenthal,1 Luz Natal-Hernandez,1 Shiri Lowenthal,1 Nancy K Hills,2 Harold S Bernstein1,3,41Department of Pediatrics, 2Clinical and Translational Science Institute, 3Cardiovascular Research Institute, 4Eli and Edythe Broad Center of Regeneration Medicine and Stem Cell Research, University of California San Francisco, San Francisco, CA, USAAbstract: Children with univentricular congenital heart disease are at increased risk for developing heart failure. However, detecting early heart failure in these patients is especially difficult because few objective measures have been validated in this cohort. The aim of this study is to determine the usefulness of high sensitivity C-reactive protein (hsCRP as a biomarker for detecting heart failure in univentricular heart disease patients, and to define the impact of univentricular morphology and stage of palliation on its utility. A cross-sectional observational study of children with univentricular congenital heart disease aged 1 month to 7 years was conducted. The presence of heart failure was defined as a Ross score > 2. The association of hsCRP with heart failure was assessed using logistic regression and receiver operating characteristic curves. Of the 50 included children, 16 (32% had clinical heart failure. A doubling of hsCRP resulted in a 0.31 unit increase in Ross score (95% confidence interval: –0.07, 0.56; P = 0.01 with a c-statistic of 68%. When stratified by ventricular morphology, the left univentricular morphology group exceeded the threshold of ≥75% (c-statistic = 81% as did those at stage II of palliation (c-statistic = 85%. A cut point of ≥0.8 mg/mL correctly classified 75% of patients with left univentricular morphology, and 73% of patients regardless of morphology at stage II of palliation. From these results, we conclude that hsCRP is a useful biomarker of clinical heart failure in univentricular patients with left ventricular morphology at all stages of surgical

  8. Phase II Trial of Erlotinib during and after Radiotherapy in Children with Newly Diagnosed High-Grade Gliomas

    Directory of Open Access Journals (Sweden)

    Ibrahim eQaddoumi

    2014-04-01

    Full Text Available Background. Epidermal growth factor receptor is overexpressed in most pediatric high-grade gliomas (HGG. Since erlotinib had shown activity in adults with HGG, we conducted a phase II trial of erlotinib and local radiotherapy in children with newly diagnosed HGG. Methods. Following maximum surgical resection, patients between 3 and 21 years with nonmetastatic HGG received local radiotherapy at 59.4 Gy (54 Gy for spinal tumors and those with ≥70% brain involvement. Erlotinib started on day 1 of radiotherapy (120 mg/m2 per day and continued for 2 years unless there was tumor progression or intolerable toxicities. The 2-year progression-free survival (PFS was estimated for patients with intracranial anaplastic astrocytoma (AA and glioblastoma.Results. Median age at diagnosis for 41 patients with intracranial tumors (21 with glioblastoma and 20 with AA was 10.9 years (range, 3.3 to 19 years. The 2-year PFS for patients with AA and glioblastoma was 15% ± 7% and 19% ± 8%, respectively. Only five patients remained alive without tumor progression. Twenty-six patients had at least one grade 3 or 4 toxicity irrespective of association with erlotinib; only four required dose modifications. The main toxicities were gastrointestinal (n=11, dermatologic (n=5, and metabolic (n=4. One patient with gliomatosis cerebri who required prolonged corticosteroids died of septic shock associated with pancreatitis. Conclusions. Although therapy with erlotinib was mostly well tolerated, it did not change the poor outcome of our patients. Our results showed that erlotinib is not a promising medication in the treatment of children with intracranial AA and glioblastoma.

  9. Effectiveness of Palivizumab in Preventing RSV Hospitalization in High Risk Children: A Real-World Perspective

    Directory of Open Access Journals (Sweden)

    Nusrat Homaira

    2014-01-01

    Full Text Available Infection with respiratory syncytial virus (RSV is one of the major causes globally of childhood respiratory morbidity and hospitalization. Palivizumab, a humanized monoclonal antibody, has been recommended for high risk infants to prevent severe RSV-associated respiratory illness. This recommendation is based on evidence of efficacy when used under clinical trial conditions. However the real-world effectiveness of palivizumab outside of clinical trials among different patient populations is not well established. We performed a systematic review focusing on postlicensure observational studies of the protective effect of palivizumab prophylaxis for reducing RSV-associated hospitalizations in infants and children at high risk of severe infection. We searched studies published in English between 1 January 1999 and August 2013 and identified 420 articles, of which 20 met the inclusion criteria. This review supports the recommended use of palivizumab for reducing RSV-associated hospitalization rates in premature infants born at gestational age < 33 weeks and in children with chronic lung and heart diseases. Data are limited to allow commenting on the protective effect of palivizumab among other high risk children, including those with Down syndrome, cystic fibrosis, and haematological malignancy, indicating further research is warranted in these groups.

  10. Effect of High Water Fluoride Concentration on the Intellectual Development of Children in Makoo/Iran

    Directory of Open Access Journals (Sweden)

    M Shadfar

    2012-01-01

    Full Text Available Objective: Prolonged excessive intake of fluoride during child’s growth and development stages has been associated with mental and physical problems.The aim of this study was to investigate the effect of excessive fluoride intake on the intelligence quotient (IQ of children living in five rural areas in Makoo/Iran.Materials and Methods: In this cross-sectional study, 293 children aged 6-11 years were selected from five villages in Makoo with normal fluoride (0.8±0.3 ppm, medium fluoride (3.1±0.9 ppm and high fluoride (5.2±1.1 ppm in their water supplies. The IQ of each child was measured by the Raven’s test. Educational and residential information and the medical history of each child was recorded by a questionnaire completed by the parents. Data were analyzed by ANOVA test with a significance level of 0.05.Results: The mean IQ scores decreased from 97.77±18.91 for the normal fluoride group to 89.03±12.99 for the medium fluoride group and to 88.58±16.01 for the high fluoride group (P=0.001.Conclusion: Children residing in areas with higher than normal water fluoride levels demonstrated more impaired development of intelligence. Thus, children’s intelligence may be affected by high water fluoride levels.

  11. Advances in SIS receiver technology

    Science.gov (United States)

    Frerking, M. A.

    1988-01-01

    Significant advances in SIS receiver technology since the last Asilomar meeting include: superconductor materials, integrated inductive tuning elements, and planar mounting structures. The effect of these advances is to push the upper frequency operating limit from about 600 to 1500 GHz, and to enhance the feasibility of focal plane arrays of heterodyne receivers. A fundamental high frequency operating limit of SIS mixers is set by the superconducting energy gap. A practical limitation for high frequency operation of SIS junctions is their parasitic capacitance and resistance. The performance of the mixer will be degraded by the Resistor-Capacitor rolloff. Several designs were reported for inductive elements integrated on the same substrate as the SIS junctions to tune out the bulk junction capacitance. Most millimeter SIS-based heterodyne receivers have used waveguide coupling structures. Technology has advanced to the state where programs that have a high probability of success can be defined to produce arrays of SIS receivers for frequencies as high as 1500 GHz.

  12. Effectiveness of the Friends for Life Program in Portuguese Schools: Study with a Sample of Highly Anxious Children

    Science.gov (United States)

    Pereira, Ana Isabel; Marques, Teresa; Russo, Vanessa; Barros, Luísa; Barrett, P.

    2014-01-01

    The FRIENDS for Life program is a cognitive-behavioral group program that targets anxiety in children. The main purpose of this study was to analyze the effectiveness of the Portuguese version of the FRIENDS for Life Program, which was implemented in schools to reduce anxiety problems in a group of highly anxious children. The study used a…

  13. Randomized Controlled Trial of "Mind Reading" and In Vivo Rehearsal for High-Functioning Children with ASD

    Science.gov (United States)

    Thomeer, Marcus L.; Smith, Rachael A.; Lopata, Christopher; Volker, Martin A.; Lipinski, Alanna M.; Rodgers, Jonathan D.; McDonald, Christin A.; Lee, Gloria K.

    2015-01-01

    This randomized controlled trial evaluated the efficacy of a computer software (i.e., "Mind Reading") and in vivo rehearsal treatment on the emotion decoding and encoding skills, autism symptoms, and social skills of 43 children, ages 7-12 years with high-functioning autism spectrum disorder (HFASD). Children in treatment (n = 22)…

  14. THE OCCURRENCE OF HIGH-LEVELS OF ACUTE BEHAVIORAL DISTRESS IN CHILDREN AND ADOLESCENTS UNDERGOING ROUTINE VENIPUNCTURES

    NARCIS (Netherlands)

    HUMPHREY, GB; BOON, CMJ; VANDENHEUVELL, GFECV; VANDEWIEL, HBM

    1992-01-01

    While there is no question that children dislike needles, there are very little data available on the occurrence of high levels of distress experienced by children undergoing routine venipunctures. To provide some insight into this problem, trained observers evaluated distress in 223 different child

  15. Increasing Food Acceptance in the School Setting for Children with Autism Spectrum Disorder Using High Probability Requests Sequences

    Science.gov (United States)

    Congdon, Marissa

    2013-01-01

    Behavioral feeding difficulties occur at a high rate in children with autism spectrum disorders (ASD) and can have a serious impact on their overall health and development. Although there are a number of studies demonstrating effective strategies for addressing behavioral feeding difficulties in children with ASD, the majority of them have been…

  16. Ceramic Solar Receiver

    Science.gov (United States)

    Robertson, C., Jr.

    1984-01-01

    Solar receiver uses ceramic honeycomb matrix to absorb heat from Sun and transfer it to working fluid at temperatures of 1,095 degrees and 1,650 degrees C. Drives gas turbine engine or provides heat for industrial processes.

  17. Receiver Gain Modulation Circuit

    Science.gov (United States)

    Jones, Hollis; Racette, Paul; Walker, David; Gu, Dazhen

    2011-01-01

    A receiver gain modulation circuit (RGMC) was developed that modulates the power gain of the output of a radiometer receiver with a test signal. As the radiometer receiver switches between calibration noise references, the test signal is mixed with the calibrated noise and thus produces an ensemble set of measurements from which ensemble statistical analysis can be used to extract statistical information about the test signal. The RGMC is an enabling technology of the ensemble detector. As a key component for achieving ensemble detection and analysis, the RGMC has broad aeronautical and space applications. The RGMC can be used to test and develop new calibration algorithms, for example, to detect gain anomalies, and/or correct for slow drifts that affect climate-quality measurements over an accelerated time scale. A generalized approach to analyzing radiometer system designs yields a mathematical treatment of noise reference measurements in calibration algorithms. By treating the measurements from the different noise references as ensemble samples of the receiver state, i.e. receiver gain, a quantitative description of the non-stationary properties of the underlying receiver fluctuations can be derived. Excellent agreement has been obtained between model calculations and radiometric measurements. The mathematical formulation is equivalent to modulating the gain of a stable receiver with an externally generated signal and is the basis for ensemble detection and analysis (EDA). The concept of generating ensemble data sets using an ensemble detector is similar to the ensemble data sets generated as part of ensemble empirical mode decomposition (EEMD) with exception of a key distinguishing factor. EEMD adds noise to the signal under study whereas EDA mixes the signal with calibrated noise. It is mixing with calibrated noise that permits the measurement of temporal-functional variability of uncertainty in the underlying process. The RGMC permits the evaluation of EDA by

  18. Outcomes of comprehensive care for children empirically treated for multidrug-resistant tuberculosis in a setting of high HIV prevalence.

    Directory of Open Access Journals (Sweden)

    Hind Satti

    Full Text Available BACKGROUND: Few studies have examined outcomes for children treated for multidrug-resistant tuberculosis (MDR-TB, including those receiving concomitant treatment for MDR-TB and HIV co-infection. In Lesotho, where the adult HIV seroprevalence is estimated to be 24%, we sought to measure outcomes and adverse events in a cohort of children treated for MDR-TB using a community-based treatment delivery model. METHODS: We reviewed retrospectively the clinical charts of children ≤15 years of age treated for culture-confirmed or suspected MDR-TB between July 2007 and January 2011. RESULTS: Nineteen children, ages two to 15, received treatment. At baseline, 74% of patients were co-infected with HIV, 63% were malnourished, 84% had severe radiographic findings, and 21% had extrapulmonary disease. Five (26% children had culture-confirmed MDR-TB, ten (53% did not have culture results available, and four (21% subsequently had results indicating drug-susceptible TB. All children with HIV co-infection who were not already on antiretroviral therapy (ART were initiated on ART a median of two weeks after the start of the MDR-TB regimen. Among the 17 patients with final outcomes, 15 (88% patients were cured or completed treatment, two (12% patients died, and none defaulted or were lost to follow-up. The majority of patients (95% experienced adverse events; only two required permanent discontinuation of the offending agent, and only one required suspension of MDR-TB treatment for more than one week. CONCLUSIONS: Pediatric MDR-TB and MDR-TB/HIV co-infection can be successfully treated using a combination of social support, close monitoring by community health workers and clinicians, and inpatient care when needed. In this cohort, adverse events were well tolerated and treatment outcomes were comparable to those reported in children with drug-susceptible TB and no HIV infection.

  19. Understanding differences in access to water fountains and sugar-sweetened beverages in children׳s environments: a pilot study in high and low deprivation neighbourhoods.

    Science.gov (United States)

    Pearson, Amber L; de Latour, Phillip; Kemp, Gabrielle; Findlay, Nohoana; Halim, Angela; Atkinson, Nicola; Chong, Mark; Cameron, Rose; Brown, Courtney; Kim, Grace; Campbell, Paul; Hills, Toby; Jayawant, Aditya; Chae, Matthew; Bhagavan, Chiranth; French, Claire; Jenkin, Gabrielle; Smith, Moira; Signal, Louise

    2014-11-01

    Access to water fountains and sugar-sweetened beverages (SSBs) in children׳s environments may impact on child obesity and may vary with neighbourhood deprivation. Our pilot analyses of access to water fountains and SSBs in Wellington, New Zealand revealed that water fountain access was high in school environments and low in recreational environments. There were also differences in water fountain and SSB access points by neighbourhood deprivation. The methods piloted in this study could be translated in a larger study, more capable of detecting significant differences in access and allowing for more sophisticated analyses. Such future studies may provide important evidence for the improvement of children׳s health and well-being.

  20. High prevalence of Giardia duodenalis Assemblage B infection and association with underweight in Rwandan children.

    Directory of Open Access Journals (Sweden)

    Ralf Ignatius

    Full Text Available BACKGROUND: Giardia duodenalis is highly endemic in East Africa but its effects on child health, particularly of submicroscopic infections, i.e., those below the threshold of microscopy, and of genetic subgroups (assemblages, are not well understood. We aimed at addressing these questions and at examining epidemiological characteristics of G. duodenalis in southern highland Rwanda. METHODOLOGY/PRINCIPAL FINDINGS: In 583 children <5 years of age from communities and health facilities, intestinal parasites were assessed by triplicate light microscopy and by PCR assays, and G. duodenalis assemblages were genotyped. Cluster effects of villages were taken into account in statistical analysis. The prevalence of G. duodenalis as detected by microscopy was 19.8% but 60.1% including PCR results. Prevalence differed with residence, increased with age, and was reduced by breastfeeding. In 492 community children without, with submicroscopic and with microscopic infection, underweight (weight-for-age z-score <-2 standard deviations was observed in 19.7%, 22.1%, and 33.1%, respectively, and clinically assessed severe malnutrition in 4.5%, 9.5%, and 16.7%. Multivariate analysis identified microscopically detectable G. duodenalis infection as an independent predictor of underweight and clinically assessed severe malnutrition. Submicroscopic infection showed respective trends. Overall, G. duodenalis was not associated with gastrointestinal symptoms but assemblages A parasites (proportion, 13% were increased among children with vomiting and abdominal pain. CONCLUSIONS/SIGNIFICANCE: The prevalence of G. duodenalis in high-endemicity areas may be greatly underestimated by light microscopy, particularly when only single stool samples are analysed. Children with submicroscopic infections show limited overt manifestation, but constitute unrecognized reservoirs of transmission. The predominance of assemblage B in Rwanda may be involved in the seemingly unimposing

  1. A high-precision protocol for identification of preschool children at risk for persisting obesity.

    Directory of Open Access Journals (Sweden)

    Toomas Timpka

    Full Text Available BACKGROUND: Recent studies suggest that adolescent adiposity is established already in preadolescence. Earlier studies have confirmed a strong tracking of obesity from adolescence to adulthood. Our aim was to examine the diagnostic accuracy of a population-derived protocol for identification of preschool children at risk for obesity in preadolescence. METHODOLOGY/PRINCIPAL FINDINGS: We analysed data obtained for child health surveillance up to age 5 from 5778 children born in a Swedish county in 1991. The basic data set included age, sex, and weight and height measurements from the regular checkups between ages 1.5 and 5. Data not routinely collected in the child health centre setting were disregarded. The children were at age 10 randomly assigned to protocol derivation and validation cohorts and assessed for obesity according to IOTF criteria. The accuracy of predicting obesity in the validation cohort was measured using decision precision, specificity, and sensitivity. The decision protocol selected 1.4% of preschool children as being at obesity risk. The precision of the protocol at age 10 was 82% for girls and 80% for boys, and the specificity was 100% for both boys and girls. The sensitivity was higher for girls (41% than for boys (21%. The relative risk for obesity at age 10 estimated by the odds ratio for individuals selected by the protocol compared to non-selected peers was 212.6 (95% confidence interval 56.6 to 798.4 for girls and 120.3 (95% CI 24.5 to 589.9 for boys. CONCLUSION/SIGNIFICANCE: A simple and inexpensive decision protocol based on BMI values proved to have high precision and specificity for identification of preschool children at risk for obesity persisting into adolescence, while the sensitivity was low especially for boys. Implementation and further evaluations of the protocol in child health centre settings are warranted.

  2. Experimental demonstration of a real-time high-throughput digital DC blocker for compensating ADC imperfections in optical fast-OFDM receivers.

    Science.gov (United States)

    Zhang, Lu; Ouyang, Xing; Shao, Xiaopeng; Zhao, Jian

    2016-06-27

    Performance degradation induced by the DC components at the output of real-time analogue-to-digital converter (ADC) is experimentally investigated for optical fast-OFDM receiver. To compensate this degradation, register transfer level (RTL) circuits for real-time digital DC blocker with 20GS/s throughput are proposed and implemented in field programmable gate array (FPGA). The performance of the proposed real-time digital DC blocker is experimentally investigated in a 15Gb/s optical fast-OFDM system with intensity modulation and direct detection over 40 km standard single-mode fibre. The results show that the fixed-point DC blocker has negligible performance penalty compared to the offline floating point one, and can overcome the error floor of the fast OFDM receiver caused by the DC components from the real-time ADC output. PMID:27410579

  3. Developmental Status and Social-Emotional Functioning of Young Children Experiencing Homelessness

    Science.gov (United States)

    Haskett, Mary E.; Armstrong, Jenna Montgomery; Tisdale, Jennifer

    2016-01-01

    The developmental status and social-emotional functioning of young children who are homeless has received inadequate attention in spite of high rates of homelessness among families with young children and the potentially negative impact of homelessness and associated stressors on children's well-being. The aim of this study was to gain…

  4. A novel receive-only liquid nitrogen (LN2)-cooled RF coil for high-resolution in vivo imaging on a 3-Tesla whole-body scanner

    OpenAIRE

    Hu, Bobo; Varma, Gopal; Randell, Chris; Keevil, Stephen F.; Schaeffter, Tobias; Glover, Paul

    2012-01-01

    The design and operation of a receive-only liquid nitrogen (LN2)-cooled coil and cryostat suitable for medical imaging on a 3-T whole-body magnetic resonance scanner is presented. The coil size, optimized for murine imaging, was determined by using electromagnetic (EM) simulations. This process is therefore easier and more cost effective than building a range of coils. A nonmagnetic cryostat suitable for small-animal imaging was developed having good vacuum and cryogenic temperature perform...

  5. Nerdy, Brainy and Normal: Children's and Parents' Constructions of Those Who Are Highly Engaged with Science

    Science.gov (United States)

    DeWitt, Jennifer; Archer, Louise; Osborne, Jonathan

    2013-08-01

    There is a continuing international concern about a decline in the pursuit of post-compulsory science. One suggested cause concerns the role that young people's narrow perceptions of scientists may play in deterring them from pursuing science qualifications and careers. Research would suggest that the ages of 10-14 appear to be a critical period for the development of such views. This paper looks at the early part of this period, when general liking for science is high, although views on science careers as `not for me' also appear to be forming. Drawing on data collected from interviews conducted with 92 children and 78 parents (in which children described peers who are `really into' science and parents described those who are likely to pursue a career in science), we examine the constructions children and parents have of those who are highly engaged with science. In the interviews, participants evoked a range of constructions, some of which were closely aligned with traditional stereotypical images of science and scientists (e.g. as `geeky') while others moderated and/or challenged those images. Although very few participants held explicitly `negative' representations of science/scientists, our analysis shows how popular constructions of science as `specialist' and `clever' may feed into an understanding of science as different and not for me. It is argued that more work needs to be done to open up science as a field that is accessible `for all' and to increase students' awareness of the breadth of careers in and from science.

  6. Immune reconstitution inflammatory syndrome after initiating highly active antiretroviral therapy in HIV-infected children

    International Nuclear Information System (INIS)

    The outcome of HIV infection has improved since the widespread availability of highly active antiretroviral therapy (HAART). Some patients, however, develop a clinical and radiological deterioration following initiation of HAART due to either the unmasking of occult subclinical infection or an enhanced inflammatory response to a treated infection. This phenomenon is believed to result from the restored ability to mount an immune response and is termed immune reconstitution inflammatory syndrome (IRIS) or immune reconstitution disease. IRIS is widely reported in the literature in adult patients, most commonly associated with mycobacterial infections. There is, however, a paucity of data documenting the radiological findings of IRIS in children. Radiologists need to be aware of this entity. As a diagnosis of exclusion it is essential that the radiological findings be assessed in the context of the clinical presentation. This article reviews the common clinical and radiological manifestations of IRIS in HIV-infected children. (orig.)

  7. Baseline correlates of insulin resistance in inner city high-BMI African-American children.

    Science.gov (United States)

    Raman, Aarthi; Fitch, Mark D; Hudes, Mark L; Lustig, Robert H; Murray, Carolyn B; Ikeda, Joanne P; Fleming, Sharon E

    2008-09-01

    To characterize the influence of diet-, physical activity-, and self-esteem-related factors on insulin resistance in 8- 10-year-old African-American (AA) children with BMI greater than the 85th percentile who were screened to participate in a community-based type 2 diabetes mellitus (T2DM) prevention trial. In 165 subjects, fasting glucose- and insulin-derived values for homeostasis model assessment of insulin resistance (HOMA-IR) assessed insulin resistance. Body fatness was calculated following bioelectrical impedance analysis, and fitness was measured using laps from a 20-m shuttle run. Child questionnaires assessed physical activity, dietary habits, and self-esteem. Pubertal staging was assessed using serum levels of sex hormones. Parent questionnaires assessed family demographics, family health, and family food and physical activity habits. Girls had significantly higher percent body fat but similar anthropometric measures compared with boys, whereas boys spent more time in high-intensity activities than girls. Scores for self-perceived behavior were higher for girls than for boys; and girls desired a more slender body. Girls had significantly higher insulin resistance (HOMA-IR), compared with boys (P < 0.01). Adjusting for age, sex, pubertal stage, socioeconomic index (SE index), and family history of diabetes, multivariate regression analysis showed that children with higher waist circumference (WC) (P < 0.001) and lower Harter's scholastic competence (SC) scale (P = 0.044) had higher insulin resistance. WC and selected self-esteem parameters predicted insulin resistance in high-BMI AA children. The risk of T2DM may be reduced in these children by targeting these factors.

  8. Emotional prosody perception and its association with pragmatic language in school-aged children with high-function autism.

    Science.gov (United States)

    Wang, Jia-En; Tsao, Feng-Ming

    2015-02-01

    Emotional prosody perception is essential for social communication, but it is still an open issue whether children with high-function autism (HFA) exhibit any prosodic perception deficits or experience selective impairments in recognizing the prosody of positive emotions. Moreover, the associations between prosody perception, pragmatic language, and social adaptation in children with HFA have not been fully explored. This study investigated whether emotional prosody perception for words and sentences in children with HFA (n=25, 6-11 years of age) differed from age-matched, typically developing children (TD, n=25) when presented with an emotional prosody identification task. The Children's Communication Checklist and Vineland Adaptive Behavior Scale were used to assess pragmatic and social adaption abilities. Results show that children with HFA performed poorer than TD children in identifying happy prosody in both emotionally neutral and relevant utterances. In contrast, children with HFA did not exhibit any deficits in identifying sad and angry prosody. Results of correlation analyses revealed a positive association between happy prosody identification and pragmatic function. The findings indicate that school-aged children with HFA experience difficulties in recognizing happy prosody, and that this limitation in prosody perception is associated with their pragmatic and social adaption performances. PMID:25463248

  9. Central solar energy receiver

    Science.gov (United States)

    Drost, M. Kevin

    1983-01-01

    An improved tower-mounted central solar energy receiver for heating air drawn through the receiver by an induced draft fan. A number of vertically oriented, energy absorbing, fin-shaped slats are radially arranged in a number of concentric cylindrical arrays on top of the tower coaxially surrounding a pipe having air holes through which the fan draws air which is heated by the slats which receive the solar radiation from a heliostat field. A number of vertically oriented and wedge-shaped columns are radially arranged in a number of concentric cylindrical clusters surrounding the slat arrays. The columns have two mirror-reflecting sides to reflect radiation into the slat arrays and one energy absorbing side to reduce reradiation and reflection from the slat arrays.

  10. Wideband CMOS receivers

    CERN Document Server

    Oliveira, Luis

    2015-01-01

    This book demonstrates how to design a wideband receiver operating in current mode, in which the noise and non-linearity are reduced, implemented in a low cost single chip, using standard CMOS technology.  The authors present a solution to remove the transimpedance amplifier (TIA) block and connect directly the mixer’s output to a passive second-order continuous-time Σ∆ analog to digital converter (ADC), which operates in current-mode. These techniques enable the reduction of area, power consumption, and cost in modern CMOS receivers.

  11. Anatomical and hemodynamic evaluations of the heart and pulmonary arterial pressure in healthy children residing at high altitude in China

    Directory of Open Access Journals (Sweden)

    Hai-Ying Qi

    2015-06-01

    Conclusions: Children living at high altitude in China have significantly higher mPAP, dilated right heart and slower regression of right ventricular hypertrophy in the first 14 years of life. Systolic and diastolic functions of both ventricles were reduced with a paradoxically higher CI. There was no significant difference in these features between the Hans and the Tibetans. These values provide references for the care of healthy children and the sick ones with cardiopulmonary diseases at high altitude.

  12. Incidencia de bacteriemia asociada a catéter en niños hospitalizados que reciben nutrición parenteral Blood-stream catheter related infection in inpatient children receiving parenteral nutrition

    Directory of Open Access Journals (Sweden)

    E. Vaquero Sosa

    2011-02-01

    Full Text Available Las infecciones relacionadas con el catéter son la complicación más grave en los pacientes portadores de un catéter venoso central. Se considera que la nutrición parenteral (NP constituye un factor de riesgo de desarrollar una infección relacionada con el catéter (IRCat. Material y métodos: para conocer la tasa de infección y poder establecer estrategias de prevención de la infección nosocomial, se revisaron todas las historias de los 120 pacientes que recibieron NP a lo largo de 2008. Todas las historias de los pacientes con un episodio fiebre y hemocultivo positivo fueron consideradas. La tasa de infección se definió como número de episodios por cada 1000 días de NP. Resultados: Se obtuvieron 48 hemocultivos positivos. La tasa global de bacteriemia asociada a catéter fue de 37,8/1000 días de NP. La incidencia fue significativamente mayor en lactantes menores de 2 años de edad. Los gérmenes que se encontraron con mayor frecuencia fueron Estafilococo coagulasa negativo (56,8%, seguidos de bacilos Gram (20,8%, Staph aureus (12,5% y los hongos (12,5%. No encontramos diferencias en la tasa de infección cuando ajustamos por la enfermedad de base o la duración de la NP. Conclusiones: La tasa de infección en niños con NP en el hospital es considerablemente elevada. La NP parece constituir un factor de riesgo de desarrollar IRCat. Es necesario establecer políticas adecuadas y continuadas para conseguir disminuir la tasa de infección nosocomial.Blood-stream catheter related infection is the most severe complication in patients carrying a central venous catheter. Parenteral nutrition (PN use seems to be a risk factor for developing a catheter-related infection (CRI. Material & methods: In order to know the incidence of CRI in children to further implement policies to reduce nosocomial infection, we review all charts of children (1 month to 17 years who received parenteral nutrition while in hospital. All episodes of fever

  13. High voltage electrical burn injuries in teenage children: case studies with similarities (an indian perspective)

    Science.gov (United States)

    Mathangi Ramakrishnan, K.; Babu, M.; Mathivanan; Ramachandran, B.; Balasubramanian, S.; Raghuram, K.

    2013-01-01

    Summary From 1992 to 2012, a total of 911 paediatric burns were admitted and treated at Kanchi Kamakoti Childs Trust Hospital Intensive Burn Care Unit, of these 28 children had suffered electrical injuries and burns. 7 teenagers suffered high voltage electrical burn injuries: 2 were involved in train accidents which caused fatal electrical injuries, and 5 had electrical burn injuries caused by similar types of accidents, requiring Paediatric Intensive Care Unit (PICU) care, repeated surgeries and extensive rehabilitation. A common factor among these latter 5 patients was that they were injured by overhead high electrical voltage cables. Their management was labour intensive and highly costly. In this report, the type of accident, the electrical voltage that produced burns and the treatment details are elaborated. Findings included similarities in age and type of accident, and failure to implement safety procedures and apply standard norms of high voltage transmission feeder lines. PMID:24563637

  14. A high burden of respiratory syncytial virus associated pneumonia in children less than two years of age in a South East Asian refugee population.

    Directory of Open Access Journals (Sweden)

    Claudia Turner

    Full Text Available BACKGROUND: Pneumonia is a major cause of childhood mortality and morbidity approximately 1.6 million deaths and 150 million episodes occur annually in children <5 years. Respiratory syncytial virus (RSV may be responsible for up to 25% of cases and 12% of deaths making it an important potential vaccine target, although data from South East Asia is scarce. METHODS: We followed a birth cohort of Burmese refugee children, born over a one year period, for two years. Pneumonia episodes were diagnosed using WHO criteria. A chest radiograph, nasopharyngeal aspirate and non-specific markers of infection were taken during each episode. RESULTS: The incidence of RSV-associated pneumonia was 0.24 (95% CI 0.22-0.26 episodes per child year. All children with pneumonia received antibiotic treatment, following WHO guidelines. The highest incidence was in the 2-12 month age group. The commonest diagnosis in a child with RSV-associated pneumonia was non-severe pneumonia (239/362:66.0%, however the incidence of RSV-associated severe or very severe pneumonia was 0.08 (95% CI 0.01-0.10 episodes per child year. Birth in the wet season increased the risk of severe disease in children who had their first episode of RSV-associated pneumonia aged 2-11 months (OR 28.7, 95% CI 6.6-125.0, p<0.001. RSV episodes were highly seasonal being responsible for 80.0% of all the pneumonia episodes occurring each October and November over the study period. CONCLUSIONS: There was a high incidence of RSV associated pneumonia in this refugee population. Interventions to prevent RSV infection have the potential to reduce the incidence of clinically diagnosed pneumonia and hence unnecessary antibiotic usage in this population.

  15. High resolution CT in children with cystic fibrosis: correlation with pulmonary functions and radiographic scores

    International Nuclear Information System (INIS)

    Objective: To compare the high resolution CT (HRCT) scores of the Bhalla system with pulmonary function tests and radiographic and clinical points of the Shwachman-Kulczycki clinical scoring system. Methods: HRCT of the chest was obtained in 40 children to assess the role of HRCT in evaluating bronchopulmonary pathology in children with cystic fibrosis (CF). The HRCT severity scores of the Bhalla system were compared with chest radiographic and clinical points of the Shwachman-Kulczycki scoring system and pulmonary function tests. Only 14 of the patients older than 6 years cooperated with spirometry. Results: HRCT scores correlated well with radiographic points (r=0.80, P1 (r=0.66, P=0.01). Although radiographic points correlated significantly with FVC (r=0.61, P=0.02) and FEV1 (r=0.56, P=0.04), HRCT provides a more precise scoring than the chest X-ray. Conclusion: The HRCT scoring system may provide a sensitive method of monitoring pulmonary disease status and may replace the radiographic scoring in the Shwachman-Kulczycki system. It may be helpful especially in follow-up of small children too young to cooperate with spirometry

  16. High resolution CT in children with cystic fibrosis: correlation with pulmonary functions and radiographic scores

    Energy Technology Data Exchange (ETDEWEB)

    Demirkazik, Figen Basaran E-mail: demirkaz@dialup.ankara.edu.tr; Ariyuerek, O. Macit; Oezcelik, Ugur; Goecmen, Ayhan; Hassanabad, Hossein K.; Kiper, Nural

    2001-01-01

    Objective: To compare the high resolution CT (HRCT) scores of the Bhalla system with pulmonary function tests and radiographic and clinical points of the Shwachman-Kulczycki clinical scoring system. Methods: HRCT of the chest was obtained in 40 children to assess the role of HRCT in evaluating bronchopulmonary pathology in children with cystic fibrosis (CF). The HRCT severity scores of the Bhalla system were compared with chest radiographic and clinical points of the Shwachman-Kulczycki scoring system and pulmonary function tests. Only 14 of the patients older than 6 years cooperated with spirometry. Results: HRCT scores correlated well with radiographic points (r=0.80, P<0.0001) and clinical points (r=0.67, P<0.0001) of the Shwachman-Kulczycki system, FVC (r=0.71 P=0.004) and FEV{sub 1} (r=0.66, P=0.01). Although radiographic points correlated significantly with FVC (r=0.61, P=0.02) and FEV{sub 1} (r=0.56, P=0.04), HRCT provides a more precise scoring than the chest X-ray. Conclusion: The HRCT scoring system may provide a sensitive method of monitoring pulmonary disease status and may replace the radiographic scoring in the Shwachman-Kulczycki system. It may be helpful especially in follow-up of small children too young to cooperate with spirometry.

  17. A zero-power radio receiver.

    Energy Technology Data Exchange (ETDEWEB)

    Brocato, Robert Wesley

    2004-09-01

    This report describes both a general methodology and some specific examples of passive radio receivers. A passive radio receiver uses no direct electrical power but makes sole use of the power available in the radio spectrum. These radio receivers are suitable as low data-rate receivers or passive alerting devices for standard, high power radio receivers. Some zero-power radio architectures exhibit significant improvements in range with the addition of very low power amplifiers or signal processing electronics. These ultra-low power radios are also discussed and compared to the purely zero-power approaches.

  18. Zero-power receiver

    Energy Technology Data Exchange (ETDEWEB)

    Brocato, Robert W.

    2016-10-04

    An unpowered signal receiver and a method for signal reception detects and responds to very weak signals using pyroelectric devices as impedance transformers and/or demodulators. In some embodiments, surface acoustic wave devices (SAW) are also used. Illustrative embodiments include satellite and long distance terrestrial communications applications.

  19. Olympus beacon receiver

    Science.gov (United States)

    Ostergaard, Jens

    1988-01-01

    A medium-size Beacon Receiving System for reception and processing of the B1 (20 GHz) and B2 (30 GHz) beacons from Olympus has been developed. Integration of B1 and B2 receiving equipment into one system using one antenna and a common computer for control and data processing provides the advantages of a compact configuration and synchronization of the two receiver chains. Range for co-polar signal attenuation meaurement is about 30 dB for both beacons, increasing to 40 dB for B2 if the receivers are synchronized to B1. The accuracy is better than 0.5 dB. Cross-polarization discriminations of the order of 10 to 30 dB may be determined with an accuracy of 1 to 2 dB. A number of radiometers for complementary measurements of atmospheric attenuation of 13 to 30 GHz has also been constructed. A small multi-frequency system for operation around 22 GHz and 31 GHz is presently under development.

  20. Intelligence, classroom behavior, and academic achievement in children at high and low risk for psychopathology: a structural equation analysis.

    Science.gov (United States)

    Worland, J; Weeks, D G; Janes, C L; Strock, B D

    1984-09-01

    The intelligence, academic achievement, and classroom behavior of 158 children were assessed in a sample that is being followed longitudinally. The sample included children at high risk for mental disorder by virtue of having a parent with a psychiatric diagnosis of schizophrenia or affective disorder, children at moderate risk, and children at low risk. A series of path analyses indicated that in this sample (1) classroom behavior was more likely an affect that a cause of academic achievement, and (2) the influence of parental psychopathology on classroom behavior was mediated by a child's intelligence and academic achievement. We were unable to substantiate an unmediated causal link between parental psychopathology and children's academic achievement or classroom behavior.

  1. EVALUATION OF THE USE OF HIGH PROTEIN MIXTURES FOR FEDING MALNUTRISHED CHILDREN

    Directory of Open Access Journals (Sweden)

    S B. Vaghefi

    1972-12-01

    Full Text Available In recent years there have been many attempts to develop and market inexpensive mixtures of high protein food for the children in developing areas of the world. Biological studies have shown that these foods are rich sources of protein and are every effective in combating protein malnutrition. However, practical marketing and distribution has not been very successful due to the local people's hesitation in accepting unfamiliar foods. Efforts to educate the local people, and especially mothers, may prove successful in promoting the acceptance of this products.1 – Department of Nutrition School of Public Health, Tehran University.

  2. Solar receiver performance of point focusing collector system

    Science.gov (United States)

    Wu, Y. C.; Wen, L. C.

    1978-01-01

    The solar receiver performance of cavity receivers and external receivers used in dispersed solar power systems was evaluated for the temperature range 300-1300 C. Several parameters of receiver and concentrator are examined. It was found that cavity receivers are generally more efficient than external receivers, especially at high temperatures which require a large heat transfer area. The effects of variation in the ratio of receiver area to aperture area are considered.

  3. Characteristics of highly impaired children with severe chronic pain: a 5-year retrospective study on 2249 pediatric pain patients

    Directory of Open Access Journals (Sweden)

    Zernikow Boris

    2012-05-01

    Full Text Available Abstract Background Prevalence of pain as a recurrent symptom in children is known to be high, but little is known about children with high impairment from chronic pain seeking specialized treatment. The purpose of this study was the precise description of children with high impairment from chronic pain referred to the German Paediatric Pain Centre over a 5-year period. Methods Demographic variables, pain characteristics and psychometric measures were assessed at the first evaluation. Subgroup analysis for sex, age and pain location was conducted and multivariate logistic regression applied to identify parameters associated with extremely high impairment. Results The retrospective study consisted of 2249 children assessed at the first evaluation. Tension type headache (48%, migraine (43% and functional abdominal pain (11% were the most common diagnoses with a high rate of co-occurrence; 18% had some form of musculoskeletal pain disease. Irrespective of pain location, chronic pain disorder with somatic and psychological factors was diagnosed frequently (43%. 55% of the children suffered from more than one distinct pain diagnosis. Clinically significant depression and general anxiety scores were expressed by 24% and 19% of the patients, respectively. Girls over the age of 13 were more likely to seek tertiary treatment compared to boys. Nearly half of children suffered from daily or constant pain with a mean pain value of 6/10. Extremely high pain-related impairment, operationalized as a comprehensive measure of pain duration, frequency, intensity, pain-related school absence and disability, was associated with older age, multiple locations of pain, increased depression and prior hospital stays. 43% of the children taking analgesics had no indication for pharmacological treatment. Conclusion Children with chronic pain are a diagnostic and therapeutic challenge as they often have two or more different pain diagnoses, are prone to misuse of

  4. Mentoring highly aggressive children: pre-post changes in mentors' attitudes, personality, and attachment tendencies.

    Science.gov (United States)

    Faith, Melissa A; Fiala, Samuel E; Cavell, Timothy A; Hughes, Jan N

    2011-12-01

    This study examined the degree to which mentoring highly aggressive children was associated with changes in mentors' attitudes, personality, and attachment tendencies. Participants were 102 college students who each mentored an aggressive, high-risk child across three academic semesters (spring, fall, spring). We examined pre- to post-mentoring changes in attitudes about mentoring efficacy and future parenting, Big Five personality characteristics, and attachment tendencies. Mentors also rated the impact of the mentoring relationship in their lives, and both mentors and mentees rated support of the mentoring relationship. Results indicated a statistically significant decrease over time in mentors' ratings of self-efficacy, openness, conscientiousness, extraversion, and agreeableness. These findings held even when controlling for ratings of relationship impact. However, mentors who rated the mentoring relationship as supportive tended to experience increased openness, conscientiousness, and agreeableness and less attachment-related avoidance over time. Child-rated support negatively predicted mentors' post-mentoring attitudes toward future parenting. Discussed are the potential costs of mentoring highly aggressive children and strategies that could help increase benefits to mentors.

  5. Pencegahan primer pada anak yang berisiko karies tinggi (Primary prevention in children with high caries risk

    Directory of Open Access Journals (Sweden)

    Ami Angela

    2005-09-01

    Full Text Available Oral and dental health has got improvement tremendously over the last century but the prevalence of dental caries in children has remained a significant clinical problem. Caries risk varies between individuals according to each subject’s balance between factors exposing to and protecting from caries attack. It is important to assess the risk of caries for all patients on a routine basis. Caries risk is divided into three levels: high, moderate, and low. Thereby, the dental professional is better to make a specific prevention and treatment recommendations to reduce a child risk and improve overall oral health. The goal of caries-risk assessment and preventive treatment is to eliminate caries or at least to reduce the high-caries occurrence down to the level of the remaining part of the age group. Preventive treatment is divided into three parts: primary, secondary, and tertiary prevention. This paper describes the primary prevention in children with high caries risk by behavior modification and tooth protection. Behavior modification is about dental health education, oral hygiene, diet and sugar consumption, sugar-free chewing gum and sugar-free medicines. Tooth protection is about sealant, usage of flouride and chlorhexidine.

  6. The Relationship of Children Connectivity and Physical Activities with Satisfaction of Open Spaces in High Rise Apartments in Tehran

    Directory of Open Access Journals (Sweden)

    Ali Sharghi

    2014-07-01

    Full Text Available Increase of urbanization has pressure on the urban children's lives and physical activities. While in designing of residential apartments’ open spaces, there is little attention to the children. The children, who live in the high-rise apartments found to have less physical activities. However, supposedly, children need to engage in the physical activity in the outdoor areas as WHO recommend that children take part in at least one hour of moderate physical activity in every day. This paper firstly, reviews different researches in this area. Then, it attempts to find children’s satisfaction regarding connectivity to open spaces as a dependent variable and their preferred activities, perceived safety, and familiarity about connectivity to open spaces as independent variables. The method of study is a semi-interview survey with 80 children between 6 and 12 years old (primary school ages in two cases in Tehran. The result of this research shows that children satisfaction from open space has an effect on their outdoor activities. Therefore, the designers should be considering children physical activities needs in open spaces.

  7. Experience with molecular adsorbent recirculating system treatment in 20 children listed for high-urgency liver transplantation.

    Science.gov (United States)

    Lexmond, Willem S; Van Dael, Carin M L; Scheenstra, René; Goorhuis, Joanne F; Sieders, Egbert; Verkade, Henkjan J; Van Rheenen, Patrick F; Kömhoff, Martin

    2015-03-01

    For more than 10 years, children at our national center for pediatric liver transplantation (LT) have been treated with Molecular Adsorbent Recirculating System (MARS) liver dialysis as a bridging therapy to high-urgency LT. Treatment was reserved for 20 patients with the highest degrees of hepatic encephalopathy (HE; median grade = 3.5). Death from neurological sequelae was considered imminent for these patients, and this was further reflected in significantly higher international normalized ratios and ammonia levels and worse prognostic liver indices (Model for End-Stage Liver Disease/Pediatric End-Stage Liver Disease scores and liver injury units) in comparison with 32 wait-listed patients who did not receive MARS dialysis. MARS therapy was generally well tolerated, with a reduction in thrombocytes and hemorrhaging as the most common side effects. HE improvement was documented in 30% of the treated patients, but progression to grade IV encephalopathy occurred in 45% of the patients despite the treatment. Serum ammonia, bilirubin, bile acid, and creatinine levels significantly decreased during treatment. Eighty percent of MARS-treated patients survived to undergo LT, and their survival was equivalent to that of non-MARS-treated patients with severe liver failure (69%, P = 0.52). The heterogeneity between MARS-treated patients and non-MARS-treated patients in our cohort precluded a statistical evaluation of a benefit from MARS for patient survival. Our data demonstrate the safety of MARS even in the most severely ill patients awaiting LT, but strategies that promote the more rapid and widespread availability of high-quality donor organs remain of critical importance for improving patient survival in cases of severe acute liver failure. PMID:25366362

  8. Which DSM-IV-TR criteria best differentiate high-functioning autism spectrum disorder from ADHD and anxiety disorders in older children?

    OpenAIRE

    Hartley, Sigan L.; Sikora, Darryn M.

    2009-01-01

    Diagnosis of autism spectrum disorder (ASD) is often delayed in high-functioning children with milder and more varied forms of ASD. The substantial overlap between ASD and other psychiatric disorders is thought to contribute to this delay. This study examined the endorsement of DSM-IV-TR diagnostic criteria for ASD based on semi-structured parent interviews across three groups of older children referred to an ASD clinic: 55 children diagnosed with high-functioning ASD, 27 children diagnosed w...

  9. Sensitivity modeling of binary optical receivers.

    Science.gov (United States)

    Giggenbach, Dirk; Mata-Calvo, Ramon

    2015-10-01

    The sensitivity characteristics of optical receiver frontends for high-speed data communications depend on modulation format, detector type, and specific operational constraints. A general mathematical model of the receiver sensitivity that fits to analytical as well as measured data is required to compare different receiver implementations and assess the reliability of data links under varying received power as common in free-space optical communication links. In this paper, a new approach based on Q-factor modeling is presented, compared with analytical receiver models, and applied to a multitude of exemplary receiver implementations. A methodology is introduced to generally apply the model to ideal or practical binary optical receiver frontends. PMID:26479592

  10. Near vision anomalies in Black high school children in Empangeni, South Africa: A pilot study

    Directory of Open Access Journals (Sweden)

    Sam O. Wajuihian

    2014-08-01

    Full Text Available Background: The ability to read efficiently and comfortably is important in the intellectual development and academic performance of a child. Some children experience difficulties when reading due to symptoms related to near vision anomalies. Aim: To explore the feasibility of conducting a large study to determine the prevalence, distribution and characteristics of near vision anomalies in high school children in Empangeni, South Africa. Methods: The study was a cross sectional descriptive pilot study designed to provide preliminary data on prevalence, distribution and characteristics of near vision anomalies in a sample of high school-children in South Africa. Study participants comprised 65 Black children (30 males and 35 females, ages ranged between 13 and 19 years with a mean age and standard deviation of 17 ± 1.43 years. The visual functions evaluated and the techniques used included visual acuity (LogMAR acuity chart, refractive error (autorefractor and subjective refraction, heterophoria (von Graefe, near point of convergence (push-in-to-double, amplitude of accommodation (push-in-to-blur accommodation facility (± 2 D flipper lenses, relative accommodation, accommodation response (monocular estimation method and fusional vergences (step vergence with prism bars. Possible associations between symptoms and near vision anomalies were explored using a 20-point symptoms questionnaire. Results: Prevalence estimates were: Myopia 4.8%, hyperopia 1.6% and astigmatism 1.6%.  For accommodative anomalies, 1.6% had accommodative insufficiency while 1.6% had accommodative infacility. For convergence anomalies, 3.2% had receded near point of convergence, 16% had low suspect convergence insufficiency, no participant had high suspect convergence insufficiency, 1.6% had definite convergence insufficiency and 3.2% had convergence excess. Female participants reported more symptoms than the males and the association between clinical measures and symptoms

  11. SCREENING FOR SIMPLE MYOPIA AMONG HIGH SCHOOL CHILDREN IN HYDERABAD CITY

    Directory of Open Access Journals (Sweden)

    Vundi Krishna

    2016-03-01

    Full Text Available BACKGROUND Refractive error is one of the most common causes of visual impairment around the world and the second leading cause of treatable blindness. Due to the high magnitude of uncorrected refractive errors, myopia is considered as one of the important public health problems, especially in the urban population in India. It has been given high priority under the National Programme for Control of Blindness. AIM The aim of the present study is to know the prevalence of myopia and assess the degree of myopia among school going children. SETTINGS AND DESIGN Cross-sectional study done for one year. METHODS AND MATERIAL Age group of children 13-15 years, a total of 1600 were included in the study. Refractive error was tested using Snellen’s chart, Pin hole test, Occluder, Retinoscope. Statistical Analysis was done using the Epi Info version 7. RESULTS The prevalence of refractive errors was more in private schools (28.6% than in government schools (23%. It was observed that myopia was the major refractive error (89.8% among total refractive errors, followed by astigmatism (6.1% and hypermetropia (4.1%. In myopic children, both eyes were involved in 71.5%, right eye alone in 16.4%. Only 60% (478 and 98.4% (788 have undergone eye checkups yearly once, 36% and 0.3% didn’t have eye checkups so far in private and government schools respectively. CONCLUSION We conclude that prevalence of refractive errors more in private schools than government schools and myopia is the major among refractive errors. In most of them both the eyes are involved. Bitot’s spots were more in government schools, suggesting the need of vitamin A supplementation.

  12. Highly efficient Bayesian joint inversion for receiver-based data and its application to lithospheric structure beneath the southern Korean Peninsula

    Science.gov (United States)

    Kim, Seongryong; Dettmer, Jan; Rhie, Junkee; Tkalčić, Hrvoje

    2016-07-01

    With the deployment of extensive seismic arrays, systematic and efficient parameter and uncertainty estimation is of increasing importance and can provide reliable, regional models for crustal and upper-mantle structure. We present an efficient Bayesian method for the joint inversion of surface-wave dispersion and receiver-function data that combines trans-dimensional (trans-D) model selection in an optimization phase with subsequent rigorous parameter uncertainty estimation. Parameter and uncertainty estimation depend strongly on the chosen parametrization such that meaningful regional comparison requires quantitative model selection that can be carried out efficiently at several sites. While significant progress has been made for model selection (e.g. trans-D inference) at individual sites, the lack of efficiency can prohibit application to large data volumes or cause questionable results due to lack of convergence. Studies that address large numbers of data sets have mostly ignored model selection in favour of more efficient/simple estimation techniques (i.e. focusing on uncertainty estimation but employing ad-hoc model choices). Our approach consists of a two-phase inversion that combines trans-D optimization to select the most probable parametrization with subsequent Bayesian sampling for uncertainty estimation given that parametrization. The trans-D optimization is implemented here by replacing the likelihood function with the Bayesian information criterion (BIC). The BIC provides constraints on model complexity that facilitate the search for an optimal parametrization. Parallel tempering (PT) is applied as an optimization algorithm. After optimization, the optimal model choice is identified by the minimum BIC value from all PT chains. Uncertainty estimation is then carried out in fixed dimension. Data errors are estimated as part of the inference problem by a combination of empirical and hierarchical estimation. Data covariance matrices are estimated from

  13. The effect of high fiber snacks on digestive function and diet quality in a sample of school-age children

    OpenAIRE

    Brauchla, Mary; McCabe, George P; Miller, Kevin B; Kranz, Sibylle

    2013-01-01

    Background Dietary fiber (DF) intake in American children is suboptimal, increasing the risk of GI distress and contributing to poor diet quality. The objective of this study was to determine the effect of introducing two high-fiber snacks per day on gastrointestinal function as well as nutrient and food group intake in healthy children ages 7–11 years old. Methods This study was a randomized controlled prospective intervention study of children 7–11 years of age (n = 81) attending a rural Mi...

  14. Risk Factors for Obesity and High Blood Pressure in Chinese American Children: Maternal Acculturation and Children’s Food Choices

    OpenAIRE

    Chen, Jyu-Lin; Weiss, Sandra; Heyman, Melvin B.; Lustig, Robert

    2009-01-01

    The objective of this study is to explore risk factors associated with overweight and high blood pressure in Chinese American children. Students and their parents were recruited from Chinese language schools in the San Francisco Bay Area. Data were collected on 67 children and their mothers, and included children’s weight, height, waist and hip circumferences, blood pressure, level of physical activity, dietary intake, usual food choice, knowledge about nutrition and physical activity, and se...

  15. Phase II study of irinotecan (CPT-11) in children with high-risk malignant brain tumors: the Duke experience.

    OpenAIRE

    Turner, Christopher D.; Gururangan, Sridharan; Eastwood, James; Bottom, Krystal; Watral, Melody; Beason, Rodney; McLendon, Roger E; Allan H Friedman; Tourt-Uhlig, Sandra; Miller, Langdon L.; Friedman, Henry S.

    2002-01-01

    A phase II study of irinotecan (CPT-11) was conducted at Duke University Medical Center, Durham, NC, to evaluate the activity of this agent in children with high-risk malignant brain tumors. A total of 22 children were enrolled in this study, including 13 with histologically verified recurrent malignant brain tumors (glioblastoma multiforme [GBM] 4, anaplastic astrocytoma 1, ependymoma 5, and medulloblastoma/primitive neuroectodermal tumor 3), 5 with recurrent diffuse pontine glioma, and 4 wi...

  16. Preparation and clinical evaluation of a novel lozenge containing polaprezinc, a zinc-L-carnosine, for prevention of oral mucositis in patients with hematological cancer who received high-dose chemotherapy.

    Science.gov (United States)

    Hayashi, Hiroko; Kobayashi, Ryo; Suzuki, Akio; Yamada, Yuto; Ishida, Masayuki; Shakui, Toshinobu; Kitagawa, Junichi; Hayashi, Hideki; Sugiyama, Tadashi; Takeuchi, Hirofumi; Tsurumi, Hisashi; Itoh, Yoshinori

    2016-08-01

    We previously reported that oral ingestion of polaprezinc, a zinc-L-carnosine, suspended in sodium alginate solution prevents oral mucositis in patients receiving radiotherapy or high-dose chemotherapy. In the present study, we developed a novel preparation of polaprezinc and evaluated clinical effect of the lozenge preparation in patients receiving high-dose chemotherapy for hematopoietic stem cell transplantation. The preparation contained 18.75 mg polaprezinc in a tablet and showed an excellent uniformity and stability up to 24 weeks after storage under room temperature. The incidence rate of grade ≥ 2 oral mucositis was 74 % in patients without premedication, whereas the rate was remarkably reduced in patients receiving the suspension (23 %) or lozenge (13 %) of polaprezinc (P < 0.01). The use of non-opioid analgesic drugs such as anti-inflammatory agents and local anesthetics for oral pain was also greatly reduced by polaprezinc suspension or its lozenge (16 % for suspension and 13 % for lozenge compared with 89 % with no premedication, P < 0.01). These findings suggest that polaprezinc lozenge is simple to apply and highly effective for prevention of oral mucositis associated with high-dose chemotherapy for hematopoietic stem cell transplantation. PMID:27418192

  17. Scintillation-Hardened GPS Receiver

    Science.gov (United States)

    Stephens, Donald R.

    2015-01-01

    CommLargo, Inc., has developed a scintillation-hardened Global Positioning System (GPS) receiver that improves reliability for low-orbit missions and complies with NASA's Space Telecommunications Radio System (STRS) architecture standards. A software-defined radio (SDR) implementation allows a single hardware element to function as either a conventional radio or as a GPS receiver, providing backup and redundancy for platforms such as the International Space Station (ISS) and high-value remote sensing platforms. The innovation's flexible SDR implementation reduces cost, weight, and power requirements. Scintillation hardening improves mission reliability and variability. In Phase I, CommLargo refactored an open-source GPS software package with Kalman filter-based tracking loops to improve performance during scintillation and also demonstrated improved navigation during a geomagnetic storm. In Phase II, the company generated a new field-programmable gate array (FPGA)-based GPS waveform to demonstrate on NASA's Space Communication and Navigation (SCaN) test bed.

  18. Impact of the DSM-V Attention Deficit Hyperactivity Disorder Criteria for Diagnosing Children With High IQ.

    Science.gov (United States)

    Thongseiratch, Therdpong; Worachotekamjorn, Juthamas

    2016-10-01

    This study compared the number of attention deficit hyperactivity disorder (ADHD) cases defined by Diagnostic and Statistical Manual (DSM)-IV versus DSM-V criterion in children who have learning or behavioral problems with high IQ. The medical records of children ≤15 years of age who presented with learning or behavioral problems and underwent a Wechsler Intelligence Scale for Children (WISC)-III IQ test at the Pediatric Outpatient Clinic unit between 2010 and 2015 were reviewed. Information on DSM-IV and DSM-V criteria for ADHD were derived from computer-based medical records. Twenty-eight children who had learning or behavioral problems were identified to have a full-scale IQ ≥120. Sixteen of these high-IQ children met the DSM-IV criteria diagnosis for ADHD. Applying the extension of the age-of-onset criterion from 7 to 12 years in DSM-V led to an increase of three cases, all of which were the inattentive type ADHD. Including the pervasive developmental disorder criterion led to an increase of one case. The total number of ADHD cases also increased from 16 to 20 in this group. The data supported the hypothesis that applying the extension of the age-of-onset ADHD criterion and enabling the diagnosis of children with pervasive developmental disorders will increase the number of ADHD diagnoses among children with high IQ.

  19. Differences in oral health behaviour between children from high and children from low SES schools in the Netherlands

    NARCIS (Netherlands)

    Jerkovic, K.; Binnekade, J. M.; van der Kruk, J. J.; van der Most, J. A.; Talsma, A. C.; van der Schans, C. P.

    2009-01-01

    Objective To identify the determinants of dental caries in relation to socio-economic status (SES) within oral health, children's eating habits and parental attitudes towards oral health. Basic research design Dental screening data were collected from 6- and 10-year old schoolchildren from low and h

  20. Solar hydrogen by high-temperature electrolysis: Flowsheeting and experimental analysis of a tube-type receiver concept for superheated steam production

    OpenAIRE

    Houaijia, Anis; Breuer, Stefan; Thomey, Dennis; Brosig, Christian; Säck, Jan-Peter; Roeb, Martin; Sattler, Christian

    2014-01-01

    High-temperature electrolysis (HTE) offers the potential of considerably higher efficiency than conventional alkaline electrolysis when producing hydrogen from water by solar energy. The production rate of the alkaline electrolyzer process is limited since the whole energy demand is covered by electricity. By contrast, in HTE part of the energy can be introduced as high temperature heat from concentrated solar power (CSP) leading to a significantly higher process efficiency. In the interna...

  1. Digital Receiver Phase Meter

    Science.gov (United States)

    Marcin, Martin; Abramovici, Alexander

    2008-01-01

    The software of a commercially available digital radio receiver has been modified to make the receiver function as a two-channel low-noise phase meter. This phase meter is a prototype in the continuing development of a phase meter for a system in which radiofrequency (RF) signals in the two channels would be outputs of a spaceborne heterodyne laser interferometer for detecting gravitational waves. The frequencies of the signals could include a common Doppler-shift component of as much as 15 MHz. The phase meter is required to measure the relative phases of the signals in the two channels at a sampling rate of 10 Hz at a root power spectral density digital receiver. The input RF signal is first fed to the input terminal of an analog-to-digital converter (ADC). To prevent aliasing errors in the ADC, the sampling rate must be at least twice the input signal frequency. The sampling rate of the ADC is governed by a sampling clock, which also drives a digital local oscillator (DLO), which is a direct digital frequency synthesizer. The DLO produces samples of sine and cosine signals at a programmed tuning frequency. The sine and cosine samples are mixed with (that is, multiplied by) the samples from the ADC, then low-pass filtered to obtain in-phase (I) and quadrature (Q) signal components. A digital signal processor (DSP) computes the ratio between the Q and I components, computes the phase of the RF signal (relative to that of the DLO signal) as the arctangent of this ratio, and then averages successive such phase values over a time interval specified by the user.

  2. Pressure difference receiving ears

    DEFF Research Database (Denmark)

    Michelsen, Axel; Larsen, Ole Næsbye

    2007-01-01

    of such pressure difference receiving ears have been hampered by lack of suitable experimental methods. In this review, we review the methods for collecting reliable data on the binaural directional cues at the eardrums, on how the eardrum vibrations depend on the direction of sound incidence, and on how sound...... waves behave in the air spaces leading to the interior surfaces of eardrums. A linear mathematical model with well-defined inputs is used for exploring how the directionality varies with the binaural directional cues and the amplitude and phase gain of the sound pathway to the inner surface...

  3. Reactogenicity to a Live Attenuated Varicella Vaccine in Canadian Children

    OpenAIRE

    Diaz-Mitoma, Francisco; Halperin, Scott A.; Scheifele, David

    2000-01-01

    OBJECTIVE: To assess the reactogenicity and safety of a thermostable, high titre, varicella vaccine in healthy infants and children.DESIGN: Open study of 505 children monitored for 42 days after vaccination.SETTING: Three urban Canadian centres (Halifax, Ottawa and Vancouver).PARTICIPANTS: 505 healthy children one to 12 years of age were enrolled and 504 completed the study. All were susceptible to varicella by history.INTERVENTIONS: All participants received one dose of live attenuated varic...

  4. Weighted road density and allergic disease in children at high risk of developing asthma.

    Directory of Open Access Journals (Sweden)

    Anna L Hansell

    Full Text Available BACKGROUND: Evidence for an association between traffic-related air pollution and allergic disease is inconsistent, possibly because the adverse effects may be limited to susceptible subgroups and these have not been identified. This study examined children in the Childhood Asthma Prevention Study (CAPS, potentially susceptible to air pollution effects because of a family history of asthma. METHODS: We examined cross-sectional associations at age eight years between road density within 75 m and 50 m of home address weighted by road type (traffic density, as a proxy for traffic-related air pollution, on the following allergic and respiratory outcomes: skin prick tests (SPTs, total and specific serum IgE, pre- and post-bronchodilator lung function, airway hyperresponsiveness, exhaled NO, and reported asthma and rhinitis. RESULTS: Weighted road density was positively associated with allergic sensitisation and allergic rhinitis. Adjusted relative risk (RR for house dust mite (HDM positive SPT was 1.25 (95% CI: 1.06-1.48, for detectable house dust mite-specific IgE was 1.19 (95% CI: 1.01-1.41 and for allergic rhinitis was 1.30 (95% CI: 1.03-1.63 per 100 m local road or 33.3 m motorway within 50 m of home. Associations were also seen with small decrements of peak and mid-expiratory flows and increased risk of asthma, current wheeze and rhinitis in atopic children. CONCLUSION: Associations between road density and allergic disease were found in a potentially susceptible subgroup of children at high risk of developing atopy and asthma.

  5. What does it mean to me?: a Q-methodological exploration of the beliefs held about Asperger’s syndrome/high functioning autism when the diagnosis is received in adulthood

    OpenAIRE

    Seel, Emma Louise

    2008-01-01

    Introduction: This study aims to explore the ways in which Asperger’s Syndrome and High Functioning Autism are understood by those who have received a diagnosis in adulthood. The experience and understanding of diagnosis in adulthood has been little researched with only a small number of qualitative studies having been completed (Cousins, 2001; Molloy & Vasil, 2004; Punshon, 2006). These studies all highlight the importance of the beliefs held about Asperger’s Syndrome on the experience of di...

  6. High signal in bone marrow at diffusion-weighted imaging with body background suppression (DWIBS) in healthy children

    Energy Technology Data Exchange (ETDEWEB)

    Ording Mueller, Lil-Sofie; Avenarius, Derk [University Hospital North Norway, Department of Radiology, Tromsoe (Norway); Olsen, Oeystein E. [Great Ormond Street Hospital for Children, Department of Radiology, London (United Kingdom)

    2011-02-15

    In our experience, diffusion-weighted imaging with body background suppression (DWIBS) is hard to interpret in children who commonly have foci of restricted diffusion in their skeletons unrelated to pathology, sometimes in an asymmetrical pattern. This raises serious concern about the accuracy of DWIBS in cancer staging in children. To describe the signal distribution at DWIBS in the normal developing lumbar spine and pelvic skeleton. Forty-two healthy children underwent an MR DWIBS sequence of the abdomen and pelvis. An axial short-tau inversion-recovery (STIR) echo-planar imaging (EPI) pulse sequence was used. Two radiologists did a primary review of the images and based on these preliminary observations, separate scoring systems for the lumbar spine, pelvis and proximal femoral epiphyses/femoral heads were devised. Visual evaluation of the images was then performed by the two radiologists in consensus. The scoring was repeated separately 2 months later by a third radiologist. Restricted diffusion was defined as areas of high signal compared to the background. Coronal maximum intensity projection (MIP) reformats were used to assess the vertebral bodies. For the pelvis, the extension of high signal for each bone was given a score of 0 to 4. Cohen's Kappa interobserver agreement coefficients of signal distribution and asymmetry were calculated. All children had areas of high signal, both within the lumbar vertebral bodies and within the pelvic skeleton. Three patterns of signal distribution were seen in the lumbar spine, but no specific pattern was seen in the pelvis. There was a tendency toward a reduction of relative area of high signal within each bone with age, but also a widespread interindividual variation. Restricted diffusion is a normal finding in the pelvic skeleton and lumbar spine in children with an asymmetrical distribution seen in 48% of normal children in this study. DWIBS should be used with caution for cancer staging in children as this could

  7. Examining the Screen for Child Anxiety-Related Emotional Disorder-71 as an Assessment Tool for Anxiety in Children with High-Functioning Autism Spectrum Disorders

    Science.gov (United States)

    van Steensel, Francisca J. A.; Deutschman, Amber A. C. G.; Bögels, Susan M.

    2013-01-01

    The psychometric properties of a questionnaire developed to assess symptoms of anxiety disorders (SCARED-71) were compared between two groups of children: children with high-functioning autism spectrum disorder and comorbid anxiety disorders (ASD-group; "n" = 115), and children with anxiety disorders (AD-group; "n" = 122).…

  8. New cut-off values for ferritin and soluble transferrin receptor for the assessment of iron deficiency in children in a high infection pressure area

    NARCIS (Netherlands)

    K.S. Phiri; J.C.J. Calis; A. Siyasiya; I. Bates; B. Brabin; M. Boele van Hensbroek

    2009-01-01

    Background: Due to the potential risk of iron supplementation in iron replete children, it is important to properly identify children who may require iron supplementation. However, assessment of the iron status has proven to be difficult, especially in children living in areas with high infection pr

  9. A treatment plant receiving waste water from multiple bulk drug manufacturers is a reservoir for highly multi-drug resistant integron-bearing bacteria.

    Directory of Open Access Journals (Sweden)

    Nachiket P Marathe

    Full Text Available The arenas and detailed mechanisms for transfer of antibiotic resistance genes between environmental bacteria and pathogens are largely unclear. Selection pressures from antibiotics in situations where environmental bacteria and human pathogens meet are expected to increase the risks for such gene transfer events. We hypothesize that waste-water treatment plants (WWTPs serving antibiotic manufacturing industries may provide such spawning grounds, given the high bacterial densities present there together with exceptionally strong and persistent selection pressures from the antibiotic-contaminated waste. Previous analyses of effluent from an Indian industrial WWTP that processes waste from bulk drug production revealed the presence of a range of drugs, including broad spectrum antibiotics at extremely high concentrations (mg/L range. In this study, we have characterized the antibiotic resistance profiles of 93 bacterial strains sampled at different stages of the treatment process from the WWTP against 39 antibiotics belonging to 12 different classes. A large majority (86% of the strains were resistant to 20 or more antibiotics. Although there were no classically-recognized human pathogens among the 93 isolated strains, opportunistic pathogens such as Ochrobactrum intermedium, Providencia rettgeri, vancomycin resistant Enterococci (VRE, Aerococcus sp. and Citrobacter freundii were found to be highly resistant. One of the O. intermedium strains (ER1 was resistant to 36 antibiotics, while P. rettgeri (OSR3 was resistant to 35 antibiotics. Class 1 and 2 integrons were detected in 74/93 (80% strains each, and 88/93 (95% strains harbored at least one type of integron. The qPCR analysis of community DNA also showed an unprecedented high prevalence of integrons, suggesting that the bacteria living under such high selective pressure have an appreciable potential for genetic exchange of resistance genes via mobile gene cassettes. The present study provides

  10. A Treatment Plant Receiving Waste Water from Multiple Bulk Drug Manufacturers Is a Reservoir for Highly Multi-Drug Resistant Integron-Bearing Bacteria

    Science.gov (United States)

    Walujkar, Sandeep A.; Charan, Shakti Singh; Moore, Edward R. B.; Larsson, D. G. Joakim; Shouche, Yogesh S.

    2013-01-01

    The arenas and detailed mechanisms for transfer of antibiotic resistance genes between environmental bacteria and pathogens are largely unclear. Selection pressures from antibiotics in situations where environmental bacteria and human pathogens meet are expected to increase the risks for such gene transfer events. We hypothesize that waste-water treatment plants (WWTPs) serving antibiotic manufacturing industries may provide such spawning grounds, given the high bacterial densities present there together with exceptionally strong and persistent selection pressures from the antibiotic-contaminated waste. Previous analyses of effluent from an Indian industrial WWTP that processes waste from bulk drug production revealed the presence of a range of drugs, including broad spectrum antibiotics at extremely high concentrations (mg/L range). In this study, we have characterized the antibiotic resistance profiles of 93 bacterial strains sampled at different stages of the treatment process from the WWTP against 39 antibiotics belonging to 12 different classes. A large majority (86%) of the strains were resistant to 20 or more antibiotics. Although there were no classically-recognized human pathogens among the 93 isolated strains, opportunistic pathogens such as Ochrobactrum intermedium, Providencia rettgeri, vancomycin resistant Enterococci (VRE), Aerococcus sp. and Citrobacter freundii were found to be highly resistant. One of the O. intermedium strains (ER1) was resistant to 36 antibiotics, while P. rettgeri (OSR3) was resistant to 35 antibiotics. Class 1 and 2 integrons were detected in 74/93 (80%) strains each, and 88/93 (95%) strains harbored at least one type of integron. The qPCR analysis of community DNA also showed an unprecedented high prevalence of integrons, suggesting that the bacteria living under such high selective pressure have an appreciable potential for genetic exchange of resistance genes via mobile gene cassettes. The present study provides insight into

  11. Children Moving "Home"? Everyday Experiences of Return Migration in Highly Skilled Households

    Science.gov (United States)

    Hatfield, Madeleine E.

    2010-01-01

    Through its focus on children and return migration, this article addresses two invisibilities within migration research. It presents the experiences of children as equal movers in returning households, drawing on research with them in their domestic spaces. Exploring how children negotiate coming "home" and highlighting their experiences from…

  12. Relationship Quality and the Mentoring of Aggressive, High-Risk Children

    Science.gov (United States)

    Cavell, Timothy A.; Elledge, L. Christian; Malcolm, Kenya T.; Faith, Melissa A.; Hughes, Jan N.

    2009-01-01

    We used data from a randomized clinical trial to examine the degree to which relationship quality predicted outcomes for aggressive children in two different mentoring programs. Data were available for 145 aggressive children in Grades 2 and 3. Children were blocked by school and randomly assigned to PrimeTime (n = 75) or Lunch Buddy (n = 70)…

  13. Pathways from parental stimulation of children's curiosity to high school science course accomplishments and science career interest and skill

    Science.gov (United States)

    Eskeles Gottfried, Adele; Johnson Preston, Kathleen Suzanne; Gottfried, Allen W.; Oliver, Pamella H.; Delany, Danielle E.; Ibrahim, Sirena M.

    2016-08-01

    Curiosity is fundamental to scientific inquiry and pursuance. Parents are important in encouraging children's involvement in science. This longitudinal study examined pathways from parental stimulation of children's curiosity per se to their science acquisition (SA). A latent variable of SA was indicated by the inter-related variables of high school science course accomplishments, career interest, and skill. A conceptual model investigated parental stimulation of children's curiosity as related to SA via science intrinsic motivation and science achievement. The Fullerton Longitudinal Study provided data spanning school entry through high school (N = 118). Parental stimulation of curiosity at age 8 years comprised exposing children to new experiences, promoting curiosity, encouraging asking questions, and taking children to a museum. Intrinsic motivation was measured at ages 9, 10, and 13 years, and achievement at ages 9, 10, and 11 years. Structural equation modelling was used for analyses. Controlling for socio-economic status, parental stimulation of curiosity bore positive and significant relations to science intrinsic motivation and achievement, which in turn related to SA. Gender neither related to stimulation of curiosity nor contributed to the model. Findings highlight the importance of parental stimulation of children's curiosity in facilitating trajectories into science, and relevance to science education is discussed.

  14. Diversity of MMSE MIMO Receivers

    CERN Document Server

    Mehana, Ahmed Hesham

    2011-01-01

    In most MIMO systems, the family of waterfall error curves, calculated at different spectral efficiencies, are asymptotically parallel at high SNR. In other words, most MIMO systems exhibit a single diversity value for all {\\em fixed} rates. The MIMO MMSE receiver does not follow this pattern and exhibits a varying diversity in its family of error curves. This effect cannot be captured by DMT analysis, due to the fact that all fixed rates correspond to the same multiplexing gain, thus they cannot be differentiated within DMT analysis. This work analyzes this interesting behavior of the MMSE MIMO receiver and produces the MMSE MIMO diversity at each rate. The diversity of the quasi-static flat-fading MIMO channel consisting of any arbitrary number of transmit and receive antennas is fully characterized, showing that full spatial diversity is possible for all antenna configurations if and only if the rate is within a certain bound which is a function of the number of antennas. For other rate brackets, the avail...

  15. The clinical course of acute otitis media in high-risk Australian Aboriginal children: a longitudinal study

    Directory of Open Access Journals (Sweden)

    Skull Susan A

    2005-06-01

    Full Text Available Abstract Background It is unclear why some children with acute otitis media (AOM have poor outcomes. Our aim was to describe the clinical course of AOM and the associated bacterial nasopharyngeal colonisation in a high-risk population of Australian Aboriginal children. Methods We examined Aboriginal children younger than eight years who had a clinical diagnosis of AOM. Pneumatic otoscopy and video-otoscopy of the tympanic membrane (TM and tympanometry was done every weekday if possible. We followed children for either two weeks (AOM without perforation, or three weeks (AOM with perforation, or for longer periods if the infection persisted. Nasopharyngeal swabs were taken at study entry and then weekly. Results We enrolled 31 children and conducted a total of 219 assessments. Most children had bulging of the TM or recent middle ear discharge at diagnosis. Persistent signs of suppurative OM (without ear pain were present in most children 7 days (23/30, 77%, and 14 days (20/26, 77% later. Episodes of AOM did not usually have a sudden onset or short duration. Six of the 14 children with fresh discharge in their ear canal had an intact or functionally intact TM. Perforation size generally remained very small (Streptococcus pneumoniae (82%, Haemophilus influenzae (71%, and Moraxella catarrhalis (95%; 63% of swabs cultured all three pathogens. Conclusion In this high-risk population, AOM was generally painless and persistent. These infections were associated with persistent bacterial colonisation of the nasopharynx and any benefits of antibiotics were modest at best. Systematic follow up with careful examination and review of treatment are required and clinical resolution cannot be assumed.

  16. Chip Advancer For GPS Receiver

    Science.gov (United States)

    Meehan, Thomas K.; Srinivasan, Jeffrey M.; Thomas, J. Brooks

    1989-01-01

    Instrument errors made negligible. For each integration interval, both delay and rate of change of delay initialized to small fraction of chip - for example, to order of 10 to the negative 7th power - thereby making feedback control and extraction of delay highly accurate and flexible. With appropriate selection of sampling rate relative to chip rate, commensurability errors reduced to extremely small levels. In Global Positioning System (GPS) receiver, pseudorandom code sequence generated by simple digital logic incorporating effects of time, delay, and rate of change of delay. Flexibility in starting time and sum interval very useful in aligning correlation interval with beginnings and endings of data bits.

  17. Risk Factors for Depression in Children and Adolescents with High Functioning Autism Spectrum Disorders

    Directory of Open Access Journals (Sweden)

    Myriam De-la-Iglesia

    2015-01-01

    Full Text Available The objective of our study was to examine, discuss, and provide proposals on diagnostic comorbidity of depression in children and adolescents with high functioning autism spectrum disorder (HFASD in the following aspects. (1 Prevalence. It was concluded that there are an elevated depression rate and the need for longitudinal studies to determine prevalence and incidence based on functioning level, autistic symptoms, gender, age, type of depression, prognosis, duration, and treatment. (2 Explicative Hypotheses and Vulnerability. The factors that present the greatest specific risk are higher cognitive functioning, self-awareness of deficit, capacity for introspection, stressful life events, adolescence, quality of social relationships, and alexithymia. (3 Risk of Suicide. The need for control and detection of suicidal tendencies and bullying is emphasised. (4 Depressive Symptoms. Indicators for early detection are proposed and their overlap with HFASD is analysed, examining the assessment techniques used and arguing that specific adapted tests are needed.

  18. Risk Factors for Depression in Children and Adolescents with High Functioning Autism Spectrum Disorders

    Science.gov (United States)

    De-la-Iglesia, Myriam; Olivar, José-Sixto

    2015-01-01

    The objective of our study was to examine, discuss, and provide proposals on diagnostic comorbidity of depression in children and adolescents with high functioning autism spectrum disorder (HFASD) in the following aspects. (1) Prevalence. It was concluded that there are an elevated depression rate and the need for longitudinal studies to determine prevalence and incidence based on functioning level, autistic symptoms, gender, age, type of depression, prognosis, duration, and treatment. (2) Explicative Hypotheses and Vulnerability. The factors that present the greatest specific risk are higher cognitive functioning, self-awareness of deficit, capacity for introspection, stressful life events, adolescence, quality of social relationships, and alexithymia. (3) Risk of Suicide. The need for control and detection of suicidal tendencies and bullying is emphasised. (4) Depressive Symptoms. Indicators for early detection are proposed and their overlap with HFASD is analysed, examining the assessment techniques used and arguing that specific adapted tests are needed. PMID:26413564

  19. Low Noise Figure, High Gain Single LNA Cascaded with Cascoded LNA Amplifiers using Optimized Inductive Drain Feedback for Direct Conversion RF Front-end Receiver at Wireless Application

    Directory of Open Access Journals (Sweden)

    K. Pongot

    2014-04-01

    Full Text Available This study presents a design of low noise figure, high gain LNA at 5.8 GHz with cascaded and cascoded techniques using inductive drain feedback that is applicable for the WiMAX 802.16 standard. The amplifier uses Pseudomorphic High Electron Mobility Transistor FHX76LP super HEMT low noise FET. The Ansoft Designer SV as an Electromagnetic (EM simulator was used during the design process. The LNA was designed using the inductive drain feedback, inductive generation to the source and the T-network as a matching technique was used at the input and output terminal. The cascaded and cascoded Low Noise Amplifier (LNA produced a gain (S21 of 43.94 dB and the Noise Figure (NF of 0.61 dB. The input reflection (S11, output reflection (S22 and return loss (S12 are -10.65, -20.02 and -52.23 dB, respectively. The measured 3 dB bandwidth of 1.24 GHz has been achieved. The input sensitivity is -84 dBm exceeded the standards required by IEEE 802.16 has been observed.

  20. 基于FPGA的高速串行码流接收器%High Speed Serial Stream Receiver Based on FPGA

    Institute of Scientific and Technical Information of China (English)

    袁建富; 颜晗; 华波; 蒋佳佳; 段发阶; 李彦超; 薛俊; 袁文澹

    2016-01-01

    数据的串并转换与字节对齐是高速串行数据通信的一个重要环节.为了使串并转换后输出的并行数据是一个完整字节,设计了一种基于FPGA的高速数据串并转换及字节对齐方法.首先在数据中嵌入8B/10B编码中的K28.5同步码,然后将数据串化发送.用Verilog HDL语言设计了串并转换模块和码形检测模块.串并转换模块负责产生并行时钟并将串行数据并行化后进行输出.实现了1:10的串并转换以及并行数据字节比特偏移的检测和调整的功能.通过对不同传输速率下的数据进行实验验证,结果表明,该方案能满足高速串行数据通信的要求,减少了硬件电路的设计复杂程度.%The serial-to-parallel conversion and byte alignment of data is an important step in high speed serial communication. In order to meet the requirement that the output parallel data after serial-to-parallel conversion is a complete byte, a high speed data serial-to-parallel conversion and byte alignment method is designed based on FPGA. At first, K28. 5 synchronous code including 8B/10B code was embedded in-to data;and then, the data was serialized to be sent. Serial-to-parallel conversion module and code pat-tern test module were designed based on Verilog HDL. The serial-to-parallel conversion module is respon-sible for generating parallel clock and desializing serial data for output. The method achieved functions of 1:10 serial-to-parallel conversion and the parallel data bit shifting test and adjustment. According to ex-perimental results of different transmission rates, the method can satisfy the requirement of high speed se-rial data communication, reducing the complexity of hardware circuit design.