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Sample records for companion diagnostics predictive

  1. Companion diagnostics

    DEFF Research Database (Denmark)

    Jørgensen, Jan Trøst; Hersom, Maria

    2016-01-01

    of disease mechanisms, things are slowly changing. Within the last few years, we have seen an increasing number of predictive biomarker assays being developed to guide the use of targeted cancer drugs. This type of assay is called companion diagnostics and is developed in parallel to the drug using the drug-diagnostic...... co-development model. The development of companion diagnostics is a relatively new discipline and in this review, different aspects will be discussed including clinical and regulatory issues. Furthermore, examples of drugs, such as the ALK and PD-1/PD-L1 inhibitors, that have been approved recently....... Despite having discussed personalized medicine for more than a decade, we still see that most drug prescriptions for severe chronic diseases are largely based on 'trial and error' and not on solid biomarker data. However, with the advance of molecular diagnostics and a subsequent increased understanding...

  2. Companion diagnostics: a regulatory perspective from the last 5 years of molecular companion diagnostic approvals.

    Science.gov (United States)

    Roscoe, Donna M; Hu, Yun-Fu; Philip, Reena

    2015-01-01

    Companion diagnostics are essential for the safe and effective use of the corresponding therapeutic products. The US FDA has approved a number of companion diagnostics used to select cancer patients for treatment with contemporaneously approved novel therapeutics. The processes of co-development and co-approval of a therapeutic product and its companion diagnostic have been a learning experience that continues to evolve. Using several companion diagnostics as examples, this article describes the challenges associated with the scientific, clinical and regulatory hurdles faced by FDA and industry alike. Taken together, this discussion is intended to assist manufacturers toward a successful companion diagnostics development plan.

  3. Mitochondrial markers predict recurrence, metastasis and tamoxifen-resistance in breast cancer patients: Early detection of treatment failure with companion diagnostics.

    Science.gov (United States)

    Sotgia, Federica; Fiorillo, Marco; Lisanti, Michael P

    2017-09-15

    tamoxifen-resistance and tumor recurrence, at their initial diagnosis, in patients with advanced breast cancer. In the long-term, these mitochondrial biomarkers could provide a new companion diagnostics platform to help clinicians to accurately predict the response to hormonal therapy in ER(+) breast cancer patients, facilitating more personalized and effective treatment. Similarly, these mitochondrial markers could be used as companion diagnostics, to determine which breast cancer patients would benefit most from clinical treatments with mitochondrially-targeted anti-cancer therapeutics. Finally, we also showed that these mitochondrial markers are superior when directly compared with conventional biomarkers, such as Ki67 and PCNA.

  4. The current and future state of companion diagnostics

    Science.gov (United States)

    Agarwal, Amit; Ressler, Dan; Snyder, Glenn

    2015-01-01

    Companion diagnostics are an indispensable part of personalized medicine and will likely continue to rapidly increase in number and application to disease areas. The first companion diagnostics were launched in the 1980s and in the face of significant initial skepticism from drug developers as to whether segmenting a drug’s market through a diagnostic was advisable. The commercial success of drugs such as Herceptin® (trastuzumab) and Gleevec® (imatinib), which both require testing with companion diagnostics before they can be prescribed, has moved the entire companion diagnostic field forward. From an initial start of a handful of oncology drugs with corresponding diagnostics, the field has expanded to include multiple therapeutic areas, and the number of combinations has grown by 12-fold. Based on drugs in clinical trials, the rapid growth will likely continue for the foreseeable future. This expansion of companion diagnostics will also have a global component as markets in Europe will evolve in a similar but not identical pattern as the US. One of the greatest challenges to future growth in companion diagnostics is aligning the incentives of all stakeholders. A major driver of growth will continue to be the economic incentives for drug developers to pair their products with diagnostics. However, diagnostic companies are caught between the conflicting demands of two major stakeholders, pharmaceutical companies on one hand and payers/providers on the other. Regulators are also becoming more demanding in aligning development time lines between drugs and diagnostics. In order to survive and prosper, diagnostic companies will need to think more broadly about companion diagnostics than the historical match between a specific drug and a single diagnostic. They will also have to continue the process of consolidation and global expansion that the industry has already begun. Despite these potential obstacles, companion diagnostics have become one of the hottest areas

  5. Diagnostic imaging in companion animal theriogenology

    International Nuclear Information System (INIS)

    Root, C.R.; Spaulding, K.A.

    1994-01-01

    Clinical assessment of reproductive problems in companion animals is greatly enhanced by the availability of various imaging modalities. Specifically, survey radiography, contrast radiography, real-time ultrasonography, and ultrasound-guided biopsy and/or aspiration cytology, alone or in various combinations, offer sophisticated methods of extension of the physical examination of the reproductive systems of dogs and cats. In particular, real-time ultrasonography offers invaluable assistance. It is nonionizing, largely noninvasive, rapid, and capable of providing certain dynamic information that is not conveniently available in any other way. Judging from its rapid growth in recent years, it has apparently become an integral part of the complete reproductive assessment of domestic animals. This is not to slight the importance of some of the contrast radiographic procedures that have been developed and refined. Some of them, such as maximum distention retrograde urothrocystography, provide unique information not available with presently routinely used ultrasound techniques. Other imaging modalities, such as magnetic resonance imaging, have heretofore provided limited benefit to theriogenology; that will probably change in years to come

  6. Implementation of a companion diagnostic in the clinical laboratory

    DEFF Research Database (Denmark)

    Mancini, Irene; Pinzani, Pamela; Simi, Lisa

    2015-01-01

    A companion diagnostic test provides information that is essential for the safe and effective use of a corresponding therapeutic product as indicated in the drug instructions. The implementation of a companion diagnostic follows the rules of a molecular test for somatic mutations in a routine...... clinical laboratory environment and needs guidance on practical aspects, including the choice of the proper analytical method and the procedures for internal and external quality controls. Selection of the appropriate assay for detection of genetic alterations depends on several factors: the type...... on restrictions of the method used. In relation to these aspects herein we report an opinion paper of the Working Group Personalized Laboratory Medicine jointly constituted by the European Federation of Laboratory Medicine (EFLM) and by the European Society of Pharmacogenomics and Theranostics (ESPT) using...

  7. Aligning the Economic Value of Companion Diagnostics and Stratified Medicines

    Directory of Open Access Journals (Sweden)

    Edward D. Blair

    2012-11-01

    Full Text Available The twin forces of payors seeking fair pricing and the rising costs of developing new medicines has driven a closer relationship between pharmaceutical companies and diagnostics companies, because stratified medicines, guided by companion diagnostics, offer better commercial, as well as clinical, outcomes. Stratified medicines have created clinical success and provided rapid product approvals, particularly in oncology, and indeed have changed the dynamic between drug and diagnostic developers. The commercial payback for such partnerships offered by stratified medicines has been less well articulated, but this has shifted as the benefits in risk management, pricing and value creation for all stakeholders become clearer. In this larger healthcare setting, stratified medicine provides both physicians and patients with greater insight on the disease and provides rationale for providers to understand cost-effectiveness of treatment. This article considers how the economic value of stratified medicine relationships can be recognized and translated into better outcomes for all healthcare stakeholders.

  8. Intellectual property considerations for molecular diagnostic development with emphasis on companion diagnostics.

    Science.gov (United States)

    Glorikian, Harry; Warburg, Richard Jeremy; Moore, Kelly; Malinowski, Jennifer

    2018-02-01

    The development of molecular diagnostics is a complex endeavor, with multiple regulatory pathways to consider and numerous approaches to development and commercialization. Companion diagnostics, devices which are "essential for the safe and effective use of a corresponding drug or diagnostic product" (see U.S. Food & Drug Administration, In Vitro Diagnostics - Companion Diagnostics, U.S. Dept. of Health & Human Services(2016), available at https://www.fda.gov/medicaldevices/productsandmedicalprocedures/invitrodiagnostics/ucm407297.htm ) and complementary diagnostics, which are more broadly associated with a class of drug, are becoming increasingly important as integral components of the implementation of precision medicine. Areas covered: The following article will highlight the intellectual property ('IP') considerations pertinent to molecular diagnostics development with special emphasis on companion diagnostics. Expert opinion/commentary Summary: For all molecular diagnostics, intellectual property (IP) concerns are of paramount concern, whether the device will be marketed only in the United States or abroad. Taking steps to protect IP at each stage of product development is critical to optimize profitability of a diagnostic product. Also the legal framework around IP protection of diagnostic technologies has been changing over the previous few years and can be expected to continue to change in the foreseeable near future, thus, a comprehensive IP strategy should take into account the fact that changes in the law can be expected.

  9. Companion diagnostics for the targeted therapy of gastric cancer.

    Science.gov (United States)

    Yoo, Changhoon; Park, Young Soo

    2015-10-21

    Gastric cancer is the fourth most common type of cancer and represents a major cause of cancer-related deaths worldwide. With recent biomedical advances in our understanding of the molecular characteristics of gastric cancer, many genetic alterations have been identified as potential targets for its treatment. Multiple novel agents are currently under development as the demand for active agents that improve the survival of gastric cancer patients constantly increases. Based on lessons from previous trials of targeted agents, it is now widely accepted that the establishment of an optimal diagnostic test to select molecularly defined patients is of equal importance to the development of active agents against targetable genetic alterations. Herein, we highlight the current status and future perspectives of companion diagnostics in the treatment of gastric cancer.

  10. A Quantitative Assessment of Factors Affecting the Technological Development and Adoption of Companion Diagnostics

    Directory of Open Access Journals (Sweden)

    Dee eLuo

    2016-01-01

    Full Text Available Rapid innovation in (epigenetics and biomarker sciences is driving a new drug development and product development pathway, with the personalized medicine era dominated by biologic therapeutics and companion diagnostics. Companion diagnostics (CDx are tests and assays that detect biomarkers and specific mutations to elucidate disease pathways, stratify patient populations, and target drug therapies. CDx can substantially influence the development and regulatory approval for certain high-risk biologics. However, despite the increasingly important role of companion diagnostics in the realization of personalized medicine, in the United States, there are only twenty-three Food and Drug Administration (FDA approved companion diagnostics on the market for eleven unique indications. Personalized medicines have great potential, yet their use is currently constrained. A major factor for this may lie in the increased complexity of the companion diagnostic and corresponding therapeutic development and adoption pathways. Understanding the market dynamics of companion diagnostic/therapeutic (CDx/Rx pairs is important to further development and adoption of personalized medicine. Therefore, data collected on a variety of factors may highlight incentives or disincentives driving the development of companion diagnostics. Statistical analysis for thirty-six hypotheses resulted in two significant relationships and thirty-four non-significant relationships. The sensitivity of the companion diagnostic was the only factor that significantly correlated with the price of the companion diagnostic. This result indicates that while there is regulatory pressure for the diagnostic and pharmaceutical industry to collaborate and co-develop companion diagnostics for the approval of personalized therapeutics, there seems to be a lack of parallel economic collaboration to incentivize development of companion diagnostics.

  11. A Quantitative Assessment of Factors Affecting the Technological Development and Adoption of Companion Diagnostics.

    Science.gov (United States)

    Luo, Dee; Smith, James A; Meadows, Nick A; Schuh, A; Manescu, Katie E; Bure, Kim; Davies, Benjamin; Horne, Rob; Kope, Mike; DiGiusto, David L; Brindley, David A

    2015-01-01

    Rapid innovation in (epi)genetics and biomarker sciences is driving a new drug development and product development pathway, with the personalized medicine era dominated by biologic therapeutics and companion diagnostics. Companion diagnostics (CDx) are tests and assays that detect biomarkers and specific mutations to elucidate disease pathways, stratify patient populations, and target drug therapies. CDx can substantially influence the development and regulatory approval for certain high-risk biologics. However, despite the increasingly important role of companion diagnostics in the realization of personalized medicine, in the USA, there are only 23 Food and Drug Administration (FDA) approved companion diagnostics on the market for 11 unique indications. Personalized medicines have great potential, yet their use is currently constrained. A major factor for this may lie in the increased complexity of the companion diagnostic and corresponding therapeutic development and adoption pathways. Understanding the market dynamics of companion diagnostic/therapeutic (CDx/Rx) pairs is important to further development and adoption of personalized medicine. Therefore, data collected on a variety of factors may highlight incentives or disincentives driving the development of companion diagnostics. Statistical analysis for 36 hypotheses resulted in two significant relationships and 34 non-significant relationships. The sensitivity of the companion diagnostic was the only factor that significantly correlated with the price of the companion diagnostic. This result indicates that while there is regulatory pressure for the diagnostic and pharmaceutical industry to collaborate and co-develop companion diagnostics for the approval of personalized therapeutics, there seems to be a lack of parallel economic collaboration to incentivize development of companion diagnostics.

  12. Cost Implications of Value-Based Pricing for Companion Diagnostic Tests in Precision Medicine.

    Science.gov (United States)

    Zaric, Gregory S

    2016-07-01

    Many interpretations of personalized medicine, also referred to as precision medicine, include discussions of companion diagnostic tests that allow drugs to be targeted to those individuals who are most likely to benefit or that allow treatment to be designed in a way such that individuals who are unlikely to benefit do not receive treatment. Many authors have commented on the clinical and competitive implications of companion diagnostics, but there has been relatively little formal analysis of the cost implications of companion diagnostics, although cost reduction is often cited as a significant benefit of precision medicine. We investigate the potential impact on costs of precision medicine implemented through the use of companion diagnostics. We develop a framework in which the costs of companion diagnostic tests are determined by considerations of profit maximization and cost effectiveness. We analyze four scenarios that are defined by the incremental cost-effectiveness ratio of the new drug in the absence of a companion diagnostic test. We find that, in most scenarios, precision medicine strategies based on companion diagnostics should be expected to lead to increases in costs in the short term and that costs would fall only in a limited number of situations.

  13. Cancer drug development and the evolving regulatory framework for companion diagnostics in the European union.

    Science.gov (United States)

    Pignatti, Francesco; Ehmann, Falk; Hemmings, Robert; Jonsson, Bertil; Nuebling, Micha; Papaluca-Amati, Marisa; Posch, Martin; Rasi, Guido

    2014-03-15

    The European Union (EU) legal framework for medical device regulation is currently under revision. The European Commission has proposed a new framework to ensure that medical devices serve the needs and ensure the safety of European citizens, aiming for a framework that is fit for purpose, more transparent, and better adapted to scientific and technological progress. The proposed new framework is described as an evolution of the current regime keeping the same legal approach. An important proposed change is that companion diagnostics will no longer be considered as low risk and subject to self-certification by the manufacturer. According to the new proposal, companion diagnostics will be classified as high individual risk or moderate public health risk (category C) and require conformity assessment by a notified body. It has also been proposed that evidence of the clinical utility of the device for the intended purpose should be required for companion diagnostics. In this article, we review the EU legal framework relevant for companion diagnostics, describe the proposed changes, and summarize the available scientific guidance from the European Medicines Agency and its regulatory experience with cancer drug development including companion diagnostics. See all articles in this CCR Focus section, "The Precision Medicine Conundrum: Approaches to Companion Diagnostic Co-development." ©2014 AACR.

  14. Modeling companion diagnostics in economic evaluations of targeted oncology therapies: systematic review and methodological checklist.

    Science.gov (United States)

    Doble, Brett; Tan, Marcus; Harris, Anthony; Lorgelly, Paula

    2015-02-01

    The successful use of a targeted therapy is intrinsically linked to the ability of a companion diagnostic to correctly identify patients most likely to benefit from treatment. The aim of this study was to review the characteristics of companion diagnostics that are of importance for inclusion in an economic evaluation. Approaches for including these characteristics in model-based economic evaluations are compared with the intent to describe best practice methods. Five databases and government agency websites were searched to identify model-based economic evaluations comparing a companion diagnostic and subsequent treatment strategy to another alternative treatment strategy with model parameters for the sensitivity and specificity of the companion diagnostic (primary synthesis). Economic evaluations that limited model parameters for the companion diagnostic to only its cost were also identified (secondary synthesis). Quality was assessed using the Quality of Health Economic Studies instrument. 30 studies were included in the review (primary synthesis n = 12; secondary synthesis n = 18). Incremental cost-effectiveness ratios may be lower when the only parameter for the companion diagnostic included in a model is the cost of testing. Incorporating the test's accuracy in addition to its cost may be a more appropriate methodological approach. Altering the prevalence of the genetic biomarker, specific population tested, type of test, test accuracy and timing/sequence of multiple tests can all impact overall model results. The impact of altering a test's threshold for positivity is unknown as it was not addressed in any of the included studies. Additional quality criteria as outlined in our methodological checklist should be considered due to the shortcomings of standard quality assessment tools in differentiating studies that incorporate important test-related characteristics and those that do not. There is a need to refine methods for incorporating the characteristics

  15. Molecular Pathology and Personalized Medicine: The Dawn of a New Era in Companion Diagnostics-Practical Considerations about Companion Diagnostics for Non-Small-Cell-Lung-Cancer.

    Science.gov (United States)

    Plönes, Till; Engel-Riedel, Walburga; Stoelben, Erich; Limmroth, Christina; Schildgen, Oliver; Schildgen, Verena

    2016-01-15

    Companion diagnostics (CDx) have become a major tool in molecular pathology and assist in therapy decisions in an increasing number of various cancers. Particularly, the developments in lung cancer have been most impressing in the last decade and consequently lung cancer mutation testing and molecular profiling has become a major business of diagnostic laboratories. However, it has become difficult to decide which biomarkers are currently relevant for therapy decisions, as many of the new biomarkers are not yet approved as therapy targets, remain in the status of clinical studies, or still have not left the experimental phase. The current review is focussed on those markers that do have current therapy implications, practical implications arising from the respective companion diagnostics, and thus is focused on daily practice.

  16. Clinical and radiological diagnostic of foreign bodies in companion birds

    International Nuclear Information System (INIS)

    Kummerfeld, N.; Erhorn, I.

    1991-01-01

    Sometimes curious foreign bodies placed in the proventriculus/ventriculus of companion birds are causes of single case diseases. Clinical signs include untypical symptoms such as distress, lameness, vomiting and diarrhoe. In cases of heavy metal intoxication, e.g. lead poisoning, CNS-disorders are found. Radiographs taken in a ventro-dorsal and a latero-lateral view show the presence of foreign bodies in suspicion. In most cases of foreign bodies in birds a surgical intervention (Gastrotomy) is indicated

  17. Introducing the ESAT-6 free IGRA, a companion diagnostic for TB vaccines based on ESAT-6

    DEFF Research Database (Denmark)

    Ruhwald, Morten; de Thurah, Lena; Kuchaka, Davis

    2017-01-01

    tests unspecific after vaccination. This challenge has prompted the development of a companion diagnostic for ESAT-6 based vaccines, an ESAT-6 free IGRA. We screened a panel of seven potential new diagnostic antigens not recognized in BCG vaccinated individuals. Three highly recognized antigens Esp......C, EspF and Rv2348c were identified and combined with CFP10 in an ESAT-6 free antigen cocktail. The cocktail was prepared in a field-friendly format, lyophilized with heparin in ready-to-use vacutainer tubes. The diagnostic performance of the ESAT-6 free IGRA was determined in a cross-validation study....... Compared IGRA, the ESAT-6 free IGRA induced a comparable magnitude of IFN-γ release, and the diagnostic performance was on par with Quantiferon (sensitivity 84% vs 79%; specificity 99% vs 97%). The comparable performance of the ESAT-6 free IGRA to IGRA suggests potential as companion diagnostic for ESAT-6...

  18. The impact of new trends in POCTs for companion diagnostics, non-invasive testing and molecular diagnostics.

    Science.gov (United States)

    Huckle, David

    2015-06-01

    Point-of-care diagnostics have been slowly developing over several decades and have taken on a new importance in current healthcare delivery for both diagnostics and development of new drugs. Molecular diagnostics have become a key driver of technology change and opened up new areas in companion diagnostics for use alongside pharmaceuticals and in new clinical approaches such as non-invasive testing. Future areas involving smartphone and other information technology advances, together with new developments in molecular biology, microfluidics and surface chemistry are adding to advances in the market. The focus for point-of-care tests with molecular diagnostic technologies is focused on advancing effective applications.

  19. Targeted therapies with companion diagnostics in the management of breast cancer: current perspectives.

    Science.gov (United States)

    Myers, Meagan B

    2016-01-01

    Breast cancer is a multifaceted disease exhibiting both intertumoral and intratumoral heterogeneity as well as variable disease course. Over 2 decades of research has advanced the understanding of the molecular substructure of breast cancer, directing the development of new therapeutic strategies against these actionable targets. In vitro diagnostics, and specifically companion diagnostics, have been integral in the successful development and implementation of these targeted therapies, such as those directed against the human epidermal growth factor receptor 2. Lately, there has been a surge in the development, commercialization, and marketing of diagnostic assays to assist in breast cancer patient care. More recently, multigene signature assays, such as Oncotype DX, MammaPrint, and Prosigna, have been integrated in the clinical setting in order to tailor decisions on adjuvant endocrine and chemotherapy treatment. This review provides an overview of the current state of breast cancer management and the use of companion diagnostics to direct personalized approaches in the treatment of breast cancer.

  20. 76 FR 41506 - Draft Guidance for Industry and FDA Staff on In Vitro Companion Diagnostic Devices; Availability

    Science.gov (United States)

    2011-07-14

    ...., Bldg. 51, rm. 2201, Silver Spring, MD 20993- 0002, or Office of Communication, Outreach and Development... help make critical treatment decisions. FDA oversight of companion diagnostics will protect patients... current thinking on companion diagnostic devices. It does not create or confer any rights for or on any...

  1. Lyme disease: the promise of Big Data, companion diagnostics and precision medicine

    Science.gov (United States)

    Stricker, Raphael B; Johnson, Lorraine

    2016-01-01

    Lyme disease caused by the spirochete Borrelia burgdorferi has become a major worldwide epidemic. Recent studies based on Big Data registries show that >300,000 people are diagnosed with Lyme disease each year in the USA, and up to two-thirds of individuals infected with B. burgdorferi will fail conventional 30-year-old antibiotic therapy for Lyme disease. In addition, animal and human evidence suggests that sexual transmission of the Lyme spirochete may occur. Improved companion diagnostic tests for Lyme disease need to be implemented, and novel treatment approaches are urgently needed to combat the epidemic. In particular, therapies based on the principles of precision medicine could be modeled on successful “designer drug” treatment for HIV/AIDS and hepatitis C virus infection featuring targeted protease inhibitors. The use of Big Data registries, companion diagnostics and precision medicine will revolutionize the diagnosis and treatment of Lyme disease. PMID:27672336

  2. The Evolving Role of Companion Diagnostics for Breast Cancer in an Era of Next-Generation Omics.

    Science.gov (United States)

    Rosenbaum, Jason N; Weisman, Paul

    2017-10-01

    A companion diagnostic is a test for a specific biomarker-approved by the United States Food and Drug Administration-qualifying a patient to receive a specific, associated therapy. As interest has grown in precision medicine over the past decade, the principle of companion diagnostics has gained increasing purchase among laboratory professionals, clinicians, regulators, and even patients. The evolution of the biomarkers used to stratify and treat breast cancer illustrates the history of companion diagnostics and provides a lens through which to examine potential challenges. As new targeted therapies and corresponding biomarkers accumulate, algorithms for diagnosis and treatment necessarily become lengthier and more complex. To accommodate future needs of breast cancer patients, the companion diagnostic model will continue to adapt and evolve. Copyright © 2017 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.

  3. Molecular Pathology and Personalized Medicine: The Dawn of a New Era in Companion Diagnostics—Practical Considerations about Companion Diagnostics for Non-Small-Cell-Lung-Cancer

    Directory of Open Access Journals (Sweden)

    Till Plönes

    2016-01-01

    Full Text Available Companion diagnostics (CDx have become a major tool in molecular pathology and assist in therapy decisions in an increasing number of various cancers. Particularly, the developments in lung cancer have been most impressing in the last decade and consequently lung cancer mutation testing and molecular profiling has become a major business of diagnostic laboratories. However, it has become difficult to decide which biomarkers are currently relevant for therapy decisions, as many of the new biomarkers are not yet approved as therapy targets, remain in the status of clinical studies, or still have not left the experimental phase. The current review is focussed on those markers that do have current therapy implications, practical implications arising from the respective companion diagnostics, and thus is focused on daily practice.

  4. Companion diagnostics and molecular imaging-enhanced approaches for oncology clinical trials.

    Science.gov (United States)

    Van Heertum, Ronald L; Scarimbolo, Robert; Ford, Robert; Berdougo, Eli; O'Neal, Michael

    2015-01-01

    In the era of personalized medicine, diagnostic approaches are helping pharmaceutical and biotechnology sponsors streamline the clinical trial process. Molecular assays and diagnostic imaging are routinely being used to stratify patients for treatment, monitor disease, and provide reliable early clinical phase assessments. The importance of diagnostic approaches in drug development is highlighted by the rapidly expanding global cancer diagnostics market and the emergent attention of regulatory agencies worldwide, who are beginning to offer more structured platforms and guidance for this area. In this paper, we highlight the key benefits of using companion diagnostics and diagnostic imaging with a focus on oncology clinical trials. Nuclear imaging using widely available radiopharmaceuticals in conjunction with molecular imaging of oncology targets has opened the door to more accurate disease assessment and the modernization of standard criteria for the evaluation, staging, and treatment responses of cancer patients. Furthermore, the introduction and validation of quantitative molecular imaging continues to drive and optimize the field of oncology diagnostics. Given their pivotal role in disease assessment and treatment, the validation and commercialization of diagnostic tools will continue to advance oncology clinical trials, support new oncology drugs, and promote better patient outcomes.

  5. Influence of companion diagnostics on efficacy and safety of targeted anti-cancer drugs: systematic review and meta-analyses.

    Science.gov (United States)

    Ocana, Alberto; Ethier, Josee-Lyne; Díez-González, Laura; Corrales-Sánchez, Verónica; Srikanthan, Amirrtha; Gascón-Escribano, María J; Templeton, Arnoud J; Vera-Badillo, Francisco; Seruga, Bostjan; Niraula, Saroj; Pandiella, Atanasio; Amir, Eitan

    2015-11-24

    Companion diagnostics aim to identify patients that will respond to targeted therapies, therefore increasing the clinical efficacy of such drugs. Less is known about their influence on safety and tolerability of targeted anti-cancer agents. Randomized trials evaluating targeted agents for solid tumors approved by the US Food and Drug Administration since year 2000 were assessed. Odds ratios (OR) and and 95% confidence intervals (CI) were computed for treatment-related death, treatment-discontinuation related to toxicity and occurrence of any grade 3/4 adverse events (AEs). The 12 most commonly reported individual AEs were also explored. ORs were pooled in a meta-analysis. Analysis comprised 41 trials evaluating 28 targeted agents. Seventeen trials (41%) utilized companion diagnostics. Compared to control groups, targeted drugs in experimental arms were associated with increased odds of treatment discontinuation, grade 3/4 AEs, and toxic death irrespective of whether they utilized companion diagnostics or not. Compared to drugs without available companion diagnostics, agents with companion diagnostics had a lower magnitude of increased odds of treatment discontinuation (OR = 1.12 vs. 1.65, p diagnostics were greatest for diarrhea (OR = 1.29 vs. 2.43, p diagnostics are associated with improved safety, and tolerability. Differences were most marked for gastrointestinal, cutaneous and neurological toxicity.

  6. Overcoming regulatory challenges in the development of companion diagnostics for monitoring and safety.

    Science.gov (United States)

    Shimazawa, Rumiko; Ikeda, Masayuki

    2016-03-01

    Concurrent development and co-approval of a companion diagnostic (CDx) with a corresponding drug is ideal, but often unfeasible. Because of limited exposure to a drug in clinical trials, crucial information on safety is sometimes revealed only after approval. Therefore, a CDx for monitoring/safety is often developed after approval of a corresponding drug. However, regulatory guidance is insufficient if contemporaneous development is not possible, thereby leaving plenty of opportunities for improvement with respect to pharmacovigilance and retrospective validation of the CDx. Furthermore, global harmonization of guidance on how to incorporate new scientific information from retrospective analyses of biomarkers should lead to the establishment of more evidence for the development of CDx for approved drugs.

  7. Climate Prediction Center - Outreach: 41st Annual Climate Diagnostics &

    Science.gov (United States)

    home page National Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Annual Climate Diagnostics & Prediction Workshop NOAA's 41st Climate Diagnostics and Prediction Climate Diagnostics Prediction Workshop (CDPW) news, visit the CDPW list server Abstract Submission Has

  8. Climate Prediction Center: ENSO Diagnostic Discussion

    Science.gov (United States)

    Organization Search Go Search the CPC Go Expert Assessments ENSO Diagnostic Discussion Archive About Us Our Assessments > ENSO Diagnostic Discussion El Niño/Southern Oscillation (ENSO) Diagnostic Discussion PDF : English Version Spanish Version Adobe PDF Reader (Click icon for Adobe PDF Reader) Word: English Version

  9. Google+ companion

    CERN Document Server

    Hattersley, Mark

    2012-01-01

    Get the inside scoop on the newest social networking site: Google+ If you think you've seen it all when it comes to social networking sites, you haven't seen Google+ yet! Built from the ground up to be useful to both desktop and mobile users, Google+ offers the same great features as other popular social network sites?yet, Google+ goes one step further by integrating popular Google technologies and introducing exciting new and unique features such as "Circles," "Hang," and "Sparks." Using clear, step-by-step instructions, Google+ Companion helps you master this amazing new social networking te

  10. Operator companion

    International Nuclear Information System (INIS)

    Natalizio, A.; Anderson, J.W.D.; Sills, H.E.

    1988-01-01

    Abundant, cheap computing power has provided industry with a far greater opportunity than was available one or two decades ago to automate industrial processes and to improve the man-machine interface. Exciting innovations in knowledge representation methods arising from artificial intelligence research pave the way for advanced support systems for assisting plant operators. AECL has recognized the importance of knowledge based system technology, particularly expert systems, in the achievement of this objective and also, as a strategic technology to be fully exploited in the next generation of CANDU reactors. Operator Companion, an expert system intended to diagnose plant faults and advise the operator on appropriate restoring or corrective actions, is a major undertaking which is receiving support within the research and engineering groups of AECL

  11. Diagnostic value of newborn foot length to predict gestational age

    Directory of Open Access Journals (Sweden)

    Mutia Farah Fawziah

    2017-08-01

    Full Text Available Background  Identification of gestational age, especially within 48 hours of birth, is crucial for newborns, as the earlier preterm status is detected, the earlier the child can receive optimal management. Newborn foot length is an anthropometric measurement which is easy to perform, inexpensive, and potentially efficient for predicting gestational age. Objective  To analyze the diagnostic value of newborn foot length in predicting gestational age. Methods  This diagnostic study was performed between October 2016 and February 2017 in the High Care Unit of Neonates at Dr. Moewardi General Hospital, Surakarta. A total of 152 newborns were consecutively selected and underwent right foot length measurements before 96 hours of age. The correlation between newborn foot length to classify as full term and gestational age was analyzed with Spearman’s correlation test because of non-normal data distribution. The cut-off point of newborn foot length was calculated by receiver operating characteristic (ROC curve and diagnostic values of newborn foot length were analyzed by 2 x 2 table with SPSS 21.0 software. Results There were no significant differences between male and female newborns in terms of gestational age, birth weight, choronological age, and newborn foot length (P>0.05. Newborn foot length and gestational age had a significant correlation (r=0.53; P=0.000. The optimal cut-off newborn foot length to predict full term status was 7.1 cm. Newborn foot length below 7.1 cm had sensitivity 75%, specificity 98%, positive predictive value 94.3%, negative predictive value 90.6%, positive likelihood ratio 40.5, negative likelihood ratio 0.25, and post-test probability 94.29%, to predict preterm status in newborns. Conclusion  Newborn foot length can be used to predict gestational age, especially for the purpose of differentiating between preterm and full term newborns.

  12. Nonparametric predictive inference for combining diagnostic tests with parametric copula

    Science.gov (United States)

    Muhammad, Noryanti; Coolen, F. P. A.; Coolen-Maturi, T.

    2017-09-01

    Measuring the accuracy of diagnostic tests is crucial in many application areas including medicine and health care. The Receiver Operating Characteristic (ROC) curve is a popular statistical tool for describing the performance of diagnostic tests. The area under the ROC curve (AUC) is often used as a measure of the overall performance of the diagnostic test. In this paper, we interest in developing strategies for combining test results in order to increase the diagnostic accuracy. We introduce nonparametric predictive inference (NPI) for combining two diagnostic test results with considering dependence structure using parametric copula. NPI is a frequentist statistical framework for inference on a future observation based on past data observations. NPI uses lower and upper probabilities to quantify uncertainty and is based on only a few modelling assumptions. While copula is a well-known statistical concept for modelling dependence of random variables. A copula is a joint distribution function whose marginals are all uniformly distributed and it can be used to model the dependence separately from the marginal distributions. In this research, we estimate the copula density using a parametric method which is maximum likelihood estimator (MLE). We investigate the performance of this proposed method via data sets from the literature and discuss results to show how our method performs for different family of copulas. Finally, we briefly outline related challenges and opportunities for future research.

  13. Using Pattern Classification and Recognition Techniques for Diagnostic and Prediction

    Directory of Open Access Journals (Sweden)

    MORARIU, N.

    2007-04-01

    Full Text Available The paper presents some aspects regarding the joint use of classification and recognition techniques for the activity evolution diagnostication and prediction by means of a set of indexes. Starting from the indexes set there is defined a measure on the patterns set, measure representing a scalar value that characterizes the activity analyzed at each time moment. A pattern is defined by the values of the indexes set at a given time. Over the classes set obtained by means of the classification and recognition techniques is defined a relation that allows the representation of the evolution from negative evolution towards positive evolution. For the diagnostication and prediction the following tools are used: pattern recognition and multilayer perceptron. The data set used in experiments describes the pollution due to CO2 emission from the consumption of fuels in Europe. The paper also presents the REFORME software written by the authors and the results of the experiment obtained with this software.

  14. Concurrent and predictive evaluation of malnutrition diagnostic measures in hip fracture inpatients: a diagnostic accuracy study.

    Science.gov (United States)

    Bell, J J; Bauer, J D; Capra, S; Pulle, R C

    2014-03-01

    Differences in malnutrition diagnostic measures impact malnutrition prevalence and outcomes data in hip fracture. This study investigated the concurrent and predictive validity of commonly reported malnutrition diagnostic measures in patients admitted to a metropolitan hospital acute hip fracture unit. A prospective, consecutive level II diagnostic accuracy study (n=142; 8 exclusions) including the International Classification of Disease, 10th Revision, Australian Modification (ICD10-AM) protein-energy malnutrition criteria, a body mass index (BMI) Patients were predominantly elderly (median age 83.5, range 50-100 years), female (68%), multimorbid (median five comorbidities), with 15% 4-month mortality. Malnutrition prevalence was lowest when assessed by BMI (13%), followed by MNA-SF (27%), ICD10-AM (48%), albumin (53%) and geriatrician assessment (55%). Agreement between measures was highest between ICD10-AM and geriatrician assessment (κ=0.61) followed by ICD10-AM and MNA-SF measures (κ=0.34). ICD10-AM diagnosed malnutrition was the only measure associated with 48-h mobilisation (35.0 vs 55.3%; P=0.018). Reduced likelihood of home discharge was predicted by ICD-10-AM (20.6 vs 57.1%; P=0.001) and MNA-SF (18.8 vs 47.8%; P=0.035). Bivariate analysis demonstrated ICD10-AM (relative risk (RR)1.2; 1.05-1.42) and MNA-SF (RR1.2; 1.0-1.5) predicted 4-month mortality. When adjusted for age, usual place of residency, comorbidities and time to surgery only ICD-10AM criteria predicted mortality (odds ratio 3.59; 1.10-11.77). Albumin, BMI and geriatrician assessment demonstrated limited concurrent and predictive validity. Malnutrition prevalence in hip fracture varies substantially depending on the diagnostic measure applied. ICD-10AM criteria or the MNA-SF should be considered for the diagnosis of protein-energy malnutrition in frail, multi-morbid hip fracture inpatients.

  15. Molecular Pathology: Predictive, Prognostic, and Diagnostic Markers in Uterine Tumors.

    Science.gov (United States)

    Ritterhouse, Lauren L; Howitt, Brooke E

    2016-09-01

    This article focuses on the diagnostic, prognostic, and predictive molecular biomarkers in uterine malignancies, in the context of morphologic diagnoses. The histologic classification of endometrial carcinomas is reviewed first, followed by the description and molecular classification of endometrial epithelial malignancies in the context of histologic classification. Taken together, the molecular and histologic classifications help clinicians to approach troublesome areas encountered in clinical practice and evaluate the utility of molecular alterations in the diagnosis and subclassification of endometrial carcinomas. Putative prognostic markers are reviewed. The use of molecular alterations and surrogate immunohistochemistry as prognostic and predictive markers is also discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Molecular pathology in adult gliomas: diagnostic, prognostic, and predictive markers.

    LENUS (Irish Health Repository)

    Jansen, Michael

    2010-07-01

    Over the past 10 years, there has been an increasing use of molecular markers in the assessment and management of adult malignant gliomas. Some molecular signatures are used diagnostically to help pathologists classify tumours, whereas others are used to estimate prognosis for patients. Most crucial, however, are those markers that are used to predict response to certain therapies, thereby directing clinicians to a particular treatment while avoiding other potentially deleterious therapies. Recently, large-scale genome-wide surveys have been used to identify new biomarkers that have been rapidly developed as diagnostic and prognostic tools. Given these developments, the pace of discovery of new molecular assays will quicken to facilitate personalised medicine in the setting of malignant glioma.

  17. Personalized Cancer Medicine: Molecular Diagnostics, Predictive biomarkers, and Drug Resistance

    Science.gov (United States)

    Gonzalez de Castro, D; Clarke, P A; Al-Lazikani, B; Workman, P

    2013-01-01

    The progressive elucidation of the molecular pathogenesis of cancer has fueled the rational development of targeted drugs for patient populations stratified by genetic characteristics. Here we discuss general challenges relating to molecular diagnostics and describe predictive biomarkers for personalized cancer medicine. We also highlight resistance mechanisms for epidermal growth factor receptor (EGFR) kinase inhibitors in lung cancer. We envisage a future requiring the use of longitudinal genome sequencing and other omics technologies alongside combinatorial treatment to overcome cellular and molecular heterogeneity and prevent resistance caused by clonal evolution. PMID:23361103

  18. Improving acute kidney injury diagnostics using predictive analytics.

    Science.gov (United States)

    Basu, Rajit K; Gist, Katja; Wheeler, Derek S

    2015-12-01

    Acute kidney injury (AKI) is a multifactorial syndrome affecting an alarming proportion of hospitalized patients. Although early recognition may expedite management, the ability to identify patients at-risk and those suffering real-time injury is inconsistent. The review will summarize the recent reports describing advancements in the area of AKI epidemiology, specifically focusing on risk scoring and predictive analytics. In the critical care population, the primary underlying factors limiting prediction models include an inability to properly account for patient heterogeneity and underperforming metrics used to assess kidney function. Severity of illness scores demonstrate limited AKI predictive performance. Recent evidence suggests traditional methods for detecting AKI may be leveraged and ultimately replaced by newer, more sophisticated analytical tools capable of prediction and identification: risk stratification, novel AKI biomarkers, and clinical information systems. Additionally, the utility of novel biomarkers may be optimized through targeting using patient context, and may provide more granular information about the injury phenotype. Finally, manipulation of the electronic health record allows for real-time recognition of injury. Integrating a high-functioning clinical information system with risk stratification methodology and novel biomarker yields a predictive analytic model for AKI diagnostics.

  19. Strategies for Optimizing the Diagnostic Predictive Value of Clostridium difficile Molecular Diagnostics.

    Science.gov (United States)

    Kociolek, Larry K

    2017-05-01

    Because nucleic acid amplification tests (NAATs) do not distinguish Clostridium difficile infection (CDI) and asymptomatic C. difficile carriage, the diagnostic predictive value of NAATs is limited when used in patients with a low probability of CDI. In this issue of the Journal of Clinical Microbiology , Truong et al. (J. Clin. Microbiol., 55:1276-1284, 2017, https://doi.org/10.1128/JCM.02319-16) report significant reductions in hospital-onset CDI and oral vancomycin utilization at their institution following implementation of a novel intervention that leveraged their clinical bioinformatics resources to prevent C. difficile testing of stools from patients without clinically significant diarrhea and in patients with recent laxative use. Copyright © 2017 American Society for Microbiology.

  20. Microsporidiosis in Vertebrate Companion Exotic Animals

    Directory of Open Access Journals (Sweden)

    Claire Vergneau-Grosset

    2015-12-01

    Full Text Available Veterinarians caring for companion animals may encounter microsporidia in various host species, and diagnosis and treatment of these fungal organisms can be particularly challenging. Fourteen microsporidial species have been reported to infect humans and some of them are zoonotic; however, to date, direct zoonotic transmission is difficult to document versus transit through the digestive tract. In this context, summarizing information available about microsporidiosis of companion exotic animals is relevant due to the proximity of these animals to their owners. Diagnostic modalities and therapeutic challenges are reviewed by taxa. Further studies are needed to better assess risks associated with animal microsporidia for immunosuppressed owners and to improve detection and treatment of infected companion animals.

  1. The AECL operator companion

    International Nuclear Information System (INIS)

    Lupton, L.R.; Anderson, L.L.; Basso, R.A.J.

    1989-11-01

    As CANDU plants become more complex, and are operated under tighter constraints and for longer periods between outages, plant operations staff will have to absorb more information to correctly and rapidly respond to upsets. A development program is underway at AECL to use expert systems and interactive media tools to assist operations staff of existing and future CANDU plants. The complete system for plant information access and display, on-line advice and diagnosis, and interactive operating procedures is called the Operator Companion. A prototype, consisting of operator consoles, expert systems and simulation modules in a distributed architecture, is currently being developed to demonstrate the concepts of the Operator Companion

  2. Companion Animals. [Information Packet.

    Science.gov (United States)

    National Anti-Vivisection Society, Chicago, IL.

    This collection of articles reprinted from other National Anti-Vivisection Society (NAVS) publications was compiled to educate the public on issues of importance to NAVS concerning companion animals. Topics covered include spaying and neutering, animal safety, pet theft, and the use of cats and dogs in research. The article on spaying and…

  3. The physics companion

    CERN Document Server

    Fischer-Cripps, Anthony C

    2014-01-01

    Updated and expanded with new topics, The Physics Companion, 2nd Edition offers a unique and educational approach to learning physics at a level suitable for first-year science students. This new edition expands the presentation to include senior topics, such as statistical mechanics, quantum physics, and nuclear physics.

  4. Positive predictive value of serological diagnostic measures in celiac disease

    DEFF Research Database (Denmark)

    Toftedal, Peter; Nielsen, Christian; Madsen, Jonas Trolle

    2010-01-01

    Celiac disease (CD) antibodies, immunoglobulin A (IgA) anti-tissue transglutaminase (anti-tTG), IgA endomysium antibody (EMA), IgA and IgG anti-gliadin antibodies (IgA and IgG AGA) are first-line diagnostic tools used in selecting patients for duodenal biopsy. The goal of this study was to evaluate...

  5. NOAA Climate Prediction Center (CPC) El Nino-Southern Oscillation (ENSO) Diagnostics Discussion

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The ENSO Diagnostics Discussion (EDD) is issued by NOAA Climate Prediction Center each month on the Thursday between the 5th and 11th with few exceptions (major...

  6. Can Emergency Medicine Residents Predict Cost of Diagnostic Testing?

    Directory of Open Access Journals (Sweden)

    Tainter, Christopher R

    2017-01-01

    Full Text Available Diagnostic testing represents a significant portion of healthcare spending, and cost should be considered when ordering such tests. Needless and excessive spending may occur without an appreciation of the impact on the larger healthcare system. Knowledge regarding the cost of diagnostic testing among emergency medicine (EM residents has not previously been studied. A survey was administered to 20 EM residents from a single ACGME-accredited three-year EM residency program, asking for an estimation of patient charges for 20 commonly ordered laboratory tests and seven radiological exams. We compared responses between residency classes to evaluate whether there was a difference based on level of training. The survey completion rate was 100% (20/20 residents. We noted significant discrepancies between the median resident estimates and actual charge to patient for both laboratory and radiological exams. Nearly all responses were an underestimate of the actual cost. The group median underestimation for laboratory testing was $114, for radiographs $57, and for computed tomography exams was $1,058. There was improvement in accuracy with increasing level of training. This pilot study demonstrates that EM residents have a poor understanding of the charges burdening patients and health insurance providers. In order to make balanced decisions with regard to diagnostic testing, providers must appreciate these factors. Education regarding the cost of providing emergency care is a potential area for improvement of EM residency curricula, and warrants further attention and investigation.

  7. The circuit designer's companion

    CERN Document Server

    Williams, Tim

    1991-01-01

    The Circuit Designer's Companion covers the theoretical aspects and practices in analogue and digital circuit design. Electronic circuit design involves designing a circuit that will fulfill its specified function and designing the same circuit so that every production model of it will fulfill its specified function, and no other undesired and unspecified function.This book is composed of nine chapters and starts with a review of the concept of grounding, wiring, and printed circuits. The subsequent chapters deal with the passive and active components of circuitry design. These topics are foll

  8. The Diagnostic Apathia Scale predicts the ability to return to work following depression or anxiety

    DEFF Research Database (Denmark)

    Hellström, Lc; Eplov, Lf; Nordentoft, M

    2014-01-01

    , tiredness/fatigue, insomnia, and reduced ability to work and engage in personal interests. The scale was analysed for psychometric validity (scalability) and for its ability to predict RTW. Finally, the predictive validity of the Diagnostic Apathia Scale regarding RTW was compared with scales measuring...

  9. Diagnostics

    DEFF Research Database (Denmark)

    Donné, A.J.H.; Costley, A.E.; Barnsley, R.

    2007-01-01

    of the measurements—time and spatial resolutions, etc—will in some cases be more stringent. Many of the measurements will be used in the real time control of the plasma driving a requirement for very high reliability in the systems (diagnostics) that provide the measurements. The implementation of diagnostic systems...... on ITER is a substantial challenge. Because of the harsh environment (high levels of neutron and gamma fluxes, neutron heating, particle bombardment) diagnostic system selection and design has to cope with a range of phenomena not previously encountered in diagnostic design. Extensive design and R......&D is needed to prepare the systems. In some cases the environmental difficulties are so severe that new diagnostic techniques are required. The starting point in the development of diagnostics for ITER is to define the measurement requirements and develop their justification. It is necessary to include all...

  10. DGNB Building Certification Companion

    DEFF Research Database (Denmark)

    Møller, Renate Skovgaard; Rhodes, Michael K.; Larsen, Tine Steen

    2017-01-01

    for sustainable buildings. The literature describes several barriers of entry preventing actors in the industry from seeking sustainability certifications and prioritizing design methods, supporting sustainability in greater numbers. In the newly developed tool, “DGNB building certification companion: Sustainable......-language, easily digestible summaries of various topics regarding sustainability and the DGNB certification scheme. The identified barriers are described in the tool followed by a solution to overcome them. The tool, tested at multiple stages of development and moulded by many individuals both within and outside...... was that this is a desired product on the market. This new approach is expected to dramatically reduce misunderstandings, conflicts, and mistakes during a sustainable design process, helping the design team plan a project to possibly obtain the highest DGNB score if desired and properly documented....

  11. DGNB BUILDING CERTIFICATION COMPANION

    DEFF Research Database (Denmark)

    Møller, Renate Skovgaard; Rhodes, Michael K.; Larsen, Tine Steen

    2018-01-01

    for sustainable buildings. The literature describes several barriers of entry preventing actors in the industry from seeking sustainability certifications and prioritizing design methods, supporting sustainability in greater numbers. In the newly developed tool, “DGNB building certification companion: Sustainable......-language, easily digestible summaries of various topics regarding sustainability and the DGNB certification scheme. The identified barriers are described in the tool followed by a solution to overcome them. The tool, tested at multiple stages of development and moulded by many individuals both within and outside...... was that this is a desired product on the market. This new approach is expected to dramatically reduce misunderstandings, conflicts, and mistakes during a sustainable design process, helping the design team plan a project to possibly obtain the highest DGNB score if desired and properly documented....

  12. Predicting risk behaviors: development and validation of a diagnostic scale.

    Science.gov (United States)

    Witte, K; Cameron, K A; McKeon, J K; Berkowitz, J M

    1996-01-01

    The goal of this study was to develop and validate the Risk Behavior Diagnosis (RBD) Scale for use by health care providers and practitioners interested in promoting healthy behaviors. Theoretically guided by the Extended Parallel Process Model (EPPM; a fear appeal theory), the RBD scale was designed to work in conjunction with an easy-to-use formula to determine which types of health risk messages would be most appropriate for a given individual or audience. Because some health risk messages promote behavior change and others backfire, this type of scale offers guidance to practitioners on how to develop the best persuasive message possible to motivate healthy behaviors. The results of the study demonstrate the RBD scale to have a high degree of content, construct, and predictive validity. Specific examples and practical suggestions are offered to facilitate use of the scale for health practitioners.

  13. Cryogenic systems advanced monitoring, fault diagnostics, and predictive maintenance

    CERN Document Server

    Arpaia, Pasquale; Inglese, Vitaliano; Pezzetti, Marco

    2018-01-01

    Cryogenics, the study and technology of materials and systems at very low temperature, is widely used for sensors and instruments requiring very highly precise measurements with low electrical resistance, especially for measurements of materials and energies at a very small scale. Thus, the need to understand how instruments operate and perform over time at temperatures below -2920 F (-1800 C) is critical, for applications from Magnetic Resonance Imaging (MRI) to Nuclear Magnetic Resonance Spectroscopy to instrumentation for particle accelerators of all kinds. This book brings to the reader guidance learned from work at the European Laboratory for Nuclear Research (CERN), and its large scale particle accelerator in Switzerland to help engineers and technicians implement best practices in instrumentation at cryogenic temperatures, including a better understanding of fault detection and predictive maintenance. Special problems with devices like flow meters, pressure gauges, and temperature gauges when operating...

  14. Imaginary Companions of Preschool Children.

    Science.gov (United States)

    Gleason, Tracy R.; Sebanc, Anne M.; Hartup, Willard W.

    2000-01-01

    Interviewed mothers to examine the developmental significance of preschoolers' imaginary companions. Found that relationships with invisible companions were described as sociable and friendly, whereas personified objects were usually nurtured. Object personification frequently occurred as a result of acquiring a toy; invisible friends were viewed…

  15. Cancer imaging phenomics toolkit: quantitative imaging analytics for precision diagnostics and predictive modeling of clinical outcome.

    Science.gov (United States)

    Davatzikos, Christos; Rathore, Saima; Bakas, Spyridon; Pati, Sarthak; Bergman, Mark; Kalarot, Ratheesh; Sridharan, Patmaa; Gastounioti, Aimilia; Jahani, Nariman; Cohen, Eric; Akbari, Hamed; Tunc, Birkan; Doshi, Jimit; Parker, Drew; Hsieh, Michael; Sotiras, Aristeidis; Li, Hongming; Ou, Yangming; Doot, Robert K; Bilello, Michel; Fan, Yong; Shinohara, Russell T; Yushkevich, Paul; Verma, Ragini; Kontos, Despina

    2018-01-01

    The growth of multiparametric imaging protocols has paved the way for quantitative imaging phenotypes that predict treatment response and clinical outcome, reflect underlying cancer molecular characteristics and spatiotemporal heterogeneity, and can guide personalized treatment planning. This growth has underlined the need for efficient quantitative analytics to derive high-dimensional imaging signatures of diagnostic and predictive value in this emerging era of integrated precision diagnostics. This paper presents cancer imaging phenomics toolkit (CaPTk), a new and dynamically growing software platform for analysis of radiographic images of cancer, currently focusing on brain, breast, and lung cancer. CaPTk leverages the value of quantitative imaging analytics along with machine learning to derive phenotypic imaging signatures, based on two-level functionality. First, image analysis algorithms are used to extract comprehensive panels of diverse and complementary features, such as multiparametric intensity histogram distributions, texture, shape, kinetics, connectomics, and spatial patterns. At the second level, these quantitative imaging signatures are fed into multivariate machine learning models to produce diagnostic, prognostic, and predictive biomarkers. Results from clinical studies in three areas are shown: (i) computational neuro-oncology of brain gliomas for precision diagnostics, prediction of outcome, and treatment planning; (ii) prediction of treatment response for breast and lung cancer, and (iii) risk assessment for breast cancer.

  16. Limitations of diagnostic precision and predictive utility in the individual case: a challenge for forensic practice.

    Science.gov (United States)

    Cooke, David J; Michie, Christine

    2010-08-01

    Knowledge of group tendencies may not assist accurate predictions in the individual case. This has importance for forensic decision making and for the assessment tools routinely applied in forensic evaluations. In this article, we applied Monte Carlo methods to examine diagnostic agreement with different levels of inter-rater agreement given the distributional characteristics of PCL-R scores. Diagnostic agreement and score agreement were substantially less than expected. In addition, we examined the confidence intervals associated with individual predictions of violent recidivism. On the basis of empirical findings, statistical theory, and logic, we conclude that predictions of future offending cannot be achieved in the individual case with any degree of confidence. We discuss the problems identified in relation to the PCL-R in terms of the broader relevance to all instruments used in forensic decision making.

  17. Advanced diagnostics and predictive maintenance to improve availability and reliability of ENEL plants

    Energy Technology Data Exchange (ETDEWEB)

    Cenci, V.; Ghironi, M.; Guidi, L.; Lauro, M.; Pestonesi, D. [ENEL (Italy). Generation and Energy Management Division

    2007-07-01

    This paper reviews the ENEL Generation and Energy Management strategy for diagnostics and predictive maintenance of power plants and provides a comprehensive description of effective applications and systems. Exploiting the most advanced information and communication technologies makes it possible to capture weak and hidden signals and powerful processing can be used to discover forewarning symptoms and identify anomalies both in the process and, above all, inside the devices. The following systems and applications are presented together with results and impact on plant profitability: expert system for the diagnostics of plant main machinery; advanced diagnostics of 'intelligent' fieldbus devices such as on/off valve motor-driven actuators, control-valve positioners and pneumatic actuators, transmitters; control loop and control valve diagnostics in order to investigate valve friction with an estimation of the residual time to failure; multisensorial diagnostics for coal transport and storage systems aimed at preventing firing and structural damages; and wireless sensor networks for the diagnostics of medium and small size components. 4 refs., 14 figs., 1 tab.

  18. Designing Socially Intelligent Virtual Companions

    OpenAIRE

    Yu, Han; Shen, Zhiqi; Wu, Qiong; Miao, Chunyan

    2014-01-01

    Virtual companions that interact with users in a socially complex environment require a wide range of social skills. Displaying curiosity is simultaneously a factor to improve a companion's believability and to unobtrusively affect the user's activities over time. Curiosity represents a drive to know new things. It is a major driving force for engaging learners in active learning. Existing research work pays little attention in curiosity. In this paper, we enrich the social skills of a virtua...

  19. The diagnostic value of specific IgE to Ara h 2 to predict peanut allergy in children is comparable to a validated and updated diagnostic prediction model.

    Science.gov (United States)

    Klemans, Rob J B; Otte, Dianne; Knol, Mirjam; Knol, Edward F; Meijer, Yolanda; Gmelig-Meyling, Frits H J; Bruijnzeel-Koomen, Carla A F M; Knulst, André C; Pasmans, Suzanne G M A

    2013-01-01

    A diagnostic prediction model for peanut allergy in children was recently published, using 6 predictors: sex, age, history, skin prick test, peanut specific immunoglobulin E (sIgE), and total IgE minus peanut sIgE. To validate this model and update it by adding allergic rhinitis, atopic dermatitis, and sIgE to peanut components Ara h 1, 2, 3, and 8 as candidate predictors. To develop a new model based only on sIgE to peanut components. Validation was performed by testing discrimination (diagnostic value) with an area under the receiver operating characteristic curve and calibration (agreement between predicted and observed frequencies of peanut allergy) with the Hosmer-Lemeshow test and a calibration plot. The performance of the (updated) models was similarly analyzed. Validation of the model in 100 patients showed good discrimination (88%) but poor calibration (P original model: sex, skin prick test, peanut sIgE, and total IgE minus sIgE. When building a model with sIgE to peanut components, Ara h 2 was the only predictor, with a discriminative ability of 90%. Cutoff values with 100% positive and negative predictive values could be calculated for both the updated model and sIgE to Ara h 2. In this way, the outcome of the food challenge could be predicted with 100% accuracy in 59% (updated model) and 50% (Ara h 2) of the patients. Discrimination of the validated model was good; however, calibration was poor. The discriminative ability of Ara h 2 was almost comparable to that of the updated model, containing 4 predictors. With both models, the need for peanut challenges could be reduced by at least 50%. Copyright © 2012 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.

  20. Predicting diagnostic error in Radiology via eye-tracking and image analytics: Application in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Voisin, Sophie [ORNL; Pinto, Frank M [ORNL; Morin-Ducote, Garnetta [University of Tennessee, Knoxville (UTK); Hudson, Kathy [University of Tennessee, Knoxville (UTK); Tourassi, Georgia [ORNL

    2013-01-01

    Purpose: The primary aim of the present study was to test the feasibility of predicting diagnostic errors in mammography by merging radiologists gaze behavior and image characteristics. A secondary aim was to investigate group-based and personalized predictive models for radiologists of variable experience levels. Methods: The study was performed for the clinical task of assessing the likelihood of malignancy of mammographic masses. Eye-tracking data and diagnostic decisions for 40 cases were acquired from 4 Radiology residents and 2 breast imaging experts as part of an IRB-approved pilot study. Gaze behavior features were extracted from the eye-tracking data. Computer-generated and BIRADs images features were extracted from the images. Finally, machine learning algorithms were used to merge gaze and image features for predicting human error. Feature selection was thoroughly explored to determine the relative contribution of the various features. Group-based and personalized user modeling was also investigated. Results: Diagnostic error can be predicted reliably by merging gaze behavior characteristics from the radiologist and textural characteristics from the image under review. Leveraging data collected from multiple readers produced a reasonable group model (AUC=0.79). Personalized user modeling was far more accurate for the more experienced readers (average AUC of 0.837 0.029) than for the less experienced ones (average AUC of 0.667 0.099). The best performing group-based and personalized predictive models involved combinations of both gaze and image features. Conclusions: Diagnostic errors in mammography can be predicted reliably by leveraging the radiologists gaze behavior and image content.

  1. Predicting diagnostic error in radiology via eye-tracking and image analytics: Preliminary investigation in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Voisin, Sophie; Tourassi, Georgia D. [Biomedical Science and Engineering Center, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States); Pinto, Frank [School of Engineering, Science, and Technology, Virginia State University, Petersburg, Virginia 23806 (United States); Morin-Ducote, Garnetta; Hudson, Kathleen B. [Department of Radiology, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee 37920 (United States)

    2013-10-15

    Purpose: The primary aim of the present study was to test the feasibility of predicting diagnostic errors in mammography by merging radiologists’ gaze behavior and image characteristics. A secondary aim was to investigate group-based and personalized predictive models for radiologists of variable experience levels.Methods: The study was performed for the clinical task of assessing the likelihood of malignancy of mammographic masses. Eye-tracking data and diagnostic decisions for 40 cases were acquired from four Radiology residents and two breast imaging experts as part of an IRB-approved pilot study. Gaze behavior features were extracted from the eye-tracking data. Computer-generated and BIRADS images features were extracted from the images. Finally, machine learning algorithms were used to merge gaze and image features for predicting human error. Feature selection was thoroughly explored to determine the relative contribution of the various features. Group-based and personalized user modeling was also investigated.Results: Machine learning can be used to predict diagnostic error by merging gaze behavior characteristics from the radiologist and textural characteristics from the image under review. Leveraging data collected from multiple readers produced a reasonable group model [area under the ROC curve (AUC) = 0.792 ± 0.030]. Personalized user modeling was far more accurate for the more experienced readers (AUC = 0.837 ± 0.029) than for the less experienced ones (AUC = 0.667 ± 0.099). The best performing group-based and personalized predictive models involved combinations of both gaze and image features.Conclusions: Diagnostic errors in mammography can be predicted to a good extent by leveraging the radiologists’ gaze behavior and image content.

  2. Predicting diagnostic error in radiology via eye-tracking and image analytics: Preliminary investigation in mammography

    International Nuclear Information System (INIS)

    Voisin, Sophie; Tourassi, Georgia D.; Pinto, Frank; Morin-Ducote, Garnetta; Hudson, Kathleen B.

    2013-01-01

    Purpose: The primary aim of the present study was to test the feasibility of predicting diagnostic errors in mammography by merging radiologists’ gaze behavior and image characteristics. A secondary aim was to investigate group-based and personalized predictive models for radiologists of variable experience levels.Methods: The study was performed for the clinical task of assessing the likelihood of malignancy of mammographic masses. Eye-tracking data and diagnostic decisions for 40 cases were acquired from four Radiology residents and two breast imaging experts as part of an IRB-approved pilot study. Gaze behavior features were extracted from the eye-tracking data. Computer-generated and BIRADS images features were extracted from the images. Finally, machine learning algorithms were used to merge gaze and image features for predicting human error. Feature selection was thoroughly explored to determine the relative contribution of the various features. Group-based and personalized user modeling was also investigated.Results: Machine learning can be used to predict diagnostic error by merging gaze behavior characteristics from the radiologist and textural characteristics from the image under review. Leveraging data collected from multiple readers produced a reasonable group model [area under the ROC curve (AUC) = 0.792 ± 0.030]. Personalized user modeling was far more accurate for the more experienced readers (AUC = 0.837 ± 0.029) than for the less experienced ones (AUC = 0.667 ± 0.099). The best performing group-based and personalized predictive models involved combinations of both gaze and image features.Conclusions: Diagnostic errors in mammography can be predicted to a good extent by leveraging the radiologists’ gaze behavior and image content

  3. Development of a Diagnostic Prediction Model for Conductive Conditions in Neonates Using Wideband Acoustic Immittance.

    Science.gov (United States)

    Myers, Joshua; Kei, Joseph; Aithal, Sreedevi; Aithal, Venkatesh; Driscoll, Carlie; Khan, Asaduzzaman; Manuel, Alehandrea; Joseph, Anjali; Malicka, Alicja N

    2018-03-03

    Wideband acoustic immittance (WAI) is an emerging test of middle-ear function with potential applications for neonates in screening and diagnostic settings. Previous large-scale diagnostic accuracy studies have assessed the performance of WAI against evoked otoacoustic emissions, but further research is needed using a more stringent reference standard. Research into suitable quantitative techniques to analyze the large volume of data produced by WAI is still in its infancy. Prediction models are an attractive method for analysis of multivariate data because they provide individualized probabilities that a subject has the condition. A clinically useful prediction model must accurately discriminate between normal and abnormal cases and be well calibrated (i.e., give accurate predictions). The present study aimed to develop a diagnostic prediction model for detecting conductive conditions in neonates using WAI. A stringent reference standard was created by combining results of high-frequency tympanometry and distortion product otoacoustic emissions. High-frequency tympanometry and distortion product otoacoustic emissions were performed on both ears of 629 healthy neonates to assess outer- and middle-ear function. Wideband absorbance and complex admittance (magnitude and phase) were measured at frequencies ranging from 226 to 8000 Hz in each neonate at ambient pressure using a click stimulus. Results from one ear of each neonate were used to develop the prediction model. WAI results were used as logistic regression predictors to model the probability that an ear had outer/middle-ear dysfunction. WAI variables were modeled both linearly and nonlinearly, to test whether allowing nonlinearity improved model fit and thus calibration. The best-fitting model was validated using the opposite ears and with bootstrap resampling. The best-fitting model used absorbance at 1000 and 2000 Hz, admittance magnitude at 1000 and 2000 Hz, and admittance phase at 1000 and 4000 Hz modeled

  4. Molecular Pathogenesis and Diagnostic, Prognostic and Predictive Molecular Markers in Sarcoma.

    Science.gov (United States)

    Mariño-Enríquez, Adrián; Bovée, Judith V M G

    2016-09-01

    Sarcomas are infrequent mesenchymal neoplasms characterized by notable morphological and molecular heterogeneity. Molecular studies in sarcoma provide refinements to morphologic classification, and contribute diagnostic information (frequently), prognostic stratification (rarely) and predict therapeutic response (occasionally). Herein, we summarize the major molecular mechanisms underlying sarcoma pathogenesis and present clinically useful diagnostic, prognostic and predictive molecular markers for sarcoma. Five major molecular alterations are discussed, illustrated with representative sarcoma types, including 1. the presence of chimeric transcription factors, in vascular tumors; 2. abnormal kinase signaling, in gastrointestinal stromal tumor; 3. epigenetic deregulation, in chondrosarcoma, chondroblastoma, and other tumors; 4. deregulated cell survival and proliferation, due to focal copy number alterations, in dedifferentiated liposarcoma; 5. extreme genomic instability, in conventional osteosarcoma as a representative example of sarcomas with highly complex karyotype. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Routledge companion to intelligence studies

    CERN Document Server

    Dover, Robert; Hillebrand, Claudia

    2013-01-01

    The Routledge Companion to Intelligence Studies provides a broad overview of the growing field of intelligence studies. The recent growth of interest in intelligence and security studies has led to an increased demand for popular depictions of intelligence and reference works to explain the architecture and underpinnings of intelligence activity. Divided into five comprehensive sections, this Companion provides a strong survey of the cutting-edge research in the field of intelligence studies: Part I: The evolution of intelligence studies; Part II: Abstract approaches to intelligence; Part III: Historical approaches to intelligence; Part IV: Systems of intelligence; Part V: Contemporary challenges. With a broad focus on the origins, practices and nature of intelligence, the book not only addresses classical issues, but also examines topics of recent interest in security studies. The overarching aim is to reveal the rich tapestry of intelligence studies in both a sophisticated and accessible way. This Companion...

  6. Multirule Based Diagnostic Approach for the Fog Predictions Using WRF Modelling Tool

    Directory of Open Access Journals (Sweden)

    Swagata Payra

    2014-01-01

    Full Text Available The prediction of fog onset remains difficult despite the progress in numerical weather prediction. It is a complex process and requires adequate representation of the local perturbations in weather prediction models. It mainly depends upon microphysical and mesoscale processes that act within the boundary layer. This study utilizes a multirule based diagnostic (MRD approach using postprocessing of the model simulations for fog predictions. The empiricism involved in this approach is mainly to bridge the gap between mesoscale and microscale variables, which are related to mechanism of the fog formation. Fog occurrence is a common phenomenon during winter season over Delhi, India, with the passage of the western disturbances across northwestern part of the country accompanied with significant amount of moisture. This study implements the above cited approach for the prediction of occurrences of fog and its onset time over Delhi. For this purpose, a high resolution weather research and forecasting (WRF model is used for fog simulations. The study involves depiction of model validation and postprocessing of the model simulations for MRD approach and its subsequent application to fog predictions. Through this approach model identified foggy and nonfoggy days successfully 94% of the time. Further, the onset of fog events is well captured within an accuracy of 30–90 minutes. This study demonstrates that the multirule based postprocessing approach is a useful and highly promising tool in improving the fog predictions.

  7. IGFBP3 methylation is a novel diagnostic and predictive biomarker in colorectal cancer.

    Directory of Open Access Journals (Sweden)

    Lucia Perez-Carbonell

    Full Text Available Aberrant hypermethylation of cancer-related genes has emerged as a promising strategy for the development of diagnostic, prognostic and predictive biomarkers in human cancer, including colorectal cancer (CRC. The aim of this study was to perform a systematic and comprehensive analysis of a panel of CRC-specific genes as potential diagnostic, prognostic and predictive biomarkers in a large, population-based CRC cohort.Methylation status of the SEPT9, TWIST1, IGFBP3, GAS7, ALX4 and miR137 genes was studied by quantitative bisulfite pyrosequencing in a population-based cohort of 425 CRC patients.Methylation levels of all genes analyzed were significantly higher in tumor tissues compared to normal mucosa (p<0.0001; however, cancer-associated hypermethylation was most frequently observed for miR137 (86.7% and IGFBP3 (83% in CRC patients. Methylation analysis using the combination of these two genes demonstrated greatest accuracy for the identification of colonic tumors (sensitivity 95.5%; specificity 90.5%. Low levels of IGFBP3 promoter methylation emerged as an independent risk factor for predicting poor disease free survival in stage II and III CRC patients (HR = 0.49, 95% CI: 0.28-0.85, p = 0.01. Our results also suggest that stage II & III CRC patients with high levels of IGFBP3 methylation do not benefit from adjuvant 5FU-based chemotherapy.By analyzing a large, population-based CRC cohort, we demonstrate the potential clinical significance of miR137 and IGFBP3 hypermethylation as promising diagnostic biomarkers in CRC. Our data also revealed that IGFBP3 hypermethylation may serve as an independent prognostic and predictive biomarker in stage II and III CRC patients.

  8. Does a Diagnostic Classification Algorithm Help to Predict the Course of Low Back Pain?

    DEFF Research Database (Denmark)

    Hartvigsen, Lisbeth; Kongsted, Alice; Vach, Werner

    2018-01-01

    ). Objectives To investigate if a diagnostic classification algorithm is associated with activity limitation and LBP intensity at 2-week and 3-month follow up, and 1-year trajectories of LBP intensity, and if it improves prediction of outcome when added to a set of known predictors. Methods 934 consecutive......Study Design A prospective observational study. Background A diagnostic classification algorithm was developed by Petersen et al., consisting of 12 categories based on a standardized examination protocol with the primary purpose of identifying clinically homogeneous subgroups of low back pain (LBP...... adult patients, with new episodes of LBP, who were visiting chiropractic practices in primary care were categorized according to the Petersen classification. Outcomes were disability and pain intensity measured at 2 weeks and 3 months, and 1-year trajectories of LBP based on weekly responses to text...

  9. Historical Companion to Postcolonial Thought

    DEFF Research Database (Denmark)

      The Companion contains 240 entries written by more than 150 acknowledged scholars of postcolonial history and literature, and covers major events, ideas, movements, and figures in postcolonial histories.  In addition, for each region, there are long survey essays on historiography and women's h...

  10. (18)F-FDG uptake predicts diagnostic yield of transbronchial biopsy in peripheral lung cancer.

    Science.gov (United States)

    Umeda, Yukihiro; Demura, Yoshiki; Anzai, Masaki; Matsuoka, Hiroki; Araya, Tomoyuki; Nishitsuji, Masaru; Nishi, Koichi; Tsuchida, Tatsuro; Sumida, Yasuyuki; Morikawa, Miwa; Ameshima, Shingo; Ishizaki, Takeshi; Kasahara, Kazuo; Ishizuka, Tamotsu

    2014-07-01

    Recent advances in endobronchial ultrasonography with a guide sheath (EBUS-GS) have enabled better visualization of distal airways, while virtual bronchoscopic navigation (VBN) has been shown useful as a guide to navigate the bronchoscope. However, indications for utilizing VBN and EBUS-GS are not always clear. To clarify indications for a bronchoscopic examination using VBN and EBUS-GS, we evaluated factors that predict the diagnostic yield of a transbronchial biopsy (TBB) procedure for peripheral lung cancer (PLC) lesions. We retrospectively reviewed the charts of 194 patients with 201 PLC lesions (≤3cm mean diameter), and analyzed the association of diagnostic yield of TBB with [(18)F]-fluoro-2-deoxy-d-glucose ((18)F-FDG) positron emission tomography and chest computed tomography (CT) findings. The diagnostic yield of TBB using VBN and EBUS-GS was 66.7%. High maximum standardized uptake value (SUVmax), positive bronchus sign, and ground-glass opacity component shown on CT were all significant predictors of diagnostic yield, while multivariate analysis showed only high (18)F-FDG uptake (SUVmax ≥2.8) and positive bronchus sign as significant predictors. Diagnostic yield was higher for PLC lesions with high (18)F-FDG uptake (SUVmax ≥2.8) and positive bronchus sign (84.6%) than for those with SUVmax PLC lesions. (18)F-FDG uptake and bronchus sign may indicate for the accurate application of bronchoscopy with those modalities for diagnosing PLC. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  11. Measuring diagnostic and predictive accuracy in disease management: an introduction to receiver operating characteristic (ROC) analysis.

    Science.gov (United States)

    Linden, Ariel

    2006-04-01

    Diagnostic or predictive accuracy concerns are common in all phases of a disease management (DM) programme, and ultimately play an influential role in the assessment of programme effectiveness. Areas, such as the identification of diseased patients, predictive modelling of future health status and costs and risk stratification, are just a few of the domains in which assessment of accuracy is beneficial, if not critical. The most commonly used analytical model for this purpose is the standard 2 x 2 table method in which sensitivity and specificity are calculated. However, there are several limitations to this approach, including the reliance on a single defined criterion or cut-off for determining a true-positive result, use of non-standardized measurement instruments and sensitivity to outcome prevalence. This paper introduces the receiver operator characteristic (ROC) analysis as a more appropriate and useful technique for assessing diagnostic and predictive accuracy in DM. Its advantages include; testing accuracy across the entire range of scores and thereby not requiring a predetermined cut-off point, easily examined visual and statistical comparisons across tests or scores, and independence from outcome prevalence. Therefore the implementation of ROC as an evaluation tool should be strongly considered in the various phases of a DM programme.

  12. A diagnosis of bipolar spectrum disorder predicts diagnostic conversion from unipolar depression to bipolar disorder: a 5-year retrospective study.

    Science.gov (United States)

    Woo, Young Sup; Shim, In Hee; Wang, Hee-Ryung; Song, Hoo Rim; Jun, Tae-Youn; Bahk, Won-Myong

    2015-03-15

    The major aims of this study were to identify factors that may predict the diagnostic conversion from major depressive disorder (MDD) to bipolar disorder (BP) and to evaluate the predictive performance of the bipolar spectrum disorder (BPSD) diagnostic criteria. The medical records of 250 patients with a diagnosis of MDD for at least 5 years were retrospectively reviewed for this study. The diagnostic conversion from MDD to BP was observed in 18.4% of 250 MDD patients, and the diagnostic criteria for BPSD predicted this conversion with high sensitivity (0.870) and specificity (0.917). A family history of BP, antidepressant-induced mania/hypomania, brief major depressive episodes, early age of onset, antidepressant wear-off, and antidepressant resistance were also independent predictors of this conversion. This study was conducted using a retrospective design and did not include structured diagnostic interviews. The diagnostic criteria for BPSD were highly predictive of the conversion from MDD to BP, and conversion was associated with several clinical features of BPSD. Thus, the BPSD diagnostic criteria may be useful for the prediction of bipolar diathesis in MDD patients. Copyright © 2014 Elsevier B.V. All rights reserved.

  13. Diagnostic utility of the acoustic reflex in predicting hearing in paediatric populations.

    Science.gov (United States)

    Pérez-Villa, Yolanda E; Mena-Ramírez, María E; Aguirre, Laura E Chamlati; Mora-Magaña, Ignacio; Gutiérrez-Farfán, Ileana S

    2014-01-01

    The sensitivity of prediction of acoustic reflex, in determining the level of hearing loss, is especially useful in paediatric populations. It is based on the difference between the pure tone stapedius reflex threshold and contralateral white noise. The white noise threshold was 60 dB and that of pure tone was 80 dB. Our objective was to determine the diagnostic sensitivity of the prediction of the acoustic reflex. We studied children aged <10 years, from October 2011 to May 2012, by measuring the acoustic reflex with white noise and pure tone. We used contrast tests, with X2 and student t-test. Concordance was measured with Kappa. Results were considered significant at P≤.05. Our protocol was approved by Institutional Ethics Committee. Informed consent was obtained from the parents in all cases. Prediction of normal hearing was 0.84 for the right ear and 0.78 in left ear, while for hearing loss of an unspecified grade, it was 0.98 for the right ear and 0.96 in the left ear. Kappa value was 0.7 to 0.6 for the right ear and left ear. The acoustic reflex is of little diagnostic utility in predicting the degree of hearing loss, but it predicts more than 80% of normal hearing. The clinical utility of the reflex is indisputable, as it is an objective method, simple and rapid to use, that can be performed from birth and whose results are independent of the cooperation and willingness of the subject. It is proposed as an obligatory part of hearing screening. Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  14. DR6 as a diagnostic and predictive biomarker in adult sarcoma.

    Directory of Open Access Journals (Sweden)

    Kun Yang

    Full Text Available The Death Receptor 6 (DR6 protein is elevated in the serum of ovarian cancer patients. We tested DR6 serum protein levels as a diagnostic/predictive biomarker in several epithelial tumors and sarcomas.DR6 gene expression profiles were screened in publically available arrays of solid tumors. A quantitative immunofluorescent western blot analysis was developed to test the serum of healthy controls and patients with sarcoma, uterine carcinosarcoma, bladder, liver, and pancreatic carcinomas. Change in DR6 serum levels was used to assay the ability of DR6 to predict the response to therapy of sarcoma patients.DR6 mRNA is highly expressed in all tumor types assayed. Western blot analysis of serum DR6 protein demonstrated high reproducibility (r = 0.97. Compared to healthy donor controls, DR6 serum levels were not elevated in patients with uterine carcinosarcoma, bladder, liver, or pancreatic cancers. Serum DR6 protein levels from adult sarcoma patients were significantly elevated (p<0.001. This was most evident for patients with synovial sarcoma. Change in serum DR6 levels during therapy correlated with clinical benefit from therapy (sensitivity 75%, and positive predictive value 87%.DR6 may be a clinically useful diagnostic and predictive serum biomarker for some adult sarcoma subtypes.Diagnosis of sarcoma can be difficult and can lead to improper management of these cancers. DR6 serum protein may be a tool to aid in the diagnosis of some sarcomatous tumors to improve treatment planning. For patients with advanced disease, rising DR6 levels predict non-response to therapy and may expedite therapeutic decision making and reduce reliance on radiologic imaging.

  15. A weighted generalized score statistic for comparison of predictive values of diagnostic tests.

    Science.gov (United States)

    Kosinski, Andrzej S

    2013-03-15

    Positive and negative predictive values are important measures of a medical diagnostic test performance. We consider testing equality of two positive or two negative predictive values within a paired design in which all patients receive two diagnostic tests. The existing statistical tests for testing equality of predictive values are either Wald tests based on the multinomial distribution or the empirical Wald and generalized score tests within the generalized estimating equations (GEE) framework. As presented in the literature, these test statistics have considerably complex formulas without clear intuitive insight. We propose their re-formulations that are mathematically equivalent but algebraically simple and intuitive. As is clearly seen with a new re-formulation we presented, the generalized score statistic does not always reduce to the commonly used score statistic in the independent samples case. To alleviate this, we introduce a weighted generalized score (WGS) test statistic that incorporates empirical covariance matrix with newly proposed weights. This statistic is simple to compute, always reduces to the score statistic in the independent samples situation, and preserves type I error better than the other statistics as demonstrated by simulations. Thus, we believe that the proposed WGS statistic is the preferred statistic for testing equality of two predictive values and for corresponding sample size computations. The new formulas of the Wald statistics may be useful for easy computation of confidence intervals for difference of predictive values. The introduced concepts have potential to lead to development of the WGS test statistic in a general GEE setting. Copyright © 2012 John Wiley & Sons, Ltd.

  16. Predicting the Uncertain Future of Aptamer-Based Diagnostics and Therapeutics.

    Science.gov (United States)

    Bruno, John G

    2015-04-16

    Despite the great promise of nucleic acid aptamers in the areas of diagnostics and therapeutics for their facile in vitro development, lack of immunogenicity and other desirable properties, few truly successful aptamer-based products exist in the clinical or other markets. Core reasons for these commercial deficiencies probably stem from industrial commitment to antibodies including a huge financial investment in humanized monoclonal antibodies and a general ignorance about aptamers and their performance among the research and development community. Given the early failures of some strong commercial efforts to gain government approval and bring aptamer-based products to market, it may seem that aptamers are doomed to take a backseat to antibodies forever. However, the key advantages of aptamers over antibodies coupled with niche market needs that only aptamers can fill and more recent published data still point to a bright commercial future for aptamers in areas such as infectious disease and cancer diagnostics and therapeutics. As more researchers and entrepreneurs become familiar with aptamers, it seems inevitable that aptamers will at least be considered for expanded roles in diagnostics and therapeutics. This review also examines new aptamer modifications and attempts to predict new aptamer applications that could revolutionize biomedical technology in the future and lead to marketed products.

  17. Flexible non-linear predictive models for large-scale wind turbine diagnostics

    DEFF Research Database (Denmark)

    Bach-Andersen, Martin; Rømer-Odgaard, Bo; Winther, Ole

    2017-01-01

    We demonstrate how flexible non-linear models can provide accurate and robust predictions on turbine component temperature sensor data using data-driven principles and only a minimum of system modeling. The merits of different model architectures are evaluated using data from a large set...... of turbines operating under diverse conditions. We then go on to test the predictive models in a diagnostic setting, where the output of the models are used to detect mechanical faults in rotor bearings. Using retrospective data from 22 actual rotor bearing failures, the fault detection performance...... of the models are quantified using a structured framework that provides the metrics required for evaluating the performance in a fleet wide monitoring setup. It is demonstrated that faults are identified with high accuracy up to 45 days before a warning from the hard-threshold warning system....

  18. Continuous electroencephalography predicts delayed cerebral ischemia after subarachnoid hemorrhage: A prospective study of diagnostic accuracy.

    Science.gov (United States)

    Rosenthal, Eric S; Biswal, Siddharth; Zafar, Sahar F; O'Connor, Kathryn L; Bechek, Sophia; Shenoy, Apeksha V; Boyle, Emily J; Shafi, Mouhsin M; Gilmore, Emily J; Foreman, Brandon P; Gaspard, Nicolas; Leslie-Mazwi, Thabele M; Rosand, Jonathan; Hoch, Daniel B; Ayata, Cenk; Cash, Sydney S; Cole, Andrew J; Patel, Aman B; Westover, M Brandon

    2018-04-16

    Delayed cerebral ischemia (DCI) is a common, disabling complication of subarachnoid hemorrhage (SAH). Preventing DCI is a key focus of neurocritical care, but interventions carry risk and cannot be applied indiscriminately. Although retrospective studies have identified continuous electroencephalographic (cEEG) measures associated with DCI, no study has characterized the accuracy of cEEG with sufficient rigor to justify using it to triage patients to interventions or clinical trials. We therefore prospectively assessed the accuracy of cEEG for predicting DCI, following the Standards for Reporting Diagnostic Accuracy Studies. We prospectively performed cEEG in nontraumatic, high-grade SAH patients at a single institution. The index test consisted of clinical neurophysiologists prospectively reporting prespecified EEG alarms: (1) decreasing relative alpha variability, (2) decreasing alpha-delta ratio, (3) worsening focal slowing, or (4) late appearing epileptiform abnormalities. The diagnostic reference standard was DCI determined by blinded, adjudicated review. Primary outcome measures were sensitivity and specificity of cEEG for subsequent DCI, determined by multistate survival analysis, adjusted for baseline risk. One hundred three of 227 consecutive patients were eligible and underwent cEEG monitoring (7.7-day mean duration). EEG alarms occurred in 96.2% of patients with and 19.6% without subsequent DCI (1.9-day median latency, interquartile range = 0.9-4.1). Among alarm subtypes, late onset epileptiform abnormalities had the highest predictive value. Prespecified EEG findings predicted DCI among patients with low (91% sensitivity, 83% specificity) and high (95% sensitivity, 77% specificity) baseline risk. cEEG accurately predicts DCI following SAH and may help target therapies to patients at highest risk of secondary brain injury. Ann Neurol 2018. © 2018 American Neurological Association.

  19. Diagnostic test of predicted height model in Indonesian elderly: a study in an urban area

    Directory of Open Access Journals (Sweden)

    Fatmah Fatmah

    2010-08-01

    Full Text Available Aim In an anthropometric assessment, elderly are frequently unable to measure their height due to mobility and skeletal deformities. An alternative is to use a surrogate value of stature from arm span, knee height, and sitting height. The equations developed for predicting height in Indonesian elderly using these three predictors. The equations put in the nutritional assessment card (NSA of older people. Before the card which is the first new technology in Indonesia will be applied in the community, it should be tested. The study aimed was to conduct diagnostic test of predicted height model in the card compared to actual height.Methods Model validation towards 400 healthy elderly conducted in Jakarta City with cross-sectional design. The study was the second validation test of the model besides Depok City representing semi urban area which was undertaken as the first study.Result Male elderly had higher mean age, height, weight, arm span, knee height, and sitting height as compared to female elderly. The highest correlation between knee height and standing height was similar in women (r = 0.80; P < 0.001 and men (r = 0.78; P < 0.001, and followed by arm span and sitting height. Knee height had the lowest difference with standing height in men (3.13 cm and women (2.79 cm. Knee height had the biggest sensitivity (92.2%, and the highest specificity on sitting height (91.2%.Conclusion Stature prediction equation based on knee-height, arm span, and sitting height are applicable for nutritional status assessment in Indonesian elderly. (Med J Indones 2010;19:199-204Key words: diagnostic test, elderly, predicted height model

  20. Circulating predictive and diagnostic biomarkers for hepatitis B virus-associated hepatocellular carcinoma

    Science.gov (United States)

    Van Hees, Stijn; Michielsen, Peter; Vanwolleghem, Thomas

    2016-01-01

    Chronic hepatitis B virus (HBV) infected patients have an almost 100-fold increased risk to develop hepatocellular carcinoma (HCC). HCC is the fifth most common and third most deadly cancer worldwide. Up to 50% of newly diagnosed HCC cases are attributed to HBV infection. Early detection improves survival and can be achieved through regular screening. Six-monthly abdominal ultrasound, either alone or in combination with alpha-fetoprotein serum levels, has been widely endorsed for this purpose. Both techniques however yield limited diagnostic accuracy, which is not improved when they are combined. Alternative circulating or histological markers to predict or diagnose HCC are therefore urgently needed. Recent advances in systems biology technologies have enabled the identification of several new putative circulating biomarkers. Although results from studies assessing combinations of these biomarkers are promising, evidence for their clinical utility remains low. In addition, most of the studies conducted so far show limitations in design. Attention must be paid for instance to different ethnicities and different etiologies when studying biomarkers for hepatocellular carcinoma. This review provides an overview on the current understandings and recent progress in the field of diagnostic and predictive circulating biomarkers for hepatocellular carcinoma in chronically infected HBV patients and discusses the future prospects. PMID:27729734

  1. Predicting the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition): The Mystery of How to Constrain Unchecked Growth.

    Science.gov (United States)

    Blashfield, Roger K; Fuller, A Kenneth

    2016-06-01

    Twenty years ago, slightly after the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition was published, we predicted the characteristics of the future Diagnostic and Statistical Manual of Mental Disorders (fifth edition) (). Included in our predictions were how many diagnoses it would contain, the physical size of the Diagnostic and Statistical Manual of Mental Disorders (fifth edition), who its leader would be, how many professionals would be involved in creating it, the revenue generated, and the color of its cover. This article reports on the accuracy of our predictions. Our largest prediction error concerned financial revenue. The earnings growth of the DSM's has been remarkable. Drug company investments, insurance benefits, the financial need of the American Psychiatric Association, and the research grant process are factors that have stimulated the growth of the DSM's. Restoring order and simplicity to the classification of mental disorders will not be a trivial task.

  2. Screening Characteristics of TIMI Score in Predicting Acute Coronary Syndrome Outcome; a Diagnostic Accuracy Study

    Directory of Open Access Journals (Sweden)

    Mostafa Alavi-Moghaddam

    2017-01-01

    Full Text Available Introduction: In cases with potential diagnosis of ischemic chest pain, screening high risk patients for adverse outcomes would be very helpful. The present study was designed aiming to determine the diagnostic accuracy of thrombolysis in myocardial infarction (TIMI score in Patients with potential diagnosis of ischemic chest pain.Method: This diagnostic accuracy study was designed to evaluate the screening performance characteristics of TIMI score in predicting 30-day outcomes of mortality, myocardial infarction (MI, and need for revascularization in patients presenting to ED with complaint of typical chest pain and diagnosis of unstable angina or Non-ST elevation MI.Results: 901 patients with the mean age of 58.17 ± 15.00 years (19-90 were studied (52.9% male. Mean TIMI score of the studied patients was 0.97 ± 0.93 (0-5 and the highest frequency of the score belonged to 0 to 2 with 37.2%, 35.3%, and 21.4%, respectively. In total, 170 (18.8% patients experienced the outcomes evaluated in this study. Total sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratio of TIMI score were 20 (95% CI: 17 – 24, 99 (95% CI: 97 – 100, 98 (95% CI: 93 – 100, 42 (95% CI: 39 – 46, 58 (95% CI: 14 – 229, and 1.3 (95% CI: 1.2 – 1.4, respectively. Area under the ROC curve of this system for prediction of 30-day mortality, MI, and need for revascularization were 0.51 (95% CI: 0.47 – 0.55, 0.58 (95% CI: 0.54 – 0.62 and 0.56 (95% CI: 0.52 – 0.60, respectively.Conclusion: Based on the findings of the present study, it seems that TIMI score has a high specificity in predicting 30-day adverse outcomes of mortality, MI, and need for revascularization following acute coronary syndrome. However, since its sensitivity, negative predictive value, and negative likelihood ratio are low, it cannot be used as a proper screening tool for ruling out low risk patients in ED.

  3. Diagnostic value of CT features of the gallbladder in the prediction of gallstone pancreatitis

    Energy Technology Data Exchange (ETDEWEB)

    Yie, Miyeon [Department of Radiology, Hallym University College of Medicine, 896 Pyungchon-dong, Dongan-gu, Anyang-city, Kyungki-do 431-070 (Korea, Republic of); Jang, Kyung Mi, E-mail: jkm7290@empal.com [Department of Radiology, Hallym University College of Medicine, 896 Pyungchon-dong, Dongan-gu, Anyang-city, Kyungki-do 431-070 (Korea, Republic of); Department of Radiology and Center for Imaging Science, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710 (Korea, Republic of); Kim, Min Jeong; Lee, Yul [Department of Radiology, Hallym University College of Medicine, 896 Pyungchon-dong, Dongan-gu, Anyang-city, Kyungki-do 431-070 (Korea, Republic of); Choi, Dongil [Department of Radiology and Center for Imaging Science, Sungkyunkwan University School of Medicine, 50, Ilwon-Dong, Kangnam-Ku, Seoul 135-710 (Korea, Republic of)

    2011-11-15

    Purpose: The aim of this retrospective study was to evaluate the diagnostic value of CT features of the gallbladder in the prediction of gallstone pancreatitis. Materials and methods: Eighty-six patients who underwent a diagnostic computed tomography (CT) scan for acute pancreatitis were included. The readers assessed the presence of pericholecystic increased attenuation of the liver parenchyma, enhancement of gallbladder (GB) and common bile duct (CBD) wall, pericholecystic fat strands, GB wall thickening, stone in the GB or CBD, and focal or diffuse manifestations of pancreatitis on abdominal CT scans. In addition, the maximal transverse luminal diameters of the GB and CBD were measured. Results: The presence of pericholecystic increased attenuation of the liver parenchyma, GB wall enhancement and thickening, pericholecystic fat strands, stone in the GB or CBD, and diffuse manifestations of pancreatitis achieved statistical significance for differentiation of gallstone induced pancreatitis from non-biliary pancreatitis (p < 0.05). The mean values of maximal transverse luminal diameter of GB and CBD were significantly higher in gallstone induced pancreatitis group (39.67 {+-} 7.26 mm, 10.20 {+-} 4.13 mm) than non-biliary pancreatitis group (27.01 {+-} 6.14 mm, 3.85 {+-} 2.51 mm, p < 0.0001). Conclusion: Gallbladder features of CT in patients with pancreatitis could be the valuable clues for the diagnosis of gallstone induced pancreatitis.

  4. Evidence for Nemesis: a solar companion star

    International Nuclear Information System (INIS)

    Muller, R.A.

    1985-01-01

    The evidence that the sun has a companion star ''Nemesis'' responsible for periodic mass extinctions is reviewed. A gaussian ideogram of the rates of family extinctions in the oceans shows periods of 26 and 30 Myr. Analysis of impact cratering on the earth shows a period of either 28.4 or 30 Myr, depending on the crater selection. Models which attempt to explain these periods with either oscillations through the galactic plane, or through the effects of a tenth planet, are seriously flawed. If the periods seen in the data are real (and not a spurious result of a statistical fluctuation) then the ''Nemesis hypothesis'' is the only suggested explanation that has survived close scrutiny. The Nemesis model predicts that the impacts took place during brief storms of several million years duration, perhaps accounting for the ''extended'' nature of the mass extinctions. A search for Nemesis is under way at Berkeley. 18 refs., 4 figs

  5. Predictive diagnostic value of the tourniquet test for the diagnosis of dengue infection in adults

    Science.gov (United States)

    Mayxay, Mayfong; Phetsouvanh, Rattanaphone; Moore, Catrin E; Chansamouth, Vilada; Vongsouvath, Manivanh; Sisouphone, Syho; Vongphachanh, Pankham; Thaojaikong, Thaksinaporn; Thongpaseuth, Soulignasack; Phongmany, Simmaly; Keolouangkhot, Valy; Strobel, Michel; Newton, Paul N

    2011-01-01

    Objective To examine the accuracy of the admission tourniquet test in the diagnosis of dengue infection among Lao adults. Methods Prospective assessment of the predictive diagnostic value of the tourniquet test for the diagnosis of dengue infection, as defined by IgM, IgG and NS1 ELISAs (Panbio Ltd, Australia), among Lao adult inpatients with clinically suspected dengue infection. Results Of 234 patients with clinically suspected dengue infection on admission, 73% were serologically confirmed to have dengue, while 64 patients with negative dengue serology were diagnosed as having scrub typhus (39%), murine typhus (11%), undetermined typhus (12%), Japanese encephalitis virus (5%), undetermined flavivirus (5%) and typhoid fever (3%); 25% had no identifiable aetiology. The tourniquet test was positive in 29.1% (95% CI = 23.2–34.9%) of all patients and in 34.1% (95% CI = 27.0–41.2%) of dengue-seropositive patients, in 32.7% (95% CI = 23.5–41.8) of those with dengue fever and in 36.4% (95% CI = 24.7–48.0) of those with dengue haemorrhagic fever. Interobserver agreement for the tourniquet test was 90.2% (95% CI = 86.4–94.0) (Kappa = 0.76). Using ELISAs as the diagnostic gold standard, the sensitivity of the tourniquet test was 33.5–34%; its specificity was 84–91%. The positive and negative predictive values were 85–90% and 32.5–34%, respectively. Conclusions The admission tourniquet test has low sensitivity and adds relatively little value to the diagnosis of dengue among Lao adult inpatients with suspected dengue. Although a positive tourniquet test suggests dengue and that treatment of alternative diagnoses may not be needed, a negative test result does not exclude dengue. PMID:20958892

  6. Diagnostic prediction of renal failure from blood serum analysis by FTIR spectrometry and chemometrics

    Science.gov (United States)

    Khanmohammadi, Mohammdreza; Ghasemi, Keyvan; Garmarudi, Amir Bagheri; Ramin, Mehdi

    2015-02-01

    A new diagnostic approach based on Attenuated Total Reflectance-Fourier Transform Infrared (ATR-FTIR) spectrometry and classification algorithm has been introduced which provides a rapid, reliable, and easy way to perform blood test for the diagnosis of renal failure. Blood serum samples from 35 renal failure patients and 40 healthy persons were analyzed by ATR-FTIR spectrometry. The resulting data was processed by Quadratic Discriminant Analysis (QDA) and QDA combined with simple filtered method. Spectroscopic studies were performed in 900-2000 cm-1 spectral region with 3.85 cm-1 data space. Results showed 93.33% and 100% of accuracy for QDA and filter-QDA models, respectively. In the first step, 30 samples were applied to construct the model. In order to modify the capability of QDA in prediction of test samples, filter-based feature selection methods were applied. It was found that the filtered spectra coupled with QDA could correctly predict the test samples in most of the cases.

  7. Diagnostic usefulness of periIesional edema around intracerebral hemorrhage in predicting underlying causes

    International Nuclear Information System (INIS)

    Yim, Nam Yeol; Seo, Jeong Jin; Yoon, Woong; Shin, Sang Soo; Lim, Hyo Soon; Chung, Tae Woong; Jeong, Gwang Woo; Kang, Heoung Keun

    2004-01-01

    We attempted to evaluate the diagnostic usefulness of the degree of perilesional edema around intracerebral hematoma in predicting the underlying cause. This study included 54 patients with intracerebral hematoma for whom the underlying cause was confirmed by biopsy, radiological or clinical methods. Cases of subarachnoid hemorrhage, hemorrhagic transformation of cerebral infarction and intraventricular hemorrhage were excluded. The lesion size was defined as the average value of the longest axis and the axis perpendicular to this. The size of the perilesional edema was defined as the longest width of the edema. In all cases, the sizes of the lesion and edema were measured on the T2 weighted image. We defined the edema ratio as the edema size divided by the lesion size. 23 cases were diagnosed as intracerebral hemorrhage due to neoplastic conditions, such as metastasis (n=17), glioblastoma (n=5), hemangioblastoma (n=1). 31 cases were caused by non-neoplastic conditions, such as spontaneous hypertensive hemorrhage (n=23), arteriovenous malformation (n=4), cavernous angioma (n=3), and moya-moya disease (n=1). In fourteen cases, which were confirmed as malignant intracerebral hemorrhage, the edema ratio was more than 100%. Of the other cases, only 8 were confirmed as malignant intracerebral hemorrhage. It was found that the larger the edema ratio, the more malignant the intracerebral hemorrhage, and this result was statistically significant (p<0.001). Measurement of perilesional edema and the intracerebral hematoma ratio may be useful in predicting the underlying causes

  8. Unrequested information from routine diagnostic chest CT predicts future cardiovascular events

    International Nuclear Information System (INIS)

    Jacobs, Peter C.; Gondrie, Martijn J.; Grobbee, Diederick E.; Graaf, Yolanda van der; Mali, Willem P.; Oen, Ayke L.; Prokop, Mathias

    2011-01-01

    An increase in the number of CT investigations will likely result in a an increase in unrequested information. Clinical relevance of these findings is unknown. This is the first follow-up study to investigate the prognostic relevance of subclinical coronary (CAC) and aortic calcification (TAC) as contained in routine diagnostic chest CT in a clinical care population. The follow-up of 10,410 subjects (>40 years) from a multicentre, clinical care-based cohort of patients included 240 fatal to 275 non-fatal cardiovascular disease (CVD) events (mean follow-up 17.8 months). Patients with a history of CVD were excluded. Coronary (0-12) and aortic calcification (0-8) were semi-quantitatively scored. We used Cox proportional-hazard models to compute hazard ratios to predict CVD events. CAC and TAC were significantly and independently predictive of CVD events. Compared with subjects with no calcium, the adjusted risk of a CVD event was 3.7 times higher (95% CI, 2.7-5.2) among patients with severe coronary calcification (CAC score ≥6) and 2.7 times higher (95% CI, 2.0-3.7) among patients with severe aortic calcification (TAC score ≥5). Subclinical vascular calcification on CT is a strong predictor of incident CVD events in a routine clinical care population. (orig.)

  9. The predictive diagnostic value of serial daily bedside ultrasonography for severe dengue in Indonesian adults.

    Directory of Open Access Journals (Sweden)

    Meta Michels

    Full Text Available BACKGROUND: Identification of dengue patients at risk for progressing to severe disease is difficult. Significant plasma leakage is a hallmark of severe dengue infection which can suddenly lead to hypovolemic shock around the time of defervescence. We hypothesized that the detection of subclinical plasma leakage may identify those at risk for severe dengue. The aim of the study was to determine the predictive diagnostic value of serial ultrasonography for severe dengue. METHODOLOGY/PRINCIPAL FINDINGS: Daily bedside ultrasounds were performed with a handheld ultrasound device in a prospective cohort of adult Indonesians with dengue. Timing, localization and relation to dengue severity of the ultrasonography findings were determined, as well as the relation with serial hematocrit and albumin values. The severity of dengue was retrospectively determined by WHO 2009 criteria. A total of 66 patients with proven dengue infection were included in the study of whom 11 developed severe dengue. Presence of subclinical plasma leakage at enrollment had a positive predictive value of 35% and a negative predictive value of 90% for severe dengue. At enrollment, 55% of severe dengue cases already had subclinical plasma leakage, which increased to 91% during the subsequent days. Gallbladder wall edema was more pronounced in severe than in non-severe dengue patients and often preceded ascites/pleural effusion. Serial hematocrit and albumin measurements failed to identify plasma leakage and patients at risk for severe dengue. CONCLUSIONS/SIGNIFICANCE: Serial ultrasonography, in contrast to existing markers such as hematocrit, may better identify patients at risk for development of severe dengue. Patients with evidence of subclinical plasma leakage and/or an edematous gallbladder wall by ultrasonography merit intensive monitoring for development of complications.

  10. Prediction of temperature-insensitive molecular absorption lines in laser-assisted combustion diagnostics

    International Nuclear Information System (INIS)

    Walewski, Joachim W.; Elmqvist, Anders

    2005-01-01

    In laser-assisted combustion diagnostics it is a recurring task to predict molecular transitions whose signal strength depends only weakly on variations in temperature. The signal strength is proportional to the Boltzmann fraction of the level probed and the amplitude of the absorption line profile. In the past investigations have been presented in which this task was attack by detailed numerical calculations of the temperature dependence of pertinent physical properties of the molecule. Another widely applied approach relies on an analytical formula for the Boltzmann fraction of hetero-nuclear diatomic molecules and the neglect of line shape effects. The analytical approach experiences a continuing popularity in laser-assisted combustion diagnostics, which is why we compared both approaches with each other. The objective of this comparison was to assess the accuracy of the analytical approach and to reveal its potential pitfalls. Our comparison revealed that the analytical approach suffers from mediocre accuracy, which makes it unfit for practical applications. One cause is the neglect of higher lying vibrational levels, which show a non-negligible population for typical flame temperatures. Another reason is the neglect of fine structure splitting in molecules with non-zero orbit angular momentum in the ground state. Another reason for the observed inaccuracy is the neglect of line shape effects quenching, which were found to have a significant effect on the temperature sensitivity of a line. Because of its insufficient accuracy due to both oversimplified models of the molecular energy levels and the neglect of line shape effects and quenching we discourage from applying the analytical approach and recommend the use of detailed numerical approaches that are free of the above limitations

  11. Stellar Companions of Exoplanet Host Stars in K2

    Science.gov (United States)

    Matson, Rachel; Howell, Steve; Horch, Elliott; Everett, Mark

    2018-01-01

    Stellar multiplicity has significant implications for the detection and characterization of exoplanets. A stellar companion can mimic the signal of a transiting planet or distort the true planetary radii, leading to improper density estimates and over-predicting the occurrence rates of Earth-sized planets. Determining the fraction of exoplanet host stars that are also binaries allows us to better determine planetary characteristics as well as establish the relationship between binarity and planet formation. Using high-resolution speckle imaging to obtain diffraction limited images of K2 planet candidate host stars we detect stellar companions within one arcsec and up to six magnitudes fainter than the host star. By comparing our observed companion fraction to TRILEGAL star count simulations, and using the known detection limits of speckle imaging, we find the binary fraction of K2 planet host stars to be similar to that of Kepler host stars and solar-type field stars. Accounting for stellar companions in exoplanet studies is therefore essential for deriving true stellar and planetary properties as well as maximizing the returns for TESS and future exoplanet missions.

  12. The diagnostic accuracy of the rapid dipstick test to predict asymptomatic urinary tract infection of pregnancy.

    Science.gov (United States)

    Eigbefoh, J O; Isabu, P; Okpere, E; Abebe, J

    2008-07-01

    Untreated urinary tract infection can have devastating maternal and neonatal effects. Thus, routine screening for bacteriuria is advocated. This study was designed to evaluate the diagnostic accuracy of the rapid dipstick test to predict urinary tract infection in pregnancy with the gold standard of urine microscopy, culture and sensitivity acting as the control. The urine dipstick test uses the leucocyte esterase, nitrite and test for protein singly and in combination. The result of the dipstick was compared with the gold standard, urine microscopy, culture and sensitivity using confidence interval for proportions. The reliability and validity of the urine dipstick was also evaluated. Overall, the urine dipstick test has a poor correlation with urine culture (p = 0.125, CI 95%). The same holds true for individual components of the dipstick test. The overall sensitivity of the urine dipstick test was poor at 2.3%. Individual sensitivity of the various components varied between 9.1% for leucocyte esterase and the nitrite test to 56.8% for leucocyte esterase alone. The other components of the dipstick test, the test of nitrite, test for protein and combination of the test (leucocyte esterase, nitrite and proteinuria) appear to decrease the sensitivity of the leucocyte esterase test alone. The ability of the urine dipstick test to correctly rule out urinary tract infection (specificity) was high. The positive predictive value for the dipstick test was high, with the leucocyte esterase test having the highest positive predictive value compared with the other components of the dipstick test. The negative predictive value (NPV) was expectedly highest for the leucocyte esterase test alone with values higher than the other components of the urine dipstick test singly and in various combinations. Compared with the other parameters of the urine dipstick test, singly and in combination, leucocyte esterase appears to be the most accurate (90.25%). The dipstick test has a

  13. Evidence That a Psychopathology Interactome Has Diagnostic Value, Predicting Clinical Needs: An Experience Sampling Study

    Science.gov (United States)

    van Os, Jim; Lataster, Tineke; Delespaul, Philippe; Wichers, Marieke; Myin-Germeys, Inez

    2014-01-01

    Background For the purpose of diagnosis, psychopathology can be represented as categories of mental disorder, symptom dimensions or symptom networks. Also, psychopathology can be assessed at different levels of temporal resolution (monthly episodes, daily fluctuating symptoms, momentary fluctuating mental states). We tested the diagnostic value, in terms of prediction of treatment needs, of the combination of symptom networks and momentary assessment level. Method Fifty-seven patients with a psychotic disorder participated in an ESM study, capturing psychotic experiences, emotions and circumstances at 10 semi-random moments in the flow of daily life over a period of 6 days. Symptoms were assessed by interview with the Positive and Negative Syndrome Scale (PANSS); treatment needs were assessed using the Camberwell Assessment of Need (CAN). Results Psychotic symptoms assessed with the PANSS (Clinical Psychotic Symptoms) were strongly associated with psychotic experiences assessed with ESM (Momentary Psychotic Experiences). However, the degree to which Momentary Psychotic Experiences manifested as Clinical Psychotic Symptoms was determined by level of momentary negative affect (higher levels increasing probability of Momentary Psychotic Experiences manifesting as Clinical Psychotic Symptoms), momentary positive affect (higher levels decreasing probability of Clinical Psychotic Symptoms), greater persistence of Momentary Psychotic Experiences (persistence predicting increased probability of Clinical Psychotic Symptoms) and momentary environmental stress associated with events and activities (higher levels increasing probability of Clinical Psychotic Symptoms). Similarly, the degree to which momentary visual or auditory hallucinations manifested as Clinical Psychotic Symptoms was strongly contingent on the level of accompanying momentary paranoid delusional ideation. Momentary Psychotic Experiences were associated with CAN unmet treatment needs, over and above PANSS

  14. The Diagnostic Accuracy of Clinical and External Pelvimetry in Prediction of Dystocia in Nulliparous Women

    Directory of Open Access Journals (Sweden)

    R Alijahan

    2011-08-01

    Full Text Available Introduction: Clinical pelvimetry is very uncomfortable for the patient and is associated with subjective error, while external pelvimetry is a simple and acceptable method for patients. The objective of this study was to compare the diagnostic accuracy of clinical and external pelvimetry in prediction of dystocia in nulliparous women. Methods: In this study between December 2008 and January 2009, 447 nulliparous women with a single pregnancy in vertex presentation and gestational age 38-42 weeks referring to the Ommolbanin hospital of Mashhad were included. External pelvic dimensions were assessed at the time of admission and clinical pelvimetry was performed by another examiner. These measurements were not available to the clinician in charge of the delivery. Dystocia was defined as caesarean section and vacuum or forceps delivery for abnormal progress of labor ( active uterine contractions, arrest of cervical dilatation or cervical dilatation less than 1 cm /h in the active phase for 2 hours, prolongation of second stage beyond 2 hours or fetal head descent less than 1cm/h. Statistical tests included Fisher exact test and Chi- square test. Results: The highest sensitivity obtained from clinical pelvimetry was 33.3% and related to diagonal conjugate less than 11.5 cm. The sensitivity of external pelvic dimensions was higher than clinical pelvimetry that was highest for the Michaelis transverse diameter(60.72%. Conclusion: External pelvimetry in comparison to clinical pelvimetry is a better method for identifying dystocia in nulliparous women and can replace clinical pelvimetry in antenatal care programs.

  15. Performance of diagnostic biomarkers in predicting liver fibrosis among hepatitis C virus-infected Egyptian children

    Directory of Open Access Journals (Sweden)

    Yasser E Nassef

    2013-11-01

    Full Text Available The aim of the present study was to identify specific markers that mirror liver fibrosis progression as an alternative to biopsy when biopsy is contraindicated, especially in children. After liver biopsies were performed, serum samples from 30 hepatitis C virus (HCV paediatric patients (8-14 years were analysed and compared with samples from 30 healthy subjects. All subjects were tested for the presence of serum anti-HCV antibodies. Direct biomarkers for liver fibrosis, including transforming growth factor-β1, tissue inhibitor of matrix metalloproteinase-1 (TIMP-1, hyaluronic acid (HA, procollagen type III amino-terminal peptide (PIIINP and osteopontin (OPN, were measured. The indirect biomarkers aspartate and alanine aminotransferases, albumin and bilirubin were also tested. The results revealed a significant increase in the serum marker levels in HCV-infected children compared with the healthy group, whereas albumin levels exhibited a significant decrease. Significantly higher levels of PIIINP, TIMP-1, OPN and HA were detected in HCV-infected children with moderate to severe fibrosis compared with children with mild fibrosis (p < 0.05. The diagnostic accuracy of these direct biomarkers, represented by sensitivity, specificity and positive predictive value, emphasises the utility of PIIINP, TIMP-1, OPN and HA as indicators of liver fibrosis among HCV-infected children.

  16. Diagnostic suite neuro-fuzzy in an advanced alarm monitoring and predictive diagnostic system for rotating machinery

    International Nuclear Information System (INIS)

    Geruzzi, P.

    1999-01-01

    The 'Foxboro SCADA', former 'Automation Systems Division' of Nuovo Pignone, at the end of eighty years, has been involved in the development of a flexible and powerful Diagnostic System for Rotating Machinery designed and manufactured in other divisions of the Company. This system amalgamates, in a single computer, all the functionality nowadays necessary to correctly manage locally and remotely the Evolutionary Maintenance of rotating machines as well as the relevant plants. It's specially designed to plan preventive and emergency maintenance procedures and to help the maintenance staff/service in preventing the occurrence of failures or severe damage to complete turbo-machinery plant including turbine, compressor and other machines. The system is designed to supervise and to analyze the operating state of one or more turbo- machinery units such as turbo-compressors, turbo-generators and turbo-pumps giving an effective support to plan preventive and breakdown maintenance monitoring the performances of each turbo-group's element and analyzing a large number of thermodynamic and mechanical parameters related to high pressure turbines, low pressure turbines, combustion chambers, axial compressors and load (compressors, generators, and pumps). A brief presentation of the system is provided (author) (ml)

  17. Predictive ability of an early diagnostic guess in patients presenting with chest pain; a longitudinal descriptive study.

    Science.gov (United States)

    Verdon, François; Junod, Michel; Herzig, Lilli; Vaucher, Paul; Burnand, Bernard; Bischoff, Thomas; Pécoud, Alain; Favrat, Bernard

    2010-02-21

    The intuitive early diagnostic guess could play an important role in reaching a final diagnosis. However, no study to date has attempted to quantify the importance of general practitioners' (GPs) ability to correctly appraise the origin of chest pain within the first minutes of an encounter. The validation study was nested in a multicentre cohort study with a one year follow-up and included 626 successive patients who presented with chest pain and were attended by 58 GPs in Western Switzerland. The early diagnostic guess was assessed prior to a patient's history being taken by a GP and was then compared to a diagnosis of chest pain observed over the next year. Using summary measures clustered at the GP's level, the early diagnostic guess was confirmed by further investigation in 51.0% (CI 95%; 49.4% to 52.5%) of patients presenting with chest pain. The early diagnostic guess was more accurate in patients with a life threatening illness (65.4%; CI 95% 64.5% to 66.3%) and in patients who did not feel anxious (62.9%; CI 95% 62.5% to 63.3%). The predictive abilities of an early diagnostic guess were consistent among GPs. The GPs early diagnostic guess was correct in one out of two patients presenting with chest pain. The probability of a correct guess was higher in patients with a life-threatening illness and in patients not feeling anxious about their pain.

  18. Most sub-arcsecond companions of Kepler exoplanet candidate host stars are gravitationally bound

    International Nuclear Information System (INIS)

    Horch, Elliott P.; Howell, Steve B.; Everett, Mark E.; Ciardi, David R.

    2014-01-01

    Using the known detection limits for high-resolution imaging observations and the statistical properties of true binary and line-of-sight companions, we estimate the binary fraction of Kepler exoplanet host stars. Our speckle imaging programs at the WIYN 3.5 m and Gemini North 8.1 m telescopes have observed over 600 Kepler objects of interest and detected 49 stellar companions within ∼1 arcsec. Assuming binary stars follow a log-normal period distribution for an effective temperature range of 3000-10,000 K, then the model predicts that the vast majority of detected sub-arcsecond companions are long period (P > 50 yr), gravitationally bound companions. In comparing the model predictions to the number of real detections in both observational programs, we conclude that the overall binary fraction of host stars is similar to the 40%-50% rate observed for field stars.

  19. Choosing algorithms for TB screening: a modelling study to compare yield, predictive value and diagnostic burden.

    Science.gov (United States)

    Van't Hoog, Anna H; Onozaki, Ikushi; Lonnroth, Knut

    2014-10-19

    To inform the choice of an appropriate screening and diagnostic algorithm for tuberculosis (TB) screening initiatives in different epidemiological settings, we compare algorithms composed of currently available methods. Of twelve algorithms composed of screening for symptoms (prolonged cough or any TB symptom) and/or chest radiography abnormalities, and either sputum-smear microscopy (SSM) or Xpert MTB/RIF (XP) as confirmatory test we model algorithm outcomes and summarize the yield, number needed to screen (NNS) and positive predictive value (PPV) for different levels of TB prevalence. Screening for prolonged cough has low yield, 22% if confirmatory testing is by SSM and 32% if XP, and a high NNS, exceeding 1000 if TB prevalence is ≤0.5%. Due to low specificity the PPV of screening for any TB symptom followed by SSM is less than 50%, even if TB prevalence is 2%. CXR screening for TB abnormalities followed by XP has the highest case detection (87%) and lowest NNS, but is resource intensive. CXR as a second screen for symptom screen positives improves efficiency. The ideal algorithm does not exist. The choice will be setting specific, for which this study provides guidance. Generally an algorithm composed of CXR screening followed by confirmatory testing with XP can achieve the lowest NNS and highest PPV, and is the least amenable to setting-specific variation. However resource requirements for tests and equipment may be prohibitive in some settings and a reason to opt for symptom screening and SSM. To better inform disease control programs we need empirical data to confirm the modeled yield, cost-effectiveness studies, transmission models and a better screening test.

  20. Runaway companions of supernova remnants with Gaia

    Science.gov (United States)

    Boubert, Douglas; Fraser, Morgan; Evans, N. Wyn

    2018-04-01

    It is expected that most massive stars have companions and thus that some core-collapse supernovae should have a runaway companion. The precise astrometry and photometry provided by Gaia allows for the systematic discovery of these runaway companions. We combine a prior on the properties of runaway stars from binary evolution with data from TGAS and APASS to search for runaway stars within ten nearby supernova remnants. We strongly confirm the existing candidate HD 37424 in S147, propose the Be star BD+50 3188 to be associated with HB 21, and suggest tentative candidates for the Cygnus and Monoceros Loops.

  1. Low-Mass Stars and Their Companions

    Science.gov (United States)

    Montet, Benjamin Tyler

    companion. I compare the masses of both stars to largely untested theoretical models of young M dwarfs, finding that the models are consistent with the measured mass of star A but slightly overpredict the luminosity of star B. In the final two science chapters I focus on space-based transit surveys, present and future. First, I present the first catalog of statistically validated planets from the K2 mission, as well as updated stellar and planetary parameters for all systems with candidate planets in the first K2 field. The catalog includes K2-18b, a ``mini-Neptune'' planet that receives a stellar insolation consistent with the level that the Earth receives from the Sun, making it a useful comparison against planets of a similar size that are highly irradiated, such as GJ 1214 b. Finally, I present predictions for the WFIRST mission. While designed largely as a microlensing mission, I find it will be able to detect as many as 30,000 transiting planets towards the galactic bulge, providing information about how planet occurrence changes across the galaxy. These planets will be able to be confirmed largely through direct detection of their secondary eclipses. Moreover, I find that more than 50% of the planets it detects smaller than Neptune will be found around M dwarf hosts.

  2. Imaginary Play Companions: Characteristics and Functions.

    Science.gov (United States)

    Kalyan-Masih, V.

    1986-01-01

    Investigates some of the following characteristics associated with young children playing with imaginary play companions (IPCs): intelligence, parental and socioeconomic and educational background, family size, and birth order. Compares these children to those without IPCs. (HOD)

  3. Classical Cepheid luminosities from binary companions

    International Nuclear Information System (INIS)

    Evans, N.R.

    1991-01-01

    Luminosities for the classical Cepheids Eta Aql, W Sgr, and SU Cas are determined from IUE spectra of their binary companions. Spectral types of the companions are determined from the spectra by comparison with the spectra of standard stars. The absolute magnitude inferred from these spectral types is used to determine the absolute magnitude of the Cepheid, either directly or from the magnitude difference between the two stars. For the temperature range of the companions (A0 V), distinctions of a quarter of a spectral subclass can be made in the comparison between the companions and standard stars. The absolute magnitudes for Eta Aql and W Sgr agree well with the period-luminosity-color relation of Feast and Walker (1987). Random errors are estimated to be 0.3 mag. SU Cas, however, is overluminous for pulsation in the fundamental mode, implying that it is pulsating in an overtone. 58 refs

  4. Microlensing Binaries with Candidate Brown Dwarf Companions

    DEFF Research Database (Denmark)

    Shin, I.-G; Han, C.; Gould, A.

    2012-01-01

    masses of the brown dwarf companions are 0.02 ± 0.01 M⊙ and 0.019 ± 0.002 M⊙ for MOA-2011-BLG-104/OGLE-2011-BLG-0172 and MOA-2011-BLG-149, respectively, and both companions are orbiting low-mass M dwarf host stars. More microlensing brown dwarfs are expected to be detected as the number of lensing events...

  5. A companion matrix for 2-D polynomials

    International Nuclear Information System (INIS)

    Boudellioua, M.S.

    1995-08-01

    In this paper, a matrix form analogous to the companion matrix which is often encountered in the theory of one dimensional (1-D) linear systems is suggested for a class of polynomials in two indeterminates and real coefficients, here referred to as two dimensional (2-D) polynomials. These polynomials arise in the context of 2-D linear systems theory. Necessary and sufficient conditions are also presented under which a matrix is equivalent to this companion form. (author). 6 refs

  6. A Companion to the Philosophy of Technology

    DEFF Research Database (Denmark)

    Friis, Jan Kyrre Berg O.; Pedersen, Stig Andur; Hendricks, Vincent F.

    The aim of philosophy of technology is to help us understand technology's complex interrelationships with the environment, society, culture - and with our very existence. A Companion to the Philosophy of Technology is the first comprehensive, authoritative reference source for this burgeoning...... those of the humanities, social studies, natural science, sociology, psychology, and engineering sciences and reflect a diversity of philosophical traditions such as pragmatism, analytical philosophy, and phenomenology. Erudite and authoritative, A Companion to the Philosophy of Technology is a major...

  7. Prediction of miscarriage in women with viable intrauterine pregnancy-A systematic review and diagnostic accuracy meta-analysis.

    Science.gov (United States)

    Pillai, Rekha N; Konje, Justin C; Richardson, Matthew; Tincello, Douglas G; Potdar, Neelam

    2018-01-01

    Both ultrasound and biochemical markers either alone or in combination have been described in the literature for the prediction of miscarriage. We performed this systematic review and meta-analysis to determine the best combination of biochemical, ultrasound and demographic markers to predict miscarriage in women with viable intrauterine pregnancy. The electronic database search included Medline (1946-June 2017), Embase (1980-June 2017), CINAHL (1981-June 2017) and Cochrane library. Key MESH and Boolean terms were used for the search. Data extraction and collection was performed based on the eligibility criteria by two authors independently. Quality assessment of the individual studies was done using QUADAS 2 (Quality Assessment for Diagnostic Accuracy Studies-2: A Revised Tool) and statistical analysis performed using the Cochrane systematic review manager 5.3 and STATA vs.13.0. Due to the diversity of the combinations used for prediction in the included papers it was not possible to perform a meta-analysis on combination markers. Therefore, we proceeded to perform a meta-analysis on ultrasound markers alone to determine the best marker that can help to improve the diagnostic accuracy of predicting miscarriage in women with viable intrauterine pregnancy. The systematic review identified 18 eligible studies for the quantitative meta-analysis with a total of 5584 women. Among the ultrasound scan markers, fetal bradycardia (n=10 studies, n=1762 women) on hierarchical summary receiver operating characteristic showed sensitivity of 68.41%, specificity of 97.84%, positive likelihood ratio of 31.73 (indicating a large effect on increasing the probability of predicting miscarriage) and negative likelihood ratio of 0.32. In studies for women with threatened miscarriage (n=5 studies, n=771 women) fetal bradycardia showed further increase in sensitivity (84.18%) for miscarriage prediction. Although there is gestational age dependent variation in the fetal heart rate, a plot

  8. Predictive ability of an early diagnostic guess in patients presenting with chest pain; a longitudinal descriptive study

    Directory of Open Access Journals (Sweden)

    Bischoff Thomas

    2010-02-01

    Full Text Available Abstract Background The intuitive early diagnostic guess could play an important role in reaching a final diagnosis. However, no study to date has attempted to quantify the importance of general practitioners' (GPs ability to correctly appraise the origin of chest pain within the first minutes of an encounter. Methods The validation study was nested in a multicentre cohort study with a one year follow-up and included 626 successive patients who presented with chest pain and were attended by 58 GPs in Western Switzerland. The early diagnostic guess was assessed prior to a patient's history being taken by a GP and was then compared to a diagnosis of chest pain observed over the next year. Results Using summary measures clustered at the GP's level, the early diagnostic guess was confirmed by further investigation in 51.0% (CI 95%; 49.4% to 52.5% of patients presenting with chest pain. The early diagnostic guess was more accurate in patients with a life threatening illness (65.4%; CI 95% 64.5% to 66.3% and in patients who did not feel anxious (62.9%; CI 95% 62.5% to 63.3%. The predictive abilities of an early diagnostic guess were consistent among GPs. Conclusions The GPs early diagnostic guess was correct in one out of two patients presenting with chest pain. The probability of a correct guess was higher in patients with a life-threatening illness and in patients not feeling anxious about their pain.

  9. Sensitivity, Specificity, Predictive Values, and Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis

    Directory of Open Access Journals (Sweden)

    Daniel Chavarría-Bolaños

    2017-01-01

    Full Text Available Introduction. The inferior alveolar nerve block (IANB is the most common anesthetic technique used on mandibular teeth during root canal treatment. Its success in the presence of preoperative inflammation is still controversial. The aim of this study was to evaluate the sensitivity, specificity, predictive values, and accuracy of three diagnostic tests used to predict IANB failure in symptomatic irreversible pulpitis (SIP. Methodology. A cross-sectional study was carried out on the mandibular molars of 53 patients with SIP. All patients received a single cartridge of mepivacaine 2% with 1 : 100000 epinephrine using the IANB technique. Three diagnostic clinical tests were performed to detect anesthetic failure. Anesthetic failure was defined as a positive painful response to any of the three tests. Sensitivity, specificity, predictive values, accuracy, and ROC curves were calculated and compared and significant differences were analyzed. Results. IANB failure was determined in 71.7% of the patients. The sensitivity scores for the three tests (lip numbness, the cold stimuli test, and responsiveness during endodontic access were 0.03, 0.35, and 0.55, respectively, and the specificity score was determined as 1 for all of the tests. Clinically, none of the evaluated tests demonstrated a high enough accuracy (0.30, 0.53, and 0.68 for lip numbness, the cold stimuli test, and responsiveness during endodontic access, resp.. A comparison of the areas under the curve in the ROC analyses showed statistically significant differences between the three tests (p<0.05. Conclusion. None of the analyzed tests demonstrated a high enough accuracy to be considered a reliable diagnostic tool for the prediction of anesthetic failure.

  10. Diagnostic value of myocardial perfusion SPECT in the prediction of restenosis after coronary artery bypass graft surgery

    International Nuclear Information System (INIS)

    Paeng, J. C.; Lee, D. S.; Kang, W. J.; Kim, K. B.; Chung, J. K.; Lee, M. C.

    2002-01-01

    Myocardial SPECT has been reported to be sensitive in the detection of restenosis after revascularization. However, the diagnostic value is not well established in bypass graft surgery (CABG), due to significant influences of characteristics of graft vessels and the time interval between CABG and the SPECT. In this study, we evaluated the diagnostic value of myocardial SPECT for the restenosis after CABG. A total of 160 patients with coronary artery disease (M:F=118:42, 60±8 yr) who had undergone CABG were included. Rest T1-201/ dipyridamole stress Tc-99m-MIBI SPECT was performed 3 months (103±16 days) after CABG. Segmental perfusion was quantified using a 20-segment model, and segments of reversible perfusion defect (REV) were defined. Follow-up coronary angiography was performed 1 year (397±104 days) after CABG. The segments of REV were compared between arterial and venous graft groups. And the diagnostic power of 3-month SPECT was evaluated for the prediction of restenosis. On the 3-month SPECT, 620 segments showed REV. The segments of REV were 37% of artery-grafted segments and 36% of vein-grafted segments (p=n.s.). On 1-year coronary angiography, 113 graft vessels (28%) showed restenosis. The overall sensitivity and specificity of REV on 3-month SPECT for the prediction of restenosis were 46% and 67%, respectively, but 52% and 68%, in artery-graft group. REV detected on 3-month SPECT has a predictive value, especially, high specificity for the prediction of restenosis after CABG, which was more definite in artery-graft group

  11. Estimation of genetic connectedness diagnostics based on prediction errors without the prediction error variance-covariance matrix.

    Science.gov (United States)

    Holmes, John B; Dodds, Ken G; Lee, Michael A

    2017-03-02

    An important issue in genetic evaluation is the comparability of random effects (breeding values), particularly between pairs of animals in different contemporary groups. This is usually referred to as genetic connectedness. While various measures of connectedness have been proposed in the literature, there is general agreement that the most appropriate measure is some function of the prediction error variance-covariance matrix. However, obtaining the prediction error variance-covariance matrix is computationally demanding for large-scale genetic evaluations. Many alternative statistics have been proposed that avoid the computational cost of obtaining the prediction error variance-covariance matrix, such as counts of genetic links between contemporary groups, gene flow matrices, and functions of the variance-covariance matrix of estimated contemporary group fixed effects. In this paper, we show that a correction to the variance-covariance matrix of estimated contemporary group fixed effects will produce the exact prediction error variance-covariance matrix averaged by contemporary group for univariate models in the presence of single or multiple fixed effects and one random effect. We demonstrate the correction for a series of models and show that approximations to the prediction error matrix based solely on the variance-covariance matrix of estimated contemporary group fixed effects are inappropriate in certain circumstances. Our method allows for the calculation of a connectedness measure based on the prediction error variance-covariance matrix by calculating only the variance-covariance matrix of estimated fixed effects. Since the number of fixed effects in genetic evaluation is usually orders of magnitudes smaller than the number of random effect levels, the computational requirements for our method should be reduced.

  12. A Substellar Companion to Pleiades HII 3441

    Science.gov (United States)

    Konishi, Mihoko; Matsuo, Taro; Yamamoto, Kodai; Samland, Matthias; Sudo, Jun; Shibai, Hiroshi; Itoh, Yoichi; Fukagawa, Misato; Sumi, Takhiro; Kudo, Tomoyuki; hide

    2016-01-01

    We find a new substellar companion to the Pleiades member star, Pleiades HII 3441, using the Subaru telescope with adaptive optics. The discovery is made as part of the high-contrast imaging survey to search for planetary-mass and substellar companions in the Pleiades and young moving groups. The companion has a projected separation of 0". 49+/-0". 02 (66+/-2 au) and a mass of 68+/-5M(sub J) based on three observations in the J-, H-, and K(sub s)-bands. The spectral type is estimated to be M7 (approx. 2700 K), and thus no methane absorption is detected in the H band. Our Pleiades observations result in the detection of two substellar companions including one previously reported among 20 observed Pleiades stars, and indicate that the fraction of substellar companions in the Pleiades is about 10.0+26.1 -8.8 %. This is consistent with multiplicity studies of both the Pleiades stars and other open clusters.

  13. Predicting need for additional CT scan in children with a non-diagnostic ultrasound for appendicitis in the emergency department.

    Science.gov (United States)

    Nishizawa, Takuya; Maeda, Shigenobu; Goldman, Ran D; Hayashi, Hiroyuki

    2018-01-01

    This study aimed to determine which children with suspected appendicitis should be considered for a computerized tomography (CT) scan after a non-diagnostic ultrasound (US) in the Emergency Department (ED). We retrospectively reviewed patients 0-18year old, who presented to the ED with complaints of abdominal pain, during 2011-2015 and while in the hospital had both US and CT. We recorded demographic and clinical data and outcomes, and used univariate and multivariate methods for comparing patients who did and didn't have appendicitis on CT after non-diagnostic US. Multivariate analysis was performed using logistic regression to determine what variables were independently associated with appendicitis. A total of 328 patients were enrolled, 257 with non-diagnostic US (CT: 82 had appendicitis, 175 no-appendicitis). Younger children and those who reported vomiting or had right lower abdominal quadrant (RLQ) tenderness, peritoneal signs or White Blood Cell (WBC) count >10,000 in mm 3 were more likely to have appendicitis on CT. RLQ tenderness (Odds Ratio: 2.84, 95%CI: 1.07-7.53), peritoneal signs (Odds Ratio: 11.37, 95%CI: 5.08-25.47) and WBC count >10,000 in mm 3 (Odds Ratio: 21.88, 95%CI: 7.95-60.21) remained significant after multivariate analysis. Considering CT with 2 or 3 of these predictors would have resulted in sensitivity of 94%, specificity of 67%, positive predictive value of 57% and negative predictive value of 96% for appendicitis. Ordering CT should be considered after non-diagnostic US for appendicitis only when children meet at least 2 predictors of RLQ tenderness, peritoneal signs and WBC>10,000 in mm 3 . Copyright © 2017 Elsevier Inc. All rights reserved.

  14. PSR J1755-2550: a young radio pulsar with a massive, compact companion

    Science.gov (United States)

    Ng, C.; Kruckow, M. U.; Tauris, T. M.; Lyne, A. G.; Freire, P. C. C.; Ridolfi, A.; Caiazzo, I.; Heyl, J.; Kramer, M.; Cameron, A. D.; Champion, D. J.; Stappers, B.

    2018-06-01

    Radio pulsars found in binary systems with short orbital periods are usually fast spinning as a consequence of recycling via mass transfer from their companion stars; this process is also thought to decrease the magnetic field of the neutron star being recycled. Here, we report on timing observations of the recently discovered binary PSR J1755-2550 and find that this pulsar is an exception: with a characteristic age of 2.1 Myr, it is relatively young; furthermore, with a spin period of 315 ms and a surface magnetic field strength at its poles of 0.88 × 1012 G, the pulsar shows no sign of having been recycled. Based on its timing and orbital characteristics, the pulsar either has a massive white dwarf (WD) or a neutron star (NS) companion. To distinguish between these two cases, we searched radio observations for a potential recycled pulsar companion and analysed archival optical data for a potential WD companion. Neither work returned conclusive detections. We apply population synthesis modelling and find that both solutions are roughly equally probable. Our population synthesis also predicts a minimum mass of 0.90 M⊙ for the companion star to PSR J1755-2550 and we simulate the systemic runaway velocities for the resulting WDNS systems which may merge and possibly produce Ca-rich supernovae. Whether PSR J1755-2550 hosts a WD or a NS companion star, it is certainly a member of a rare subpopulation of binary radio pulsars.

  15. Predicted precision of ion temperature and impurity fractional density measurements using the JET collective scattering diagnostic

    International Nuclear Information System (INIS)

    Orsitto, F.

    1992-11-01

    In a previous investigation the possibility of measuring the bulk ion temperature was considered in detail, in the context of the proposed Thomson scattering diagnostic for fast ions and alpha particles in the Joint European Torus project. In this report we give an affirmative answer to the question of whether good precision can be obtained in the simultaneous determination of the temperatures and densities of plasma ions from a collective scattering experiment provided some conditions are satisfied. (Author)

  16. Development of a novel diagnostic algorithm to predict NASH in HCV-positive patients.

    Science.gov (United States)

    Gallotta, Andrea; Paneghetti, Laura; Mrázová, Viera; Bednárová, Adriana; Kružlicová, Dáša; Frecer, Vladimir; Miertus, Stanislav; Biasiolo, Alessandra; Martini, Andrea; Pontisso, Patrizia; Fassina, Giorgio

    2018-05-01

    Non-alcoholic steato-hepatitis (NASH) is a severe disease characterised by liver inflammation and progressive hepatic fibrosis, which may progress to cirrhosis and hepatocellular carcinoma. Clinical evidence suggests that in hepatitis C virus patients steatosis and NASH are associated with faster fibrosis progression and hepatocellular carcinoma. A safe and reliable non-invasive diagnostic method to detect NASH at its early stages is still needed to prevent progression of the disease. We prospectively enrolled 91 hepatitis C virus-positive patients with histologically proven chronic liver disease: 77 patients were included in our study; of these, 10 had NASH. For each patient, various clinical and serological variables were collected. Different algorithms combining squamous cell carcinoma antigen-immunoglobulin-M (SCCA-IgM) levels with other common clinical data were created to provide the probability of having NASH. Our analysis revealed a statistically significant correlation between the histological presence of NASH and SCCA-IgM, insulin, homeostasis model assessment, haemoglobin, high-density lipoprotein and ferritin levels, and smoke. Compared to the use of a single marker, algorithms that combined four, six or seven variables identified NASH with higher accuracy. The best diagnostic performance was obtained with the logistic regression combination, which included all seven variables correlated with NASH. The combination of SCCA-IgM with common clinical data shows promising diagnostic performance for the detection of NASH in hepatitis C virus patients.

  17. The predictive value of diagnostic sonography for the effectiveness of conservative treatment of tennis elbow

    NARCIS (Netherlands)

    Struijs, P. A. A.; Spruyt, M.; Assendelft, W. J. J.; van Dijk, C. N.

    2005-01-01

    OBJECTIVE. Tennis elbow is a common complaint. Several treatment strategies have been described, but an optimal strategy has not been identified. Sonographic imaging as a predictive,factor has never been studied. The aim of our study was to determine the value of sonographic findings in predicting

  18. Computational Prediction of Human Salivary Proteins from Blood Circulation and Application to Diagnostic Biomarker Identification

    Science.gov (United States)

    Wang, Jiaxin; Liang, Yanchun; Wang, Yan; Cui, Juan; Liu, Ming; Du, Wei; Xu, Ying

    2013-01-01

    Proteins can move from blood circulation into salivary glands through active transportation, passive diffusion or ultrafiltration, some of which are then released into saliva and hence can potentially serve as biomarkers for diseases if accurately identified. We present a novel computational method for predicting salivary proteins that come from circulation. The basis for the prediction is a set of physiochemical and sequence features we found to be discerning between human proteins known to be movable from circulation to saliva and proteins deemed to be not in saliva. A classifier was trained based on these features using a support-vector machine to predict protein secretion into saliva. The classifier achieved 88.56% average recall and 90.76% average precision in 10-fold cross-validation on the training data, indicating that the selected features are informative. Considering the possibility that our negative training data may not be highly reliable (i.e., proteins predicted to be not in saliva), we have also trained a ranking method, aiming to rank the known salivary proteins from circulation as the highest among the proteins in the general background, based on the same features. This prediction capability can be used to predict potential biomarker proteins for specific human diseases when coupled with the information of differentially expressed proteins in diseased versus healthy control tissues and a prediction capability for blood-secretory proteins. Using such integrated information, we predicted 31 candidate biomarker proteins in saliva for breast cancer. PMID:24324552

  19. Evidence for a solar companion star

    International Nuclear Information System (INIS)

    Muller, R.A.

    1984-08-01

    Periodicity seen in both the mass extinctions and large impact cratering on earth can be explained if one postulates that the sun has a companion star, orbiting in a moderately eccentric orbit with a major axis of 2.8 light-years. No other explanations that have been suggested are compatible with known facts of physics and astronomy. If the companion is a red dwarf star, the most common kind in the galaxy, then no previous astronomical observations would have found it. A search for red objects with large parallax is now underway at Berkeley, and has a good chance of identifying the star in the near future

  20. Close companion to α Ursae Majoris

    International Nuclear Information System (INIS)

    Kondo, Y.; Morgan, T.H.; Modisette, J.L.

    1977-01-01

    After our recent article on the chromospheric emission features of the Mg II resonance doublet near 2800 A observed in α UMa, Bidelman pointed out to us that this star's close companion is considerably brighter than is stated in the Yale Catalogue of Bright Stars. We have synthesized the Mg II feature for this star from the Mg II observations obtained in other single stars. The results show that the close companion to α UMa is late A in type, in general agreement with the spectroscopic studies. This explains the apparent discrepancy in the Mg II doublet emission strengths between α UMa and β Gem

  1. Evidence for a solar companion star

    Energy Technology Data Exchange (ETDEWEB)

    Muller, R.A.

    1984-08-01

    Periodicity seen in both the mass extinctions and large impact cratering on earth can be explained if one postulates that the sun has a companion star, orbiting in a moderately eccentric orbit with a major axis of 2.8 light-years. No other explanations that have been suggested are compatible with known facts of physics and astronomy. If the companion is a red dwarf star, the most common kind in the galaxy, then no previous astronomical observations would have found it. A search for red objects with large parallax is now underway at Berkeley, and has a good chance of identifying the star in the near future.

  2. Pilot study of dynamic Bayesian networks approach for fault diagnostics and accident progression prediction in HTR-PM

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Yunfei; Tong, Jiejuan; Zhang, Liguo, E-mail: lgzhang@tsinghua.edu.cn; Zhang, Qin

    2015-09-15

    Highlights: • Dynamic Bayesian network is used to diagnose and predict accident progress in HTR-PM. • Dynamic Bayesian network model of HTR-PM is built based on detailed system analysis. • LOCA Simulations validate the above model even if part monitors are lost or false. - Abstract: The first high-temperature-reactor pebble-bed demonstration module (HTR-PM) is under construction currently in China. At the same time, development of a system that is used to support nuclear emergency response is in progress. The supporting system is expected to complete two tasks. The first one is diagnostics of the fault in the reactor based on abnormal sensor measurements obtained. The second one is prognostic of the accident progression based on sensor measurements obtained and operator actions. Both tasks will provide valuable guidance for emergency staff to take appropriate protective actions. Traditional method for the two tasks relies heavily on expert judgment, and has been proven to be inappropriate in some cases, such as Three Mile Island accident. To better perform the two tasks, dynamic Bayesian networks (DBN) is introduced in this paper and a pilot study based on the approach is carried out. DBN is advantageous in representing complex dynamic systems and taking full consideration of evidences obtained to perform diagnostics and prognostics. Pearl's loopy belief propagation (LBP) algorithm is recommended for diagnostics and prognostics in DBN. The DBN model of HTR-PM is created based on detailed system analysis and accident progression analysis. A small break loss of coolant accident (SBLOCA) is selected to illustrate the application of the DBN model of HTR-PM in fault diagnostics (FD) and accident progression prognostics (APP). Several advantages of DBN approach compared with other techniques are discussed. The pilot study lays the foundation for developing the nuclear emergency response supporting system (NERSS) for HTR-PM.

  3. Effect of breast cancer phenotype on diagnostic performance of MRI in the prediction to response to neoadjuvant treatment

    Energy Technology Data Exchange (ETDEWEB)

    Bufi, Enida, E-mail: reagandus@alice.it [Department of Bioimaging and Radiological Sciences, Catholic University, Rome (Italy); Belli, Paolo; Di Matteo, Marialuisa [Department of Bioimaging and Radiological Sciences, Catholic University, Rome (Italy); Terribile, Daniela; Franceschini, Gianluca [Department of Surgery, Breast Unit, Catholic University, Rome (Italy); Nardone, Luigia [Department of Radiotherapy, Catholic University, Rome (Italy); Petrone, Gianluigi [Department of Pathology, Catholic University, Rome (Italy); Bonomo, Lorenzo [Department of Bioimaging and Radiological Sciences, Catholic University, Rome (Italy)

    2014-09-15

    Aim: The estimation of response to neoadjuvant chemotherapy (NAC) is useful in the surgical decision in breast cancer. We addressed the diagnostic reliability of conventional MRI, of diffusion weighted imaging (DWI) and of a merged criterion coupling morphological MRI and DWI. Diagnostic performance was analysed separately in different tumor subtypes, including HER2+ (human epidermal growth factor receptor 2)/HR+ (hormone receptor) (hybrid phenotype). Materials and methods: Two-hundred and twenty-five patients underwent MRI before and after NAC. The response to treatment was defined according to the RECIST classification and the evaluation of DWI with apparent diffusion coefficient (ADC). The complete pathological response – pCR was assessed (Mandard classification). Results: Tumor phenotypes were Luminal (63.6%), Triple Negative (16.4%), HER2+ (7.6%) or Hybrid (12.4%). After NAC, pCR was observed in 17.3% of cases. Average ADC was statistically higher after NAC (p < 0.001) among patients showing pCR vs. those who had not pCR. The RECIST classification showed adequate performance in predicting the pCR in Triple Negative (area under the receiver operating characteristic curve, ROC AUC = 0.9) and in the HER2+ subgroup (AUC = 0.826). Lower performance was found in the Luminal and Hybrid subgroups (AUC 0.693 and 0.611, respectively), where the ADC criterion yielded an improved performance (AUC = 0.787 and 0.722). The coupling of morphological and DWI criteria yielded maximally improved performance in the Luminal and Hybrid subgroups (AUC = 0.797 and 0.761). Conclusion: The diagnostic reliability of MRI in predicting the pCR to NAC depends on the tumor phenotype, particularly in the Luminal and Hybrid subgroups. In these cases, the coupling of morphological MRI evaluation and DWI assessment may facilitate the diagnosis.

  4. The Wiley Blackwell companion to political geography

    NARCIS (Netherlands)

    Agnew, J.; Mamadouh, V.; Secor, A.J.; Sharp, J.

    2015-01-01

    The Wiley Blackwell Companion to Political Geography aims to account for the intellectual and worldly developments that have taken place in and around political geography in the last 10 years. Bringing together established names in the field as well as new scholars, it highlights provocative

  5. A Historical Companion to Postcolonial Literatures

    DEFF Research Database (Denmark)

    This is the first reference guide to the political, cultural and economic histories that form the subject-matter of postcolonial literatures written in English. The focus of the Companion is principally on the histories of postcolonial literatures in the Anglophone world - Africa, the Middle East...

  6. An expression meta-analysis of predicted microRNA targets identifies a diagnostic signature for lung cancer

    Directory of Open Access Journals (Sweden)

    Liang Yu

    2008-12-01

    Full Text Available Abstract Background Patients diagnosed with lung adenocarcinoma (AD and squamous cell carcinoma (SCC, two major histologic subtypes of lung cancer, currently receive similar standard treatments, but resistance to adjuvant chemotherapy is prevalent. Identification of differentially expressed genes marking AD and SCC may prove to be of diagnostic value and help unravel molecular basis of their histogenesis and biologies, and deliver more effective and specific systemic therapy. Methods MiRNA target genes were predicted by union of miRanda, TargetScan, and PicTar, followed by screening for matched gene symbols in NCBI human sequences and Gene Ontology (GO terms using the PANTHER database that was also used for analyzing the significance of biological processes and pathways within each ontology term. Microarray data were extracted from Gene Expression Omnibus repository, and tumor subtype prediction by gene expression used Prediction Analysis of Microarrays. Results Computationally predicted target genes of three microRNAs, miR-34b/34c/449, that were detected in human lung, testis, and fallopian tubes but not in other normal tissues, were filtered by representation of GO terms and their ability to classify lung cancer subtypes, followed by a meta-analysis of microarray data to classify AD and SCC. Expression of a minimal set of 17 predicted miR-34b/34c/449 target genes derived from the developmental process GO category was identified from a training set to classify 41 AD and 17 SCC, and correctly predicted in average 87% of 354 AD and 82% of 282 SCC specimens from total 9 independent published datasets. The accuracy of prediction still remains comparable when classifying 103 AD and 79 SCC samples from another 4 published datasets that have only 14 to 16 of the 17 genes available for prediction (84% and 85% for AD and SCC, respectively. Expression of this signature in two published datasets of epithelial cells obtained at bronchoscopy from cigarette

  7. Performance Evaluation of Five Different Disseminated Intravascular Coagulation (DIC) Diagnostic Criteria for Predicting Mortality in Patients with Complicated Sepsis.

    Science.gov (United States)

    Ha, Sang Ook; Park, Sang Hyuk; Hong, Sang Bum; Jang, Seongsoo

    2016-11-01

    Disseminated intravascular coagulation (DIC) is a major complication in sepsis patients. We compared the performance of five DIC diagnostic criteria, focusing on the prediction of mortality. One hundred patients with severe sepsis or septic shock admitted to intensive care unit (ICU) were enrolled. Routine DIC laboratory tests were performed over the first 4 days after admission. The overall ICU and 28-day mortality in DIC patients diagnosed from five criteria (International Society on Thrombosis and Haemostasis [ISTH], the Japanese Association for Acute Medicine [JAAM], the revised JAAM [R-JAAM], the Japanese Ministry of Health and Welfare [JMHW] and the Korean Society on Thrombosis and Hemostasis [KSTH]) were compared. Both KSTH and JMHW criteria showed superior performance than ISTH, JAAM and R-JAAM criteria in the prediction of overall ICU mortality in DIC patients (odds ratio 3.828 and 5.181, P = 0.018 and 0.006, 95% confidence interval 1.256-11.667 and 1.622-16.554, respectively) when applied at day 1 after admission, and survival analysis demonstrated significant prognostic impact of KSTH and JMHW criteria on the prediction of 28-day mortality (P = 0.007 and 0.049, respectively) when applied at day 1 after admission. In conclusion, both KSTH and JMHW criteria would be more useful than other three criteria in predicting prognosis in DIC patients with severe sepsis or septic shock.

  8. A Diagnostic and Predictive Framework for Wind Turbine Drive Train Monitoring

    DEFF Research Database (Denmark)

    Bach-Andersen, Martin

    Vast amount of data are collected minute by minute from wind turbines around the world. This thesis represents a focused research effort into discovering new ways of processing these data streams in order to gain insights which can be used to lower the maintenance costs of wind turbines and increase......, early fault identification based on analysis of complex vibration patterns which is a domain previously reserved for human experts, is shown to be solved with high accuracy using deep learning architecture strained in a fully supervised sense from the data collected in a large scale wind turbine...... monitoring platform. The research shows a way towards a fully automatized data-driven wind turbine diagnostic processing system that is highly scalable and requires little or no feature engineering and system modeling....

  9. Role of nuclear medicine in imaging companion animals

    International Nuclear Information System (INIS)

    Currie, Geoffrey M.; Wheat, Janelle M.

    2005-01-01

    The role of equine nuclear medicine in Australia has been previously described in this journal and more recently, Lyall et al. provided a general overview of demographics of veterinary nuclear medicine departments in Australia. Lyall et al. discuss the main clinical applications of nuclear medicine scintigraphy in companion animals; dogs and cats. The aim of this article is to discuss in brief the applications of commonly performed nuclear medicine procedures in humans with respect to veterinary applications. More detailed discussion will also be offered for investigation of pathologies unique to veterinary nuclear medicine or which are more common in animals than humans. Companion animals are living longer today due to advances in both veterinary and human medicine. The problem is, like humans, longevity brings higher incidence of old age morbidity. As a pet owner, one might be initially motivated to extend life expectancy which is followed by the realisation that one also demands quality of life for pets. Early detection through advanced diagnostic tools, like nuclear medicine scintigraphy, allows greater efficacy in veterinary disease. There are limited veterinary nuclear medicine facilities in Australia due to cost and demand. Not surprisingly then, the growth of veterinary nuclear medicine in Australia, and overseas, has been integrally coupled to evaluation of race horses. While these facilities are generally specifically designed for race horses, racing greyhounds, lame family horses and companion animals are being investigated more frequently. In the USA, the American College of Veterinary Radiology (ACVC) is very active clinically and in research. The ACVC journal, Journal of Veterinary Radiology and Ultrasound, is published quarterly and includes a Nuclear Medicine section. Within the ACVR is the Society of Veterinary Nuclear Medicine. Proliferation of veterinary nuclear medicine centres in the USA has been associated with insurance and lifestyle changes

  10. Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study

    Science.gov (United States)

    Nijman, Ruud G; Vergouwe, Yvonne; Thompson, Matthew; van Veen, Mirjam; van Meurs, Alfred H J; van der Lei, Johan; Steyerberg, Ewout W; Moll, Henriette A

    2013-01-01

    Objective To derive, cross validate, and externally validate a clinical prediction model that assesses the risks of different serious bacterial infections in children with fever at the emergency department. Design Prospective observational diagnostic study. Setting Three paediatric emergency care units: two in the Netherlands and one in the United Kingdom. Participants Children with fever, aged 1 month to 15 years, at three paediatric emergency care units: Rotterdam (n=1750) and the Hague (n=967), the Netherlands, and Coventry (n=487), United Kingdom. A prediction model was constructed using multivariable polytomous logistic regression analysis and included the predefined predictor variables age, duration of fever, tachycardia, temperature, tachypnoea, ill appearance, chest wall retractions, prolonged capillary refill time (>3 seconds), oxygen saturation rule out the presence of other SBIs. Discriminative ability (C statistic) to predict pneumonia was 0.81 (95% confidence interval 0.73 to 0.88); for other SBIs this was even better: 0.86 (0.79 to 0.92). Risk thresholds of 10% or more were useful to identify children with serious bacterial infections; risk thresholds less than 2.5% were useful to rule out the presence of serious bacterial infections. External validation showed good discrimination for the prediction of pneumonia (0.81, 0.69 to 0.93); discriminative ability for the prediction of other SBIs was lower (0.69, 0.53 to 0.86). Conclusion A validated prediction model, including clinical signs, symptoms, and C reactive protein level, was useful for estimating the likelihood of pneumonia and other SBIs in children with fever, such as septicaemia/meningitis and urinary tract infections. PMID:23550046

  11. Predicting Attention-Deficit/Hyperactivity Disorder and Oppositional Defiant Disorder from Preschool Diagnostic Assessments

    Science.gov (United States)

    Harvey, Elizabeth A.; Youngwirth, Sara D.; Thakar, Dhara A.; Errazuriz, Paula A.

    2009-01-01

    The present study examined the power of measures of early preschool behavior to predict later diagnoses of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD)/conduct disorder (CD). Participants were 168 children with behavior problems at age 3 who underwent a multimethod assessment of ADHD and ODD symptoms and…

  12. Uusi raamatuid : a companion to the history of the book

    Index Scriptorium Estoniae

    2010-01-01

    Tutvustus: A companion to the history of the book / edited by Simon Eliot and Jonathan Rose. - Malden, MA : Blackwell Pub., 2007. - xvi, 599 lk. : ill. - (Blackwell companions to literature and culture ; 48)

  13. Acute Kidney Injury in Trauma Patients Admitted to Critical Care: Development and Validation of a Diagnostic Prediction Model.

    Science.gov (United States)

    Haines, Ryan W; Lin, Shih-Pin; Hewson, Russell; Kirwan, Christopher J; Torrance, Hew D; O'Dwyer, Michael J; West, Anita; Brohi, Karim; Pearse, Rupert M; Zolfaghari, Parjam; Prowle, John R

    2018-02-26

    Acute Kidney Injury (AKI) complicating major trauma is associated with increased mortality and morbidity. Traumatic AKI has specific risk factors and predictable time-course facilitating diagnostic modelling. In a single centre, retrospective observational study we developed risk prediction models for AKI after trauma based on data around intensive care admission. Models predicting AKI were developed using data from 830 patients, using data reduction followed by logistic regression, and were independently validated in a further 564 patients. AKI occurred in 163/830 (19.6%) with 42 (5.1%) receiving renal replacement therapy (RRT). First serum creatinine and phosphate, units of blood transfused in first 24 h, age and Charlson score discriminated need for RRT and AKI early after trauma. For RRT c-statistics were good to excellent: development: 0.92 (0.88-0.96), validation: 0.91 (0.86-0.97). Modelling AKI stage 2-3, c-statistics were also good, development: 0.81 (0.75-0.88) and validation: 0.83 (0.74-0.92). The model predicting AKI stage 1-3 performed moderately, development: c-statistic 0.77 (0.72-0.81), validation: 0.70 (0.64-0.77). Despite good discrimination of need for RRT, positive predictive values (PPV) at the optimal cut-off were only 23.0% (13.7-42.7) in development. However, PPV for the alternative endpoint of RRT and/or death improved to 41.2% (34.8-48.1) highlighting death as a clinically relevant endpoint to RRT.

  14. Diagnostic accuracy of the STRATIFY clinical prediction rule for falls: A systematic review and meta-analysis

    LENUS (Irish Health Repository)

    Billington, Jennifer

    2012-08-07

    AbstractBackgroundThe STRATIFY score is a clinical prediction rule (CPR) derived to assist clinicians to identify patients at risk of falling. The purpose of this systematic review and meta-analysis is to determine the overall diagnostic accuracy of the STRATIFY rule across a variety of clinical settings.MethodsA literature search was performed to identify all studies that validated the STRATIFY rule. The methodological quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. A STRATIFY score of ≥2 points was used to identify individuals at higher risk of falling. All included studies were combined using a bivariate random effects model to generate pooled sensitivity and specificity of STRATIFY at ≥2 points. Heterogeneity was assessed using the variance of logit transformed sensitivity and specificity.ResultsSeventeen studies were included in our meta-analysis, incorporating 11,378 patients. At a score ≥2 points, the STRATIFY rule is more useful at ruling out falls in those classified as low risk, with a greater pooled sensitivity estimate (0.67, 95% CI 0.52–0.80) than specificity (0.57, 95% CI 0.45 – 0.69). The sensitivity analysis which examined the performance of the rule in different settings and subgroups also showed broadly comparable results, indicating that the STRATIFY rule performs in a similar manner across a variety of different ‘at risk’ patient groups in different clinical settings.ConclusionThis systematic review shows that the diagnostic accuracy of the STRATIFY rule is limited and should not be used in isolation for identifying individuals at high risk of falls in clinical practice.

  15. Methods Developed by the Tools for Engine Diagnostics Task to Monitor and Predict Rotor Damage in Real Time

    Science.gov (United States)

    Baaklini, George Y.; Smith, Kevin; Raulerson, David; Gyekenyesi, Andrew L.; Sawicki, Jerzy T.; Brasche, Lisa

    2003-01-01

    Tools for Engine Diagnostics is a major task in the Propulsion System Health Management area of the Single Aircraft Accident Prevention project under NASA s Aviation Safety Program. The major goal of the Aviation Safety Program is to reduce fatal aircraft accidents by 80 percent within 10 years and by 90 percent within 25 years. The goal of the Propulsion System Health Management area is to eliminate propulsion system malfunctions as a primary or contributing factor to the cause of aircraft accidents. The purpose of Tools for Engine Diagnostics, a 2-yr-old task, is to establish and improve tools for engine diagnostics and prognostics that measure the deformation and damage of rotating engine components at the ground level and that perform intermittent or continuous monitoring on the engine wing. In this work, nondestructive-evaluation- (NDE-) based technology is combined with model-dependent disk spin experimental simulation systems, like finite element modeling (FEM) and modal norms, to monitor and predict rotor damage in real time. Fracture mechanics time-dependent fatigue crack growth and damage-mechanics-based life estimation are being developed, and their potential use investigated. In addition, wireless eddy current and advanced acoustics are being developed for on-wing and just-in-time NDE engine inspection to provide deeper access and higher sensitivity to extend on-wing capabilities and improve inspection readiness. In the long run, these methods could establish a base for prognostic sensing while an engine is running, without any overt actions, like inspections. This damage-detection strategy includes experimentally acquired vibration-, eddy-current- and capacitance-based displacement measurements and analytically computed FEM-, modal norms-, and conventional rotordynamics-based models of well-defined damages and critical mass imbalances in rotating disks and rotors.

  16. Diagnostic value of fibronectin discriminant score for predicting liver fibrosis stages in chronic hepatitis C virus patients.

    Science.gov (United States)

    Attallah, Abdelfattah M; Abdallah, Sanaa O; Attallah, Ahmed A; Omran, Mohamed M; Farid, Khaled; Nasif, Wesam A; Shiha, Gamal E; Abdel-Aziz, Abdel-Aziz F; Rasafy, Nancy; Shaker, Yehia M

    2013-01-01

    Several noninvasive predictive models were developed to substitute liver biopsy for fibrosis assessment. To evaluate the diagnostic value of fibronectin which reflect extracellular matrix metabolism and standard liver functions tests which reflect alterations in hepatic functions. Chronic hepatitis C (CHC) patients (n = 145) were evaluated using ROC curves and stepwise multivariate discriminant analysis (MDA) and was validated in 180 additional patients. Liver biochemical profile including transaminases, bilirubin, alkaline phosphatase, albumin, complete blood count were estimated. Fibronectin concentration was determined using monoclonal antibody and ELISA. A novel index named fibronectin discriminant score (FDS) based on fibronectin, APRI and albumin was developed. FDS produced areas under ROC curves (AUC) of 0.91 for significant fibrosis and 0.81 for advanced fibrosis. The FDS correctly classified 79% of the significant liver fibrosis patients (F2-F4) with 87% sensitivity and 75% specificity. The relative risk [odds ratio (OR)] of having significant liver fibrosis using the cut-off values determined by ROC curve analyses were 6.1 for fibronectin, 4.9 for APRI, and 4.2 for albumin. FDS predicted liver fibrosis with an OR of 16.8 for significant fibrosis and 8.6 for advanced fibrosis. The FDS had similar AUC and OR in the validation group to the estimation group without statistically significant difference. FDS predicted liver fibrosis with high degree of accuracy, potentially decreasing the number of liver biopsy required.

  17. The Sensitivity, Specificity and Predictive Values of Snellen Chart Compared to the Diagnostic Test in Amblyopia Screening Program in Iran

    Directory of Open Access Journals (Sweden)

    Fatemeh Rivakani

    2015-12-01

    Full Text Available Introduction Amblyopia is a leading cause of visual impairment in both childhood and adult populations. Our aim in this study was to assess the epidemiological characteristics of the amblyopia screening program in Iran. Materials and Methods A cross-sectional study was done on a randomly selected sample of 4,636 Iranian children who were referred to screening program in 2013 were participated in validity study, too. From each provinces the major city were selected. Screening and diagnostic tests were done by instructors in first stage and optometrists in second stage, respectively. Finally data were analyzed by Stata version 13. Results The sensitivity was ranged from 74% to 100% among the various provinces such that Fars and Ardabil province had maximum and minimum values, respectively. The pattern of specificity was differ and ranged 44% to 84% among the provinces; Hormozgan and Fars had maximum and minimum values, respectively. The positive predictive value was also ranged from 35% to %81 which was assigned to Khuzestan and Ardabil provinces, respectively. The range of Negative Predictive value was 61% to 100% which was belonged to Ardabil and Fars provinces. Conclusion The total sensitivity (89% and negative predictive values (93% of screening test among children aged 3-6 years is acceptable, but only 51% of children refereed to second stage are true positive and this imposes considerable cost to health system.

  18. Performance of in silico prediction tools for the classification of rare BRCA1/2 missense variants in clinical diagnostics.

    Science.gov (United States)

    Ernst, Corinna; Hahnen, Eric; Engel, Christoph; Nothnagel, Michael; Weber, Jonas; Schmutzler, Rita K; Hauke, Jan

    2018-03-27

    The use of next-generation sequencing approaches in clinical diagnostics has led to a tremendous increase in data and a vast number of variants of uncertain significance that require interpretation. Therefore, prediction of the effects of missense mutations using in silico tools has become a frequently used approach. Aim of this study was to assess the reliability of in silico prediction as a basis for clinical decision making in the context of hereditary breast and/or ovarian cancer. We tested the performance of four prediction tools (Align-GVGD, SIFT, PolyPhen-2, MutationTaster2) using a set of 236 BRCA1/2 missense variants that had previously been classified by expert committees. However, a major pitfall in the creation of a reliable evaluation set for our purpose is the generally accepted classification of BRCA1/2 missense variants using the multifactorial likelihood model, which is partially based on Align-GVGD results. To overcome this drawback we identified 161 variants whose classification is independent of any previous in silico prediction. In addition to the performance as stand-alone tools we examined the sensitivity, specificity, accuracy and Matthews correlation coefficient (MCC) of combined approaches. PolyPhen-2 achieved the lowest sensitivity (0.67), specificity (0.67), accuracy (0.67) and MCC (0.39). Align-GVGD achieved the highest values of specificity (0.92), accuracy (0.92) and MCC (0.73), but was outperformed regarding its sensitivity (0.90) by SIFT (1.00) and MutationTaster2 (1.00). All tools suffered from poor specificities, resulting in an unacceptable proportion of false positive results in a clinical setting. This shortcoming could not be bypassed by combination of these tools. In the best case scenario, 138 families would be affected by the misclassification of neutral variants within the cohort of patients of the German Consortium for Hereditary Breast and Ovarian Cancer. We show that due to low specificities state-of-the-art in silico

  19. Diagnostic evaluation of uterine artery Doppler sonography for the prediction of adverse pregnancy outcomes

    Directory of Open Access Journals (Sweden)

    Mojgan Barati

    2014-01-01

    Full Text Available Background : Increased impedance to flow in the uterine arteries assessed by value of the Doppler is associated with adverse pregnancy outcomes, especially pre-eclampsia. We investigated the predictive value of a uterine artery Doppler in the identification of adverse pregnancy outcomes such as ′pre-eclampsia′ and ′small fetus for gestational age′ (SGA. Materials and Methods: Three hundred and seventy-nine women, with singleton pregnancy, between 18 and 40 years of age, without risk factors, randomly underwent Doppler interrogation of the uterine arteries, between 16-22 weeks of gestation. Those who had a mean pulsatility index (PI of >1.45 were considered to have an abnormal result, and were evaluated and compared with those who had normal results for adverse pregnancy outcomes, including pre-eclampsia and small for gestational age. The relationship between the variables was assessed with the use of the chi-square test. Results : There were 17 cases (4.5% of abnormal uterine artery Doppler results and 15 of them (88.2% developed pre-eclampsia and four cases (23.5% had neonates small for gestational age. For predicting pre-eclampsia, the mean uterine artery PI had to be >1.45, had to have a specificity of 95.5% (95% CI, 70-92%, a sensitivity of 79% (95% CI, 43-82%, a negative predictive value (NPV of 98.9% (95% CI, 72-96%, and a positive predictive value (PPV of 88.2% (95% CI, 68-98%. In the case of ′small for gestational age′ it had to have a specificity of 96.5% (95% CI, 42-68%, a sensitivity of 57% (95% CI, 53-76%, an NPV of 99.2% (95% CI, 70-92%, and a PPV of 23.5% (95% CI, 30-72%. Conclusion : Uterine artery Doppler evaluation at 16-22 weeks of gestation might be an appropriate tool for identifying pregnancies that may be at an increased risk for development of pre-eclampsia and small fetus for gestational age.

  20. BINARY FORMATION MECHANISMS: CONSTRAINTS FROM THE COMPANION MASS RATIO DISTRIBUTION

    International Nuclear Information System (INIS)

    Reggiani, Maddalena M.; Meyer, Michael R.

    2011-01-01

    We present a statistical comparison of the mass ratio distribution of companions, as observed in different multiplicity surveys, to the most recent estimate of the single-object mass function. The main goal of our analysis is to test whether or not the observed companion mass ratio distribution (CMRD) as a function of primary star mass and star formation environment is consistent with having been drawn from the field star initial mass function (IMF). We consider samples of companions for M dwarfs, solar-type stars, and intermediate-mass stars, both in the field as well as clusters or associations, and compare them with populations of binaries generated by random pairing from the assumed IMF for a fixed primary mass. With regard to the field we can reject the hypothesis that the CMRD was drawn from the IMF for different primary mass ranges: the observed CMRDs show a larger number of equal-mass systems than predicted by the IMF. This is in agreement with fragmentation theories of binary formation. For the open clusters α Persei and the Pleiades we also reject the IMF random-pairing hypothesis. Concerning young star-forming regions, currently we can rule out a connection between the CMRD and the field IMF in Taurus but not in Chamaeleon I. Larger and different samples are needed to better constrain the result as a function of the environment. We also consider other companion mass functions and we compare them with observations. Moreover the CMRD both in the field and clusters or associations appears to be independent of separation in the range covered by the observations. Combining therefore the CMRDs of M (1-2400 AU) and G (28-1590 AU) primaries in the field and intermediate-mass primary binaries in Sco OB2 (29-1612 AU) for mass ratios, q = M 2 /M 1 , from 0.2 to 1, we find that the best chi-square fit follows a power law dN/dq∝q β , with β = -0.50 ± 0.29, consistent with previous results. Finally, we note that the Kolmogorov-Smirnov test gives a ∼1

  1. The new Cambridge companion to Shakespeare

    OpenAIRE

    2015-01-01

    Written by a team of leading international scholars, this Companion is designed to illuminate Shakespeare's works through discussion of the key topics of Shakespeare studies. Twenty-one brand new essays provide lively and authoritative approaches to recent scholarship and criticism for readers keen to expand their knowledge and appreciation of Shakespeare. The book contains stimulating chapters on traditional topics such as Shakespeare's biography and the transmission of his texts. Individual...

  2. Diagnostic value of apparent diffusion coefficient value in prediction of grade for neuroepithelial tumors

    International Nuclear Information System (INIS)

    Chen Zhiye; Ma Lin

    2009-01-01

    Objective: To investigate the predictive value of ADC value in grading of neuroepithelial tumors. Methods: The clinical data and images of 70 patients with neuroepithelial tumors pathologically proven were collected and analyzed retrospectively. All the patients were classified into low (WHO I or II) and high (WHO III or IV) grade groups which included 40 and 30 cases respectively according to the 2007 WHO classification of tumours of the central nervous system. All the patients underwent plain and contrast-enhanced MR scan and DWI before surgery. The minimum ADC (MinADC) value was measured postoperatively on ADC maps. The Ki-67 labeling index (Ki-67 LI) of tumor tissue was determined by immunohistochemistry. MinADC values for two groups were analyzed using student t test, while the age and Ki-67 LI for the two groups was analyzed using Mann-Whitney test (P -3 mm 2 /s] of the low grade group was significantly higher than that [(0.74±0.18) x 10 -3 mm 2 /s] of the high grade group (t=5.42, P -3 mm 2 /s for the differentiation between high and low grade neuroepithelial tumors provided the best combination of sensitivity (90.0%) and specificity (77.5%) (receiver operating characteristic analysis). Conclusion: MinADC value is helpful for prediction of neuroepithelial tumor grade.. (authors)

  3. The diagnostic accuracy of endovaginal and transperineal ultrasound for detecting anal sphincter defects: The PREDICT study

    Energy Technology Data Exchange (ETDEWEB)

    Roos, A.-M., E-mail: annemarie.roos@gmail.com [Department of Obstetrics and Gynaecology, Mayday University Hospital, Croydon (United Kingdom); Abdool, Z. [Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria (South Africa); Sultan, A.H.; Thakar, R. [Department of Obstetrics and Gynaecology, Mayday University Hospital, Croydon (United Kingdom)

    2011-07-15

    Aim: To determine the accuracy and predictive value of transperineal (TPU) and endovaginal ultrasound (EVU) in the detection of anal sphincter defects in women with obstetric anal sphincter injuries and/or postpartum symptoms of faecal incontinence. Materials and methods: One hundred and sixty-five women were recruited, four women were excluded as they were seen years after their last delivery. TPU and EVU, followed by endonanal ultrasound (EAU), were performed using the B and K Viking 2400 scanner. Sensitivity and specificity, as well as predictive values with 95% confidence intervals, for detecting anal sphincter defects were calculated for EVU and TPU, using EAU as the reference standard. Results: On EAU a defect was found in 42 (26%) women: 39 (93%) had an external (EAS) and 23 (55%) an internal anal sphincter (IAS) defect. Analysable images of one level of the EAS combined with an analysable IAS were available in 140 (87%) women for EVU and in 131 (81%) for TPU. The sensitivity and specificity for the detection of any defect was 48% (30-67%) and 85% (77-91%) for EVU and 64% (44-81%) and 85% (77-91%) for TPU, respectively. Conclusion: Although EAU using a rotating endoprobe is the validated reference standard in the identification of anal sphincter defects, it is not universally available. However while TPU and/or EVU with conventional ultrasound probes can be useful in identifying normality, for clinical purposes they are not sensitive enough to identify an underlying sphincter defect.

  4. The diagnostic accuracy of endovaginal and transperineal ultrasound for detecting anal sphincter defects: The PREDICT study

    International Nuclear Information System (INIS)

    Roos, A.-M.; Abdool, Z.; Sultan, A.H.; Thakar, R.

    2011-01-01

    Aim: To determine the accuracy and predictive value of transperineal (TPU) and endovaginal ultrasound (EVU) in the detection of anal sphincter defects in women with obstetric anal sphincter injuries and/or postpartum symptoms of faecal incontinence. Materials and methods: One hundred and sixty-five women were recruited, four women were excluded as they were seen years after their last delivery. TPU and EVU, followed by endonanal ultrasound (EAU), were performed using the B and K Viking 2400 scanner. Sensitivity and specificity, as well as predictive values with 95% confidence intervals, for detecting anal sphincter defects were calculated for EVU and TPU, using EAU as the reference standard. Results: On EAU a defect was found in 42 (26%) women: 39 (93%) had an external (EAS) and 23 (55%) an internal anal sphincter (IAS) defect. Analysable images of one level of the EAS combined with an analysable IAS were available in 140 (87%) women for EVU and in 131 (81%) for TPU. The sensitivity and specificity for the detection of any defect was 48% (30-67%) and 85% (77-91%) for EVU and 64% (44-81%) and 85% (77-91%) for TPU, respectively. Conclusion: Although EAU using a rotating endoprobe is the validated reference standard in the identification of anal sphincter defects, it is not universally available. However while TPU and/or EVU with conventional ultrasound probes can be useful in identifying normality, for clinical purposes they are not sensitive enough to identify an underlying sphincter defect.

  5. 76 FR 51993 - Draft Guidance for Industry and Food and Drug Administration Staff on In Vitro Companion...

    Science.gov (United States)

    2011-08-19

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-D-0215] Draft Guidance for Industry and Food and Drug Administration Staff on In Vitro Companion Diagnostic Devices; Extension of Comment Period AGENCY: Food and Drug Administration, HHS. ACTION: Notice; extension...

  6. The diagnostic accuracy of endovaginal and transperineal ultrasound for detecting anal sphincter defects: The PREDICT study.

    Science.gov (United States)

    Roos, A-M; Abdool, Z; Sultan, A H; Thakar, R

    2011-07-01

    To determine the accuracy and predictive value of transperineal (TPU) and endovaginal ultrasound (EVU) in the detection of anal sphincter defects in women with obstetric anal sphincter injuries and/or postpartum symptoms of faecal incontinence. One hundred and sixty-five women were recruited, four women were excluded as they were seen years after their last delivery. TPU and EVU, followed by endonanal ultrasound (EAU), were performed using the B&K Viking 2400 scanner. Sensitivity and specificity, as well as predictive values with 95% confidence intervals, for detecting anal sphincter defects were calculated for EVU and TPU, using EAU as the reference standard. On EAU a defect was found in 42 (26%) women: 39 (93%) had an external (EAS) and 23 (55%) an internal anal sphincter (IAS) defect. Analysable images of one level of the EAS combined with an analysable IAS were available in 140 (87%) women for EVU and in 131 (81%) for TPU. The sensitivity and specificity for the detection of any defect was 48% (30-67%) and 85% (77-91%) for EVU and 64% (44-81%) and 85% (77-91%) for TPU, respectively. Although EAU using a rotating endoprobe is the validated reference standard in the identification of anal sphincter defects, it is not universally available. However while TPU and/or EVU with conventional ultrasound probes can be useful in identifying normality, for clinical purposes they are not sensitive enough to identify an underlying sphincter defect. Copyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  7. Transcriptomics in cancer diagnostics: developments in technology, clinical research and commercialization.

    Science.gov (United States)

    Sager, Monica; Yeat, Nai Chien; Pajaro-Van der Stadt, Stefan; Lin, Charlotte; Ren, Qiuyin; Lin, Jimmy

    2015-01-01

    Transcriptomic technologies are evolving to diagnose cancer earlier and more accurately to provide greater predictive and prognostic utility to oncologists and patients. Digital techniques such as RNA sequencing are replacing still-imaging techniques to provide more detailed analysis of the transcriptome and aberrant expression that causes oncogenesis, while companion diagnostics are developing to determine the likely effectiveness of targeted treatments. This article examines recent advancements in molecular profiling research and technology as applied to cancer diagnosis, clinical applications and predictions for the future of personalized medicine in oncology.

  8. Parental Website-Descriptions of Children's Imaginary Companions

    Directory of Open Access Journals (Sweden)

    Francine C Jellesma

    2013-03-01

    Full Text Available Past research shows that imaginary companions are a normal phenomenon in childhood and do not indicate risk for psychopathology. The aim of this study was to see if parents are nevertheless concerned about imaginary companions. Internet-forums were searched in English, German, and Dutch in order to answer this question. Parental messages about present imaginary companions were analysed. Analyses of 89 posts made on a diverse set of internet-forums for parents revealed that half the parents expressed concerns about imaginary companions, especially parents with children older than 4.5 years old. When the imaginary companion was older than the child, parents were more likely to be concerned. Almost all messages were about imaginary companions, which might indicate that parents are less concerned about personified objects. The results signify that parents need more information in order to ensure they know imaginary companions are a normal childhood-experience.

  9. Resolved Companions of Cepheids as Seen by HST and XMM

    Science.gov (United States)

    Evans, Nancy Remage; Bond, Howard E.; Schaefer, Gail; Mason, Brian D.; Tingle, Evan; Karovska, Margarita; Pillitteri, Ignazio; Wolk, Scott J.; Guinan, Edward F.; Engle, Scott G.

    2016-01-01

    We have conducted a survey of 70 classical Cepheids with the Hubble Wide Field Camera3 (WFC3) to identify possible resolved companions. Data cover the range of 0.3" to 20" which typically corresponds to 200 AU to 0.1 pc. At present only possible companions greater than 5" from the Cepheid are discussed, since closer companions require a sophisticated point spread correction for the light of the much brighter Cepheid. We have followed up a subset of the possible resolved companions with XMM observations to determine whether they are young (X-ray active) enough to be physical companions of the Cepheids. We estimate that 4% of the Cepheids have a physical resolved companion, with the widest having a separation of 4000 AU. The one wider young star is in the field of S Nor, but since it is a cluster member, the companion is not assumed to be gravitationally bound to the Cepheid.

  10. Are emotionally attached companion animal caregivers conscientious and neurotic? Factors that affect the human-companion animal relationship.

    Science.gov (United States)

    Reevy, Gretchen M; Delgado, Mikel M

    2015-01-01

    Few studies have examined how personality traits may be related to the amounts and types of attachments humans have toward companion animals (pets). In this study, 1,098 companion animal guardians (owners) completed a survey that included the Big Five Inventory, the Lexington Attachment to Pets Scale, and the Pet Attachment Questionnaire. Each participant chose whether he or she identified as a Cat Person, Dog Person, Both, or Neither. Results indicated that neuroticism, conscientiousness, choosing a dog as a favorite pet, and identifying as a Cat Person, Dog Person, or Both predicted affection for a pet. Conscientiousness, extraversion, and openness decreased avoidant attachment to pets, and neuroticism increased anxious attachment to pets. Both dogs and cats could benefit from pet owners who are conscientious, and there may be some benefits of neuroticism in pet owners. The findings of this study will advance understanding of the human-animal bond. As this understanding increases, measurements of human attachment and personality may be useful for the development of tools that could assist shelter employees and veterinarians in counseling people about pet ownership.

  11. A diagnostic score for the prediction of spontaneous resolution of acute hepatitis C virus infection.

    Science.gov (United States)

    Beinhardt, Sandra; Payer, Berit Anna; Datz, Christian; Strasser, Michael; Maieron, Andreas; Dorn, Livia; Grilnberger-Franz, Evelyn; Dulic-Lakovic, Emina; Stauber, Rudolf; Laferl, Hermann; Aberle, Judith H; Holzmann, Heidemarie; Krall, Christoph; Vogel, Wolfgang; Ferenci, Peter; Hofer, Harald

    2013-11-01

    IL28B polymorphisms, jaundice, decline in HCV-RNA, IP-10, and gender have been proposed to be indicative of spontaneous clearance of acute hepatitis C virus infection. The aim of this study was to define a score enabling the discrimination of patients with spontaneous clearance of HCV from those with development of viral persistence and need for early antiviral treatment. 136 patients (74 male; 35 ± 15 years) were analyzed. From variables predictive of spontaneous clearance, calculated by univariate analysis, three scores were built. Analogous cut-offs were evaluated by computing area under the receiver operating characteristic curves. Candidate variables and cut-offs were: (I) presence of IL28B C/C (p=0.027), (II) age (p=0.031; cut-off: 35 years), (III) peak-bilirubin (p=0.018; cut-off: 6 mg/dl), (IV) HCV-RNA decline within 4 weeks (p2.5 log), (V) serum IP-10 (p=0.003; cut-off: 546 pg/ml), (VI) presence of CD4(+) Th1 cells (p=0.024). Each variable was allocated to 0 or 1 point, an HCV-RNA decline of ≥ 1 log 10 but discrimination between AHC-patients with high potential for spontaneous clearance from candidates for early therapeutic intervention due to marginal chance of spontaneous resolution. Copyright © 2013 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

  12. The Role of BRCA2 Mutation Status as Diagnostic, Predictive, and Prognosis Biomarker for Pancreatic Cancer

    Directory of Open Access Journals (Sweden)

    Javier Martinez-Useros

    2016-01-01

    Full Text Available Pancreatic cancer is one of the deadliest cancers worldwide, and life expectancy after diagnosis is often short. Most pancreatic tumours appear sporadically and have been highly related to habits such as cigarette smoking, high alcohol intake, high carbohydrate, and sugar consumption. Other observational studies have suggested the association between pancreatic cancer and exposure to arsenic, lead, or cadmium. Aside from these factors, chronic pancreatitis and diabetes have also come to be considered as risk factors for these kinds of tumours. Studies have found that 10% of pancreatic cancer cases arise from an inherited syndrome related to some genetic alterations. One of these alterations includes mutation in BRCA2 gene. BRCA2 mutations impair DNA damage response and homologous recombination by direct regulation of RAD51. In light of these findings that link genetic factors to tumour development, DNA damage agents have been proposed as target therapies for pancreatic cancer patients carrying BRCA2 mutations. Some of these drugs include platinum-based agents and PARP inhibitors. However, the acquired resistance to PARP inhibitors has created a need for new chemotherapeutic strategies to target BRCA2. The present systematic review collects and analyses the role of BRCA2 alterations to be used in early diagnosis of an inherited syndrome associated with familiar cancer and as a prognostic and predictive biomarker for the management of pancreatic cancer patients.

  13. The diagnostic value of high-frequency power-based diffusion-weighted imaging in prediction of neuroepithelial tumour grading

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Zhiye; Liu, Mengqi [Chinese PLA General Hospital, Department of Radiology, Beijing (China); Hainan Branch of Chinese PLA General Hospital, Department of Radiology, Sanya (China); Zhou, Peng [Chinese Academy of Sciences, Research Center for Brain-inspired Intelligence, Institute of Automation, Beijing (China); University of Chinese Academy of Sciences, Beijing (China); Lv, Bin [Academy of Telecommunication Research of MIIT, Beijing (China); Wang, Yan; Wang, Yulin; Lou, Xin; Ma, Lin [Chinese PLA General Hospital, Department of Radiology, Beijing (China); Gui, Qiuping [Chinese PLA General Hospital, Department of Pathology, Beijing (China); He, Huiguang [Chinese Academy of Sciences, Research Center for Brain-inspired Intelligence, Institute of Automation, Beijing (China); University of Chinese Academy of Sciences, Beijing (China); Chinese Academy of Sciences, Center for Excellence in Brain Science and Intelligence Technology, Beijing (China)

    2017-12-15

    To retrospectively evaluate the diagnostic value of high-frequency power (HFP) compared with the minimum apparent diffusion coefficient (MinADC) in the prediction of neuroepithelial tumour grading. Diffusion-weighted imaging (DWI) data were acquired on 115 patients by a 3.0-T MRI system, which included b0 images and b1000 images over the whole brain in each patient. The HFP values and MinADC values were calculated by an in-house script written on the MATLAB platform. There was a significant difference among each group excluding grade I (G1) vs. grade II (G2) (P = 0.309) for HFP and among each group for MinADC. ROC analysis showed a higher discriminative accuracy between low-grade glioma (LGG) and high-grade glioma (HGG) for HFP with area under the curve (AUC) value 1 compared with that for MinADC with AUC 0.83 ± 0.04 and also demonstrated a higher discriminative ability among the G1-grade IV (G4) group for HFP compared with that for MinADC except G1 vs. G2. HFP could provide a simple and effective optimal tool for the prediction of neuroepithelial tumour grading based on diffusion-weighted images in routine clinical practice. (orig.)

  14. EVALUATION OF HYPERBILIRUBINAEMIA AS A NEW DIAGNOSTIC MARKER FOR ACUTE APPENDICITIS AND ITS ROLE IN THE PREDICTION OF APPENDICULAR PERFORATION

    Directory of Open Access Journals (Sweden)

    Lalit Kumar Regar

    2016-07-01

    Full Text Available BACKGROUND There are various investigations recommended to diagnose acute appendicitis; however, till date there is no confirmatory laboratory marker to diagnose preoperatively acute appendicitis & appendicular perforation. The purpose of study is to evaluate hyperbilirubinaemia as a new diagnostic marker for acute appendicitis and its role in the prediction of appendicular perforation. Preoperative assessment of serum bilirubin appears to be a promising new laboratory marker for diagnosing acute appendicitis & have a predictive potential for the diagnosis of appendicular perforation. METHODS A prospective analytical study of 100 cases comprising of a non-randomised cohort. RESULTS Hyperbilirubinaemia was found in most of the patients diagnosed with acute appendicitis (68.23% or appendicular perforation (73.33%. The mean total bilirubin level in patients diagnosed with acute appendicitis was 1.34 mg% while in patients diagnosed with appendicular perforation was 2.12 mg%. CONCLUSIONS Preoperative assessment of serum bilirubin should be routinely performed in cases of acute appendicitis as it can help in diagnosis of acute appendicitis as well as also serve as an important maker of acute gangrenous appendicitis.

  15. The nutritional management of gastrointestinal tract disorders in companion animals.

    Science.gov (United States)

    Guilford, W G; Matz, M E

    2003-12-01

    Dietary protein, carbohydrates, fats and fibre have marked influences on gastrointestinal tract function and dysfunction. This article reviews the nutritional management of common gastrointestinal disorders in companion animals and introduces some of the current areas of research including probiotics, prebiotics, protein-hydrolysate diets, immunonutrition and dietary fibre. Nutritional management of oesophageal disease revolves around varying the consistency of the diet and feeding the animal from an elevated container. Provision of bowel rest remains the mainstay of the management of acute gastroenteritis but food-based oral rehydration solutions are a useful adjunct. The recommended diet for chronic small bowel diarrhoea is a highly digestible, hypoallergenic, gluten-free, low-lactose and low-fat diet with modest amounts of fermentable fibre. The use of probiotics in the management of diarrhoea in companion animals has not yet been shown to be beneficial. It is likely that prebiotics will prove more effective than probiotics in the prevention of enteropathogenic infections. Approximately 50% of cats in New Zealand that suffer from chronic idiopathic vomiting or diarrhoea will respond to a novel-protein-elimination diet and approximately 30% meet the diagnostic criteria for food sensitivity. Growing evidence supports the use of protein-hydrolysate diets in the management of inflammatory bowel disease and further advances in immunonutrition are expected. The dietary management of colitis should include a hypoallergenic diet with a fermentable fibre source. Manipulation of the diet provides clinicians a powerful therapeutic strategy to be used alone or concurrently with drug therapy in the management of gastrointestinal disorders.

  16. Diagnostic Accuracy of Perioperative Measurement of Basal Anterior Pituitary and Target Gland Hormones in Predicting Adrenal Insufficiency After Pituitary Surgery.

    Science.gov (United States)

    Cerina, Vatroslav; Kruljac, Ivan; Radosevic, Jelena Marinkovic; Kirigin, Lora Stanka; Stipic, Darko; Pecina, Hrvoje Ivan; Vrkljan, Milan

    2016-03-01

    The insulin tolerance test (ITT) is the gold standard for diagnosing adrenal insufficiency (AI) after pituitary surgery. The ITT is unpleasant for patients, requires close medical supervision and is contraindicated in several comorbidities. The aim of this study was to analyze whether tumor size, remission rate, preoperative, and early postoperative baseline hormone concentrations could serve as predictors of AI in order to increase the diagnostic accuracy of morning serum cortisol. This prospective study enrolled 70 consecutive patients with newly diagnosed pituitary adenomas. Thirty-seven patients had nonfunctioning pituitary adenomas (NPA), 28 had prolactinomas and 5 had somatotropinomas. Thyroxin (T4), thyrotropin (TSH), prolactin, follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and insulin-like growth factor 1 (IGF-I) were measured preoperatively and on the sixth postoperative day. Serum morning cortisol was measured on the third postoperative day (CORT3) as well as the sixth postoperative day (CORT6). Tumor mass was measured preoperatively and remission was assessed 3 months after surgery. An ITT was performed 3 to 6 months postoperatively. Remission was achieved in 48% of patients and AI occurred in 51%. Remission rates and tumor type were not associated with AI. CORT3 had the best predictive value for AI (area under the curve (AUC) 0.868, sensitivity 82.4%, specificity 83.3%). Tumor size, preoperative T4, postoperative T4, and TSH were also associated with AI in a multivariate regression model. A combination of all preoperative and postoperative variables (excluding serum cortisol) had a sensitivity of 75.0% and specificity of 77.8%. The predictive power of CORT3 substantially improved by adding those variables into the model (AUC 0.921, sensitivity 94.1%, specificity 78.3%, PPV 81.9%, NPV of 92.7%). In a subgroup analysis that included only female patients with NPA, LH had exactly the same predictive value as CORT3. The addition

  17. Diagnostic value of contrast-enhanced dynamic CT in predicting the malignancy of solitary pulmonary nodules

    International Nuclear Information System (INIS)

    Goo, Hyun Woo; Song, Koun Sik; Lee, Eun Hye; Kim, Ji Hoon; Lee, Jin Seong; Lim, Tae Hwan

    1997-01-01

    To determine whether the maximal enhancement time in dynamic CT is different between benign and malignant solitary pulmonary nodules (SPN)s, and to evaluate the value of densitometry on dynamic CT in predicting the malignancy of SPN. Fifty-six patients with SPN of less than 4cm in diameter as seen on chest radiograph and SPN without benign pattern of calcification or fat, as seen on pre-enhance-ment spiral CT scans were included in this study. SPN with small cavitation sufficient to measure CT density, were also included. Thirty-four SPNs were diagnosed pathologically or radiologically as 20 malignant nodules and 14 benign nodules. Dynamic CT was performed by two techniques after injection of 50ml of nonionic contrast media at the rate of 2ml/sec. In 28 patients, incremental dynamic CT was performed before and of 15 seconds, 1 minute, 2 minutes, 3 minutes, and 4 minutes after injection of contrast media during shallow respiration. In 28 patients, double spiral CT was performed 2 minutes and 3 minutes after injection of contrast media during single breath hold. CT readings were taken at the central portion of SPNs, with a circular region of interest. The degree and time of maximal enhancement were recorded. In dynamic CT the maximal enhancement time of SPNs was not significantly different between malignant (2.73±1.27 minute) and benign nodules (2.56±1.24 minute). The enhancement of malignant nodules was significantly greater (21.42±12.17 HU) than of benign nodules (5.15±5.25 HU) (p<.0001). In dynamic CT of SPNs, there is no difference in maximal enhancement time between benign and malignant nodules;enhancement of the latter is significantly greater than that of the former. Maximal enhancement greater than 15 HU can be a good predictor of malignancy of SPNs

  18. Utilising symptom dimensions with diagnostic categories improves prediction of time to first remission in first-episode psychosis.

    Science.gov (United States)

    Ajnakina, Olesya; Lally, John; Di Forti, Marta; Stilo, Simona A; Kolliakou, Anna; Gardner-Sood, Poonam; Dazzan, Paola; Pariante, Carmine; Reis Marques, Tiago; Mondelli, Valeria; MacCabe, James; Gaughran, Fiona; David, Anthony S; Stamate, Daniel; Murray, Robin M; Fisher, Helen L

    2018-03-01

    There has been much recent debate concerning the relative clinical utility of symptom dimensions versus conventional diagnostic categories in patients with psychosis. We investigated whether symptom dimensions rated at presentation for first-episode psychosis (FEP) better predicted time to first remission than categorical diagnosis over a four-year follow-up. The sample comprised 193 FEP patients aged 18-65years who presented to psychiatric services in South London, UK, between 2006 and 2010. Psychopathology was assessed at baseline with the Positive and Negative Syndrome Scale and five symptom dimensions were derived using Wallwork/Fortgang's model; baseline diagnoses were grouped using DSM-IV codes. Time to start of first remission was ascertained from clinical records. The Bayesian Information Criterion (BIC) was used to find the best fitting accelerated failure time model of dimensions, diagnoses and time to first remission. Sixty percent of patients remitted over the four years following first presentation to psychiatric services, and the average time to start of first remission was 18.3weeks (SD=26.0, median=8). The positive (BIC=166.26), excited (BIC=167.30) and disorganised/concrete (BIC=168.77) symptom dimensions, and a diagnosis of schizophrenia (BIC=166.91) predicted time to first remission. However, a combination of the DSM-IV diagnosis of schizophrenia with all five symptom dimensions led to the best fitting model (BIC=164.35). Combining categorical diagnosis with symptom dimension scores in FEP patients improved the accuracy of predicting time to first remission. Thus our data suggest that the decision to consign symptom dimensions to an annexe in DSM-5 should be reconsidered at the earliest opportunity. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. A three-protein biomarker panel assessed in diagnostic tissue predicts death from prostate cancer for men with localized disease

    International Nuclear Information System (INIS)

    Severi, Gianluca; FitzGerald, Liesel M; Muller, David C; Pedersen, John; Longano, Anthony; Southey, Melissa C; Hopper, John L; English, Dallas R; Giles, Graham G; Mills, John

    2014-01-01

    Only a minority of prostate cancers lead to death. Because no tissue biomarkers of aggressiveness other than Gleason score are available at diagnosis, many nonlethal cancers are treated aggressively. We evaluated whether a panel of biomarkers, associated with a range of disease outcomes in previous studies, could predict death from prostate cancer for men with localized disease. Using a case-only design, subjects were identified from three Australian epidemiological studies. Men who had died of their disease, “cases” (N = 83), were matched to “referents” (N = 232), those who had not died of prostate cancer, using incidence density sampling. Diagnostic tissue was retrieved to assess expression of AZGP1, MUC1, NKX3.1, p53, and PTEN by semiquantitative immunohistochemistry (IHC). Poisson regression was used to estimate mortality rate ratios (MRRs) adjusted for age, Gleason score, and stage and to estimate survival probabilities. Expression of MUC1 and p53 was associated with increased mortality (MRR 2.51, 95% CI 1.14–5.54, P = 0.02 and 3.08, 95% CI 1.41–6.95, P = 0.005, respectively), whereas AZGP1 expression was associated with decreased mortality (MRR 0.44, 95% CI 0.20–0.96, P = 0.04). Analyzing all markers under a combined model indicated that the three markers were independent predictors of prostate cancer death and survival. For men with localized disease at diagnosis, assessment of AZGP1, MUC1, and p53 expression in diagnostic tissue by IHC could potentially improve estimates of risk of dying from prostate cancer based only on Gleason score and clinical stage

  20. Classification and diagnostic prediction of cancers using gene expression profiling and artificial neural networks | Center for Cancer Research

    Science.gov (United States)

    The purpose of this study was to develop a method of classifying cancers to specific diagnostic categories based on their gene expression signatures using artificial neural networks (ANNs). We trained the ANNs using the small, round blue-cell tumors (SRBCTs) as a model. These cancers belong to four distinct diagnostic categories and often present diagnostic dilemmas in

  1. A spectral differential characterization of low-mass companions

    Directory of Open Access Journals (Sweden)

    Lyubchik Y.

    2013-04-01

    Full Text Available We present a new approach with which the dynamical mass of low-mass companions around cool stars can be found. In order to discover companions to late-type stars the stellar spectrum is removed. For this we substract two spectra obtained at different orbital phases from each other in order to discover the companion spectrum in the difference spectrum in which the companion lines appear twice (positive and negative signal. The resulting radial velocity difference of these two signals provides the true mass of the companion. For our test case GJ1046, an M2V dwarf with a low-mass companion that most likely is a brown dwarf we select the CO line region in the K-band. We show that the dynamical mass of a faint companion to an M dwarf can be determined using our spectral differential technique. Only if the companion rotates rapidly and has a small radial velocity amplitude due to a high mass, does blending occur for all lines so that our approach fails. In addition to determining the companion mass, we restore the single companion spectrum from the difference spectrum using singular value decomposition.

  2. Accessing Cultural Artifacts Through Digital Companions

    DEFF Research Database (Denmark)

    Rehm, Matthias; Jensen, Martin Lynge

    2015-01-01

    This paper presents a study that explores how the introduction of a digital companion agent for a museum exploration game changes children’s engagement with the presented artworks. To this end, a mobile application was developed featuring a monster agent that has eaten the artworks, which...... the children had now to find in the museum. Results show that in comparison to the paper-based version of the exploration game, children engaged in more interactions with the actual cultural artifacts and showed a significantly higher retention rate for details of the involved artworks....

  3. The Photoshop CS4 Companion for Photographers

    CERN Document Server

    Story, Derrick

    2009-01-01

    "Derrick shows that Photoshop can be friendly as well as powerful. In part, he does that by focusing photographers on the essential steps of an efficient workflow. With this guide in hand, you'll quickly learn how to leverage Photoshop CS4's features to organize and improve your pictures."-- John Nack, Principal Product Manager, Adobe Photoshop & BridgeMany photographers -- even the pros -- feel overwhelmed by all the editing options Photoshop provides. The Photoshop CS4 Companion for Photographers pares it down to only the tools you'll need most often, and shows you how to use those tools as

  4. The routledge companion to the new cosmology

    CERN Document Server

    Coles, Peter

    2004-01-01

    Just what is Einstein's Theory of Relativity? The Big Bang Theory? Curvature of Spacetime? What do astronomers mean when they talk of a 'flat universe'?This approachable and authoritative guide to the cosmos answers these questions, and more. Taking advantage of the distinctive Companion format, readers can use the extensive, cross-referenced background chapters as a fascinating and accessible introduction to the current state of cosmological knowledge - or, they can use the convenient A-Z body of entries as a quick reference to a wide range of terms and concepts. Entries include topics su

  5. Diagnostic accuracy of calculated serum osmolarity to predict dehydration in older people: adding value to pathology laboratory reports.

    Science.gov (United States)

    Hooper, Lee; Abdelhamid, Asmaa; Ali, Adam; Bunn, Diane K; Jennings, Amy; John, W Garry; Kerry, Susan; Lindner, Gregor; Pfortmueller, Carmen A; Sjöstrand, Fredrik; Walsh, Neil P; Fairweather-Tait, Susan J; Potter, John F; Hunter, Paul R; Shepstone, Lee

    2015-10-21

    To assess which osmolarity equation best predicts directly measured serum/plasma osmolality and whether its use could add value to routine blood test results through screening for dehydration in older people. Diagnostic accuracy study. Older people (≥65 years) in 5 cohorts: Dietary Strategies for Healthy Ageing in Europe (NU-AGE, living in the community), Dehydration Recognition In our Elders (DRIE, living in residential care), Fortes (admitted to acute medical care), Sjöstrand (emergency room) or Pfortmueller cohorts (hospitalised with liver cirrhosis). Directly measured serum/plasma osmolality: current dehydration (serum osmolality>300 mOsm/kg), impending/current dehydration (≥295 mOsm/kg). 39 osmolarity equations calculated using serum indices from the same blood draw as directly measured osmolality. Across 5 cohorts 595 older people were included, of whom 19% were dehydrated (directly measured osmolality>300 mOsm/kg). Of 39 osmolarity equations, 5 showed reasonable agreement with directly measured osmolality and 3 had good predictive accuracy in subgroups with diabetes and poor renal function. Two equations were characterised by narrower limits of agreement, low levels of differential bias and good diagnostic accuracy in receiver operating characteristic plots (areas under the curve>0.8). The best equation was osmolarity=1.86×(Na++K+)+1.15×glucose+urea+14 (all measured in mmol/L). It appeared useful in people aged ≥65 years with and without diabetes, poor renal function, dehydration, in men and women, with a range of ages, health, cognitive and functional status. Some commonly used osmolarity equations work poorly, and should not be used. Given costs and prevalence of dehydration in older people we suggest use of the best formula by pathology laboratories using a cutpoint of 295 mOsm/L (sensitivity 85%, specificity 59%), to report dehydration risk opportunistically when serum glucose, urea and electrolytes are measured for other reasons in

  6. Positive predictive value estimates for cell-free noninvasive prenatal screening from data of a large referral genetic diagnostic laboratory.

    Science.gov (United States)

    Petersen, Andrea K; Cheung, Sau Wai; Smith, Janice L; Bi, Weimin; Ward, Patricia A; Peacock, Sandra; Braxton, Alicia; Van Den Veyver, Ignatia B; Breman, Amy M

    2017-12-01

    Since its debut in 2011, cell-free fetal DNA screening has undergone rapid expansion with respect to both utilization and coverage. However, conclusive data regarding the clinical validity and utility of this screening tool, both for the originally included common autosomal and sex-chromosomal aneuploidies as well as the more recently added chromosomal microdeletion syndromes, have lagged behind. Thus, there is a continued need to educate clinicians and patients about the current benefits and limitations of this screening tool to inform pre- and posttest counseling, pre/perinatal decision making, and medical risk assessment/management. The objective of this study was to determine the positive predictive value and false-positive rates for different chromosomal abnormalities identified by cell-free fetal DNA screening using a large data set of diagnostic testing results on invasive samples submitted to the laboratory for confirmatory studies. We tested 712 patient samples sent to our laboratory to confirm a cell-free fetal DNA screening result, indicating high risk for a chromosome abnormality. We compiled data from all cases in which the indication for confirmatory testing was a positive cell-free fetal DNA screen, including the common trisomies, sex chromosomal aneuploidies, microdeletion syndromes, and other large genome-wide copy number abnormalities. Testing modalities included fluorescence in situ hybridization, G-banded karyotype, and/or chromosomal microarray analysis performed on chorionic villus samples, amniotic fluid, or postnatally obtained blood samples. Positive predictive values and false-positive rates were calculated from tabulated data. The positive predictive values for trisomy 13, 18, and 21 were consistent with previous reports at 45%, 76%, and 84%, respectively. For the microdeletion syndrome regions, positive predictive values ranged from 0% for detection of Cri-du-Chat syndrome and Prader-Willi/Angelman syndrome to 14% for 1p36 deletion

  7. An Examination of Pennsylvania's Classroom Diagnostic Testing as a Predictive Model of Pennsylvania System of School Assessment Performance

    Science.gov (United States)

    Matsanka, Christopher

    2017-01-01

    The purpose of this non-experimental quantitative study was to investigate the relationship between Pennsylvania's Classroom Diagnostic Tools (CDT) interim assessments and the state-mandated Pennsylvania System of School Assessment (PSSA) and to create linear regression equations that could be used as models to predict student performance on the…

  8. Physical and Cognitive Functioning After 3 Years Can Be Predicted Using Information From the Diagnostic Process in Recently Diagnosed Multiple Sclerosis

    NARCIS (Netherlands)

    de Groot, V.; Beckerman, H.; Uitdehaag, B.M.J.; Hintzen, R.Q.; Minneboo, A.; Heymans, M.W.; Lankhorst, G.J.; Polman, C.H.; Bouter, L.M.

    2009-01-01

    de Groot V, Beckerman H, Uitdehaag BM, Hintzen RQ, Minneboo A, Heymans MW, Lankhorst GJ, Polman CH, Bouter LM, on behalf of the Functional Prognostication and Disability (FuPro) Study Group. Physical and cognitive functioning after 3 years can be predicted using information from the diagnostic

  9. Proteins and carbohydrates in nipple aspirate fluid predict the presence of atypia and cancer in women requiring diagnostic breast biopsy

    International Nuclear Information System (INIS)

    Qin, Wenyi; Gui, Gerald; Zhang, Ke; Twelves, Dominique; Kliethermes, Beth; Sauter, Edward R

    2012-01-01

    Herein we present the results of two related investigations. The first study determined if concentrations in breast nipple discharge (ND) of two proteins (urinary plasminogen activator, uPA and its inhibitor, PAI-1) predicted the presence of breast atypia and cancer in pre- and/or postmenopausal women requiring surgery because of a suspicious breast lesion. The second study assessed if these proteins increased the predictive ability of a carbohydrate (Thomsen Friedenreich, TF) which we previously demonstrated predicted the presence of disease in postmenopausal women requiring surgery. In the first study we prospectively enrolled 79 participants from whom we collected ND, measured uPA and PAI-1 and correlated expression with pathologic findings. In the second study we analyzed 35 (uPA and PAI-1 in 24, uPA in an additional 11) ND samples collected from different participants requiring breast surgery, all of whom also had TF results. uPA expression was higher in pre- and PAI-1 in postmenopausal women with 1) cancer (DCIS or invasive) vs. either no cancer (atypia or benign pathology, p = .018 and .025, respectively), or benign pathology (p = .017 and .033, respectively); and 2) abnormal (atypia or cancer) versus benign pathology (p = .018 and .052, respectively). High uPA and PAI-1 concentrations and age were independent predictors of disease in premenopausal women, with an area under the curve (AUC) of 83-87% when comparing diseased vs. benign pathology. uPA, TF, and age correctly classified 35 pre- and postmenopausal women as having disease or not 84-91% of the time, whereas combining uPA+PAI-1+TF correctly classified 24 women 97-100% of the time. uPA and PAI-1 concentrations in ND were higher in women with atypia and cancer compared to women with benign disease. Combining uPA, PAI-1 and TF in the assessment of women requiring diagnostic breast surgery maximized disease prediction. The assessment of these markers may prove useful in early breast cancer detection

  10. Ages and transit times as important diagnostics of model performance for predicting carbon dynamics in terrestrial vegetation models

    Science.gov (United States)

    Ceballos-Núñez, Verónika; Richardson, Andrew D.; Sierra, Carlos A.

    2018-03-01

    The global carbon cycle is strongly controlled by the source/sink strength of vegetation as well as the capacity of terrestrial ecosystems to retain this carbon. These dynamics, as well as processes such as the mixing of old and newly fixed carbon, have been studied using ecosystem models, but different assumptions regarding the carbon allocation strategies and other model structures may result in highly divergent model predictions. We assessed the influence of three different carbon allocation schemes on the C cycling in vegetation. First, we described each model with a set of ordinary differential equations. Second, we used published measurements of ecosystem C compartments from the Harvard Forest Environmental Measurement Site to find suitable parameters for the different model structures. And third, we calculated C stocks, release fluxes, radiocarbon values (based on the bomb spike), ages, and transit times. We obtained model simulations in accordance with the available data, but the time series of C in foliage and wood need to be complemented with other ecosystem compartments in order to reduce the high parameter collinearity that we observed, and reduce model equifinality. Although the simulated C stocks in ecosystem compartments were similar, the different model structures resulted in very different predictions of age and transit time distributions. In particular, the inclusion of two storage compartments resulted in the prediction of a system mean age that was 12-20 years older than in the models with one or no storage compartments. The age of carbon in the wood compartment of this model was also distributed towards older ages, whereas fast cycling compartments had an age distribution that did not exceed 5 years. As expected, models with C distributed towards older ages also had longer transit times. These results suggest that ages and transit times, which can be indirectly measured using isotope tracers, serve as important diagnostics of model structure

  11. Searching For Low-mass Companions Of Cepheids

    Science.gov (United States)

    Remage Evans, Nancy; Bond, H.; Schaefer, G.; Karovska, M.; Mason, B.; DePasquale, J.; Pillitteri, I.; Guinan, E.; Engle, S.

    2011-05-01

    The role played by binary and multiple stars in star formation is receiving a great deal of attention, both theoretically and observationally. Two questions under discussion are how wide physical companions can be and how frequently massive stars have low mass companions. An important new observational tool is the development of high resolution imaging, both from space and from the ground (Adaptive Optics and interferometry). We are conducting a snapshot survey of the nearest Cepheids using the Hubble Space Telescope Wide Field Camera 3 (WFC3). The aim is to discover possible resolved low mass companions. Results from this survey will be discussed, including images of Eta Aql. X-ray luminosity can confirm or refute that putative low mass companions are young enough to be physical companions. This project tests the reality of both wide and low mass companions of these intermediate-mass stars.

  12. Developing a Diagnostic Brain Imaging Protocol for Recent Onset Psychosis which Embodies Principles of Predictive Coding and Free Energy

    Directory of Open Access Journals (Sweden)

    Michael Breakspear

    2011-05-01

    Full Text Available Although schizophrenia is usually conceptualized of as a disorder of well formed hallucinations and delusions, its onset is more typically characterized by heightened arousal, a vague but pervasive feeling of unease and poorly formed misperceptions. This unstable constellation of symptoms challenges clinical diagnosis at a time when properly guided interventions are most likely to have the greatest long-term benefits. It is possible to frame this clinical picture as a disturbance in the capacity of the cortex to optimally form predictive models of the environment, to appropriately sample visual scenes in order to estimate the likelihood of such models and to hence minimize surprise in a dynamic social landscape. This approach suggests that manipulating the relationship between visual search strategies and natural scene statistics might be a sensitive means of quantifying core neurobiological deficits early in the course of emerging psychotic disorders. We are developing a diagnostic tool for the prodromal phase of these disorders which involves experimentally disturbing the relationship between visual saccades and the stream of natural images in well directed films. I will outline the conceptual and computational bases and early experimental results thus far obtained, including a canonical example of paranoia and theory of mind in a spaghetti western.

  13. Different diagnostic values of imaging parameters to predict pseudoprogression in glioblastoma subgroups stratified by MGMT promoter methylation

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Ra Gyoung [Catholic Kwandong University International St. Mary' s Hospital, Department of Radiology, Catholic Kwandong University College of Medicine, Incheon (Korea, Republic of); Kim, Ho Sung; Shim, Woo Hyun; Kim, Sang Joon [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea, Republic of); Paik, Wooyul [Dankook Unversity Hospital, Department of Radiology, Cheonan-si, Chungcheongnam-do (Korea, Republic of); Kim, Jeong Hoon [University of Ulsan College of Medicine, Asan Medical Center, Department of Neurosurgery, Seoul (Korea, Republic of)

    2017-01-15

    The aim of this study was to determine whether diffusion and perfusion imaging parameters demonstrate different diagnostic values for predicting pseudoprogression between glioblastoma subgroups stratified by O{sup 6}-mythylguanine-DNA methyltransferase (MGMT) promoter methylation status. We enrolled seventy-five glioblastoma patients that had presented with enlarged contrast-enhanced lesions on magnetic resonance imaging (MRI) one month after completing concurrent chemoradiotherapy and undergoing MGMT promoter methylation testing. The imaging parameters included 10 or 90 % histogram cutoffs of apparent diffusion coefficient (ADC10), normalized cerebral blood volume (nCBV90), and initial area under the time signal-intensity curve (IAUC90). The results of the areas under the receiver operating characteristic curve (AUCs) with cross-validation were compared between MGMT methylation and unmethylation groups. MR imaging parameters demonstrated a trend toward higher accuracy in the MGMT promoter methylation group than in the unmethylation group (cross-validated AUCs = 0.70-0.95 and 0.56-0.87, respectively). The combination of MGMT methylation status with imaging parameters improved the AUCs from 0.70 to 0.75-0.90 for both readers in comparison with MGMT methylation status alone. The probability of pseudoprogression was highest (95.7 %) when nCBV90 was below 4.02 in the MGMT promoter methylation group. MR imaging parameters could be stronger predictors of pseudoprogression in glioblastoma patients with the methylated MGMT promoter than in patients with the unmethylated MGMT promoter. (orig.)

  14. Parent Rated Symptoms of Inattention in Childhood Predict High School Academic Achievement Across Two Culturally and Diagnostically Diverse Samples

    Directory of Open Access Journals (Sweden)

    Astri J. Lundervold

    2017-08-01

    Full Text Available Objective: To investigate parent reports of childhood symptoms of inattention as a predictor of adolescent academic achievement, taking into account the impact of the child’s intellectual functioning, in two diagnostically and culturally diverse samples.Method: Samples: (a an all-female sample in the U.S. predominated by youth with ADHD (Berkeley Girls with ADHD Longitudinal Study [BGALS], N = 202, and (b a mixed-sex sample recruited from a Norwegian population-based sample (the Bergen Child Study [BCS], N = 93. Inattention and intellectual function were assessed via the same measures in the two samples; academic achievement scores during and beyond high school and demographic covariates were country-specific.Results: Childhood inattention predicted subsequent academic achievement in both samples, with a somewhat stronger effect in the BGALS sample, which included a large subgroup of children with ADHD. Intellectual function was another strong predictor, but the effect of early inattention remained statistically significant in both samples when intellectual function was covaried.Conclusion: The effect of early indicators of inattention on future academic success was robust across the two samples. These results support the use of remediation procedures broadly applied. Future longitudinal multicenter studies with pre-planned common inclusion criteria should be performed to increase our understanding of the importance of inattention in primary school children for concurrent and prospective functioning.

  15. Expertise, motivation and teaching in learning companion systems

    OpenAIRE

    Uresti, Jorge Adolfo Ramirez; du Boulay, Benedict

    2004-01-01

    This paper describes work carried out to explore the role of a learning companion as a teachable student of the human student. A LCS for Binary Boolean Algebra has been developed to explore the hypothesis that a learning companion with less expertise than the human student would be beneficial if the student taught it. The system implemented two companions with different expertise and two types of motivational conditions. An empirical evaluation was conducted. Although significant differential...

  16. Predicting Cognitive, Functional, and Diagnostic Change over 4 Years Using Baseline Subjective Cognitive Complaints in the Sydney Memory and Ageing Study.

    Science.gov (United States)

    Slavin, Melissa J; Sachdev, Perminder S; Kochan, Nicole A; Woolf, Claudia; Crawford, John D; Giskes, Katrina; Reppermund, Simone; Trollor, Julian N; Draper, Brian; Delbaere, Kim; Brodaty, Henry

    2015-09-01

    There is limited understanding of the usefulness of subjective cognitive complaint(s) (SCC) in predicting longitudinal outcome because most studies focus solely on memory (as opposed to nonmemory cognitive) complaints, do not collect data from both participants and informants, do not control for relevant covariates, and have limited outcome measures. Therefore the authors investigate the usefulness of participant and informant SCCs in predicting change in cognition, functional abilities, and diagnostic classification of mild cognitive impairment or dementia in a community-dwelling sample over 4 years. Nondemented participants (N = 620) in the Sydney Memory and Ageing Study aged between 70 and 90 years completed 15 memory and 9 nonmemory SCC questions. An informant completed a baseline questionnaire that included 15 memory and 4 nonmemory SCC questions relating to the participant. Neuropsychological, functional, and diagnostic assessments were carried out at baseline and again at 4-year follow-up. Cross-sectional and longitudinal analyses were carried out to determine the association between SCC indices and neuropsychological, functional, and diagnostic data while controlling for psychological measures. Once participant characteristics were controlled for, participant complaints were generally not predictive of cognitive or functional decline, although participant memory-specific complaints were predictive of diagnostic conversion. Informant-related memory questions were associated with global cognitive and functional decline and with diagnostic conversion over 4 years. Informant memory complaint questions were better than participant complaints in predicting cognitive and functional decline as well as diagnoses over 4 years. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  17. Predicting the Reasons of Customer Complaints: A First Step Toward Anticipating Quality Issues of In Vitro Diagnostics Assays with Machine Learning.

    Science.gov (United States)

    Aris-Brosou, Stephane; Kim, James; Li, Li; Liu, Hui

    2018-05-15

    Vendors in the health care industry produce diagnostic systems that, through a secured connection, allow them to monitor performance almost in real time. However, challenges exist in analyzing and interpreting large volumes of noisy quality control (QC) data. As a result, some QC shifts may not be detected early enough by the vendor, but lead a customer to complain. The aim of this study was to hypothesize that a more proactive response could be designed by utilizing the collected QC data more efficiently. Our aim is therefore to help prevent customer complaints by predicting them based on the QC data collected by in vitro diagnostic systems. QC data from five select in vitro diagnostic assays were combined with the corresponding database of customer complaints over a period of 90 days. A subset of these data over the last 45 days was also analyzed to assess how the length of the training period affects predictions. We defined a set of features used to train two classifiers, one based on decision trees and the other based on adaptive boosting, and assessed model performance by cross-validation. The cross-validations showed classification error rates close to zero for some assays with adaptive boosting when predicting the potential cause of customer complaints. Performance was improved by shortening the training period when the volume of complaints increased. Denoising filters that reduced the number of categories to predict further improved performance, as their application simplified the prediction problem. This novel approach to predicting customer complaints based on QC data may allow the diagnostic industry, the expected end user of our approach, to proactively identify potential product quality issues and fix these before receiving customer complaints. This represents a new step in the direction of using big data toward product quality improvement. ©Stephane Aris-Brosou, James Kim, Li Li, Hui Liu. Originally published in JMIR Medical Informatics (http

  18. A MATLAB companion for multivariable calculus

    CERN Document Server

    Cooper, Jeffery

    2001-01-01

    Offering a concise collection of MatLab programs and exercises to accompany a third semester course in multivariable calculus, A MatLab Companion for Multivariable Calculus introduces simple numerical procedures such as numerical differentiation, numerical integration and Newton''s method in several variables, thereby allowing students to tackle realistic problems. The many examples show students how to use MatLab effectively and easily in many contexts. Numerous exercises in mathematics and applications areas are presented, graded from routine to more demanding projects requiring some programming. Matlab M-files are provided on the Harcourt/Academic Press web site at http://www.harcourt-ap.com/matlab.html.* Computer-oriented material that complements the essential topics in multivariable calculus* Main ideas presented with examples of computations and graphics displays using MATLAB * Numerous examples of short code in the text, which can be modified for use with the exercises* MATLAB files are used to implem...

  19. Quasars, companion galaxies and Poisson statistics

    International Nuclear Information System (INIS)

    Webster, A.

    1982-01-01

    Arp has presented a sample of quasars lying close to the companion galaxies of bright spirals, from which he estimates a value of 10 -17 for the probability that the galaxies and quasars are sited independently on the celestial sphere; Browne, however, has found a simple fallacy in the statistics which accounts for about 10 of the 17 orders of magnitude. Here we draw attention to an obscure part of Arp's calculation which we have been unable to repeat; if it is carried out in what seems to be the most straightforward way, about five more orders may be accounted for. In consequence, it is not clear that the sample contains any evidence damaging to the popular notion that the redshifts of quasars indicate distance through the Hubble Law. (author)

  20. Validation and diagnostic accuracy of predictive curves for age-associated longitudinal cognitive decline in older adults

    Science.gov (United States)

    Bernier, Patrick J.; Gourdeau, Christian; Carmichael, Pierre-Hugues; Beauchemin, Jean-Pierre; Verreault, René; Bouchard, Rémi W.; Kröger, Edeltraut; Laforce, Robert

    2017-01-01

    BACKGROUND: The Mini-Mental State Examination continues to be used frequently to screen for cognitive impairment in older adults, but it remains unclear how to interpret changes in its score over time to distinguish age-associated cognitive decline from an early degenerative process. We aimed to generate cognitive charts for use in clinical practice for longitudinal evaluation of age-associated cognitive decline. METHODS: We used data from the Canadian Study of Health and Aging from 7569 participants aged 65 years or older who completed a Mini-Mental State Examination at baseline, and at 5 and 10 years later to develop a linear regression model for the Mini-Mental State Examination score as a function of age and education. Based on this model, we generated cognitive charts designed to optimize accuracy for distinguishing participants with dementia from healthy controls. We validated our model using a separate data set of 6501 participants from the National Alzheimer’s Coordinating Center’s Uniform Data Set. RESULTS: For baseline measurement, the cognitive charts had a sensitivity of 80% (95% confidence interval [CI] 75% to 84%) and a specificity of 89% (95% CI 88% to 90%) for distinguishing healthy controls from participants with dementia. Similar sensitivities and specificities were observed for a decline over time greater than 1 percentile zone from the first measurement. Results in the validation sample were comparable, albeit with lower sensitivities. Negative predictive value was 99%. INTERPRETATION: Our innovative model, which factors in age and education, showed validity and diagnostic accuracy for determining whether older patients show abnormal performance on serial Mini-Mental State Examination measurements. Similar to growth curves used in pediatrics, cognitive charts allow longitudinal cognitive evaluation and enable prompt initiation of investigation and treatment when appropriate. PMID:29203616

  1. Sonographic findings predictive of central lymph node metastasis in patients with papillary thyroid carcinoma: influence of associated chronic lymphocytic thyroiditis on the diagnostic performance of sonography.

    Science.gov (United States)

    Yoo, Yeon Hwa; Kim, Jeong-Ah; Son, Eun Ju; Youk, Ji Hyun; Kwak, Jin Young; Kim, Eun-Kyung; Park, Cheong Soo

    2013-12-01

    To analyze sonographic findings suggesting central lymph node metastasis of papillary thyroid carcinoma and to evaluate the influence of associated chronic lymphocytic thyroiditis on the diagnostic performance of sonography for predicting central lymph node metastasis. A total of 124 patients (101 female and 23 male; mean age, 47.5 years; range, 21-74 years) underwent sonographically guided fine-needle aspiration in central lymph nodes from January 2008 to July 2011. Sonographic features of size, shape, margin, thickening of the cortex, cortical echogenicity, presence of a hilum, cystic changes, calcification, and vascularity of enlarged lymph nodes were analyzed before fine-needle aspiration and classified into 2 categories (probably benign and suspicious). Sonographic findings were correlated with the pathologic diagnosis and associated chronic lymphocytic thyroiditis. Receiver operating characteristic curve analysis was performed to assess the diagnostic performance of sonography for predicting central lymph node metastasis according to the associated thyroiditis. Fifty-one lymph nodes (39.5%) were malignant, and 73 (60.5%) were benign. On univariate analysis, size, shape, margin, cortical thickening, cortical echogenicity, cystic changes, calcification, and vascularity were significantly different between the benign and metastatic nodes (P thyroiditis-positive patients and 0.971 (95% CI, 0.938-1.000) in negative patients. Eccentric cortical thickening and cortical hyperechogenicity were the sonographic findings predictive of central lymph node metastasis from papillary thyroid carcinoma. The diagnostic performance of sonography for predicting metastasis was superior in chronic lymphocytic thyroiditis-negative patients than in positive patients.

  2. 26 CFR 31.3506-1 - Companion sitting placement services.

    Science.gov (United States)

    2010-04-01

    ....3506-1 Companion sitting placement services. (a) Definitions—(1) Companion sitting placement service... agency that places babysitters with individuals who desire babysitting services. X furnishes all the.... B performs the services four days a week in A's home and follows specific instructions given by A...

  3. Various appearances of rib companion shadow mimicking a pathologic condition

    International Nuclear Information System (INIS)

    Choi, Yo Won; Yoo, Shi Joon; Im, Jung Gil

    1992-01-01

    We have observed that the companion shadow of the upper rib may be misinterpreted as a small pneumothorax or pleural plaque associated with asbestosis. To observe the radiographic characteristics of the normal companion shadow, we analyzed, on the posteroanterior(PA) chest radiographs, the companion shadow of 50 normal cases. Factors such as occurrence on each rib, the sharpness of the margin, the relative position to the rib, the shape and the thickness were observed. Also, we analyzed the displaced pleura of 4 pneumothorax cases to differentiate their findings from the findings of normal companion shadows. On 50 normal chest radiographs, 192 companion shadows were observed on the first to fourth ribs. In 173 of those shadows, the visceral margin of the companion shadow on the second rib simulated pneumothorax more closely than those on any other ribs due to its apical location and thinness. In six of 50 normal cases, the companion shadow in the first or second rib showed an inwardly convex lower margin, mimicking pleural plaque. The companion shadow was suggested on the plain chest radiograph by the following characteristics imultiplicity (47/50), thicker than normal pleura (3/4), persistent on serial films with the same shape and specific location(4/4)

  4. Disease Risk Assessments Involving Companion Animals: an Overview for 15 Selected Pathogens Taking a European Perspective.

    Science.gov (United States)

    Rijks, J M; Cito, F; Cunningham, A A; Rantsios, A T; Giovannini, A

    2016-07-01

    , indicating a clear knowledge gap. There were not enough assessments for any of the 15 diseases to allow meta-analyses, whether these assessments dealt with companion animal disease risk or companion animal-associated human disease risk. Important method and technology gaps were the lack of harmonization in the case definitions used for a given disease and the lack of good diagnostics allowing pathogen identification to taxonomic levels that are meaningful for risk analysis. Molecular epidemiology studies on zoonotic pathogens, which included companion animals among the potential human risk factors, were not found, although such studies would provide good preliminary insights without requiring any tracing of people or any interviews. In addition to performing further risk studies that take into account these issues, there is a need for responsible pet ownership and continued education of professionals in companion animal zoonoses. Additional risk assessment studies should allow more targeted actions to reduce the risk of zoonotic diseases transferred via companion animals and provide information that will promote risk-awareness in healthy human-animal relationships. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Companion Animals, Natural Disasters and the Law: An Australian Perspective

    Directory of Open Access Journals (Sweden)

    Steven White

    2012-08-01

    Full Text Available This article examines the regulation of companion animal welfare during disasters, with some context provided by two recent major disaster events in Australia. Important general lessons for improved disaster management were identified in subsequent inquiries. However, the interests of companion animals continue to be inadequately addressed. This is because key assumptions underpinning disaster planning for companion animals—the primacy of human interests over animal interests and that individuals will properly address companion animal needs during times of disaster—are open to question. In particular these assumptions fail to recognise the inherent value of companion animals, underestimate the strong bond shared by some owners and their animals and, at the same time, overestimate the capacity of some owners to adequately meet the needs of their animals.

  6. COMPANIONS TO NEARBY STARS WITH ASTROMETRIC ACCELERATION. II

    International Nuclear Information System (INIS)

    Tokovinin, Andrei; Hartung, Markus; Hayward, Thomas L.

    2013-01-01

    Hipparcos astrometric binaries were observed with the NICI adaptive optics system at Gemini-S, completing the work of Paper I. Among the 65 F, G, and K dwarfs within 67 pc of the Sun studied here, we resolve 18 new subarcsecond companions, remeasure 7 known astrometric pairs, and establish the physical nature of yet another 3 wider companions. The 107 astrometric binaries targeted at Gemini so far have 38 resolved companions with separations under 3''. Modeling shows that bright enough companions with separations on the order of an arcsecond can perturb the Hipparcos astrometry when they are not accounted for in the data reduction. However, the resulting bias of parallax and proper motion is generally below formal errors and such companions cannot produce fake acceleration. This work contributes to the multiplicity statistics of nearby dwarfs by bridging the gap between spectroscopic and visual binaries and by providing estimates of periods and mass ratios for many astrometric binaries.

  7. Companion Animals, Natural Disasters and the Law: An Australian Perspective.

    Science.gov (United States)

    White, Steven

    2012-08-27

    This article examines the regulation of companion animal welfare during disasters, with some context provided by two recent major disaster events in Australia. Important general lessons for improved disaster management were identified in subsequent inquiries. However, the interests of companion animals continue to be inadequately addressed. This is because key assumptions underpinning disaster planning for companion animals-the primacy of human interests over animal interests and that individuals will properly address companion animal needs during times of disaster-are open to question. In particular these assumptions fail to recognise the inherent value of companion animals, underestimate the strong bond shared by some owners and their animals and, at the same time, overestimate the capacity of some owners to adequately meet the needs of their animals.

  8. Cross-sectional survey on the use and impact of the Danish national antibiotic use guidelines for companion animal practice

    DEFF Research Database (Denmark)

    Jessen, Lisbeth Rem; Møller Sørensen, Tina; Lilja, Zenia Littau

    2017-01-01

    Background: The Danish antibiotic use guidelines for companion animal practice were published by the Danish Veterinary Association in 2012. Since then, national surveillance data indicate a 10% reduction in the total use of antibiotics for companion animals, particularly a marked reduction...... in the use of third generation cephalosporins. The aim of the study was to assess if and how the guidelines have impacted diagnostic and antibiotic prescription habits of the users, and to identify user perceived barriers to implementation. Results: An online questionnaire was sent to all 882 members...... cent indicated that the guidelines had influenced their habits in one or more of the areas being investigated, i.e. perioperative use of antibiotics, use of first line antibiotics for the treatment of pyoderma or UTI, and/or use of microbiological diagnostics. Perioperative use of antibiotics for clean...

  9. Companions of low-redshift radio-quiet quasars

    International Nuclear Information System (INIS)

    Yee, H.K.C.

    1987-01-01

    Using imaging data from a relatively complete subset of low-redshift radio-quiet quasars, the frequency of finding associated companion galaxies of the quasars is determined statistically. With an average completeness limit of M/sub r/ of about -19, it is found that about 40 percent of the quasars have at least one close physical companion within a projected distance of 100 kpc. The percentage of quasars with detected companions is consistent with all quasars in the sample having a companion of luminosity brighter than about -16.5 mag. It is estimated that the frequency of finding close companions to quasars is about six times higher than that expected for field galaxies. This frequency is similar to that found for lower-luminosity Seyfert galaxies. The properties of the companions appear to be uncorrelated with the level of activity in the quasars. This suggests that, for radio-quiet quasars, the companions act mainly as triggers of the activity and are probably not a strong determining factor of the detailed properties of the quasars. 28 references

  10. LOW-MASS VISUAL COMPANIONS TO NEARBY G-DWARFS

    International Nuclear Information System (INIS)

    Tokovinin, Andrei

    2011-01-01

    A complete census of wide visual companions to nearby G-dwarf stars can be achieved by selecting candidates from the Two Micron All Sky Survey (2MASS) Point-Source Catalog and checking their status by second-epoch imaging. Such data are obtained for 124 candidates with separations up to 20'', 47 of which are shown to be new physical low-mass stellar companions. A list of visual binaries with G-dwarf primaries is produced by combining newly found companions with historical data. Maximum likelihood analysis leads to a companion frequency of 0.13 ± 0.015 per decade of separation. The mass ratio is distributed almost uniformly, with a power-law index between -0.4 and 0. The remaining uncertainty in the index is related to modeling of the companion detection threshold in 2MASS. These findings are confirmed by an alternative analysis of wider companions in 2MASS, removing the contamination by background stars statistically. Extension of this work will lead to a complete detection of visual companions-a necessary step toward reaching unbiased multiplicity statistics over the full range of orbital periods and, eventually, understanding the origin of multiple systems.

  11. DXRaySMCS. First user friendly interface developed for prediction of diagnostic radiology X-ray spectra produced by Monte Carlo (MCNP-4C) simulation in Iran

    International Nuclear Information System (INIS)

    Bahreyni Toossi, M.T.; Zare, H.; Moradi Faradanbe, H.

    2008-01-01

    An accurate knowledge of the output energy spectra of an x-ray tube is essential in many areas of radiological studies. It forms the basis of almost all image quality simulations and enable system designers to predict patient dose more accurately. Many radiological physics problems that can be solved by Monte Carlo simulation methods require an x-ray spectra as input data. Computer simulation of x-ray spectra is one of the most important tools for investigation of patient dose and image quality in diagnostic radiology systems. In this work the general purpose Monte Carlo N-particle radiation transport computer code (MCNP-4C) was used for the simulation of x-ray spectra in diagnostic radiology, Electron's path in the target was followed until it's energy was reduced to 10 keV. A user friendly interface named 'Diagnostic X-ray Spectra by Monte Carlo Simulation (DXRaySMCS)' was developed to facilitate the application of MCNP-4C code for diagnostic radiology spectrum prediction. The program provides a user friendly interface for modifying the MCNP input file, launching the MCNP program to simulate electron and photon transport and processing the MCNP output file to yield a summary of the results (Relative Photon Number per Energy Bin). In this article the development and characteristics of DXRaySMCS are outlined. As part of the validation process, out put spectra for 46 diagnostic radiology system settings produced by DXRaySMCS were compared with the corresponding IPEM78. Generally, there is a good agreement between the two sets of spectra. No statistically significant differences have been observed between IPEM78 reported spectra and the simulated spectra generated in this study. (author)

  12. Oral delivery of medications to companion animals: palatability considerations.

    Science.gov (United States)

    Thombre, Avinash G

    2004-06-23

    There is an increased need for highly palatable solid oral dosage forms for companion animals, which are voluntarily accepted by the dog or cat, either from a feeding bowl or from the outstretched hand of the pet owner. Such dosage forms represent an emerging trend in companion animal formulations with major impact on medical needs such as convenience and compliance, particularly for chronically administered medications, and on marketing needs such as product differentiation. This review focuses on the science of taste, food and flavor preferences of dogs and cats, and palatability testing, in the context of applying these principles to the development of an oral palatable tablet for companion animals.

  13. A SUBSTELLAR COMPANION TO THE DUSTY PLEIADES STAR HD 23514

    International Nuclear Information System (INIS)

    Rodriguez, David R.; Zuckerman, B.; Marois, Christian; Macintosh, Bruce; Melis, Carl

    2012-01-01

    With adaptive optics imaging at Keck observatory, we have discovered a substellar companion to the F6 Pleiades star HD 23514, one of the dustiest main-sequence stars known to date (L IR /L * ∼ 2%). This is one of the first brown dwarfs discovered as a companion to a star in the Pleiades. The 0.06 M ☉ late-M secondary has a projected separation of ∼360 AU. The scarcity of substellar companions to stellar primaries in the Pleiades combined with the extremely dusty environment make this a unique system to study.

  14. RBANS memory percentage retention: No evidence of incremental validity beyond RBANS scores for diagnostic classification of mild cognitive impairment and dementia and for prediction of daily function.

    Science.gov (United States)

    Jodouin, Kara A; O'Connell, Megan E; Morgan, Debra G

    2017-01-01

    RBANS percentage retention scores may be useful for diagnosis, but their incremental validity is unclear. Percentage retention versus RBANS immediate and delayed memory subtests and delayed index scores were compared for diagnostic classification and for prediction of function. Data from 173 memory clinic patients with an interdisciplinary diagnosis (no cognitive impairment, amnestic mild cognitive impairment [aMCI], and dementia due to Alzheimer's disease [AD]) and complete RBANS data were analyzed. Across diagnostic contrasts, list percentage retention classification accuracy was similar to List Learning delayed recall, but below the Delayed Memory Index (DMI). Similarly, for classifying no cognitive impairment versus aMCI or dementia due to AD, story percentage retention was similar to Story Memory subtests and below the DMI. For classifying aMCI versus AD; however, Story Memory exceeded the DMI, but was similar to Story Memory subtest scores. Similarly, for prediction of function percentage retention measures did not predict variance beyond that predicted by the RBANS subtest or index scores. In sum, there is no evidence that calculation of percentage retention for RBANS adds clinical utility beyond those provided by the standard RBANS scores.

  15. Control of DEMETER DNA demethylase gene transcription in male and female gamete companion cells in Arabidopsis thaliana.

    Science.gov (United States)

    Park, Jin-Sup; Frost, Jennifer M; Park, Kyunghyuk; Ohr, Hyonhwa; Park, Guen Tae; Kim, Seohyun; Eom, Hyunjoo; Lee, Ilha; Brooks, Janie S; Fischer, Robert L; Choi, Yeonhee

    2017-02-21

    The DEMETER (DME) DNA glycosylase initiates active DNA demethylation via the base-excision repair pathway and is vital for reproduction in Arabidopsis thaliana DME-mediated DNA demethylation is preferentially targeted to small, AT-rich, and nucleosome-depleted euchromatic transposable elements, influencing expression of adjacent genes and leading to imprinting in the endosperm. In the female gametophyte, DME expression and subsequent genome-wide DNA demethylation are confined to the companion cell of the egg, the central cell. Here, we show that, in the male gametophyte, DME expression is limited to the companion cell of sperm, the vegetative cell, and to a narrow window of time: immediately after separation of the companion cell lineage from the germline. We define transcriptional regulatory elements of DME using reporter genes, showing that a small region, which surprisingly lies within the DME gene, controls its expression in male and female companion cells. DME expression from this minimal promoter is sufficient to rescue seed abortion and the aberrant DNA methylome associated with the null dme-2 mutation. Within this minimal promoter, we found short, conserved enhancer sequences necessary for the transcriptional activities of DME and combined predicted binding motifs with published transcription factor binding coordinates to produce a list of candidate upstream pathway members in the genetic circuitry controlling DNA demethylation in gamete companion cells. These data show how DNA demethylation is regulated to facilitate endosperm gene imprinting and potential transgenerational epigenetic regulation, without subjecting the germline to potentially deleterious transposable element demethylation.

  16. DXRaySMCS: a user-friendly interface developed for prediction of diagnostic radiology X-ray spectra produced by Monte Carlo (MCNP-4C) simulation.

    Science.gov (United States)

    Bahreyni Toossi, M T; Moradi, H; Zare, H

    2008-01-01

    In this work, the general purpose Monte Carlo N-particle radiation transport computer code (MCNP-4C) was used for the simulation of X-ray spectra in diagnostic radiology. The electron's path in the target was followed until its energy was reduced to 10 keV. A user-friendly interface named 'diagnostic X-ray spectra by Monte Carlo simulation (DXRaySMCS)' was developed to facilitate the application of MCNP-4C code for diagnostic radiology spectrum prediction. The program provides a user-friendly interface for: (i) modifying the MCNP input file, (ii) launching the MCNP program to simulate electron and photon transport and (iii) processing the MCNP output file to yield a summary of the results (relative photon number per energy bin). In this article, the development and characteristics of DXRaySMCS are outlined. As part of the validation process, output spectra for 46 diagnostic radiology system settings produced by DXRaySMCS were compared with the corresponding IPEM78. Generally, there is a good agreement between the two sets of spectra. No statistically significant differences have been observed between IPEM78 reported spectra and the simulated spectra generated in this study.

  17. Search for surviving companions in type Ia supernova remnants

    International Nuclear Information System (INIS)

    Pan, Kuo-Chuan; Ricker, Paul M.; Taam, Ronald E.

    2014-01-01

    The nature of the progenitor systems of type Ia supernovae (SNe Ia) is still unclear. One way to distinguish between the single-degenerate scenario and double-degenerate scenario for their progenitors is to search for the surviving companions (SCs). Using a technique that couples the results from multi-dimensional hydrodynamics simulations with calculations of the structure and evolution of main-sequence- (MS-) and helium-rich SCs, the color and magnitude of MS- and helium-rich SCs are predicted as functions of time. The SC candidates in Galactic type Ia supernova remnants (Ia SNR) and nearby extragalactic Ia SNRs are discussed. We find that the maximum detectable distance of MS SCs (helium-rich SCs) is 0.6-4 Mpc (0.4-16 Mpc), if the apparent magnitude limit is 27 in the absence of extinction, suggesting that the Large and Small Magellanic Clouds and the Andromeda Galaxy are excellent environments in which to search for SCs. However, only five Ia SNRs have been searched for SCs, showing little support for the standard channels in the singe-degenerate scenario. To better understand the progenitors of SNe Ia, we encourage the search for SCs in other nearby Ia SNRs.

  18. The Diagnostic Apathia Scale predicts a dose-remission relationship of T-PEMF in treatment-resistant depression

    DEFF Research Database (Denmark)

    Bech, Per; Lunde, Marianne; Lauritzen, Lise

    2014-01-01

    . The remaining 31 patients received active T-PEMF twice daily. Duration of treatment was 8 weeks in both groups. The Hamilton Depression Scale (HAM-D17) and the Bech-Rafaelsen Melancholia Scale (MES) were used to measure remission. We also focused on the Diagnostic Apathia Scale, which is based on a mixture...

  19. Companion Cognitive Systems: A Step toward Human-Level AI

    OpenAIRE

    Forbus, Kenneth D.; Hinrichs, Thomas R.

    2006-01-01

    We are developing Companion Cognitive Systems, a new kind of software that can be effectively treated as a collaborator. Aside from their potential utility, we believe this effort is important because it focuses on three key problems that must be solved to achieve human-level AI: Robust reasoning and learning, interactivity, and longevity. We describe the ideas we are using to develop the first architecture for Companions: analogical processing, grounded in cognitive science for reasoning and...

  20. Promoting childbirth companions in South Africa: a randomised pilot study

    Directory of Open Access Journals (Sweden)

    Smith Helen

    2007-04-01

    Full Text Available Abstract Background Most women delivering in South African State Maternity Hospitals do not have a childbirth companion; in addition, the quality of care could be better, and at times women are treated inhumanely. We piloted a multi-faceted intervention to encourage uptake of childbirth companions in state hospitals, and hypothesised that lay carers would improve the behaviour of health professionals. Methods We conducted a pilot randomised controlled trial of an intervention to promote childbirth companions in hospital deliveries. We promoted evidence-based information for maternity staff at 10 hospitals through access to the World Health Organization Reproductive Health Library (RHL, computer hardware and training to all ten hospitals. We surveyed 200 women at each site, measuring companionship, and indicators of good obstetric practice and humanity of care. Five hospitals were then randomly allocated to receive an educational intervention to promote childbirth companions, and we surveyed all hospitals again at eight months through a repeat survey of postnatal women. Changes in median values between intervention and control hospitals were examined. Results At baseline, the majority of hospitals did not allow a companion, or access to food or fluids. A third of women were given an episiotomy. Some women were shouted at (17.7%, N = 2085, and a few reported being slapped or struck (4.3%, N = 2080. Despite an initial positive response from staff to the childbirth companion intervention, we detected no difference between intervention and control hospitals in relation to whether a companion was allowed by nursing staff, good obstetric practice or humanity of care. Conclusion The quality and humanity of care in these state hospitals needs to improve. Introducing childbirth companions was more difficult than we anticipated, particularly in under-resourced health care systems with frequent staff changes. We were unable to determine whether the presence

  1. Promoting childbirth companions in South Africa: a randomised pilot study

    Science.gov (United States)

    Brown, Heather; Hofmeyr, G Justus; Nikodem, V Cheryl; Smith, Helen; Garner, Paul

    2007-01-01

    Background Most women delivering in South African State Maternity Hospitals do not have a childbirth companion; in addition, the quality of care could be better, and at times women are treated inhumanely. We piloted a multi-faceted intervention to encourage uptake of childbirth companions in state hospitals, and hypothesised that lay carers would improve the behaviour of health professionals. Methods We conducted a pilot randomised controlled trial of an intervention to promote childbirth companions in hospital deliveries. We promoted evidence-based information for maternity staff at 10 hospitals through access to the World Health Organization Reproductive Health Library (RHL), computer hardware and training to all ten hospitals. We surveyed 200 women at each site, measuring companionship, and indicators of good obstetric practice and humanity of care. Five hospitals were then randomly allocated to receive an educational intervention to promote childbirth companions, and we surveyed all hospitals again at eight months through a repeat survey of postnatal women. Changes in median values between intervention and control hospitals were examined. Results At baseline, the majority of hospitals did not allow a companion, or access to food or fluids. A third of women were given an episiotomy. Some women were shouted at (17.7%, N = 2085), and a few reported being slapped or struck (4.3%, N = 2080). Despite an initial positive response from staff to the childbirth companion intervention, we detected no difference between intervention and control hospitals in relation to whether a companion was allowed by nursing staff, good obstetric practice or humanity of care. Conclusion The quality and humanity of care in these state hospitals needs to improve. Introducing childbirth companions was more difficult than we anticipated, particularly in under-resourced health care systems with frequent staff changes. We were unable to determine whether the presence of a lay carer impacted

  2. Absence of young white dwarf companions to five technetium stars

    Energy Technology Data Exchange (ETDEWEB)

    Smith, V.V.; Lambert, D.L.

    1987-10-01

    A search for hot companions to five stars of type MS and S has been carried out using the IUE satellite. No hot companions were detected for the MS stars HR 85, 4647, 6702, and 8062, and the S star HR 8714. Limits on the luminosities of possible white dwarf companions provide lower limits of 2-5x10 to the 8th yr to the ages of any degenerate companions. All five stars exhibit strong Tc I lines, and the presence of technetium, with a half-life of 2.1x10 to the 5th yr, signifies recent nucleosynthesis. The limits on the ages of possible white dwarf companions that are equal to or greater than 1000 half-lives of Tc exclude the possibility that the s-process elemental enhancement seen in these MS and S stars resulted from mass transfer from a more highly evolved companion (as is probably the mechanism by which barium stars are created). These MS and S stars represent a sample of true thermally pulsing asymptotic giant-branch stars. 41 references.

  3. Thoracic injury rule out criteria and NEXUS chest in predicting the risk of traumatic intra-thoracic injuries: A diagnostic accuracy study.

    Science.gov (United States)

    Safari, Saeed; Radfar, Fatemeh; Baratloo, Alireza

    2018-05-01

    This study aimed to compare the diagnostic accuracy of NEXUS chest and Thoracic Injury Rule out criteria (TIRC) models in predicting the risk of intra-thoracic injuries following blunt multiple trauma. In this diagnostic accuracy study, using the 2 mentioned models, blunt multiple trauma patients over the age of 15 years presenting to emergency department were screened regarding the presence of intra-thoracic injuries that are detectable via chest x-ray and screening performance characteristics of the models were compared. In this study, 3118 patients with the mean (SD) age of 37.4 (16.9) years were studied (57.4% male). Based on TIRC and NEXUS chest, respectively, 1340 (43%) and 1417 (45.4%) patients were deemed in need of radiography performance. Sensitivity, specificity, and positive and negative predictive values of TIRC were 98.95%, 62.70%, 21.19% and 99.83%. These values were 98.61%, 59.94%, 19.97% and 99.76%, for NEXUS chest, respectively. Accuracy of TIRC and NEXUS chest models were 66.04 (95% CI: 64.34-67.70) and 63.50 (95% CI: 61.78-65.19), respectively. TIRC and NEXUS chest models have proper and similar sensitivity in prediction of blunt traumatic intra-thoracic injuries that are detectable via chest x-ray. However, TIRC had a significantly higher specificity in this regard. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Diagnostic value of the 2011 International Federation for Cervical Pathology and Colposcopy Terminology in predicting cervical lesions

    Science.gov (United States)

    Zhang, Liqin; Yan, Ye; Han, Cha; Xue, Fengxia

    2018-01-01

    Objective To evaluate the diagnostic accuracy of the 2011 International Federation for Cervical Pathology and Colposcopy (IFCPC) colposcopic terminology. Methods The clinicopathological data of 2262 patients who underwent colposcopy from September 2012 to September 2016 were reviewed. The colposcopic findings, colposcopic impression, and cervical histopathology of the patients were analyzed. Correlations between variables were evaluated using cervical histopathology as the gold standard. Results Colposcopic diagnosis matched biopsy histopathology in 1482 patients (65.5%), and the weighted kappa strength of agreement was 0.480 (Pterminology can improve the diagnostic accuracy for all lesion severities. The categorization of major changes and minor changes is appropriate. However, colposcopic diagnosis remains unsatisfactory. Poor reproducibility of type 2 transformation zone and the significance of leukoplakia require further study. PMID:29507681

  5. Predicting acute uncomplicated urinary tract infection in women: a systematic review of the diagnostic accuracy of symptoms and signs

    LENUS (Irish Health Repository)

    Giesen, Leonie GM

    2010-10-24

    Abstract Background Acute urinary tract infections (UTI) are one of the most common bacterial infections among women presenting to primary care. However, there is a lack of consensus regarding the optimal reference standard threshold for diagnosing UTI. The objective of this systematic review is to determine the diagnostic accuracy of symptoms and signs in women presenting with suspected UTI, across three different reference standards (102 or 103 or 105 CFU\\/ml). We also examine the diagnostic value of individual symptoms and signs combined with dipstick test results in terms of clinical decision making. Methods Searches were performed through PubMed (1966 to April 2010), EMBASE (1973 to April 2010), Cochrane library (1973 to April 2010), Google scholar and reference checking. Studies that assessed the diagnostic accuracy of symptoms and signs of an uncomplicated UTI using a urine culture from a clean-catch or catherised urine specimen as the reference standard, with a reference standard of at least ≥ 102 CFU\\/ml were included. Synthesised data from a high quality systematic review were used regarding dipstick results. Studies were combined using a bivariate random effects model. Results Sixteen studies incorporating 3,711 patients are included. The weighted prior probability of UTI varies across diagnostic threshold, 65.1% at ≥ 102 CFU\\/ml; 55.4% at ≥ 103 CFU\\/ml and 44.8% at ≥ 102 CFU\\/ml ≥ 105 CFU\\/ml. Six symptoms are identified as useful diagnostic symptoms when a threshold of ≥ 102 CFU\\/ml is the reference standard. Presence of dysuria (+LR 1.30 95% CI 1.20-1.41), frequency (+LR 1.10 95% CI 1.04-1.16), hematuria (+LR 1.72 95%CI 1.30-2.27), nocturia (+LR 1.30 95% CI 1.08-1.56) and urgency (+LR 1.22 95% CI 1.11-1.34) all increase the probability of UTI. The presence of vaginal discharge (+LR 0.65 95% CI 0.51-0.83) decreases the probability of UTI. Presence of hematuria has the highest diagnostic utility, raising the post-test probability of

  6. Diagnostic value of microRNA-143 in predicting in-stent restenosis for patients with lower extremity arterial occlusive disease

    OpenAIRE

    Yu, Zhi-Hai; Wang, Hai-Tao; Tu, Can

    2017-01-01

    Purpose This study was conducted to explore the diagnostic value of microRNA-143 (miRNA-143) in predicting in-stent restenosis (ISR) of lower extremity arterial occlusive disease (LEAOD). Methods From February 2012 to March 2015, 165 patients (112 males and 53 females) with LEAOD undergoing interventional treatment were enrolled in this study. Serum miRNA-143 expression was detected using quantitative real-time polymerase chain reaction (qRT-PCR). Patients were assigned into the restenosis an...

  7. Prediction of Tubal Ectopic Pregnancy Using Offline Analysis of 3-Dimensional Transvaginal Ultrasonographic Data Sets: An Interobserver and Diagnostic Accuracy Study.

    Science.gov (United States)

    Infante, Fernando; Espada Vaquero, Mercedes; Bignardi, Tommaso; Lu, Chuan; Testa, Antonia C; Fauchon, David; Epstein, Elisabeth; Leone, Francesco P G; Van den Bosch, Thierry; Martins, Wellington P; Condous, George

    2017-12-08

    To assess interobserver reproducibility in detecting tubal ectopic pregnancies by reading data sets from 3-dimensional (3D) transvaginal ultrasonography (TVUS) and comparing it with real-time 2-dimensional (2D) TVUS. Images were initially classified as showing pregnancies of unknown location or tubal ectopic pregnancies on real time 2D TVUS by an experienced sonologist, who acquired 5 3D volumes. Data sets were analyzed offline by 5 observers who had to classify each case as ectopic pregnancy or pregnancy of unknown location. The interobserver reproducibility was evaluated by the Fleiss κ statistic. The performance of each observer in predicting ectopic pregnancies was compared to that of the experienced sonologist. Women were followed until they were reclassified as follows: (1) failed pregnancy of unknown location; (2) intrauterine pregnancy; (3) ectopic pregnancy; or (4) persistent pregnancy of unknown location. Sixty-one women were included. The agreement between reading offline 3D data sets and the first real-time 2D TVUS was very good (80%-82%; κ = 0.89). The overall interobserver agreement among observers reading offline 3D data sets was moderate (κ = 0.52). The diagnostic performance of experienced observers reading offline 3D data sets had accuracy of 78.3% to 85.0%, sensitivity of 66.7% to 81.3%, specificity of 79.5% to 88.4%, positive predictive value of 57.1% to 72.2%, and negative predictive value of 87.5% to 91.3%, compared to the experienced sonologist's real-time 2D TVUS: accuracy of 94.5%, sensitivity of 94.4%, specificity of 94.5%, positive predictive value of 85.0%, and negative predictive value of 98.1%. The diagnostic accuracy of 3D TVUS by reading offline data sets for predicting ectopic pregnancies is dependent on experience. Reading only static 3D data sets without clinical information does not match the diagnostic performance of real time 2D TVUS combined with clinical information obtained during the scan. © 2017 by the American

  8. EMPIRICAL CONSTRAINTS ON TROJAN COMPANIONS AND ORBITAL ECCENTRICITIES IN 25 TRANSITING EXOPLANETARY SYSTEMS

    International Nuclear Information System (INIS)

    Madhusudhan, N.; Winn, Joshua N.

    2009-01-01

    We present a search for Trojan companions to 25 transiting exoplanets. We use the technique of Ford and Gaudi, in which a difference is sought between the observed transit time and the transit time that is calculated by fitting a two-body Keplerian orbit to the radial-velocity data. This technique is sensitive to the imbalance of mass at the L4/L5 points of the planet-star orbit. No companions were detected above 2σ confidence. The median 2σ upper limit is 56 M + , and the most constraining limit is 2.8 M + for the case of GJ 436. A similar survey using forthcoming data from the Kepler satellite mission, along with the radial-velocity data that will be needed to confirm transit candidates, will be sensitive to 10-50 M + Trojan companions in the habitable zones of their parent stars. As a by-product of this study, we present empirical constraints on the eccentricities of the planetary orbits, including those which have previously been assumed to be circular. The limits on eccentricity are of interest for investigations of tidal circularization and for bounding possible systematic errors in the measured planetary radii and the predicted times of secondary eclipses.

  9. Climate Prediction Center - Outlooks

    Science.gov (United States)

    Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Center Home Site Map News Web resources and services. HOME > Outreach > Publications > Climate Diagnostics Bulletin Climate Diagnostics Bulletin - Tropics Climate Diagnostics Bulletin - Forecast Climate Diagnostics

  10. Intraductal Carcinoma of the Prostate on Diagnostic Needle Biopsy Predicts Prostate Cancer Mortality: A Population-Based Study.

    Science.gov (United States)

    Saeter, Thorstein; Vlatkovic, Ljiljana; Waaler, Gudmund; Servoll, Einar; Nesland, Jahn M; Axcrona, Karol; Axcrona, Ulrika

    2017-06-01

    Intraductal carcinoma of the prostate (IDC-P) is a distinct histopathologic feature associated with high-grade, advanced prostate cancer. Although studies have shown that IDC-P is a predictor of progression following surgical or radiation treatment for prostate cancer, there are sparse data regarding IDC-P on diagnostic needle biopsy as a prognosticator of prostate cancer mortality. This was a population-based study of all prostate cancer patients diagnosed using needle biopsy and without evidence of systemic disease between 1991 and 1999 within a defined geographic region of Norway. Patients were identified by cross-referencing the Norwegian Cancer Registry. Of 318 eligible patients, 283 had biopsy specimens available for central pathology review. Clinical data were obtained from medical charts. We examined whether IDC-P on diagnostic needle biopsy was associated with adverse clinicopathological features and prostate cancer mortality. Patients with IDC-P on diagnostic needle biopsy had a more advanced stage and a higher Gleason score compared to patients without IDC-P. IDC-P was also associated with an intensively reactive stroma. The 10-year prostate cancer-specific survival was 69% for patients with IDC-P on diagnostic needle biopsy and 89% for patients without IDC-P (Log rank P-value prostate cancer mortality after adjustments for clinical prognostic factors and treatment. After adjustment for the newly implemented Grade Group system of prostate cancer, IDC-P showed a strong tendency toward statistical significance. However, IDC-P did not remain a statistically significant predictor in the multivariable analysis. IDC-P on diagnostic needle biopsy is an indicator of prostate cancer with a high risk of mortality. Accordingly, a diagnosis of IDC-P on needle biopsy should be reported and considered a feature of high-risk prostate cancer. Moreover, the association between IDC-P and reactive stroma provides evidence in support of the idea that stromal factors

  11. A Be-type star with a black-hole companion.

    Science.gov (United States)

    Casares, J; Negueruela, I; Ribó, M; Ribas, I; Paredes, J M; Herrero, A; Simón-Díaz, S

    2014-01-16

    Stellar-mass black holes have all been discovered through X-ray emission, which arises from the accretion of gas from their binary companions (this gas is either stripped from low-mass stars or supplied as winds from massive ones). Binary evolution models also predict the existence of black holes accreting from the equatorial envelope of rapidly spinning Be-type stars (stars of the Be type are hot blue irregular variables showing characteristic spectral emission lines of hydrogen). Of the approximately 80 Be X-ray binaries known in the Galaxy, however, only pulsating neutron stars have been found as companions. A black hole was formally allowed as a solution for the companion to the Be star MWC 656 (ref. 5; also known as HD 215227), although that conclusion was based on a single radial velocity curve of the Be star, a mistaken spectral classification and rough estimates of the inclination angle. Here we report observations of an accretion disk line mirroring the orbit of MWC 656. This, together with an improved radial velocity curve of the Be star through fitting sharp Fe II profiles from the equatorial disk, and a refined Be classification (to that of a B1.5-B2 III star), indicates that a black hole of 3.8 to 6.9 solar masses orbits MWC 656, the candidate counterpart of the γ-ray source AGL J2241+4454 (refs 5, 6). The black hole is X-ray quiescent and fed by a radiatively inefficient accretion flow giving a luminosity less than 1.6 × 10(-7) times the Eddington luminosity. This implies that Be binaries with black-hole companions are difficult to detect in conventional X-ray surveys.

  12. Public health risk of antimicrobial resistance transfer from companion animals.

    Science.gov (United States)

    Pomba, Constança; Rantala, Merja; Greko, Christina; Baptiste, Keith Edward; Catry, Boudewijn; van Duijkeren, Engeline; Mateus, Ana; Moreno, Miguel A; Pyörälä, Satu; Ružauskas, Modestas; Sanders, Pascal; Teale, Christopher; Threlfall, E John; Kunsagi, Zoltan; Torren-Edo, Jordi; Jukes, Helen; Törneke, Karolina

    2017-04-01

    Antimicrobials are important tools for the therapy of infectious bacterial diseases in companion animals. Loss of efficacy of antimicrobial substances can seriously compromise animal health and welfare. A need for the development of new antimicrobials for the therapy of multiresistant infections, particularly those caused by Gram-negative bacteria, has been acknowledged in human medicine and a future corresponding need in veterinary medicine is expected. A unique aspect related to antimicrobial resistance and risk of resistance transfer in companion animals is their close contact with humans. This creates opportunities for interspecies transmission of resistant bacteria. Yet, the current knowledge of this field is limited and no risk assessment is performed when approving new veterinary antimicrobials. The objective of this review is to summarize the current knowledge on the use and indications for antimicrobials in companion animals, drug-resistant bacteria of concern among companion animals, risk factors for colonization of companion animals with resistant bacteria and transmission of antimicrobial resistance (bacteria and/or resistance determinants) between animals and humans. The major antimicrobial resistance microbiological hazards originating from companion animals that directly or indirectly may cause adverse health effects in humans are MRSA, methicillin-resistant Staphylococcus pseudintermedius, VRE, ESBL- or carbapenemase-producing Enterobacteriaceae and Gram-negative bacteria. In the face of the previously recognized microbiological hazards, a risk assessment tool could be applied in applications for marketing authorization for medicinal products for companion animals. This would allow the approval of new veterinary medicinal antimicrobials for which risk levels are estimated as acceptable for public health. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For

  13. Exterior Companions to Hot Jupiters Orbiting Cool Stars Are Coplanar

    Science.gov (United States)

    Becker, Juliette C.; Vanderburg, Andrew; Adams, Fred C.; Khain, Tali; Bryan, Marta

    2017-12-01

    The existence of hot Jupiters has challenged theories of planetary formation since the first extrasolar planets were detected. Giant planets are generally believed to form far from their host stars, where volatile materials like water exist in their solid phase, making it easier for giant planet cores to accumulate. Several mechanisms have been proposed to explain how giant planets can migrate inward from their birth sites to short-period orbits. One such mechanism, called Kozai-Lidov migration, requires the presence of distant companions in orbits inclined by more than ˜40° with respect to the plane of the hot Jupiter’s orbit. The high occurrence rate of wide companions in hot-Jupiter systems lends support to this theory for migration. However, the exact orbital inclinations of these detected planetary and stellar companions is not known, so it is not clear whether the mutual inclination of these companions is large enough for the Kozai-Lidov process to operate. This paper shows that in systems orbiting cool stars with convective outer layers, the orbits of most wide planetary companions to hot Jupiters must be well aligned with the orbits of the hot Jupiters and the spins of the host stars. For a variety of possible distributions for the inclination of the companion, the width of the distribution must be less than ˜20° to recreate the observations with good fidelity. As a result, the companion orbits are likely well aligned with those of the hot Jupiters, and the Kozai-Lidov mechanism does not enforce migration in these systems.

  14. Comparison of diagnostic value of conventional ultrasonography and shear wave elastography in the prediction of thyroid lesions malignancy.

    Directory of Open Access Journals (Sweden)

    Ewelina Szczepanek-Parulska

    Full Text Available INTRODUCTION: Thyroid nodular disease (TND is a very common disorder. However, since the rate of malignancy is reported to be 3-10%, only a minority of patients require aggressive surgical treatment. As a result, there is a need for diagnostic tools which would allow for a reliable differentiation between benign and malignant nodules. Although a number of conventional ultrasonographic (US features are proved to be markers of malignancy, Shear Wave Elastography (SWE is considered to be an improvement of conventional US. The aim of this study was to compare conventional US markers and SWE diagnostic values in the differentiation of benign and malignant thyroid nodules. MATERIALS AND METHODS: All patients referred for thyroidectomy, irrespective of the indications, underwent a US thyroid examination prospectively. Patients with TND were included into the study. Results of the US and SWE examinations were compared with post-surgical histopathology. RESULTS: One hundred and twenty two patients with 393 thyroid nodules were included into the study. Twenty two patients were diagnosed with cancer. SWE turned out to be a predictor of malignancy superior to any other conventional US markers (OR=54.5 using qualitative scales and 40.8 using quantitative data on maximal stiffness with a threshold of 50 kPa. CONCLUSIONS: Although most conventional US markers of malignancy prove to be significant, none of them are characterized by both high sensitivity and specificity. SWE seems to be an important step forward, allowing for a more reliable distinction of benign and malignant thyroid nodules. Our study, assessing SWE properties on the highest number of thyroid lesions at the time of publication, confirms the high diagnostic value of this technique. It also indicates that a quantitative evaluation of thyroid lesions is not superior to simpler qualitative methods.

  15. Molecular pathological predictive diagnostics in a patient with non-small cell lung cancer treated with crizotinib therapy: A case report.

    Science.gov (United States)

    Stanek, Libor; Springer, Drahomira; Konopasek, Bohuslav; Vocka, Michal; Tesarova, Petra; Syrucek, Martin; Petruzelka, Lubos; Vicha, Ales; Musil, Zdenek

    2017-12-01

    Lung cancer is one of the most common malignant cancers in the Czech Republic in men, with the highest mortality rate of all the malignant diseases. The development of biological treatment enables study into novel personalized treatment options. This type of treatment is usually of high quality, and is often demanding of predictive and biopsy diagnostics, which is dependent on the quality of the collected material and close cooperation among particular departments. The present study describes the complete biopsy and predictive examinations performed in a male patient with lung adenocarcinoma, with an emphasis on the logistics of the whole process and the application of the tyrosine kinase inhibitors, crizotinib and LDK378. The patient experienced a long overall survival time of 28 months from diagnosis.

  16. Translational Bioinformatics for Diagnostic and Prognostic Prediction of Prostate Cancer in the Next-Generation Sequencing Era

    Directory of Open Access Journals (Sweden)

    Jiajia Chen

    2013-01-01

    Full Text Available The discovery of prostate cancer biomarkers has been boosted by the advent of next-generation sequencing (NGS technologies. Nevertheless, many challenges still exist in exploiting the flood of sequence data and translating them into routine diagnostics and prognosis of prostate cancer. Here we review the recent developments in prostate cancer biomarkers by high throughput sequencing technologies. We highlight some fundamental issues of translational bioinformatics and the potential use of cloud computing in NGS data processing for the improvement of prostate cancer treatment.

  17. Predicting Streptococcal Pharyngitis in Adults in Primary Care: A Systematic Review of the Diagnostic Accuracy of Symptoms and Signs and Validation of the Centor Score

    LENUS (Irish Health Repository)

    Aalbers, Jolien

    2011-06-01

    Abstract Background Stratifying patients with a sore throat into the probability of having an underlying bacterial or viral cause may be helpful in targeting antibiotic treatment. We sought to assess the diagnostic accuracy of signs and symptoms and validate a clinical prediction rule (CPR), the Centor score, for predicting group A β-haemolytic streptococcal (GABHS) pharyngitis in adults (> 14 years of age) presenting with sore throat symptoms. Methods A systematic literature search was performed up to July 2010. Studies that assessed the diagnostic accuracy of signs and symptoms and\\/or validated the Centor score were included. For the analysis of the diagnostic accuracy of signs and symptoms and the Centor score, studies were combined using a bivariate random effects model, while for the calibration analysis of the Centor score, a random effects model was used. Results A total of 21 studies incorporating 4,839 patients were included in the meta-analysis on diagnostic accuracy of signs and symptoms. The results were heterogeneous and suggest that individual signs and symptoms generate only small shifts in post-test probability (range positive likelihood ratio (+LR) 1.45-2.33, -LR 0.54-0.72). As a decision rule for considering antibiotic prescribing (score ≥ 3), the Centor score has reasonable specificity (0.82, 95% CI 0.72 to 0.88) and a post-test probability of 12% to 40% based on a prior prevalence of 5% to 20%. Pooled calibration shows no significant difference between the numbers of patients predicted and observed to have GABHS pharyngitis across strata of Centor score (0-1 risk ratio (RR) 0.72, 95% CI 0.49 to 1.06; 2-3 RR 0.93, 95% CI 0.73 to 1.17; 4 RR 1.14, 95% CI 0.95 to 1.37). Conclusions Individual signs and symptoms are not powerful enough to discriminate GABHS pharyngitis from other types of sore throat. The Centor score is a well calibrated CPR for estimating the probability of GABHS pharyngitis. The Centor score can enhance appropriate

  18. Diagnostic Accuracies of Glycated Hemoglobin, Fructosamine, and Homeostasis Model Assessment of Insulin Resistance in Predicting Impaired Fasting Glucose, Impaired Glucose Tolerance, or New Onset Diabetes After Transplantation.

    Science.gov (United States)

    Rosettenstein, Kerri; Viecelli, Andrea; Yong, Kenneth; Nguyen, Hung Do; Chakera, Aron; Chan, Doris; Dogra, Gursharan; Lim, Ee Mun; Wong, Germaine; Lim, Wai H

    2016-07-01

    New onset diabetes after transplantation (NODAT) is associated with a 3-fold greater risk of cardiovascular disease events, with early identification and treatment potentially attenuating this risk. The optimal screening test to identify those with NODAT remains unclear, and the aim of this study was to examine the diagnostic accuracies of 4 screening tests in identifying impaired fasting glucose, impaired glucose tolerance (IGT), and NODAT. This is a single-center prospective cohort study of 83 nondiabetic kidney transplant recipients between 2008 and 2011. Oral glucose tolerance test was considered the gold standard in identifying IFG/IGT or NODAT. Diagnostic accuracies of random blood glucose, glycated hemoglobin (HBA1c), fructosamine, and Homeostasis Model Assessment-Insulin Resistance in predicting IFG/IGT or NODAT were assessed using the area under the receiver operating characteristic curve. Forty (48%) recipients had IFG/IGT or NODAT. Compared with HBA1c with adjusted area under the curve (AUC) of 0.88 (95% confidence interval [95% CI], 0.77-0.93), fructosamine was the most accurate test with adjusted AUC of 0.92 (95% CI, 0.83-0.96). The adjusted AUCs of random blood glucose and Homeostasis Model Assessment-Insulin Resistance in identifying IFG/IGT were between 0.81 and 0.85. Restricting to identifying IGT/NODAT using 2-hour oral glucose tolerance test (n = 66), fructosamine was the most accurate diagnostic test with adjusted AUC of 0.93 (95% CI, 0.84-0.99), but not statistically different to HBA1c with adjusted AUC of 0.88 (95% CI, 0.76-0.96). Although HBA1c is an acceptable and widely used screening test in detecting IFG/IGT or NODAT, fructosamine may be a more accurate diagnostic test but this needs to be further examined in larger cohorts.

  19. Can we better predict the biologic behavior of incidental IPMN? A comprehensive analysis of molecular diagnostics and biomarkers in intraductal papillary mucinous neoplasms of the pancreas.

    Science.gov (United States)

    Tulla, Kiara A; Maker, Ajay V

    2018-03-01

    Predicting the biologic behavior of intraductal papillary mucinous neoplasm (IPMN) remains challenging. Current guidelines utilize patient symptoms and imaging characteristics to determine appropriate surgical candidates. However, the majority of resected cysts remain low-risk lesions, many of which may be feasible to have under surveillance. We herein characterize the most promising and up-to-date molecular diagnostics in order to identify optimal components of a molecular signature to distinguish levels of IPMN dysplasia. A comprehensive systematic review of pertinent literature, including our own experience, was conducted based on the PRISMA guidelines. Molecular diagnostics in IPMN patient tissue, duodenal secretions, cyst fluid, saliva, and serum were evaluated and organized into the following categories: oncogenes, tumor suppressor genes, glycoproteins, markers of the immune response, proteomics, DNA/RNA mutations, and next-generation sequencing/microRNA. Specific targets in each of these categories, and in aggregate, were identified by their ability to both characterize a cyst as an IPMN and determine the level of cyst dysplasia. Combining molecular signatures with clinical and imaging features in this era of next-generation sequencing and advanced computational analysis will enable enhanced sensitivity and specificity of current models to predict the biologic behavior of IPMN.

  20. Diagnostic value of the flow profile in the distal descending aorta by phase-contrast magnetic resonance for predicting severe coarctation of the aorta.

    Science.gov (United States)

    Muzzarelli, Stefano; Ordovas, Karen Gomes; Hope, Michael D; Meadows, Jeffery J; Higgins, Charles B; Meadows, Alison Knauth

    2011-06-01

    To compare aortic flow profiles at the level of the proximal descending (PDAo) and distal descending aorta (DDAo) in patients investigated for coarctation of the aorta (CoA), and compare their respective diagnostic value for predicting severe CoA. Diastolic flow decay in the PDAo predicts severe CoA, but flow measurements at this level are limited by flow turbulence, aliasing, and stent-related artifacts. We studied 49 patients evaluated for CoA with phase contrast magnetic resonance imaging (PC-MRI). Parameters of diastolic flow decay in the PDAo and DDAo were compared. Their respective diagnostic value was compared with the standard reference of transcatheter peak gradient ≥20 mmHg. Flow measurement in the PDAo required repeated acquisition with adjustment of encoding velocity or location of the imaging plane in 69% of patients; measurement in the DDAo was achieved in single acquisition in all cases. Parameters of diastolic flow decay in the PDAo and DDAo, including rate-corrected (RC) deceleration time and RC flow deceleration yielded a good correlation (r = 0.78; P RC deceleration time at DDAo (sensitivity 85%, specificity 85%). Characterization of aortic flow profiles at the DDAo offers a quick and reliable noninvasive means of assessing hemodynamically significant CoA. Copyright © 2011 Wiley-Liss, Inc.

  1. [The presence of a companion in the primary care consultation].

    Science.gov (United States)

    Turabián, J L; Pérez Franco, B

    2015-01-01

    The presence of an adult accompanying the patient in the consulting room is a significant fact that deserves the attention of the physician. Some types of companions and their presence in the consultation have been described and may improve communication, patient management, and participatory decision making, achieving greater patient satisfaction. Consultations with companion are generally longer, and patients accompanied are often elderly, women, less educated, and with poorer physical and mental health. But it is not known exactly what is the significance of a consultation with a companion. It may be a semiological fact to keep in mind for the family diagnosis, or it may be the risks of their presence, the influence of medication, or the importance of the doctors themselves that are the cause of the presence of a companion. Different communication skills must be achieved during the interview with the companion in the consultation, rather than with the patient alone. Copyright © 2014. Publicado por Elsevier España, S.L.U.

  2. Leishmaniosis of companion animals in Europe: an update.

    Science.gov (United States)

    Pennisi, Maria Grazia

    2015-02-28

    Leishmaniosis caused by Leishmania infantum is a vector-borne zoonotic disease endemic in southern Europe, but which is spreading northwards. Millions of dogs, cats and other non-conventional companion animals susceptible to L. infantum, living in European households, may develop a severe disease and contribute to the spread of leishmaniosis because of travelling or re-homing. Dogs are the main reservoir but other new reservoirs have recently been incriminated. Sand flies remain the sole proven vector and non-vectorial transmission has been reported at individual level and in areas where the vector is absent. Clinical disease affects only a proportion of infected dogs and a complex genetic background of immune response is responsible for this susceptibility. There is a wide range of serological and parasitological diagnostic tools available whose cost-effective use depends on a reasoned approach. Clinical response to treatment of sick dogs is variable. Clinical cure is often obtained but clinical recurrence can occur and post-therapy follow up should be maintained life-long. In Europe, vaccination can be combined with individual protection with pyrethroids as part of an integrated approach to prevention. L. infantum is the only species isolated from cats in Europe and xenodiagnosis substantiated that infected cats are infectious for sand flies. Feline infection may be frequent in endemic areas, but prevalence is generally lower than in dogs. When cats are tested by both serological and molecular techniques discordant results are often observed. Feline cases have been reported from endemic areas in Italy, France, Spain and Portugal, but four cases were also diagnosed in Switzerland in cats that had travelled to or been imported from Spain. Half of the cases were diagnosed in cats with impaired immune responses. Clinical manifestations compatible with feline leishmaniosis include lymph node enlargement, skin and mucocutaneous lesions, ocular lesions, chronic

  3. Diagnostics of Hydrogen-Containing Mixture Compression by a Two-Stage Piston Compressor with Cooling Demand Prediction

    Directory of Open Access Journals (Sweden)

    Tomáš Brestovič

    2018-04-01

    Full Text Available The present article describes the diagnostics of a compressor that is compressing a mixture of H2 and N2 on the basis of the results that were obtained by operational measurements of the flow rates and temperatures at selected compressor sites, as well as of the acoustic pressure levels during the full loading thereof. The obtained data were subsequently used to determine the limit conditions of the compressor operations in terms of the cooling capacity. A thermodynamic analysis of the compression of the H2/N2 gas mixture was carried out with subsequent heat and energy flow calculation and the determination of the minimum cooling water flow rate that is required to ensure the continuous compressor operations.

  4. A low-temperature companion to a white dwarf star

    Science.gov (United States)

    Becklin, E. E.; Zuckerman, B.

    1988-01-01

    An infrared object located about 120 AU from the white dwarf GD165 has been discovered. With the exception of the possible brown dwarf companion to Giclas 29-38 reported last year, the companion to GD165 is the coolest (2100 K) dwarf star ever reported and, according to some theoretical models, it should be a substellar brown dwarf with a mass between 0.06 and 0.08 solar mass. These results, together with newly discovered low-mass stellar companions to white dwarfs, change the investigation of very low-mass stars from the study of a few chance objects to that of a statistical distribution. In particular, it appears that very low-mass stars and perhaps even brown dwarfs could be quite common in the Galaxy.

  5. B-ducted Heating of Black Widow Companions

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Nicolas; Romani, Roger W., E-mail: rwr@astro.stanford.edu [Department of Physics, Stanford University, Stanford, CA 94305-4060 (United States)

    2017-08-10

    The companions of evaporating binary pulsars (black widows and related systems) show optical emission suggesting strong heating. In a number of cases, large observed temperatures and asymmetries are inconsistent with direct radiative heating for the observed pulsar spindown power and expected distance. Here we describe a heating model in which the pulsar wind sets up an intrabinary shock (IBS) against the companion wind and magnetic field, and a portion of the shock particles duct along this field to the companion magnetic poles. We show that a variety of heating patterns, and improved fits to the observed light curves, can be obtained at expected pulsar distances and luminosities, at the expense of a handful of model parameters. We test this “IBS-B” model against three well-observed binaries and comment on the implications for system masses.

  6. Searching for Low-mass Companions of Cepheids, Part II

    Science.gov (United States)

    Remage Evans, Nancy; Tingle, E.; Bond, H. E.; Schaefer, G. H.; Mason, B.; Karovska, M.; Wolk, S.; Pillitteri, I.; DePasquale, J.; Guinan, E.; Engle, S.

    2012-01-01

    The formation of a binary/multiple system is an effective way to manipulate angular momentum during the star-formation process. The properties of binary systems (separations and mass ratios) are thus the ``fingerprints" of the process. Low mass companions are the most difficult to identify particularly for massive stars. We are conducting a snapshot survey of the nearest Cepheids (5 Msun stars) using the Hubble Space Telescope Wide Field Camera 3 (WFC3) to discover possible resolved low mass companions. The color-magnitude combination is the first approach to identifying probable physical companions. The distributions of mass and separation for these stars will be discussed. Financial suppoet was provided by Hubble grant GO-12215.01-A and the Chandra X-ray Center NASA contract NAS8-03060.

  7. COMPANION ANIMALS SYMPOSIUM: Future aspects and perceptions of companion animal nutrition and sustainability.

    Science.gov (United States)

    Deng, P; Swanson, K S

    2015-03-01

    Companion animals play an important role in our lives and are now considered to be and treated as family members in a majority of households in the United States. Because of the high number of pets that now exist, an increasingly stronger pet-human bond, and the importance placed on health and longevity, the pet food industry has realized steady growth over the last few decades. Despite past successes and opportunities that exist in the future, there are also challenges that must be considered. This review will present a brief overview of the current pet food industry and address some of the key issues moving forward. In regards to companion animal research, recent advances and future needs in the areas of canine and feline metabolism, aging, clinical disease, and the gut microbiome using molecular and high-throughput assays; chemical, in vitro, and in vivo testing of feed ingredients; and innovative pet food processing methods is discussed. Training the future workforce for the pet food industry is also of great importance. Recent trends on student demographics and their species and careers of interest, changing animal science department curricula, and technology's impact on instruction are provided. Finally, the sustainability of the pet food industry is discussed. Focus was primarily placed on the disconnect that exists between opinions and trends of consumers and the nutrient recommendations for dogs and cats, the desire for increasing use of animal-based and human-grade products, the overfeeding of pets and the pet obesity crisis, and the issues that involve the evaluation of primary vs. secondary products in terms of sustainability. Moving forward, the pet food industry will need to anticipate and address challenges that arise, especially those pertaining to consumer expectations, the regulatory environment, and sustainability. Given the already strong and increasingly dynamic market for pet foods and supplies, an academic environment primed to supply a

  8. Diagnostic performance of initial serum albumin level for predicting in-hospital mortality among aspiration pneumonia patients.

    Science.gov (United States)

    Kim, Hyosun; Jo, Sion; Lee, Jae Baek; Jin, Youngho; Jeong, Taeoh; Yoon, Jaechol; Lee, Jeong Moon; Park, Boyoung

    2018-01-01

    The predictive value of serum albumin in adult aspiration pneumonia patients remains unknown. Using data collected during a 3-year retrospective cohort of hospitalized adult patients with aspiration pneumonia, we evaluated the predictive value of serum albumin level at ED presentation for in-hospital mortality. 248 Patients were enrolled; of these, 51 cases died (20.6%). The mean serum albumin level was 3.4±0.7g/dL and serum albumin levels were significantly lower in the non-survivor group than in the survivor group (3.0±0.6g/dL vs. 3.5±0.6g/dL). In the multivariable logistic regression model, albumin was associated with in-hospital mortality significantly (adjusted odds ratio 0.30, 95% confidential interval (CI) 0.16-0.57). The area under the receiver operating characteristics (AUROC) for in-hospital survival was 0.72 (95% CI 0.64-0.80). The Youden index was 3.2g/dL and corresponding sensitivity, specificity, positive predictive value, negative predictive value, positive and negative likelihood ratio were 68.6%, 66.5%, 34.7%, 89.1%, 2.05 and 0.47, respectively. High sensitivity (98.0%) was shown at albumin level of 4.0g/dL and high specificity (94.9%) was shown at level of 2.5g/dL. Initial serum albumin levels were independently associated with in-hospital mortality among adult patients hospitalized with aspiration pneumonia and demonstrated fair discriminative performance in the prediction of in-hospital mortality. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Effects of a calm companion on fear reactions in naive test horses

    DEFF Research Database (Denmark)

    Christensen, Janne Winther; Malmkvist, Jens; Nielsen, Birte Lindstrøm

    2008-01-01

    : Minimally handled (n = 36), 2-year-old stallions were used, 18 as subjects and 18 as companions. Companion horses (n = 9) were habituated to an otherwise frightening, standardised test stimulus (calm companions), whereas the rest (n = 9) of the companion horses remained nonhabituated (control companions......). During the test, unique pairs of companion and subject horses were exposed to the test stimulus while heart rate and behavioural responses were registered. Subsequently, subject horses were exposed to the stimulus on their own (post test). Results: Subject horses, paired with a calm companion horse......, showed less fear-related behaviour and lower heart rate responses compared to subject horses with control companions. Results from the post test suggest that the difference between treatment groups remained in the subsequent absence of companion horses. Conclusions and potential relevance: It appears...

  10. Characterization of Streptococcus pneumoniae isolates from Austrian companion animals and horses.

    Science.gov (United States)

    Ginders, Maximilian; Leschnik, Michael; Künzel, Frank; Kampner, Doris; Mikula, Claudia; Steindl, Georg; Eichhorn, Inga; Feßler, Andrea T; Schwarz, Stefan; Spergser, Joachim; Loncaric, Igor

    2017-11-14

    The aim of the present study was to investigate the genetic relatedness and the antimicrobial resistance profiles of a collection of Austrian Streptococcus pneumoniae isolates from companion animals and horses. A total of 12 non-repetitive isolates presumptively identified as S. pneumoniae were obtained during routinely diagnostic activities between March 2009 and January 2017. Isolates were confirmed as S. pneumoniae by bile solubility and optochin susceptibility testing, matrix-assisted laser desorption-ionization-time of flight (MALDI-TOF) mass spectrometry and sequence analysis of a part recA and the 16S rRNA genes. Isolates were further characterized by pneumolysin polymerase chain reaction (PCR) and genotyped by multilocus sequence typing (MLST). Antimicrobial susceptibility testing was performed and resistance genes were detected by specific PCR assays. All isolates were serotyped. Four sequence types (ST) (ST36, ST3546, ST6934 and ST6937) and four serotypes (3, 19A, 19F and 23F) were detected. Two isolates from twelve displayed a multidrug-resistance pheno- and genotype. This study represents the first comprehensive investigation on characteristics of S. pneumoniae isolates recovered from Austrian companion animals and horses. The obtained results indicate that common human sero- (23F) and sequence type (ST36) implicated in causing invasive pneumococcal disease (IPD) may circulate in dogs. Isolates obtained from other examined animals seem to be host-adapted.

  11. Mining free-text medical records for companion animal enteric syndrome surveillance.

    Science.gov (United States)

    Anholt, R M; Berezowski, J; Jamal, I; Ribble, C; Stephen, C

    2014-03-01

    Large amounts of animal health care data are present in veterinary electronic medical records (EMR) and they present an opportunity for companion animal disease surveillance. Veterinary patient records are largely in free-text without clinical coding or fixed vocabulary. Text-mining, a computer and information technology application, is needed to identify cases of interest and to add structure to the otherwise unstructured data. In this study EMR's were extracted from veterinary management programs of 12 participating veterinary practices and stored in a data warehouse. Using commercially available text-mining software (WordStat™), we developed a categorization dictionary that could be used to automatically classify and extract enteric syndrome cases from the warehoused electronic medical records. The diagnostic accuracy of the text-miner for retrieving cases of enteric syndrome was measured against human reviewers who independently categorized a random sample of 2500 cases as enteric syndrome positive or negative. Compared to the reviewers, the text-miner retrieved cases with enteric signs with a sensitivity of 87.6% (95%CI, 80.4-92.9%) and a specificity of 99.3% (95%CI, 98.9-99.6%). Automatic and accurate detection of enteric syndrome cases provides an opportunity for community surveillance of enteric pathogens in companion animals. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. Expert consensus regarding drivers of antimicrobial stewardship in companion animal veterinary practice: a Delphi study.

    Science.gov (United States)

    Currie, Kay; King, Caroline; Nuttall, Tim; Smith, Matt; Flowers, Paul

    2018-03-23

    Antimicrobial resistance (AMR) is a global challenge facing both human and animal healthcare professionals; an effective response to this threat requires a 'One-Health' approach to antimicrobial stewardship (AMS) to preserve important antibiotics for urgent clinical need. However, understanding of barriers and enablers to effective AMS behaviour in companion animal veterinary practice is currently limited. We conducted a Delphi study of 16 nationally recognised experts from UK-based veterinary policymakers, university academics and leaders of professional bodies. This Delphi study sought to identify veterinary behaviours which experts believe contribute to AMR and form vital aspects of AMS. Analysis of Delphi findings indicated a perceived hierarchy of behaviours, the most influential being antibiotic prescribing behaviours and interactions with clients. Other veterinary behaviours perceived as being important related to interactions with veterinary colleagues; infection control practices; and the use of diagnostic tests to confirm infection. Key barriers and enablers to AMS within each of these behavioural domains were identified. Specific interventions to address important barriers and enablers are recommended. To the authors' knowledge, this is the first study to establish expert consensus at a national level about which 'behaviours' (aspects of veterinarian practice) should be targeted in relation to AMR and AMS in companion animal veterinary practice. © British Veterinary Association (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. Baseline Hemodynamics and Response to Contrast Media During Diagnostic Cardiac Catheterization Predict Adverse Events in Heart Failure Patients.

    Science.gov (United States)

    Denardo, Scott J; Vock, David M; Schmalfuss, Carsten M; Young, Gregory D; Tcheng, James E; O'Connor, Christopher M

    2016-07-01

    Contrast media administered during cardiac catheterization can affect hemodynamic variables. However, little is documented about the effects of contrast on hemodynamics in heart failure patients or the prognostic value of baseline and changes in hemodynamics for predicting subsequent adverse events. In this prospective study of 150 heart failure patients, we measured hemodynamics at baseline and after administration of iodixanol or iopamidol contrast. One-year Kaplan-Meier estimates of adverse event-free survival (death, heart failure hospitalization, and rehospitalization) were generated, grouping patients by baseline measures of pulmonary capillary wedge pressure (PCWP) and cardiac index (CI), and by changes in those measures after contrast administration. We used Cox proportional hazards modeling to assess sequentially adding baseline PCWP and change in CI to 5 validated risk models (Seattle Heart Failure Score, ESCAPE [Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness], CHARM [Candesartan in Heart Failure: Assessment of Reduction in Mortality and Morbidity], CORONA [Controlled Rosuvastatin Multinational Trial in Heart Failure], and MAGGIC [Meta-Analysis Global Group in Chronic Heart Failure]). Median contrast volume was 109 mL. Both contrast media caused similarly small but statistically significant changes in most hemodynamic variables. There were 39 adverse events (26.0%). Adverse event rates increased using the composite metric of baseline PCWP and change in CI (Pcontrast correlated with the poorest prognosis. Adding both baseline PCWP and change in CI to the 5 risk models universally improved their predictive value (P≤0.02). In heart failure patients, the administration of contrast causes small but significant changes in hemodynamics. Calculating baseline PCWP with change in CI after contrast predicts adverse events and increases the predictive value of existing models. Patients with elevated baseline PCWP and

  14. Screening strategies and predictive diagnostic tools for the development of new-onset diabetes mellitus after transplantation: an overview

    Directory of Open Access Journals (Sweden)

    Pham PT

    2012-10-01

    Full Text Available Phuong-Thu T Pham,1 Kari L Edling,2 Harini A Chakkera,3 Phuong-Chi T Pham,4 Phuong-Mai T Pham51Department of Medicine, Nephrology Division, Kidney Transplant Program, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; 2Department of Medicine, Division of Endocrinology, Diabetes and Hypertension, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; 3Department of Medicine, Nephrology Division Kidney Transplant Program, Mayo Clinic Hospital, Phoenix, AZ, USA; 4Department of Medicine, Nephrology Division, UCLA-Olive View Medical Center, Sylmar, CA, USA; 5Department of Medicine, Greater Los Angeles, Veterans Administration Health Care System, CA, USAAbstract: New-onset diabetes mellitus after transplantation (NODAT is a serious and common complication following solid organ transplantation. NODAT has been reported in 2% to 53% of all solid organ transplants. Kidney transplant recipients who develop NODAT have variably been reported to be at increased risk of fatal and nonfatal cardiovascular events and other adverse outcomes including infection, reduced patient survival, graft rejection, and accelerated graft loss compared with those who do not develop diabetes. Limited clinical studies in liver, heart, and lung transplants similarly suggested that NODAT has an adverse impact on patient and graft outcomes. Early detection and management of NODAT must, therefore, be integrated into the treatment of transplant recipients. Studies investigating the best screening or predictive tool for identifying patients at risk for developing NODAT early after transplantation, however, are lacking. We review the clinical predictive values of fasting plasma glucose, oral glucose tolerance test, and A1C in assessing the risk for NODAT development and as a screening tool. Simple diabetes prediction models that incorporate clinical and/or metabolic risk factors (such as age, body mass index, hypertriglyceridemia, or metabolic syndrome are also

  15. Operationalizing the Diagnostic Criteria for Mild Cognitive Impairment: The Salience of Objective Measures in Predicting Incident Dementia.

    Science.gov (United States)

    Brodaty, Henry; Aerts, Liesbeth; Crawford, John D; Heffernan, Megan; Kochan, Nicole A; Reppermund, Simone; Kang, Kristan; Maston, Kate; Draper, Brian; Trollor, Julian N; Sachdev, Perminder S

    2017-05-01

    Mild cognitive impairment (MCI) is considered an intermediate stage between normal aging and dementia. It is diagnosed in the presence of subjective cognitive decline and objective cognitive impairment without significant functional impairment, although there are no standard operationalizations for each of these criteria. The objective of this study is to determine which operationalization of the MCI criteria is most accurate at predicting dementia. Six-year longitudinal study, part of the Sydney Memory and Ageing Study. Community-based. 873 community-dwelling dementia-free adults between 70 and 90 years of age. Persons from a non-English speaking background were excluded. Seven different operationalizations for subjective cognitive decline and eight measures of objective cognitive impairment (resulting in 56 different MCI operational algorithms) were applied. The accuracy of each algorithm to predict progression to dementia over 6 years was examined for 618 individuals. Baseline MCI prevalence varied between 0.4% and 30.2% and dementia conversion between 15.9% and 61.9% across different algorithms. The predictive accuracy for progression to dementia was poor. The highest accuracy was achieved based on objective cognitive impairment alone. Inclusion of subjective cognitive decline or mild functional impairment did not improve dementia prediction accuracy. Not MCI, but objective cognitive impairment alone, is the best predictor for progression to dementia in a community sample. Nevertheless, clinical assessment procedures need to be refined to improve the identification of pre-dementia individuals. Copyright © 2016 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  16. Prediction of wall motion improvement after coronary revascularization in patients with postmyocardial infarction. Diagnostic value of dobutamine stress echocardiography and myocardial contrast echocardiography

    International Nuclear Information System (INIS)

    Waku, Sachiko; Ohkubo, Tomoyuki; Takada, Kiyoshi; Ishihara, Tadashi; Ohsawa, Nakaaki; Adachi, Itaru; Narabayashi, Isamu

    1997-01-01

    The diagnostic value of dobutamine stress echocardiography, myocardial contrast echocardiography and dipyridamole stress thallium-201 single photon emission computed tomography (SPECT) for predicting recovery of wall motion abnormality after revascularization was evaluated in 13 patients with postmyocardial infarction. Seventeen segments showed severe wall motion abnormalities before revascularization. Nine segments which had relatively good Tl uptake on delayed SPECT images despite severely abnormal wall motion were opacified during myocardial contrast echocardiography, and showed improved wall motion after revascularization. In contrast, three segments which had poor Tl uptake and severely abnormal wall motion were not opacified during myocardial contrast echocardiography, and showed no improvement in wall motion during dobutamine stress echocardiography and after revascularization. The following three findings were assumed to be signs of myocardial viability: good Tl uptake on delayed SPECT images, improved wall motion by dobutamine stress echocardiography, and positive opacification of the myocardium by myocardiai contrast echocardiography. Myocardial contrast echocardiography had the highest sensitivity (100%) and negative predictive value (100%). Delayed SPECT images had the highest specificity (100%) and positive predictive value (100%). Dobutamine stress echocardiography had a sensitivity of 83.0%, specificity of 80.0%, positive predictive value of 90.9%, and negative predictive value of 66.7%, respectively. Myocardial contrast echocardiography showed the lowest specificity (60.0%). The techniques of dobutamine stress echocardiography and SPECT, though noninvasive, may underestimate wall motion improvement after revascularization. Further examination by myocardial contrast echocardiography is recommended to assess myocardial viability for determining the indications for coronary revascularization in spite of its invasiveness. (author)

  17. Diagnostic and prognostic system for identification of accident scenarios and prediction of 'source term' in nuclear power plants under accident conditions

    International Nuclear Information System (INIS)

    Santhosh; Gera, B.; Kumar, Mithilesh

    2014-01-01

    Nuclear power plant experiences a number of transients during its operations. These transients may be due to equipment failure, malfunctioning of process support systems etc. In such a situation, the plant may result in an abnormal state which is undesired. In case of such an undesired plant condition, the operator has to carry out diagnostic and corrective actions. When an event occurs starting from the steady state operation, instruments' readings develop a time dependent pattern and these patterns are unique with respect to the type of the particular event. Therefore, by properly selecting the plant process parameters, the transients can be distinguished. In this connection, a computer based tool known as Diagnostic and Prognostic System has been developed for identification of large pipe break scenarios in 220 MWe Pressurised Heavy Water Reactors (PHWRs) and for prediction of expected 'Source Term' and consequence for a situation where Emergency Core Cooling System (ECCS) is not available or partially available. Diagnostic and Prognostic System is essentially a transient identification and expected source term forecasting system. The system is based on Artificial Neural Networks (ANNs) that continuously monitors the plant conditions and identifies a Loss Of Coolant Accident (LOCA) scenario quickly based on the reactor process parameter values. The system further identifies the availability of injection of ECCS and in case non-availability of ECCS, it can forecast expected 'Source Term'. The system is a support to plant operators as well as for emergency preparedness. The ANN is trained with a process parameter database pertaining to accident conditions and tested against blind exercises. In order to see the feasibility of implementing in the plant for real-time diagnosis, this system has been set up on a high speed computing facility and has been demonstrated successfully for LOCA scenarios. (author)

  18. Artemisia umbelliformis Lam. and Génépi Liqueur: Volatile Profile as Diagnostic Marker for Geographic Origin and To Predict Liqueur Safety.

    Science.gov (United States)

    Boggia, Lorenzo; Pignata, Giuseppe; Sgorbini, Barbara; Colombo, Maria Laura; Marengo, Arianna; Casale, Manuela; Nicola, Silvana; Bicchi, Carlo; Rubiolo, Patrizia

    2017-04-05

    Artemisia umbelliformis, commonly known as "white génépi", is characterized by a volatile fraction rich in α- and β-thujones, two monoterpenoids; under European Union (EU) regulations these are limited to 35 mg/L in Artemisia-based beverages because of their recognized activity on the human central nervous system. This study reports the results of an investigation to define the geographical origin and thujone content of individual plants of A. umbelliformis from different geographical sites, cultivated experimentally at a single site, and to predict the thujone content in the resulting liqueurs through their volatile fraction. Headspace solid phase microextraction (HS-SPME) combined with gas chromatography-mass spectrometry (GC-MS) and non-separative HS-SPME-MS were used as analytical platforms to create a database suitable for chemometric description and prediction through linear discriminant analysis (LDA). HS-SPME-MS was applied to shorten analysis time. With both approaches, a diagnostic prediction of (i) plant geographical origin and (ii) thujone content of plant-related liqueurs could be made.

  19. Predictive values of diagnostic codes for identifying serious hypocalcemia and dermatologic adverse events among women with postmenopausal osteoporosis in a commercial health plan database.

    Science.gov (United States)

    Wang, Florence T; Xue, Fei; Ding, Yan; Ng, Eva; Critchlow, Cathy W; Dore, David D

    2018-04-10

    Post-marketing safety studies of medicines often rely on administrative claims databases to identify adverse outcomes following drug exposure. Valid ascertainment of outcomes is essential for accurate results. We aim to quantify the validity of diagnostic codes for serious hypocalcemia and dermatologic adverse events from insurance claims data among women with postmenopausal osteoporosis (PMO). We identified potential cases of serious hypocalcemia and dermatologic events through ICD-9 diagnosis codes among women with PMO within claims from a large US healthcare insurer (June 2005-May 2010). A physician adjudicated potential hypocalcemic and dermatologic events identified from the primary position on emergency department (ED) or inpatient claims through medical record review. Positive predictive values (PPVs) and 95% confidence intervals (CIs) quantified the fraction of potential cases that were confirmed. Among 165,729 patients with PMO, medical charts were obtained for 40 of 55 (73%) potential hypocalcemia cases; 16 were confirmed (PPV 40%, 95% CI 25-57%). The PPV was higher for ED than inpatient claims (82 vs. 24%). Among 265 potential dermatologic events (primarily urticaria or rash), we obtained 184 (69%) charts and confirmed 128 (PPV 70%, 95% CI 62-76%). The PPV was higher for ED than inpatient claims (77 vs. 39%). Diagnostic codes for hypocalcemia and dermatologic events may be sufficient to identify events giving rise to emergency care, but are less accurate for identifying events within hospitalizations.

  20. [Construction of a diagnostic prediction model of severe bacterial infection in febrile infants under 3 months old].

    Science.gov (United States)

    Villalobos Pinto, Enrique; Sánchez-Bayle, Marciano

    2017-12-01

    Fever is a common cause of paediatric admissions in emergency departments. An aetiological diagnosis is difficult to obtain in those less than 3 months of age, as they tend to have a higher rate of serious bacterial infection (SBI). The aim of this study is to find a predictor index of SBI in children under 3 months old with fever of unknown origin. A study was conducted on all children under 3 months of age with fever admitted to hospital, with additional tests being performed according to the clinical protocol. Rochester criteria for identifying febrile infants at low risk for SBI were also analysed. A predictive model for SBI and positive cultures was designed, including the following variables in the maximum model: C-reactive protein (CRP), procalcitonin (PCT), and meeting not less than four of the Rochester criteria. A total of 702 subjects were included, of which 22.64% had an SBI and 20.65% had positive cultures. Children who had SBI and a positive culture showed higher values of white cells, total neutrophils, CRP and PCT. A statistical significance was observed with less than 4 Rochester criteria, CRP and PCT levels, an SBI (area under the curve [AUC] 0.877), or for positive cultures (AUC 0.888). Using regression analysis a predictive index was calculated for SBI or a positive culture, with a sensitivity of 87.7 and 91%, a specificity of 70.1 and 87.7%, an LR+ of 2.93 and 3.62, and a LR- of 0.17 and 0.10, respectively. The predictive models are valid and slightly improve the validity of the Rochester criteria for positive culture in children less than 3 months admitted with fever. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  1. Can and should value-based pricing be applied to molecular diagnostics?

    Science.gov (United States)

    Garau, Martina; Towse, Adrian; Garrison, Louis; Housman, Laura; Ossa, Diego

    2013-01-01

    Current pricing and reimbursement systems for diagnostics are not efficient. Prices for diagnostics are often driven by administrative practices and expected production cost. The purpose of the paper is to discuss how a value-based pricing framework being used to ensure efficient use and price of medicines could also be applied to diagnostics. Diagnostics not only facilitates health gain and cost savings, but also information to guide patients' decisions on interventions and their future 'behaviors'. For value assessment processes we recommend a two-part approach. Companion diagnostics introduced at the launch of the drug should be assessed through new drug assessment processes considering a broad range of value elements and a balanced analysis of diagnostic impacts. A separate diagnostic-dedicated committee using value-based pricing principles should review other diagnostics lying outside the companion diagnostics-and-drug 'at-launch' situation.

  2. Transmission and epidemiology of zoonotic protozoal diseases of companion animals.

    Science.gov (United States)

    Esch, Kevin J; Petersen, Christine A

    2013-01-01

    Over 77 million dogs and 93 million cats share our households in the United States. Multiple studies have demonstrated the importance of pets in their owners' physical and mental health. Given the large number of companion animals in the United States and the proximity and bond of these animals with their owners, understanding and preventing the diseases that these companions bring with them are of paramount importance. Zoonotic protozoal parasites, including toxoplasmosis, Chagas' disease, babesiosis, giardiasis, and leishmaniasis, can cause insidious infections, with asymptomatic animals being capable of transmitting disease. Giardia and Toxoplasma gondii, endemic to the United States, have high prevalences in companion animals. Leishmania and Trypanosoma cruzi are found regionally within the United States. These diseases have lower prevalences but are significant sources of human disease globally and are expanding their companion animal distribution. Thankfully, healthy individuals in the United States are protected by intact immune systems and bolstered by good nutrition, sanitation, and hygiene. Immunocompromised individuals, including the growing number of obese and/or diabetic people, are at a much higher risk of developing zoonoses. Awareness of these often neglected diseases in all health communities is important for protecting pets and owners. To provide this awareness, this review is focused on zoonotic protozoal mechanisms of virulence, epidemiology, and the transmission of pathogens of consequence to pet owners in the United States.

  3. Murray Pittock, ed., The Edinburgh Companion to Scottish Romanticism.

    Directory of Open Access Journals (Sweden)

    Manfred Malzahn

    2013-10-01

    Full Text Available Murray Pittock, ed., The Edinburgh Companion to Scottish Romanticism. Edinburgh: Edinburgh University Press, 2011. Pp. 251. ISBN 978-0-7486-3845-1 (hardback. £ 65.00. ISBN 978-0-7486-3846-8 (paperback. £ 21.99.

  4. Massive Star Formation: Accreting from Companion X. Chen1 ...

    Indian Academy of Sciences (India)

    Abstract. We report the possible accretion from companion in the mas- sive star forming region (G350.69–0.49). This region seems to be a binary system composed of a diffuse object (possible nebulae or UC HII region) and a Massive Young Stellar Object (MYSO) seen in Spitzer IRAC image. The diffuse object and MYSO ...

  5. Effects of fertilizer types and different companion crops on the ...

    African Journals Online (AJOL)

    A field experiment was conducted in 2002 and 2003 cropping seasons, at the University of Ibadan Teaching and Research Farm to evaluate the effects of fertilizer types and different companion crops on the performance of sweet potato. The results obtained showed that the growth and yield of sweet potato were ...

  6. The Elgar companion to social economics : Second edition

    NARCIS (Netherlands)

    Davis, John B.; Dolfsma, Wilfred

    2015-01-01

    Social economics is a dynamic and growing field that emphasizes the key roles social values play in the economy and economic life. This second edition of the Elgar Companion to Social Economics revises all chapters from the first edition, and adds important new chapters to reflect the expansion and

  7. Using Tangible Companions for Enhancing Learning English Conversation

    Science.gov (United States)

    Wang, Yi Hsuan; Young, Shelley S.-C.; Jang, Jyh-Shing Roger

    2013-01-01

    In this study, the researchers attempted to extend the concept of learning companions from the virtual world to the real physical environment and made a breakthrough in technique development of tangible learning robots. The aim of this study was to explore an innovative way by combining the speech recognition technology with educational robots in…

  8. Investigating Valence and Autonomy in Children's Relationships with Imaginary Companions

    Science.gov (United States)

    McInnis, Melissa A.; Pierucci, Jillian M.; Gilpin, Ansley Tullos

    2013-01-01

    Little research has explored valence and autonomy in children's imaginary relationships. In the present study, a new interview (modeled after an existing measure for real relationships) was designed to elicit descriptions of both positive and negative interactions with imaginary companions and to provide a measure of relationship valence and…

  9. Companion of choice at birth: factors affecting implementation.

    Science.gov (United States)

    Kabakian-Khasholian, Tamar; Portela, Anayda

    2017-08-31

    Two recent recommendations made by the World Health Organization confirm the benefits of companion of choice at birth on labour outcomes; however institutional practices and policies do not always support its implementation in different settings around the world. We conducted a review to determine factors that affect implementation of this intervention considering the perspectives and experiences of different stakeholders and other institutional, systemic barriers and facilitators. Forty one published studies were included in this review. Thirty one publications were identified from a 2013 Cochrane review on the effectiveness of companion of choice at birth. We also reviewed 10 qualitative studies conducted alongside the trials or other interventions on labour and birth companionship identified through electronic searches. The SURE (Supporting the Use of Research Evidence) framework was used to guide the thematic analysis of implementation factors. Women and their families expressed appreciation for the continuous presence of a person to provide support during childbirth. Health care providers were concerned about the role of the companion and possible interference with activities in the labour ward. Allocation of resources, organization of care, facility-related constraints and cultural inclinations were identified as implementation barriers. Prior to introducing companion of choice at birth, understanding providers' attitudes and sensitizing them to the evidence is necessary. The commitment of the management of health care facilities is also required to change policies, including allocation of appropriate physical space that respects women's privacy. Implementation research to develop models for different contexts which could be scaled up would be useful, including documentation of factors that affected implementation and how they were addressed. Future research should also focus on documenting the costs related to implementation, and on measuring the impact of

  10. Plasma Lactate Dehydrogenase Levels Predict Mortality in Acute Aortic Syndromes: A Diagnostic Accuracy and Observational Outcome Study.

    Science.gov (United States)

    Morello, Fulvio; Ravetti, Anna; Nazerian, Peiman; Liedl, Giovanni; Veglio, Maria Grazia; Battista, Stefania; Vanni, Simone; Pivetta, Emanuele; Montrucchio, Giuseppe; Mengozzi, Giulio; Rinaldi, Mauro; Moiraghi, Corrado; Lupia, Enrico

    2016-02-01

    In acute aortic syndromes (AAS), organ malperfusion represents a key event impacting both on diagnosis and outcome. Increased levels of plasma lactate dehydrogenase (LDH), a biomarker of malperfusion, have been reported in AAS, but the performance of LDH for the diagnosis of AAS and the relation of LDH with outcome in AAS have not been evaluated so far.This was a bi-centric prospective diagnostic accuracy study and a cohort outcome study. From 2008 to 2014, patients from 2 Emergency Departments suspected of having AAS underwent LDH assay at presentation. A final diagnosis was obtained by aortic imaging. Patients diagnosed with AAS were followed-up for in-hospital mortality.One thousand five hundred seventy-eight consecutive patients were clinically eligible, and 999 patients were included in the study. The final diagnosis was AAS in 201 (20.1%) patients. Median LDH was 424 U/L (interquartile range [IQR] 367-557) in patients with AAS and 383 U/L (IQR 331-460) in patients with alternative diagnoses (P < 0.001). Using a cutoff of 450 U/L, the sensitivity of LDH for AAS was 44% (95% confidence interval [CI] 37-51) and the specificity was 73% (95% CI 69-76). Overall in-hospital mortality for AAS was 23.8%. Mortality was 32.6% in patients with LDH ≥ 450 U/L and 16.8% in patients with LDH < 450 U/L (P = 0.006). Following stratification according to LDH quartiles, in-hospital mortality was 12% in the first (lowest) quartile, 18.4% in the second quartile, 23.5% in the third quartile, and 38% in the fourth (highest) quartile (P = 0.01). LDH ≥ 450 U/L was further identified as an independent predictor of death in AAS both in univariate and in stepwise logistic regression analyses (odds ratio 2.28, 95% CI 1.11-4.66; P = 0.025), in addition to well-established risk markers such as advanced age and hypotension. Subgroup analysis showed excess mortality in association with LDH ≥ 450 U/L in elderly, hemodynamically stable and in nonsurgically

  11. Predicting refeeding hypophosphataemia: insulin growth factor 1 (IGF-1) as a diagnostic biochemical marker for clinical practice.

    Science.gov (United States)

    Goyale, Atul; Ashley, Sarah L; Taylor, David R; Elnenaei, Manal O; Alaghband-Zadeh, Jamshid; Sherwood, Roy A; le Roux, Carel W; Vincent, Royce P

    2015-01-01

    Refeeding syndrome (RS) is a potentially fatal condition that can occur following the re-introduction of nutrition after a period of starvation. Hypophosphataemia following the reintroduction of nutrition is often the only reliable biochemical marker of RS. Refeeding index (RI) generated from baseline insulin-like growth factor-1 (IGF-1) and leptin has been proposed as a useful biochemical marker for the identification of patients at risk of developing refeeding hypophosphataemia (RH). A prospective study included 52 patients referred for parenteral nutrition (PN). The sensitivity and specificity of IGF-1 measured using a sensitive assay was compared to the RI in predicting the development of RH (a ≥ 30% drop in PO4 during the first 36-h of PN administration). Leptin and IGF-1 were analysed on baseline samples using a quantitative enzyme-linked immunoassay. Daily blood samples were collected from all patients for routine biochemistry for the full duration of PN administration. High sensitivity IGF-1 measurement alone was comparable with the RI, using receiver-operating characteristic (ROC) curve analysis, with areas under the curve being 0.79 and 0.80, respectively, and superior to leptin alone (0.72) for predicting ≥ 30% drop in PO4. The cut-off value for IGF-1 that gave best sensitivity (91% [95% CI 75-98%]) and specificity (65% [95% CI 41-85%]) was 63.7 µg/L, with a likelihood ratio of 2.59. Baseline IGF-1 is an objective, sensitive and specific biochemical marker in identifying patients who are at high risk of developing RH prior to PN administration and therefore may have a role in clinical practice. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  12. Diagnostic accuracy of S100B urinary testing at birth in full-term asphyxiated newborns to predict neonatal death.

    Directory of Open Access Journals (Sweden)

    Diego Gazzolo

    Full Text Available BACKGROUND: Neonatal death in full-term infants who suffer from perinatal asphyxia (PA is a major subject of investigation, since few tools exist to predict patients at risk of ominous outcome. We studied the possibility that urine S100B measurement may identify which PA-affected infants are at risk of early postnatal death. METHODOLOGY/PRINCIPAL FINDINGS: In a cross-sectional study between January 1, 2001 and December 1, 2006 we measured S100B protein in urine collected from term infants (n = 132, 60 of whom suffered PA. According to their outcome at 7 days, infants with PA were subsequently classified either as asphyxiated infants complicated by hypoxic ischemic encephalopathy with no ominous outcome (HIE Group; n = 48, or as newborns who died within the first post-natal week (Ominous Outcome Group; n = 12. Routine laboratory variables, cerebral ultrasound, neurological patterns and urine concentrations of S100B protein were determined at first urination and after 24, 48 and 96 hours. The severity of illness in the first 24 hours after birth was measured using the Score for Neonatal Acute Physiology-Perinatal Extension (SNAP-PE. Urine S100B levels were higher from the first urination in the ominous outcome group than in healthy or HIE Groups (p1.0 microg/L S100B had a sensitivity/specificity of 100% for predicting neonatal death. CONCLUSIONS/SIGNIFICANCE: Increased S100B protein urine levels in term newborns suffering PA seem to suggest a higher risk of neonatal death for these infants.

  13. The role of companions in aiding older cancer patients to recall medical information.

    NARCIS (Netherlands)

    Jansen, J.; Weert, J.C.M. van; Wijngaards-de Meij, L.; Dulmen, S. van; Heeren, T.J.; Bensing, J.M.

    2010-01-01

    Objectives: This study investigates information recall in unaccompanied and accompanied older cancer patients and their companions.Methods: One hundred cancer patients (aged >/=65 years) and 71 companions completed a recall questionnaire after a nursing consultation preceding chemotherapy treatment.

  14. Disease Risk Assessments Involving Companion Animals : an Overview for 15 Selected Pathogens Taking a European Perspective

    NARCIS (Netherlands)

    Rijks, J M|info:eu-repo/dai/nl/151266093; Cito, F; Cunningham, A A; Rantsios, A T; Giovannini, A

    Prioritization of companion animal transmissible diseases was performed by the Companion Animals multisectoriaL interprofessionaL Interdisciplinary Strategic Think tank On zoonoses (CALLISTO) project. The project considered diseases occurring in domesticated species commonly kept as pets, such as

  15. Evolution of the solar system in the presence of a solar companion star

    International Nuclear Information System (INIS)

    Hut, P.

    1986-01-01

    A review is presented of the dynamical implications of a companion star in a wide orbit around the sun, with a semimajor axis of about half a parsec. The motivation behind the hypothesis of a solar companion star is reviewed briefly along with alternative hypotheses, and the general problem of solar system dynamics with a solar companion star is discussed. Four principal questions are posed and answered concerning the consistency of the solar companion theory in providing the required modulation in comet arrival times: (1) What is the expected lifetime of a solar companion? (2) How stable is the orbital period? (3) Does a single perihelion passage of a solar companion perturb enough comets? (4) Do repeated perihelion passages of a solar companion perturb too many comets? Some applications outside the solar system involving wide binaries, interstellar clouds, and dark matter in the Galactic disk are discussed, and the viability of the solar companion theory is critically assessed

  16. A Multistep Maturity Model for the Implementation of Electronic and Computable Diagnostic Clinical Prediction Rules (eCPRs).

    Science.gov (United States)

    Corrigan, Derek; McDonnell, Ronan; Zarabzadeh, Atieh; Fahey, Tom

    2015-01-01

    The use of Clinical Prediction Rules (CPRs) has been advocated as one way of implementing actionable evidence-based rules in clinical practice. The current highly manual nature of deriving CPRs makes them difficult to use and maintain. Addressing the known limitations of CPRs requires implementing more flexible and dynamic models of CPR development. We describe the application of Information and Communication Technology (ICT) to provide a platform for the derivation and dissemination of CPRs derived through analysis and continual learning from electronic patient data. We propose a multistep maturity model for constructing electronic and computable CPRs (eCPRs). The model has six levels - from the lowest level of CPR maturity (literaturebased CPRs) to a fully electronic and computable service-oriented model of CPRs that are sensitive to specific demographic patient populations. We describe examples of implementations of the core model components - focusing on CPR representation, interoperability, electronic dissemination, CPR learning, and user interface requirements. The traditional focus on derivation and narrow validation of CPRs has severely limited their wider acceptance. The evolution and maturity model described here outlines a progression toward eCPRs consistent with the vision of a learning health system (LHS) - using central repositories of CPR knowledge, accessible open standards, and generalizable models to avoid repetition of previous work. This is useful for developing more ambitious strategies to address limitations of the traditional CPR development life cycle. The model described here is a starting point for promoting discussion about what a more dynamic CPR development process should look like.

  17. Diagnostic accuracy of rapid urine dipstick test to predict urinary tract infection among pregnant women in Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia.

    Science.gov (United States)

    Demilie, Tazebew; Beyene, Getenet; Melaku, Selabat; Tsegaye, Wondewosen

    2014-07-29

    Untreated bacteriuria during pregnancy has been shown to be associated with low birth-weight and premature delivery. Therefore, routine screening for bacteriuria is advocated. The decision about how to screen pregnant women for bacteriuria has always been a balance between the cost of screening versus the sensitivity and specificity. This study was designed to evaluate the diagnostic accuracy of the rapid dipstick test to predict urinary tract infection in pregnancy against the gold standard urine culture. A total of 367 mid stream urine samples were collected, inoculated on MacConkey, Manitol salt agar (MSA) and blood agar and incubated aerobically at 37°C for overnight. Specimens were classified as "positive" for urinary tract infection (UTI) if the growth of the pathogen(s) was at a count ≥ 10(5) colony-forming units per milliliter (cfu/mL) of urine and classified as "negative" with growth of UTI(ABU) and 71.4% and 86.7% for symptomatic UTI respectively and for nitrite 35.7% and 98.0% for ABU and 57.1% and 96.7% symptomatic UTI. This study revealed that the use of dipstick leukocyte esterase and nitrite for screening UTI particularly asymptomatic bacteriuria was associated with many false positive and negative results when it was compared against the gold standard culture method. The low sensitivity and positive predictive value of urine dipstick test proved that culture should be used for the diagnosis of UTI.

  18. Diagnostic accuracy of computed tomography and magnetic resonance imaging obtained after neoadjuvant chemoradiotherapy in predicting the local tumor stage and circumferential resection margin status of rectal cancer

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jin Hoon; Kim, Young Hoon; Lee, Yoon Jin; Lee, Kyoung Ho; Kang, Sung Bum; Kim, Duck Woo; Kim, Jae Hyun; Kim, Jae Sung; Lee, Hye Seung [Dept. of Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam (Korea, Republic of); Lee, Sang Min [Dept. of Radiology, Seoul National University Hospital, Seoul (Korea, Republic of)

    2014-02-15

    To measure the diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) obtained after neoadjuvant chemoradiotherapy (CRT) in patients with rectal cancer for a prediction of the local tumor stage and circumferential resection margin (CRM). Two independent radiologists reviewed CT and MRI obtained after neoadjuvant CRT. The accuracy of the local tumor staging and the diagnostic performance for the prediction of CRM involvement were calculated. The agreement between the measurements of the distance to potential CRM on both imaging modalities and the histopathology findings was assessed using Bland-Altman plots. 57 patients (mean age, 59.2 years; 24 females) were included. The accuracy of T and N staging were 43.9% (95% confidence interval, 30.8-57.7%) and 77.2% (64.2-87.3%) on CT and 63.2% (49.4-75.6%) and 77.2% (64.2-87.3%) on MRI for Observer 1. The accuracy of T and N staging were 54.4% (40.7-67.7%) and 77.2% (64.2-87.3%) on CT and 68.4% (54.7-80.1%) and 80.7% (68.1-90.0%) on MRI for Observer 2. Sensitivity and specificity on CRM involvement were 83.3% (43.7-97.0%) and 88.2% (76.6-94.5%) on CT and 100% (61.0-100%) and 90.2% (79.0-95.7%) on MRI for Observer 1. Sensitivity and specificity on CRM involvement were 66.7% (30.0-90.3%) and 88.2% (76.7-94.5%) on CT and 100% (61.0-100%) and 90.2% (79.0-95.7%) on MRI for Observer 2. Bland-Altman plots showed wide discrepancies between measurements of the distance to CRM on each CT and MRI and those on histopathology findings. CT and MRI showed limited performance in predicting the local tumor staging and CRM involvement in patients with neoadjuvant CRT although MRI tended to show a better performance than CT.

  19. Diagnostic accuracy of computed tomography and magnetic resonance imaging obtained after neoadjuvant chemoradiotherapy in predicting the local tumor stage and circumferential resection margin status of rectal cancer

    International Nuclear Information System (INIS)

    Park, Jin Hoon; Kim, Young Hoon; Lee, Yoon Jin; Lee, Kyoung Ho; Kang, Sung Bum; Kim, Duck Woo; Kim, Jae Hyun; Kim, Jae Sung; Lee, Hye Seung; Lee, Sang Min

    2014-01-01

    To measure the diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) obtained after neoadjuvant chemoradiotherapy (CRT) in patients with rectal cancer for a prediction of the local tumor stage and circumferential resection margin (CRM). Two independent radiologists reviewed CT and MRI obtained after neoadjuvant CRT. The accuracy of the local tumor staging and the diagnostic performance for the prediction of CRM involvement were calculated. The agreement between the measurements of the distance to potential CRM on both imaging modalities and the histopathology findings was assessed using Bland-Altman plots. 57 patients (mean age, 59.2 years; 24 females) were included. The accuracy of T and N staging were 43.9% (95% confidence interval, 30.8-57.7%) and 77.2% (64.2-87.3%) on CT and 63.2% (49.4-75.6%) and 77.2% (64.2-87.3%) on MRI for Observer 1. The accuracy of T and N staging were 54.4% (40.7-67.7%) and 77.2% (64.2-87.3%) on CT and 68.4% (54.7-80.1%) and 80.7% (68.1-90.0%) on MRI for Observer 2. Sensitivity and specificity on CRM involvement were 83.3% (43.7-97.0%) and 88.2% (76.6-94.5%) on CT and 100% (61.0-100%) and 90.2% (79.0-95.7%) on MRI for Observer 1. Sensitivity and specificity on CRM involvement were 66.7% (30.0-90.3%) and 88.2% (76.7-94.5%) on CT and 100% (61.0-100%) and 90.2% (79.0-95.7%) on MRI for Observer 2. Bland-Altman plots showed wide discrepancies between measurements of the distance to CRM on each CT and MRI and those on histopathology findings. CT and MRI showed limited performance in predicting the local tumor staging and CRM involvement in patients with neoadjuvant CRT although MRI tended to show a better performance than CT

  20. Encouraging Student Reflection and Articulation Using a Learning Companion: A Commentary

    Science.gov (United States)

    Goodman, Bradley; Linton, Frank; Gaimari, Robert

    2016-01-01

    Our 1998 paper "Encouraging Student Reflection and Articulation using a Learning Companion" (Goodman et al. 1998) was a stepping stone in the progression of learning companions for intelligent tutoring systems (ITS). A simulated learning companion, acting as a peer in an intelligent tutoring environment ensures the availability of a…

  1. Using informatics and the electronic medical record to describe antimicrobial use in the clinical management of diarrhea cases at 12 companion animal practices.

    Directory of Open Access Journals (Sweden)

    R Michele Anholt

    Full Text Available Antimicrobial drugs may be used to treat diarrheal illness in companion animals. It is important to monitor antimicrobial use to better understand trends and patterns in antimicrobial resistance. There is no monitoring of antimicrobial use in companion animals in Canada. To explore how the use of electronic medical records could contribute to the ongoing, systematic collection of antimicrobial use data in companion animals, anonymized electronic medical records were extracted from 12 participating companion animal practices and warehoused at the University of Calgary. We used the pre-diagnostic, clinical features of diarrhea as the case definition in this study. Using text-mining technologies, cases of diarrhea were described by each of the following variables: diagnostic laboratory tests performed, the etiological diagnosis and antimicrobial therapies. The ability of the text miner to accurately describe the cases for each of the variables was evaluated. It could not reliably classify cases in terms of diagnostic tests or etiological diagnosis; a manual review of a random sample of 500 diarrhea cases determined that 88/500 (17.6% of the target cases underwent diagnostic testing of which 36/88 (40.9% had an etiological diagnosis. Text mining, compared to a human reviewer, could accurately identify cases that had been treated with antimicrobials with high sensitivity (92%, 95% confidence interval, 88.1%-95.4% and specificity (85%, 95% confidence interval, 80.2%-89.1%. Overall, 7400/15,928 (46.5% of pets presenting with diarrhea were treated with antimicrobials. Some temporal trends and patterns of the antimicrobial use are described. The results from this study suggest that informatics and the electronic medical records could be useful for monitoring trends in antimicrobial use.

  2. Towards a Sociological Understanding of Robots as Companions

    Science.gov (United States)

    van Oost, Ellen; Reed, Darren

    While Information Communication Technologies (ICTs) have, in the past, primarily mediated or facilitated emotional bonding between humans, contemporary robot technologies are increasingly making the bond between human and robots the core issue. Thinking of robots as companions is not only a development that opens up huge potential for new applications, it also raises social and ethical issues. In this paper we will argue that current conceptions of human-robot companionship are primarily rooted in cognitive psychological traditions and provide important, yet limited understanding of the companion relationship. Elaborating on a sociological perspective on the appropriation of new technology, we will argue for a richer understanding of companionship that takes the situatedness (in location, network and time) of the use-context into account.

  3. A search for a distant companion to the sun with the wide-field infrared survey explorer

    International Nuclear Information System (INIS)

    Luhman, K. L.

    2014-01-01

    I have used multi-epoch astrometry from the Wide-field Infrared Survey Explorer to perform a search for a distant companion to the Sun via its parallactic motion. I have not found an object of this kind down to W2 = 14.5. This limit corresponds to analogs of Saturn and Jupiter at 28,000 and 82,000 AU, respectively, according to models of the Jovian planets by Fortney and coworkers. Models of brown dwarfs by Burrows and coworkers predict fainter fluxes at a given mass for the age of the solar system, producing a closer distance limit of 26,000 AU for a Jupiter-mass brown dwarf. These constraints exclude most combinations of mass and separation at which a solar companion has been suggested to exist by various studies over the years.

  4. The Routledge Companion to Media, Sex and Sexuality

    OpenAIRE

    2018-01-01

    The Routledge Companion to Media, Sex and Sexuality is a vibrant and authoritative exploration of the ways in which sex and sexualities are mediated in modern media and everyday life.\\ud \\ud The 40 chapters in this volume offer a snapshot of the remarkable diversification of approaches and research within the field, bringing together a wide range of scholars and researchers from around the world and from different disciplinary backgrounds including cultural studies, education, history, media ...

  5. Neural correlates for perception of companion animal photographs.

    Science.gov (United States)

    Hayama, Sara; Chang, Linda; Gumus, Kazim; King, George R; Ernst, Thomas

    2016-05-01

    Anthrozoological neuroscience, which we propose as the use of neuroscience techniques to study human-animal interaction, may help to elucidate mechanisms underlying the associated psychological, physiological, and other purported health effects. This preliminary study investigates the neural response to animal photographs in pet owners and non-pet owners, and both attraction and attachment to companion animals as modulators of human perception of companion animal photographs. Thirty male participants, 15 "Pet Owners" (PO) and 15 "Non-Pet Owners" (NPO), viewed photographs of companion animals during functional MRI (fMRI) scans at 3 T and provided ratings of attraction to the animal species represented in the photographs. Fourteen subjects additionally submitted and viewed personal pet photographs during fMRI scans, and completed the Lexington Attachment to Pets Scale (LAPS). PO exhibited greater activation than NPO during the viewing of animal photographs in areas of the insula, and frontal and occipital cortices. Moreover, ratings of attraction to animals correlated positively with neural activation in the cingulate gyrus, precentral gyrus, inferior parietal lobule, and superior temporal gyrus during the viewing of representative photographs. For subjects with household pets, scores on the LAPS correlated positively with neural activation during the viewing of owned pet photographs in the precuneus, cuneus, and superior parietal lobule. Our preliminary findings suggest that human perception of companion animals involve the visual attention network, which may be modulated at the neural level by subjective experiences of attraction or attachment to animals. Our understanding of human-animal interactions through anthrozoological neuroscience may better direct therapeutic applications, such as animal-assisted therapy. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Pedagogical Agents as Learning Companions: Building Social Relations with Learners

    OpenAIRE

    Kim, Yanghee

    2005-01-01

    This study examined the potential of pedagogical agents as learning companions (PALs) to build social relations with learners and, consequently, to motivate learning. The study investigated the impact of PAL affect (positive vs. negative vs. neutral), PAL gender (male vs. female), and learner gender (male vs. female) on learners’ social judgments, motivation, and learning in a controlled experiment. Participants were 142 college students in a computer-literacy course. Overall, the results ind...

  7. Environmental enrichment in farm, zoo, companion and experimental animals

    OpenAIRE

    Vučinić Marijana

    2009-01-01

    The paper deals with environmental enrichment for domestic animals at farms, animals in zoos, experimental animals and pet animals. Also, the paper defines and describes different strategies of environmental enrichment. Environmental enrichment is a simple and effective mean of prevention of boredom, behavioral disorders as well as an effective mean of improving animal welfare in farm, zoo, companion and experimental animals. Different items and materials may be used for environmental enrichm...

  8. FIRST DIRECT EVIDENCE THAT BARIUM DWARFS HAVE WHITE DWARF COMPANIONS

    International Nuclear Information System (INIS)

    Gray, R. O.; McGahee, C. E.; Griffin, R. E. M.; Corbally, C. J.

    2011-01-01

    Barium II (Ba) stars are chemically peculiar F-, G-, and K-type objects that show enhanced abundances of s-process elements. Since s-process nucleosynthesis is unlikely to take place in stars prior to the advanced asymptotic giant branch (AGB) stage, the prevailing hypothesis is that each present Ba star was contaminated by an AGB companion which is now a white dwarf (WD). Unless the initial mass ratio of such a binary was fairly close to unity, the receiving star is thus at least as likely to be a dwarf as a giant. So although most known Ba stars appear to be giants, the hypothesis requires that Ba dwarfs be comparably plentiful and moreover that they should all have WD companions. However, despite dedicated searches with the IUE satellite, no WD companions have been directly detected to date among the classical Ba dwarfs, even though some 90% of those stars are spectroscopic binaries, so the contamination hypothesis is therefore presently in some jeopardy. In this paper, we analyze recent deep, near-UV and far-UV Galaxy Evolution Explorer (GALEX) exposures of four of the brightest of the class (HD 2454, 15360, 26367, and 221531), together with archived GALEX data for two newly recognized Ba dwarfs: HD 34654 and HD 114520 (which also prove to be spectroscopic binaries). The GALEX observations of the Ba dwarfs as a group show a significant far-UV excess compared to a control sample of normal F-type dwarfs. We suggest that this ensemble far-UV excess constitutes the first direct evidence that Ba dwarfs have WD companions.

  9. Chandra Observation of Polaris: Census of Low-mass Companions

    Science.gov (United States)

    Evans, Nancy Remage; Guinan, Edward; Engle, Scott; Wolk, Scott J.; Schlegel, Eric; Mason, Brian D.; Karovska, Margarita; Spitzbart, Bradley

    2010-05-01

    We have observed Cepheid Polaris (α UMi A: F7 Ib [Aa] + F6 V [Ab]) with Chandra ACIS-I for 10 ks. An X-ray source was found at the location of Polaris with log LX = 28.89 erg s-1 (0.3-8 keV) and kT = 0.6 keV. A spectrum this soft could come from either the supergiant or the dwarf, as shown by comparable coronal stars. Two resolved low-mass visual companions, "C" and "D," are not physical members of the system based on the lack of X-rays (indicating an age older than the Cepheid) and inconsistent proper motions. Polaris B is not an X-ray source, consistent with its early F spectral type, and probably does not have a lower mass companion itself. A possible more distant member is identified, and an additional less plausible one. This provides a complete census of companions out to 0.1 pc covering a mass ratio range of an order of magnitude and a ΔV of nearly 15 mag. Based on observations made with the NASA Chandra Satellite.

  10. CHANDRA OBSERVATION OF POLARIS: CENSUS OF LOW-MASS COMPANIONS

    International Nuclear Information System (INIS)

    Remage Evans, Nancy; Wolk, Scott J.; Karovska, Margarita; Spitzbart, Bradley; Guinan, Edward; Engle, Scott; Schlegel, Eric; Mason, Brian D.

    2010-01-01

    We have observed Cepheid Polaris (α UMi A: F7 Ib [Aa] + F6 V [Ab]) with Chandra ACIS-I for 10 ks. An X-ray source was found at the location of Polaris with log L X = 28.89 erg s -1 (0.3-8 keV) and kT = 0.6 keV. A spectrum this soft could come from either the supergiant or the dwarf, as shown by comparable coronal stars. Two resolved low-mass visual companions, 'C' and 'D', are not physical members of the system based on the lack of X-rays (indicating an age older than the Cepheid) and inconsistent proper motions. Polaris B is not an X-ray source, consistent with its early F spectral type, and probably does not have a lower mass companion itself. A possible more distant member is identified, and an additional less plausible one. This provides a complete census of companions out to 0.1 pc covering a mass ratio range of an order of magnitude and a ΔV of nearly 15 mag.

  11. [Influence of waiting time on patient and companion satisfaction].

    Science.gov (United States)

    Fontova-Almató, A; Juvinyà-Canal, D; Suñer-Soler, R

    2015-01-01

    To evaluate patient and companion satisfaction of a hospital Emergency Department and its relationship with waiting time. Prospective, observational study. Hospital de Figueres Emergency Department (Girona, Spain). sociodemographic characteristics, satisfaction level, real and perceived waiting time for triage and being seen by a physician. A total of 285 responses were received from patients and companions. The mean age of the patients and companions (n=257) was 54.6years (SD=18.3). The mean overall satisfaction (n=273) was 7.6 (SD=2.2). Lower perceived waiting time until nurse triage was related to higher overall satisfaction (Spearman rho (ρ)=-0.242, P<.001), and lower perceived waiting time until being seen by physician, with a higher overall satisfaction (ρ=-0.304; P<.001). Users who were informed about estimated waiting time showed higher satisfaction than those who were not informed (P=.001). Perceived waiting time and the information about estimated waiting time determined overall satisfaction. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

  12. Small business development for molecular diagnostics.

    Science.gov (United States)

    Anagostou, Anthanasia; Liotta, Lance A

    2012-01-01

    Molecular profiling, which is the application of molecular diagnostics technology to tissue and blood -specimens, is an integral element in the new era of molecular medicine and individualized therapy. Molecular diagnostics is a fertile ground for small business development because it can generate products that meet immediate demands in the health-care sector: (a) Detection of disease risk, or early-stage disease, with a higher specificity and sensitivity compared to previous testing methods, and (b) "Companion diagnostics" for stratifying patients to receive a treatment choice optimized to their individual disease. This chapter reviews the promise and challenges of business development in this field. Guidelines are provided for the creation of a business model and the generation of a marketing plan around a candidate molecular diagnostic product. Steps to commercialization are outlined using existing molecular diagnostics companies as learning examples.

  13. Alpha-fetoprotein still is a valuable diagnostic and prognosis predicting biomarker in hepatitis B virus infection-related hepatocellular carcinoma.

    Science.gov (United States)

    Yao, Mingjie; Zhao, Jingmin; Lu, Fengmin

    2016-01-26

    Use of serum alpha-fetoprotein (AFP) in clinical practices has been challenged in recent years, due to the lack of specificity and sensitivity. Here we conducted a retrospective study to evaluate the diagnostic and prognostic value of serum AFP among hepatocellular carcinoma (HCC) patients with their pathogenic features taken into consideration. The cohort for this study comprised 318 cases of hepatitis and 731 cases of cirrhosis, as well as 796 HCC patients. Using 11.62ng/mL as a cut-off value, the positive rate of AFP test among serum hepatitis B surface antigen (HBsAg) positive HCC patients was significantly higher than that in those HBsAg negative HCC patients (79.55% vs 56.49%, P < 0.000). Similarly, the median serum AFP level in HCC patients with serum HBsAg positive was significantly higher than that in those HBsAg negative HCC patients (423.89ng/ml vs 40.82ng/ml, P < 0.000). In addition, Kaplan-Meier curve analysis revealed that lower preoperative AFP level implicated a much higher overall survival rate. Of note, such prognosis predicting value was only seen in those chronic HBV infection-related HCC patients, but not among the HCC patients etiologically irrelevant to HBV infection. We believe that serum AFP is of diagnosis and prognostic predicting value for HCC with chronic HBV infection, and strongly suggest use of serum AFP as a biomarker in China and other HBV infection endemic area like Southeast Asia.

  14. Diagnostic accuracy of soluble urokinase plasminogen activator receptor (suPAR) for prediction of bacteremia in patients with systemic inflammatory response syndrome.

    Science.gov (United States)

    Hoenigl, Martin; Raggam, Reinhard B; Wagner, Jasmin; Valentin, Thomas; Leitner, Eva; Seeber, Katharina; Zollner-Schwetz, Ines; Krammer, Werner; Prüller, Florian; Grisold, Andrea J; Krause, Robert

    2013-02-01

    Soluble urokinase plasminogen activator receptor (suPAR) serum concentrations have recently been described to reflect the severity status of systemic inflammation. In this study, the diagnostic accuracy of suPAR, C-reactive protein (CRP), procalcitonin (PCT), and interleukin-6 (IL-6) to predict bacteremia in patients with systemic inflammatory response syndrome (SIRS) was compared. A total of 132 patients with SIRS were included. In 55 patients blood cultures had resulted positive (study group 1, Gram positive bacteria: Staphylococcus aureus and Streptococcus spp., n=15; study group 2, Gram-negative bacteria, n=40) and 77 patients had negative blood culture results (control group, n=77). Simultaneously with blood cultures suPAR, CRP, PCT, IL-6 and white blood count (WBC) were determined. SuPAR values were significantly higher in study group 1 (median 8.11; IQR 5.78-15.53; p=0.006) and study group 2 (median 9.62; IQR 6.52-11.74; p<0.001) when compared with the control group (median 5.65; IQR 4.30-7.83). ROC curve analysis revealed an AUC of 0.726 for suPAR in differentiating SIRS patients with bacteremia from those without. The biomarkers PCT and IL-6 showed comparable results. Regarding combinations of biomarkers multiplying suPAR, PCT and IL-6 was most promising and resulted in an AUC value of 0.804. Initial suPAR serum concentrations were significantly higher (p=0.028) in patients who died within 28 days than in those who survived. No significant difference was seen for PCT, IL-6 and CRP. In conclusion, suPAR, IL-6 and PCT may contribute to predicting bacteremia in SIRS patients. Copyright © 2012 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  15. The diagnostic value of Tc-99m PYP, Tl-201 dual isotope SPECT to predict the viability of damaged myocardium in the acute phase of myocardial infarction

    International Nuclear Information System (INIS)

    Matsuo, Hitoshi; Watanabe, Sachiro; Arai, Masazumi

    1991-01-01

    To assess the diagnostic value of Tc-99m pyrophosphate (PYP), Tl-201 dual isotope SPECT for the evaluation of myocardial viability, segmental comparison between dual isotope SPECT and exercise, delayed, and reinjected Tl study were performed with 18 acute myocardial infarction (AMI) patients. Among 72 damaged myocardial segments, 48 segments (67%) were judged as viable by chronic phase Tl studies. The segments with severely reduced Tl uptake by dual SPECT showed significantly lower prevalence of viable myocardium than the segments with reduced and normal Tl uptake (p<0.001). The segments with PYP accumulation localized to the subendocardium represented the favorable outcome compared with the transmural accumulation (p<0.001). And overlap segments show better prognosis than the segments without overlap (p<0.05). Most importantly, we can get better predictive accuracy of myocardial scar by dual isotope SPECT than the judgement by Tl or PYP SPECT alone (83.3% vs 77.8%, 68.1%). Thus, we conclude that Tc-99m PYP, Tl-201 dual isotope SPECT is useful to assess the severity of myocardial damage in the acute phase of myocardial infarction. (author)

  16. 76 FR 65518 - Prospective Grant of Exclusive License: The Development of a Companion Diagnostic Kit for...

    Science.gov (United States)

    2011-10-21

    ... contemplated exclusive license should be directed to: Patrick P. McCue, Ph.D., Licensing and Patenting Manager... has been demonstrated for biliary tract, kidney, lung, and stomach cancers. The prospective exclusive...

  17. Grief and Bereavement Issues and the Loss of a Companion Animal: People Living with a Companion Animal, Owners of Livestock, and Animal Support Workers

    Science.gov (United States)

    Chur-Hansen, Anna

    2010-01-01

    Companion animals play various roles in people's lives and these roles can impact on loss, grief, bereavement and mourning when the animal has been lost, whether that is through death, when missing, or when relinquished. This paper considers not only companion animal owners, but also those who own farm animals and those who work in animal service…

  18. Development of diagnostic prediction tools for bacteraemia caused by third-generation cephalosporin-resistant enterobacteria in suspected bacterial infections: a nested case-control study.

    Science.gov (United States)

    Rottier, W C; van Werkhoven, C H; Bamberg, Y R P; Dorigo-Zetsma, J W; van de Garde, E M; van Hees, B C; Kluytmans, J A J W; Kuck, E M; van der Linden, P D; Prins, J M; Thijsen, S F T; Verbon, A; Vlaminckx, B J M; Ammerlaan, H S M; Bonten, M J M

    2018-03-23

    Current guidelines for the empirical antibiotic treatment predict the presence of third-generation cephalosporin-resistant enterobacterial bacteraemia (3GCR-E-Bac) in case of infection only poorly, thereby increasing unnecessary carbapenem use. We aimed to develop diagnostic scoring systems which can better predict the presence of 3GCR-E-Bac. A retrospective nested case-control study was performed that included patients ≥18 years of age from eight Dutch hospitals in whom blood cultures were obtained and intravenous antibiotics were initiated. Each patient with 3GCR-E-Bac was matched to four control infection episodes within the same hospital, based on blood-culture date and onset location (community or hospital). Starting from 32 commonly described clinical risk factors at infection onset, selection strategies were used to derive scoring systems for the probability of community- and hospital-onset 3GCR-E-Bac. 3GCR-E-Bac occurred in 90 of 22 506 (0.4%) community-onset infections and in 82 of 8110 (1.0%) hospital-onset infections, and these cases were matched to 360 community-onset and 328 hospital-onset control episodes. The derived community-onset and hospital-onset scoring systems consisted of six and nine predictors, respectively. With selected score cut-offs, the models identified 3GCR-E-Bac with sensitivity equal to existing guidelines (community-onset: 54.3%; hospital-onset: 81.5%). However, they reduced the proportion of patients classified as at risk for 3GCR-E-Bac (i.e. eligible for empirical carbapenem therapy) with 40% (95%CI 21-56%) and 49% (95%CI 39-58%) in, respectively, community-onset and hospital-onset infections. These prediction scores for 3GCR-E-Bac, specifically geared towards the initiation of empirical antibiotic treatment, may improve the balance between inappropriate antibiotics and carbapenem overuse. Copyright © 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  19. CT prediction of the Fuhrman grade of clear cell renal cell carcinoma (RCC): towards the development of computer-assisted diagnostic method.

    Science.gov (United States)

    Huhdanpaa, Hannu; Hwang, Darryl; Cen, Steven; Quinn, Brian; Nayyar, Megha; Zhang, Xuejun; Chen, Frank; Desai, Bhushan; Liang, Gangning; Gill, Inderbir; Duddalwar, Vinay

    2015-10-01

    There are distinct quantifiable features characterizing renal cell carcinomas on contrast-enhanced CT examinations, such as peak tumor enhancement, tumor heterogeneity, and percent contrast washout. While qualitative visual impressions often suffice for diagnosis, quantitative metrics if developed and validated can add to the information available from standard of care diagnostic imaging. The purpose of this study is to assess the use of quantitative enhancement metrics in predicting the Fuhrman grade of clear cell RCC. 65 multiphase CT examinations with clear cell RCCs were utilized, 44 tumors with Fuhrman grades 1 or 2 and 21 tumors with grades 3 or 4. After tumor segmentation, the following data were extracted: histogram analysis of voxel-based whole lesion attenuation in each phase, enhancement and washout using mean, median, skewness, kurtosis, standard deviation, and interquartile range. Statistically significant difference was observed in 4 measured parameters between grades 1-2 and grades 3-4: interquartile range of nephrographic attenuation values, standard deviation of absolute enhancement, as well as interquartile range and standard deviation of residual nephrographic enhancement. Interquartile range of nephrographic attenuation values was 292.86 HU for grades 1-2 and 241.19 HU for grades 3-4 (p value 0.02). Standard deviation of absolute enhancement was 41.26 HU for grades 1-2 and 34.66 HU for grades 3-4 (p value 0.03). Interquartile range was 297.12 HU for residual nephrographic enhancement for grades 1-2 and 235.57 HU for grades 3-4 (p value 0.02), and standard deviation of the same was 42.45 HU for grades 1-2 and 37.11 for grades 3-4 (p value 0.04). Our results indicate that absolute enhancement is more heterogeneous for lower grade tumors and that attenuation and residual enhancement in nephrographic phase is more heterogeneous for lower grade tumors. This represents an important step in devising a predictive non-invasive model to predict the

  20. A mass transfer origin for blue stragglers in NGC 188 as revealed by half-solar-mass companions.

    Science.gov (United States)

    Geller, Aaron M; Mathieu, Robert D

    2011-10-19

    In open star clusters, where all members formed at about the same time, blue straggler stars are typically observed to be brighter and bluer than hydrogen-burning main-sequence stars, and therefore should already have evolved into giant stars and stellar remnants. Correlations between blue straggler frequency and cluster binary star fraction, core mass and radial position suggest that mass transfer or mergers in binary stars dominates the production of blue stragglers in open clusters. Analytic models, detailed observations and sophisticated N-body simulations, however, argue in favour of stellar collisions. Here we report that the blue stragglers in long-period binaries in the old (7 × 10(9)-year) open cluster NGC 188 have companions with masses of about half a solar mass, with a surprisingly narrow mass distribution. This conclusively rules out a collisional origin, as the collision hypothesis predicts a companion mass distribution with significantly higher masses. Mergers in hierarchical triple stars are marginally permitted by the data, but the observations do not favour this hypothesis. The data are highly consistent with a mass transfer origin for the long-period blue straggler binaries in NGC 188, in which the companions would be white dwarfs of about half a solar mass.

  1. HOW SPIRALS AND GAPS DRIVEN BY COMPANIONS IN PROTOPLANETARY DISKS APPEAR IN SCATTERED LIGHT AT ARBITRARY VIEWING ANGLES

    Energy Technology Data Exchange (ETDEWEB)

    Dong, Ruobing [Nuclear Science Division, Lawrence Berkeley National Lab, Berkeley, CA 94720 (United States); Fung, Jeffrey; Chiang, Eugene, E-mail: rdong2013@berkeley.edu [Department of Astronomy, University of California at Berkeley, Berkeley, CA 94720 (United States)

    2016-07-20

    Direct imaging observations of protoplanetary disks at near-infrared (NIR) wavelengths have revealed structures of potentially planetary origin. Investigations of observational signatures from planet-induced features have so far focused on disks viewed face-on. Combining 3D hydrodynamics and radiative transfer simulations, we study how the appearance of the spiral arms and the gap produced in a disk by a companion varies with inclination and position angle in NIR scattered light. We compare the cases of a 3 M {sub J} and a 0.1 M {sub ⊙} companion, and make predictions suitable for testing with Gemini/GPI, Very Large Telescope/NACO/SPHERE, and Subaru/HiCIAO/SCExAO. We find that the two trailing arms produced by an external perturber can have a variety of morphologies in inclined systems—they may appear as one trailing arm; two trailing arms on the same side of the disk; or two arms winding in opposite directions. The disk ring outside a planetary gap may also mimic spiral arms when viewed at high inclinations. We suggest potential explanations for the features observed in HH 30, HD 141569 A, AK Sco, HD 100546, and AB Aur. We emphasize that inclined views of companion-induced features cannot be converted into face-on views using simple and commonly practiced image deprojections.

  2. HOW SPIRALS AND GAPS DRIVEN BY COMPANIONS IN PROTOPLANETARY DISKS APPEAR IN SCATTERED LIGHT AT ARBITRARY VIEWING ANGLES

    International Nuclear Information System (INIS)

    Dong, Ruobing; Fung, Jeffrey; Chiang, Eugene

    2016-01-01

    Direct imaging observations of protoplanetary disks at near-infrared (NIR) wavelengths have revealed structures of potentially planetary origin. Investigations of observational signatures from planet-induced features have so far focused on disks viewed face-on. Combining 3D hydrodynamics and radiative transfer simulations, we study how the appearance of the spiral arms and the gap produced in a disk by a companion varies with inclination and position angle in NIR scattered light. We compare the cases of a 3 M J and a 0.1 M ⊙ companion, and make predictions suitable for testing with Gemini/GPI, Very Large Telescope/NACO/SPHERE, and Subaru/HiCIAO/SCExAO. We find that the two trailing arms produced by an external perturber can have a variety of morphologies in inclined systems—they may appear as one trailing arm; two trailing arms on the same side of the disk; or two arms winding in opposite directions. The disk ring outside a planetary gap may also mimic spiral arms when viewed at high inclinations. We suggest potential explanations for the features observed in HH 30, HD 141569 A, AK Sco, HD 100546, and AB Aur. We emphasize that inclined views of companion-induced features cannot be converted into face-on views using simple and commonly practiced image deprojections.

  3. FRIENDS OF HOT JUPITERS. III. AN INFRARED SPECTROSCOPIC SEARCH FOR LOW-MASS STELLAR COMPANIONS

    Energy Technology Data Exchange (ETDEWEB)

    Piskorz, Danielle; Knutson, Heather A.; Ngo, Henry; Batygin, Konstantin [Division of Geological and Planetary Sciences, California Institute of Technology, Pasadena, CA (United States); Muirhead, Philip S. [Institute for Astrophysical Research, Boston University, Boston, MA (United States); Crepp, Justin R. [Department of Physics, University of Notre Dame, South Bend, IN (United States); Hinkley, Sasha [Department of Physics and Astronomy, University of Exeter, Exeter (United Kingdom); Morton, Timothy D., E-mail: dpiskorz@gps.caltech.edu [Department of Astrophysical Sciences, Princeton University, Princeton, NJ (United States)

    2015-12-01

    Surveys of nearby field stars indicate that stellar binaries are common, yet little is known about the effects that these companions may have on planet formation and evolution. The Friends of Hot Jupiters project uses three complementary techniques to search for stellar companions to known planet-hosting stars: radial velocity monitoring, adaptive optics imaging, and near-infrared spectroscopy. In this paper, we examine high-resolution K band infrared spectra of fifty stars hosting gas giant planets on short-period orbits. We use spectral fitting to search for blended lines due to the presence of cool stellar companions in the spectra of our target stars, where we are sensitive to companions with temperatures between 3500 and 5000 K and projected separations less than 100 AU in most systems. We identify eight systems with candidate low-mass companions, including one companion that was independently detected in our AO imaging survey. For systems with radial velocity accelerations, a spectroscopic non-detection rules out scenarios involving a stellar companion in a high inclination orbit. We use these data to place an upper limit on the stellar binary fraction at small projected separations, and show that the observed population of candidate companions is consistent with that of field stars and also with the population of wide-separation companions detected in our previous AO survey. We find no evidence that spectroscopic stellar companions are preferentially located in systems with short-period gas giant planets on eccentric and/or misaligned orbits.

  4. FRIENDS OF HOT JUPITERS. III. AN INFRARED SPECTROSCOPIC SEARCH FOR LOW-MASS STELLAR COMPANIONS

    International Nuclear Information System (INIS)

    Piskorz, Danielle; Knutson, Heather A.; Ngo, Henry; Batygin, Konstantin; Muirhead, Philip S.; Crepp, Justin R.; Hinkley, Sasha; Morton, Timothy D.

    2015-01-01

    Surveys of nearby field stars indicate that stellar binaries are common, yet little is known about the effects that these companions may have on planet formation and evolution. The Friends of Hot Jupiters project uses three complementary techniques to search for stellar companions to known planet-hosting stars: radial velocity monitoring, adaptive optics imaging, and near-infrared spectroscopy. In this paper, we examine high-resolution K band infrared spectra of fifty stars hosting gas giant planets on short-period orbits. We use spectral fitting to search for blended lines due to the presence of cool stellar companions in the spectra of our target stars, where we are sensitive to companions with temperatures between 3500 and 5000 K and projected separations less than 100 AU in most systems. We identify eight systems with candidate low-mass companions, including one companion that was independently detected in our AO imaging survey. For systems with radial velocity accelerations, a spectroscopic non-detection rules out scenarios involving a stellar companion in a high inclination orbit. We use these data to place an upper limit on the stellar binary fraction at small projected separations, and show that the observed population of candidate companions is consistent with that of field stars and also with the population of wide-separation companions detected in our previous AO survey. We find no evidence that spectroscopic stellar companions are preferentially located in systems with short-period gas giant planets on eccentric and/or misaligned orbits

  5. [Diagnostic value of dynamic monitoring of C-reactive protein in drain drainage to predict early anastomotic leakage after colorectal cancer surgery].

    Science.gov (United States)

    Lu, Jia; Zheng, Lei; Li, Runtian; Hao, Chunmin; Gao, Wenbin; Feng, Ziwei; Yin, Guangya; Wang, Yue

    2017-09-25

    To evaluate the diagnostic value of dynamic monitoring of C-reactive protein (CRP) in drainage fluid in predicting early anastomotic leakage after colorectal surgery. This study enrolled 172 patients, who were diagnosed as colorectal cancer before operation and underwent radical surgery, without residual tumor tissues by postoperative pathology and perioperative infection, at the Tianjin Medical University Cancer Hospital between July 2015 and January 2016. The C-reactive(CRP) protein level in drainage fluid was continuously monitored from postoperative days (POD) 1 to 5. CRP level was compared between anastomotic leakage (AL) group and non-anastomotic leakage (NAL) group. Receiver operating characteristics (ROC) curve was used to estimate the value of monitoring CRP in drainage fluid to predict anastomotic leakage after colorectal surgery. Among 172 patients, 101 cases were male and 71 cases were female, with age of (59.9±10.3) years. Anastomotic leakage occurred after colorectal surgery in 24 cases(14.0%, AL group ) and other 148 cases were defined as NAL group. Other than body mass index (BMI), differences in baseline data were not statistically significant between two groups. The CRP lever in AL group and NAL group showed rising trend from POD1 to POD4 [Day 1: (6.7±8.4) g/L vs. (8.0±10.6) g/L; Day 2: (24.8±14.6) g/L vs. (28.3±21.1) g/L, Day 3: (54.8±26.5) g/L vs. (53.8±27.6)g/L, Day 4: (62.0±32.2) g/L vs. (58.4±30.7) g/L], while the differences were not significant (all P>0.05). At POD 5, the CRP lever of AL group increased continuously, while that of NAL group decreased with significant difference [(65.3±38.9) g/L vs. (44.7±39.5) g/L, t=-2.85, P=0.005]. Further stratification analysis on AL group revealed CRP level in early AL (AL occurrence POD 10) showed rising trend from POD 1 to 4, then decreased slightly at POD 5, but whose differences were not significant (all P>0.05). ROC curve was drawn with AL condition as state variables and CRP level as

  6. A COMPARISON OF SPECTROSCOPIC VERSUS IMAGING TECHNIQUES FOR DETECTING CLOSE COMPANIONS TO KEPLER OBJECTS OF INTEREST

    International Nuclear Information System (INIS)

    Teske, Johanna K.; Everett, Mark E.; Hirsch, Lea; Furlan, Elise; Ciardi, David R.; Horch, Elliott P.; Howell, Steve B.; Gonzales, Erica; Crepp, Justin R.

    2015-01-01

    Kepler planet candidates require both spectroscopic and imaging follow-up observations to rule out false positives and detect blended stars. Traditionally, spectroscopy and high-resolution imaging have probed different host star companion parameter spaces, the former detecting tight binaries and the latter detecting wider bound companions as well as chance background stars. In this paper, we examine a sample of 11 Kepler host stars with companions detected by two techniques—near-infrared adaptive optics and/or optical speckle interferometry imaging, and a new spectroscopic deblending method. We compare the companion effective temperatures (T eff ) and flux ratios (F B /F A , where A is the primary and B is the companion) derived from each technique and find no cases where both companion parameters agree within 1σ errors. In 3/11 cases the companion T eff values agree within 1σ errors, and in 2/11 cases the companion F B /F A values agree within 1σ errors. Examining each Kepler system individually considering multiple avenues (isochrone mapping, contrast curves, probability of being bound), we suggest two cases for which the techniques most likely agree in their companion detections (detect the same companion star). Overall, our results support the advantage that the spectroscopic deblending technique has for finding very close-in companions (θ ≲ 0.″02–0.″05) that are not easily detectable with imaging. However, we also specifically show how high-contrast AO and speckle imaging observations detect companions at larger separations (θ ≥ 0.″02–0.″05) that are missed by the spectroscopic technique, provide additional information for characterizing the companion and its potential contamination (e.g., position angle, separation, magnitude differences), and cover a wider range of primary star effective temperatures. The investigation presented here illustrates the utility of combining the two techniques to reveal higher-order multiples in known

  7. ASSERT FY16 Analysis of Feedstock Companion Markets

    Energy Technology Data Exchange (ETDEWEB)

    Lamers, Patrick [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hansen, Jason [Idaho National Lab. (INL), Idaho Falls, ID (United States); Jacobson, Jacob J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Nguyen, Thuy [Idaho National Lab. (INL), Idaho Falls, ID (United States); Nair, Shyam [Idaho National Lab. (INL), Idaho Falls, ID (United States); Searcy, Erin [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hess, J. Richard [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-09-01

    Meeting Co-Optima biofuel production targets will require large quantities of mobilized biomass feedstock. Mobilization is of key importance as there is an abundance of biomass resources, yet little is available for purchase, let alone at desired quantity and quality levels needed for a continuous operation, e.g., a biorefinery. Therefore Co-Optima research includes outlining a path towards feedstock production at scale by understanding routes to mobilizing large quantities of biomass feedstock. Continuing along the vertically-integrated path that pioneer cellulosic biorefineries have taken will constrain the bioenergy industry to high biomass yield areas, limiting its ability to reach biofuel production at scale. To advance the cellulosic biofuels industry, a separation between feedstock supply and conversion is necessary. Thus, in contrast to the vertically integrated supply chain, two industries are required: a feedstock industry and a conversion industry. The split is beneficial for growers and feedstock processers as they are able to sell into multiple markets. That is, depots that produce value-add feedstock intermediates that are fully fungible in both the biofuels refining and other, so-called companion markets. As the biofuel industry is currently too small to leverage significant investment in up-stream infrastructure build-up, it requires an established (companion) market to secure demand, which de-risks potential investments and makes a build-up of processing and other logistics infrastructure more likely. A common concern to this theory however is that more demand by other markets could present a disadvantage for biofuels production as resource competition may increase prices leading to reduced availability of low-cost feedstock for biorefineries. To analyze the dynamics across multiple markets vying for the same resources, particularly the potential effects on resource price and distribution, the Companion Market Model (CMM) has been developed in this

  8. Close companions to two high-redshift quasars

    Energy Technology Data Exchange (ETDEWEB)

    McGreer, Ian D.; Fan, Xiaohui; Bian, Fuyan [Steward Observatory, The University of Arizona, 933 North Cherry Avenue, Tucson, AZ 85721-0065 (United States); Strauss, Michael A. [Princeton University Observatory, Peyton Hall, Princeton, NJ 08544 (United States); Haiman, Zoltàn [Department of Astronomy, Columbia University, 550 West 120th Street, New York, NY 10027 (United States); Richards, Gordon T. [Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 (United States); Jiang, Linhua [School of Earth and Space Exploration, Arizona State University, Tempe, AZ 85287 (United States); Schneider, Donald P., E-mail: imcgreer@as.arizona.edu [Department of Astronomy and Astrophysics and the Institute for Gravitation and the Cosmos, The Pennsylvania State University, University Park, PA 16802 (United States)

    2014-10-01

    We report the serendipitous discoveries of companion galaxies to two high-redshift quasars. SDSS J025617.7+001904 is a z = 4.79 quasar included in our recent survey of faint quasars in the SDSS Stripe 82 region. The initial MMT slit spectroscopy shows excess Lyα emission extending well beyond the quasar's light profile. Further imaging and spectroscopy with LBT/MODS1 confirms the presence of a bright galaxy (i {sub AB} = 23.6) located 2'' (12 kpc projected) from the quasar with strong Lyα emission (EW{sub 0} ≈ 100 Å) at the redshift of the quasar, as well as faint continuum. The second quasar, CFHQS J005006.6+344522 (z = 6.25), is included in our recent HST SNAP survey of z ∼ 6 quasars searching for evidence of gravitational lensing. Deep imaging with ACS and WFC3 confirms an optical dropout ∼4.5 mag fainter than the quasar (Y {sub AB} = 25) at a separation of 0.''9. The red i {sub 775} – Y {sub 105} color of the galaxy and its proximity to the quasar (5 kpc projected if at the quasar redshift) strongly favor an association with the quasar. Although it is much fainter than the quasar, it is remarkably bright when compared to field galaxies at this redshift, while showing no evidence for lensing. Both systems may represent late-stage mergers of two massive galaxies, with the observed light for one dominated by powerful ongoing star formation and for the other by rapid black hole growth. Observations of close companions are rare; if major mergers are primarily responsible for high-redshift quasar fueling then the phase when progenitor galaxies can be observed as bright companions is relatively short.

  9. ASSERT FY16 Analysis of Feedstock Companion Markets

    International Nuclear Information System (INIS)

    Lamers, Patrick; Hansen, Jason; Jacobson, Jacob J.; Nguyen, Thuy; Nair, Shyam; Searcy, Erin; Hess, J. Richard

    2016-01-01

    Meeting Co-Optima biofuel production targets will require large quantities of mobilized biomass feedstock. Mobilization is of key importance as there is an abundance of biomass resources, yet little is available for purchase, let alone at desired quantity and quality levels needed for a continuous operation, e.g., a biorefinery. Therefore Co-Optima research includes outlining a path towards feedstock production at scale by understanding routes to mobilizing large quantities of biomass feedstock. Continuing along the vertically-integrated path that pioneer cellulosic biorefineries have taken will constrain the bioenergy industry to high biomass yield areas, limiting its ability to reach biofuel production at scale. To advance the cellulosic biofuels industry, a separation between feedstock supply and conversion is necessary. Thus, in contrast to the vertically integrated supply chain, two industries are required: a feedstock industry and a conversion industry. The split is beneficial for growers and feedstock processers as they are able to sell into multiple markets. That is, depots that produce value-add feedstock intermediates that are fully fungible in both the biofuels refining and other, so-called companion markets. As the biofuel industry is currently too small to leverage significant investment in up-stream infrastructure build-up, it requires an established (companion) market to secure demand, which de-risks potential investments and makes a build-up of processing and other logistics infrastructure more likely. A common concern to this theory however is that more demand by other markets could present a disadvantage for biofuels production as resource competition may increase prices leading to reduced availability of low-cost feedstock for biorefineries. To analyze the dynamics across multiple markets vying for the same resources, particularly the potential effects on resource price and distribution, the Companion Market Model (CMM) has been developed in this

  10. Do some x-ray stars have white dwarf companions

    Science.gov (United States)

    Mccollum, Bruce

    1995-01-01

    Some Be stars which are intermittent X-ray sources may have white dwarf companions rather than neutron stars. It is not possible to prove or rule out the existence of Be + WD systems using X-ray or optical data. However, the presence of a white dwarf could be established by the detection of its EUV continuum shortward of the Be star's continuum turnover at 100 A. Either the detection or the nondetection of Be + WD systems would have implications for models of Be star variability, models of Be binary system formation and evolution, and models of wind-fed accretion.

  11. A Search for Pulsar Companions to OB Runaway Stars

    Science.gov (United States)

    Kaspi, V. M.

    1995-01-01

    We have searched for radio pulsar companions to 40 nearby OB runaway stars. Observations were made at 474 and 770 MHz with the NRAO 140 ft telescope. The survey was sensitive to long- period pulsars with flux densities of 1 mJy or more. One previously unknown pulsar was discovered, PSRJ2044+4614, while observing towards target O star BD+45,3260. Follow-up timing observations of the pulsar measured its position to high precision, revealing a 9' separation between the pulsar and the target star, unequivocally indicating they are not associated.

  12. Ectoparasites of livestock and companion animals in New Zealand.

    Science.gov (United States)

    Heath, Acg

    2002-01-01

    Abstract Extract Principal livestock species in New Zealand, namely sheep, cattle, goats, pigs, horses and deer, are hosts, collectively to at least 45 species of ectoparasites, whereas companion animals such as dogs, cats, rabbits, guinea pigs and ferrets, share about 30 species. Tenquist and Charleston (2001) provide a host/parasite checklist of all species, together with limited information on distribution and aspects of nomenclature. Many of the parasites are not host-specific and none is restricted to New Zealand. There is only one recorded eradication, that of the sheep scab mite, Psoroptes ovis, but the sheep ked, Melophagus ovinus, is very rare.

  13. Multidimensional Models of Type Ia Supernova Nebular Spectra: Strong Emission Lines from Stripped Companion Gas Rule Out Classic Single-degenerate Systems

    Science.gov (United States)

    Botyánszki, János; Kasen, Daniel; Plewa, Tomasz

    2018-01-01

    The classic single-degenerate model for the progenitors of Type Ia supernova (SN Ia) predicts that the supernova ejecta should be enriched with solar-like abundance material stripped from the companion star. Spectroscopic observations of normal SNe Ia at late times, however, have not resulted in definite detection of hydrogen. In this Letter, we study line formation in SNe Ia at nebular times using non-LTE spectral modeling. We present, for the first time, multidimensional radiative transfer calculations of SNe Ia with stripped material mixed in the ejecta core, based on hydrodynamical simulations of ejecta–companion interaction. We find that interaction models with main-sequence companions produce significant Hα emission at late times, ruling out these types of binaries being viable progenitors of SNe Ia. We also predict significant He I line emission at optical and near-infrared wavelengths for both hydrogen-rich or helium-rich material, providing an additional observational probe of stripped ejecta. We produce models with reduced stripped masses and find a more stringent mass limit of M st ≲ 1 × 10‑4 M ⊙ of stripped companion material for SN 2011fe.

  14. Anion gap as bio-diagnostic index in prediction of dystocia, retained placenta and delayed uterine involution of Baladi goat (Field study

    Directory of Open Access Journals (Sweden)

    Mohamed El-Raey

    2017-01-01

    Full Text Available Objective: To assess the anion gap (AG validity in prediction the goat's fertility before parturition.Methods: This study was carried out on two groups (20/20, aged 4–6 years and weighted 30–43 kg of pluriparous pregnant Baladi goats. Animals were subjected to clinical examination, blood sampling to assess serum biochemical parameters in correlation with utrasonographic assessment of uterine horn involution (UTI and placental dropping time after kidding. Unpaired student t–test was used to detect the significance of differences (P<0.05. Correlation coefficient was used to study the relationships among the different assessed parameters, analysis (r was assigned at P<0.05 using the same statistics program.Results: Results revealed that there were highly significant differences (P<0.05 between normally and abnormally parturated goats concerning Cl-, K+, Na+, P, Mg2+, Total/Ca2+, albumin, glucose and AG. Goats suffered from dystocia having high levels of HCO3-, cortisol and lactate. Additionally, there were significant differences (P<0.05 between normally and abnormally parturated goat does regarding the process of UTI starting from 3rd to 10th wk after parturition. Furthermore, there was a highly significant difference (P<0.05 between normally and abnormally parturated goat does concerning their placental dropping time; where, distressed/ abnormally parturated goat having the longest time. Furthermore, there were highly strong correlation coefficient between Mg2+, K+, Na+, HCO3-, glucose, albumin, AG and corrected AG concentrations during goat's prepartum period and UTI, placental dropping time.Conclusions: Reporting serum bio-chemical changes and AG during goat's prepartum period could be used as diagnostic tool to judge the normality of parturition process, placental dropping, UTI and genital health, in other word, could be used as predictor for goat's fertility prior to parturition.

  15. Augmented telomerase activity, reduced telomere length and the presence of alternative lengthening of telomere in renal cell carcinoma: plausible predictive and diagnostic markers.

    Science.gov (United States)

    Pal, Deeksha; Sharma, Ujjawal; Khajuria, Ragini; Singh, Shrawan Kumar; Kakkar, Nandita; Prasad, Rajendra

    2015-05-15

    In this study, we analyzed 100 cases of renal cell carcinoma (RCC) for telomerase activity, telomere length and alternative lengthening of telomeres (ALT) using the TRAP assay, TeloTTAGGG assay kit and immunohistochemical analysis of ALT associated promyelocytic leukemia (PML) bodies respectively. A significantly higher (P=0.000) telomerase activity was observed in 81 cases of RCC which was correlated with clinicopathological features of tumor for instance, stage (P=0.008) and grades (P=0.000) but not with the subtypes of RCC (P = 0.355). Notwithstanding, no correlation was found between telomerase activity and subtypes of RCC. Strikingly, the telomere length was found to be significantly shorter in RCC (P=0.000) to that of corresponding normal renal tissues and it is well correlated with grades (P=0.016) but not with stages (P=0.202) and subtypes (P=0.669) of RCC. In this study, telomere length was also negatively correlated with the age of patients (r(2)=0.528; P=0.000) which supports the notion that it could be used as a marker for biological aging. ALT associated PML bodies containing PML protein was found in telomerase negative cases of RCC. It suggests the presence of an ALT pathway mechanism to maintain the telomere length in telomerase negative RCC tissues which was associated with high stages of RCC, suggesting a prevalent mechanism for telomere maintenance in high stages. In conclusion, the telomerase activity and telomere length can be used as a diagnostic as well as a predictive marker in RCC. The prevalence of ALT mechanism in high stages of RCC is warranted for the development of anti-ALT inhibitors along with telomerase inhibitor against RCC as a therapeutic approach. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Diagnostic accuracy of presepsin (soluble CD14 subtype) for prediction of bacteremia in patients with systemic inflammatory response syndrome in the Emergency Department.

    Science.gov (United States)

    Romualdo, Luis García de Guadiana; Torrella, Patricia Esteban; González, Monserrat Viqueira; Sánchez, Roberto Jiménez; Holgado, Ana Hernando; Freire, Alejandro Ortín; Acebes, Sergio Rebollo; Otón, María Dolores Albaladejo

    2014-05-01

    Bacteremia is indicative of severe bacterial infection with significant mortality. Its early diagnosis is extremely important for implementation of antimicrobial therapy but a diagnostic challenge. Although blood culture is the "gold standard" for diagnosis of bacteremia this method has limited usefulness for the early detection of blood-stream infection. In this study we assessed the presepsin as predictor of bacteremia in patients with systemic inflammatory response syndrome (SIRS) on admission to the Emergency Department and compare it with current available infection biomarkers. A total of 226 patients admitted to the Emergency Department with SIRS were included. In 37 patients blood culture had a positive result (bacteremic SIRS group) and 189 had a negative blood culture result (non-bacteremic SIRS group). Simultaneously with blood culture, presepsin, procalcitonin (PCT) and C-reactive protein (CRP) were measured. Receiver operating characteristic (ROC) curve analysis was performed for each biomarker as predictor of bacteremia. Presepsin values were significantly higher in bacteremic SIRS group when compared with non-bacteremic SIRS group. ROC curve analysis and area under curve (AUC) revealed a value of 0.750 for presepsin in differentiating SIRS patients with bacteremia from those without, similar than that for PCT (0.787) and higher than that for CRP (0.602). The best cut-off value for presepsin was 729pg/mL, which was associated with a negative predictive value of 94.4%. Presepsin may contribute to rule out the diagnosis of bacteremia in SIRS patients admitted to the Emergency Department. Copyright © 2014 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  17. Search for white dwarf companions of cool stars with peculiar element abundances

    Energy Technology Data Exchange (ETDEWEB)

    Boehm-Vitense, E.

    1984-01-01

    A search for a white dwarf companions of cool stars with peculiar element abundances was undertaken. One additional star the xi Cet, was found with a white dwarf companion. It was found that HR 1016, 56Uma, 16 Ser, have high excitation emission lines which indicate a high temperature object in the system. It is suggested that since these indications for high temperature companions were seen for all nearby Ba stars, it is highly probable that all Ba stars have white dwarf companions, and that the peculiar element abundances seen in the Ba stars are due to mass transfer. Observations, arguments and conclusions are presented. White dwarf companions were not found. Together with the Li and Be abundances and the chromospheric emission line spectra in these stars were studied. No white dwarf companions were seen for subgiant CH stars.

  18. Search for white dwarf companions of cool stars with peculiar element abundances

    International Nuclear Information System (INIS)

    Boehm-Vitense, E.

    1984-01-01

    A search for a white dwarf companions of cool stars with peculiar element abundances was undertaken. One additional star the xi Cet, was found with a white dwarf companion. It was found that HR 1016, 56Uma, 16 Ser, have high excitation emission lines which indicate a high temperature object in the system. It is suggested that since these indications for high temperature companions were seen for all nearby Ba stars, it is highly probable that all Ba stars have white dwarf companions, and that the peculiar element abundances seen in the Ba stars are due to mass transfer. Observations, arguments and conclusions are presented. White dwarf companions were not found. Together with the Li and Be abundances and the chromospheric emission line spectra in these stars were studied. No white dwarf companions were seen for subgiant CH stars

  19. The Senior Companion Program Plus: A culturally tailored psychoeducational training program (innovative practice).

    Science.gov (United States)

    Fields, Noelle L; Xu, Ling; Richardson, Virginia E; Parekh, Rupal; Ivey, Dorothea; Feinhals, Gretchen; Calhoun, Melanie

    2016-01-01

    A purposive sample of African American Senior Companions ( N = 23) participated in a 5-day, 20-hour psychoeducational training designed to address the unique cultural needs of African American dementia caregivers. Previous studies have not utilized lay caregiver volunteers such as Senior Companions in dementia research in the United States. Pre- and post-tests were administered to determine whether African American Senior Companions increased their knowledge of Alzheimer's disease after participating in the Senior Companion Program Plus. Results from both the quantitative and qualitative data suggest that participants improved their understanding of Alzheimer's disease. Findings from the Senior Companion Program Plus pilot warrant further study for its potential as cost effective, culturally tailored training for Senior Companions who serve persons with dementia and their family caregivers.

  20. Two active galaxies with tidal tails and companions

    International Nuclear Information System (INIS)

    Keel, W.C.

    1985-01-01

    Spectroscopic, imaging, and radio observations of the tidally disturbed active systems VV 144 and I Zw 96 are presented, and indicate that the prominent optical extensions seen in both cases represent tidal tails rather than matter ejected from their nuclei (jets). This conclusion is based on the presence of stellar spectral features in the tails, lack of significant ionized gas over most of their length, and lack of radio emission outside the nuclei. Discrete knots in these tails are identified with remnant cores of the companion galaxies responsible for the morphological disturbances of the main galaxies and perhaps contributing to their nuclear activity. In both cases, the dynamics of the interactions are unusual in nature or viewing geometry. VV 144 is seen in the common plane of interaction and disk rotation, appearing strongly foreshortened. I Zw 96 shows tails associated with two companions; each is accompanied by changes in tail structure. This may be the result of a binary system of spirals colliding with a giant elliptical galaxy. 18 references

  1. Vegetarian versus Meat-Based Diets for Companion Animals

    Directory of Open Access Journals (Sweden)

    Andrew Knight

    2016-09-01

    Full Text Available Companion animal owners are increasingly concerned about the links between degenerative health conditions, farm animal welfare problems, environmental degradation, fertilizers and herbicides, climate change, and causative factors; such as animal farming and the consumption of animal products. Accordingly, many owners are increasingly interested in vegetarian diets for themselves and their companion animals. However, are vegetarian canine and feline diets nutritious and safe? Four studies assessing the nutritional soundness of these diets were reviewed, and manufacturer responses to the most recent studies are provided. Additional reviewed studies examined the nutritional soundness of commercial meat-based diets and the health status of cats and dogs maintained on vegetarian and meat-based diets. Problems with all of these dietary choices have been documented, including nutritional inadequacies and health problems. However, a significant and growing body of population studies and case reports have indicated that cats and dogs maintained on vegetarian diets may be healthy—including those exercising at the highest levels—and, indeed, may experience a range of health benefits. Such diets must be nutritionally complete and reasonably balanced, however, and owners should regularly monitor urinary acidity and should correct urinary alkalinisation through appropriate dietary additives, if necessary.

  2. Robot companions and ethics a pragmatic approach of ethical design.

    Science.gov (United States)

    Cornet, Gérard

    2013-12-01

    From his experience as ethical expert for two Robot Companion prototype projects aiming at empowering older MCI persons to remain at home and to support their family carers, Gerard Cornet, Gerontologist, review the ethical rules, principles and pragmatic approaches in different cultures. The ethical process of these two funded projects, one European, Companionable (FP7 e-inclusion call1), the other French, Quo vadis (ANR tecsan) are described from the inclusion of the targeted end users in the process, to the assessment and ranking of their main needs and whishes to design the specifications, test the performance expected. Obstacles to turn round and limits for risks evaluation (directs or implicit), acceptability, utility, respect of intimacy and dignity, and balance with freedom and security and frontiers to artificial intelligence are discussed As quoted in the discussion with the French and Japanese experts attending the Toulouse Robotics and medicine symposium (March 26th 2011), the need of a new ethical approach, going further the present ethical rules is needed for the design and social status of ethical robots, having capacity cas factor of progress and global quality of innovation design in an ageing society.

  3. The companion dog as a unique translational model for aging.

    Science.gov (United States)

    Mazzatenta, Andrea; Carluccio, Augusto; Robbe, Domenico; Giulio, Camillo Di; Cellerino, Alessandro

    2017-10-01

    The dog is a unique species due to its wide variation among breeds in terms of size, morphology, behaviour and lifespan, coupled with a genetic structure that facilitates the dissection of the genetic architecture that controls these traits. Dogs and humans co-evolved and share recent evolutionary selection processes, such as adaptation to digest starch-rich diets. Many diseases of the dog have a human counterpart, and notably Alzheimer's disease, which is otherwise difficult to model in other organisms. Unlike laboratory animals, companion dogs share the human environment and lifestyle, are exposed to the same pollutants, and are faced with pathogens and infections. Dogs represented a very useful model to understand the relationship between size, insulin-like growth factor-1 genetic variation and lifespan, and have been used to test the effects of dietary restriction and immunotherapy for Alzheimer's disease. Very recently, rapamycin was tested in companion dogs outside the laboratory, and this approach where citizens are involved in research aimed at the benefit of dog welfare might become a game changer in geroscience. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. The nature of the companion star in Circinus X-1

    Science.gov (United States)

    Johnston, Helen M.; Soria, Roberto; Gibson, Joel

    2016-02-01

    We present optical spectra and images of the X-ray binary Circinus X-1. The optical light curve of Cir X-1 is strongly variable, changing in brightness by 1.2 mag in the space of four days. The shape of the light curve is consistent with that seen in the 1980s, when the X-ray and radio counterparts of the source were at least ten times as bright as they are currently. We detect strong, variable H α emission lines, consisting of multiple components which vary with orbital phase. We estimate the extinction to the source from the strength of the diffuse interstellar bands and the Balmer decrement; the two methods give AV = 7.6 ± 0.6 mag and AV > 9.1 mag, respectively. The optical light curve can be modelled as arising from irradiation of the companion star by the central X-ray source, where a low-temperature star fills its Roche lobe in an orbit of moderate eccentricity (e ˜ 0.4). We suggest that the companion star is overluminous and underdense, due to the impact of the supernova which occurred less than 5000 yr ago.

  5. Companion animal veterinarians' use of clinical communication skills.

    Science.gov (United States)

    McArthur, M L; Fitzgerald, J R

    2013-09-01

    To describe the communication techniques used by clients and veterinarians during companion animal visits in Australia. A cross-sectional descriptive study. A total of 64 veterinary consultations were audiotaped and analysed with the Roter Interaction Analysis System (RIAS); clients completed appointment level measures, including their satisfaction and perceptions of relational communication. Participants were 24 veterinarians and 64 clients. Statements intended to reassure clients were expressed frequently in the consultations, but in 59% of appointments empathy statements were not expressed towards either the client or the patient. In 10% of appointments, veterinarians did not used any open-ended questions. Overall client satisfaction was high and veterinarians' expressions of empathy directed to the client resulted in higher levels of client satisfaction. Clients' perceptions of relational communication were related to several veterinarian and client nonverbal scales. A focus on developing evidence-based clinical communication skills is expected to further enhance the veterinarian-client-patient relationship and associated clinical outcomes. Particular recommendations include the development of a broader emotion-handling repertoire, increased emphasis on the use of open-ended enquiry, including assessment of the client's perspective, as well as attention to aspects of nonverbal communication. The study provides preliminary evidence for the importance of verbal expressions of empathy during the companion animal consultation. © 2013 Australian Veterinary Association.

  6. Artificial companions as personal coach for children: The Interactive Drums Teacher

    OpenAIRE

    Courgeon , Matthieu; Duhaut , Dominique

    2015-01-01

    International audience; The MOCA Project that aims at designing and studying the interaction and relationship between artificial companions and children in everyday life at home activities. Artificial companions are digital embodied entities that can be either robotic or virtual. In this paper, we focus on a single activity, subpart of the whole project: a coaching application that uses two artificial companions to teach the basics of drums to children. One device is a Nao robot, the other is...

  7. Close Companions to Two High-redshift Quasars

    Science.gov (United States)

    McGreer, Ian D.; Fan, Xiaohui; Strauss, Michael A.; Haiman, Zoltàn; Richards, Gordon T.; Jiang, Linhua; Bian, Fuyan; Schneider, Donald P.

    2014-10-01

    We report the serendipitous discoveries of companion galaxies to two high-redshift quasars. SDSS J025617.7+001904 is a z = 4.79 quasar included in our recent survey of faint quasars in the SDSS Stripe 82 region. The initial MMT slit spectroscopy shows excess Lyα emission extending well beyond the quasar's light profile. Further imaging and spectroscopy with LBT/MODS1 confirms the presence of a bright galaxy (i AB = 23.6) located 2'' (12 kpc projected) from the quasar with strong Lyα emission (EW0 ≈ 100 Å) at the redshift of the quasar, as well as faint continuum. The second quasar, CFHQS J005006.6+344522 (z = 6.25), is included in our recent HST SNAP survey of z ~ 6 quasars searching for evidence of gravitational lensing. Deep imaging with ACS and WFC3 confirms an optical dropout ~4.5 mag fainter than the quasar (Y AB = 25) at a separation of 0.''9. The red i 775 - Y 105 color of the galaxy and its proximity to the quasar (5 kpc projected if at the quasar redshift) strongly favor an association with the quasar. Although it is much fainter than the quasar, it is remarkably bright when compared to field galaxies at this redshift, while showing no evidence for lensing. Both systems may represent late-stage mergers of two massive galaxies, with the observed light for one dominated by powerful ongoing star formation and for the other by rapid black hole growth. Observations of close companions are rare; if major mergers are primarily responsible for high-redshift quasar fueling then the phase when progenitor galaxies can be observed as bright companions is relatively short. Based in part on observations made with the NASA/ESA Hubble Space Telescope, obtained at the Space Telescope Science Institute, which is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS 5-26555. These observations are associated with programs #12184 and #12493. Observations were also made with the LBT and MMT.

  8. An astrometric search for a stellar companion to the sun

    International Nuclear Information System (INIS)

    Perlmutter, S.

    1986-01-01

    A companion star within 0.8 pc of the Sun has been postulated to explain a possible 26 Myr periodicity in mass extinctions of species on the Earth. Such a star would already be catalogued in the Yale Bright Star catalogue unless it is fainter than m/sub nu/ = 6.5; this limits the possible stellar types for an unseen companion to red dwarfs, brown dwarfs, or compact objects. Red dwarfs account for about 75% of these possible stars. We describe here the design and development of an astrometric search for a nearby red dwarf companion with a six-month peak-to-peak parallax of ≥2.5 arcseconds. We are measuring the parallax of 2770 candidate faint red stars selected from the Dearborn Observatory catalogue. An automated 30-inch telescope and CCD camera system collect digitized images of the candidate stars, along with a 13' x 16' surrounding field of background stars. Second-epoch images, taken a few months later, are registered to the first epoch images using the background stars as fiducials. An apparent motion, m/sub a/, of the candidate stars is found to a precision of σ/sub m//sub a/ ≅ 0.08 pixel ≅ 0.2 arcseconds for fields with N/sub fiducial/ ≥ 10 fiducial stars visible above the background noise. This precision is sufficient to detect the parallactic motion of a star at 0.8 pc with a two month interval between the observation epochs. Images with fewer fiducial stars above background noise are observed with a longer interval between epochs. If a star is found with high parallactic motion, we will confirm its distance with further parallax measurements, photometry, and spectral studies, and will measure radial velocity and proper motion to establish its orbit. We have demonstrated the search procedure with observations of 41 stars, and have shown that none of these is a nearby star. 37 refs., 16 figs., 3 tabs

  9. Wide cool and ultracool companions to nearby stars from Pan-STARRS 1

    International Nuclear Information System (INIS)

    Deacon, Niall R.; Liu, Michael C.; Magnier, Eugene A.; Aller, Kimberly M.; Best, William M. J.; Bowler, Brendan P.; Burgett, William S.; Chambers, Kenneth C.; Flewelling, H.; Kaiser, Nick; Kudritzki, Rolf-Peter; Morgan, Jeff S.; Tonry, John L.; Dupuy, Trent; Mann, Andrew W.; Redstone, Joshua A.; Draper, Peter W.; Metcalfe, Nigel; Hodapp, Klaus W.; Price, Paul A.

    2014-01-01

    We present the discovery of 57 wide (>5'') separation, low-mass (stellar and substellar) companions to stars in the solar neighborhood identified from Pan-STARRS 1 (PS1) data and the spectral classification of 31 previously known companions. Our companions represent a selective subsample of promising candidates and span a range in spectral type of K7-L9 with the addition of one DA white dwarf. These were identified primarily from a dedicated common proper motion search around nearby stars, along with a few as serendipitous discoveries from our Pan-STARRS 1 brown dwarf search. Our discoveries include 23 new L dwarf companions and one known L dwarf not previously identified as a companion. The primary stars around which we searched for companions come from a list of bright stars with well-measured parallaxes and large proper motions from the Hipparcos catalog (8583 stars, mostly A-K dwarfs) and fainter stars from other proper motion catalogs (79170 stars, mostly M dwarfs). We examine the likelihood that our companions are chance alignments between unrelated stars and conclude that this is unlikely for the majority of the objects that we have followed-up spectroscopically. We also examine the entire population of ultracool (>M7) dwarf companions and conclude that while some are loosely bound, most are unlikely to be disrupted over the course of ∼10 Gyr. Our search increases the number of ultracool M dwarf companions wider than 300 AU by 88% and increases the number of L dwarf companions in the same separation range by 82%. Finally, we resolve our new L dwarf companion to HIP 6407 into a tight (0.''13, 7.4 AU) L1+T3 binary, making the system a hierarchical triple. Our search for these key benchmarks against which brown dwarf and exoplanet atmosphere models are tested has yielded the largest number of discoveries to date.

  10. RESOLVED COMPANIONS OF CEPHEIDS: TESTING THE CANDIDATES WITH X-RAY OBSERVATIONS

    Energy Technology Data Exchange (ETDEWEB)

    Evans, Nancy Remage; Pillitteri, Ignazio; Wolk, Scott; Karovska, Margarita; Tingle, Evan [Smithsonian Astrophysical Observatory, MS 4, 60 Garden St., Cambridge, MA 02138 (United States); Guinan, Edward; Engle, Scott [Department of Astronomy and Astrophysics, Villanova University, 800 Lancaster Ave., Villanova, PA 19085 (United States); Bond, Howard E. [Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 (United States); Schaefer, Gail H. [The CHARA Array of Georgia State University, Mount Wilson, California 91023 (United States); Mason, Brian D., E-mail: nevans@cfa.harvard.edu, E-mail: heb11@psu.edu, E-mail: schaefer@chara-array.org [US Naval Observatory, 3450 Massachusetts Ave., NW, Washington, DC 20392-5420 (United States)

    2016-04-15

    We have made XMM-Newton observations of 14 Galactic Cepheids that have candidate resolved (≥5″) companion stars based on our earlier HST Wide Field Camera 3 (WFC3) imaging survey. Main-sequence stars that are young enough to be physical companions of Cepheids are expected to be strong X-ray producers in contrast to field stars. XMM-Newton exposures were set to detect essentially all companions hotter than spectral type M0 (corresponding to 0.5 M{sub ⊙}). The large majority of our candidate companions were not detected in X-rays, and hence are not confirmed as young companions. One resolved candidate (S Nor #4) was unambiguously detected, but the Cepheid is a member of a populous cluster. For this reason, it is likely that S Nor #4 is a cluster member rather than a gravitationally bound companion. Two further Cepheids (S Mus and R Cru) have X-ray emission that might be produced by either the Cepheid or the candidate resolved companion. A subsequent Chandra observation of S Mus shows that the X-rays are at the location of the Cepheid/spectroscopic binary. R Cru and also V659 Cen (also X-ray bright) have possible companions closer than 5″ (the limit for this study) which are the likely sources of X-rays. One final X-ray detection (V473 Lyr) has no known optical companion, so the prime suspect is the Cepheid itself. It is a unique Cepheid with a variable amplitude. The 14 stars that we observed with XMM constitute 36% of the 39 Cepheids found to have candidate companions in our HST/WFC3 optical survey. No young probable binary companions were found with separations of ≥5″ or 4000 au.

  11. RESOLVED COMPANIONS OF CEPHEIDS: TESTING THE CANDIDATES WITH X-RAY OBSERVATIONS

    International Nuclear Information System (INIS)

    Evans, Nancy Remage; Pillitteri, Ignazio; Wolk, Scott; Karovska, Margarita; Tingle, Evan; Guinan, Edward; Engle, Scott; Bond, Howard E.; Schaefer, Gail H.; Mason, Brian D.

    2016-01-01

    We have made XMM-Newton observations of 14 Galactic Cepheids that have candidate resolved (≥5″) companion stars based on our earlier HST Wide Field Camera 3 (WFC3) imaging survey. Main-sequence stars that are young enough to be physical companions of Cepheids are expected to be strong X-ray producers in contrast to field stars. XMM-Newton exposures were set to detect essentially all companions hotter than spectral type M0 (corresponding to 0.5 M ⊙ ). The large majority of our candidate companions were not detected in X-rays, and hence are not confirmed as young companions. One resolved candidate (S Nor #4) was unambiguously detected, but the Cepheid is a member of a populous cluster. For this reason, it is likely that S Nor #4 is a cluster member rather than a gravitationally bound companion. Two further Cepheids (S Mus and R Cru) have X-ray emission that might be produced by either the Cepheid or the candidate resolved companion. A subsequent Chandra observation of S Mus shows that the X-rays are at the location of the Cepheid/spectroscopic binary. R Cru and also V659 Cen (also X-ray bright) have possible companions closer than 5″ (the limit for this study) which are the likely sources of X-rays. One final X-ray detection (V473 Lyr) has no known optical companion, so the prime suspect is the Cepheid itself. It is a unique Cepheid with a variable amplitude. The 14 stars that we observed with XMM constitute 36% of the 39 Cepheids found to have candidate companions in our HST/WFC3 optical survey. No young probable binary companions were found with separations of ≥5″ or 4000 au

  12. Resolved Companions of Cepheids: Testing the Candidates with X-Ray Observations

    Science.gov (United States)

    Evans, Nancy Remage; Pillitteri, Ignazio; Wolk, Scott; Karovska, Margarita; Tingle, Evan; Guinan, Edward; Engle, Scott; Bond, Howard E.; Schaefer, Gail H.; Mason, Brian D.

    2016-04-01

    We have made XMM-Newton observations of 14 Galactic Cepheids that have candidate resolved (≥5″) companion stars based on our earlier HST Wide Field Camera 3 (WFC3) imaging survey. Main-sequence stars that are young enough to be physical companions of Cepheids are expected to be strong X-ray producers in contrast to field stars. XMM-Newton exposures were set to detect essentially all companions hotter than spectral type M0 (corresponding to 0.5 M⊙). The large majority of our candidate companions were not detected in X-rays, and hence are not confirmed as young companions. One resolved candidate (S Nor #4) was unambiguously detected, but the Cepheid is a member of a populous cluster. For this reason, it is likely that S Nor #4 is a cluster member rather than a gravitationally bound companion. Two further Cepheids (S Mus and R Cru) have X-ray emission that might be produced by either the Cepheid or the candidate resolved companion. A subsequent Chandra observation of S Mus shows that the X-rays are at the location of the Cepheid/spectroscopic binary. R Cru and also V659 Cen (also X-ray bright) have possible companions closer than 5″ (the limit for this study) which are the likely sources of X-rays. One final X-ray detection (V473 Lyr) has no known optical companion, so the prime suspect is the Cepheid itself. It is a unique Cepheid with a variable amplitude. The 14 stars that we observed with XMM constitute 36% of the 39 Cepheids found to have candidate companions in our HST/WFC3 optical survey. No young probable binary companions were found with separations of ≥5″ or 4000 au. Based on observations obtained with XMM-Newton, an ESA science mission with instruments and contributions directly funded by ESA Member States and the USA (NASA).

  13. Companion classroom activities for "stop faking it!" force and motion

    CERN Document Server

    Robertson, William C

    2011-01-01

    Never has it been so easy for educators to learn to teach physical science with confidence. Award-winning author Bill Robertson launched his bestselling Stop Faking It! series in 2002 with Force and Motion--offering elementary and middle school teachers a jargon-free way to learn the background for teaching physical science with confidence. Combining easy-to-understand if irreverent explanations and quirky diagrams, Stop Faking It! Force and Motion helped thousands of teachers, parents, and homeschoolers conquer topics from Newton s laws to the physics of space travel. Now Companion Classroom Activities for Stop Faking It! Force and Motion proves an ideal supplement to the original book or a valuable resource of its own. The hands-on activities and highly readable explanations allow students to first investigate concepts, then discuss learned concepts, and finally apply the concepts to everyday situations. Robertson's wit and humor are sure to keep students and teachers entertained while they tackle topics ...

  14. Lithium in Open Cluster Red Giants Hosting Substellar Companions

    Science.gov (United States)

    Carlberg, Joleen K.; Smith, Verne V.; Cunha, Katia; Carpenter, Kenneth G.

    2016-02-01

    We have measured stellar parameters, [Fe/H], lithium abundances, rotation, and 12C/13C in a small sample of red giants (RGs) in three open clusters that are each home to a RG star that hosts a substellar companion (SSC) (NGC 2423 3, NGC 4349 127, and BD+12 1917 in M67). Our goal is to explore whether the presence of SSCs influences the Li content. Both 12C/13C and stellar rotation are measured as additional tracers of stellar mixing. One of the companion hosts, NGC 2423 3, is found to be Li-rich with A(Li){}{{NLTE}} = 1.56 dex, and this abundance is significantly higher than the A(Li) of the two comparison stars in NGC 2423. All three SSC hosts have the highest A(Li) and 12C/13C when compared to the control RGs in their respective clusters; however, except for NGC 2423 3, at least one control star has similarly high abundances within the uncertainties. Higher A(Li) could suggest that the formation or presence of planets plays a role in the degree of internal mixing on or before the RG branch. However, a multitude of factors affect A(Li) during the RG phase, and when the abundances of our sample are compared with the abundances of RGs in other open clusters available in the literature, we find that they all fall well within a much larger distribution of A(Li) and 12C/13C. Thus, even the high Li in NGC 2423 3 cannot be concretely tied to the presence of the SSC.

  15. Molecular Diagnostics

    OpenAIRE

    Choe, Hyonmin; Deirmengian, Carl A.; Hickok, Noreen J.; Morrison, Tiffany N.; Tuan, Rocky S.

    2015-01-01

    Orthopaedic infections are complex conditions that require immediate diagnosis and accurate identification of the causative organisms to facilitate appropriate management. Conventional methodologies for diagnosis of these infections sometimes lack accuracy or sufficient rapidity. Current molecular diagnostics are an emerging area of bench-to-bedside research in orthopaedic infections. Examples of promising molecular diagnostics include measurement of a specific biomarker in the synovial fluid...

  16. Companion Animals as a Source of Viruses for Human Beings and Food Production Animals

    NARCIS (Netherlands)

    Reperant, L. A.; Brown, I. H.; Haenen, O. L.; de Jong, M. D.; Osterhaus, A. D. M. E.; Papa, A.; Rimstad, E.; Valarcher, J.-F.; Kuiken, T.

    2016-01-01

    Companion animals comprise a wide variety of species, including dogs, cats, horses, ferrets, guinea pigs, reptiles, birds and ornamental fish, as well as food production animal species, such as domestic pigs, kept as companion animals. Despite their prominent place in human society, little is known

  17. A dual-mask coronagraph for observing faint companions to binary stars

    NARCIS (Netherlands)

    Cady, E.; McElwain, M.; Kasdin, N.J.; Thalmann, C.

    2011-01-01

    Observations of binary stars for faint companions with conventional coronagraphic methods are challenging, as both targets will be bright enough to obscure any nearby faint companions if their scattered light is not suppressed. We propose coronagraphic examination of binary stars using an

  18. Artificial companions: empathy and vulnerability mirroring in human-robot relations

    NARCIS (Netherlands)

    Coeckelbergh, Mark

    2010-01-01

    Under what conditions can robots become companions and what are the ethical issues that might arise in human-robot companionship relations? I argue that the possibility and future of robots as companions depends (among other things) on the robot’s capacity to be a recipient of human empathy, and

  19. Pallet Users State Their Preferences For Used Pallets - Companion Stringers Cited as Biggest

    Science.gov (United States)

    Robert J. Bush; Ronen Roudik; Philip A. Araman

    1995-01-01

    A study recently completed by VA Tech in Blacksburg, VA, found that half companion stringers have the greatest negative impact on purchasers of used pallets, followed by split deckboards, protruding nails, and full companion stringers. Repairs using metal plates had relatively little affect on the value of the pallet. The study provides new information concerning the...

  20. 45 CFR 2551.46 - What cost reimbursements are provided to Senior Companions?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false What cost reimbursements are provided to Senior..., and Cost Reimbursements § 2551.46 What cost reimbursements are provided to Senior Companions? Cost reimbursements include: (a) Stipend. Senior Companions who are income eligible will receive a stipend in an...

  1. Efficacy of an educational manual for childbirth companions: pilot study of a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Liana Mara Rocha Teles

    2018-05-01

    Full Text Available ABSTRACT Objective: to evaluate the effectiveness of an educational manual in the instrumentalization of companions to provide support to the parturients and check its influence on the satisfaction of companions and women during vaginal delivery. Method: pilot study of a randomized controlled clinical trial with 65 companions and puerperal women (intervention = 21 and control = 44. The previous knowledge of the companions was evaluated at baseline. The Evaluation Form for Companions in the Delivery Room was used to measure the actions provided and the satisfaction with the experience, and the Questionnaire for Evaluation of the Experience and Satisfaction of Puerperal Women with Labor and Delivery was used to evaluate the satisfaction of women with childbirth. The Student’s t-test or Wilcoxon, chi-square or Fisher’s exact test, risk ratios and 95% confidence intervals were used. Results: the companions in the intervention group performed a greater number of support actions (7.2 vs 4.6, p: 0.001 and had higher satisfaction scores (72.4 vs 64.2; p = 0.00. Puerperal women in the intervention group had higher satisfaction with childbirth (119.6 vs 107.9; p: 0.000. Conclusion: the manual was effective for the instrumentalization of companions, contributed to support actions to the parturients and had repercussions on the satisfaction of companions and women with the birthing process. RBR-776d9s

  2. European multicenter study on antimicrobial resistance in bacteria isolated from companion animal urinary tract infections

    DEFF Research Database (Denmark)

    Marques, Cátia; Gama, Luís Telo; Belas, Adriana

    2016-01-01

    for fluoroquinolone-resistant Proteus spp. isolated from companion animals from Belgium. CONCLUSIONS: This work brings new insights into the current status of antimicrobial resistance in bacteria isolated from companion animals with UTI in Europe and reinforces the need for strategies aiming to reduce resistance....

  3. Companion Animals as a Source of Viruses for Human Beings and Food Production Animals

    NARCIS (Netherlands)

    L.A. Reperant (Leslie); I.H. Brown (Ian); Haenen, O.L.; M.D. de Jong (Menno); A.D.M.E. Osterhaus (Albert); A. Papa (Anna); Rimstad, E.; Valarcher, J.-F.; T. Kuiken (Thijs)

    2016-01-01

    textabstractCompanion animals comprise a wide variety of species, including dogs, cats, horses, ferrets, guinea pigs, reptiles, birds and ornamental fish, as well as food production animal species, such as domestic pigs, kept as companion animals. Despite their prominent place in human society,

  4. Hubble Space Telescope Snapshot Survey for Resolved Companions of Galactic Cepheids

    Science.gov (United States)

    Evans, Nancy Remage; Bond, Howard E.; Schaefer, Gail H.; Mason, Brian D.; Tingle, Evan; Karovska, Margarita; Pillitteri, Ignazio

    2016-05-01

    We have conducted an imaging survey with the Hubble Space Telescope Wide Field Camera 3 (WFC3) of 70 Galactic Cepheids, typically within 1 kpc, with the aim of finding resolved physical companions. The WFC3 field typically covers the 0.1 pc area where companions are expected. In this paper, we identify 39 Cepheids having candidate companions, based on their positions in color-magnitude diagrams, and having separations ⩾ 5'' from the Cepheids. We use follow-up observations of 14 of these candidates with XMM-Newton, and of one of them with ROSAT, to separate X-ray-active young stars (probable physical companions) from field stars (chance alignments). Our preliminary estimate, based on the optical and X-ray observations, is that only 3% of the Cepheids in the sample have wide companions. Our survey easily detects resolved main-sequence companions as faint as spectral type K. Thus the fact that the two most probable companions (those of FF Aql and RV Sco) are earlier than type K is not simply a function of the detection limit. We find no physical companions having separations larger than 4000 au in the X-ray survey. Two Cepheids are exceptions in that they do have young companions at significantly larger separations (δ Cep and S Nor), but both belong to a cluster or a loose association, so our working model is that they are not gravitationally bound binary members, but rather cluster/association members. All of these properties provide constraints on both star formation and subsequent dynamical evolution. The low frequency of true physical companions at separations > 5'' is confirmed by examination of the subset of the nearest Cepheids and also the density of the fields. Based on observations with the NASA/ESA Hubble Space Telescope obtained at the Space Telescope Science Institute, which is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS5-26555.

  5. In Search of the Perfect Business Model: As personalized medicine moves into the mainstream, makers of diagnostics must face a new economic reality. How to develop a value proposition in a healthcare market that is becoming increasingly elastic?

    Science.gov (United States)

    Carlson, Bob

    2012-01-01

    As personalized medicine edges toward the mainstream, economic realities threaten its existence. But without companion diagnostics, "getting the right drug to the right person" could wind up being just a slogan. What's the right business model?

  6. The Predictive Value of Selected Extrinsic and Intrinsic Indicators of Overall Job Satisfaction in Diagnostic Radiological Technology, Radiation Therapy, and Nuclear Medicine Technology Allied Health Faculty

    Science.gov (United States)

    Beavers, Gregory S.

    2010-01-01

    Healthcare is the largest industry in the United States and 60 percent of its 14 million workers are in allied health jobs. The need to attract and retain allied health faculty is critical to preparing a competent workforce in healthcare. This study reports the results of a survey of 259 faculty members working in diagnostic radiologic technology,…

  7. Diagnostic throughput factor analysis for en-route airspace and optimal aircraft trajectory generation based on capacity prediction and controller workload

    Science.gov (United States)

    Shin, Sanghyun

    Today's National Airspace System (NAS) is approaching its limit to efficiently cope with the increasing air traffic demand. Next Generation Air Transportation System (NextGen) with its ambitious goals aims to make the air travel more predictable with fewer delays, less time sitting on the ground and holding in the air to improve the performance of the NAS. However, currently the performance of the NAS is mostly measured using delay-based metrics which do not capture a whole range of important factors that determine the quality and level of utilization of the NAS. The factors affecting the performance of the NAS are themselves not well defined to begin with. To address these issues, motivated by the use of throughput-based metrics in many areas such as ground transportation, wireless communication and manufacturing, this thesis identifies the different factors which majorly affect the performance of the NAS as demand (split into flight cancellation and flight rerouting), safe separation (split into conflict and metering) and weather (studied as convective weather) through careful comparison with other applications and performing empirical sensitivity analysis. Additionally, the effects of different factors on the NAS's performance are quantitatively studied using real traffic data with the Future ATM Concepts Evaluation Tool (FACET) for various sectors and centers of the NAS on different days. In this thesis we propose a diagnostic tool which can analyze the factors that have greater responsibility for regions of poor and better performances of the NAS. Based on the throughput factor analysis for en-route airspace, it was found that weather and controller workload are the major factors that decrease the efficiency of the airspace. Also, since resources such as air traffic controllers, infrastructure and airspace are limited, it is becoming increasingly important to use the available resources efficiently. To alleviate the impact of the weather and controller

  8. [The evaluation of color vision and its diagnostic value in predicting the risk of diabetic retinopathy in patients with glucose metabolism disorders].

    Science.gov (United States)

    Jończyk-Skórka, Katarzyna; Kowalski, Jan

    2017-07-21

    The aim of the study was to evaluate color vision and its diagnostic value in predicting the risk of diabetic retinopathy in patients with glucose metabolism disorders. The study involved 197 people, 92 women and 105 men aged 63.21 ± 8.74 years. In order to assess glucose metabolism disorders, patients were divided into three groups. The first group (DM) consisted of 60 people (16 women and 44 men aged 61.92 ± 8.46 years). These were people with type 2 diabetes. Second group (IFG IGT) consisted of 67 people (35 women and 32 men aged 65 ± 8.5 years). These were people who were diagnosed with impaired fasting glucose or impaired glucose tolerance. The third group, the control one (K) consisted of 70 people (41 women and 29 men aged 62.6 ± 9.06 years). They were healthy individuals. In order to assess diabetic retinopathy study population was divided into two groups. The first group (BZ) consisted of 177 patients (84 women and 93 men aged 62.9 ± 8.78 years) without diabetic retinopathy. The second group (NPDR) consisted of 20 patients (8 women and 12 men aged 65.95 ± 8.17 years) with diabetic retinopathy. Glucose metabolism disorders were diagnosed with glucose tolerance test (OGTT). Evaluation of retinopathy was based on eye examination. All patients underwent binocular Farnsworth-Munsell 100 Hue color vision test (test result is a Total Error Score - TES). In the healthy control group (K) there were less patients with diabetic retinopathy (p = 0,0101), and less patients with abnormal color vision test (p = 0,0001) than in other groups. Majority of patients in K group had generalized abnormalities of color vision while other groups demonstrated tritanomalią (p = 0,0018). It was discovered that sTES value adequately distinguishes group K from group IFG, IGT, DM (AUC = 0,673), group K from group DM (AUC = 0,701), and group K from group IFG IGT (AUC = 0,648) sTES does not differentiate groups IGT, IFG and DM (AUC = 0,563). It was shown that in IGT, IFG group s

  9. Detection limits for close eclipsing and transiting sub-stellar and planetary companions to white dwarfs in the WASP survey

    OpenAIRE

    Faedi, F.; West, R. G.; Burleigh, M. R.; Goad, M. R.; Hebb, L.

    2010-01-01

    We have performed extensive simulations to explore the possibility of detecting eclipses and transits of close, sub-stellar and planetary companions to white dwarfs in WASP light-curves. Our simulations cover companions $\\sim0.3\\Re

  10. A COMPARISON OF SPECTROSCOPIC VERSUS IMAGING TECHNIQUES FOR DETECTING CLOSE COMPANIONS TO KEPLER OBJECTS OF INTEREST

    Energy Technology Data Exchange (ETDEWEB)

    Teske, Johanna K. [Carnegie DTM, 5241 Broad Branch Road, NW, Washington, DC 20015 (United States); Everett, Mark E. [National Optical Astronomy Observatory, 950 N. Cherry Ave., Tucson, AZ 85719 (United States); Hirsch, Lea [Astronomy Department, University of California at Berkeley, Berkeley, CA 94720 (United States); Furlan, Elise; Ciardi, David R. [NASA Exoplanet Science Institute, California Institute of Technology, 770 South Wilson Ave., Pasadena, CA 91125 (United States); Horch, Elliott P. [Department of Physics, Southern Connecticut State University, 501 Crescent Street, New Haven, CT 06515 (United States); Howell, Steve B. [NASA Ames Research Center, Moffett Field, CA 94035 (United States); Gonzales, Erica; Crepp, Justin R., E-mail: jteske@carnegiescience.edu [Department of Physics, University of Notre Dame, 225 Nieuwland Science Hall, Notre Dame, IN 46556 (United States)

    2015-11-15

    Kepler planet candidates require both spectroscopic and imaging follow-up observations to rule out false positives and detect blended stars. Traditionally, spectroscopy and high-resolution imaging have probed different host star companion parameter spaces, the former detecting tight binaries and the latter detecting wider bound companions as well as chance background stars. In this paper, we examine a sample of 11 Kepler host stars with companions detected by two techniques—near-infrared adaptive optics and/or optical speckle interferometry imaging, and a new spectroscopic deblending method. We compare the companion effective temperatures (T{sub eff}) and flux ratios (F{sub B}/F{sub A}, where A is the primary and B is the companion) derived from each technique and find no cases where both companion parameters agree within 1σ errors. In 3/11 cases the companion T{sub eff} values agree within 1σ errors, and in 2/11 cases the companion F{sub B}/F{sub A} values agree within 1σ errors. Examining each Kepler system individually considering multiple avenues (isochrone mapping, contrast curves, probability of being bound), we suggest two cases for which the techniques most likely agree in their companion detections (detect the same companion star). Overall, our results support the advantage that the spectroscopic deblending technique has for finding very close-in companions (θ ≲ 0.″02–0.″05) that are not easily detectable with imaging. However, we also specifically show how high-contrast AO and speckle imaging observations detect companions at larger separations (θ ≥ 0.″02–0.″05) that are missed by the spectroscopic technique, provide additional information for characterizing the companion and its potential contamination (e.g., position angle, separation, magnitude differences), and cover a wider range of primary star effective temperatures. The investigation presented here illustrates the utility of combining the two techniques to reveal higher

  11. Whole genome sequencing of Escherichia coli encoding blaNDM isolated from humans and companion animals in Egypt

    Science.gov (United States)

    Companion animals are a source of zoonotic infections and especially important considering the potential of companion animals to harbor antibiotic resistant pathogens. In this study, blaNDM positive Escherichia coli from companion animals, humans, and the environment from Mansoura, Egypt were charac...

  12. The Creative Use of Companion Values in Environmental Education and Education for Sustainable Development: Exploring the Educative Moment

    Science.gov (United States)

    Garrison, Jim; Östman, Leif; Håkansson, Michael

    2015-01-01

    Our paper addresses the emergence and evolution of values in educational settings. It builds upon and extends earlier work on companion meanings to develop a theory of the creative use of companion values and meanings in education. The recognition of companion values in educational practices highlight epistemological, ethical, and aesthetic…

  13. The third person in the room: frequency, role, and influence of companions during primary care medical encounters.

    Science.gov (United States)

    Schilling, Lisa M; Scatena, Lisa; Steiner, John F; Albertson, Gail A; Lin, C T; Cyran, Lisa; Ware, Lindsay; Anderson, Robert J

    2002-08-01

    We wanted to characterize patient accompaniment to medical encounters and to explore the rationale and influence of the companion on the primary care medical encounter. This was a descriptive study. Academic general internal medicine physicians, patients, and patient companions participated. We measured the frequency of waiting and examination room companions, the reasons for accompaniment, the influence on the encounter, and the overall helpfulness of the companion as assessed by patients and companions. We also determined the physicianamprsquos assessment of the companionamprsquos influence, helpfulness, and behavior during the encounter. Companions were in the examination room for 16% of visits; 93% were family members. The rationales for waiting and examination room companions were to help with transportation, provide emotional support, and provide company. Examination room companions helped communicate concerns to the physician, remember the physicianamprsquos advice, make decisions, and communicate their own concerns to the physician. Patients believed that examination room companions influenced 75% of medical encounters, mainly by improving communication between physician and patient. Physicians agreed that examination room companions favorably influenced physician and patient understanding (60% and 46% of encounters, respectively). Patients indicated that waiting and examination room companions were very helpful for 71% and 83% of visits, respectively. Companions frequently accompany patients to their primary care medical encounters. They are often family members, and they assume important roles in enhancing patient and physician understanding.

  14. 76 FR 39361 - AmeriCorps State/National, Senior Companions, Foster Grandparents, and Retired and Senior...

    Science.gov (United States)

    2011-07-06

    ... AmeriCorps State/National, Senior Companions, Foster Grandparents, and Retired and Senior Volunteer...) on Senior Companions, Foster Grandparents, Retired Senior Volunteer Program grant-funded staff, Learn... X ....... X X ....... Senior Companions Yes X ....... ....... X X ....... X X ....... X X X No...

  15. NEW BROWN DWARF COMPANIONS TO YOUNG STARS IN SCORPIUS-CENTAURUS

    Energy Technology Data Exchange (ETDEWEB)

    Janson, Markus [Department of Astrophysical Sciences, Princeton University, Princeton, NJ (United States); Jayawardhana, Ray; Bonavita, Mariangela [Department of Astronomy and Astrophysics, University of Toronto, Toronto, ON (Canada); Girard, Julien H. [European Southern Observatory, Santiago (Chile); Lafreniere, David [Department of Physics, University of Montreal, Montreal, QC (Canada); Gizis, John [Department of Physics and Astronomy, University of Delaware, Newark, DE (United States); Brandeker, Alexis, E-mail: janson@astro.princeton.edu [Department of Astronomy, Stockholm University, Stockholm (Sweden)

    2012-10-10

    We present the discoveries of three faint companions to young stars in the Scorpius-Centaurus region, imaged with the NICI instrument on Gemini South. We have confirmed all three companions through common proper motion tests. Follow-up spectroscopy has confirmed two of them, HIP 65423 B and HIP 65517 B, to be brown dwarfs, while the third, HIP 72099 B, is more likely a very low mass star just above the hydrogen burning limit. The detection of wide companions in the mass range of {approx}40-100 M{sub jup} complements previous work in the same region, reporting detections of similarly wide companions with lower masses, in the range of {approx}10-30 M{sub jup}. Such low masses near the deuterium burning limit have raised the question of whether those objects formed like planets or stars. The existence of intermediate objects as reported here could represent a bridge between lower-mass companions and stellar companions, but in any case demonstrate that mass alone may not provide a clear-cut distinction for the formation of low-mass companions to stars.

  16. Companion Animals in Natural Disasters: A Scoping Review of Scholarly Sources.

    Science.gov (United States)

    Travers, Cheryl; Degeling, Chris; Rock, Melanie

    2017-01-01

    During a disaster, people may make evacuation decisions based on their companion animal's welfare, therefore exposing themselves, their companion animals, and emergency responders to increased risk for injury or death. The loss and suffering of companion animals in disasters causes deep distress, diminishing people's capacity to rebuild their lives. This scoping review presents scholarly research studies and reviews relating to people and their companion animals in the context of disasters, with an aim of informing researchers, policymakers, and practitioners and providing direction for future research. Using the Arksey and O'Malley framework, articles in scholarly journals from 2004 to 2014 are discussed. Analysis included 38 articles: 20 research studies, 12 reviews, and 6 editorials. Findings revealed 2 central themes: companion animals as a risk factor to human health and safety and companion animals being "at risk" themselves. An emerging theme was "responsibility": Who is responsible for companion animals in disasters and how? Understanding the implications of human-nonhuman animal relationships for disaster response and having a broader public consensus on what is owed to animals at times of emergency are important to community preparedness and resilience.

  17. THE MASS DISTRIBUTION OF COMPANIONS TO LOW-MASS WHITE DWARFS

    International Nuclear Information System (INIS)

    Andrews, Jeff J.; Price-Whelan, Adrian M.; Agüeros, Marcel A.

    2014-01-01

    Measuring the masses of companions to single-line spectroscopic binary stars is (in general) not possible because of the unknown orbital plane inclination. Even when the mass of the visible star can be measured, only a lower limit can be placed on the mass of the unseen companion. However, since these inclination angles should be isotropically distributed, for a large enough, unbiased sample, the companion mass distribution can be deconvolved from the distribution of observables. In this work, we construct a hierarchical probabilistic model to infer properties of unseen companion stars given observations of the orbital period and projected radial velocity of the primary star. We apply this model to three mock samples of low-mass white dwarfs (LMWDs; M ≲ 0.45 M ☉ ) and a sample of post-common-envelope binaries. We use a mixture of two Gaussians to model the WD and neutron star (NS) companion mass distributions. Our model successfully recovers the initial parameters of these test data sets. We then apply our model to 55 WDs in the extremely low-mass (ELM) WD Survey. Our maximum a posteriori model for the WD companion population has a mean mass μ WD = 0.74 M ☉ , with a standard deviation σ WD = 0.24 M ☉ . Our model constrains the NS companion fraction f NS to be <16% at 68% confidence. We make samples from the posterior distribution publicly available so that future observational efforts may compute the NS probability for newly discovered LMWDs

  18. An Orbital Stability Study of the Proposed Companions of SW Lyncis

    Directory of Open Access Journals (Sweden)

    T. C. Hinse

    2014-09-01

    Full Text Available We have investigated the dynamical stability of the proposed companions orbiting the Algol type short-period eclipsing binary SW Lyncis (Kim et al. 2010. The two candidate companions are of stellar to substellar nature, and were inferred from timing measurements of the system’s primary and secondary eclipses. We applied well-tested numerical techniques to accurately integrate the orbits of the two companions and to test for chaotic dynamical behavior. We carried out the stability analysis within a systematic parameter survey varying both the geometries and orientation of the orbits of the companions, as well as their masses. In all our numerical integrations we found that the proposed SW Lyn multi-body system is highly unstable on time-scales on the order of 1000 years. Our results cast doubt on the interpretation that the timing variations are caused by two companions. This work demonstrates that a straightforward dynamical analysis can help to test whether a best-fit companion-based model is a physically viable explanation for measured eclipse timing variations. We conclude that dynamical considerations reveal that the proposed SW Lyncis multi-body system most likely does not exist or the companions have significantly different orbital properties from those conjectured in Kim et al. (2010.

  19. Small inner companions of warm Jupiters: Lifetimes and legacies

    International Nuclear Information System (INIS)

    Van Laerhoven, Christa; Greenberg, Richard

    2013-01-01

    Although warm Jupiters are generally too far from their stars for tides to be important, the presence of an inner planetary companion to a warm Jupiter can result in tidal evolution of the system. Insight into the process and its effects comes form classical secular theory of planetary perturbations. The lifetime of the inner planet may be shorter than the age of the system, because the warm Jupiter maintains its eccentricity and hence promotes tidal migration into the star. Thus a warm Jupiter observed to be alone in its system might have previously cleared away any interior planets. Before its demise, even if an inner planet is of terrestrial scale, it may promote damping of the warm Jupiter's eccentricity. Thus any inferences of the initial orbit of an observed warm Jupiter must include the possibility of a greater initial eccentricity than would be estimated by assuming it had always been alone. Tidal evolution involving multiple planets also enhances the internal heating of the planets, which readily exceeds that of stellar radiation for the inner planet, and may be great enough to affect the internal structure of warm Jupiters. Secular theory gives insight into the tidal processes, providing, among other things, a way to constrain eccentricities of transiting planets based on estimates of the tidal parameter Q.

  20. Plague: Infections of Companion Animals and Opportunities for Intervention

    Directory of Open Access Journals (Sweden)

    Petra C.F. Oyston

    2011-06-01

    Full Text Available Plague is a zoonotic disease, normally circulating in rodent populations, transmitted to humans most commonly through the bite of an infected flea vector. Secondary infection of the lungs results in generation of infectious aerosols, which pose a significant hazard to close contacts. In enzootic areas, plague infections have been reported in owners and veterinarians who come into contact with infected pets. Dogs are relatively resistant, but can import infected fleas into the home. Cats are acutely susceptible, and can present a direct hazard to health. Reducing roaming and hunting behaviours, combined with flea control measures go some way to reducing the risk to humans. Various vaccine formulations have been developed which may be suitable to protect companion animals from contracting plague, and thus preventing onward transmission to man. Since transmission has resulted in a number of fatal cases of plague, the vaccination of domestic animals such as cats would seem a low cost strategy for reducing the risk of infection by this serious disease in enzootic regions.

  1. Data acquisition, monitoring and diagnostic system for predictive control and protection of rotating components of IEAR-1 reactor by vibration analysis

    International Nuclear Information System (INIS)

    Serra, Reynaldo Cavalcanti; Tecco, Dorival Goncalves

    1996-01-01

    This work presents the vibration and temperature data acquisition, monitoring and diagnostic systems, recently installed in the primary circuit, secondary circuit and emergency generator of the IEA-R1 reactor at IPEN during the course of the first power elevation tests to 5MW. It incorporates a series of routines for equipment configuration, interactive automatic monitoring , data processing and documentation/storage without the exposure of operators in the radiological protection areas. (author)

  2. Plasma Diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Zaveryaev, V [Kurchatov Institute, Moscow (Russian Federation); others, and

    2012-09-15

    The success in achieving peaceful fusion power depends on the ability to control a high temperature plasma, which is an object with unique properties, possibly the most complicated object created by humans. Over years of fusion research a new branch of science has been created, namely plasma diagnostics, which involves knowledge of almost all fields of physics, from electromagnetism to nuclear physics, and up-to-date progress in engineering and technology (materials, electronics, mathematical methods of data treatment). Historically, work on controlled fusion started with pulsed systems and accordingly the methods of plasma parameter measurement were first developed for short lived and dense plasmas. Magnetically confined hot plasmas require the creation of special experimental techniques for diagnostics. The diagnostic set is the most scientifically intensive part of a plasma device. During many years of research operation some scientific tasks have been solved while new ones arose. New tasks often require significant changes in the diagnostic system, which is thus a very flexible part of plasma machines. Diagnostic systems are designed to solve several tasks. As an example here are the diagnostic tasks for the International Thermonuclear Experimental Reactor - ITER: (1) Measurements for machine protection and basic control; (2) Measurements for advanced control; (3) Additional measurements for performance evaluation and physics. Every new plasma machine is a further step along the path to the main goal - controlled fusion - and nobody knows in advance what new phenomena will be met on the way. So in the planning of diagnostic construction we should keep in mind further system upgrading to meet possible new scientific and technical challenges. (author)

  3. Diagnostic Value of the Updated Diamond and Forrester Score to Predict Coronary Artery Disease in Patients with Acute-Onset Chest Pain

    DEFF Research Database (Denmark)

    Sørgaard, Mathias; Linde, Jesper James; Kofoed, Klaus Fuglsang

    2016-01-01

    OBJECTIVES: In the recently updated clinical guidelines from the European Society of Cardiology on the management of stable coronary artery disease (CAD), the updated Diamond Forrester score has been included as a pretest probability (PTP) score to select patients for further diagnostic testing. ...... useful tool in risk-stratifying patients with acute-onset chest pain at a low-to-intermediate risk of having CAD. Adding a stress test to PTP does not appear to offer significant diagnostic benefit.......OBJECTIVES: In the recently updated clinical guidelines from the European Society of Cardiology on the management of stable coronary artery disease (CAD), the updated Diamond Forrester score has been included as a pretest probability (PTP) score to select patients for further diagnostic testing. We...... investigated the validity of the new guidelines in a population of patients with acute-onset chest pain. METHODS: We examined 527 consecutive patients with either an exercise-ECG stress test or single-photon emission computed tomography, and subsequently coronary computed tomography angiography (CCTA). We...

  4. An evaluation of the predictive validity and inter-rater reliability of clinical diagnostic criteria for senile dementia of Lewy body type.

    Science.gov (United States)

    McKeith, I G; Fairbairn, A F; Bothwell, R A; Moore, P B; Ferrier, I N; Thompson, P; Perry, R H

    1994-05-01

    Several recent autopsy studies suggest that senile dementia of Lewy body type (SDLT) may be the second most common neuropathologic cause of dementia in the elderly, accounting for 7 to 30% of all cases. Operational criteria for the antemortem clinical diagnosis of SDLT have already been proposed by our group. The performance of these is now examined by randomizing the case notes from a new series of SDLT, Alzheimer, and multi-infarct dementia patients for psychiatric assessment by four raters of varying clinical experience and blind to pathologic diagnosis. Using the SDLT criteria, the two most experienced raters agreed in 94% of cases (kappa = 0.87), with the least experienced rater agreeing in 78% (kappa = 0.50). Diagnostic specificity for SDLT was uniformly high (90.0 to 97.0%), with a mean sensitivity of detection of 74%, and was greater by the experienced (90.0%) than the least experienced (55%) clinician. The antemortem identification of SDLT patients can therefore be achieved with a high degree of diagnostic specificity using such operationalized criteria, although there remains a minority of patients who present with either "typical" Alzheimer-type symptoms or with paranoid or delusional symptoms in the absence of substantial cognitive impairment. Sensitivity to neuroleptics may be a useful diagnostic pointer in these patients.

  5. SUB-STELLAR COMPANIONS AND STELLAR MULTIPLICITY IN THE TAURUS STAR-FORMING REGION

    International Nuclear Information System (INIS)

    Daemgen, Sebastian; Bonavita, Mariangela; Jayawardhana, Ray; Lafrenière, David; Janson, Markus

    2015-01-01

    We present results from a large, high-spatial-resolution near-infrared imaging search for stellar and sub-stellar companions in the Taurus-Auriga star-forming region. The sample covers 64 stars with masses between those of the most massive Taurus members at ∼3 M ☉ and low-mass stars at ∼0.2 M ☉ . We detected 74 companion candidates, 34 of these reported for the first time. Twenty-five companions are likely physically bound, partly confirmed by follow-up observations. Four candidate companions are likely unrelated field stars. Assuming physical association with their host star, estimated companion masses are as low as ∼2 M Jup . The inferred multiplicity frequency within our sensitivity limits between ∼10-1500 AU is 26.3 −4.9 +6.6 %. Applying a completeness correction, 62% ± 14% of all Taurus stars between 0.7 and 1.4 M ☉ appear to be multiple. Higher order multiples were found in 1.8 −1.5 +4.2 % of the cases, in agreement with previous observations of the field. We estimate a sub-stellar companion frequency of ∼3.5%-8.8% within our sensitivity limits from the discovery of two likely bound and three other tentative very low-mass companions. This frequency appears to be in agreement with what is expected from the tail of the stellar companion mass ratio distribution, suggesting that stellar and brown dwarf companions share the same dominant formation mechanism. Further, we find evidence for possible evolution of binary parameters between two identified sub-populations in Taurus with ages of ∼2 Myr and ∼20 Myr, respectively

  6. SUB-STELLAR COMPANIONS AND STELLAR MULTIPLICITY IN THE TAURUS STAR-FORMING REGION

    Energy Technology Data Exchange (ETDEWEB)

    Daemgen, Sebastian [Department of Astronomy and Astrophysics, University of Toronto, 50 St. George Street, Toronto, ON M5H 3H4 (Canada); Bonavita, Mariangela [The University of Edinburgh, Royal Observatory, Blackford Hill, Edinburgh EH9 3HJ (United Kingdom); Jayawardhana, Ray [Physics and Astronomy, York University, Toronto, Ontario L3T 3R1 (Canada); Lafrenière, David [Department of Physics, University of Montréal, Montréal, QC (Canada); Janson, Markus, E-mail: daemgen@astro.utoronto.ca [Department of Astronomy, Stockholm University, Stockholm (Sweden)

    2015-02-01

    We present results from a large, high-spatial-resolution near-infrared imaging search for stellar and sub-stellar companions in the Taurus-Auriga star-forming region. The sample covers 64 stars with masses between those of the most massive Taurus members at ∼3 M {sub ☉} and low-mass stars at ∼0.2 M {sub ☉}. We detected 74 companion candidates, 34 of these reported for the first time. Twenty-five companions are likely physically bound, partly confirmed by follow-up observations. Four candidate companions are likely unrelated field stars. Assuming physical association with their host star, estimated companion masses are as low as ∼2 M {sub Jup}. The inferred multiplicity frequency within our sensitivity limits between ∼10-1500 AU is 26.3{sub −4.9}{sup +6.6}%. Applying a completeness correction, 62% ± 14% of all Taurus stars between 0.7 and 1.4 M {sub ☉} appear to be multiple. Higher order multiples were found in 1.8{sub −1.5}{sup +4.2}% of the cases, in agreement with previous observations of the field. We estimate a sub-stellar companion frequency of ∼3.5%-8.8% within our sensitivity limits from the discovery of two likely bound and three other tentative very low-mass companions. This frequency appears to be in agreement with what is expected from the tail of the stellar companion mass ratio distribution, suggesting that stellar and brown dwarf companions share the same dominant formation mechanism. Further, we find evidence for possible evolution of binary parameters between two identified sub-populations in Taurus with ages of ∼2 Myr and ∼20 Myr, respectively.

  7. Quantitative DCE-MRI for prediction of pathological complete response following neoadjuvant treatment for locally advanced breast cancer: the impact of breast cancer subtypes on the diagnostic accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Drisis, Stylianos; Stathopoulos, Konstantinos; Chao, Shih-Li; Lemort, Marc [Institute Jules Bordet, Radiology Department, Brussels (Belgium); Metens, Thierry [Erasme University Hospital, Radiology Department, Brussels (Belgium); Ignatiadis, Michael [Institute Jules Bordet, Oncology Department, Brussels (Belgium)

    2016-05-15

    To assess whether DCE-MRI pharmacokinetic (PK) parameters obtained before and during chemotherapy can predict pathological complete response (pCR) differently for different breast cancer groups. Eighty-four patients who received neoadjuvant chemotherapy for locally advanced breast cancer were retrospectively included. All patients underwent two DCE-MRI examinations, one before (EX1) and one during treatment (EX2). Tumours were classified into different breast cancer groups, namely triple negative (TNBC), HER2+ and ER+/HER2-, and compared with the whole population (WP). PK parameters Ktrans and Ve were extracted using a two-compartment Tofts model. At EX1, Ktrans predicted pCR for WP and TNBC. At EX2, maximum diameter (Dmax) predicted pCR for WP and ER+/HER2-. Both PK parameters predicted pCR in WP and TNBC and only Ktrans for the HER2+. pCR was predicted from relative difference (EX1 - EX2)/EX1 of Dmax and both PK parameters in the WP group and only for Ve in the TNBC group. No PK parameter could predict response for ER+/HER-. ROC comparison between WP and breast cancer groups showed higher but not statistically significant values for TNBC for the prediction of pCR Quantitative DCE-MRI can better predict pCR after neoadjuvant treatment for TNBC but not for the ER+/HER2- group. (orig.)

  8. Emission - line theoretical profiles for Wolf- Rayet stars with low-mass companions

    International Nuclear Information System (INIS)

    Antokhin, I.I.

    1986-01-01

    Profiles of the resonant line λ 765 A and the subordinate line λ 4058 of N4 have been calculated for a binary system medel consisting of the Wolf-Rayet star and the low-mass companion (possibly, a relativistic object) by means of Sobolev approximation. The equations of statistical equilibrium have been solved for the first 32 levels of N4. Two cases have been considered: 1) detached zone of N5 surrounding the Wolf-Rayet star and the companion; 2) common zone of N5. The criteria for detection of presence of a companion in line profile observations have been formulated

  9. The convective noise floor for the spectroscopic detection of low mass companions to solar type stars

    Science.gov (United States)

    Deming, D.; Espenak, F.; Jennings, D. E.; Brault, J. W.

    1986-01-01

    The threshold mass for the unambiguous spectroscopic detection of low mass companions to solar type stars is defined here as the time when the maximum acceleration in the stellar radial velocity due to the Doppler reflex of the companion exceeds the apparent acceleration produced by changes in convection. An apparent acceleration of 11 m/s/yr in integrated sunlight was measured using near infrared Fourier transform spectroscopy. This drift in the apparent solar velocity is attributed to a lessening in the magnetic inhibition of granular convection as solar minimum approaches. The threshold mass for spectroscopic detection of companions to a one solar mass star is estimated at below one Jupiter mass.

  10. Diagnostic development

    International Nuclear Information System (INIS)

    Barnett, C.F.; Brisson, D.A.; Greco, S.E.

    1978-01-01

    During the past year the far-infrared or submillimeter diagnostic research program resulted in three major developments: (1) an optically pumped 0.385-μm D 2 O-laser oscillator-amplifier system was operated at a power level of 1 MW with a line width of less than 50 MHz; (2) a conical Pyrex submillimeter laser beam dump with a retention efficiency greater than 10 4 was developed for the ion temperature Thompson scattering experiment; and (3) a new diagnostic technique was developed that makes use of the Faraday rotation of a modulated submillimeter laser beam to determine plasma current profile. Measurements of the asymmetric distortion of the H/sub α/ (6563 A) spectral line profile show that the effective toroidal drift velocity, dv/sub two vertical bars i/dT/sub i/, may be used as an indicator of plasma quality and as a complement to other ion temperature diagnostics

  11. A Massive-born Neutron Star with a Massive White Dwarf Companion

    Energy Technology Data Exchange (ETDEWEB)

    Cognard, Ismaël; Guillemot, Lucas; Theureau, Gilles [Laboratoire de Physique et Chimie de l’Environnement et de l’Espace, Université d’Orléans/CNRS, F-45071 Orléans Cedex 02 (France); Freire, Paulo C. C. [Station de radioastronomie de Nançay, Observatoire de Paris, CNRS/INSU, F-18330 Nançay (France); Tauris, Thomas M.; Wex, Norbert; Graikou, Eleni; Kramer, Michael; Desvignes, Gregory; Lazarus, Patrick [Max-Planck-Institut für Radioastronomie, Auf dem Hügel 69, D-53121 Bonn (Germany); Stappers, Benjamin; Lyne, Andrew G. [Jodrell Bank Center for Astrophysics, School of Physics and Astronomy, The University of Manchester, M13 9PL (United Kingdom); Bassa, Cees [ASTRON, The Netherlands Institute for Radioastronomy, Postbus 2, 7900 AA, Dwingeloo (Netherlands)

    2017-08-01

    We report on the results of a 4 year timing campaign of PSR J2222−0137, a 2.44 day binary pulsar with a massive white dwarf (WD) companion, with the Nançay, Effelsberg, and Lovell radio telescopes. Using the Shapiro delay for this system, we find a pulsar mass m {sub p} = 1.76 ± 0.06 M {sub ⊙} and a WD mass m {sub c} = 1.293 ± 0.025 M {sub ⊙}. We also measure the rate of advance of periastron for this system, which is marginally consistent with the general relativity prediction for these masses. The short lifetime of the massive WD progenitor star led to a rapid X-ray binary phase with little (< 10{sup −2} M {sub ⊙}) mass accretion onto the neutron star; hence, the current pulsar mass is, within uncertainties, its birth mass, which is the largest measured to date. We discuss the discrepancy with previous mass measurements for this system; we conclude that the measurements presented here are likely to be more accurate. Finally, we highlight the usefulness of this system for testing alternative theories of gravity by tightly constraining the presence of dipolar radiation. This is of particular importance for certain aspects of strong-field gravity, like spontaneous scalarization, since the mass of PSR J2222−0137 puts that system into a poorly tested parameter range.

  12. Comparing immediate-type food allergy in humans and companion animals-revealing unmet needs.

    Science.gov (United States)

    Pali-Schöll, I; De Lucia, M; Jackson, H; Janda, J; Mueller, R S; Jensen-Jarolim, E

    2017-11-01

    Adverse food reactions occur in human as well as veterinary patients. Systematic comparison may lead to improved recommendations for prevention and treatment in both. In this position paper, we summarize the current knowledge on immediate-type food allergy vs other food adverse reactions in companion animals, and compare this to the human situation. While the prevalence of food allergy in humans has been well studied for some allergens, this remains to be investigated for animal patients, where owner-reported as well as veterinarian-diagnosed food adverse reactions are on the increase. The characteristics of the disease in humans vs dogs, cats, and horses are most often caused by similar, but sometimes species-dependent different pathophysiological mechanisms, prompting the specific clinical symptoms, diagnoses, and treatments. Furthermore, little is known about the allergen molecules causative for type I food allergy in animals, which, like in human patients, could represent predictive biomarkers for risk evaluation. The definite diagnosis of food allergy relies-as in humans-on elimination diet and provocation tests. Besides allergen avoidance in daily practice, novel treatment options and tolerization strategies are underway. Taken together, numerous knowledge gaps were identified in veterinary food allergy, which need to be filled by systematic comparative studies. © 2017 The Authors. Allergy Published by John Wiley & Sons Ltd.

  13. Radio emissions from pulsar companions: a refutable explanation for galactic transients and fast radio bursts

    Science.gov (United States)

    Mottez, F.; Zarka, P.

    2014-09-01

    Context. The six known highly dispersed fast radio bursts are attributed to extragalactic radio sources that are of unknown origin but extremely energetic. We propose here a new explanation that does not require an extreme release of energy and involves a body (planet, asteroid, white dwarf) orbiting an extragalactic pulsar. Aims: We investigate a theory of radio waves associated with such pulsar-orbiting bodies. We focus our analysis on the waves emitted from the magnetic wake of the body in the pulsar wind. After deriving their properties, we compare them with the observations of various transient radio signals to determine whether they could originate from pulsar-orbiting bodies. Methods: The analysis is based on the theory of Alfvén wings: for a body immersed in a pulsar wind, a system of two stationary Alfvén waves is attached to the body, provided that the wind is highly magnetised. When they are destabilised through plasma instabilities, Alfvén wings can be the locus of strong radio sources that are convected with the pulsar wind. By assuming a cyclotron maser instability operating in the Alfvén wings, we make predictions about the shape, frequencies, and brightness of the resulting radio emissions. Results: Because of the beaming by relativistic aberration, the signal is seen only when the companion is perfectly aligned between its parent pulsar and the observer, as is the case for occultations. For pulsar winds with a high Lorentz factor (≥104), the whole duration of the radio event does not exceed a few seconds, and it is composed of one to four peaks that last a few milliseconds each and are detectable up to distances of several Mpc. The Lorimer burst, the three isolated pulses of PSR J1928+15, and the recently detected fast radio bursts are all compatible with our model. According to it, these transient signals should repeat periodically with the companion's orbital period. Conclusions: The search of pulsar-orbiting bodies could be an exploration

  14. Alternative Dietary Fiber Sources in Companion Animal Nutrition

    Directory of Open Access Journals (Sweden)

    George C. Fahey, Jr.

    2013-08-01

    Full Text Available The US has a pet population of approximately 70 million dogs and 74 million cats. Humans have developed a strong emotional bond with companion animals. As a consequence, pet owners seek ways to improve health, quality of life and longevity of their pets. Advances in canine and feline nutrition have contributed to improved longevity and well-being. Dietary fibers have gained renewed interest in the pet food industry, due to their important role in affecting laxation and stool quality. More recently, because of increased awareness of the beneficial effects of dietary fibers in health, as well as the popularity of functional foods and holistic and natural diets, alternative and novel carbohydrates have become widespread in human and pet nutrition. Fiber sources from cereal grains, whole grains and fruits have received increasing attention by the pet food industry and pet owners. While limited scientific information is available on the nutritional and nutraceutical properties of alternative fiber sources, studies indicate that corn fiber is an efficacious fiber source for pets, showing no detrimental effects on palatability or nutrient digestibility, while lowering the glycemic response in adult dogs. Fruit fiber and pomaces have good water-binding properties, which may be advantageous in wet pet food production, where a greater water content is required, along with low water activity and a firm texture of the final product. Rice bran is a palatable fiber source for dogs and may be an economical alternative to prebiotic supplementation of pet foods. However, it increases the dietary requirement of taurine in cats. Barley up to 40% in a dry extruded diet is well tolerated by adult dogs. In addition, consumption of complex carbohydrates has shown a protective effect on cardiovascular disease and oxidative stress. Alternative fiber sources are suitable ingredients for pet foods. They have been shown to be nutritionally adequate and to have potential

  15. Nutritional ecology of obesity: from humans to companion animals.

    Science.gov (United States)

    Raubenheimer, David; Machovsky-Capuska, Gabriel E; Gosby, Alison K; Simpson, Stephen

    2015-01-01

    We apply nutritional geometry, a framework for modelling the interactive effects of nutrients on animals, to help understand the role of modern environments in the obesity pandemic. Evidence suggests that humans regulate the intake of protein energy (PE) more strongly than non-protein energy (nPE), and consequently will over- and under-ingest nPE on diets with low or high PE, respectively. This pattern of macronutrient regulation has led to the protein leverage hypothesis, which proposes that the rise in obesity has been caused partly by a shift towards diets with reduced PE:nPE ratios relative to the set point for protein regulation. We discuss potential causes of this mismatch, including environmentally induced reductions in the protein density of the human diet and factors that might increase the regulatory set point for protein and hence exacerbate protein leverage. Economics--the high price of protein compared with fats and carbohydrates--is one factor that might contribute to the reduction of dietary protein concentrations. The possibility that rising atmospheric CO₂ levels could also play a role through reducing the PE:nPE ratios in plants and animals in the human food chain is discussed. Factors that reduce protein efficiency, for example by increasing the use of ingested amino acids in energy metabolism (hepatic gluconeogenesis), are highlighted as potential drivers of increased set points for protein regulation. We recommend that a similar approach is taken to understand the rise of obesity in other species, and identify some key gaps in the understanding of nutrient regulation in companion animals.

  16. The Kepler eclipsing system KIC 5621294 and its substellar companion

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Woo; Hong, Kyeongsoo; Hinse, Tobias Cornelius, E-mail: jwlee@kasi.re.kr, E-mail: kshong@kasi.re.kr, E-mail: tchinse@gmail.com [Korea Astronomy and Space Science Institute, Daejeon 305-348 (Korea, Republic of)

    2015-03-01

    We present the physical properties of KIC 5621294, showing light and timing variations from the Kepler photometry. Its light curve displays partial eclipses and the O’Connell effect, with Max II fainter than Max I, which was fitted quite well by applying third-body and spot effects to the system. The results indicate that the eclipsing pair is a classical Algol-type system with parameters of q = 0.22, i = 76.°8, and Δ(T{sub 1}−T{sub 2}) = 4235 K, in which the detached primary component fills about 77% of its limiting lobe. Striking discrepancies exist between the primary and secondary eclipse times obtained with the method of Kwee and van Woerden. These are mainly caused by surface inhomogeneities due to spot activity detected in our light curve synthesis. The 1253 light curve timings from the Wilson–Devinney code were used for a period study. It was found that the orbital period of KIC 5621294 has varied due to periodic variation overlaid on a downward parabola. The sinusoidal variation with a period of 961 days and a semi-amplitude of 22.5 s most likely arises from a light-time effect due to a third component with a mass of M{sub 3}sini{sub 3} = 46.9 M{sub Jup}, which is in good agreement with that calculated from the light curve itself. If its orbital inclination is larger than about 40°, the mass of the circumbinary object would possibly match a brown dwarf. The parabolic variation could not be fully explained by either a mass transfer between the binary components or angular momentum via magnetic braking. It is possible that the parabola may be the only observed part of a period modulation caused by the presence of another companion in a wider orbit.

  17. Alternative dietary fiber sources in companion animal nutrition.

    Science.gov (United States)

    de Godoy, Maria R C; Kerr, Katherine R; Fahey, George C

    2013-08-06

    The US has a pet population of approximately 70 million dogs and 74 million cats. Humans have developed a strong emotional bond with companion animals. As a consequence, pet owners seek ways to improve health, quality of life and longevity of their pets. Advances in canine and feline nutrition have contributed to improved longevity and well-being. Dietary fibers have gained renewed interest in the pet food industry, due to their important role in affecting laxation and stool quality. More recently, because of increased awareness of the beneficial effects of dietary fibers in health, as well as the popularity of functional foods and holistic and natural diets, alternative and novel carbohydrates have become widespread in human and pet nutrition. Fiber sources from cereal grains, whole grains and fruits have received increasing attention by the pet food industry and pet owners. While limited scientific information is available on the nutritional and nutraceutical properties of alternative fiber sources, studies indicate that corn fiber is an efficacious fiber source for pets, showing no detrimental effects on palatability or nutrient digestibility, while lowering the glycemic response in adult dogs. Fruit fiber and pomaces have good water-binding properties, which may be advantageous in wet pet food production, where a greater water content is required, along with low water activity and a firm texture of the final product. Rice bran is a palatable fiber source for dogs and may be an economical alternative to prebiotic supplementation of pet foods. However, it increases the dietary requirement of taurine in cats. Barley up to 40% in a dry extruded diet is well tolerated by adult dogs. In addition, consumption of complex carbohydrates has shown a protective effect on cardiovascular disease and oxidative stress. Alternative fiber sources are suitable ingredients for pet foods. They have been shown to be nutritionally adequate and to have potential nutraceutical

  18. 45 CFR 2551.71 - What requirements govern the assignment of Senior Companions?

    Science.gov (United States)

    2010-10-01

    ...: (1) Result in person-to-person supportive relationships with each client served. (2) Support the.... Senior Companions with special skills or demonstrated leadership ability may assist newer Senior...

  19. "Speaking-for" and "speaking-as": pseudo-surrogacy in physician-patient-companion medical encounters about advanced cancer.

    Science.gov (United States)

    Mazer, Benjamin L; Cameron, Rachel A; DeLuca, Jane M; Mohile, Supriya G; Epstein, Ronald M

    2014-07-01

    To examine using audio-recorded encounters the extent and process of companion participation when discussing treatment choices and prognosis in the context of a life-limiting cancer diagnosis. Qualitative analysis of transcribed outpatient visits between 17 oncologists, 49 patients with advanced cancer, and 34 companions. 46 qualifying companion statements were collected from a total of 28 conversations about treatment choices or prognosis. We identified a range of companion positions, from "pseudo-surrogacy" (companion speaking as if the patient were not able to speak for himself), "hearsay", "conflation of thoughts", "co-experiencing", "observation as an outsider", and "facilitation". Statements made by companions were infrequently directly validated by the patient. Companions often spoke on behalf of patients during discussions of prognosis and treatment choices, even when the patient was present and capable of speaking on his or her own behalf. The conversational role of companions as well as whether the physician checks with the patient can determine whether a companion facilitates or inhibits patient autonomy and involvement. Physicians can reduce ambiguity and encourage patient participation by being aware of when and how companions may speak on behalf of patients and by corroborating the companion's statement with the patient. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. "SPEAKING-FOR" AND "SPEAKING-AS": PSEUDO-SURROGACY IN PHYSICIANPATIENT-COMPANION MEDICAL ENCOUNTERS ABOUT ADVANCED CANCER

    Science.gov (United States)

    Mazer, Benjamin L.; Cameron, Rachel A.; DeLuca, Jane M.; Mohile, Supriya G.; Epstein, Ronald M.

    2014-01-01

    Objective To examine using audio-recorded encounters the extent and process of companion participation when discussing treatment choices and prognosis in the context of a life-limiting cancer diagnosis. Methods Qualitative analysis of transcribed outpatient visits between 17 oncologists, 49 patients with advanced cancer, and 34 companions. Results 46 qualifying companion statements were collected from a total of 28 conversations about treatment choices or prognosis. We identified a range of companion positions, from “pseudo-surrogacy” (companion speaking as if the patient were not able to speak for himself), “hearsay”, “conflation of thoughts”, “co-experiencing”, “observation as an outsider”, and “facilitation”. Statements made by companions were infrequently directly validated by the patient. Conclusions Companions often spoke on behalf of patients during discussions of prognosis and treatment choices, even when the patient was present and capable of speaking on his or her own behalf. Practice Implications The conversational role of companions as well as whether the physician checks with the patient can determine whether a companion facilitates or inhibits patient autonomy and involvement. Physicians can reduce ambiguity and encourage patient participation by being aware of the when and how companions may speak on behalf of patients and by corroborating the companion's statement with the patient. PMID:24862913

  1. Role and influence of the patient′s companion in family medicine consultations: "The patient′s perspective"

    Directory of Open Access Journals (Sweden)

    Marie Andrades

    2013-01-01

    Full Text Available Background: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients′ perspective regarding the role and influence of the companion in the consultation process. Materials and Methods: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS software version 18 using the Chi-square test. Results: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90% and/or emotional support (90%. Immediate relatives had a role in mobility (P = 0.016 and decision making (P = 0.006. Most companions remained passive and did not contribute to the doctor patient relationship (P = 0.058. Male companions were relatively helpful (54% vs. 25%, P = 0.008 in achieving the expectations from the visit. The companion played a supportive role in 62% of the consultations. Conclusion: This study signifies a supportive role of companion in a consultation which emphasizes the need of consultation models to include the "companion."

  2. Experience with diagnostics at ANGRA I

    International Nuclear Information System (INIS)

    Feiner, F.R.

    1997-01-01

    Experience with maintenance and diagnostics at Angra 1 is described including the following issues: predictive maintenance program at Angra 1 NPP; Angra 1 predictive maintenance master list; maintenance evolution at Angra 1 NPP; MOVs evaluation program

  3. Diagnostic dilemma

    DEFF Research Database (Denmark)

    Feldt-Rasmussen, Ulla; Dobrovolny, Robert; Nazarenko, Irina

    2011-01-01

    Fabry disease, an X-linked lysosomal storage disorder, results from the deficient activity of a-galactosidase A (a-Gal A). In affected males, the clinical diagnosis is confirmed by the markedly decreased a-Gal A activity. However, in female heterozygotes, the a-Gal A activity can range from low t...... on enzyme replacement therapy. Thus, gene dosage analyses can detect large deletions (>50bp) in suspect heterozygotes for X-linked and autosomal dominant diseases that are "sequencing cryptic," resolving molecular diagnostic dilemmas....... to normal due to random X-chromosomal inactivation, and diagnostic confirmation requires identification of the family's a-Gal A gene mutation. In a young female who had occasional acroparesthesias, corneal opacities, and 15 to 50% of the lower limit of normal leukocyte a-Gal A activity, a-Gal A sequencing...... in two expert laboratories did not identify a confirmatory mutation, presenting a diagnostic dilemma. A renal biopsy proved diagnostic and renewed efforts to detect an a-Gal A mutation. Subsequent gene dosage analyses identified a large a-Gal A deletion confirming her heterozygosity, and she was started...

  4. Stars of type MS with evidence of white dwarf companions. [IUE, Main Sequence (MS)

    Science.gov (United States)

    Peery, Benjamin F., Jr.

    1986-01-01

    A search for white dwarf companions of MS-type stars was conducted, using IUE. The overendowments of these stars in typical S-process nuclides suggest that they, like the Ba II stars, may owe their peculiar compositions to earlier mass transfer. Short-wavelength IUE spectra show striking emission line variability in HD35155, HD61913, and 4 Ori; HD35155 and 4 Ori show evidence of white dwarf companions.

  5. Typology of Interpretive Narratives of the followers of the Companions of the Holy Prophet (PBUH)

    OpenAIRE

    Fatemeh Shariati

    2013-01-01

    A large quantity of narratives in interpretation of the Holy Quran is related to the followers of the Companions of the Holy Prophet (PBUH) s of companions of the Prophet Muhammad ( PBUH) .Investigating those narratives we see a kind of variation in His interpretations of the verses of the Holy Quran . Some narratives investigate the lexicology of the Holy Quran denotatively. They have also mentioned the reasons for the fall of the verses, the news of the nations and past events, the definiti...

  6. A METAL-RICH LOW-GRAVITY COMPANION TO A MASSIVE MILLISECOND PULSAR

    International Nuclear Information System (INIS)

    Kaplan, D. L.; Bhalerao, V. B.; Van Kerkwijk, M. H.; Koester, D.; Kulkarni, S. R.; Stovall, K.

    2013-01-01

    Most millisecond pulsars with low-mass companions are in systems with either helium-core white dwarfs or non-degenerate (''black widow'' or ''redback'') stars. A candidate counterpart to PSR J1816+4510 was identified by Kaplan et al. whose properties were suggestive of both types of companions although identical to neither. We have assembled optical spectroscopy of the candidate companion and confirm that it is part of the binary system with a radial velocity amplitude of 343 ± 7 km s –1 , implying a high pulsar mass, M psr sin 3 i = 1.84 ± 0.11 M ☉ , and a companion mass M c sin 3 i = 0.193 ± 0.012 M ☉ , where i is the inclination of the orbit. The companion appears similar to proto-white dwarfs/sdB stars, with a gravity log 10 (g) = 4.9 ± 0.3, and effective temperature 16, 000 ± 500 K. The strongest lines in the spectrum are from hydrogen, but numerous lines from helium, calcium, silicon, and magnesium are present as well, with implied abundances of roughly 10 times solar (relative to hydrogen). As such, while from the spectrum the companion to PSR J1816+4510 is superficially most similar to a low-mass white dwarf, it has much lower gravity, is substantially larger, and shows substantial metals. Furthermore, it is able to produce ionized gas eclipses, which had previously been seen only for low-mass, non-degenerate companions in redback or black widow systems. We discuss the companion in relation to other sources, but find that we understand neither its nature nor its origins. Thus, the system is interesting for understanding unusual stellar products of binary evolution, as well as, independent of its nature, for determining neutron-star masses.

  7. WIDE COMPANIONS TO HIPPARCOS STARS WITHIN 67 pc OF THE SUN

    International Nuclear Information System (INIS)

    Tokovinin, Andrei; Lépine, Sébastien

    2012-01-01

    A catalog of common-proper-motion (CPM) companions to stars within 67 pc of the Sun is constructed based on the SUPERBLINK proper-motion survey. It contains 1392 CPM pairs with angular separations 30'' –1 , and magnitudes and colors of the secondaries consistent with those of dwarfs in the (M V , V – J) diagram. In addition, we list 21 candidate white dwarf CPM companions with separations under 300'', about half of which should be physical. We estimate a 0.31 fraction of pairs with red dwarf companions to be physical systems (about 425 objects), while the rest (mostly wide pairs) are chance alignments. For each candidate companion, the probability of a physical association is evaluated. The distribution of projected separations s of the physical pairs between 2 kAU and 64 kAU follows f(s)∝s –1.5 , which decreases faster than Öpik's law. We find that solar-mass dwarfs have no less than 4.4% ± 0.3% companions with separations larger than 2 kAU, or 3.8% ± 0.3% per decade of orbital separation in the 2-16 kAU range. The distribution of mass ratio of those wide companions is approximately uniform in the 0.1 < q < 1.0 range, although we observe a dip at q ≅ 0.5 which, if confirmed, could be evidence of bimodal distribution of companion masses. New physical CPM companions to two exoplanet host stars are discovered.

  8. The role of companions in aiding older cancer patients to recall medical information.

    OpenAIRE

    Jansen, J.; Weert, J.C.M. van; Wijngaards-de Meij, L.; Dulmen, S. van; Heeren, T.J.; Bensing, J.M.

    2010-01-01

    Objectives: This study investigates information recall in unaccompanied and accompanied older cancer patients and their companions.Methods: One hundred cancer patients (aged >/=65 years) and 71 companions completed a recall questionnaire after a nursing consultation preceding chemotherapy treatment. Recall was checked against the actual communication in video-recordings of the consultations. Patients also completed measures of anxiety and memory-related beliefs.Results: Findings revealed that...

  9. Three new massive companions in the planet-brown dwarf boundary detected with SOPHIE

    Directory of Open Access Journals (Sweden)

    Santerne A.

    2011-02-01

    Full Text Available We report the detection of three new massive companions to mainsequence stars based on precise radial velocities obtained with the SOPHIE spectrograph, as part of an ongoing programme to search for extrasolar planets. The minimum masses of the detected companions range from around 16 Mjup to around 60 Mjup, and therefore lie at both sides of the boundary between massive extrasolar planets and brown dwarves.

  10. WIDE COMPANIONS TO HIPPARCOS STARS WITHIN 67 pc OF THE SUN

    Energy Technology Data Exchange (ETDEWEB)

    Tokovinin, Andrei [Cerro Tololo Inter-American Observatory, Casilla 603, La Serena (Chile); Lepine, Sebastien, E-mail: atokovinin@ctio.noao.edu, E-mail: lepine@amnh.org [Department of Astrophysics, Division of Physical Sciences, American Museum of Natural History, Central Park West at 79th Street, New York, NY 10024 (United States)

    2012-10-01

    A catalog of common-proper-motion (CPM) companions to stars within 67 pc of the Sun is constructed based on the SUPERBLINK proper-motion survey. It contains 1392 CPM pairs with angular separations 30'' < {rho} < 1800'', relative proper motion between the two components less than 25 mas yr{sup -1}, and magnitudes and colors of the secondaries consistent with those of dwarfs in the (M{sub V} , V - J) diagram. In addition, we list 21 candidate white dwarf CPM companions with separations under 300'', about half of which should be physical. We estimate a 0.31 fraction of pairs with red dwarf companions to be physical systems (about 425 objects), while the rest (mostly wide pairs) are chance alignments. For each candidate companion, the probability of a physical association is evaluated. The distribution of projected separations s of the physical pairs between 2 kAU and 64 kAU follows f(s){proportional_to}s {sup -1.5}, which decreases faster than Oepik's law. We find that solar-mass dwarfs have no less than 4.4% {+-} 0.3% companions with separations larger than 2 kAU, or 3.8% {+-} 0.3% per decade of orbital separation in the 2-16 kAU range. The distribution of mass ratio of those wide companions is approximately uniform in the 0.1 < q < 1.0 range, although we observe a dip at q {approx_equal} 0.5 which, if confirmed, could be evidence of bimodal distribution of companion masses. New physical CPM companions to two exoplanet host stars are discovered.

  11. Antimicrobial resistance in coagulase-positive staphylococci isolated from companion animals in Australia: A one year study.

    Directory of Open Access Journals (Sweden)

    Sugiyono Saputra

    Full Text Available Methicillin-resistant coagulase-positive staphylococci (CoPS have become increasingly recognised as opportunistic pathogens that limit therapeutic options in companion animals. The frequency of methicillin resistance amongst clinical isolates on an Australia-wide level is unknown. This study determined antimicrobial susceptibility patterns for CoPS isolated from clinical infections in companion animals (dogs, cats and horses as part of the first nation-wide survey on antimicrobial resistance in animal pathogens in Australia for a one-year period (January 2013 to January 2014. Clinical Staphylococcus spp. isolates (n = 888 obtained from 22 veterinary diagnostic laboratories were identified by MALDI-TOF mass spectrometry and subjected to antimicrobial susceptibility testing for 16 antimicrobials, representing 12 antimicrobial classes. Potential risk factors associated with methicillin resistance in Staphylococcus pseudintermedius isolates from dogs were analysed based on demographic factors and clinical history, including gender, age, previous antimicrobial treatment, chronic and/or recurrent diseases and site of infections. The most commonly identified CoPS were S. pseudintermedius (70.8%; dogs n = 616, cats n = 13 and S. aureus (13.2%, horses n = 53, dogs n = 47 and cats n = 17. Overall, the frequency of methicillin resistance among S. pseudintermedius (MRSP and S. aureus (MRSA was 11.8% and 12.8%, respectively. MRSP isolates were strongly associated with resistance to fluoroquinolones (OR 287; 95%CI 91.2-1144.8 and clindamycin (OR 105.2, 95%CI 48.5-231.9. MRSA isolates from dogs and cats were also more likely to be resistant to fluoroquinolones (OR 5.4, 95%CI 0.6-252.1, whereas MRSA from horses were more likely to be resistant to rifampicin. In multivariate analysis, MRSP-positive status was significantly associated with particular infection sites, including surgical (OR 8.8; 95%CI 3.74-20.7, and skin and soft tissue (OR 3.9; 95%CI 1.97-7.51. S

  12. Antimicrobial resistance in coagulase-positive staphylococci isolated from companion animals in Australia: A one year study.

    Science.gov (United States)

    Saputra, Sugiyono; Jordan, David; Worthing, Kate A; Norris, Jacqueline M; Wong, Hui S; Abraham, Rebecca; Trott, Darren J; Abraham, Sam

    2017-01-01

    Methicillin-resistant coagulase-positive staphylococci (CoPS) have become increasingly recognised as opportunistic pathogens that limit therapeutic options in companion animals. The frequency of methicillin resistance amongst clinical isolates on an Australia-wide level is unknown. This study determined antimicrobial susceptibility patterns for CoPS isolated from clinical infections in companion animals (dogs, cats and horses) as part of the first nation-wide survey on antimicrobial resistance in animal pathogens in Australia for a one-year period (January 2013 to January 2014). Clinical Staphylococcus spp. isolates (n = 888) obtained from 22 veterinary diagnostic laboratories were identified by MALDI-TOF mass spectrometry and subjected to antimicrobial susceptibility testing for 16 antimicrobials, representing 12 antimicrobial classes. Potential risk factors associated with methicillin resistance in Staphylococcus pseudintermedius isolates from dogs were analysed based on demographic factors and clinical history, including gender, age, previous antimicrobial treatment, chronic and/or recurrent diseases and site of infections. The most commonly identified CoPS were S. pseudintermedius (70.8%; dogs n = 616, cats n = 13) and S. aureus (13.2%, horses n = 53, dogs n = 47 and cats n = 17). Overall, the frequency of methicillin resistance among S. pseudintermedius (MRSP) and S. aureus (MRSA) was 11.8% and 12.8%, respectively. MRSP isolates were strongly associated with resistance to fluoroquinolones (OR 287; 95%CI 91.2-1144.8) and clindamycin (OR 105.2, 95%CI 48.5-231.9). MRSA isolates from dogs and cats were also more likely to be resistant to fluoroquinolones (OR 5.4, 95%CI 0.6-252.1), whereas MRSA from horses were more likely to be resistant to rifampicin. In multivariate analysis, MRSP-positive status was significantly associated with particular infection sites, including surgical (OR 8.8; 95%CI 3.74-20.7), and skin and soft tissue (OR 3.9; 95%CI 1.97-7.51). S

  13. On the absence of young white dwarf companions to five technetium stars

    Science.gov (United States)

    Smith, Verne V.; Lambert, David L.

    1987-01-01

    A search for hot companions to five stars of type MS and S has been carried out using the IUE satellite. No hot companions were detected for the MS stars HR 85, 4647, 6702, and 8062, and the S star HR 8714. Limits on the luminosities of possible white dwarf companions provide lower limits of 2-5x10 to the 8th yr to the ages of any degenerate companions. All five stars exhibit strong Tc I lines, and the presence of technetium, with a half-life of 2.1x10 to the 5th yr, signifies recent nucleosynthesis. The limits on the ages of possible white dwarf companions that are equal to or greater than 1000 half-lives of Tc exclude the possibility that the s-process elemental enhancement seen in these MS and S stars resulted from mass transfer from a more highly evolved companion (as is probably the mechanism by which barium stars are created). These MS and S stars represent a sample of true thermally pulsing asymptotic giant-branch stars.

  14. Exploring the brown dwarf desert: new substellar companions from the SDSS-III MARVELS survey

    Science.gov (United States)

    Grieves, Nolan; Ge, Jian; Thomas, Neil; Ma, Bo; Sithajan, Sirinrat; Ghezzi, Luan; Kimock, Ben; Willis, Kevin; De Lee, Nathan; Lee, Brian; Fleming, Scott W.; Agol, Eric; Troup, Nicholas; Paegert, Martin; Schneider, Donald P.; Stassun, Keivan; Varosi, Frank; Zhao, Bo; Jian, Liu; Li, Rui; Porto de Mello, Gustavo F.; Bizyaev, Dmitry; Pan, Kaike; Dutra-Ferreira, Letícia; Lorenzo-Oliveira, Diego; Santiago, Basílio X.; da Costa, Luiz N.; Maia, Marcio A. G.; Ogando, Ricardo L. C.; del Peloso, E. F.

    2017-06-01

    Planet searches using the radial velocity technique show a paucity of companions to solar-type stars within ˜5 au in the mass range of ˜10-80 MJup. This deficit, known as the brown dwarf desert, currently has no conclusive explanation. New substellar companions in this region help assess the reality of the desert and provide insight to the formation and evolution of these objects. Here, we present 10 new brown dwarf and 2 low-mass stellar companion candidates around solar-type stars from the Multi-object APO Radial Velocity Exoplanet Large-Area Survey (MARVELS) of the Sloan Digital Sky Survey III. These companions were selected from processed MARVELS data using the latest University of Florida Two Dimensional pipeline, which shows significant improvement and reduction of systematic errors over previous pipelines. The 10 brown dwarf companions range in mass from ˜13 to 76 MJup and have orbital radii of less than 1 au. The two stellar companions have minimum masses of ˜98 and 100 MJup. The host stars of the MARVELS brown dwarf sample have a mean metallicity of [Fe/H] = 0.03 ± 0.08 dex. Given our stellar sample we estimate the brown dwarf occurrence rate around solar-type stars with periods less than ˜300 d to be ˜0.56 per cent.

  15. A HST/WFC3 Search for Substellar Companions in the Orion Nebula Cluster

    Science.gov (United States)

    Strampelli, Giovanni Maria; Aguilar, Jonathan; Aparicio, Antonio; Piotto, Giampaolo; Pueyo, Laurent; Robberto, Massimo

    2018-01-01

    We present new results relative to the population of substellar binaries in the Orion Nebula Cluster. We reprocessed HST/WFC3 data using an analysis technique developed to detect close companions in the wings of the stellar PSFs, based on the PyKLIP implementation of the KLIP PSF subtraction algorithm. Starting from a sample of ~1200 stars selected over the range J=11-15 mag, we were able to uncover ~80 candidate companions in the magnitude range J=16-23 mag. We use the presence of the 1.4 micron H2O absorption feature in the companion photosphere to discriminate 32 bona-fide substellar candidates from a population of reddened background objects. We derive an estimate of the companion mass assuming a 2Myr isochrone and the reddening of their primary. With 8 stellar companions, 19 brown dwarfs and 5 planetary mass objects, our study provide us with an unbiased sample of companions at the low-mass end of the IMF, probing the transition from binary to planetary systems.

  16. PSR J1740-3052: a pulsar with a massive companion

    Science.gov (United States)

    Stairs, I. H.; Manchester, R. N.; Lyne, A. G.; Kaspi, V. M.; Camilo, F.; Bell, J. F.; D'Amico, N.; Kramer, M.; Crawford, F.; Morris, D. J.; Possenti, A.; McKay, N. P. F.; Lumsden, S. L.; Tacconi-Garman, L. E.; Cannon, R. D.; Hambly, N. C.; Wood, P. R.

    2001-08-01

    We report on the discovery of a binary pulsar, PSR J1740-3052, during the Parkes multibeam survey. Timing observations of the 570-ms pulsar at Jodrell Bank and Parkes show that it is young, with a characteristic age of 350kyr, and is in a 231-d, highly eccentric orbit with a companion whose mass exceeds 11Msolar. An accurate position for the pulsar was obtained using the Australia Telescope Compact Array. Near-infrared 2.2-μm observations made with the telescopes at the Siding Spring observatory reveal a late-type star coincident with the pulsar position. However, we do not believe that this star is the companion of the pulsar, because a typical star of this spectral type and required mass would extend beyond the orbit of the pulsar. Furthermore, the measured advance of periastron of the pulsar suggests a more compact companion, for example, a main-sequence star with radius only a few times that of the Sun. Such a companion is also more consistent with the small dispersion measure variations seen near periastron. Although we cannot conclusively rule out a black hole companion, we believe that the companion is probably an early B star, making the system similar to the binary PSR J0045-7319.

  17. New Clues to the Mysterious Origin of Wide-Separation Planetary-Mass Companions

    Science.gov (United States)

    Bryan, Marta

    2018-01-01

    Over the past decade, direct imaging searches for young gas giant planets have revealed a new population of young planetary-mass companions with extremely wide orbital separations (>50 AU) and masses near or at the deuterium-burning limit. These companions pose significant challenges to standard formation models, including core accretion, disk instability, and turbulent fragmentation. In my talk I will discuss new results from high-contrast imaging and high-resolution infrared spectroscopy of a sample of directly imaged wide-separation companions that can be used to directly test these three competing formation mechanisms. First, I use high-contrast imaging to strongly discount scattering as a hypothesis for the origin of wide-separation companions. Second, I measure rotation rates of a subset of these companions using their near-IR spectra, and place the first constraints on the angular momentum evolution of young planetary-mass objects. Finally, I explore the ability of high-resolution spectroscopy to constrain the atmospheric C/O ratios of these companions, providing a complementary test of competing formation scenarios.

  18. Benefits and Risks for People and Livestock of Keeping Companion Animals: Searching for a Healthy Balance.

    Science.gov (United States)

    Sterneberg-van der Maaten, T; Turner, D; Van Tilburg, J; Vaarten, J

    2016-07-01

    The mission of the CALLISTO (Companion Animals multisectoriaL interprofessionaL Interdisciplinary Strategic Think tank On zoonoses) project was to provide an overview of the current situation on the role of companion animals as a source of infectious diseases for people and food animals. It also aimed to identify knowledge and technology gaps for the most important zoonoses and propose targeted actions to reduce the risk of zoonotic diseases transmitted via companion animals. After a 3-year study, its members have developed practical recommendations for improved data collection on companion animal numbers and the mechanisms for disease surveillance in companion animals. They highlight the importance of introducing a system for the unique identification of dogs and other companion animals with an implanted microchip transponder and storage of the details it contains on an internationally accessible online database. Their report also emphasises the need for balanced communication with the public on the risks and benefits of pet ownership and the value of the 'One Health' concept to encourage closer collaboration between veterinary and human medical professionals. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. A RADIO SEARCH FOR PULSAR COMPANIONS TO SLOAN DIGITAL SKY SURVEY LOW-MASS WHITE DWARFS

    International Nuclear Information System (INIS)

    Agueeros, Marcel A.; Camilo, Fernando; Silvestri, Nicole M.; Anderson, Scott F.; Kleinman, S. J.; Liebert, James W.

    2009-01-01

    We have conducted a search for pulsar companions to 15 low-mass white dwarfs (LMWDs; M sun ) at 820 MHz with the NRAO Green Bank Telescope (GBT). These LMWDs were spectroscopically identified in the Sloan Digital Sky Survey (SDSS), and do not show the photometric excess or spectroscopic signature associated with a companion in their discovery data. However, LMWDs are believed to evolve in binary systems and to have either a more massive white dwarf (WD) or a neutron star (NS) as a companion. Indeed, evolutionary models of low-mass X-ray binaries, the precursors of millisecond pulsars (MSPs), produce significant numbers of LMWDs, suggesting that the SDSS LMWDs may have NS companions. No convincing pulsar signal is detected in our data. This is consistent with the findings of van Leeuwen et al., who conducted a GBT search for radio pulsations at 340 MHz from unseen companions to eight SDSS WDs (five are still considered LMWDs; the three others are now classified as 'ordinary' WDs). We discuss the constraints our nondetections place on the probability P MSP that the companion to a given LMWD is a radio pulsar in the context of the luminosity and acceleration limits of our search; we find that P MSP +4 -2 %.

  20. Psychometric Properties of Dunn\\'s Sensory Profile School Companion

    Directory of Open Access Journals (Sweden)

    Guita Movallali

    2017-10-01

    Conclusion The results showed that Dunn's sensory profile has good reliability and validity. Dunn's sensory profile is a useful tool for assessing sensory processing patterns in school and kindergarten settings, and can be used by occupational therapists in clinical environments and by psychologists in educational environments. Information obtained from this profile can have diagnostic value and could also be used for the design of curriculum and classroom space.

  1. Ratio of ovarian stroma and total ovarian area by ultrasound in prediction of hyperandrogenemia in reproductive-aged Thai women with polycystic ovary syndrome: a diagnostic test.

    Science.gov (United States)

    Leerasiri, Pichai; Wongwananuruk, Thanyarat; Rattanachaiyanont, Manee; Indhavivadhana, Suchada; Techatraisak, Kitirat; Angsuwathana, Surasak

    2015-02-01

    To evaluate the performance of ovarian stromal area to total ovarian area (S/A) ratio for the prediction of biochemical hyperandrogenism in Thai women with polycystic ovary syndrome (PCOS). A cross-sectional study was performed in 222 reproductive-aged Thai women with PCOS attending the Gynecologic Endocrinology Unit (GEU), Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital from May 2007 to January 2009. The patients were interviewed for medical history and examined for anthropometry and clinical hyperandrogenism. Venous blood samples were obtained for androgen profiles. An ovarian ultrasonogram was obtained via transvaginal or transrectal ultrasonography. The prevalences of clinical and biochemical hyperandrogenism were 48.6% and 81.1%, respectively. The S/A ratio at a cut-off point of 0.33 had modest predictability for hyperandrogenism, namely, 0.537 area under the receiver-operator curve, 36.6% sensitivity, 72.1% specificity, 83.8% positive predictive value (PPV) and 20.9% negative predictive value (NPV). The combination of clinical hyperandrogenism and S/A ratio improved the predictability for biochemical hyperandrogenism, with sensitivity, specificity, PPV and NPV of 72.1%, 58.1%, 87.8% and 33.3%, respectively. The S/A ratio alone is not a good predictor for biochemical hyperandrogenism in Thai PCOS women attending GEU for menstrual dysfunction. The combination of S/A ratio and clinical hyperandrogenism has better performance than the S/A ratio alone to predict biochemical hyperandrogenism. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  2. THE ECLIPSING SYSTEM EP ANDROMEDAE AND ITS CIRCUMBINARY COMPANIONS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Woo; Hinse, Tobias Cornelius; Park, Jang-Ho, E-mail: jwlee@kasi.re.kr, E-mail: tchinse@gmail.com, E-mail: pooh107162@kasi.re.kr [Korea Astronomy and Space Science Institute, Daejeon 305-348 (Korea, Republic of)

    2013-04-15

    We present new long-term CCD photometry for EP And acquired during the period 2007-2012. The light curves display total eclipses at primary minima and season-to-season light variability. Our synthesis for all available light curves indicates that the eclipsing pair is a W-type overcontact binary with parameters of q = 2.578, i = 83. Degree-Sign 3, {Delta}T = 27 K, f = 28%, and l{sub 3} = 2%-3%. The asymmetric light curves in 2007 were satisfactorily modeled by a cool spot on either of the eclipsing components from a magnetic dynamo. Including our 95 timing measurements, a total of 414 times of minimum light spanning about 82 yr was used for a period study. A detailed analysis of the eclipse timing diagram revealed that the orbital period of EP And has varied as a combination of an upward-opening parabola and two periodic variations, with cycle lengths of P{sub 3} = 44.6 yr and P{sub 4} = 1.834 yr and semi-amplitudes of K{sub 3} = 0.0100 days and K{sub 4} = 0.0039 days, respectively. The observed period increase at a fractional rate of +1.39 Multiplication-Sign 10{sup -10} is in excellent agreement with that calculated from the W-D code and can be plausibly explained by some combination of mass transfer from the primary to the secondary star and angular momentum loss due to magnetic braking. The most reasonable explanation for both cycles is a pair of light-travel-time effects driven by the possible existence of a third and fourth component with projected masses of M{sub 3} = 0.25 M{sub Sun} and M{sub 4} = 0.90 M{sub Sun }. The more massive companion could be revealed using high-resolution spectroscopic data extending over the course of a few years and could also be a binary itself. It is possible that the circumbinary objects may have played an important role in the formation and evolution of the eclipsing pair, which would cause it to have a short initial orbital period and thus evolve into an overcontact configuration by angular momentum loss.

  3. Planetary Transmission Diagnostics

    Science.gov (United States)

    Lewicki, David G. (Technical Monitor); Samuel, Paul D.; Conroy, Joseph K.; Pines, Darryll J.

    2004-01-01

    This report presents a methodology for detecting and diagnosing gear faults in the planetary stage of a helicopter transmission. This diagnostic technique is based on the constrained adaptive lifting algorithm. The lifting scheme, developed by Wim Sweldens of Bell Labs, is a time domain, prediction-error realization of the wavelet transform that allows for greater flexibility in the construction of wavelet bases. Classic lifting analyzes a given signal using wavelets derived from a single fundamental basis function. A number of researchers have proposed techniques for adding adaptivity to the lifting scheme, allowing the transform to choose from a set of fundamental bases the basis that best fits the signal. This characteristic is desirable for gear diagnostics as it allows the technique to tailor itself to a specific transmission by selecting a set of wavelets that best represent vibration signals obtained while the gearbox is operating under healthy-state conditions. However, constraints on certain basis characteristics are necessary to enhance the detection of local wave-form changes caused by certain types of gear damage. The proposed methodology analyzes individual tooth-mesh waveforms from a healthy-state gearbox vibration signal that was generated using the vibration separation (synchronous signal-averaging) algorithm. Each waveform is separated into analysis domains using zeros of its slope and curvature. The bases selected in each analysis domain are chosen to minimize the prediction error, and constrained to have the same-sign local slope and curvature as the original signal. The resulting set of bases is used to analyze future-state vibration signals and the lifting prediction error is inspected. The constraints allow the transform to effectively adapt to global amplitude changes, yielding small prediction errors. However, local wave-form changes associated with certain types of gear damage are poorly adapted, causing a significant change in the

  4. Physical and cognitive functioning after 3 years can be predicted using information from the diagnostic process in recently diagnosed multiple sclerosis

    NARCIS (Netherlands)

    de Groot, Vincent; Beckerman, Heleen; Uitdehaag, Bernard M.; Hintzen, Rogier Q.; Minneboo, Arjan; Heymans, Martijn W.; Lankhorst, Gustaaf J.; Polman, Chris H.; Bouter, Lex M.; IJzerman, Maarten Joost

    2009-01-01

    Objective To predict functioning after 3 years in patients with recently diagnosed multiple sclerosis (MS). Design Inception cohort with 3 years of follow-up. At baseline, predictors were obtained from medical history taking, neurologic examination, and magnetic resonance imaging (MRI). Setting

  5. Are Elias 2-27's Spiral Arms Driven by Self-gravity, or by a Companion? A Comparative Spiral Morphology Study

    Science.gov (United States)

    Forgan, Duncan H.; Ilee, John D.; Meru, Farzana

    2018-06-01

    The spiral waves detected in the protostellar disk surrounding Elias 2-27 have been suggested as evidence of the disk being gravitationally unstable. However, previous work has shown that a massive, stable disk undergoing an encounter with a massive companion are also consistent with the observations. We compare the spiral morphology of smoothed particle hydrodynamic simulations modeling both cases. The gravitationally unstable disk produces symmetric, tightly wound spiral arms with constant pitch angle, as predicted by the literature. The companion disk’s arms are asymmetric, with pitch angles that increase with radius. However, these arms are not well-fitted by standard analytic expressions, due to the high disk mass and relatively low companion mass. We note that differences (or indeed similarities) in morphology between pairs of spirals is a crucial discriminant between scenarios for Elias 2-27, and hence future studies must fit spiral arms individually. If Elias 2-27 continues to show symmetric tightly wound spiral arms in future observations, then we posit that it is the first observed example of a gravitationally unstable protostellar disk.

  6. Characterisation of extended-spectrum β-lactamase and AmpC β-lactamase-producing Enterobacteriaceae isolated from companion animals in New Zealand.

    Science.gov (United States)

    Karkaba, A; Grinberg, A; Benschop, J; Pleydell, E

    2017-03-01

    To assess the occurrence of, and characterise, extended-spectrum β-lactamase (ESBL) and AmpC β-lactamase (AmpC)-producing Enterobacteriaceae isolated by veterinary diagnostic laboratories from infection sites in companion animals in New Zealand. Selected Enterobacteriaceae isolates were submitted by seven New Zealand veterinary diagnostic laboratories. They were isolated from infection sites in companion animals between June 2012 and June 2013, and were resistant to amoxicillin-clavulanic acid, fluoroquinolones, or any combination of two or more antimicrobials. Based on disk diffusion test results, the isolates were phenotypically categorised according to production of ESBL and AmpC. Genes for ESBL and AmpC production were amplified by PCR and sequenced. Escherichia coli isolates were also typed by multilocus sequence typing. A total of 115 isolates matching the inclusion criteria were obtained from the participating laboratories, of which 74 (64%) originated from dogs and 29 (25%) from cats. Seven bacterial species were identified, of which E. coli was the most common (87/115, 76%). Of the 115 isolates, 10 (9%) expressed the ESBL phenotype, 43 (37%) the AmpC phenotype, and seven (6%) both ESBL and AmpC phenotypes. Of the 60 ESBL and AmpC-producing isolates, 36 (60%) were E. coli. Amongst these isolates, 27/60 (45%) were classified as multidrug resistant, compared with 15/55 (27%) non-ESBL or AmpC-producing isolates (pEnterobacteriaceae isolated by one laboratory network over the study period. ESBL and AmpC-producing Enterobacteriaceae were associated with clinical infections in companion animals in New Zealand, and were often multidrug resistant. In this study, these organisms accounted for Enterobacteriaceae isolated from infection sites by one laboratory network, but their prevalence among isolates resistant to amoxicillin-clavulanic acid was 61%. Therefore routine secondary testing for ESBL and AmpC production by Enterobacteriaceae that are resistant to

  7. Companion Animals as a Source of Viruses for Human Beings and Food Production Animals.

    Science.gov (United States)

    Reperant, L A; Brown, I H; Haenen, O L; de Jong, M D; Osterhaus, A D M E; Papa, A; Rimstad, E; Valarcher, J-F; Kuiken, T

    2016-07-01

    Companion animals comprise a wide variety of species, including dogs, cats, horses, ferrets, guinea pigs, reptiles, birds and ornamental fish, as well as food production animal species, such as domestic pigs, kept as companion animals. Despite their prominent place in human society, little is known about the role of companion animals as sources of viruses for people and food production animals. Therefore, we reviewed the literature for accounts of infections of companion animals by zoonotic viruses and viruses of food production animals, and prioritized these viruses in terms of human health and economic importance. In total, 138 virus species reportedly capable of infecting companion animals were of concern for human and food production animal health: 59 of these viruses were infectious for human beings, 135 were infectious for food production mammals and birds, and 22 were infectious for food production fishes. Viruses of highest concern for human health included hantaviruses, Tahyna virus, rabies virus, West Nile virus, tick-borne encephalitis virus, Crimean-Congo haemorrhagic fever virus, Aichi virus, European bat lyssavirus, hepatitis E virus, cowpox virus, G5 rotavirus, influenza A virus and lymphocytic choriomeningitis virus. Viruses of highest concern for food production mammals and birds included bluetongue virus, African swine fever virus, foot-and-mouth disease virus, lumpy skin disease virus, Rift Valley fever virus, porcine circovirus, classical swine fever virus, equine herpesvirus 9, peste des petits ruminants virus and equine infectious anaemia virus. Viruses of highest concern for food production fishes included cyprinid herpesvirus 3 (koi herpesvirus), viral haemorrhagic septicaemia virus and infectious pancreatic necrosis virus. Of particular concern as sources of zoonotic or food production animal viruses were domestic carnivores, rodents and food production animals kept as companion animals. The current list of viruses provides an objective

  8. AN M DWARF COMPANION AND ITS INDUCED SPIRAL ARMS IN THE HD 100453 PROTOPLANETARY DISK

    Energy Technology Data Exchange (ETDEWEB)

    Dong, Ruobing [Nuclear Science Division, Lawrence Berkeley National Lab, Berkeley, CA 94720 (United States); Zhu, Zhaohuan [Princeton University, Princeton, NJ 08544 (United States); Fung, Jeffrey; Chiang, Eugene [Department of Astronomy, University of California at Berkeley, Berkeley, CA 94720 (United States); Rafikov, Roman [Institute for Advanced Study, Princeton, NJ 08540 (United States); Wagner, Kevin, E-mail: rdong2013@berkeley.edu [Department of Astronomy/Steward Observatory, The University of Arizona, 933 North Cherry Avenue, Tucson, AZ 85721 (United States)

    2016-01-01

    Recent VLT/SPHERE near-infrared imaging observations revealed two spiral arms with a near m = 2 rotational symmetry in the protoplanetary disk around the ∼1.7 M{sub ⊙} Herbig star HD 100453. A ∼0.3 M{sub ⊙} M dwarf companion, HD 100453 B, was also identified at a projected separation of 120 AU from the primary. In this Letter, we carry out hydrodynamic and radiative transfer simulations to examine the scattered light morphology of the HD 100453 disk as perturbed by the companion on a circular and coplanar orbit. We find that the companion truncates the disk at ∼45 AU in scattered light images, and excites two spiral arms in the remaining (circumprimary) disk with a near m = 2 rotational symmetry. Both the truncated disk size and the morphology of the spirals are in excellent agreement with the SPHERE observations at Y, J, H, and K1-bands, suggesting that the M dwarf companion is indeed responsible for the observed double-spiral-arm pattern. Our model suggests that the disk is close to face on (inclination angle ∼5°), and that the entire disk-companion system rotates counterclockwise on the sky. The HD 100453 observations, along with our modeling work, demonstrate that double spiral arm patterns in near-infrared scattered light images can be generically produced by companions, and support future observations to identify the companions responsible for the arms observed in the MWC 758 and SAO 206462 systems.

  9. THE MASS DISTRIBUTION OF COMPANIONS TO LOW-MASS WHITE DWARFS

    Energy Technology Data Exchange (ETDEWEB)

    Andrews, Jeff J.; Price-Whelan, Adrian M.; Agüeros, Marcel A. [Department of Astronomy, Columbia University, 550 W 120th Street, New York, NY 10027 (United States)

    2014-12-20

    Measuring the masses of companions to single-line spectroscopic binary stars is (in general) not possible because of the unknown orbital plane inclination. Even when the mass of the visible star can be measured, only a lower limit can be placed on the mass of the unseen companion. However, since these inclination angles should be isotropically distributed, for a large enough, unbiased sample, the companion mass distribution can be deconvolved from the distribution of observables. In this work, we construct a hierarchical probabilistic model to infer properties of unseen companion stars given observations of the orbital period and projected radial velocity of the primary star. We apply this model to three mock samples of low-mass white dwarfs (LMWDs; M ≲ 0.45 M {sub ☉}) and a sample of post-common-envelope binaries. We use a mixture of two Gaussians to model the WD and neutron star (NS) companion mass distributions. Our model successfully recovers the initial parameters of these test data sets. We then apply our model to 55 WDs in the extremely low-mass (ELM) WD Survey. Our maximum a posteriori model for the WD companion population has a mean mass μ{sub WD} = 0.74 M {sub ☉}, with a standard deviation σ{sub WD} = 0.24 M {sub ☉}. Our model constrains the NS companion fraction f {sub NS} to be <16% at 68% confidence. We make samples from the posterior distribution publicly available so that future observational efforts may compute the NS probability for newly discovered LMWDs.

  10. Vascular plugs - A key companion to Interventionists - 'Just Plug it'.

    Science.gov (United States)

    Ramakrishnan, Sivasubramanian

    2015-01-01

    Vascular plugs are ideally suited to close extra-cardiac, high flowing vascular communications. The family of vascular plugs has expanded. Vascular plugs in general have a lower profile and the newer variants can be delivered even through a diagnostic catheter. These features make them versatile and easy to use. The Amplatzer vascular plugs are also used for closing intracardiac defects including coronary arterio-venous fistula and paravalvular leakage in an off-label fashion. In this review, the features of currently available vascular plugs are reviewed along with tips and tricks of using them in the cardiac catheterization laboratory. Copyright © 2015. Published by Elsevier B.V.

  11. Diagnostic value of thallium-201 myocardial perfusion IQ-SPECT without and with computed tomography-based attenuation correction to predict clinically significant and insignificant fractional flow reserve

    Science.gov (United States)

    Tanaka, Haruki; Takahashi, Teruyuki; Ohashi, Norihiko; Tanaka, Koichi; Okada, Takenori; Kihara, Yasuki

    2017-01-01

    Abstract The aim of this study was to clarify the predictive value of fractional flow reserve (FFR) determined by myocardial perfusion imaging (MPI) using thallium (Tl)-201 IQ-SPECT without and with computed tomography-based attenuation correction (CT-AC) for patients with stable coronary artery disease (CAD). We assessed 212 angiographically identified diseased vessels using adenosine-stress Tl-201 MPI-IQ-SPECT/CT in 84 consecutive, prospectively identified patients with stable CAD. We compared the FFR in 136 of the 212 diseased vessels using visual semiquantitative interpretations of corresponding territories on MPI-IQ-SPECT images without and with CT-AC. FFR inversely correlated most accurately with regional summed difference scores (rSDS) in images without and with CT-AC (r = −0.584 and r = −0.568, respectively, both P system can predict FFR at an optimal cut-off of <0.80, and we propose a novel application of CT-AC to MPI-IQ-SPECT for predicting clinically significant and insignificant FFR even in nonobese patients. PMID:29390486

  12. Hot subdwarf stars in close-up view. I. Rotational properties of subdwarf B stars in close binary systems and nature of their unseen companions

    Science.gov (United States)

    Geier, S.; Heber, U.; Podsiadlowski, Ph.; Edelmann, H.; Napiwotzki, R.; Kupfer, T.; Müller, S.

    2010-09-01

    mass companions appears to be consistent with expectations, whereas a lack of high inclinations becomes obvious for the massive systems. We show that the formation of such systems can be explained with common envelope evolution and present an appropriate formation channel including two phases of unstable mass transfer and one supernova explosion. The sample also contains a candidate post-RGB star, which rotates fast despite its long orbital period. The post-RGB stars are expected to spin-up caused by their ongoing contraction. The age of the sdB is another important factor. If the EHB star is too young, the synchronisation process might not be finished yet. Estimating the ages of the target stars from their positions on the EHB band, we found PG 2345+318, which is known not to be synchronised, to lie near the zero-age extreme horizontal branch as are the massive candidates PG 1232-136, PG 1432+159 and PG 1101+249. These star may possibly be too young to have reached synchronisation. The derived large fraction of putative massive sdB binary systems in low inclination orbits is inconsistent with theoretical predictions. Even if we dismiss three candidates because they may be too young and assume that the other sdB primaries are of low mass, PG 1743+477 and, in particular, HE 0532-4503 remain as candidates whose companions may have masses close to or above the Chandrasekhar limit. X-ray observations and accurate photometry are suggested to clarify their nature. As high inclination systems must also exist, an appropriate survey has already been launched to find such binaries. Based on observations at the Paranal Observatory of the European Southern Observatory for programmes number 165.H-0588(A), 167.D-0407(A), 068.D-0483(A), 069.D-0534(A), 070.D-0334(A), 071.D-0380(A), 071.D-0383(A) and 382.D-0841(A). Based on observations at the La Silla Observatory of the European Southern Observatory for programmes number 073.D-0495(A), 074.B-0455(A) and 077.D-0515(A). Some of the data

  13. THE ABSENCE OF EX-COMPANIONS IN TYPE Ia SUPERNOVA REMNANTS

    Energy Technology Data Exchange (ETDEWEB)

    Di Stefano, R. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Kilic, Mukremin, E-mail: rd@cfa.harvard.edu, E-mail: kilic@ou.edu [Homer L. Dodge Department of Physics and Astronomy, University of Oklahoma, 440 West Brooks Street, Norman, OK 73019 (United States)

    2012-11-01

    Type Ia supernovae (SNe Ia) play important roles in our study of the expansion and acceleration of the universe, but because we do not know the exact nature or natures of the progenitors, there is a systematic uncertainty that must be resolved if SNe Ia are to become more precise cosmic probes. No progenitor system has ever been identified either in the pre- or post-explosion images of a Ia event. There have been recent claims for and against the detection of ex-companion stars in several SNe Ia remnants. These studies, however, usually ignore the angular momentum gain of the progenitor white dwarf (WD), which leads to a spin-up phase and a subsequent spin-down phase before explosion. For spin-down timescales greater than 10{sup 5} years, the donor star could be too dim to detect by the time of explosion. Here we revisit the current limits on ex-companion stars to SNR 0509-67.5, a 400-year-old remnant in the Large Magellanic Cloud. If the effects of possible angular momentum gain on the WD are included, a wide range of single-degenerate progenitor models are allowed for this remnant. We demonstrate that the current absence of evidence for ex-companion stars in this remnant, as well as other SNe Ia remnants, does not necessarily provide the evidence of absence for ex-companions. We discuss potential ways to identify such ex-companion stars through deep imaging observations.

  14. THE ABSENCE OF EX-COMPANIONS IN TYPE Ia SUPERNOVA REMNANTS

    International Nuclear Information System (INIS)

    Di Stefano, R.; Kilic, Mukremin

    2012-01-01

    Type Ia supernovae (SNe Ia) play important roles in our study of the expansion and acceleration of the universe, but because we do not know the exact nature or natures of the progenitors, there is a systematic uncertainty that must be resolved if SNe Ia are to become more precise cosmic probes. No progenitor system has ever been identified either in the pre- or post-explosion images of a Ia event. There have been recent claims for and against the detection of ex-companion stars in several SNe Ia remnants. These studies, however, usually ignore the angular momentum gain of the progenitor white dwarf (WD), which leads to a spin-up phase and a subsequent spin-down phase before explosion. For spin-down timescales greater than 10 5 years, the donor star could be too dim to detect by the time of explosion. Here we revisit the current limits on ex-companion stars to SNR 0509-67.5, a 400-year-old remnant in the Large Magellanic Cloud. If the effects of possible angular momentum gain on the WD are included, a wide range of single-degenerate progenitor models are allowed for this remnant. We demonstrate that the current absence of evidence for ex-companion stars in this remnant, as well as other SNe Ia remnants, does not necessarily provide the evidence of absence for ex-companions. We discuss potential ways to identify such ex-companion stars through deep imaging observations.

  15. THE RUNAWAY WHITE DWARF LP400-22 HAS A COMPANION

    International Nuclear Information System (INIS)

    Kilic, Mukremin; Brown, Warren R.; Kenyon, S. J.; Allende Prieto, Carlos; Swift, B.; Liebert, J.; Agueeros, M. A.

    2009-01-01

    We report the detection of a radial velocity companion to the extremely low-mass white dwarf (WD) LP400-22. The radial velocity of the WD shows variations with a semiamplitude of 119 km s -1 and a 0.98776 day period, which implies a companion mass of M ≥ 0.37 M sun . The optical photometry rules out a main-sequence companion. Thus the invisible companion is another WD or a neutron star. Using proper-motion measurements and the radial velocity of the binary system, we find that it has an unusual Galactic orbit. LP400-22 is moving away from the Galactic center with a velocity of 396 ± 43 km s -1 , which is very difficult to explain by supernova runaway ejection mechanisms. Dynamical interactions with a massive black hole like that in the Galactic center can in principle explain its peculiar velocity, if the progenitor was a triple star system comprised of a close binary and a distant tertiary companion. Until better proper motions become available, we consider LP400-22 to be most likely a halo star with a very unusual orbit.

  16. Characterizing a New Candidate Benchmark Brown Dwarf Companion in the β Pic Moving Group

    Science.gov (United States)

    Phillips, Caprice; Bowler, Brendan; Liu, Michael C.; Mace, Gregory N.; Sokal, Kimberly R.

    2018-01-01

    Benchmark brown dwarfs are objects that have at least two measured fundamental quantities such as luminosity and age, and therefore can be used to test substellar atmospheric and evolutionary models. Nearby, young, loose associations such as the β Pic moving group represent some of the best regions in which to identify intermediate-age benchmark brown dwarfs due to their well-constrained ages and metallicities. We present a spectroscopic study of a new companion at the hydrogen-burning limit orbiting a low-mass star at a separation of 9″ (650 AU) in the 23 Myr old β Pic moving group. The medium-resolution near-infrared spectrum of this companion from IRTF/SpeX shows clear signs of low surface gravity and yields an index-based spectral type of M6±1 with a VL-G gravity on the Allers & Liu classification system. Currently, there are four known brown dwarf and giant planet companions in the β Pic moving group: HR 7329 B, PZ Tel B, β Pic b, and 51 Eri b. Depending on its exact age and accretion history, this new object may represent the third brown dwarf companion and fifth substellar companion in this association.

  17. The Endurance of Love: Passionate and Companionate Love in Newlywed and Long-term Marriages

    Directory of Open Access Journals (Sweden)

    Mary Utne O’Brien

    2008-06-01

    Full Text Available Most theorists assume that the passage of time will have a very different impact on passionate versus companionate love. Passionate love is said to decline fairly quickly, while companionate love is thought to remain fairly stable (or actually increase over time.This hypothesis was tested in two studies. In Study 1, we interviewed 53 newlywed couples soon after their marriages and again one year later, when presumably (for some the “honeymoon was over.” In Study 2, we interviewed a random sample of 240 older women, ranging in age from 50-82, who had been married varying lengths of time. (The median length of marriage was 33 years. We asked about their passionate and companionate love for their partners and their partner’s love for them. In Study 1, it was found that although newlywed men and women loved with equal passion, women tended to love their partners more companionately than they were loved in return. (This is in accord with previous research with dating couples. The results for people married many years were more complex.Finally, we turned to the question with which we are most concerned: What impact does time have on love? In both Study 1 and Study 2, time did have a corrosive effect on love—but to our surprise it appeared to have an equally detrimental effect on both passionate and companionate love.

  18. “HE MADE ME SPECIAL”: IMAGINARY COMPANIONS, FUNCTIONS AND PARENTAL ATTITUDES

    Directory of Open Access Journals (Sweden)

    Natália Benincasa Velludo

    2016-07-01

    Full Text Available Imaginary companions are one especially elaborated form of pretend play, so frequent in their creators’ daily lives that they can actually serve the function of keeping them company. The characteristics of these types of fantasy creations, as well as their possible functions, were investigated in a sample of 18 children between 6 and 7 years of age (M = 85 months, SD = 4,82; range = 76 – 94 months; 10 girls e 8 boys who had imaginary companions. These children participated in a larger study that aimed at comparing sociocognitive and language development in children with (n = 18 and without imaginary companions (n = 22. In order to investigate parental attitudes toward the phenomenon, parents/caretakers of children (from both groups from the first study were invited to participate, and 11 (10 mothers and 1 grandmother accepted the invitation. The reported characteristics of imaginary companions were diverse (i.e., physical appearance, type, age, for how long they have been friends, and their functions were associated with different needs, such as company, fun or emotional comfort. Whereas the majority of parents associated the phenomenon with an exercise of imagination, some believed the experience could be indicative of problems, for example, a loss of contact with reality or the influence of evil entities. The findings of the present research are consistent with international studies on imaginary companions. We hope these results may contribute to advancing this line of investigation in Brazil.

  19. Organizational and leadership perceptions assessment: opportunities and challenges using the Baldrige companion surveys.

    Science.gov (United States)

    Colombo, Lisa M; Perla, Rocco J; Carifio, James; Bernhardt, Jean M; Slayton, Val W

    2011-01-01

    Combining the use of employee perception surveys with sound analytical techniques and models is critical to capturing high quality data from which effective decisions can be made in complex healthcare settings. This study used the Baldrige Award companion surveys with an analysis of variance (ANOVA) framework to identify discordant perceptions of hospital staff and leadership in the areas of customer focus, knowledge management, and results that were significant at the 0.05 and 0.01 levels. Senior leaders in the organization found the ANOVA framework helpful as they interpreted results from the Baldrige companion surveys and planned future improvement activities. During the execution of our study a number of difficulties and challenges arose that are not uncommon to survey administration in smaller settings, such as community hospitals, or in larger hospital settings with no research staff or research staff with relevant psychometric expertise. Our experience suggests that the Baldrige companion survey process would be enhanced by providing organizations with general guidance and protocols for optimal survey administration and data analysis. The purpose of this article is to outline the ANOVA model we used with the Baldrige companion surveys and to provide guidance related to the administration and analysis of these companion surveys for those that use them. © 2010 National Association for Healthcare Quality.

  20. Social Environment and Control Status of Companion Animal-Borne Zoonoses in Japan

    Directory of Open Access Journals (Sweden)

    Hiromi Takahashi-Omoe

    2012-02-01

    Full Text Available Changing social and environmental factors have been the cause of an increase in the number and variety of animals are being imported into Japan. Moreover, the number of Japanese households are keeping companion animals has also risen. These factors, along with the high density of the Japanese population and the low percentage of registered dogs, have increased the risk of animal-to-human transmission of zoonoses. To control zoonosis outbreaks, the Japanese government has implemented a three-stage approach for the border control of zoonoses and has stipulated the monitoring and reporting of eight companion animal-borne zoonoses under the Rabies Prevention Law and the Infectious Diseases Control Law. The fact that no case of human and animal rabies has been reported over the past 50 years indicates that these measures are highly effective in preventing rabies transmission. Although it is known that the total number of possible companion animal-borne zoonosis outbreaks decreased between 2005 and 2009 when compared with numbers between 2001 and 2004, the number of zoonosis cases that can be attributed to transmission by companion animals remains unclear. Active surveillance should be conducted on a national level to collect the data necessary to determine this number and identify trends in companion-animal transmitted diseases. Using the data collected, regulation systems should be evaluated to determine whether they have met reasonable goals and policy planning conducted for the control of emerging diseases.

  1. A SUBSTELLAR COMMON PROPER-MOTION COMPANION TO THE PLEIAD H II 1348

    International Nuclear Information System (INIS)

    Geißler, Kerstin; Metchev, Stanimir A.; Pham, Alfonse; Larkin, James E.; McElwain, Michael; Hillenbrand, Lynne A.

    2012-01-01

    We announce the identification of a proper-motion companion to the star H II 1348, a K5 V member of the Pleiades open cluster. The existence of a faint point source 1.''1 away from H II 1348 was previously known from adaptive optics imaging by Bouvier et al. However, because of a high likelihood of background star contamination and in the absence of follow-up astrometry, Bouvier et al. tentatively concluded that the candidate companion was not physically associated with H II 1348. We establish the proper-motion association of the pair from adaptive optics imaging with the Palomar 5 m telescope. Adaptive optics spectroscopy with the integral field spectrograph OSIRIS on the Keck 10 m telescope reveals that the companion has a spectral type of M8 ± 1. According to substellar evolution models, the M8 spectral type resides within the substellar mass regime at the age of the Pleiades. The primary itself is a known double-lined spectroscopic binary, which makes the resolved companion, H II 1348B, the least massive and widest component of this hierarchical triple system and the first substellar companion to a stellar primary in the Pleiades.

  2. Discovery of a wide planetary-mass companion to the young M3 star GU PSC

    Energy Technology Data Exchange (ETDEWEB)

    Naud, Marie-Eve; Artigau, Étienne; Malo, Lison; Albert, Loïc; Doyon, René; Lafrenière, David; Gagné, Jonathan; Boucher, Anne [Département de physique and Observatoire du Mont-Mégantic, Université de Montréal, Montréal H3C 3J7 (Canada); Saumon, Didier [Los Alamos National Laboratory, Los Alamos, NM 87545 (United States); Morley, Caroline V. [Department of Astronomy and Astrophysics, University of California, Santa Cruz, CA 95064 (United States); Allard, France; Homeier, Derek [Centre de Recherche Astrophysique de Lyon, UMR 5574 CNRS, Université de Lyon, École Normale Supérieure de Lyon, 46 Allée d' Italie, F-69364 Lyon Cedex 07 (France); Beichman, Charles A.; Gelino, Christopher R., E-mail: naud@astro.umontreal.ca [Infrared Processing and Analysis Center, MS 100-22, California Institute of Technology, Pasadena, CA 91125 (United States)

    2014-05-20

    We present the discovery of a comoving planetary-mass companion ∼42'' (∼2000 AU) from a young M3 star, GU Psc, a likely member of the young AB Doradus Moving Group (ABDMG). The companion was first identified via its distinctively red i – z color (>3.5) through a survey made with Gemini-S/GMOS. Follow-up Canada-France-Hawaii Telescope/WIRCam near-infrared (NIR) imaging, Gemini-N/GNIRS NIR spectroscopy and Wide-field Infrared Survey Explorer photometry indicate a spectral type of T3.5 ± 1 and reveal signs of low gravity which we attribute to youth. Keck/Adaptive Optics NIR observations did not resolve the companion as a binary. A comparison with atmosphere models indicates T {sub eff} = 1000-1100 K and log g = 4.5-5.0. Based on evolution models, this temperature corresponds to a mass of 9-13 M {sub Jup} for the age of ABDMG (70-130 Myr). The relatively well-constrained age of this companion and its very large angular separation to its host star will allow its thorough characterization and will make it a valuable comparison for planetary-mass companions that will be uncovered by forthcoming planet-finder instruments such as Gemini Planet Imager and SPHERE 9.

  3. Effects of gravitational lensing and companion motion on the binary pulsar timing

    International Nuclear Information System (INIS)

    Rafikov, Roman R.; Lai Dong

    2006-01-01

    The measurement of the Shapiro time delay in binary pulsar systems with highly-inclined orbit can be affected both by the motion of the pulsar's companion because of the finite time it takes a photon to cross the binary, and by the gravitational light bending if the orbit is sufficiently edge-on relative to the line of sight. Here we calculate the effect of retardation due to the companion's motion on various time delays in pulsar binaries, including the Shaipro delay, the geometric lensing delay, and the lens-induced delays associated with the pulsar rotation. Our results can be applied to systems so highly inclined that near conjunction gravitational lensing of the pulsar radiation by the companion becomes important (the recently discovered double pulsar system J0737-3039 may exemplify such a system). To the leading order, the effect of retardation is to shift all the delay curves backward in time around the orbit conjunction, without affecting the shape and amplitude of the curves. The time shift is of order the photon orbit crossing time, and ranges from a second to a few minutes for the observed binary pulsar systems. In the double pulsar system J0737-3039, the motion of the companion may also affect the interpretation of the recent correlated interstellar scintillation measurements. Finally, we show that lensing sets an upper limit on the magnitude of the frame-dragging time delay caused by the companion's spin, and makes this delay unobservable in stellar-mass binary pulsar systems

  4. Thyroid diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Scriba, P C; Boerner, W; Emrich, S; Gutekunst, R; Herrmann, J; Horn, K; Klett, M; Krueskemper, H L; Pfannenstiel, P; Pickardt, C R

    1985-03-01

    None of the in-vitro and in-vivo methods listed permits on unambiguous diagnosis when applied alone, owing to the fact that similar or even identical findings are obtained for various individual parameters in different thyroid diseases. Further, especially the in-vitro tests are also subject to extrathyroidal effects which may mask the typical findings. The limited and varying specificity and sensitivity of the tests applied, as well as the falsification of results caused by the patients' idiosyncracies and the methodology, make it necessary to interpret and evaluate the in-vivo and in-vitro findings only if the clinical situation (anamnesis and physical examination) is known. For maximum diagnostic quality of the tests, the initial probability of the assumed type of thyroid disease must be increased (formulation of the clinical problem). The concepts of exclusion diagnosis and identification must be distinguished as well as the diagnosis of functional disturbances on the one hand and of thyroid diseases on the other. Both of this requires a qualified, specific and detailed anamnesis and examination procedure, and the clinical examination remains the obligatory basis of clinical diagnostics. In case of inexplicable discrepancies between the clinical manifestations and the findings obtained with specific methods, or between the findings obtained with a specific method, the patient should be referred to an expert institution, or the expert institution should be consulted.

  5. Thyroid diagnostics

    International Nuclear Information System (INIS)

    Scriba, P.C.; Boerner, W.; Emrich, S.; Gutekunst, R.; Herrmann, J.; Horn, K.; Klett, M.; Krueskemper, H.L.; Pfannenstiel, P.; Pickardt, C.R.; Reiners, C.; Reinwein, D.; Schleusener, H.

    1985-01-01

    None of the in-vitro and in-vivo methods listed permits on unambiguous diagnosis when applied alone, owing to the fact that similar or even identical findings are obtained for various individual parameters in different thyroid diseases. Further, especially the in-vitro tests are also subject to extrathyroidal effects which may mask the typical findings. The limited and varying specificity and sensitivity of the tests applied, as well as the falsification of results caused by the patients' idiosyncracies and the methodology, make it necessary to interpret and evaluate the in-vivo and in-vitro findings only if the clinical situation (anamnesis and physical examination) is known. For maximum diagnostic quality of the tests, the initial probability of the assumed type of thyroid disease must be increased (formulation of the clinical problem). The concepts of exclusion diagnosis and identification must be distinguished as well as the diagnosis of functional disturbances on the one hand and of thyroid diseases on the other. Both of this requires a qualified, specific and detailed anamnesis and examination procedure, and the clinical examination remains the obligatory basis of clinical diagnostics. In case of inexplicable discrepancies between the clinical manifestations and the findings obtained with specific methods, or between the findings obtained with a specific method, the patient should be referred to an expert institution, or the expert institution should be consulted. (orig./MG) [de

  6. Ambient diagnostics

    CERN Document Server

    Cai, Yang

    2014-01-01

    Part I. FundamentalsIntroductionWhat is Ambient Diagnostics?Diagnostic ModelsMultimedia IntelligenceCrowd SourcingSoft SensorsScience of SimplicityPersonal DiagnosesBasic AlgorithmsBasic ToolsSummaryProblemsTransformationEarly Discoveries of Heartbeat PatternsTransforms, Features, and AttributesSequential FeaturesSpatiotemporal FeaturesShape FeaturesImagery FeaturesFrequency Domain FeaturesMulti-Resolution FeaturesSummaryProblemsPattern RecognitionSimilarities and DistancesClustering MethodsClassification MethodsClassifier Accuracy MeasuresSummaryProblemsPart II. Multimedia IntelligenceSound RecognitionMicrophone AppsModern Acoustic Transducers (Microphones)Frequency Response CharacteristicsDigital Audio File FormatsHeart Sound SensingLung Sound SensingSnore MeterSpectrogram (STFT)Ambient Sound AnalysisSound RecognitionRecognizing Asthma SoundPeak ShiftFeature CompressionRegroupingNoise IssuesFuture ApplicationsSummaryProblemsColor SensorsColor SensingHuman Color VisionColor SensorsColor Matching ExperimentsC...

  7. Diagnostic Analysis of Contributions of the North Atlantic Subtropical High to Sub-Seasonal Predictability of Summertime Drought and Flood in the Eastern US.

    Science.gov (United States)

    Carter, E.; Steinschneider, S.

    2017-12-01

    The North Atlantic Subtropical High (NASH)—a semi-permanent anticyclone established under the descending branch of the Hadley cell in the subtropical North Atlantic Ocean—has been identified as a primary driver of summertime precipitation in the Eastern US. Characteristic patterns of precipitation across the region are associated with variations in the location and intensity of the NASH western ridge, and recently these characteristics have been identified as potential sources of predictability for precipitation at sub-seasonal to seasonal (S2S) timescales. In this work, we show that the location and intensity of the NASH also directly control atmospheric variables that contribute to variability in moisture demand (PET), such as surface wind speed and solar insolation. Using surface climate and NASH characteristics from observational and reanalysis datasets, we will examine the relationship between NASH intensity and the location of its western ridge and both precipitation and PET at various seasonal to sub-seasonal (S2S) timescales. Particular focus will be given to how the strength of these relationships varies across space and through time. The goal is to identify the S2S time-scales where the NASH contributes to maximum predictability of atmospheric drivers of both agricultural drought and regional flooding. Results will help support the development of both drought and flood forecasting tools for different regions in the Eastern United States.

  8. Diagnostic Value of Technetium-99m-Dimercaptosuccinic Acid Scintigraphy in Prediction of Vesicoureteral Reflux in Children with First-time Febrile Urinary Tract Infection

    Directory of Open Access Journals (Sweden)

    Fatemeh Ataei

    2017-11-01

    Full Text Available Background: Imaging modalities such as voiding cystourethrography (VCUG, direct radionuclide cystography (DRNC, and renal cortical scintigraphy (RCS with technetium-99m dimercaptosuccinic acid (Tc-99mDMSA, are helpful in detecting possible abnormalities of urinary tract such as vesicoureteral reflux (VUR. However, there are confounding data regarding the preference of these modalities. In the present study, we aimed to assess the role of Tc-99mDMSA scan in prediction of possible VUR and the subsequent need for VCUG or DRNC. Materials and Methods: Three hundred fifty seven children under 14 years old with first-time febrile urinary tract infection (UTI who were admitted between April 2004 and February 2017 were enrolled. Data regarding to VCUG or DRNC in order to evaluate the presence of possible VUR were recorded. Finally, accuracy of Tc-99mDMSA scans in prediction of VUR were assessed. Results: Analyses showed a sensitivity and specificity of 95.65% and 14.72%, respectively for Tc-99mDMSA scan in detection of VUR. Patients with mild renal involvement in Tc-99mDMSA scans had a 3.5-fold greater risk of having VUR than those with a normal scans (odds ratio=3.5; 95% confidence interval [CI]: 1.4-8.58; p=0.007. In addition, the risk of VUR is up to 7.0-fold greater in children with moderate renal involvement (odds ratio=7.0; 95% CI: 2.6-13.2; p

  9. A Population Study of Wide-Separation Brown Dwarf Companions to Main Sequence Stars

    Science.gov (United States)

    Smith, Jeffrey J.

    2005-01-01

    Increased interest in infrared astronomy has opened the frontier to study cooler objects that shed significant light on the formation of planetary systems. Brown dwarf research provides a wealth of information useful for sorting through a myriad of proposed formation theories. Our study combines observational data from 2MASS with rigorous computer simulations to estimate the true population of long-range (greater than 1000 AU) brown dwarf companions in the solar neighborhood (less than 25 pc from Earth). Expanding on Gizis et al. (2001), we have found the margin of error in previous estimates to be significantly underestimated after we included orbit eccentricity, longitude of pericenter, angle of inclination, field star density, and primary and secondary luminosities as parameters influencing the companion systems in observational studies. We apply our simulation results to current L- and T-dwarf catalogs to provide updated estimates on the frequency of wide-separation brown dwarf companions to main sequence stars.

  10. DISCOVERY OF THE COLDEST IMAGED COMPANION OF A SUN-LIKE STAR

    International Nuclear Information System (INIS)

    Thalmann, C.; Carson, J.; Goto, M.; Feldt, M.; Henning, T.; Klahr, H.; Mordasini, C.; Janson, M.; McElwain, M.; Egner, S.; Hayano, Y.; Suzuki, R.; Hashimoto, J.; Kandori, R.; Kudo, T.; Kusakabe, N.; Morino, J.-I.; Suto, H.; Tamura, M.; Hodapp, K. W.

    2009-01-01

    We present the discovery of a brown dwarf or possible planet at a projected separation of 1.''9 = 29 AU around the star GJ 758, placing it between the separations at which substellar companions are expected to form by core accretion (∼5 AU) or direct gravitational collapse (typically ∼>100 AU). The object was detected by direct imaging of its thermal glow with Subaru/HiCIAO. At 10-40 times the mass of Jupiter and a temperature of 550-640 K, GJ 758 B constitutes one of the few known T-type companions, and the coldest ever to be imaged in thermal light around a Sun-like star. Its orbit is likely eccentric and of a size comparable to Pluto's orbit, possibly as a result of gravitational scattering or outward migration. A candidate second companion is detected at 1.''2 at one epoch.

  11. Inferring the Composition of Super-Jupiter Mass Companions of Pulsars with Radio Line Spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Ray, Alak; Loeb, Abraham, E-mail: akr@tifr.res.in, E-mail: aloeb@cfa.harvard.edu [Institute of Theory and Computation, Center for Astrophysics, Harvard University 60 Garden Street, Cambridge, MA 02138 (United States)

    2017-02-10

    We propose using radio line spectroscopy to detect molecular absorption lines (such as OH at 1.6–1.7 GHz) before and after the total eclipse of black widow and other short orbital period binary pulsars with low-mass companions. The companion in such a binary may be ablated away by energetic particles and high-energy radiation produced by the pulsar wind. The observations will probe the eclipsing wind being ablated by the pulsar and constrain the nature of the companion and its surroundings. Maser emission from the interstellar medium stimulated by a pulsar beam might also be detected from the intrabinary medium. The short temporal resolution allowed by the millisecond pulsars can probe this medium with the high angular resolution of the pulsar beam.

  12. Evaluation of a Digital Companion for Older Adults with Mild Cognitive Impairment.

    Science.gov (United States)

    Demiris, George; Thompson, Hilaire J; Lazar, Amanda; Lin, Shih-Yin

    2016-01-01

    Study Objective: The purpose of this study was to examine the feasibility of a digital companion system used by older adults with mild cognitive impairment (MCI). We utilized a commercially available system that is comprehensive in its functionalities (including conversation ability, use of pictures and other media, and reminders) to explore the system's impact on older adults ' social interactions, anxiety, depressive symptoms, and acceptance of the system. Study Design: We conducted a three-month mixed methods evaluation study of the digital companion. Results: Ten female community-dwelling older adults (average age 78.3 years) participated in the study. Overall, participants utilized the tool regularly and appreciated its presence and their interactions. Participants scored higher at the end of the study in cognition and social support scales, and lower in presence of depressive symptoms. Conclusion: Findings indicate the feasibility of a digital companion for people with MCI and inform the need for additional research.

  13. Diagnostic accuracy of organ electrodermal diagnostics | Szopinski ...

    African Journals Online (AJOL)

    Objective. To estimate the diagnostic accuracy as well as the scope of utilisation of a new bio-electronic method of organ diagnostics. Design. Double-blind comparative study of the diagnostic results obtained by means of organ electrodermal diagnostics (OED) and clinical diagnoses, as a criterion standard. Setting.

  14. SNS Diagnostics

    International Nuclear Information System (INIS)

    Shea, T.J.; Cameron, P.; Doolittle, L.; Power, J.

    2000-01-01

    The Spallation Neutron Source (SNS) Project is a collaborative effort to build the next generation neutron science facility at Oak Ridge, TN. The facility will deliver a 2 MW proton beam to a liquid mercury target. Neutrons from this target will be moderated and sent to several state-of-the-art instruments. Six national laboratories are involved in SNS construction. Berkeley (LBNL) will build the front end that produces a 2.5 MeV, 52 mA H-beam. Los Alamos (LANL) is responsible for the 1 GeV linac with a superconducting section provided by Thomas Jefferson (JLab). Brookhaven (BNL) is building the transfer lines and accumulator ring. Oak Ridge (ORNL) and Argonne (ANL) have responsibility for the target and instruments. All activities are coordinated by the SNS project office at Oak Ridge. The high beam power, a desired availability of 95%, and an aggressive commissioning schedule lead to some interesting challenges in beam diagnostics

  15. Owners’ Perceptions of Their Animal’s Behavioural Response to the Loss of an Animal Companion

    Directory of Open Access Journals (Sweden)

    Jessica K. Walker

    2016-11-01

    Full Text Available The loss of a companion animal is recognised as being associated with experiences of grief by the owner, but it is unclear how other animals in the household may be affected by such a loss. Our aim was to investigate companion animals’ behavioural responses to the loss of a companion through owner-report. A questionnaire was distributed via, and advertised within, publications produced by the Royal Society for the Prevention of Cruelty to Animals (RSPCA across Australia and New Zealand, and through a selection of veterinary clinics within New Zealand. A total of 279 viable surveys were returned pertaining to 159 dogs and 152 cats. The two most common classes of behavioural changes reported for both dogs and cats were affectionate behaviours (74% of dogs and 78% of cats and territorial behaviours (60% of dogs and 63% of cats. Both dogs and cats were reported to demand more attention from their owners and/or display affiliative behaviour, as well as spend time seeking out the deceased’s favourite spot. Dogs were reported to reduce the volume (35% and speed (31% of food consumption and increase the amount of time spent sleeping (34%. Cats were reported to increase the frequency (43% and volume (32% of vocalisations following the death of a companion. The median duration of reported behavioural changes in both species was less than 6 months. There was consensus that the behaviour of companion animals changed in response to the loss of an animal companion. These behavioural changes suggest the loss had an impact on the remaining animal.

  16. Owners' Perceptions of Their Animal's Behavioural Response to the Loss of an Animal Companion.

    Science.gov (United States)

    Walker, Jessica K; Waran, Natalie K; Phillips, Clive J C

    2016-11-03

    The loss of a companion animal is recognised as being associated with experiences of grief by the owner, but it is unclear how other animals in the household may be affected by such a loss. Our aim was to investigate companion animals' behavioural responses to the loss of a companion through owner-report. A questionnaire was distributed via, and advertised within, publications produced by the Royal Society for the Prevention of Cruelty to Animals (RSPCA) across Australia and New Zealand, and through a selection of veterinary clinics within New Zealand. A total of 279 viable surveys were returned pertaining to 159 dogs and 152 cats. The two most common classes of behavioural changes reported for both dogs and cats were affectionate behaviours (74% of dogs and 78% of cats) and territorial behaviours (60% of dogs and 63% of cats). Both dogs and cats were reported to demand more attention from their owners and/or display affiliative behaviour, as well as spend time seeking out the deceased's favourite spot. Dogs were reported to reduce the volume (35%) and speed (31%) of food consumption and increase the amount of time spent sleeping (34%). Cats were reported to increase the frequency (43%) and volume (32%) of vocalisations following the death of a companion. The median duration of reported behavioural changes in both species was less than 6 months. There was consensus that the behaviour of companion animals changed in response to the loss of an animal companion. These behavioural changes suggest the loss had an impact on the remaining animal.

  17. CROWDING-OUT OF GIANTS BY DWARFS: AN ORIGIN FOR THE LACK OF COMPANION PLANETS IN HOT JUPITER SYSTEMS

    International Nuclear Information System (INIS)

    Ogihara, Masahiro; Inutsuka, Shu-ichiro; Kobayashi, Hiroshi

    2013-01-01

    We investigate the formation of close-in terrestrial planets from planetary embryos under the influence of a hot Jupiter (HJ) using gravitational N-body simulations that include gravitational interactions between the gas disk and the terrestrial planet (e.g., type I migration). Our simulations show that several terrestrial planets efficiently form outside the orbit of the HJ, making a chain of planets, and all of them gravitationally interact directly or indirectly with the HJ through resonance, which leads to inward migration of the HJ. We call this mechanism of induced migration of the HJ ''crowding-out''. The HJ is eventually lost through collision with the central star, and only several terrestrial planets remain. We also find that the efficiency of the crowding-out effect depends on the model parameters; for example, the heavier the disk is, the more efficient the crowding-out is. When planet formation occurs in a massive disk, the HJ can be lost to the central star and is never observed. On the other hand, for a less massive disk, the HJ and terrestrial planets can coexist; however, the companion planets may be below the detection limit of current observations. In both cases, systems with a HJ and terrestrial planets have little chance of detection. Therefore, our model naturally explains the lack of companion planets in HJ systems regardless of the disk mass. In effect, our model provides a theoretical prediction for future observations; additional planets can be discovered just outside the HJ, and their masses should generally be small

  18. SU-F-R-05: Multidimensional Imaging Radiomics-Geodesics: A Novel Manifold Learning Based Automatic Feature Extraction Method for Diagnostic Prediction in Multiparametric Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Parekh, V [The Johns Hopkins University, Computer Science. Baltimore, MD (United States); Jacobs, MA [The Johns Hopkins University School of Medicine, Dept of Radiology and Oncology. Baltimore, MD (United States)

    2016-06-15

    Purpose: Multiparametric radiological imaging is used for diagnosis in patients. Potentially extracting useful features specific to a patient’s pathology would be crucial step towards personalized medicine and assessing treatment options. In order to automatically extract features directly from multiparametric radiological imaging datasets, we developed an advanced unsupervised machine learning algorithm called the multidimensional imaging radiomics-geodesics(MIRaGe). Methods: Seventy-six breast tumor patients underwent 3T MRI breast imaging were used for this study. We tested the MIRaGe algorithm to extract features for classification of breast tumors into benign or malignant. The MRI parameters used were T1-weighted, T2-weighted, dynamic contrast enhanced MR imaging (DCE-MRI) and diffusion weighted imaging(DWI). The MIRaGe algorithm extracted the radiomics-geodesics features (RGFs) from multiparametric MRI datasets. This enable our method to learn the intrinsic manifold representations corresponding to the patients. To determine the informative RGF, a modified Isomap algorithm(t-Isomap) was created for a radiomics-geodesics feature space(tRGFS) to avoid overfitting. Final classification was performed using SVM. The predictive power of the RGFs was tested and validated using k-fold cross validation. Results: The RGFs extracted by the MIRaGe algorithm successfully classified malignant lesions from benign lesions with a sensitivity of 93% and a specificity of 91%. The top 50 RGFs identified as the most predictive by the t-Isomap procedure were consistent with the radiological parameters known to be associated with breast cancer diagnosis and were categorized as kinetic curve characterizing RGFs, wash-in rate characterizing RGFs, wash-out rate characterizing RGFs and morphology characterizing RGFs. Conclusion: In this paper, we developed a novel feature extraction algorithm for multiparametric radiological imaging. The results demonstrated the power of the MIRa

  19. SU-F-R-05: Multidimensional Imaging Radiomics-Geodesics: A Novel Manifold Learning Based Automatic Feature Extraction Method for Diagnostic Prediction in Multiparametric Imaging

    International Nuclear Information System (INIS)

    Parekh, V; Jacobs, MA

    2016-01-01

    Purpose: Multiparametric radiological imaging is used for diagnosis in patients. Potentially extracting useful features specific to a patient’s pathology would be crucial step towards personalized medicine and assessing treatment options. In order to automatically extract features directly from multiparametric radiological imaging datasets, we developed an advanced unsupervised machine learning algorithm called the multidimensional imaging radiomics-geodesics(MIRaGe). Methods: Seventy-six breast tumor patients underwent 3T MRI breast imaging were used for this study. We tested the MIRaGe algorithm to extract features for classification of breast tumors into benign or malignant. The MRI parameters used were T1-weighted, T2-weighted, dynamic contrast enhanced MR imaging (DCE-MRI) and diffusion weighted imaging(DWI). The MIRaGe algorithm extracted the radiomics-geodesics features (RGFs) from multiparametric MRI datasets. This enable our method to learn the intrinsic manifold representations corresponding to the patients. To determine the informative RGF, a modified Isomap algorithm(t-Isomap) was created for a radiomics-geodesics feature space(tRGFS) to avoid overfitting. Final classification was performed using SVM. The predictive power of the RGFs was tested and validated using k-fold cross validation. Results: The RGFs extracted by the MIRaGe algorithm successfully classified malignant lesions from benign lesions with a sensitivity of 93% and a specificity of 91%. The top 50 RGFs identified as the most predictive by the t-Isomap procedure were consistent with the radiological parameters known to be associated with breast cancer diagnosis and were categorized as kinetic curve characterizing RGFs, wash-in rate characterizing RGFs, wash-out rate characterizing RGFs and morphology characterizing RGFs. Conclusion: In this paper, we developed a novel feature extraction algorithm for multiparametric radiological imaging. The results demonstrated the power of the MIRa

  20. The Dwarf Spheroidal Companions to M31: WFPC2 Observations of Andromeda III

    OpenAIRE

    Da Costa, G. S.; Armandroff, T. E.; Caldwell, Nelson

    2002-01-01

    The Hubble Space Telescope WFPC2 camera has been used to image Andromeda III, a dwarf spheroidal companion (dSph) to M31. The resulting color-magnitude (c-m) diagrams reveal the morphology of the horizontal branch (HB) in this dwarf galaxy. We find that like Andromeda I and Andromeda II, and like most of the Galactic dSph companions, the HB morphology of And III is predominantly red, redder than that of both And I and And II despite And III having a lower mean metallicity. We interpret this r...

  1. SOUTHERN MASSIVE STARS AT HIGH ANGULAR RESOLUTION: OBSERVATIONAL CAMPAIGN AND COMPANION DETECTION

    Energy Technology Data Exchange (ETDEWEB)

    Sana, H. [European Space Agency/Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218 (United States); Le Bouquin, J.-B.; Duvert, G.; Zins, G. [Université Grenoble Alpes, IPAG, F-38000 Grenoble (France); Lacour, S.; Gauchet, L.; Pickel, D. [LESIA, Observatoire de Paris, CNRS, UPMC, Université Paris-Diderot, Paris Sciences et Lettres, 5 Place Jules Janssen, F-92195 Meudon (France); Berger, J.-P. [European Southern Observatory, Schwarzschild-Str. 2, D-85748 Garching bei München (Germany); Norris, B. [Sydney Institute for Astronomy, School of Physics, University of Sydney, NSW 2006 (Australia); Olofsson, J. [Max-Planck-Institut für Astronomie, Koenigstuhl 17, D-69117 Heidelberg (Germany); Absil, O. [Département d' Astrophysique, Géophysique et Océanographie, Université de Liège, 17 Allée du Six Août, B-4000 Liège (Belgium); De Koter, A. [Astrophysical Institute Anton Pannekoek, Universiteit van Amsterdam, Science Park 904, 1098XH Amsterdam (Netherlands); Kratter, K. [JILA, 440 UCB, University of Colorado, Boulder, CO 80309-0440 (United States); Schnurr, O. [Leibniz-Institut für Astrophysik Potsdam, An der Sternwarte 16, D-14482 Potsdam (Germany); Zinnecker, H., E-mail: hsana@stsci.edu [Deutsches SOFIA Instituut, SOFIA Science Center, NASA Ames Research Center, Mail Stop N232-12, Moffett Field, CA 94035 (United States)

    2014-11-01

    Multiplicity is one of the most fundamental observable properties of massive O-type stars and offers a promising way to discriminate between massive star formation theories. Nevertheless, companions at separations between 1 and 100 milliarcsec (mas) remain mostly unknown due to intrinsic observational limitations. At a typical distance of 2 kpc, this corresponds to projected physical separations of 2-200 AU. The Southern MAssive Stars at High angular resolution survey (SMaSH+) was designed to fill this gap by providing the first systematic interferometric survey of Galactic massive stars. We observed 117 O-type stars with VLTI/PIONIER and 162 O-type stars with NACO/Sparse Aperture Masking (SAM), probing the separation ranges 1-45 and 30-250 mas and brightness contrasts of ΔH < 4 and ΔH < 5, respectively. Taking advantage of NACO's field of view, we further uniformly searched for visual companions in an 8'' radius down to ΔH = 8. This paper describes observations and data analysis, reports the discovery of almost 200 new companions in the separation range from 1 mas to 8'' and presents a catalog of detections, including the first resolved measurements of over a dozen known long-period spectroscopic binaries. Excluding known runaway stars for which no companions are detected, 96 objects in our main sample (δ < 0°; H < 7.5) were observed both with PIONIER and NACO/SAM. The fraction of these stars with at least one resolved companion within 200 mas is 0.53. Accounting for known but unresolved spectroscopic or eclipsing companions, the multiplicity fraction at separation ρ < 8'' increases to f {sub m} = 0.91 ± 0.03. The fraction of luminosity class V stars that have a bound companion reaches 100% at 30 mas while their average number of physically connected companions within 8'' is f {sub c} = 2.2 ± 0.3. This demonstrates that massive stars form nearly exclusively in multiple systems. The nine non-thermal radio

  2. EVOLUTIONARY TRAJECTORIES OF ULTRACOMPACT 'BLACK WIDOW' PULSARS WITH VERY LOW MASS COMPANIONS

    Energy Technology Data Exchange (ETDEWEB)

    Benvenuto, O. G.; De Vito, M. A. [Facultad de Ciencias Astronomicas y Geofisicas, Universidad Nacional de La Plata and Instituto de Astrofisica de La Plata (IALP), CCT-CONICET-UNLP, Paseo del Bosque S/N (B1900FWA), La Plata (Argentina); Horvath, J. E., E-mail: obenvenu@fcaglp.unlp.edu.ar, E-mail: adevito@fcaglp.unlp.edu.ar, E-mail: foton@astro.iag.usp.br [Instituto de Astronomia, Geofisica e Ciencias Atmosfericas, Universidade de Sao Paulo, R. do Matao 1226 (05508-090), Cidade Universitaria, Sao Paulo, SP (Brazil)

    2012-07-10

    The existence of millisecond pulsars with planet-mass companions in close orbits is challenging from the stellar evolution point of view. We calculate in detail the evolution of binary systems self-consistently, including mass transfer, evaporation, and irradiation of the donor by X-ray feedback, demonstrating the existence of a new evolutionary path leading to short periods and compact donors as required by the observations of PSR J1719-1438. We also point out the alternative of an exotic nature of the companion planet-mass star.

  3. EFFECT OF A STELLAR COMPANION ON THE MODELING OF HD 142527 INFRARED SED

    OpenAIRE

    Erick Nagel

    2014-01-01

    The discovery of a companion of the Herbig Ae/Be star HD 142527 motivates the study of the effect that it produces on the SED. The main change on the system configuration is the formation of a gap in the disk. Due to this change, a wall (outer edge of the gap), which is frontally illuminated by stellar radiation is formed. We present a model for the SED, considering all the components: a disk with two gaps (one produced by the stellar companion and the other by potential planets), three walls...

  4. Social Environment and Control Status of Companion Animal-Borne Zoonoses in Japan

    Science.gov (United States)

    Takahashi-Omoe, Hiromi; Omoe, Katsuhiko

    2012-01-01

    Simple Summary The risk of companion animal-borne zoonoses has been rising in Japan with the tendency for increasing number of households to ever-growing numbers and varieties of animals as pets. In response, the Japanese government has implemented measures for the domestic and border control of zoonoses. However, it is impossible to determine whether these measures have adequately controlled the transmission of companion animal-borne zoonoses, due to a lack of (i) direct evidence linking companion animal involvement in disease and (ii) understanding of current trends in disease outbreak. Active surveillance should be conducted on a national level to collect the data necessary to make this determination and identify these trends. Abstract Changing social and environmental factors have been the cause of an increase in the number and variety of animals are being imported into Japan. Moreover, the number of Japanese households are keeping companion animals has also risen. These factors, along with the high density of the Japanese population and the low percentage of registered dogs, have increased the risk of animal-to-human transmission of zoonoses. To control zoonosis outbreaks, the Japanese government has implemented a three-stage approach for the border control of zoonoses and has stipulated the monitoring and reporting of eight companion animal-borne zoonoses under the Rabies Prevention Law and the Infectious Diseases Control Law. The fact that no case of human and animal rabies has been reported over the past 50 years indicates that these measures are highly effective in preventing rabies transmission. Although it is known that the total number of possible companion animal-borne zoonosis outbreaks decreased between 2005 and 2009 when compared with numbers between 2001 and 2004, the number of zoonosis cases that can be attributed to transmission by companion animals remains unclear. Active surveillance should be conducted on a national level to collect the data

  5. A Broad-Spectrum Infection Diagnostic that Detects Pathogen-Associated Molecular Patterns (PAMPs in Whole Blood

    Directory of Open Access Journals (Sweden)

    Mark Cartwright

    2016-07-01

    Conclusion: The FcMBL ELLecSA-based PAMP assay offers a rapid, simple, sensitive and specific method for diagnosing infections, even when blood cultures are negative and antibiotic therapy has been initiated. It may help to triage patients with suspected systemic infections, and serve as a companion diagnostic to guide administration of emerging dialysis-like sepsis therapies.

  6. Reduced-gravity Environment Hardware Demonstrations of a Prototype Miniaturized Flow Cytometer and Companion Microfluidic Mixing Technology

    Science.gov (United States)

    Bae, Candice; Sharpe, Julia Z.; Bishara, Andrew M.; Nelson, Emily S.; Weaver, Aaron S.; Brown, Daniel; McKay, Terri L.; Griffin, DeVon; Chan, Eugene Y.

    2014-01-01

    Until recently, astronaut blood samples were collected in-flight, transported to earth on the Space Shuttle, and analyzed in terrestrial laboratories. If humans are to travel beyond low Earth orbit, a transition towards space-ready, point-of-care (POC) testing is required. Such testing needs to be comprehensive, easy to perform in a reduced-gravity environment, and unaffected by the stresses of launch and spaceflight. Countless POC devices have been developed to mimic laboratory scale counterparts, but most have narrow applications and few have demonstrable use in an in-flight, reduced-gravity environment. In fact, demonstrations of biomedical diagnostics in reduced gravity are limited altogether, making component choice and certain logistical challenges difficult to approach when seeking to test new technology. To help fill the void, we are presenting a modular method for the construction and operation of a prototype blood diagnostic device and its associated parabolic flight test rig that meet the standards for flight-testing onboard a parabolic flight, reduced-gravity aircraft. The method first focuses on rig assembly for in-flight, reduced-gravity testing of a flow cytometer and a companion microfluidic mixing chip. Components are adaptable to other designs and some custom components, such as a microvolume sample loader and the micromixer may be of particular interest. The method then shifts focus to flight preparation, by offering guidelines and suggestions to prepare for a successful flight test with regard to user training, development of a standard operating procedure (SOP), and other issues. Finally, in-flight experimental procedures specific to our demonstrations are described. PMID:25490614

  7. Diagnostic thoracoscopy

    Directory of Open Access Journals (Sweden)

    Plavec Goran

    2002-01-01

    Full Text Available Diagnostic thoracoscopy in patients with pleural effusion of unclear origin mostly provides the correct diagnosis. Results from published reports of previous researches are not uniform. In 47 male and 20 female patients with pleural effusion of unknown etiology, after receiving negative results obtained from cytological finding of pleural effusion and percutaneous needle biopsy, thoracoscopy with biopsy of one or both pleurae was performed. Procedure was done in local anesthesia using Stortz rigid thoracoscope. In 37 patients with malignant disease (primary or metastatic diagnosis was confirmed histopathologically in 31 patient (81.12%. In 27 patients with inflammatory pleural disease diagnosis was confirmed histopathologically in 22 patients (81.4%. Among 11 patients with specific pleural effusions, tuberculosis was confirmed in 10 (90.91%. Normal finding in cases of spontaneous pneumothorax and pulmonary embolism was taken as a positive result. Total number of positive findings was 55 (82.10%. In one patient, the third spontaneous pneumothorax was the indication for thoracoscopy, and after numerous bullae were seen during the procedure, talcum powder pleurodesis was done. In four patients low intensity subcutaneous emphysema occurred one day after thoracoscopy. It can be concluded that thoracoscopy in local anesthesia out of the operating room is good and practical method for solving the unclear pleural effusions, with neglectable rate of complications.

  8. Mitigation diagnostics

    International Nuclear Information System (INIS)

    Hall, S.T.

    1990-01-01

    This paper reports that experience in the remediation of schools and other large buildings has shown the importance of the effects of both the location of geologic sources and HVAC-induced distribution of indoor radon. In general, elevated radon in areas of schools with evenly distributed HVAC pressures are correlated with maximum soil radon emanations. However, strong or unequal HVAC effects can redistribute indoor radon to areas away from the direct source. Effective remediation required a complete understanding of both contributions. In some schools, highest indoor radon levels were located near large return ducts and were attributed to proximity to negative HVAC pressure. Successful sub-slab depressurization systems were installed, however, in rooms with lower indoor but greatest sub-slab radon levels, closest to the source. This shows the inadequacy of using indoor radon levels alone as a basis for remediation. Wings of two other schools with radon problems have equivalent window fan coil units in rooms of equal size and no central HVAC system. Highest indoor radon levels correlated well with highest sub-slab radon levels due to the equivalent effects of the window units. Diagnostic tests in other schools have revealed: blockwall radon transport to upper floors; high blockwall radon adjacent to sub-slab sources; and elevated indoor radon over crawlspace being drawn upward by HVAC-induced negative pressure, determined from indoor to outdoor micromanometer measurements

  9. Market Access Advancements and Challenges in “Drug-Companion Diagnostic Test” Co-Development in Europe

    Directory of Open Access Journals (Sweden)

    Ildar Akhmetov

    2015-06-01

    Full Text Available The pharma ecosphere is witnessing a measured transformation from the one-size-fits-all or blockbuster model of drugs to more informed and tailored personalized treatments that facilitate higher safety and efficacy for a relevant sub-population. However, with several breakthroughs still in a nascent stage, market access becomes a crucial factor for commercial success, especially when it comes to co-creating value for pertinent stakeholders. This article highlights diverse issues from stakeholder perspectives in Europe, specifically the ones which require immediate resolution. Furthermore, the article also discusses case studies articulating potential solutions for the issues discussed.

  10. Yersinia enterocolitica in Diagnostic Fecal Samples from European Dogs and Cats: Identification by Fourier Transform Infrared Spectroscopy and Matrix-Assisted Laser Desorption Ionization–Time of Flight Mass Spectrometry

    OpenAIRE

    Stamm, Ivonne; Hailer, Mandy; Depner, Barbara; Kopp, Peter A.; Rau, Jörg

    2013-01-01

    Yersinia enterocolitica is the main cause of yersiniosis in Europe, one of the five main bacterial gastrointestinal diseases of humans. Beside pigs, companion animals, especially dogs and cats, were repeatedly discussed in the past as a possible source of pathogenic Y. enterocolitica. To investigate the presence and types of Y. enterocolitica in companion animals, a total of 4,325 diagnostic fecal samples from dogs and 2,624 samples from cats were tested. The isolates obtained were differenti...

  11. NEW M, L, AND T DWARF COMPANIONS TO NEARBY STARS FROM THE WIDE-FIELD INFRARED SURVEY EXPLORER

    Energy Technology Data Exchange (ETDEWEB)

    Luhman, Kevin L.; Loutrel, Nicholas P.; McCurdy, Nicholas S.; Melso, Nicole D.; Star, Kimberly M.; Terrien, Ryan C. [Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 (United States); Mace, Gregory N.; McLean, Ian S. [UCLA Division of Astronomy and Astrophysics, Los Angeles, CA 90095 (United States); Young, Michael D.; Rhode, Katherine L. [Department of Astronomy, Indiana University, Swain West 319, 727 East Third Street, Bloomington, IN 47405 (United States); Davy Kirkpatrick, J., E-mail: kluhman@astro.psu.edu [Infrared Processing and Analysis Center, MS 100-22, California Institute of Technology, Pasadena, CA 91125 (United States)

    2012-12-01

    We present 11 candidate late-type companions to nearby stars identified with data from the Wide-field Infrared Survey Explorer (WISE) and the Two Micron All Sky Survey (2MASS). Eight of the candidates are likely to be companions based on their common proper motions with the primaries. The remaining three objects are rejected as companions, one of which is a free-floating T7 dwarf. Spectral types are available for five of the companions, which consist of M2V, M8.5V, L5, T8, and T8. Based on their photometry, the unclassified companions are probably two mid-M dwarfs and one late-M/early-L dwarf. One of the T8 companions, WISE J142320.84+011638.0, has already been reported by Pinfield and coworkers. The other T8 companion, ULAS J095047.28+011734.3, was discovered by Burningham and coworkers through the United Kingdom Infrared Telescope Infrared Deep Sky Survey, but its companionship has not been previously recognized in the literature. The L5 companion, 2MASS J17430860+8526594, is a new member of a class of L dwarfs that exhibit unusually blue near-IR colors. Among the possible mechanisms that have been previously proposed for the peculiar colors of these L dwarfs, low metallicity does not appear to be a viable explanation for 2MASS J17430860+8526594 since our spectrum of the primary suggests that its metallicity is not significantly subsolar.

  12. NEW M, L, AND T DWARF COMPANIONS TO NEARBY STARS FROM THE WIDE-FIELD INFRARED SURVEY EXPLORER

    International Nuclear Information System (INIS)

    Luhman, Kevin L.; Loutrel, Nicholas P.; McCurdy, Nicholas S.; Melso, Nicole D.; Star, Kimberly M.; Terrien, Ryan C.; Mace, Gregory N.; McLean, Ian S.; Young, Michael D.; Rhode, Katherine L.; Davy Kirkpatrick, J.

    2012-01-01

    We present 11 candidate late-type companions to nearby stars identified with data from the Wide-field Infrared Survey Explorer (WISE) and the Two Micron All Sky Survey (2MASS). Eight of the candidates are likely to be companions based on their common proper motions with the primaries. The remaining three objects are rejected as companions, one of which is a free-floating T7 dwarf. Spectral types are available for five of the companions, which consist of M2V, M8.5V, L5, T8, and T8. Based on their photometry, the unclassified companions are probably two mid-M dwarfs and one late-M/early-L dwarf. One of the T8 companions, WISE J142320.84+011638.0, has already been reported by Pinfield and coworkers. The other T8 companion, ULAS J095047.28+011734.3, was discovered by Burningham and coworkers through the United Kingdom Infrared Telescope Infrared Deep Sky Survey, but its companionship has not been previously recognized in the literature. The L5 companion, 2MASS J17430860+8526594, is a new member of a class of L dwarfs that exhibit unusually blue near-IR colors. Among the possible mechanisms that have been previously proposed for the peculiar colors of these L dwarfs, low metallicity does not appear to be a viable explanation for 2MASS J17430860+8526594 since our spectrum of the primary suggests that its metallicity is not significantly subsolar.

  13. European multicenter study on antimicrobial resistance in bacteria isolated from companion animal urinary tract infections

    NARCIS (Netherlands)

    Marques, Cátia; Gama, Luís Telo; Belas, Adriana; Bergström, Karin; Beurlet, Stéphanie; Briend-Marchal, Alexandra; Broens, Els M|info:eu-repo/dai/nl/314627723; Costa, Marta; Criel, Delphine; Damborg, Peter; van Dijk, Marloes A M|info:eu-repo/dai/nl/413392058; van Dongen, A.M.|info:eu-repo/dai/nl/097672637; Dorsch, Roswitha; Espada, Carmen Martin; Gerber, Bernhard; Kritsepi-Konstantinou, Maria; Loncaric, Igor; Mion, Domenico; Misic, Dusan; Movilla, Rebeca; Overesch, Gudrun; Perreten, Vincent; Roura, Xavier; Steenbergen, Joachim; Timofte, Dorina; Wolf, Georg; Zanoni, Renato Giulio; Schmitt, Sarah; Guardabassi, Luca; Pomba, Constança

    2016-01-01

    BACKGROUND: There is a growing concern regarding the increase of antimicrobial resistant bacteria in companion animals. Yet, there are no studies comparing the resistance levels of these organisms in European countries. The aim of this study was to investigate geographical and temporal trends of

  14. Close Companion Friends, Self-Expression, and Psychological Well-Being in Late Life

    Science.gov (United States)

    Krause, Neal

    2010-01-01

    This study has two central aims. Both are associated with self-expression, which is defined as the ability to fully utilize one's own talents and abilities. The first goal is to see if self-expression reduces depressive symptoms over time whereas the second aim is to see whether close companion friends help older people more fully utilize their…

  15. How I Learned to Swim: The Visual Journal as a Companion to Creative Inquiry

    Science.gov (United States)

    Scott Shields, Sara

    2016-01-01

    In this paper, I discuss my engagement with a visual journal as a companion to creative research practice during my dissertation research. Grounded in arts based research methodologies; I explore visual journals in relationship to research, reflection and analytic processes. I begin with a discussion of the visual journal as an artifact of…

  16. Discourse Features Among Providers, Patients, and Companions and Their Effect on Outcomes of Dementia Diagnosis Disclosure.

    Science.gov (United States)

    Wynn, Matthew J; Carpenter, Brian D

    2017-12-13

    Receiving a diagnosis of dementia has major implications. Although protocols for disclosing difficult information have been developed for other health conditions, no such evidence-based method exists for dementia. As a step toward that goal, this study analyzed the discourse within dementia diagnosis disclosure sessions to identify conversational features associated with psychological outcomes. The Roter Interaction Analysis System (RIAS) was used to code the discourse among patients, their companions, and providers during 84 dementia diagnosis disclosure sessions following an initial evaluation at an Alzheimer's Disease Research Center. Providers dominated the conversation in terms of overall time spent talking. With more severe dementia, patients spoke less and companions spoke more. Provider-positive rapport building was associated with lower patient depression and anxiety following the disclosure session. Patient-positive rapport building was associated with higher companion anxiety, but only when the patient was not suspected to have dementia. No associations were found between other types of discourse and patient or companion psychological outcomes. A relatively small amount of positive rapport building by providers can lead to reduced distress following dementia disclosure. Dementia disclosure best practices should emphasize patient-centered communication techniques in order to minimize psychological distress following diagnosis. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. The Development of a Robot-Based Learning Companion: A User-Centered Design Approach

    Science.gov (United States)

    Hsieh, Yi-Zeng; Su, Mu-Chun; Chen, Sherry Y.; Chen, Gow-Dong

    2015-01-01

    A computer-vision-based method is widely employed to support the development of a variety of applications. In this vein, this study uses a computer-vision-based method to develop a playful learning system, which is a robot-based learning companion named RobotTell. Unlike existing playful learning systems, a user-centered design (UCD) approach is…

  18. Pedagogical Agents as Learning Companions: The Role of Agent Competency and Type of Interaction

    Science.gov (United States)

    Kim, Yanghee; Baylor, Amy L.

    2006-01-01

    This study was designed to examine the effects of the competency (low vs. high) and interaction type (proactive vs. responsive) of pedagogical agents as learning companions (PALs) on learning, self-efficacy, and attitudes. Participants were 72 undergraduates in an introductory computer-literacy course who were randomly assigned to one of four…

  19. Pedagogical Agents as Learning Companions: The Impact of Agent Emotion and Gender

    Science.gov (United States)

    Kim, Yanghee; Baylor, A. L.; Shen, E.

    2007-01-01

    The potential of emotional interaction between human and computer has recently interested researchers in human-computer interaction. The instructional impact of this interaction in learning environments has not been established, however. This study examined the impact of emotion and gender of a pedagogical agent as a learning companion (PAL) on…

  20. The night sky companion a yearly guide to sky-watching 2008-2009

    CERN Document Server

    Plotner, Tammy

    2007-01-01

    The Night Sky Companion is a comprehensive guide to what can be explored in the heavens on a nightly basis. Designed to appeal to readers at all skill levels, it provides a digest for sky watchers interested in all types of astronomical information.

  1. Imaginary Companions, Theory of Mind and Emotion Understanding in Young Children

    Science.gov (United States)

    Giménez-Dasí, Marta; Pons, Francisco; Bender, Patrick K.

    2016-01-01

    The phenomenon of imaginary companions (ICs) has received little attention in developmental psychology, even though it can be observed in approximately 25% of preschool-aged children. Only a few studies have investigated the effect of ICs on children's theory of mind and emotion understanding, and the results are partial or inconsistent. This…

  2. Children with Imaginary Companions Focus on Mental Characteristics When Describing Their Real-life Friends

    Science.gov (United States)

    Davis, Paige E.; Meins, Elizabeth; Fernyhough, Charles

    2014-01-01

    Relations between having an imaginary companion (IC) and (i) descriptions of a real-life friend, (ii) theory of mind performance, and (iii) reported prosocial behaviour and behavioural difficulties were investigated in a sample of 5-year-olds (N?=?159). Children who had an IC were more likely than their peers without an IC to describe their best…

  3. Assistive technology design and development for acceptable robotics companions for ageing years

    NARCIS (Netherlands)

    Amirabdollahian, F.; op den Akker, R.; Bedaf, S.; Bormann, R.; Draper, H.; Evers, V.; Gallego Pérez, J.; Gelderblom, G.J.; Gutierrez Ruiz, C.; Hewson, D.; Hu, N.; Kröse, B.; Lehmann, H.; Marti, P.; Michel, H.; Prevot-Huille, H.; Reiser, U.; Saunders, J.; Sorell, T.; Stienstra, J.; Syrdal, D.; Walters, M.; Dautenhahn, K.

    2013-01-01

    A new stream of research and development responds to changes in life expectancy across the world. It includes technologies which enhance well-being of individuals, specifically for older people. The ACCOMPANY project focuses on home companion technologies and issues surrounding technology

  4. Assistive technology design and development for acceptable robotics companions for ageing years.

    NARCIS (Netherlands)

    Amirabdollahian, F.; Akker, op den R.; Bedaf, S.; Bormann, R.; Draper, H.; Gelderblom, G.J.; Gutierrez Ruiz, C.; Hewson, D.; Hu, N.; Koay, K.L.; Kröse, B.; Lehmann, H.; Marti, P.; Michel, H.; Prevot-Huille, H.; Reiser, U.; Saunders, J.; Sorell, T.; Stienstra, J.T.; Syrdal, D.; Walters, M.; Dautenhahn, K.

    2013-01-01

    A new stream of research and development responds to changes in life expectancy across the world. It includes technologies which enhance well-being of individuals, specifically for older people. The ACCOMPANY project focuses on home companion technologies and issues surrounding technology

  5. Prosocial Behaviors in Context: Examining the Role of Children's Social Companions

    Science.gov (United States)

    de Guzman, Maria Rosario T.; Carlo, Gustavo; Edwards, Carolyn Pope

    2008-01-01

    This study examines the role of immediate social companions in the prosocial behaviors of children from two cultural communities from the USA and the Philippines. Materials for this study comprised behavioral observations drawn from the Six Cultures Study--with 612 five-minute observations of 23 children (12 girls, 11 boys) from Orchard Town, MA…

  6. Veterinarians’ role in clients’ decision‑making regarding seriously ill companion animal patients

    DEFF Research Database (Denmark)

    Christiansen, Stine B.; Kristensen, Annemarie Thuri; Lassen, Jesper

    2016-01-01

    Background: When companion animals become seriously ill clients may have doubts about treatment choices, if any, and turn to veterinarians for help. But how should veterinarians reply? Influence on clients’ decision-making may or may not be acceptable—depending on one’s attitude to principles suc...

  7. Animal Companions: Fostering Children's Effort-Making by Nurturing Virtual Pets

    Science.gov (United States)

    Chen, Zhi-Hong; Liao, Calvin; Chien, Tzu-Chao; Chan, Tak-Wai

    2011-01-01

    Virtual character is a significant application in the research field of technology-enhanced learning. In this study, the concept of animal companions, "non-smart" virtual characters, is proposed as a way to encourage students to promote effort-making learning behaviours. The two underpinning design rationales are first discussed followed by the…

  8. Learning Companion Systems, Social Learning Systems, and the Global Social Learning Club.

    Science.gov (United States)

    Chan, Tak-Wai

    1996-01-01

    Describes the development of learning companion systems and their contributions to the class of social learning systems that integrate artificial intelligence agents and use machine learning to tutor and interact with students. Outlines initial social learning projects, their programming languages, and weakness. Future improvements will include…

  9. Operant Conditioning Concepts in Introductory Psychology Textbooks and Their Companion Web Sites

    Science.gov (United States)

    Sheldon, Jane P.

    2002-01-01

    Psychology instructors and textbook authors rate operant conditioning as one of the most essential concepts for students to learn, yet textbook writers, as well as students, can fall prey to misconceptions. This study is a content analysis of the presentation of operant conditioning in introductory psychology textbooks and their companion Web…

  10. NO NEUTRON STAR COMPANION TO THE LOWEST MASS SDSS WHITE DWARF

    International Nuclear Information System (INIS)

    Agueeros, Marcel A.; Camilo, Fernando; Heinke, Craig; Kilic, Mukremin; Anderson, Scott F.; Silvestri, Nicole M.; Freire, Paulo; Kleinman, Scot J.; Liebert, James W.

    2009-01-01

    SDSS J091709.55+463821.8 (hereafter J0917+4638) is the lowest surface gravity white dwarf (WD) currently known, with log g = 5.55 ± 0.05 (M ∼ 0.17 M sun ). Such low-mass white dwarfs (LMWDs) are believed to originate in binaries that evolve into WD/WD or WD/neutron star (NS) systems. An optical search for J0917+4638's companion showed that it must be a compact object with a mass ≥0.28 M sun . Here we report on Green Bank Telescope 820 MHz and XMM-Newton X-ray observations of J0917+4638 intended to uncover a potential NS companion to the LMWD. No convincing pulsar signal is detected in our radio data. Our X-ray observation also failed to detect X-ray emission from J0917+4638's companion, while we would have detected any of the millisecond radio pulsars in 47 Tuc. We conclude that the companion is almost certainly another WD.

  11. Multispecies and Clonal Dissemination of OXA-48 Carbapenemase in Enterobacteriaceae From Companion Animals in Germany, 2009—2016

    Directory of Open Access Journals (Sweden)

    Sandra Pulss

    2018-06-01

    Full Text Available The increasing spread of carbapenemase-producing Enterobacteriaceae (CPE poses a serious threat to public health. Recent studies suggested animals as a putative source of such bacteria. We investigated 19,025 Escherichia coli, 1607 Klebsiella spp. and 570 Enterobacter spp. isolated from livestock, companion animal, horse, and pet samples between 2009 and 2016 in our routine diagnostic laboratory for reduced susceptibility to carbapenems (CP by using meropenem-containing media. Actively screened CP non-susceptible strains as well as 367 archived ESBL/AmpC-β-lactamase-producing Enterobacteriaceae were then tested for the presence of CP genes by PCRs. Among 21,569 isolates, OXA-48 could be identified as the sole carbapenemase type in 137 (0.64% strains. The blaOXA-48 gene was located on an ∼60-kb IncL plasmid and sequence analysis revealed high similarity to reference plasmid pOXA-48a, which has been involved in the global spread of the blaOXA-48 gene in humans for many years. Klebsiella pneumoniae was the predominant OXA-48 producer (n = 86; 6.6% of all K. pneumoniae isolates, followed by E. cloacae (n = 28; 5.0%, Klebsiella oxytoca (n = 1; 0.3%, and E. coli (n = 22, 0.1%. OXA-48 was not found in livestock, but in dogs (120/3182; 3.8%, cats (13/792; 1.6%, guinea pig (1/43; 2.3%, rat (1/23; 4.3%, mouse (1/180; 0.6%, and one rabbit (1/144; 0.7%. Genotyping identified few major clones among the different enterobacteria species, including sequence types ST11 and ST15 for K. pneumoniae, ST1196 for E. coli, and ST506 and ST78 for E. cloacae, most of which were previously involved in the dissemination of multidrug-resistant strains in humans. The majority of OXA-48 isolates (n = 112 originated from a university veterinary clinic (UVC, while animals from further 16 veterinary institutions were positive. Clonal analyses suggested nosocomial events related to different species and STs in two veterinary clinics and horizontal transfer of the pOXA-48-like

  12. DISCOVERY OF A LOW-MASS COMPANION TO THE SOLAR-TYPE STAR TYC 2534-698-1

    International Nuclear Information System (INIS)

    Kane, Stephen R.; Mahadevan, Suvrath; Sivarani, Thirupathi; Cochran, William D.; Street, Rachel A.; Henry, Gregory W.; Williamson, Michael H.

    2009-01-01

    Brown dwarfs and low-mass stellar companions are interesting objects to study since they occupy the mass region between deuterium and hydrogen burning. We report here the serendipitous discovery of a low-mass companion in an eccentric orbit around a solar-type main-sequence star. The stellar primary, TYC 2534-698-1, is a G2V star that was monitored both spectroscopically and photometrically over the course of several months. Radial velocity observations indicate a minimum mass of 0.037 M sun and an orbital period of ∼103 days for the companion. Photometry outside of the transit window shows the star to be stable to within ∼6 millimags. The semimajor axis of the orbit places the companion in the 'brown dwarf desert' and we discuss potential follow-up observations that could constrain the mass of the companion.

  13. Standardization of positive controls in diagnostic immunohistochemistry

    DEFF Research Database (Denmark)

    Torlakovic, Emina E; Nielsen, Søren; Francis, Glenn

    2015-01-01

    Diagnostic immunohistochemistry (dIHC) has been practiced for several decades, with an ongoing expansion of applications for diagnostic use, and more recently for detection of prognostic and predictive biomarkers. However, standardization of practice has yet to be achieved, despite significant...

  14. VizieR Online Data Catalog: KOIs companions from high-resolution imaging (Hirsch+, 2017)

    Science.gov (United States)

    Hirsch, L. A.; Ciardi, D. R.; Howard, A. W.; Everett, M. E.; Furlan, E.; Saylors, M.; Horch, E. P.; Howell, S. B.; Teske, J.; Marcy, G. W.

    2017-07-01

    We report on 176 close (<2'') stellar companions detected with high-resolution imaging near 170 hosts of Kepler Objects of Interest (KOIs). Our sample consists of 170 stellar hosts of Kepler Objects of Interest (KOIs) observed with various high-resolution imaging campaigns. This sample was drawn from the overall sample of KOI stars observed with high-resolution imaging, described in the imaging compilation paper by Furlan et al. 2017 (Cat. J/AJ/153/71). We choose targets for this study by requiring that at least one companion was detected within 2'', and that the companion was detected in two or more filters, providing color information. We choose the 2'' separation limit to include all companions falling on the same Kepler pixel as the primary KOI host star. Furlan et al. 2017 (Cat. J/AJ/153/71) details the observations and measured differential magnitudes (Δm=m2-m1) for stars with high-resolution imaging, including our target systems. Each companion within 2'' must have at least two measured Δm values from the full set of filters used for follow-up observations, in order to be included in our sample. These filters include J-band, H-band, and K-band from adaptive optics imaging from the Keck/NIRC2, Palomar/PHARO, Lick/IRCAL, and MMT/Aries instruments; 562, 692 and 880nm filters from the Differential Speckle Survey Instrument (DSSI) at the Gemini North and WIYN telescopes; i and z bands from the AstraLux lucky imaging campaign at the Calar Alto 2.2m telescope; and LP600 and i bands from Palomar/RoboAO. We also include seeing-limited observations in the U-, B-, and V-bands from the UBV survey (Everett et al.) and "secure" detections (noise probability <10%) in the J-band from the UKIRT Kepler field survey. (3 data files).

  15. Improving patient care through molecular diagnostics

    NARCIS (Netherlands)

    Perez, Edith A.; Pusztai, Lajos; van de Vijver, Marc

    2004-01-01

    Traditional cancer diagnostic techniques include assessment of histologic appearance, identification of specific tumor subtypes, tumor grading, assessment of lymph node status, and presence of metastasis. These are useful for initial evaluation, but are limited in their ability to predict response

  16. Hyperfine Induced Transitions as Diagnostics of Low Density Plasmas and Isotopic Abundance ratios.

    Science.gov (United States)

    Brage, T.; Judge, P. G.; Aboussaid, A.; Godefroid, M. R.; Jonsson, P.; Leckrone, D. S.

    1996-05-01

    We propose a new diagnostics of isotope abundance ratios and electron densities for low density plasmas, in the form of J = 0 -> J(') = 0 radiative transitions. These are usually viewed as being allowed only through two-photon decay, but they may also be induced by the hyperfine (HPF) interaction in atomic ions. This predicts a companion line to the E1] and M2 lines in the UV0.01 multiplet of ions isoelectronic to beryllium (e.g. C III, N IV, O V and Fe XXII) or magnesium (e.g. Si II, Ca IX, Fe XV and Ni XVII). As an example the companion line to the well known lambda lambda 1906.7,1908.7 lines in C III will be at 1909.597 Angstroms, but only present in the (13) C isotope (which has nuclear spin different from zero). We present new and accurate decay rates for the nsnp (3P^oJ) -> ns(2) (1S_{J('}=0)) transitions in ions of the Be (n=2) and Mg (n=3) isoelectronic sequences. We show that the HPF induced decay rates for the J = 0 -> J(') = 0 transitions are many orders of magnitude larger than those for the competing two-photon processes and, when present, are typically one or two orders of magnitude smaller than the decay rates of the magnetic quadrupole ( J = 2-> J(') = 0) transitions for these ions. We show that several of these HPF-induced transitions are of potential astrophysical interest, in ions of C, N, Na, Mg, Al, Si, K, Cr, Fe and Ni. We highlight those cases that may be of particular diagnostic value for determining isotopic abundance ratios and/or electron densities from UV or EUV emission line data. We present our atomic data in the form of scaling laws so that, given the isotopic nuclear spin and magnetic moment, a simple expression yields estimates for HPF induced decay rates. We examine some UV solar and nebular data in the light of these new results and suggest possible cases for future study. We could not find evidence for the existence of HPF induced lines in the spectra we examined, but we demonstrate that existing data have come close to providing

  17. Companions for ``Nessie'' in the Milky Way's Skeleton

    Science.gov (United States)

    Kohler, Susanna

    2015-12-01

    The recent discovery of a purported bone of the Milky Way, a dark cloud nicknamed Nessie, has provided us with new clues for mapping out the spiral structure of our galaxy. It turns out that Nessie may not be alone: a follow-up study has identified more bones, potentially making up a skeleton of the Milky Way that traces out the densest parts of its spiral arms.Inconvenient Vantage PointHow many spiral arms does the Milky Way have? Where are they located? What does the structure look like between the arms? It may seem surprising that these fundamental questions dont yet have clear answers. But because were stuck in the galaxys disk, were forced to piece together our understanding of the Milky Ways structure based primarily on measurements of position and radial velocity of structures within the galactic plane.The discovery of Nessie presents an intriguing new tool to identify the layout of the galaxy. Nessie is a very long, thin, infrared-dark filament that runs along the modeled position of the Scutum-Centaurus arm and is believed therefore to trace the structure of the arm. In a new study led by Catherine Zucker (University of Virginia, Harvard-Smithsonian Center for Astrophysics), the authors have searched for additional bones like Nessie, hoping to use them to map out the skeleton of the Milky Way.New Bones DiscoveredIn this map of radial velocity vs. galactic longitude, the bone candidates are indicated by the numbered points. The colored lines indicate the positions of two of the galactic spiral arms, according to various models. Click for a closer look! [Zucker et al. 2015]Zucker and collaborators began by using World Wide Telescope, a tool that facilitates visualization of multiple layers of data at a variety of scales, to search through Spitzer infrared data for additional structures like Nessie. Searching specifically along the predicted positions of galactic arms, they found 15 initial bone candidates.Next, the team obtained radial-velocity data for the

  18. VERY LOW MASS STELLAR AND SUBSTELLAR COMPANIONS TO SOLAR-LIKE STARS FROM MARVELS. IV. A CANDIDATE BROWN DWARF OR LOW-MASS STELLAR COMPANION TO HIP 67526

    Energy Technology Data Exchange (ETDEWEB)

    Jiang Peng; Ge Jian; De Lee, Nathan; Fleming, Scott W.; Lee, Brian L.; Ma Bo; Wang, Ji [Astronomy Department, University of Florida, 211 Bryant Space Science Center, P.O. Box 112055, Gainesville, FL 32611 (United States); Cargile, Phillip; Hebb, Leslie; Stassun, Keivan G. [Department of Physics and Astronomy, Vanderbilt University, Nashville, TN 37235 (United States); Crepp, Justin R. [Department of Physics, University of Notre Dame, 225 Nieuwland Science Hall, Notre Dame, IN 46556 (United States); Porto de Mello, Gustavo F.; Ferreira, Leticia D. [Observatorio do Valongo, Universidade Federal do Rio de Janeiro, Ladeira do Pedro Antonio, 43, CEP: 20080-090, Rio de Janeiro, RJ (Brazil); Esposito, Massimiliano; Femenia, Bruno; Gonzalez Hernandez, Jonay I. [Instituto de Astrofisica de Canarias, C/Via Lactea S/N, E-38200 La Laguna (Spain); Gaudi, B. Scott [Department of Astronomy, The Ohio State University, 140 West 18th Avenue, Columbus, OH 43210 (United States); Ghezzi, Luan [Laboratorio Interinstitucional de e-Astronomia (LIneA), Rio de Janeiro, RJ 20921-400 (Brazil); Wisniewski, John P. [Homer L. Dodge Department of Physics and Astronomy, University of Oklahoma, 440 West Brooks Street, Norman, OK 73019 (United States); Agol, Eric, E-mail: jpaty@mail.ustc.edu.cn [Department of Astronomy, University of Washington, Box 351580, Seattle, WA 98195-1580 (United States); and others

    2013-09-15

    We report the discovery of a candidate brown dwarf (BD) or a very low mass stellar companion (MARVELS-5b) to the star HIP 67526 from the Multi-object Apache point observatory Radial Velocity Exoplanet Large-area Survey (MARVELS). The radial velocity curve for this object contains 31 epochs spread over 2.5 yr. Our Keplerian fit, using a Markov Chain Monte Carlo approach, reveals that the companion has an orbital period of 90.2695{sup +0.0188}{sub -0.0187} days, an eccentricity of 0.4375 {+-} 0.0040, and a semi-amplitude of 2948.14{sup +16.65}{sub -16.55} m s{sup -1}. Using additional high-resolution spectroscopy, we find the host star has an effective temperature T{sub eff} = 6004 {+-} 34 K, a surface gravity log g (cgs) =4.55 {+-} 0.17, and a metallicity [Fe/H] =+0.04 {+-} 0.06. The stellar mass and radius determined through the empirical relationship of Torres et al. yields 1.10 {+-} 0.09 M{sub Sun} and 0.92 {+-} 0.19 R{sub Sun }. The minimum mass of MARVELS-5b is 65.0 {+-} 2.9M{sub Jup}, indicating that it is likely to be either a BD or a very low mass star, thus occupying a relatively sparsely populated region of the mass function of companions to solar-type stars. The distance to this system is 101 {+-} 10 pc from the astrometric measurements of Hipparcos. No stellar tertiary is detected in the high-contrast images taken by either FastCam lucky imaging or Keck adaptive optics imaging, ruling out any star with mass greater than 0.2 M{sub Sun} at a separation larger than 40 AU.

  19. OGLE-2005-BLG-071Lb, the Most Massive M-Dwarf Planetary Companion?

    Energy Technology Data Exchange (ETDEWEB)

    Dong, S; Gould, A; Udalski, A; Anderson, J; Christie, G W; Gaudi, B S; Jaroszynski, M; Kubiak, M; Szymanski, M K; Pietrzynski, G; Soszynski, I; Szewczyk, O; Ulaczyk, K; Wyrzykowski, L; DePoy, D L; Fox, D B; Gal-Yam, A; Han, C; Lepine, S; McCormick, J; Ofek, E; Park, B; Pogge, R W; Abe, F; Bennett, D P; Bond, I A; Britton, T R; Gilmore, A C; Hearnshaw, J B; Itow, Y; Kamiya, K; Kilmartin, P M; Korpela, A; Masuda, K; Matsubara, Y; Motomura, M; Muraki, Y; Nakamura, S; Ohnishi, K; Okada, C; Rattenbury, N; Saito, T; Sako, T; Sasaki, M; Sullivan, D; Sumi, T; Tristram, P J; Yanagisawa, T; Yock, P M; Yoshoika, T; Albrow, M D; Beaulieu, J P; Brillant, S; Calitz, H; Cassan, A; Cook, K H; Coutures, C; Dieters, S; Prester, D D; Donatowicz, J; Fouque, P; Greenhill, J; Hill, K; Hoffman, M; Horne, K; J?rgensen, U G; Kane, S; Kubas, D; Marquette, J B; Martin, R; Meintjes, P; Menzies, J; Pollard, K R; Sahu, K C; Vinter, C; Wambsganss, J; Williams, A; Bode, M; Bramich, D M; Burgdorf, M; Snodgrass, C; Steele, I; Doublier, V; Foelmi, C

    2008-04-18

    We combine all available information to constrain the nature of OGLE-2005-BLG-071Lb, the second planet discovered by microlensing and the first in a high-magnification event. These include photometric and astrometric measurements from Hubble Space Telescope, as well as constraints from higher-order effects extracted from the ground-based light curve, such as microlens parallax, planetary orbital motion and finite-source effects. Our primary analysis leads to the conclusion that the host of Jovian planet OGLE-2005-BLG-071Lb is a foreground M dwarf, with mass M = 0.46 {+-} 0.04M{sub {circle_dot}}, distance D{sub l} = 3.3 {+-} 0.4 kpc, and thick-disk kinematics {nu}{sub LSR} {approx} 103 km s{sup -1}. From the best-fit model, the planet has mass M{sub p} = 3.5 {+-} 0.3 M{sub Jupiter}, lies at a projected separation r{sub {perpendicular}} = 3.6 {+-} 0.2 AU from its host and has an equilibrium temperature of T {approx} 50 K, i.e., similar to Neptune. A degenerate model less favored by {Delta}{sub {chi}}{sup 2} {approx} 4 gives essentially the same planetary mass M{sub p} = 3.3 {+-} 0.3 M{sub Jupiter} with a smaller projected separation, r{sub {perpendicular}} = 2.1 {+-} 0.1 AU, and higher equilibrium temperature T {approx} 68 K. These results from the primary analysis suggest that OGLE-2005-BLG-071Lb is likely to be the most massive planet yet discovered that is hosted by an M dwarf. However, the formation of such high-mass planetary companions in the outer regions of M-dwarf planetary systems is predicted to be unlikely within the core-accretion scenario. There are a number of caveats to this analysis, but these could mostly be resolved by a single astrometric measurement a few years after the event.

  20. Lectures in plasma diagnostics

    International Nuclear Information System (INIS)

    Hutchinson, I.H.

    1990-06-01

    This paper discusses the following topics on plasma diagnostics: Electric probes in flowing and magnetized plasmas; Electron cyclotron emission absorption; Magnetic diagnostics; Spectroscopy; and Thomson Scattering

  1. A Semi-analytical Model for Wind-fed Black Hole High-mass X-Ray Binaries: State Transition Triggered by Magnetic Fields from the Companion Star

    Energy Technology Data Exchange (ETDEWEB)

    Yaji, Kentaro; Yamada, Shinya; Masai, Kuniaki [Department of Physics, Tokyo Metropolitan University, Minami-Osawa 1-1, Hachioji, Tokyo 192-0397 (Japan)

    2017-10-01

    We propose a mechanism of state transition in wind-fed black hole (BH) binaries (high-mass X-ray binaries) such as Cyg X-1 and LMC X-1. Modeling a line-driven stellar wind from the companion by two-dimensional hydrodynamical calculations, we investigate the processes of wind capture by, and accretion onto, the BH. We assume that the wind acceleration is terminated at the He ii ionization front because ions responsible for line-driven acceleration are ionized within the front, i.e., the He iii region. It is found that the mass accretion rate inferred from the luminosity is remarkably smaller than the capture rate. Considering the difference, we construct a model for the state transition based on the accretion flow being controlled by magnetorotational instability. The outer flow is torus-like, and plays an important role to trigger the transition. The model can explain why state transition does occur in Cyg X-1, while not in LMC X-1. Cyg X-1 exhibits a relatively low luminosity, and then the He ii ionization front is located and can move between the companion and BH, depending on its ionizing photon flux. On the other hand, LMC X-1 exhibits too high luminosity for the front to move considerably; the front is too close to the companion atmosphere. The model also predicts that each state of high-soft or low-hard would last fairly long because the luminosity depends weakly on the wind velocity. In the context of the model, the state transition is triggered by a fluctuation of the magnetic field when its amplitude becomes comparable to the field strength in the torus-like outer flow.

  2. The κ Andromedae system: new constraints on the companion mass, system age, and further multiplicity

    Energy Technology Data Exchange (ETDEWEB)

    Hinkley, Sasha; David, Trevor; Hillenbrand, Lynne A. [Department of Astronomy, California Institute of Technology, 1200 East California Boulevard, MC 249-17, Pasadena, CA 91125 (United States); Pueyo, Laurent [Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218 (United States); Faherty, Jacqueline K. [Department of Astronomy, Universidad de Chile Cerro Calan, Las Condes (Chile); Oppenheimer, Ben R.; Brenner, Douglas; Veicht, Aaron; Nilsson, Ricky [Astrophysics Department, American Museum of Natural History, Central Park West at 79th Street, New York, NY 10024 (United States); Mamajek, Eric E. [Department of Physics and Astronomy, University of Rochester, Rochester, NY 14627-0171 (United States); Kraus, Adam L. [Harvard-Smithsonian CfA, 60 Garden Street, Cambridge, MA 02140 (United States); Rice, Emily L. [Department of Engineering Science and Physics, College of Staten Island, City University of New York, Staten Island, NY 10314 (United States); Ireland, Michael J. [Department of Physics and Astronomy, Macquarie University, Sydney, NSW 2109 (Australia); Vasisht, Gautam; Cady, Eric; Roberts, Jennifer E. [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109 (United States); Zimmerman, Neil [Max Planck Institute for Astronomy, Königstuhl 17, D-69117 Heidelberg (Germany); Parry, Ian R. [Institute of Astronomy, University of Cambridge, Madingley Road, Cambridge CB3 0HA (United Kingdom); Beichman, Charles [NASA Exoplanet Science Institute, California Institute of Technology, Pasadena, CA 91125 (United States); Dekany, Richard [Caltech Optical Observatories, California Institute of Technology, Pasadena, CA 91125 (United States); and others

    2013-12-20

    κ Andromedae is a B9IVn star at 52 pc for which a faint substellar companion separated by 55 ± 2 AU was recently announced. In this work, we present the first spectrum of the companion, 'κ And B,' using the Project 1640 high-contrast imaging platform. Comparison of our low-resolution YJH-band spectra to empirical brown dwarf spectra suggests an early-L spectral type. Fitting synthetic spectra from PHOENIX model atmospheres to our observed spectrum allows us to constrain the effective temperature to ∼2000 K as well as place constraints on the companion surface gravity. Further, we use previously reported log(g) and T {sub eff} measurements of the host star to argue that the κ And system has an isochronal age of 220 ± 100 Myr, older than the 30 Myr age reported previously. This interpretation of an older age is corroborated by the photometric properties of κ And B, which appear to be marginally inconsistent with other 10-100 Myr low-gravity L-dwarfs for the spectral type range we derive. In addition, we use Keck aperture masking interferometry combined with published radial velocity measurements to rule out the existence of any tight stellar companions to κ And A that might be responsible for the system's overluminosity. Further, we show that luminosity enhancements due to a nearly 'pole-on' viewing angle coupled with extremely rapid rotation is unlikely. κ And A is thus consistent with its slightly evolved luminosity class (IV), and we propose here that κ And, with a revised age of 220 ± 100 Myr, is an interloper to the 30 Myr Columba association with which it was previously associated. The photometric and spectroscopic evidence for κ And B combined with our reassessment of the system age implies a substellar companion mass of 50{sub −13}{sup +16} M {sub Jup}, consistent with a brown dwarf rather than a planetary-mass companion.

  3. PLANETS AROUND LOW-MASS STARS. III. A YOUNG DUSTY L DWARF COMPANION AT THE DEUTERIUM-BURNING LIMIT ,

    Energy Technology Data Exchange (ETDEWEB)

    Bowler, Brendan P.; Liu, Michael C. [Institute for Astronomy, University of Hawai' i, 2680 Woodlawn Drive, Honolulu, HI 96822 (United States); Shkolnik, Evgenya L. [Lowell Observatory, 1400 West Mars Hill Road, Flagstaff, AZ 86001 (United States); Dupuy, Trent J., E-mail: bpbowler@ifa.hawaii.edu [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States)

    2013-09-01

    We report the discovery of an L-type companion to the young M3.5V star 2MASS J01225093-2439505 at a projected separation of 1.''45 ( Almost-Equal-To 52 AU) as part of our adaptive optics imaging search for extrasolar giant planets around young low-mass stars. 2MASS 0122-2439 B has very red near-infrared colors similar to the HR 8799 planets and the reddest known young/dusty L dwarfs in the field. Moderate-resolution (R Almost-Equal-To 3800) 1.5-2.4 {mu}m spectroscopy reveals a near-infrared spectral type of L4-L6 and an angular H-band shape, confirming its cool temperature and young age. The kinematics of 2MASS 0122-2439 AB are marginally consistent with members of the {approx}120 Myr AB Dor young moving group based on the photometric distance to the primary (36 {+-} 4 pc) and our radial velocity measurement of 2MASS 0122-2439 A from Keck/HIRES. We adopt the AB Dor group age for the system, but the high energy emission, lack of Li I {lambda}6707 absorption, and spectral shape of 2MASS 0122-2439 B suggest a range of {approx}10-120 Myr is possible. The age and luminosity of 2MASS 0122-2439 B fall in a strip where ''hot-start'' evolutionary model mass tracks overlap as a result of deuterium burning. Several known substellar companions also fall in this region (2MASS J0103-5515 ABb, AB Pic b, {kappa} And b, G196-3 B, SDSS 2249+0044 B, LP 261-75 B, HD 203030 B, and HN Peg B), but their dual-valued mass predictions have largely been unrecognized. The implied mass of 2MASS 0122-2439 B is Almost-Equal-To 12-13 M{sub Jup} or Almost-Equal-To 22-27 M{sub Jup} if it is an AB Dor member, or possibly as low as 11 M{sub Jup} if the wider age range is adopted. Evolutionary models predict an effective temperature for 2MASS 0122-2439 B that corresponds to spectral types near the L/T transition ( Almost-Equal-To 1300-1500 K) for field objects. However, we find a mid-L near-infrared spectral type, indicating that 2MASS 0122-2439 B represents another case

  4. PLANETS AROUND LOW-MASS STARS. III. A YOUNG DUSTY L DWARF COMPANION AT THE DEUTERIUM-BURNING LIMIT ,

    International Nuclear Information System (INIS)

    Bowler, Brendan P.; Liu, Michael C.; Shkolnik, Evgenya L.; Dupuy, Trent J.

    2013-01-01

    We report the discovery of an L-type companion to the young M3.5V star 2MASS J01225093-2439505 at a projected separation of 1.''45 (≈52 AU) as part of our adaptive optics imaging search for extrasolar giant planets around young low-mass stars. 2MASS 0122-2439 B has very red near-infrared colors similar to the HR 8799 planets and the reddest known young/dusty L dwarfs in the field. Moderate-resolution (R ≈ 3800) 1.5-2.4 μm spectroscopy reveals a near-infrared spectral type of L4-L6 and an angular H-band shape, confirming its cool temperature and young age. The kinematics of 2MASS 0122-2439 AB are marginally consistent with members of the ∼120 Myr AB Dor young moving group based on the photometric distance to the primary (36 ± 4 pc) and our radial velocity measurement of 2MASS 0122-2439 A from Keck/HIRES. We adopt the AB Dor group age for the system, but the high energy emission, lack of Li I λ6707 absorption, and spectral shape of 2MASS 0122-2439 B suggest a range of ∼10-120 Myr is possible. The age and luminosity of 2MASS 0122-2439 B fall in a strip where ''hot-start'' evolutionary model mass tracks overlap as a result of deuterium burning. Several known substellar companions also fall in this region (2MASS J0103-5515 ABb, AB Pic b, κ And b, G196-3 B, SDSS 2249+0044 B, LP 261-75 B, HD 203030 B, and HN Peg B), but their dual-valued mass predictions have largely been unrecognized. The implied mass of 2MASS 0122-2439 B is ≈12-13 M Jup or ≈22-27 M Jup if it is an AB Dor member, or possibly as low as 11 M Jup if the wider age range is adopted. Evolutionary models predict an effective temperature for 2MASS 0122-2439 B that corresponds to spectral types near the L/T transition (≈1300-1500 K) for field objects. However, we find a mid-L near-infrared spectral type, indicating that 2MASS 0122-2439 B represents another case of photospheric dust being retained to cooler temperatures at low surface gravities, as seen in the spectra of young (8-30 Myr

  5. How Japanese companion dog and cat owners’ degree of attachment relates to the attribution of emotions to their animals

    Science.gov (United States)

    Koda, Naoko; Martens, Pim

    2018-01-01

    Recently, studies in the United States and European countries have shown that the degree of attachment is associated with the attribution of emotions to companion animals. These studies imply that investigating the degree of attachment to companion animals is a good way for researchers to explore animal emotions and then improve animal welfare. Although a promising area of study, in Japan, no empirical studies have examined the correlation between the degree of attachment and the attribution of emotions to companion animals. In this research, we aimed to assess companion animal owners’ attribution of six primary (anger, joy, sadness, disgust, fear and surprise) and four secondary (shame, jealousy, disappointment and compassion) emotions to their dogs and cats, as well as how the degree of attachment related to such attribution of emotions from a Japanese cultural perspective. The “Pet Bonding Scale” (PBS), which is used to determine the level of bonding between humans and animals, was introduced to measure respondents’ degree of attachment to their companion animals. The results of a questionnaire (N = 546) distributed throughout Japan showed that respondents attributed a wide range of emotions to their animals. Companion animals’ primary emotions, compared to secondary emotions, were more commonly attributed by their owners. The attribution of compassion and jealousy was reported at a high level (73.1% and 56.2%, respectively), which was surprising as compassion and jealousy are generally defined as secondary emotions. All participants were highly attached to their companion animals, and this attachment was positively associated with the attribution of emotions (9/10) to companion animals (all p animal emotions by analyzing the bonding between companion animals and owners in Japan, and it can therefore provide knowledge to increase Japanese people’s awareness of animal welfare. PMID:29304166

  6. How Japanese companion dog and cat owners' degree of attachment relates to the attribution of emotions to their animals.

    Science.gov (United States)

    Su, Bingtao; Koda, Naoko; Martens, Pim

    2018-01-01

    Recently, studies in the United States and European countries have shown that the degree of attachment is associated with the attribution of emotions to companion animals. These studies imply that investigating the degree of attachment to companion animals is a good way for researchers to explore animal emotions and then improve animal welfare. Although a promising area of study, in Japan, no empirical studies have examined the correlation between the degree of attachment and the attribution of emotions to companion animals. In this research, we aimed to assess companion animal owners' attribution of six primary (anger, joy, sadness, disgust, fear and surprise) and four secondary (shame, jealousy, disappointment and compassion) emotions to their dogs and cats, as well as how the degree of attachment related to such attribution of emotions from a Japanese cultural perspective. The "Pet Bonding Scale" (PBS), which is used to determine the level of bonding between humans and animals, was introduced to measure respondents' degree of attachment to their companion animals. The results of a questionnaire (N = 546) distributed throughout Japan showed that respondents attributed a wide range of emotions to their animals. Companion animals' primary emotions, compared to secondary emotions, were more commonly attributed by their owners. The attribution of compassion and jealousy was reported at a high level (73.1% and 56.2%, respectively), which was surprising as compassion and jealousy are generally defined as secondary emotions. All participants were highly attached to their companion animals, and this attachment was positively associated with the attribution of emotions (9/10) to companion animals (all p animal emotions by analyzing the bonding between companion animals and owners in Japan, and it can therefore provide knowledge to increase Japanese people's awareness of animal welfare.

  7. THE PALOMAR/KECK ADAPTIVE OPTICS SURVEY OF YOUNG SOLAR ANALOGS: EVIDENCE FOR A UNIVERSAL COMPANION MASS FUNCTION

    International Nuclear Information System (INIS)

    Metchev, Stanimir A.; Hillenbrand, Lynne A.

    2009-01-01

    We present results from an adaptive optics survey for substellar and stellar companions to Sun-like stars. The survey targeted 266 F5-K5 stars in the 3 Myr-3 Gyr age range with distances of 10-190 pc. Results from the survey include the discovery of two brown dwarf companions (HD 49197B and HD 203030B), 24 new stellar binaries, and a triple system. We infer that the frequency of 0.012-0.072 M sun brown dwarfs in 28-1590 AU orbits around young solar analogs is 3.2 +3.1 -2.7 % (2σ limits). The result demonstrates that the deficiency of substellar companions at wide orbital separations from Sun-like stars is less pronounced than in the radial velocity 'brown dwarf desert'. We infer that the mass distribution of companions in 28-1590 AU orbits around solar-mass stars follows a continuous dN/dM 2 ∝ M -0.4 2 relation over the 0.01-1.0 M sun secondary mass range. While this functional form is similar to that for isolated objects less than 0.1 M sun , over the entire 0.01-1.0 M sun range, the mass functions of companions and of isolated objects differ significantly. Based on this conclusion and on similar results from other direct imaging and radial velocity companion surveys in the literature, we argue that the companion mass function follows the same universal form over the entire range between 0 and 1590 AU in orbital semimajor axis and ∼ 0.01-20 M sun in companion mass. In this context, the relative dearth of substellar versus stellar secondaries at all orbital separations arises naturally from the inferred form of the companion mass function.

  8. How Japanese companion dog and cat owners' degree of attachment relates to the attribution of emotions to their animals.

    Directory of Open Access Journals (Sweden)

    Bingtao Su

    Full Text Available Recently, studies in the United States and European countries have shown that the degree of attachment is associated with the attribution of emotions to companion animals. These studies imply that investigating the degree of attachment to companion animals is a good way for researchers to explore animal emotions and then improve animal welfare. Although a promising area of study, in Japan, no empirical studies have examined the correlation between the degree of attachment and the attribution of emotions to companion animals. In this research, we aimed to assess companion animal owners' attribution of six primary (anger, joy, sadness, disgust, fear and surprise and four secondary (shame, jealousy, disappointment and compassion emotions to their dogs and cats, as well as how the degree of attachment related to such attribution of emotions from a Japanese cultural perspective. The "Pet Bonding Scale" (PBS, which is used to determine the level of bonding between humans and animals, was introduced to measure respondents' degree of attachment to their companion animals. The results of a questionnaire (N = 546 distributed throughout Japan showed that respondents attributed a wide range of emotions to their animals. Companion animals' primary emotions, compared to secondary emotions, were more commonly attributed by their owners. The attribution of compassion and jealousy was reported at a high level (73.1% and 56.2%, respectively, which was surprising as compassion and jealousy are generally defined as secondary emotions. All participants were highly attached to their companion animals, and this attachment was positively associated with the attribution of emotions (9/10 to companion animals (all p < 0.05. This study is one of the first to investigate animal emotions by analyzing the bonding between companion animals and owners in Japan, and it can therefore provide knowledge to increase Japanese people's awareness of animal welfare.

  9. Climate Model Diagnostic Analyzer

    Science.gov (United States)

    Lee, Seungwon; Pan, Lei; Zhai, Chengxing; Tang, Benyang; Kubar, Terry; Zhang, Zia; Wang, Wei

    2015-01-01

    The comprehensive and innovative evaluation of climate models with newly available global observations is critically needed for the improvement of climate model current-state representation and future-state predictability. A climate model diagnostic evaluation process requires physics-based multi-variable analyses that typically involve large-volume and heterogeneous datasets, making them both computation- and data-intensive. With an exploratory nature of climate data analyses and an explosive growth of datasets and service tools, scientists are struggling to keep track of their datasets, tools, and execution/study history, let alone sharing them with others. In response, we have developed a cloud-enabled, provenance-supported, web-service system called Climate Model Diagnostic Analyzer (CMDA). CMDA enables the physics-based, multivariable model performance evaluations and diagnoses through the comprehensive and synergistic use of multiple observational data, reanalysis data, and model outputs. At the same time, CMDA provides a crowd-sourcing space where scientists can organize their work efficiently and share their work with others. CMDA is empowered by many current state-of-the-art software packages in web service, provenance, and semantic search.

  10. Training young horses to social separation: Effect of a companion horse on training efficiency

    DEFF Research Database (Denmark)

    Hartmann, E.; Christensen, Janne Winther; Keeling, LJ

    2011-01-01

    : To investigate whether the initial presence of a familiar companion horse modifies responses to separation from the group, lowers stress levels (as measured by heart rate) and increases training efficiency. Hypothesis: Habituation to separation proceeds more quickly if the horse is first trained with a companion......Reasons for performing study: The intensity with which a horse responds to separation from its group and subsequently to being alone is relevant for both horse and handler safety. Identification of training methods that may reduce responses to separation would be useful in practice. Objectives......, and heart rate is lower when the horse is subsequently trained alone, compared to control horses trained individually from the start. Methods: Young mares (n = 32), kept in groups of 4 were exposed to social separation: 2 horses of the group were trained singly (S1, n = 16) and the remaining 2 horses (n...

  11. Detection of a white dwarf companion to the Hyades stars HD 27483

    Science.gov (United States)

    Boehm-Vitense, Erika

    1993-01-01

    We observed with IUE a white dwarf (WD) companion to the Hyades F6 V binary stars HD 27483. This system is known to be a close binary of two nearly equal stars with an orbital period of 3.05 days. Our IUE observations revealed the presence of a third star, a white dwarf with an effective temperature of 23,000 +/- 1000 K and a mass of approximately 0.6 solar mass. Its presence in the Hyades cluster with a known age permits me to derive the mass of its progenitor, which must have been about 2.3 solar masses. The presence of the white dwarf in a binary system opens the possibility that some of the envelope material, which was expelled by the WD progenitor, may have been collected by the F6 stars. We may thus be able to study abundance anomalies of the WD progenitor with known mass on the surface of the F6 companions.

  12. Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions

    Directory of Open Access Journals (Sweden)

    Rebecca E. Ready

    2011-01-01

    Full Text Available Persons who are at risk for Huntington's Disease (HD can be tested for the HD gene expansion before symptom onset. People with the gene expansion, but no clinical diagnosis, are in the prodromal phase of HD. This study explored quality of life (QOL in prodromal HD. Interviews about QOL, conducted with 9 prodromal HD participants and 6 companions, were transcribed. Discourse was coded for emotional valence, content (e.g., coping, spirituality, interpersonal relationships, HD in others, and employment, and time frame (e.g., current, past, and future. Respondents were more positive than negative about the present, which was their major focus. The most common statements were about positive attitudes. Positive statements were made about spirituality, and negative statements were made about HD in other people. Relationships, employment, and coping with HD reflected both positivity and negativity. Participants and companions spoke of the future with different concerns. Applicability of findings to the clinical management of HD are discussed.

  13. Companion Protease Inhibitors for the In Situ Protection of Recombinant Proteins in Plants.

    Science.gov (United States)

    Robert, Stéphanie; Jutras, Philippe V; Khalf, Moustafa; D'Aoust, Marc-André; Goulet, Marie-Claire; Sainsbury, Frank; Michaud, Dominique

    2016-01-01

    We previously described a procedure for the use of plant protease inhibitors as "companion" accessory proteins to prevent unwanted proteolysis of clinically useful recombinant proteins in leaf crude protein extracts (Benchabane et al. Methods Mol Biol 483:265-273, 2009). Here we describe the use of these inhibitors for the protection of recombinant proteins in planta, before their extraction from leaf tissues. A procedure is first described involving inhibitors co-expressed along-and co-migrating-with the protein of interest in host plant cells. An alternative, single transgene scheme is then described involving translational fusions of the recombinant protein and companion inhibitor. These approaches may allow for a significant improvement of protein steady-state levels in leaves, comparable to yield improvements observed with protease-deficient strains of less complex protein expression hosts such as E. coli or yeasts.

  14. Methicillin-resistant Staphylococcus aureus colonization and infection risks from companion animals: current perspectives

    Directory of Open Access Journals (Sweden)

    Petinaki E

    2015-11-01

    Full Text Available Efthimia Petinaki,1 Iris Spiliopoulou21Department of Microbiology, School of Medicine, University of Thessalia, Larissa, 2Department of Microbiology, School of Medicine, University of Patras, Patras, GreeceAbstract: Methicillin-resistant Staphylococcus aureus (MRSA remains one of the most virulent human pathogens and has also recently been recognized as such in the veterinary settings. Companion animals, including dogs, cats, horses, small exotic animals, wildlife animals, and livestock, may constitute a reservoir for MRSA transmission to humans and vice versa. The evolution, emergence, and risk factors for MRSA transmission among colonized or infected animals are reviewed in the present paper, and infection control practices are discussed.Keywords: methicillin-resistant Staphylococcus aureus, companion animals, close contacts

  15. A Refined Search for Pulsations in White Dwarf Companions to Millisecond Pulsars

    Science.gov (United States)

    Kilic, Mukremin; Hermes, J. J.; Córsico, A. H.; Kosakowski, Alekzander; Brown, Warren R.; Antoniadis, John; Calcaferro, Leila M.; Gianninas, A.; Althaus, Leandro G.; Green, M. J.

    2018-06-01

    We present optical high-speed photometry of three millisecond pulsars with low-mass (<0.3 M⊙) white dwarf companions, bringing the total number of such systems with follow-up time-series photometry to five. We confirm the detection of pulsations in one system, the white dwarf companion to PSR J1738+0333, and show that the pulsation frequencies and amplitudes are variable over many months. A full asteroseismic analysis for this star is under-constrained, but the mode periods we observe are consistent with expectations for a M⋆ = 0.16 - 0.19M⊙ white dwarf, as suggested from spectroscopy. We also present the empirical boundaries of the instability strip for low-mass white dwarfs based on the full sample of white dwarfs, and discuss the distinction between pulsating low-mass white dwarfs and subdwarf A/F stars.

  16. Close-In Substellar Companions and the Formation of sdB-Type Close Binary Stars

    Directory of Open Access Journals (Sweden)

    L. Y. Zhu

    2015-02-01

    Full Text Available The sdB-type close binaries are believed to have experienced a common-envelope phase and may evolve into cataclysmic binaries (CVs. About 10% of all known sdB binaries are eclipsing binaries consisting of very hot subdwarf primaries and low-mass companions with short orbital periods. The eclipse profiles of these systems are very narrow and deep, which benefits the determination of high precise eclipsing times and makes the detection of small and close-in tertiary bodies possible. Since 2006 we have monitored some sdB-type eclipsing binaries to search for the close-in substellar companions by analyzing the light travel time effect. Here some progresses of the program are reviewed and the formation of sdB-type binary is discussed.

  17. Direct imaging and new technologies to search for substellar companions around MGs cool dwarfs

    Directory of Open Access Journals (Sweden)

    Burningham B.

    2011-07-01

    Full Text Available We describe here our project based in a search for sub-stellar companions (brown dwarfs and exo-planets around young ultra-cool dwarfs (UCDs and characterise their properties. We will use current and future technology (high contrast imaging, high-precision Doppler determinations from the ground and space (VLT, ELT and JWST, to find companions to young objects. Members of young moving groups (MGs have clear advantages in this field. We compiled a catalogue of young UCD objects and studied their membership to five known young moving groups: Local Association (Pleiades moving group, 20–150 Myr, Ursa Mayor group (Sirius supercluster, 300 Myr, Hyades supercluster (600 Myr, IC 2391 supercluster (35 Myr and Castor moving group (200 Myr. To assess them as members we used different kinematic and spectroscopic criteria.

  18. A spectroscopic and photometric study of MSP companions in Galactic Globular Clusters

    OpenAIRE

    Cocozza, Gabriele

    2008-01-01

    This Thesis is devoted to the study of the optical companions of Millisecond Pulsars in Galactic Globular Clusters (GCs) as a part of a large project started at the Department of Astronomy of the Bologna University, in collaboration with other institutions (Astronomical Observatory of Cagliari and Bologna, University of Virginia), specifically dedicated to the study of the environmental effects on passive stellar evolution in galactic GCs. Globular Clusters are very efficien...

  19. Companion animals and well-being in palliative care nursing: a literature review.

    Science.gov (United States)

    MacDonald, Julie M; Barrett, David

    2016-02-01

    To evaluate and critique current knowledge regarding the role of animals in palliative care. To explore the impact that animals may have on the well-being of individuals and to identify gaps in the evidence base. There is recognition that having a companion animal will affect patient experience. Similarly, there has been some previous exploration on the use of specific animal assisted therapies for patients with different healthcare needs. A literature review was conducted to identify published and unpublished research about companion animals or animal-assisted therapy in palliative and/or end-of-life care. The primary objective was to explore the impact of animals on well-being at the end of life. A search for literature was carried out using a variety of databases and different combinations of search terms linked to animals in palliative care. Included works were critically appraised and thematically analysed. A limited range of literature was identified. From the small number of studies included in the review (n = 4), it appears that there is some evidence of animals (either companion animals or those used specifically to enhance care) having a positive impact on the patient experience. This study suggests that animals play a large part in the lives of people receiving palliative care. Using animals to support care may also offer some benefits to the patient experience. However, there appears to be a dearth of high-quality literature in this area. More research is therefore required. Nurses providing palliative care need to be aware of the part that a companion animal may play in the life of patients. There may also be the opportunity for nurses in some settings to integrate animal therapy into their provision of palliative care. © 2015 John Wiley & Sons Ltd.

  20. Evaluating Checklist Use in Companion Animal Wellness Visits in a Veterinary Teaching Hospital: A Preliminary Study

    OpenAIRE

    Nappier, Michael T.; Corrigan, Virginia K.; Bartl-Wilson, Lara E.; Freeman, Mark; Werre, Stephen; Tempel, Eric

    2017-01-01

    The number of companion animal wellness visits in private practice has been decreasing, and one important factor cited is the lack of effective communication between veterinarians and pet owners regarding the importance of preventive care. Checklists have been widely used in many fields and are especially useful in areas where a complex task must be completed with multiple small steps, or when cognitive fatigue is evident. The use of checklists in veterinary medical education has not yet been...

  1. John E. King (ed.), The Elgar Companion to Post Keynesian Economics (Second edition)

    OpenAIRE

    Forges Davanzati, Guglielmo

    2015-01-01

    This book—an extended version of the first Companion (2002, 405)—presents a wide range of studies falling within Post Keynesian economics, for the main purpose of establishing the basic features of this line of thought. With respect to the previous edition, 43 new entries have been added, dealing, in particular, with some important national traditions of Post Keynesian Economics, the role of financial markets and the crises. New entries are motivated both because of the recent historical fact...

  2. Pedagogical Agents as Learning Companions: The Role of Agent Competency and Type of Interaction

    OpenAIRE

    Kim, Yanghee; Baylor, Amy L.; PALS Group,

    2006-01-01

    This study was designed to examine the effects of the competency (low vs. high) and interaction type (proactive vs. responsive) of pedagogical agents as learning companions (PALs) on learning, self-efficacy, and attitudes. Participants were 72 undergraduates in an introductory computer-literacy course who were randomly assigned to one of four treatments: Low-Proactive, Low-Responsive, High-Proactive, and High-Responsive. Results indicated a main effect for PAL competency. Students who worked ...

  3. An Architecture for Emotional and Context-Aware Associative Learning for Robot Companions

    OpenAIRE

    Rizzi Raymundo, C.; Johnson, C. G.; Vargas, P. A.

    2015-01-01

    This work proposes a theoretical architectural model based on the brain's fear learning system with the purpose of generating artificial fear conditioning at both stimuli and context abstraction levels in robot companions. The proposed architecture is inspired by the different brain regions involved in fear learning, here divided into four modules that work in an integrated and parallel manner: the sensory system, the amygdala system, the hippocampal system and the working memory. Each of the...

  4. Evaluation of faecal sampling methods for the analysis of Giardia sp. in companion animals

    OpenAIRE

    Santos, Ana Rita Ruas dos

    2016-01-01

    Dissertação de Mestrado Integrado em Medicina Veterinária Giardiosis is a zoonosis with a worldwide distribution, responsible for gastrointestinal disease in both humans and animals. Transmitted by contaminated water and food, Giardia represents a risk to veterinary and public health. Because of its prevalence in companion animals, veterinarians and animal owners awareness of the importance of its identification and treatment in infected animals, made it an important part of th...

  5. Critically appraised topic on adverse food reactions of companion animals (1): duration of elimination diets

    OpenAIRE

    Olivry, Thierry; Mueller, Ralf S.; Pr?laud, Pascal

    2015-01-01

    Background: Restrictive (i.e. elimination)-provocation dietary trials remain the standard of care to diagnose cutaneous adverse food reactions (CAFRs) in dogs and cats. There is currently no consensus on the duration of elimination diet trials that would permit the highest sensitivity of diagnosis of CAFR in companion animals. Results: The search for, and review and analysis of the best evidence available as of December 14, 2014 suggests that, by 5 weeks in dogs and 6 weeks in cats after star...

  6. Progress in Adaptive Immunotherapy for Cancer in Companion Animals: Success on the Path to a Cure

    OpenAIRE

    Katie L. Anderson; Jaime F. Modiano

    2015-01-01

    Harnessing the ability of the immune system to eradicate cancer has been a long-held goal of oncology. Work from the last two decades has finally brought immunotherapy into the forefront for cancer treatment, with demonstrable clinical success for aggressive tumors where other therapies had failed. In this review, we will discuss a range of therapies that are in different stages of clinical or preclinical development for companion animals with cancer, and which share the common objective of ...

  7. Prioritization of Companion Animal Transmissible Diseases for Policy Intervention in Europe

    DEFF Research Database (Denmark)

    Cito, F.; Rijks, J.; Rantsios, A.T.

    2016-01-01

    A number of papers have been published on the prioritization of transmissible diseases in farm animals and wildlife, based either on semiquantitative or truly quantitative methods, but there is no published literature on the prioritization of transmissible diseases in companion animals. In this s...... reptiles. The methodology presented in this paper can be used to generate accurate priority lists according to narrower and more specific objectives....

  8. Companion cropping with potato onion enhances the disease resistance of tomato against Verticillium dahliae

    Directory of Open Access Journals (Sweden)

    Xuepeng eFu

    2015-09-01

    Full Text Available Intercropping could alleviate soil-borne diseases, however, few studies focused on the immunity of the host plant induced by the interspecific interactions. To test whether or not intercropping could enhance the disease resistance of host plant, we investigated the effect of companion cropping with potato onion on tomato Verticillium wilt caused by Verticillium dahliae (V. dahliae. To investigate the mechanisms, the root exudates were collected from tomato and potato onion which were grown together or separately, and were used to examine the antifungal activities against V. dahliae in vitro, respectively. Furthermore, RNA-seq was used to examine the expression pattern of genes related to disease resistance in tomato companied with potato onion compared to that in tomato grown alone, under the condition of infection with V. dahliae. The results showed that companion cropping with potato onion could alleviate the incidence and severity of tomato Verticillium wilt. The further studies revealed that the root exudates from tomato companied with potato onion significantly inhibited the mycelia growth and spore germination of V. dahliae. However, there were no significant effects on these two measurements for the root exudates from potato onion grown alone or from potato onion grown with tomato. RNA-seq data analysis showed the disease defense genes associated with pathogenesis-related proteins, biosynthesis of lignin, hormone metabolism and signal transduction were expressed much higher in the tomato companied with potato onion than those in the tomato grown alone, which indicated that these defense genes play important roles in tomato against V. dahliae infection, and meant that the disease resistance of tomato against V. dahliae was enhanced in the companion copping with potato onion. We proposed that companion cropping with potato onion could enhance the disease resistance of tomato against V. dahliae by regulating the expression of genes related

  9. Antimicrobial Susceptibility of Bordetella bronchiseptica Isolates from Swine and Companion Animals and Detection of Resistance Genes.

    Directory of Open Access Journals (Sweden)

    Sandra Prüller

    Full Text Available Bordetella bronchiseptica causes infections of the respiratory tract in swine and other mammals and is a precursor for secondary infections with Pasteurella multocida. Treatment of B. bronchiseptica infections is conducted primarily with antimicrobial agents. Therefore it is essential to get an overview of the susceptibility status of these bacteria. The aim of this study was to comparatively analyse broth microdilution susceptibility testing according to CLSI recommendations with an incubation time of 16 to 20 hours and a longer incubation time of 24 hours, as recently proposed to obtain more homogenous MICs. Susceptibility testing against a panel of 22 antimicrobial agents and two fixed combinations was performed with 107 porcine isolates from different farms and regions in Germany and 43 isolates obtained from companion animals in Germany and other European countries. Isolates with increased MICs were investigated by PCR assays for the presence of resistance genes. For ampicillin, all 107 porcine isolates were classified as resistant, whereas only a single isolate was resistant to florfenicol. All isolates obtained from companion animals showed elevated MICs for β-lactam antibiotics and demonstrated an overall low susceptibility to cephalosporines. Extension of the incubation time resulted in 1-2 dilution steps higher MIC50 values of porcine isolates for seven antimicrobial agents tested, while isolates from companion animals exhibited twofold higher MIC50/90 values only for tetracycline and cefotaxime. For three antimicrobial agents, lower MIC50 and MIC90 values were detected for both, porcine and companion animal isolates. Among the 150 isolates tested, the resistance genes blaBOR-1 (n = 147, blaOXA-2, (n = 4, strA and strB (n = 17, sul1 (n = 10, sul2 (n = 73, dfrA7 (n = 3 and tet(A (n = 8 were detected and a plasmid localisation was identified for several of the resistance genes.

  10. Biologics industry challenges for developing diagnostic tests for the National Veterinary Stockpile.

    Science.gov (United States)

    Hardham, J M; Lamichhane, C M

    2013-01-01

    Veterinary diagnostic products generated ~$3 billion US dollars in global sales in 2010. This industry is poised to undergo tremendous changes in the next decade as technological advances move diagnostic products from the traditional laboratory-based and handheld immunologic assays towards highly technical, point of care devices with increased sensitivity, specificity, and complexity. Despite these opportunities for advancing diagnostic products, the industry continues to face numerous challenges in developing diagnostic products for emerging and foreign animal diseases. Because of the need to deliver a return on the investment, research and development dollars continue to be focused on infectious diseases that have a negative impact on current domestic herd health, production systems, or companion animal health. Overcoming the administrative, legal, fiscal, and technological barriers to provide veterinary diagnostic products for the National Veterinary Stockpile will reduce the threat of natural or intentional spread of foreign diseases and increase the security of the food supply in the US.

  11. Living with companion animals after stroke: experiences of older people in community and primary care nursing.

    Science.gov (United States)

    Johansson, Maria; Ahlström, Gerd; Jönsson, Ann-Cathrin

    2014-12-01

    Older people often have companion animals, and the significance of animals in human lives should be considered by nurses-particularly in relation to older people's health, which can be affected by diseases. The incidence of stroke increases with age and disabilities as a result of stroke are common. This study aimed to explore older people's experiences of living with companion animals after stroke, and their life situation with the animals in relation to the physical, psychological and social aspects of recovery after stroke. The study was performed using individual interviews approximately 2 years after stroke with 17 participants (10 women and 7 men) aged 62-88 years. An overarching theme arising from the content analysis was contribution to a meaningful life. This theme was generated from four categories: motivation for physical and psychosocial recovery after stroke; someone to care for who cares for you; animals as family members; and providers of safety and protection. The main conclusion was that companion animals are experienced as physical and psychosocial contributors to recovery and a meaningful life after stroke.